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Home My WebLink AboutPermit Mechanical 1995-09-07COMM ERCIAL/ IN DUSTRIAL PERMIT APPLICATION 225 Fitfi Street, Springf ield, Oregon 97477 LOCATION OF PROPOSED WOFIK ASSESSORS MAP L S/u t1,lr JOB NUMBEFI INSPECTION LINE: 726-3769 OFFICE: 726-3759 IAX LOT:?oz 7D.D SPR]t.GF]ELO PHON E: ZIP: v, cv?gSTATE:z(/ 77LPe? 'l'rytc tVni( ozOWNER: CITY: #rADDRESS: - 5 VALU e.S2oo- 5)t St.//neDESCRIPTION OF WORK:Srrtsta// 5 fon )0 ADDRESS PHONENAME AODRESS EXPI RES PHONE /Zt/t,?c/ilnn€zgt a 7376 6 )6 44 t<tz I)n /, GENERAL: CONTRACTOR'S NAME ARCHITECT: PLUM BI NG: ELECTFIICAL: MECHANICAL: CONST, CONTRACTOR # PLUMBING NO.FEE CHARGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT M EC HAN ICA L Nrl FFF CH A RGF (Furnace/burner & < 100,000 BTUs ):brt"/s2 4rtt, 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 $10.00 TOTAL PERMIT /SPo - OFFICE USE _ LAND USE HANDICAP ACCESS FLOO} PLAIN LIGHTING POWER BUDGET: * OF UNITS: OCCY GROUP: * OF STORIES: QUAD AREAI , OF BLDGS WATER HEATER: CONSTB. TYPE: HEAT SOURCE: SQ. FT.$/sQ. FT.VALUE TOTAL VALUE OF PROJ X X SQ, FTG MAIN SO. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE BY ?o BUILDING PERMIT PLUMBI NG DEMOLITION 5% State Surcharoe 5% State Surcharoe MECHANICAL6<u*rle;/>,,/A 4 FENCE VALUE $ r /,zn SIDEWALK FT. SUBTOTAL PERMITS PAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUOING ELECTRICAL ZONING: REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all lnspections are made at the proper time. To request an inspection, call726'3769 (recorder), state your City deslgnated job number, Job address, type of inspection requested and when you w1l be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made af ter 7:00 a.m. will be madethe following work day. \- ,, SITE INSPECTIoN: To be ,\, ROUGH PLUMBING, pAVING: After gravet is inmade after excavation, but t ELECTRICAL & place but prlorlo placingpriortoSetupofforms.@oworkiStoaSphaltorconcrete.q-_=e-ffiTt1'fil these UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: tn accordance ELECTRICAL & and approved. Section 306 of the State Specialty CodeMECHANICAL: To be made a special inspector shall be empl-oyedbefore any work ls covered. ATTIC DRAFT STOPS & by the Ownei/ Contractor duringCURTAIN WALLS construction of the following w6rk. A FOOTINGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished io the Buildiig Division. excavated and forms are facing materials and before erected, all steel in place, but framing lnspection' srRUcruRAL CoNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 ps.l. (306 a.1) coNcRETE SLAB: To be the roof, all framing, fire made after ar insrab buirding 3i::5:H.":f, 3,;ilr";,H;:r" ;l}3,"Jyf3"t#5t,o',ot',rrr, ,service equipment, conduit, and vents are'complete anclpiping, accessories and other incirr-ary equipment items are ffi';::lili""ii:,1'j,$[3::: Bl?:f],?Eluoll",?l,"tlH?"0in place but before any tighte-ning operations. (306concrete is placed. lNsuLATloN & vApoR a.6) BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are ln place but FIREPROOFING: U.BC.storm sewei water and before any lath or gypsum Standards 43-8.dralnage lines. To be made board interior wall Covering isprior to covering or f illing applied.irenches. SPECIAL GRAD|NG, ,NDERFL..R: p,umbins [l?:,S'.