HomeMy WebLinkAboutPermit Mechanical 1994-08-08CO M M ERCIAL/ I N DUSTRlAL
PERMIT APPLICATION
225 Fi'(lh Street, Springfield, Oregon 97477
SPRIllGFIELE,JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
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PHONE:
OR ZIP:CITY:STATE
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OWNER:rh gf re.ADDRESS
NEW
-
REMODEL ADDITION DEMOLISH OTHER
trk
VALUE:
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LDESCRIPTION OF WORK:U/v
AODRESSNAME PHONE
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NTRACTOR #
ARCHITECT:
CONST.
EXPIRES PHON E
b-/b Ll
CONTRACTOR'S NAME
ELECTRICAL:
HANI
ADDRESS
or-
G€FIEFTAL:
PLUMBING
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bl
(new fix. add
dg.
t t)
Water Service
ft
Sanitary Sewer
It
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trFF t11{AEIGF
Furnace/burner & vent
<100,000 BTUs P7p't
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
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
* OF STORIES:
QUAD ABEA:
I OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
SO. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
x
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
HCPT#PLAN CHECK FEI DATE BY
?L: o
BUILDING PERMIT PLU MBI NG DEMOLITION
5% State
Su rcharqe
5% State
Surcharoe
MECHANICALt )s /4*c1 /5/D
6
o
uo FENCE
VALUE $
5% State
Surcharoe 2i>. *sr,,-- )7dzlC SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
anm fruaF,'rld Do" hq-L dl'<*
l7vzz
Sco F,"e /r{ E(tctruic
REOUIRED INSPECTIONS
It is the responsibillty of the permit holder to see that all lnspectlons are made at the-froper time. To request an inspectlon, call
726.3769 (recorder), state your City designated job number, lob 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 ROUGH PLUMBING, PAVING: After gravel is ln
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
UNDERSLABPLUMBlNG,inspectlonshavebeenmadeSPEclALlNsPEcTloNS:lnaccordance
ELECTRICAL & and approved. section 306 0f the state Specialty code
MECHANICAL: To be made a special inspector shall be employed
before any work ls covered. ATTIC DRAFT STOPS & by the Owner/ contractor during
CURTAIN WALLS construction of the following w6rk. A
FOOTTNGS & FOUNDATTONS: r E- r 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 materlals and before
erected, ail steel in place, but framing lnspectlon' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
coNcRETE sLAB: To be the roof' all framing' fire
made after an rnsrab burdins 3i::5 xfl.':ff 3ffi:It"r,;l:r" EIRN,."J"T3"L,Y"=tT',rrr, ,,
servlce equipment, conduit, and vents are complete and
3#[,?;""".Xj;il1? ?i:*:'::J n". H":H]t"ii':,X'i,[[i::: Bl?lf],?E],?l[g""Tgt"oin place but before any tighte-ning operations. (306concrete ls placed. TNSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barrlers are ln place but FIREpROOFING: U.BC.storm sewer, water and before any lath or gypsum Standards 43-8.dralnage llnes. To be made board lnterlor wall covering is
Pil::i:-"o'"rins or fillins applied' spEcrAL GRADTNG,
,NDERFL..R: prumbins [||:,s'*'f;m'Jfl[93"' il:i;t!i]-tii:,5Jb'i],"t
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of
floor insulatlon, decklng or LATH ANDTOR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathlng. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency' furnished to the city's
posT & BEAM: To be made lnterlor and exierlor, ls in Bullding Division before
prlor to lnstallaflon of floor place but before any beams are placed' (2501 u'Bc'
insulatlon, decklng or floor plastering ls applle6 or before STDS' 25-10'11)'
sheathlng. gypsum board jolnts and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATIoN & finlshed' a'7\
VAPOR BARRIERS: To be
made prior to lnstallatlon of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals ln accordance with
uBc 2415.
RooF sHEATHTNG AND iHIS^Hifi,.',:'of""I'"
NAILING: Prlor to lnstalllng erected but prlor to placing
any roof coverlng. concrete.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
paving wlthin street rlght of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
"ln addition to the inspec-
tions specified, the Building
Officlal may make or require
other lnspections of any
construction work to ensure
compllance with the Bullding,
Clty or Development Code.
By signature, I state and agree, that I have caref ully examlned the completed applicatlon 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 pertainlng to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Dlvlsion. 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 tlme, 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 remain on the site at all
Signature Dates O-r,';4
times duri onstructl on.
e4p='VALIDATION:AMOUNT RECEIVED:
RECEIPT *:BECEIVED BY:
DATE PAID
FINAL PLUMBING
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
landscaplng, parklng lot stri ping, etc. must be completed before
requestlng thls inspection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanlcal and Flre Department inspections are made and
approved. No occupancy of the premises can be made until a
Certlllcate of Occupancy has been issued by the Building Division
and posted on the premlses.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
€-P-2 r
&241
x FrNAL ELECTRTCAL
X FINAL MEcHANtcAL
OFEGO'V
:--\INGFTT:LO
_1..
225 FIETE STRBEf,approval.
SPRINGEIETD, oREGoN 97477
INSPECTI0N REQUBSTT 726-37
OFFICE: 726-3759 Dalo 6'6
rduthorlzed n
1 OP
-Z
IJGAL DESCRIPTION/ DDTac
JOB DESCRIPTION
Permits are non-transferable and expire
lf vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. CONTRACTOR INSTALI.ATION ONLY
Electrical ContractorScofield Electric
Address P0 Box 2765
ci Ergene , Or 97402 Phone68G86l2
Supervisor License Number 508-S
Expiration Date ro/or/ss
Constr Contr. llurnlss 38702
Exp iration Date 0tb
Signa of ng cran
Ovners Name
Address
City Phone
OVNER INSTATI,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Omers Signature:
DATE:
PER}IIT
Ctty Job Nurnber
COHPI.RTE FEE SCEEDUT.E BELOS
A. Nev Resldentlal-Single or
Hulti-Family per dwelling unit.
Serviee fncluded:
Items
The followlng prcject
zcning, and doeo not
as submitted has tha lollo\ling
roquire epeciflc land Air
APPIJCATION,.c/./ 1zz e,
Cos t
$ 8s.00
$ 1s.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Sum
^.ffi
1000 sq.ft. or less
Eaeh additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Service or Feeder
B. Services or Feeders
InstaIIation, Alterations or
Relocat ion :
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amps
-
601 amps to 1000 amPs-
0ver 1000 amps/volts
-
Reconneet Only
c.
STIBTOTAL OP ABOVB
5Z State Surcharge
<-+ffi- )'L t*z)tzr.t, ,
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
One Ci.rcuit t2-/ $ 35.00 15"
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.P0
-E. Hiscellaneous (Service/feeder not included)
200 amps or less $ 40.00
Over 600 amps or 1000 volts see [B'r above
-Each installation
Pump or irrigation
-
S
Sign/Outline Lighting- $
Limited Energy/Res
-
S
?{?"
/,7s
-/,7
40.00
40.00
20.00
36.00
5
RECE,NBD
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