HomeMy WebLinkAboutPermit Plumbing 1985-02-17CO M M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Flfth Street, Sprlngfleld, Oregon gl4tl
SPFiINGFIELO
LOCATION OF PBOPOSED WORKr C.
. -B NUMBER
INSPECTTON LtNE; 726.3769
OFFICE: 726.9759
TAX tOIASSESSORS MAP:e
. NEW REMODEL ADDITION DEMOLISH OTHER VALUE:
CITY:
DESCRIPTION OF WOBK:
ADDRESS:
OWNEB:
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONE
PLUMBING:
GENERAL:
CONTRACTOR'S NAME
ARCHITECI':
MECHANICAL:
ELECIBICAL:
CONST,
CONTRACTOR #
NO.FEE CHARGEqSlngle Flxture //o 7,-
Relocated Bldo.
(new flx. addtti
Water Servlce
ft
Sanltary SewEi
ft.
Storm Sewer
ft.
Backflow Oevlce
TOTAL PERMIT
Nrt trFF CHA RNFFurnace/ burner
<100,000 BTUs
r & vent
F urnace burner & vent
Floor furnace and vent
or oormounted unlt heater
ance n
f rom or
MechanicalGihE U
hood and duct
$10.00
TOTAL PERMIT
r OF STORIES:
- OFFICE USE -
LIGHTING POWER BUDGET:OCCY GROUP:
-
QUAD AREA:
r OF BLDGS:
CONSTR. TYPE:
HEAT SOURCEI
HANDICAP ACCESS:
LAND USE:FLOOD PLAIN:
r OF UNITS:ZONING:
SO. FT.$/sQ. FT,VALUE
X
X
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
RCPT'PLAN CHECK FEE iDATEBY
7".7b
BUILDING PERMIT PLUMBING 72^*e DEMOLITION
5% State
Su / .:p,?A
MEC FENCE
VALUE $
5% State
Su
SIDEWALK
FT.
SUBTOTAL
PERMITS
CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
//a
srArE: OF . ztp: €72 -
PHONE: -^ *84i2t
statlonary evap.
cooler
Vent Fan/Slngle
duct
apart
Permit lssuance
WATER HEATER: ,
TOTAL VALUE OF PROJECT-
PAVING
REQUIRED INSPECTIONS - -
It ls the responslblllty of the permlt h=6i0"l. to see that all lnspectlons are made at the proper tlme. To request an lnspectlon, call
726.3769 (recorder), etate your Clty deslgnated job number, lob address, type of lnspectlon requested and when you wlll bo ready
for lnspectlon, Requests recelved before 7;00 a.m. will be mado the same worklng day, requests mado after 7:00 a.m. wlll be made
the followlng work day.
S|TE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is ln
made after excavatlon, but ELECTRICAL & place but prlor to plaolng
prlor to setup of forms. MECHANICAL: No work ls to asphalt or concrete.
X uno
be covered untll these
lnspectlons have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prlor to placlng
faclng materlals and before
framlng lnspectlon.
FRAMING: To be made after
the roof, all framlng, flre
blocklnO and braclng are ln
place and all plpes, chlmneys
and vents ar€ complete and
the rough electrlcal, plumblng
and mechanlcal are approved.
INSULATION & VAPOR
BARRIER: To be made alter all
lnsulatlon and requlred vapor
barrlers are ln plaoe but
before any lath or gypsum
board lnterlor wall coverlng ls
applled.
FIRE & SEPARATION WALL:
Located and constructed
accordlng to plans.
LATH AND'OR GYPSUM
BOABD: To be made after all
lathlng and gypsum board,
lnterlor and exterlor, ls ln
place but before any
plasterlng lo applled or bsfore
gypsum board Jolnts and
fasteners are taped and
f lnlshed.
ELECTRICAL
MECHANICAL: To be made
before any work ls covered.
FOOTINGS & FOUNDATIQNS:
To be made after trenchea are
excavated and forms are
erected, all steel ln place, but
prlor to placlng concrete.
CONCRETE SLAB: To be
made atter all lnelab bulldlng
servlca equlpment, condult,
plplng, accessorles and other
anclllary equlpment ltems are
ln place but before any
concrote ls placed.
UNDERGROUND: Plumblng,
electrlcal, gas, aanltary sewer,
storm sewer, water and
dralnage llnes. To be made
prlor to coverlng or fllllng
trenches.