=^fmi3[Hl"' EMfiiil-tif,5Jb'i],"1 electrical, mechanlcal. To be according to plans. chapter 29) made prior to installation of ftoor insulation, decking or LATH AND/OR 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 lnterior and exierlor, ls in ' Building Divislon before prior to installation of floor place but before any beams are placed' (2501 U'BC' insutation, decklng or floor plastering is applied or before STDS' 25-10J1)' sheathlng. - Sypsum board ioints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR TNSULATToN & finished' a'7) VAPOR EARRIERS: To be made prior to lnstallation of decking or floor sheathing. MASONRY: Steel location, bond beams groutlng or verticals in accordance with UBC 24'15. ROOF SHEATHING AND NAILING: Prior to installing any roof coverlng. 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 requlre other inspections of any construction work tO ensure compliance with the Building, Clty or Development Code. By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify th.at all information herein is true and correct, and I f urther 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 pertalning 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 Signature Date and the approved set of plans will remai on the site at alle prostreet, that the permit card is located at the f times during construction VALIDATION 24-.2 o AMOUNT RECEIVED RECEIPT #RECEIVED BY: DATE PAID: FINAL PLUMBING FINAL ELECTRICAL SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wlsh inspection. All project conditions such as landscaplng, parking lot stri ping, etc. must be completed before requesting thls inspection. FINAL BUILDING: Requested after the final plumbing, etectrical, mechanlcal and Fire Department inspections are made and approved. No occupancy of the premises can be made until a Certlflcate ol Occupancy has been issued by the Building Divislon and posted on the premises. *INAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE / /rara C'TY OF OREGO'I' SPRI' IELO Zoni!')!,1 t ap0roval .,::,. irOl f€rqulre Speciai! :it' : -. ;Se A 225 YTYTB $NBBT SPRTNGPTEID, ORBGON 9 INSPECTION REOIIBST: OPPICB: 726-3759 BIJCTRICAL PERI{IT APPLICATION Q stooq I IJGAL DBSCRIPTIO}I l7tt52-l ija'z Toct Permits are non-transferable and expirelf vork is not started vithln 180 days of lssuance or lf vork ls suspended for 180 days. 2. CONTRACTOR INSf,AIJ.ATION ONLT Electrical Contracto ,db Euonunc Address 1"7*A Anu -fr Ci ty E ua "-,r-L Phone ?7-S7ap Supervisor License Number 3ttt S Explratlon Date io Constr Contr..Number /O Expiration Date 3lHtqt S1gna T sing Electrician 0vners Address Cl ty Phone OSNBR INSTALIATION The installatlon is being made on property I own vhich is not intendedfor sale, lease or rent. Ovners Siguature: DATB: BBLOV Nev Residential-Sing1e or HuItl-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular Dwelling Servlce or Feeder s 8s.00 $ 1s.00 Services or FeedersInstallation, Alteratlons or Relocationr A B c. D Sum Temporary Services or'FeedersInstallatlon, Alteratlon or Relocation 200 amps or less S 40.00 201 amps to 400 amps - S 55.00 over 401 to 6oo amps - g 80.00 Over 600 amps or 1000-6TIs see t'Btt .ffi Branch Circults New, Alteratlon or Extension Per Panel 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/vo1ts Reconnect 0nly One Circuit Y Each Additional .---_ Circuit or vith Service,,or Feeder Permi t { -Each installation Pump or lrrigatlon Sign/outllne Lighting- Limited Energy/Res -Llmited Energy/Comm STIBTOTAL OP ABOVB5f State SurchargeE+g;tfr Ad,n,q 7o lal $ 50.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 s 35.00 $ 2.00 e3e E. Miscellaneous (Service/feeder not included) S I,O.OO s 40.00 $ 20.00 $ 36.00 ry- RECBIVBD 5 L/.7,/Z Autnorized / . JOB DBSCRIPTION , / h,nrt,'1 i',r?nltt'or'"' ttt / 3 cirr, rik $ 40.00 C'TY OF OREGON' :rPl{ FIELO projecl as submfir,!