HomeMy WebLinkAboutPermit Mechanical 1992-09-04- --'
CO M M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
LOCATION OF PROPO
ASSESSORS MAP:
SPFINGFIELO
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
dI 1OWN
ADDRES
CITY:
PHONE:
STATE:ZIP..
OTHER VALUE:N
DESCRI N OF WORK:
FIEMODEL ADDITION DEMOLIS
ARCHITECT:
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
GENERAL:
NAME ADDRESS PHONE
PLUM BI N G:
MECHANICAL:
ELECTRICAL:
PLU MBING
NO.FEE CHARGE
Relocated Bld
(new fix. addtl s
)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHANICAL
NO FFtr r:HA trGtr
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.
cool er
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
{I
^
ahL filLrnl)J" -T
Permit lssua $10.00
TOTAL PERMIT
ZONING* OF UNITS:
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
CONSTR. TYPE
HEAT SOURCE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE BYDATE
BUILDING PERMIT PLU M BI NG DEMOLITION
5% State
Su rcharge
5% State
Su rcharge
MECHANICAL l,\,(p FENCE
VALUE $
5% State
Su rch arq e -,b SIDEWALK
FT.
SUBTOTAL
PERM ITSY5,rr lu,c0 CURBCUT
FT.
SYSTEMS
DEVELOPMENT
575TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
u)
Single Fixture
B5DA
.- 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
226-3769 (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.
S|TE |NSPECTION: 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 SPECIAL 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 & by the Owner/ Contractor duri ng
CURTAIN WALLS construction of the following work. A
FooTINGS&FOUNDATIoNS:FlhEnl ^E.rcopyofthespecialtestingreportsshallTo be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division,
excavated and forms are facing materials and before
erected, ail steel in ptace, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRErE SLAB: ro be f[#:l i[J'3[Xlfli,t][ ," srRUcruRAL wELDS:
made after all inslab building place aid all pipes,ihimneys Performed on the iob. (2722t)
service equipment, conduit, and vents are complete and
:Hlg;""".",:;:ffi ?i:'-:'i:J :H'fl::Hliiii:,1'JJ;[3:t: Bl;,Xf],?il?l*-?,o"T]:".in place but before any tightening operations. (306
concrete is placed. INSULATTON & 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
prior to covering or filling applied. S'ECIAL GRADING,trenches.
,NDERFL..R: p,umbins II::,S'"=^'fHJ3[HI"' ifiUEiil#li:,5J:'il,"t
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. 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 interior and exierior, 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)'
sheathing. gypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'7)
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 sHEATHTNG AND iHRS^Hi,ti'T:f""!|'"
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 specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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 striping, 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 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 ORS 701.055 will be used on this project.
I further ag ree to ensure that all required ins pections requested at the proper time, that project address is readable f rom the
street, that the permit card is loc the fron he property, a the approved set of plans will remain on the site at all
times during ruction
Sig Date %7-
*.r^lr/ffiou'*, ^."=
RECEIPT *:
DATE PAID:
RECEIVED
cffv
S'"ItNGFIELE,
Jr
Ail
I25 FIFTE STREET ':
;PRTNGFTELD, OREGON 97477
TNSPECTI0N REQIIEST: 726-3769
)FPICE: 726-3759
ELECTRICAL PERilTT APPLTCATION
,rr-r,fltdd has the J;i$'$,0isqu
ianC Number
FEE SCHEDULE BBLOII
A. Ner.r Residential-Single or
I LOCATION OP 7;-
I.^EGAL DESCRIPTION
JOB
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALI,ATION ONLY
Electrical Contractor
Address
Servi ce fnc I
per dvelling unit.
uded:Items Cost Sum
ON
5. SIETOTAL OP ABOVB
5f, State Surcharge
TOTAL
$ 8s.00
$ 1s.00
$ 40.00
35. oo
l,'15
3b,',1,5
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf'd Home or
Modular DveIIing
Service or Feeder
Services or Feeders
Installation, Alterations or
Relocat ion:
B
Ci ty Phonelftll-AA1b
Supervisor cense Number
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps-
$ s0.00
$ 60.00
$100.00
$130.00
s300.00
$ 40.00Expiration Date lO --t -q3
Constr Contr. Number b3?.+q
Expiration Date l*l-q ,.),
Signature of Supervising Electrician
Over 1000 amps/volts
Reconnect 0nly
Temporary Services or FeedersInstallation, Alteration or Relocation
c
Ci ty Pton.9?4 rl'l
OTINER INSTALI^ATION
The installation is being made onproperty f ovn which is not intendedfor sale, Iease or rent.
)vners Signature:
IATE:
ECEI
D. Branch Circuits
Nev, Alteratlon or Extension per panel
OneCircuit I $35.00Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
1W
Miscellaneous (Service/feeder not included)
-Each ins taIlat ion
200 amps or Less S 40.00
201 amps to 400 amps
-
S 55.00
over 401 to 6oo amps
-
g go.oo
Over 600 amps or 1000 voITs see uBu aE6E
Pr.rmp or irrigation $Sign/Out1ine Lighting- $Limi ted Energy/Res
-
SLimited Energy/Comm S
.4)2
0vners Name
Address 55 r8
E
00
00
00
00
40.
40.
20.
36.
BECEIVED
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INSTALLATION/ C
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