HomeMy WebLinkAboutPermit Building 1992-11-25I
COM M ERCIAL/ I N DU STRIAL
PERMIT APPLICATION
225 Fiflh Street, Springfield, Oregon 97477
SPRINGFIELO
,afr,
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP TAX LOT:/.<./
ZIP:
r
STATE:2747 73^ -e?/r o>< .CITY:
ADDRESS
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE:.?(-oo ' o o
DESCRIPTION OF WORK
PLUMBING:
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONEilrl
I3c 3 'l,t6"slaq,
B.ri\l"c< Flec\rl. .
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR'S NAME
ARCHITECT:
G EN ERAL:
PLU MBING
NO.FEE CHARGE
?-Single Fixture 2e.d
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT fuo
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 Ioor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
LAND USE:
* OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
* OF STORIES:
QUAD AREA:
g OF BLDGS:
CONSTR. TYPE
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
4TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
Z?-?)RCPT#PLAN CHECK FEE DATE BY
?o,Ga
BUILDING PERMIT 44.€o PLU M BI NG ?2r DEMOLITION
5% State
Su rch aro e 2 -t,5% State
Su rcharge /.n
MECHANICAL FENCE
VALUE $,ehtftet.29.73
5% State
Su rcharoe
SIDEWALK
FT,
SUBTOTAL
PERMITS
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
7-rd zC
PHoNE: 7/7- tzCr.
oa,t7g
ZONING:
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:O0 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.
ROU
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
No work is to
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
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 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.
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.
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.
STRUCTU RAL CONCRETE: In
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 tl
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 AND FILLING:
Duri ng 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. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
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.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
Y uNDERFLoo*,@
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 floor
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.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
-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.
X= FINAL PLUMBTNG
X., F,NAL ELE.TRT.AL
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 striping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requested after the finat plumbing, etectricat,
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 Divisionand posted on the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information
herein is true and correct, and lfurther 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 OFIS 701.055 will be used on this project.
are requested at the proper time, that project address is readable f rom the
the property, and the approved set of plans will remain on the site at all
//-9{-Date
I further agree to ensure that all required inspectio
(r,nnr,u,"
street, that the permit card is Iocated at the
times during construction
6QVALIDATION 72-AMOUNT RECEIVED
RECEIPT *:RECEIVED BY:
DATE PAID
X
I
225 FIFTB STRBEf,
SPRTNGFTELD, OREGON
INSPBCf,ION REQIIBST:
OFFICE: 726-3759
1 OF
97477
726-3769
l) *:"-a
ert
ELECTRICAL PERHIT AP I
;.-.,,,';-.I-C ' -..City Job Number
COHPLBTB BELOV
A. Nev Residential-Sing1e or
Hulti-Family per dvelling unit.
Service Included:
I tems Cos tI Sum
DESCNIPTION
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COIITRACf,OR INSTALI-ATION ONLY
Electrical Con trac'
Addres
Ci ty Phone
Supervisor Li e Ntimber
Expiration Date
Constr Contr. Number
Expiration Date
Signa ture of Supervising Blectrician
0wners Narie
Address
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
$ 15.00
$ 40.00
Services or Feeders
Insta1lation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
s Bs.oo
B
s s0.00
s 60.00
$100.00
s130.00
s300. 00
$ 40.00
C
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
0ver 600 amps or 1000lolts see rrB'r above
Branch Circuits
Nev, Alteration or Extension Per Panel
one ci rcui t t S ls ' oo \3a<'
Each Addi t ional
Circuit or with Serviceci
OIINER ON
The installatlon is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE: -
RECEIPT
D
e -lL b
or Feeder Permi t s 2.00
E Hiscellaneous (Service/feeder not inclr'rded)
-Each installation
Pttmp or irrigation
Sign/OutIine Lighting-
Limi ted EnergY/Res
-
Limi ted EnergY/Comm
5. SIIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
$
s
s
s
40.00
40.00
20. 00
36.00
C)b
RECEIVED B
rirr: sPeci{ic