UNDERFLOOR: Plumblng,
electrlcal, mechanlcal. To be
made prlor to lnstallatlon of
lloor lnsulatlon, decklng or
floor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
lnsulatlon, decklng or ,loor
sheathlng.
FLOOR INSULATION &
VAPOR BABRIERS: To be
made prlor to lnstallatlon of
decklng or floor sheathlng.
MASONRY: Steel locatlon,
bond beams groutlng or
vertlcals ln accordance wlth
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Speolalty Code
a speclal lnspector shall be employed
by the Owner/ Contractor durlng
constructlon of tho followlng work. A
copy of the opeclal tostlng reports shall
be furnlshed to the Bulldlng Dlvlslon.
STRUCTUBAL CONCRETE: In
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the lob. (2722 l,
HIGH STRENGTH BOLTING:
Durlng all bolt lnstallatlon and
tlghtenlng operatlons. (306
a.6)
SPBAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
Durlng earthwork. (306 a.11 &
Chapter 29)
cLU.LAM BEAMS: tnspectlon
Certlflcate by an approved
agency, furnlshed to the Clty's
Bulldlng Dlvlslon before
beams are placed. (2501 U.BC.
srDS. 25.10J1).
STRUCTURAL MASONRY (306
a.7l
SIDEWALK & DRIVEWAY:
Requlred for all concrete
pavlng wlthln street rlght of
way, to bs made after all
excavatlng complete and form
work and sub.base materlal ln
place.
CURB AND APPROACH
APRONS: After forms are
erected but prlor to placlng
concrete.
'ln addltlon to the lnspec-
tlons speclfled, the Bulldlng
Offlclal may make or requlre
other lnepectlons of any
constructlon work to ensure
compllance wlth the Bulldlng,
Clty or Development Gode.
MBI
V FINAL PLUMBTNG
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be roquested 2 days ln advanceof the date you wlsh lnspecilon. All prolect condltlonl such aslandscaplng, parklng lot strlplng, etc. must be completed beforerequestlng thls lnspectlon.
FINAL BUILD;NG: Requested after the flnal plumblng, electrtcal,
mechanlcal and Flre Department lnspectlons are made and .
approved. No occupancy of the premlses can be made untll aCertlflcato^of Occupancy has been issued by the Bulldlng Dlvlslonand posted on the premlses.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
By slgnature, I state and agree, that I have carefully examlned the completed ap pllcatlon and do hereby certlfy that all lnformatlonhereln ls true and correct, and I further cerilfy that any and all work performed shall be done ln accordance wlth the Ordlnancesof the Clty of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUpANCywlll be made of any structure wlthout permlssion of the Bulldlng safety Dlvlslon. I further certlfy that only contractors and employeeswho are ln compllance wlth ORS wlll be used on thls prolect.
I further agree to ensure lhat all
street, that the permlt ls
tlmes durlng
Slgnature
nspectlons are requested at the proper tlme, that proiect address ls readable from thethe front of the property, and the approved set of plans wlll remaln on the slto at all
Date
AMOUNT BECEIVED:DATE PAID:VALIDATION:
on,
RECEIPT T:
7 ?-7D
RECEIVED BY:/av=€
Ll/lE/04 15:{6 OS0g ?2i S08g SPFD DEV. SER.@oor
SPEtNCFtgLD
ELECI",ICAI PERIfIT APPITCATTON
clty Job Nuuber'f5ad ')
3. COMPI.ETB FEE SCEEDUI.E BBLOV
A. Neu Resldentlal-Single orlrulti-FaEily per dveUlns unit.Servlce fncludedi
Items Cost
1000 sq.ft. or less $ 95.00Each additlonal 500
225 FI,mB SrsEEr
IPIII9II4D, oREcoN s747?
INsPEcf,rOry REQTTEST: 126_3169OFf,tCE: 726-3759
1 OF
L\
I.DGAL
JOB
Pernits are non-
o
t
transferable and
rarted vithln 180
o
Sum
lf work ls not sof issuance or i f.vork is suspen?
180 days.
