HomeMy WebLinkAboutPermit Building 1995-03-24CITY OF SPR OREGON
The tollowin prolod aB submittod hts th€ lollowing
lSPr TGIFIELD
City Job Nunber
3.COHPI,BTB TBE SCEBDI'I,E BELOIT
e\,/t ia1-Single oren
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
fnstallation, Alterations
or ReLocation:
200 amps or less
20L amps to 400 amps
-40i. amps to 600 amPs
-
60L amps to 1000 amPS-
0ver 1000 amps/volts
-
Reconnect 0n1Y
One Circuit
Each Additional
Circuit or vith Servic
dI
225'BIiTE STREET
SPRINGFTELD, OREGoN 974Tf*""
INSPECIfON REQUESTz'72 6-37
OFIICB: 726-3759
tor,il.;, and does nol requiru spsc,fic iorid usegtrggIBICAL PERI{IT APPLICATION
r,l
L
1 OF INST
DESCRTPTION
Perm ts are transferable and exPire
if work is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI{]TRACTOR INSTALI.ATION ONIY
Electricaf Contractor
Address
Ci ty Phone L\b-
Supervisor License Nu
t-
mber I )
Signature sing Electrician
()
0vners Nam
Address bb\
Ci ty Phone
O9NER INSTALI"ATION
The installation is being made on
piop"tty I ovn vhich is not intended
for sale, Iease or rent'
Ovners SigBature:
Multi-Family per dvelling unit.
Service Included:Items Cost
h^
Sum
B
$ 8s.00
$ 1s.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$130.00
s300.00
$ 40.00
$ 3s.00
e/ $ z.oo
ee trBil'a6ffi
Expiration Date
C
constr contr. Number JHfiFBY ,0-453 g Temporary Services or Feeders
Installation, Alteration or Refocation
Expiration Date,3o b 40.00
5s.00
80.00
200 amps or less
201. amps to 400 amps T
Over 401 to 600 amps
0ver 600 amps or 1OOO voEs
Branch Circuits
Nev, Alteration or Extension Per Panel
$
$
$
s
D
3a
A
E Miscellaneous (Service/feeder
-Each instal]ation
Pump or irrigation $
signzoutline Lighting- tLimited Energy/Res $
or Feeder Permit
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
not included)
40.00
40. o0
20. oo
@5
DATE:L _q5
RECEIVED
R"s. C^.P.
YOF ,oR,
SPR'NGFIELO
The lollowing %
225 FIFTB STREET
SPRTNGFIELD, oREGoN 97477
fNSPECTION REQUEST: 726$l'6
zoning, and
approval.e-u
2-u <q
OFFICE: 726-3759
A,lthorizsd
1.OT INSTALLATION
A
LEGAL DESCRTPTION;z)LE 3( o/?af
JOB DESCPJPTION
Permits are non-transferable and expire
if vork is not started vithin 180 daysof issuance or if.vork is suspen-ded for
180 days.
2... CONTR/ICTOR INSTALI.ATION ONLY B
Electrical Contractor R+t 6'k<(t:<o( Gn/r.
Address tl"l S>"J &q Av.
Ci ty A\lc..n.r.Phone <1G7 - ?eo7_______El
Supervisor License Number JGus'5
Expiration Date /o-g5
C
Constr Contr. Number
Expiration Date
)2- ttsc
/o-?5
of Supervising ectr c
not require sPecffic land use
00;
00
ee rB, aEoif
D. Branch Circuits
New, Alteration or Extension per panel
ELECTRICAL PERHIT APPLICATION
City Job Number ?ila s7
FEE SCMDULE BELOS
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
I tems Cos t
Services or Feeders
InstalLation, Al terationsor Relocation:
200 amps or Less
201 amps to 400 amps
-
401 amps to 600 amps
-60L amps to 1000 amps-
over L000 amps/volts
-
Reconnect 0n1y
Temporary Services or Feeders
Installation, ALteration or Relocation
Sum
s
00
00
00
00
00
00
Sso
s60
s100
$130
s300
40
0040
55
80
owners Nane Stfiaz7a:J 4ftZra-*gZ
eaaress itf j ? ,4.*nfiuZ_ 42c;ry Qrrf? ynone 7y'2 -Aaz(
OVNER INSTALLATION
The installation is being made onproperty I ovn vhich is not intendedfor sa1e, lease or rent.
0sners Signature:
DATE:
200 amps or less $
20L amps to 400 amps
-
Sover 40L to 600 amps
-
$0ver 600 amps or 1000-7oEs s
one circuit (----s 35'oo
Each Additional
Circuit or vith Serviceor Feeder Permit S 2.00
? (ao\)(
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Ou tline Lighting-
Limi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
'60
00
00
00
00
40.
40.
20.
36.
$
s
$
s
5
RECEIVED B
2
o,
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Manuf'd Home or
-Modular DveIIing
Service or Feeder $ 40.00
h/A
zoning, and
approval,
225 ETtrE STREET
SPRTNGFTELD, oREGoN 974
INSPECTION REQIIBST z 72'
OFPICE: 726-3759 Authorlzed Signatu .l\
1. LOCATION OP INSTATLATION
JOB
Permi ts are t era 1e expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTATLATION ONLY
SPFTilGF!ELC,
project as submitted has thedoes'not require specilic ianO uso
0c/ELE TRICAL PERT{IT APPLICATION
City Job Nunber 4 92
A
SCHEDT'LE BELOII
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf 'd llome or
Modular Dvelling
Sertice or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 4oO amps
-401 amps to 600 amps _
601- amps to 1000 amps-
Over 1000 amps/voIts
Reconnect 0niy
c.