{q hi- zonlng, and does approval. 225 PIFTE STREET SPRINGFIBU), OREGoN 97477 INSPECTION RBQIIBST: 0FPICE: 726-3759 A.uthoiized DESCRIPTION Permits are non-transferable and expirelf vork is not started vlthln 180 days of lssuance or lf vork ls suspended for 180 days. 2. CO}ITRACTOR INSTAIJATION ONLT B Electrical Contrac rcr dB Ekotnr-EuC Address IWA b*/L"u -ff Ct ty Eu4 <n2.. Pnon. b?z-Szto 3tttSSupervisor License Number ep+i.lIiC ii,i,... .lse City J N-b", Q.7/4 7 BELOg I tems Cos t s 8s.001000 sq.ft. or less Each additional 500 SQ. ft or portion thereof Each Manuf'd Home or -Hodular Dve1ling Servlce or Feeder $ 1s.00 s 40.00 Services or FeedersInstallation, Alterations or Relocation: C. Temporary Services or'FeedersInstallation, Alteratlon or Relocation I 40.00 55.00 80.00 ee nBrr affi 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps over 1000 amps/volts -Reconnect Only not roquiro L-mI -q 1. U)CATION OP INSTALIA:TION 7OZ <'fZ a< e - f, -. A. Nev Residential-Sing1e or HuIti-FanlIy per dvelling unit. IJGAL DBSCRIPTI0il Service Included: Sum $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Explratlon Date Constr Contr. Number /Oqlq Expiration oate 3f /il??200 amps or less $ 201 amps to 400 amps - S 0ver 401 to 600 amps $ 0ver 600 amps or 1000-T6Tls s -Each installation Pump or lrrigatlon _ Ssign/outllne Lighting] S Limited Energy/Res - $ o I Slgnat of Electrician Ovners tddress ,/6.7 - t'/ffz.% D. Branch Clrcults Nev, Alteration or Extension Per Panel One Circui t / .$ 35.00 -WuEach Additlonal Circuit or uith Service or Feeder Permi t / $ 2.00 ,*"uo Hiscellaneous (Service/feeder not included) ct t@ Phone OSNBR INSTALI.ATION The installation is being made on property I ovn vhich is not intendedfor sale, Iease or rent. omers Signature: DATB: 5. STIBTOTAL OP ABOVB5f State Surcharge TOTAL E J 40.00 40.00 20.00 36.00 cra, /,t7 27 RBCP,IVBD /6.rl PERHIT APPLICATION CO M M ERCIAL/ IN DUST RIAL PERMIT APPLICATION 225 Fillh Street, Springfield, Oregon 97477 SPflINGFIELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PRO ASSESSORS MAP: POSED WORK: ,'7 6 , TAX LOT:o-nrD /)\./ PHON E: q70 /{ZIPSTATE6/LCITY: ADDRESS: OWNER DEMOLISH OTHER DESCBIPTION OF WORK: NEW- REMODEL X ADDITION th {t)tM p,,,l(k t NAME A r ADDRESS CONTRACTQR # EXPIRES PHONE hliknr,kl (bw*ntehn %il-tt*A ffit r hr(g-t w tt'so'u, ADDRESS PHON ENAME 7 CONTRACTOR'S UJGENERAL: CONST. ARCH ITECT: PLUMBING MEC HAN ICAL: ELECTRICAL: M EC HAN ICAL Nr)FFF EHA RGF Furnacei 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 $10.00 TOTAL PERMIT PLUMBING NO.FEE CHABGE Single Fixture Relocated Bl (new fix. add dg. tl) Water Service fr Sanitary Sewer ft Storm Sewer ft Backflow Device TOTAL PERMIT I _ OFFICE USE _HANDICAP ACCESS LIGHTING POWEB BUDGET: WATER HEATEB FLOOD PLAIN ZONINGC OF UNITS: LAND USE OCCY GROUP: # OF STORIES QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SO. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ X x X SO. FTG MAIN SQ, FTG ACCESS SQ, FTG OTHER c.0 otl RCPT#PLAN CHECK FEE DATE BY &,6? BUILDING PERMIT 3A {o PLU M BI NG DEMOLITION 3i1l.i'it%r:s r/!"z,of 5% State Su rch arqe MECHANICAL FENCE VALUE $ 5% State Surcharqe SIDEWALK FT. SU BTOTAL PE RM ITS PAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL {t/0,lvt-/1,4 - It is the responsibility of 7 26.3769 (recorder), state for i nspection. Requests the following work day. SITE INSPECTTON: To be made after excavation, but prior to setup