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Home My WebLink AboutPermit Mechanical 1991-04-23CO M M E RCIAL/ I N DUST RIAL PERMIT APPLICATION 225 Fiftn Street, Spri ngfield, Oregon 97477 SPRINGFIELO JOB NUMBEFI INSPECTION LINE: 726-3769 OFFICE: 726-3759 o, n4< LOCATION OF PFIOPOSED WORK ASSESSORS MAP:TAX LOT: /1-PHoNE: n e t STATE:ZIP:ARCITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER VALUE: DESCRIPTION OF WORK: ELECTRICAL: NAME ADDRESS PHONE ADDRESS EXPIRES PHONE GENERAL: CONTRACTOR'S NAME ARCHITECT: MECHANICAL: PLUMBING: CONST. CONTRACTOR # PLUMBING NO.FEE CHARG E Single Fixture Relocated Bld (new fix. addtl s ) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT MECHANICAL NO trFF CHA FIGF 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 Permit lssuance /, $10.00 TOTAL PERMIT fi*' _ OFFICE USE - LAND USE: ZONING* OF UNITS: HANDICAP ACCESS: LIGHTING POWER BUDGET: WATER HEATER: OCCY GROUP: Y OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE HEAT SOURCE: SQ. FT.$/so. FT.VALUE TOTAL VALUE OF PROJ X X X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE BY 26.2U BUILDING PERMIT PLU M BI NG DEMOLITION 5% State Su rc harg e 5% State Su rcharqe MECHANICAL 2f.""FENCE VALUE $ 5% State Su rcharo e -r-5 SIDEWALK FT. SUBTOTAL PERM ITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL &.*> iluT ,4L ffi Za-nvqt FLOOD PLAIN: REQUIRED 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. will be made the same working day, requests made after 7:00 a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is 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 building service equipment, conduit, piping, accessories and other ancillary equipment items are in place but before any concrete is placed. UN DERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing trenches. UNDERFLOOR: Plumbi ng, electrical, mechanical. To be made prior to installation of f loor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or f loor sheathing. 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. 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. RooF sHEATHTNG AND iHRS^H?fi"t:,of""1," NAILING: Prior to installing erected but prior to placing any roof covering. concrete. 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. FRAMING: To be made after the roof, all f raming, fire blocking and bracing are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. INSULATION & VAPOR BARRIER: To be made after all insulation and required vapor barriers are in place but before any lath or gypsum board interior 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 plastering is applied or before gypsum board joints and fasteners are taped and f inished. PAVING: After gravel is in place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: In 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.1) STRUCTURAL WELDS: Performed on the job. (2722 t) HIGH STRENGTH BOLTING: During all bolt installation and tighteni ng operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AND 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.B.C. STDS. 25-1011). STRUCTURAL MASONRY: (306 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. By signature, I state and agree, that I have carefully 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 at the front of the property, and the approved set of plans will remain on the site at all Signatu re Date times during cons ctio street, that the permit card is I AMOUNT R RECEIPT *: DATE PAID: RECEIVED EIVEDVALIDATION FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT 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, 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. ADDITIONAL COMMENTS PLANS REVIEWED DATE /-27-7 ,x t 225 YTYIfi STREBT sPRrNGFrEtD, OREGON 97477 fNSPECTfON REOUBST: 726-3769 OPFICB: 726-3759 T. LOCATION OT INSTALLAIION, /<za tr rtul 72Y2, . IJGAL DBSCN.IPTION STD'IIDIGFTEL(} BLESTTUCAL PBRHIT APPLICATION City Job Nunber ?,/aZ 6{ COHPLETB TBB SCIIBDULE BBLOIT Nev Residential-Single or Multi-Family per dvelling unlt. Servlce Included: Items Cost 1500 sq.ft. or less Bach additlonal 500 sq. ft or portlon thereof Each Manuf 'd llome or -Hodular Dvelling Servlce or Feeder $ 8s.00 $ 1s.00 $ 3s.oo B. Servlces or Feeders (10 Branch Circuits included). Installation, Alteratlons or Relocation: 100 amps or less 101 amps to 400 amps -401 amps'to 600 amps _ 60L amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0n1y C. Temporary Servlces or Feeders Instal.lation, Alteration or Relocatlon 3 A w'a Sum Permlts are non-transferable and expirelf vork ls not started vithin 180 daysof lssuance or lf vork ls suspended for 180 days. 2. CONTRACTOR INSTALIATION ONLT Blectrlcal Contrac tor €&4A€ rdd,ress 3938 CllAtG 4 crw '1f{jg Phone2Y)=lcvs Supervlsor License Number 7) $ 3s.