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Home My WebLink AboutPermit Plumbing 1999-03-01COMM ERCIAL/I N DUSTRIAL PERMIT APPLICATION 225 Fiftn Street, Springfield, Oregon 97477 SPF.INGFTELO JOB NUMBER Z INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK:3o 2 s,AlQ -// { ASSESSORS MAP:/7t32 o 77al v TAX LOT PHON ZIP:Zr'a/STATE:az 73a -24/) CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER VALUE: 5,DESCRIPTION OF WORK: ADDRESS PHONENAME EXPI RES PHON EADDRESS ^'/rLi ARCHITECT: PLUMBING MECHANICAL ELECTRICAL: CONST. CONTRACTOR #CONTRACTOR'S NAME GENERAL: o o PLU M BI NG NO.FEE CHARGE I Single Fixture /f* I Relocated Bld (new fix. addtl s ) Water Service ft. Sanitary Sewer ft Storm Sewer ft Backf low Device TOTAL PERMIT ,0 ?," MECHANICAL NO FFF 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 Stationary evap. cooler Vent Fan/Single duct Vent Sys from AC tem apart or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT VALUE$/SQ. FT.SQ. FT. TOTAL VALUE OF PROJECT X X SQ. FTG MAIN SO, FTG ACCESS SO. FTG OTHER RCPT#PLAN CHECK FEE BYDATE t. BUILDING PEBMIT PLUMBI NG DEMOLITION 5% State Su rcharqe 5% State Surcharge MECHANICAL FENCE VALUE $ 5% State Su rcharo e SIDEWALK FT. SUBTOTAL PERMITS PAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL rules adoPted forth !n by tHA oAR 9s2-001-0010 HEAT SOURCE: -1 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:OO 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 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 of the State Speciatty Code MECHANICAL: To be made a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & 5y the Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. A FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Buildiig Division. excavated and forms are facing materials and before erected, ail steel in place, but framing inspection srRUcruRAL CoNCRETE: lnprior 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 ail insrab buirdins 3i::5::.':f, 3ffi:Ir";,;l:r" ;1l3,T"',.-3^t*Y5tT',rrril service equipment, conduit, and vents are complete andpiping, accessories and other incirary equipment items are :H H::lj,]t"ji:,X jJ;[::i: Bl?:f],?E]noT[,tl,,tI$t"oin place but before any tighte-ning 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 isprior to covering or f illing applied.trenches. vH,,vv. spEclAL GRADING, ,NDERFLooR: prumbins [:::,fl'.'"'f;m'Jfl]",Yi"' El;fUt'liil-:li:,5Jb'i],"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 f loor sheithing. 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 interiol and exterior, is in Building Division before prior to installation of floor place but before any beams are placed' (2501 U'B'c' insulation, ctecking or floor plastering is applied or before STDS' 25"10'11)' sheathing. - Sypsum 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 f loor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with uBc 24'15. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. 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. '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 informationherein is true and correct, and I further certify that any and all work performed shall be done in accordance with tne Ordinancesof the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCYwill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project. Signature Date rthU er to nse reU hat red Snagre ri NSo are UE tedrequpec he ro ti ha roreqppeme,ec dad rESS Sp read abl thf romtreeshathermt,card S alocated h f ront thpeof e ro dan he aprty,pe SEroved of anspppl nremat on 5the te alESmUdnilnorUStn.ct os VALIDATION 00 ?4)6 f 0 AMOUNT RECEIVED: RECEIPT *:RECEIVED BY: DATE PAID: FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such aslandscaping, parking lot stri ping, etc. must be coinpleted before . requesting this inspection. FINAL BUILDING: Requested after the final plumbing, electricat,mechanical and Fire Department inspections are maie and approved. No occupancy of the premises can be made until acertificate of occupancy has been issued by the Building Divisionand posted on the premises. ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE oaICITY OF *i7 TGTIELr, ?.25 l: Ll!'.!'ll :;'lllll:l':'l' SPITINGI]tEI,I), ORI{(;0N 9I4I I INSPECI'ION REOUESI':'126-3769 0f PICE z l?-6 -3159 Date 1 . t,0c^'l'toN Ir r NSTAr,l,A'trOftuthorized te T,EGAI, DIiSCITIPTION a JOli PTION er l- Iil l- t t an.s ler.'ab.l.e alt<l exlrire iI vorl< is trot startetl withirr 1tlO days of issttance or i f worlt is sttspetrded f or 180 tlays . 