HomeMy WebLinkAboutPermit Electrical 1997-04-16COMM ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
3{o
TAX LOT:
SP]II]r.GFIELTT
JOB NUMBER
WOFar0
2fr,
q7e151
aooZ-LOCATION OF PROPOSED
ASSESSORS MAP:
INSPECTION LINE: 726-3769
OFFICE: 726-3759
PHON E:
4zqzzCITY:ztPSTATE:
4
ADDRESS:I 7'io We ha "tK
OWNER:
OTHER VALUE:et/ADDITION DEMOLISH
DESCRIPTION OF WORK:
NEW- REMOD
NAME ADDRESS PHONE
ADDRESS EXPI RES PHONE
/d €o.tzt?,l (-MECHANI -Zzu,,
G E N ERAL:
CONTRACTOR'S NAME
ARCHITECT:
ELECTRICAL:
ll ao)S-
t2 -q4
PLUM BING:
CONST.
CONTRACTOR #
PLT-IMBING
NO.FEE CHARGE
Single Fixture
Belocated Bldg
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trFtr 1:HA FIGF
Furnace/burner & vent
<100,000 BTUs
/Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent Sys
from AC
tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
ZONING
HANDICAP ACCESS:
FLOOD PLAIN
WATER HEATER:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
I OF BLDGS:
CONSTR. TYPE:
HEAT SOURCEI
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
BUILDING PERMIT PLUMBING DEMOLITION
5Yo State
Su rch aro e
5% State
Su rcharoe
MECHANICAL l[, tr( )FENCE
VALUE $
5% State t 2et
Surcharoe- ' J to ,1,SIDEWALK
FT.
SUBTOTAL
PERMITS pa Jn
t1in
ht*n CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
LIGHTING POWER BUDGET:
* OF UNITS:
It is the responsibility of the permit holder to s
726.3769 (recorder), state your City designated
REQUIRED INSPECTIONS
ee that all lnspections are made at the
job number, job address, type of inspec
proper time. To request an inspection, call
tion requested and when you will be ready
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: IN
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 t)
HlGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.'11 &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certiflcate by an approved
agency, furnlshed to the City's
Building Division before
beams are placed. (2501 U.BC.
STDS. 2s.1Ol1).
STRUCTURAL MASONRY: (306*A*( aaLJ-
for inspection. Requests received before
the following work daY.
SITE INSPECTION: To be
made after excavation, but
prior to setuP of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in Place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before anY
concrete is placed.
UNDERGROUNDT Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
dralnage llnes. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathlng.
POST & BEAM: To be made
prior to lnstallation of floor
insulatlon, decking or floor
sheathing.
FLOOR ]NSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
uBc 2415.
I be made the same working daY,requests made after 7:00 a.m. will be made
ROUGH PLUMBING,PAVING: After gravel is in
place but prior to Placing
is to asphalt or concrete.
these
,.Y,
ROOF SHEATHING AND
NAtLING: Prior to lnstalling
anY roof covering.
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to Placing
tacing materials and before
framing inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all piPes, chimneYs
and vents are complete and
the rough electrical, Plumbing
and mechanical are aPProved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vaPor
barrlers are ln place but
before any lath or gYPSum
board lnterior wall covering is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND'OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
lnterlor and exterior, is in
place but before anY
plastering is applied or before
gypsum board joints and
fasteners are taped and
f inished.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
CURB AND APPROACH
APRONS: After forms are
erected but Prior to Placing
concrete.
'ln addition to the inspec'
tions specified, the Building
Officlal may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
(r
ICAL:EC
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify th.at all information
hereln is true and correct,-and I further certify that any and all work performed shall be done in accordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that No ocCUPANCY
will be mide of any struciure without permission of the Bulldlng Safety Divlsion. I further certify that only contractors and employees
who are in compllance wlth oRS 701.055 will be used on this project.
ns are requested at the proper time, that proiect address is readable f rom the
/6DaSignature
I further agree to ensure that all required inspectio
street, that the permit card is located at the front of and the approved set of plans will remain on the site at all
times durlng n stru ct ion
4-Lb -
VALIDATION:7
RECEIVED BY:
DATE PAIDAMOUNT RECEIV
RECEIPT *:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVTEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. AII proJect conditions such as
landscaplng, parking lot striping, etc' must be completed before
requestlng thls insPection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanlcal and Flre Department inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the Premises.
ADDITIONAL COMMENTSi
PLANS REVIEWED BY DATE