HomeMy WebLinkAboutPermit Building 1992-03-18CO M M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fiffi Street, Springfield, Oregon 97477
LOCAIION AF PRO
ASSESSORS MAP
t311 /worUuL-,4
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
:iPFINGFIELO
PHONE:
FZte ewe-STATE:ZIPIo,<
7Zi- F/ t/p- tfett ' F 't /
/37? Hoi/a-/- 6tto.
CITY:
ADDRESS
OWNER
DESCRIPTION OF WORK:
NEW- REMODEL,VALUE:/.-ADDITION DEMOLISH OTHER
NAME ADDRESS PHONE
EXPI RES PHONE
ertiov{@
216-7677
/LELECTRICAL:
f^o
?
MECHANICAL:fuza./ / /,u,.a
/ -q j 7r'r-9?6?4,L
CONTRACTOR'S NAME
ARCHITECT:
CONST.
CONTRACTOR #
6da 3o
ADDRESS
C,trfer"fio^ 6. l\oct gfll,*./ ayG EN ERAL:
PLUM BI NG
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
tt.
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHANICAL
NO FFtr CHARGE
Furnace/ bu rner & 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
f rom
SyS tem apart
or htg.
Mechanical exhaust
hood and duct
(tuqZe 4A Azl/i r frtr-)/€P
Permit lssuance $10.00
TOTAL PERMIT
B-L L
I
&
z-
V
_ OFFICE
WATER HEATERHEAT SOURCE:
CONSTR. TYPE
* OF UNITS:
LAND USE:
HANDICAP ACCESS
FLOOD PLAIN
ZONING
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
SQ. FT,$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
14,70 r 4zD,b 3-B-Fz 1PLAN CHECK FEE BYDATERCPT
4e,bs
BUILDING PERMIT -r-, fu.42,PLU M BI NG DEMOLITION
5% State
Su rc haroe /,, o 5% State
Su rcharoe
MECHANICAL/s(tt*,t )aF./5,o u
,/F),&O FENCE
VALUE S
5% State
Surcharoe ,75 SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT +tE
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
q?477
LIGHTING POWER BUDGET:
- REOUIRED INSPECTIONS V
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 7:00 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 bC X ROUGH PLUMBING, PAVING: AftEr gTAVCI iS iN
made after excavation, but 4EIECT}IIEL & place but prior to placing
prior to setup of forms. ,dffHANlGt: No work is to asphalt or concrete.
-EEEovered until these
UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 0f the state specialty code
MECHANICAL: To be made _ a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, ail steel in place, but framing inspection'
-
srRUcruRAL CoNCRETE: ln
prior to placing concrete. X FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter ail insrab buirdins 3l::5 :fl.':fl 3,'f,il?ri'fi;:r" ;H:,"J"'f3"t H5tT',rrr, ,service equipment, conduit, and vents are complete and
:H[,?;""",",];ilt? ?i:l:'::i *: H::li;tifffl,iJ;[3:l: Bl?Xf],?E]*ol[,?,o*I]X".in place but before any tightei-ring operations. (306concrete is placed. INSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.B.C.Storm Sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall covering isprior to covering or f illing apptied. S,ECIAL GRADING,trenches.
,NDERFL..R: prumbins l:::,fl'"'..''f;m'J3}"[f"' iffilut!iil#ll',5J:'j],"i,
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of ,-./
floor insulation, decking or , X LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathrng. BOARD: To be made after all Certificate by an approved
Iathing and gypsum board, agency, furnished to the city's
posr & BEAMr To be made interiol and exterior, is in Building Division before
prior to installation of floor place but before any beams are placed (2501 U'BC'
insulation, decking or f loor plastering is applied or before STDS' 25-10'11)'
sheathing. - Sypsum board ioints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATI.N & finished' Fn'e-@ a'7)
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
u3c 2415.
RooF sHEATHTNG AND :Hl3^H?rtJ'"r::f"":,.
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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.
FINAL PLUMBING 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, etectricat,
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.
>- FINAL ELECTRTCAL
-X F'NAL ME.HANTcAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS
PLANS REVIEWED BY DATE 3/zz,/qz7 ---7
8y 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 allwork 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 OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project.
I f urther agree to ensure that all required inspections are requested at the
nt of the property, and the approved set of plans will remain on the site at all
qzSignatureDatec
proper time, that project address is readable f rom theis located at tstreet, that the permit
times during co
VALIDATION AMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
"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.
x
c,OFSPB
SID'ITNGFIELO
m
225 FIFTE SIT,EET
SPRINGFIELD, OREGON 974
TNSPECf,ION RBQUBST. 72
OFFICE: 726-3759
1
EIJCTRICAL PERHIT ON
Service Inc u
per dvelling unit.
ded:Items Cost
s 8s.00
$ 1s.00
$ 40.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf'd Home or
Hodular Dt*,elling
Service or Feeder
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
Permits are non-transferable and: expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CO}ITRACf,OR OM,Y
Electrical Contract
Address
cit Phone
Supervi Ndmber
iration Date
as submitted
t
Nuurber
PEE SCEEDULE BELOV
Nev Residential-Single or
Sum
B
3
$ s0.00
$ 60.00
$100.00
$130.00
s300.00
$ 40.00
Exp
Constr Contr. Number
ration Date
S ture of sing ctrician
ers Name
Address
Ci ty one
OITNER
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
RECEIPT
Temporary Services or Feeders
Installation, Alteration or Relocation
, Alteration or Extension Per Panel
200 amps or less S 40.00
201 amps to 400 amps
-
$ 55.00
Over 600 amps or 1000 volts see "Brr above
Branch Circuits
c
D
one circuit
-I
$ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit | $ 2.00
g5
-A
E. Hiscellaneous (Service/feeder not included)
-Each in-"taIlation
Prrmp or irrigation
Sign/OutIine Light ing_
Limited Energy/Res _Limited Energy/Comm
STMTOTAL OF ABOVE
5Z State Surcharge
TOTAL
$
s
s
s
40
40
20
36
.00
.00
.00
.00q)
.Jl
RECETVED BY:
5