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Home My WebLink AboutPermit Mechanical 1993-09-29COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK:131 fllo 4-uJ l((vd /1n F?e (d SPRINGFIELO ASSESSORS MAP: JOB NUMBER INSPECTION LINE; 726-3769 OFFICE: 726-3759 TAX LOT:o 7a owNER: e a4*rrf ,+( ts,Pv k PHONE: ?7r77O,4-ZIP: e L STATE: l)zl rTl aADDRESS: CITY: DESCRIPTION OF WORK: NEW - REMODEL ADDITION DEMOLISH OTHER VALUE: trr<ag ARCHITECT: MECHANICAL: ELECTRICAL: NAME ADDRESS PHONE PHON EN d66PTt44 b-/L>l A SS o00 7 (o-,45 7 CONTRACTOR'S NAME EXPIRES CONST. CONTHACTOH # GENERAL: PLUMBING PLU MBIN G NO FEE CHARGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft. Sanitary Sewer I t. Storm Sewer ft. Backflow Device TOTAL PERMIT MECHANICAL NO trtrF CHA RGE Furnace/burner & vent < 100,000 BTUs 7-*#Furnace/burner & vent >100,000 BTUs 4 -) 44 €> Floor furnace and vent Suspended wall or f Iooi mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent f rom sys tem apart or htg. Mechanical exhaust hood and duct "/&, Psza 424 Permit lssuance $10.00 TOTAL PERMIT TtrS;: _ OFFICE USE - LAND USE HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: * OF UNITS: OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT.VALUE X SQ. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE BY /rt>&rt+- BUILDING PERMIT PLU M BI NG DEMOLITION 5% State Su rch aro e 5% State Su rc harqe MECt)ANtCAvr2,-ffi,-?/f . FENCE VALUE $ 5% State Su rcharoe ,/'67 SIDEWALK FT. SUBTOTAL PERMITS PAVING 4*zan CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL qir+92 ZONING: rorAL VALUE oF PRoJEcr 37{ Sa*o REOUIRED INSPECTIONS It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call 726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for inspection. Requests received before 7:O0 a.m. will be made the same working day, requests made after 7:00 a.m. will be made the following work day. &place but prior to placing asphalt or concrete. made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. FOOTINGS & FOUN DATIONS: 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. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing t renc hes. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of f loor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or f loor sheathing. FLOOR INSULATION & inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing 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 barriers are in place but before any lath or gypsum board interior 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, interior 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. 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\ HIGH STRENGTH BOLTING: During all bolt installation and ti ghteni ng operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AN D FILLING: During earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: lnspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B'C. sTDS. 2s-10J1). STRUCTURAL MASONRY: (306 a.7) -ln addition to the inspec- tions specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. e o work is to il thesen VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with uBc 2415. RooF sHEATHTNG AND iHHS^H'^fJ,tt:"#""X'. NAILING: Prior to installing erected but prior to placing any roof covering. concrete. NICA By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information herein 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 pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ?->z- tsSignatu re b Date J,tfuZ- rrr2 oor= "o,o, VALIDATION ,vr-zZo-n=- ?€-73 RECEIVED BY: AMOUNT RECEIVED: RECEIPT *: FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before requesti ng this i nspection. FINAL BUILDING: Requested after the final plumbing, electrical, mechanical and Fire 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. PLANS REVIEWED BY DATE ADDITIONAL COMMENTS: COMM ERCIAL/I N DUSTRIAL PERM!T APPLICATION 225 Fiftn Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK ?aqQEccn oo SPRIA'GFIELC,JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 7Zl ab 225 FITTE SlBEEf, SPRINGFIELD' OREGON 97 477 iiripicriotr itsougsr z 726-376e 0FPICE: 726'3759 : ea City Job Nuurber trb coHPtrrE rEE scBEDULE BBLov Nev Residential-Single or llulti-familY Per dvelling unit' ELECTRICAL Service Included: I tems 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Hanuf'd Home or Hodular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less zOi ,ri" to 400 amPs .- 401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amPs/volts - Reconnect 0nIY SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL APPLICATION b 1 1l-tlq-> OM,Y A I,EGAL 180 days. 2. COtrTRACf,OR Electrical Contracto Address Ci ty. Cos t s 85.00 s 15.00 s 40.00 Sum JOB Permits are non-transferable and expire if vork is not started vithin 180 days ;; i;;;""ce or if vork is susPended for B Phone $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00SupervisoLicense Number 3flD\ Expiration Date \) constr contr. Number ry|e) Exp iration Date ,\'g q ture ising Electrician ers Name Address Ci ty Phone Temporary Services or Feeders rnsiallaiion, Alteration or Relocation 200 amps or less $ 40'00 over 4b1 to 6oo amps - S 8o'oo - Over 600 amps or 1OO0 volts see trBtr above Branch Circuits Nev, Alteration or Extension Per Panel one circuit t s 3s.oo 35 Each Additional Circuit or vith Servicn A or Feeder Permit -1 $ 2'oo "I Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 49'99 .signuoutline Lightins- $ 49'99 c D ON The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: RECEIPT E q 5 I , RECEIVED BY: PAVING CURBCUT FT. SYSTEMS DEVELOPMENT //4,ITS TOTAL PERMIT FEES EXCLUDING ELECTRICAL E/.zr P7?>- n )I \,. REQUIRED INSPECTIONS It is the responsibility of the permit holderto see that all inspections are made at the proper time. To request an inspection, call 726-3769 (recorder), state your City designated iob number, job address, type of inspection requested and when you will be ready for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made 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. UNDERGROUN D: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing t renc hes. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or f loor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or floor sheathing. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. ROOF SHEATHING AND NAtLING: Prior to installing any roof covering. x -x- ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing 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 barriers are in place but before any lath or gypsum board interior wall covering is applied. FIRE & SEPARATION WALL: Located and constructed according to plans. LATH ANO/OR GYPSUM BOARD: To be made after all lathing and gypsum board, interior 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 Iway, to be made after all t excavating complete and form_ work and sub-base materig.l iri place. CURB AND APPROACH APRONS: After forms are erected but prior to Placing concrete. PAVING: After gravel is in place but prior to placing asphalt or concrete. 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 job. (2722 l\ HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU-LAM BEAMS: lnspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. srDS. 25-10J1). STRUCTU RAL MASONRY: (306 a.7\ *ln addition to the inspec- tions specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. FINAL PLUMBING / F,NAL ELEcTRT.AL / FINAL MEcHANTcAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parking lot stri ping, etc. must be completed before requesting this inspection. FINAL BUILDING: Requested after the final plumbing, electrical, mechanical and Fire 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 COMMENTS: PLANS REVIEWED BY DATE By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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 pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. ions are requested at the proper time, that project address is readable from the property, and the approved set of plans will remain on the site at all 7,Signature Date I further agree to ensu re at all required ins at the nt ofstreet, that the permi times during const AMOUNT R RECEIPT *: IVED:VALIDATION RECEIVED BY: DATE PAID: x V.#2- f -,t f-