D.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Cos t
s 8s.00
$ 1s.00
s 40.00
$ s0.00
s 60.00
$100.00
$130.00
s300.00s 40.00
Sum
t
Electrica I Contractor
Addr
Ci ty
ess 8,2? 5. W. V144zs.
,ftAfr% azz'Phone%veff
E
(
Supervisor License Number 3 i =
Expirat ion Dare /O -O/€7
constr contr. Numbe r ?2ea 2
Expiration oare 2 y'3 fG
of Supervising Blectrician
DATE:
Ovners Name
Address
Ci ty 5T - Phone ??^ -4?7
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Orners Signature:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less S 40.00
ioi "*b" to 4oO anps
-
$ 55.00
over 4b1 to 6oo amps
-
$ 8o.oo
0ver 600 amps or fbOO voTts see uBu aE6iil
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permi t ? S 2.00 G, -o
Miscellaneous (Service/feeder not included)E
5
-Each installation
Pump or irrigation $
sign/outline Lighting- $
l,i.mi ted Energy/Res $
40.00
40. 00
20.00
36.00
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
OREGO'V
RECEIVED
--
CITY OF
LEGAL DESCRTPTION/,-€*2<-7 1 fr?*z>
t
COM M ERCIAL/!N DUSTRIAL
PERMIT APPLICATION
225 Fitth Street, Springfield, Oregon 97477
SPRINGFIELO
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK /5 zz lZbr*Ue BL/4-
ASSESSORS MAP:3 TAX LOT:
PHONE:
9oztP
Z
STATE:o/( "
/oz
CITY:
ADDRESS
OWNER:.
DESCRIPTION OF WORK:
NEW
-
REMODEL --- ADDITION DEMOLISH OTHEB VALUE: '4 Oo
ADDRESS PHONE
2/ee<
ADDBESS EXPI RES PHONE
.gtr
v27
o /.f c)
/-,7 o
4 /
( /] a/.c .
GENERAL:
CONTRACTOR'S NAME
ARCHITECT:
'Ko//
MECHANICAL:
ELECTRICAL:
PLUM BING
CONST.
CONTRACTOR #
NAMEc/ //
PLU MBING
NO.FEF CHARGE
Single Fixture ft ra),
Relocated Bld
(new fix. addtl s.
)
Water Service
f t.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT / r.n
MECHANICAL
NO FFF EHA 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
Sys
AC
tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
ZONING:
OCCY GHOUP:
Y OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
SO. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
/?, re
BCPT#PLAN CHECK FEE DATE BY
a7.x
BUILDING PERMIT 21.{o PLU M BI NG / 1,oo DEMOLITION
3h"i'"1t"" lle t.6t 2,17 3i1lir!1'r'" ,7rt,y'r LO
MECHANICAL FENCE
VALUE $
y'/*- ,(cvta<t /7./8
5% State
Surcharoe
SIDEWALK
FT,
SUBTOTAL
PERMITS
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
/qo< y'iae,z f )/ 9t S;'
a-j' / - - J5 G/cft
ea /3o-tt,-
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 7:00 a.m. wlll be made the same working day, requests made after 7:O0 a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
be covered untll these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUN DATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
FIREPLACE: Prior to
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 electrlcal, plumbing
and mechanlcal are approved.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work ls covered.
CONCRETE SLABI 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, sanltary sewer,
storm sewer, water and
dralnage lines. To be made
prlor to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor lnsulatlon, decking or
floor sheathlng.
POST & BEAM: To be made
prior to installation of floor
insulation, decklng 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
vertlcals in accordance withugc 2415.
ROOF SHEATHING AND
NAILING: Prior to lnstalling
any roof coverlng.
facing materials and
framing lnspection.
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.l)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
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.BC.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
'ln addition to the inspec-
tions specified, the Building
Official may make or requlre
other inspections of any
constructlon work to ensure
compliance with the Building,
City or Development Code.
-K
L: No work is to
placing
before
><
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 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
plasterlng ls applied or before
gypsum board jolnts 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.
CURB AND APPROACH
APRONS: After forms are
erected but prlor to placing
concrete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation
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 permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all
Date
a"16/,Inn.,u
tlmes durlng ructi on.
vALrDA,oN , ,f"#'{n at
3
AMOUNT RECEIVED:
RECEIPT S:RECEIVED BY:
DATE PAID:
/ F'NAL PLUMBTNG
Y FTNAL ELEcTRtcAL
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as
landscaping, parklng lot stri ping, etc. must be completed before
requesting thls inspection.
FINAL BUILDING: Requested after the final plumbing, etectrlcal,
mechanlcal and Fire Department inspections are made and
approved. No occupancy of the premises can be made until aCertificate of Occupancy has been issued by the Building Dlvisionand posted on the premises.
FINAL MECHANICAL
)(- FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
'-=
t1 i-\2 53q, -C\3@
OCCTIPAI{CY INSPECTTON APPLICATION
CITY OT SPRINGFTELD
DATE:
ADDRESS OF INSPECTION:
OVNER:
OVNER'S ADDRESS:
BTIILDING DIYISION
JOB NUMBER:?/T
7
APPLICANT:
APPLICANT'S ADDRESS:
FOR ACCESS TO PROPERTY _ TELEPHONE NUMBER:
PROPOSED USE:
A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OP APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OIINER OF THE PROPERTY TO BE
INSPECTED.
'e/,b ;/"
FOR OFFICE USE ONLI
DATE PAID:
DATE OF INSPECTION:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
RECEIPT NUMBER:
DATE OF REPORT:
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