2. CONTRACTOR INSTAILATION ONLY B.
Elec tri cal Con trac tor L,b?. .trb hrmJau
Address b8 Vtr) ,""ltlr-
Ci Phone 1 q1
'
(tb X
Super,visor L ense Nunb ", L4f42
sg. ft or portlon
Each Manufrd [one or
Hodular Dvelltng
Servl'ce or Feeder g 40.00
Services or Feedersfnstallatlon, Alterationsor Relocation:
200 amps
20L anps
401 amps
601 anrps
Over 1000
Reconnect
I
amps
sIes
400
600 anps
or
to
to
to 1000 araDs-
amps/voItOnly *--
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
see nB' aE6E-
$ 2.oo
t0- t-Explration Date q5
Conitr Contr. Number Dg
ExP iration Date I L
Signa ture 6f Supervising t
Owners
Address ISob lho l,
Ci ry 5 Phon "'lAb'EbaZ
OVNER INSTATLATION
Ihe installation is belng made on
property I oun vhlch ls not Intendedfor sale, lease or rent.'i
Onners Signature:
Temporary Servlces or FeedersInstallatlon, Alteration or Relocation
200 amps or less
201 amps to 400 amDs
-over 401 to 600 amis
-over 600 amps or 1000-U6Tls
D. Braneh Circuits
New, Alteration or Extenslon per penel
oneClrcutt _{ $35.00 35,00Each Addttlonal 4
Cl rcui t or vl th Servlce ...or Feeder perml t .d
-4!p
8-5
c-
E.
$ 40.00
$ 55.00
$ 80.00ian
Hiscellaneous (Servlce./feeder not lncluded)-Each installatlon
Pump or lrrigatlon
-St
gnl0u t I t ne
- Lt gh t lnel-Llntted Energy/FesLlnlted Energy/Comu
-SUBTOTAL OF ABOVE
52 State Surcharge
3Z Adninlstrat[vE Eee
TOIAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
DATE:
RECETVED
5 ,00
I
LL/L}/gl 15:{0 0503 726 368s SPFD DEV. SER.@ooz
CITY OF ,OREGON.
.1_.r ! _rvvrirv r-rtv vjgi,,:1, -'711.
Tha foliowing pfoiect as submitted has the
spnrrcrreio
EIJCIT.ICAL PERHIT APPIJCATTON
B. Services or Feeders
225 FTETB SIts,EET
SPRINGFTELO, ORBEON 9t4lt ,:
INSPECTTON REQTIESI:
OFFICE: 726-3159
1
uQ-376e Clty Job Nunber
Authorlzed Signatu 'e 3. COHPISIB PEE SCEEDTLE BEL0II
D A. Nev Residentlal-Slngle orHuIti-Famlly per awElltng unit.Servlce fncluded: -
Items Cost
1000 sq.ft. or less S 95.00Each additional 500. sQ. ft or portlon
*thergof $ 15.00Each l{anuf ,d Eome or
Hodular Dvelllng
Service or Feeder $ 40.00
ft00
Pernits are non-transferable and expi reifwork is not started'vithin 180 days
ed forofisguance or if.vork is sus pent
180 days.
2. COI{IRACTOE INSTALI..ATION ONLT
Electrical Contractor
aaaress(2 el
Ci
,)1
Phone I ,b
Supervisor License Nurrrber t+tz=
Expiration Date lD -1.q5
ExP lration Date t L' l8 'q 5
s 6f supervising Electrician
0wner s Name rn
Address lSog {VlO rl!,ilP-
Ct ry 6 Phonel ab,YbaZ
OSNER INSTALUITION
The installation is being nade onproperty I otrn vhlch ls not lntendedfor sale, lease or rent.
a
Osners Signature:
DATE:
_ Installatlon, AlterationsC or Relocation;
200 amps or less
201 amps to 400 amps
-401 amps to 600 amis .-
501 amps to 1000 anps--
over 1000 amps/volts
-Reconnect 0nly t-
)
W
Sum
It
50
60
eeX
$100
$130
$300
$
s
$
$
$
s,
a
I
00
00
00
00
00
00
t
c
E.
Temporary Services or IeedersInstallation, Alteration or Relocation
200 amps or less
201 amps to 400 amps ----
Over 401 to 600 amps
-over 600 amps or 1000-fiTts
Branch Circuits
Nev, Alteration or Extension per panel
One ctrcutt -l_ $ 35.00 fr_eCEach AdditlonalCircuit or vlth Servlc.e
$ao
$ 2.oo
40.00
55.00
80.00 aEEfl7nB
D.
Hisc-ellaneous (Servlce/feeder not lncluded)
-Each lnstallatlon
Pump or lrrlgatlon
Sign/Outllne LtghtLlnlted Energy/Res
rngl-
or Peeder Pernlt
LlBlted Energy/Comu
,
SUBTOTAT OF ABOVE
5Z State Surcharge
3Z Adurlnlstratlve Fee
TOTAT
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5
RECEIVED
oo
I
Conitr contr. Number D\bqq