HomeMy WebLinkAboutPermit Mechanical 1992-09-30CO M M ERCIAL/l N DUSTRIAU
PERMIT APPLICATION
225 Fitfn Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
SPRINGFlELO JOB NUMBER
INSPECTION LI
OFFICE: 726-3759
ASSESSORS MAP:TAX LOT:
PHONE
ztP, q 141-)STATE
t44- t uQ.t
CITY:
ADDRESS:
OWNER
NEW
-
REMoDEL ADDrrroN bEltoltsH orHER VALUE {aae
DESCRIPTION OF WORK:
ARCHITEC-I:
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
NAME ADDRESS PHONE
6
GENERAL:
PLUMBI
MECHANICAL:
ELECTRICA
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
Nr)FFF CHA RGF
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
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct /."r74a.Zrza ?.2'
Permit lssuance $10.00
TOTAL PERMIT .Ez*/5i
_ OFFICE USE -
ZONING
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GBOUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJECT
X
x
x
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
{VaaePLAN CHECK FEE RCPT#DATE BY
7S?-?
BUILDING PERMIT PLUMBI NG DEMOLITION
5% State
Su rcharge 5% State
Su rcharge
MECHAAIC^L/?A/l#qld/r../2.*'F-*FENCE
VALUE $
5% $tate
Su rc harge -7f,SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERI\4IT FEES
EXCLUDING ELECTRICAL
NL
..r REQUTRED INSPECTTONS -.-,
It is the responsibility of the permit holderto see that all inspections are made at the proper time. To request an inspection, call
726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:O0 a.m. will be made the same working day, requests made af ter 7:00 a.m. will be made
the following work day.
stTE INSPECTION: To be x ROUGH++{rt+Rlfl€r PAVING: After graver is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
CURTAIN WALLS construction of the following work. A
FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, ail steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter ail insrab buirdins 3l::5::.':ff ilE:It",l,';l:r" FIXS'TyXS"t Hf tT',rrz o
service equipment, conduit, and vents are'complete and
:H[,?;""?",:;?{:"; ?i:i:'TJ :H'fl::[i;tii:,1'i,$[3:l: Bl?lf],?EL?T*gP"'IS:".in place but before any tightehing operations. (306
concrete is placed. TNSULATION & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SpRAYED ON
electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC.
storm sewer, water and before any lath or gypsum Standards 43-8.
drainage lines. To be made board interior wall covering is
prior to covering or f illing applied. S'ECIAL GRADING,
t renches.
,NDERFL..R: prumbins I:::.S'"="'fiA'J3[g]"' EX;i;t'iiil-:li"'5JL'j]'"1
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of
floor insulation, decking or LATH ANDTOR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency' furnished to the City's
posr & BEAM: To be made interior and exierior, is in Building Division before
priortoinstallationoffloorplacebutbeforeanybeamsareplaced.(2501U.Bc.
insulation, decking or floor plastering is applied or before STDS' 25-10J1)'
sheathing.gypsumboardjointsand fasteners are taped and STRUCTURAL MASONRY: (306
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
NAILING: Prior to installing
any roof covering.
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.
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.
t/
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
requesti ng this insPection.
FTNAL 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.
/
x
/
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
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 tne permit card is located at the front of the property, and the approved set of plans will remain on the site at all
Signatu Date
times during constru
2 -3o* 2
?fr?7VALIDATION6V63 =.*-AMOUNT RECEIVED
RECEIPT Y:RECEIVED BY:
DATE PAID
v
a=z=<;Z_
5l 'r tlNGl: lr:Lt,
m
225 IIIFTII STRI.]IiT
sPRINGFIELI), oltlic0N
INSPI]CTION RDQUTIST:
0FPICE: 7?.6-3751)
The iollowing project
:cning, and does not
approval.
1. LOCATTON Or rNSTALlnl',IoN .' " '-rIL v
l4t q, At?oHe at
N
Pernrits are non-transferable and expire
if vork is not started vlthin 180 days
of issuance or if vork ls suspended for
180 days.
2. CO}N?.ACTOR INSTALIJ\TION ONLY
Iilcctrical Contractor Rose Corporation
A<rdr:ess 8997 6 DaY Lane
Ci ty Euqrene Phone 686-0905
Supervi:;or Liccnse Number 1 568-s
Iixpiration Date i 0-01-93
Constr Contr. Number 54431
Iixpiration Date 9-30-95
Signature crvrsl Blec t ri cian
0wners Name
Arld res
as submitted has the followirig
r.: ciuir e e pc;c iiic I o,,t HffifRI CA L PEI(HIT AP PLICATION
City Job Number
COHPLETB PBB SCIIEDULB BELOV
A. Nev Residential-Single or
HuIti-FamiIY Per dwelling unit'
Service Included:
I tems Cos t
$ Bs.oo1000 sq.ft. or less
Each additional 500
sq. ft or portlon
t lre reo f
Each Manuf 'd llome or
Modular Dvelling
Service or Feeder
$ 1s.00
s 40.00
B Services or Feeders
fnstallatlon, Alterations or
Relocatlon:
200 amps or less
201 anrps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/voIts
-
Reconnect Only
C Temporary Services or Feeders
fnstallatlon, Alteration or Relocation
97 477
726*37 69 ]}_t?
Sum
s 50.00
$ 60.00
$100.00
$130.00
s300.00
$ 40.00
200 amps or less $ 40.00
20L amps to /r00 amps _ $ 55.00
0ver 40L to 600 amps _ S 80.00
0ver 600 amps or 1000 volts see rrBil above
,rry f|TZAQ - Prrone
,fr,;;;*
D. Branch Circui ts
New, Alteratlon or Extenslon Per Panel
one circuir t $ 35.00 WEach Addi t ional
Circuit or vith Service
or Feeder Permit $ 2,00
E. l'liscellaneous (Service/feeder not included)
5. SI'BTOTAL OP ABOVE
5Z State Surcharge
TOTAL
l I
OVNEN
The installation is being made on
property f ovn vhich is not intendedfor sale, Iease or rent.
Ovncrs Signature:
-Each installation
Pump or irrigation $
Sign/0utIlne Ligtrting- $
Limi ted Energy/Res $
Limi ted Energy/Comrn _ S
00
00
00
00
40.
40.
20,
36.
DATE:
RIiCEI PT
ItIiC[IVIiD IIY:36,'75.
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JOB DESCRIFTION l€r€Ctnro surW ar. a anug P
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ADDREAS
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15QO F R/SIBLE LINKS
ALTFFATIOUS INDICATED
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AFlrcvED BY THE BurLDrNc
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OCCTIPANCY INSPECTION APPLICATION
CITY OF SPRINGFIBLD BUIIDING DI\TTSION:=====================================:==:==========:===:=======================
DATE:JOB NUMBER:a-/74
ADDRESS OF TNSPECTION:
ovNBR: AIeA+_XNtLeej,y{ €n/ *<PHONE NUMBER: 4XS-4ttt
OWNER'S ADDRESS:
APPLICANT:
APPLICANT'S ADDRESS:7
FOR ACCESS TO PROPERTY - TELEPHoNE NUMBER: 74T/. I Lq3
PROPOSED USB:
A $TS.OO INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATTON FOR},I MUST BE STGNED BY THE OIINBR OF THE PROPERTY TO BE
INSPECTED
Pf,lXJ
SIGNA PRO
POR OFTICE USE ONLY
DATE PATD, Q-75*
DATE OF INSPECTTON:
DATE OF CERTTFICATE OF COMPLTANCE:
COMMENTS:
RECEIPT NUMBER:
DATB OF REPORT:
a