HomeMy WebLinkAboutPermit Signage 1996-08-08CE (c TilV,C Uu
VALUE
ADDITION DEMOLISH OTHER
DESCBIPTION OF WORK:
NEW=- REMODEL
NAME ADDFIESS PHONE
ADDRESS
EXPI RES PHON E
( o^) l- 26oh77 7 16402l
V Sl ot(E
ELECTRICAL
MECHANICAL:
CONTRACTOR'S NAME
ARCHITECT
CONST.
CONTRACTOR #
GENERAL:
PLUM B I NG
Single Fixture
Relocated Bt
ew fi
ce
ft
ewer
ft
torm
ft
Backflow Device
TOTAL PERMIT
venturnace/ burner
BTU .-4.-4J
rnac burne o ve nFU
>1
Floor furnace and vent
Umo nted heatunt e
pe or
nt
separate
ance
n evaary p.
ecool
duct
an
apart
f rom or
hood and duct
Permit lssuance $10.00
TOTAL PERMIT ,rZ/4)
ZONING
LIGHTING POWER BUDGET:
Y OF UNITS:
- OFFICE USE -
LAND USE:
OCCY GROUP:
I OF STOBIES:
QUAD ABEA:
g OF BLDGS:
WATER HEATER:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/so. Fr.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT''DATE BY
BUILDING PERMIT PLUM B I NG DEMOLITION-_-
% State
Su rch e 5% State
SuECHANIL,-g
-18'.ao
NCE
LUE5% State
Surcharge ,7f+,/S 2rO SIDEWALK
S UBTOTAL
RMPAVINGCURBUTS'
D
EMS
EV PM
Za?'TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
99_14M ERctAL/ tN DUSrRtr,
PERMIT APPLICATION " ''
225 Fif1ln Street, Springfield, Oregon g7471
SPRINGFIELO
K:Qa s/rr Srore 3
JOB NUMBEB
INSPECTTON LtNE: 726_3769
OFFICE: 726-3759
TAX LOT:
PHONE t-toct*886 * 7L 6z
ZIP:o t73
il a.tl
LOCATION OF PFOPO
ASSESSORS MAP
,1
OWNER 4z ,4
ADDRESS
CITY:U,k
t 7u
STATE:1,
a
I
- - REQUIRED INSPECTIONS
It ls the responsibility of the permit holder to see that all lnspectlons are made at the proper time' To request an inspection' call
726.376g(recorder), state your city designalgJi.o number, rob address, type of inspection requested and when you will be ready
for inspection. n"qu""i" ieceived beforu 7,oo a.m. will be made the same working day, requests made after 7:00 a m' will be made
the followlng work daY.
SITE INSPECTION: To be
made after excavatlon, but
Prior to setuP of forms'
UNDERSLAB PLUMBING'
ELECTRICAL &
MECHANICAL: To be made
before anY work ls 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 bulldlng
servlce equiPment, conduit,
PiPing, accessories and other
ancillarY equiPment items are
in Place but before anY
concrete is Placed.
UNDERGROUN D: Plumbing,
electrical, gas, sanltary sewer'
storm sewer, water and
dralnage lines. To be made
prior to covering or f illing
trenches.
UNDERFLOOR: Plumbing'
electrlcal, mechanlcal. To be
made Prior to installatlon of
floor insulatlon, decklng or
floor sheathlng.
POST & BEAM: To be made
Prior to lnstallatlon of floor
insulatlon, decklng or lloor
sheathlng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made Prlor to installation of
decking or floor sheathlng'
MASONRY: Steel location'
bond beams groutlng or
vertlcals ln accordance wlth
uac 2415.
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'
FIRE & SEPARATION WALL:
Located and constructed
according to Plans.
PAVING: After gr3vel is ln
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 duri ng
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division'
ROOF SHEATHING AND
NAILING: Prlor to lnstalling
anY roof coverlng.
LATH ANDIOR GYPSUM
BOARD: To be made after all
lathlng and gYPsum board,
interior and exteriol is in
Place but before anY
plasterlng ls aPPlied or before
gYPSUm board Jolnts and
fasteners are taPed and
fi nl shed.