2. CONI'ITACTOR INSTALLT\TION ONLY Elec t rical Cotr IL-actor Adcl ress B1./1 -o?o5 Supervisor Liceltse Number B5 Iixpiratiotr L)ate lo i) corrstr corrtr. Nt-uttber 5+LlBl Expi ra t iorr Da te r.-)O Sig rra ture o pervising ectriciart a), Owners N Address. Ci ty Pl'tone €84{-i#a OVNEII INST I Tlre itrsta.l.lation is being made on property I ourr r,rhic.h is not irltended for sale, lease or rent. Owtters Signattlre: DAIE: RECEI The lollowlng project as submitted has '[?[iif;tr[?c^r, prtRurI' ^ppr, r.c^'r t0Nzoning, and does not re specific approval b Number SCIIEDULB I}IiI,OTI A ev Residerrtial-single or Mu1ti-Fanrily per dwelling unit' Service Included: I tems Cos t 1000 sq. f t. or less Each additional 500 sq. ft or llortiorr t lrereo f liaclr Mantt ['rl llolne or Flo<lular Dwelling Service or Feeder s Bs.Oo s 40.00 tl Services or Feeders Instal1ation, Af terations or Relocatiotr: 200 anrps t-rr less 201 amps to 1100 alrPs 401- anrps to 600 amps --601 anrps to l-000 amps- 0ver 1000 amps/volts - Recounect 0n1Y $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 C l) One Ci rcui t Each Addi tional Circuit or with Servi or Feeder Permi t B SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL Temporary Services or Feeders Installation, Alteration or Relocation 200 anrps or less $ 40'00 over 4b1 to 600 arnps .-- $ 80.00 over 600 amps or fbOO-GlTs see. "Bu aE6IE Ilranch Circui ts New, Alteration or Extension Per Panel -{ g 3s.oo D* CE?E Sum e lt($ is.00 $ 2.00 I Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 t,irni ted Energy/Res - $ 20.00 5 RECBIVBD I] 2 4* ?/ Pltone @a COMM ERCIAL/I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP SPRIi.GFTELE, "-J NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT:a2>E>a, a/^ ^c C/, & 5?-3BOPHONE: 4)42,.ztPSTATE:.-/ /CITY: ADDRESS: OWNER NEW - REMODEL ADDITION DEMOLISH OTHER VALUE DESCRIPTION OF WORK: ^EitEoA I ELECTRICAL: ADDRESS PHONENAME EXPIRES PHON EADD RESSCONTRACTOR'S NAME MECHANICAL: PLUM BI NG: CONST. CONTRACTOR # PLU MBIN G NO.FEE CHARGE Single Fixture Relocated Bldg (new fix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backflow Device TOTAL PERMIT or ht au st $10.00 an e ex or oorpen pp ance hood and duct Floor furnace and vent Permit lssuance TOTAL PERMIT Furnace/burner & vent <1 BTUs Furnace/burner & vent 1 BTUs duct f rom nt mounted unit heater se parat e cooler nary evap. _ OFFICE USE _ LAND USE: ZONING* OF UNITS: HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SO. FT,$/SQ. FT,VALUE TOTAL VALUE OF PROJECT- X X SO. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE BY 26,2a BUILDING PERMIT PLUMBING DEMOLITION 5% State Surcharqe 5% State Su rcharqe MEH}.NICAV'>/-&a)),V./71;z-FENCE VALUE $ 5/6 state S u rch arqe 'Fe :7*SIDEWALK FT. SUBTOTAL PERM ITS PAVING CURBCUT FT, SYSTEMS DEVELOPMENT /Y.r/ ' TOTAL PERMIT FEES EXCLUOING ELECTRICAL -- 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:OO a.m. will be made the same working day, requests made after 7:OO a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prior to setup of forms. be covered until these inspections have been made MB lNG, PAVING: After gravel is in place but prior to placing No work is to asphalt or concrete. 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: Plumbing, electrical, mechanical. To be made prior to installation of f loor insulation, decking or f loor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or f loor s heath i ng. 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. x wwry% ATTIC DRAFT STOPS & 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: tn 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 ti ghteni ng operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. 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. 25-10J1). 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. CURTAIN WALLS 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. ECT 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 prolect. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the he front of the property, and the approved set of plans will remain on the site at all DateSignatu <, street, that the permit card i located times during construct /2,?VALIDATION AMOUNT RECEIVED RECEIVED BY: DATE PAID FINAL PLUMBING FINAL ELECTRICAL SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before requestlng this inspection. FINAL BUILDING: Requested after the final 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 Division and posted on the premises. FINAL MECHANI.cAL /7/A- 6rn FIMAL FIRE DEPARTMENT ADDITIONAL COMMENTS PLANS FIEVIEWED BY DATE Y RECEIpT -: ??rg-