of forms. REQU!RED INSPECTIONS BING, No work is to ntil these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framlng inspection. FRAMING: To be made after the roof, all f raming, fire blocking and bracing are in place and all plpes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. INSULATION & VAPOR BARRIER: To be made after atl insulation and required vapor barriers are in place but before any lath or gypsum board interior wall covering is applied. LATH ANO/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 lnlshed. 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 gravet is inplace but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: tn accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Owner/ Contractor during construction of the following work. Acopy of the special testing reports shallbe furnished to the, Building Division. STRUCTURAL CONCRETE: In excess of 2500 pS.t. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) HIGH STRENGTH BOLTING: During all bolt installation andtightening 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) cLU.LAM BEAMS: tnspection 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,Z) the permit holder to see that all inspections are made at the proper time. To request an inspection, callyour City designated iob number, job address, type of inspection requested and when you will be readyreceived before 7:00 a.m. will be made the same working day, requests made after 7:OO a.m. will be made 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. 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 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof coverlng. .Y CONCRETE SLAB: To be made after all inslab building service equipment, conduit,piping, accessories and other ancillary equipment items arein place but before any concrete is placed. UNDERGROUN D: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing t renches. uNDERFLooR: prumbins llx:,flt"=^'f;mtJ3[Httt' electrical, mechanical. To be according to plans. made prior to installation of floor insulation, decking or floor sheathlng. POST & BEAM: To be made prior to installatlon of floor lnsulation, decking or floor sheathing. FLOOR INSULATION & 4 "ln addition to the inspec. tions specified, the Building Off icial may make or require other inspections of any consitruction work to ensurecompliance with the Building, City or Development Code. DATE 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 Clty 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 Bullding Safety Division. I f urther certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project. s are requested at the proper time, that project address is readable from thef the property, and the approved set of plans will remain on the site at all ignature Date b'Z,l-7; all required inspecti s located at the f ront ILu h treS et, VALIDATION:AMOUNT RECEIVE RECEIPT *:RECEIVED BY: DATE PAID: PLANS REVIEWED BY x FINAL PLUMBING slrE PLAN REVIEW BOARD: Must be requested 2 days in advance\,/ *'4"":;i;r1"r',",Xi:! i::'"?:.Ji& xi":Hl"$;"'::l;[1#".?,:;"FINAL ELECTRTCAL - / ,uqu"sti'ng this insplction. Y. FTNAL BUtLDING: Requested after the finat plumbing, erectricat,FINAL MECHANICAL / mechanlcal and Fire Department inspections are made andv 3:?fi1"i"[? 3nl,?X?,:i?:y;":ft"",.30"31,i?3i.,: l3,,J,x,,,on, FINAL FIRE DEPARTMENT and posted on the premises. ADDTToNAL coMMENrs: #A.e,?Z 4/4L /&rn i- ( 4'4a/.44. ?/: ii- Z'it i=d,'cztl //ttg 7 rt,7 ft Z :,erzu'rft ?-t ,./' { ti,' i' ,{' L )- t€e? ', ert it times during