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 3s.00 Expl ration Date /a Constr Contr. Nuriber u7F Bxplratlon Date Slgna of Supe Blectrician 4.Owners Name -f*ty Phone OVNER INSTALLATION The lnstallatlon ls belng.made onproperty I ovn vhich is not lntendedfor sale, Iease or rent. Ovners Slgnature: DATE: RECBIHT *: 201 amps to 400 amps _0ver 40L to 600 amps _0ver 600 amps or 1000 volts $ $ $ 35.00 40.00 80.00 above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Tvo to ten Clrcuits Each Addt,l ten or portion thereof 5. SUBTOTAL OF ABOVB 5Z State Surcharge TOTAL see ilBl| $ 3s.oo $ 1s.00 W') B Mj.scellaneous (Servlce/feeder not lncluded) -Each installation Pump or irrigation $ 36.00 Slgna1 Clrcult or Iimited energy panel $ 36.00 RBCEIVBD BI: -a 6,oo COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WO K: ASSESSORS MAP: SPFlINGFIELc,JOB NUMBER I NSPECTION LINE: 7 26-3769 OFFICE: 726-3759 TAX LOI OWNER: ADDRESS: CITY: PHON E: STATE:ZIP: -l VALUDEMOLISH OTHEFI DESCRIPTION OF WORK: NEW- REMODEL ADD NAME ADDRESS PHONE NAME ADDRESS EXPIRES PHO E MECHANICAL: ELECTRICAL: CONST. CO ARCHITECT: CONTR GENERAL: PLUMBING PLU M BI NG NO.FEE CHARG E Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer It Backf low Device TOTAL PERMIT MECHANICAL NO FEE 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 Statlonary evap. cooler Vent Fan/Single duct Vent Sys from AC tem apart or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT _ OFFICE USE - QUAD AREA At \\.)) * OF BLDGS: LIGHTING POWER BUDGEI * OF UNITS: LAND USE HANDICAP ACCESS FLOOD PLAIN ZONING: OCCY GROUP: # OF STORIES CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJECT X X X SQ. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER DATE BY BUILDING PERMIT / zn,to PLUMBING DEMOLITION 5% State Su rcharoe ?r.53 5% State Su rc haroe MECHANICAL FENCE VALUE $ 5% State Su rcharq e SIDEWALK FT, SUBTOTAL PE RM ITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL WATER HEATER: PLAN cHEcK r* llO.E3 RcPr- \1t)1C{ *. REQUTRED 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 iob 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 7:0O a.m. will be made the following work day. SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel 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 SPECTAL 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 & Oy ine Owner/ Contractor during CURTAIN WALLS construction of the following work. A )+ i".BJ'H:f.i,i;1yl#:::; FTREpLACE: prior to pracins ;:4',:"i:[:."ftt fill:JtS,V:i."J" excavated and forms are facing materials and before erected, ail steel in ptace, but framing inspection' - srRUcruRAL CoNCRETE: In prior to pracing concrete. X FRAMTNG: To be made after excess of 2500 p.s.t. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made after an insrab buirdins Bl::5::.':fl 3,'fiilt",1,x;:r" FII:'Tyf3"t,Y5tT',rrr, , service equipment, conduit, and vents are'complete and :i?[3;""?',];H:? ?i"i:'5J *:';::[f,]i""ii:,1,JJ;[3:l: Hl?lf],TE],?T*,?,o,"'ISt"oin place but before any tightening operations. (306concrete is placed. TNSULATION & 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.BC.storm sewer, water and before any lath or gypsum Standards 43_8.drainage lines. To be made board interior wall covering is Pil:::,:-""*ring or fillins applied. SpEctAL GRADING, ,NDERFL..R: prumbins I:::.S':'fm'J3[H]"' El:fJfiiiltil:,5J1'l],"t electrical, mechanical. To be according to plans. chapter 29) ;[T,"'ru;:i,'"1:".t5J;,t;?i?t x LATH AND/oR GypsuM GLU-LAM BEAMS: rnspection floor sheathing. _-- goAnDt To'be made after all certificate by an approved lathing and gypsum board, agency, furnished to the city's poST & BEAM: To be made interior 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 floor plastering is applied or before STDS' 25-10'11)' chaarhinn gYPSum board joints anderleq'!rrrrrv' fasteners are taped and STRUCTURAL MASONRY: (306 X FLooR tNSuLATToN & finished' a'7\ - VAPOR BARRIERS: To be made prior to installation of deckino or floor sheathino. @ tAezt*NrlE 6+re(,t MASONRY: Steel Iocation, bond beams grouting or verticals in accordance with uBc 2415. RooF sHEATHTNG AND iHXS^H?ii,.",:'o#""!|'" 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. "ln addition to the inspec- tions specif ied, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. By signature, I state and agree, that I have carefully 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 ated at the front of the property, and the approved set of plans will remain on the site at all Si g nat Date street, that the permit ard is ontimes during const EIVED RECEIPT *: AMOUNT RECEIVED BY: DATE PAID: FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT 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, 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. A.DDITIONAL COMMENTS: PLANS REVIEWED BY DATE VALIDATION: 5tl4tr ;t \ T- T7t7S CmC€ fu 4446D fr?r\L - /<s?r/z