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.
STRUCTURAL CONCRETE: IN
excess of 2500 P'S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 t)
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 AN D FILLING:
Durlng earthwork. (306 a.11 &
Chapter 29)
cLU.LAM BEAMS: lnsPection
Certificate bY an aPProved
agency, furnlshed to the city's
Building Division before
beams are Placed. (2501 U.BC.
srDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7l
'ln addition to the insPec-
tions specified, the Bullding
Official may make or require
other inspections of anY
constructlon work to ensure
compliance wlth the Bullding,
Clty or Development Code.
FRAMING: To be made after
the roof, all framlng, fire
blocking and braclng are in
Place and all PiPes, chimneYs
and vents are comPlete and
the rough electrlcal, Plumbing
and mechanical are aPProved'
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vaPor
barriers are ln Place but
before anY lath or gYPSUm
board interlor wall coveri ng ls
applied.
By srgnature, r state and agree, that r have carefuily examined the completed application and do hereby certify that all information
herein is true and correct, and I further certify tnat any and all work performed shall be done ln accordance wlth the ordlnances
of the city of sprrngfierd, and the Laws of tne siate of oregon pertainrng to the work described herein, and that No occuPANoY
will be made of any struciure without permission of the Buildlng safety o'rilsion. I f urther certify that only contractors and employees
who are in compllance with OFS 701'055 will be used on thls proJect'
I further agree to ensure that all requlred inspections are requested at the proper time, that project address ls readable from the
street, that the permlt card ls located at the front of the property, and the approved set of plans will remai n on the slte at all
ng structi on 8-r-7nDate"(^r--"*
times duri
Slgnature
( P*;. (".
VALIDATION:o?
-.2O4(-,
ZLAMOUNT RECEIVED
RECEIPT #:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
)< F'NAL ELEcTRtcAL
X FrNAL ME.HANI.AL-f---rs-
FINAL FIRE DEPARTMENT
SITEPLANREvIEwBoARD:MustbereqUested2daysinadvance
oi tne Jate you wish inspection. All project conditions such as
i"".i"""pi"S1 parklng lot stri ping, etc' must be completed before
requestlng this insPectlon.
FINAL BUtLolNGr ReqUeSted af ter the f lnal plumbing, electrical,
mecna^f Cat and Flre Department inspections are made and
approveO. No occupancy of the premises can be made untll a
c-"ittirr"t" of occupancy has been issued by the Building Division
and Posted on the Premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
ORF.GO'UC'TY OF
SPRINGFTELO
Z
riot
U
225 FTfrE STRBET EI.ECTRICAL PERHIT
SPRTNGFIEIJ, 0RBGoN 97477
INSPECTI0N RBQUEST: 726-3769 X:ADfu City Job Nunber
OPFICB: '726-3759 Authorized Sign
w';rd'gt
1
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CONIT,ACrOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Alert Electricrrnc. or Relocation:
Address 19 70 N- 28 200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect 0n1y
ci Springfield Phone 7 47-2273
Supervisor License Number 3401S
Exp iration Date
Constr Contr. Number 20-55C
Expiration Dat "5Lu7rr_01_e4
of ing Electrician
0vners ,
Address
Ci ty
OSNER, INST
DATE:
The installatioir is being made on
property I own vhich is not intended
for sale, lease or rent.
Orners Signature:
3. COHPLETB PEE SCEBDTILB BBLOS
A. Nev Residential-Sing1e or
Hulti-FamilY Per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
Servlce or Feeder
$ 8s.00
$ 1s.00
$ 40.00
c
D.
E.
SUBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
over 4b1 to 6oo amps
-
$ 8o.oo
Over 600 amps or tbOO vofts see uB" a6ilE
Branch Circuits
Nev, Alteration or Extension Per Pane1
one circuit
-L
g 3s.oo qS
Each Additional
Circuit or with Service
or Feeder Permit
-
$ 2.00
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
$ 40.00
Liilited Energy/Res
-
$ 20.00
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300. 00
$ 40.00
I
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