HomeMy WebLinkAboutPermit Mechanical 1992-11-25COMM ERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
LOCATION OF PROPOS
ASSESSORS MAP:
SPRINGF]ELO
TT
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
/I
OWNER
ADDRESS:
CITY:
PHONE:
ZIP:STATE:
VALUE:ADDITION DEMOLISH OTHERNEW- REMODEL
DESCRIPTION OF WORK:
NAME ADDRESS PHONE
ADDRESS EXPIRES PHON ECONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
G ENERAL:
PLUMBING
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
MECHANICAL
Nn trtrtr ct{a Elctr
Furnace/burner & vent
< 100,000 BTUs
I
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 d;rct nr Y-TIV
Oa,D Lt-tL-Q.:*, t
^)
/
Aermit lssuan "" J l"- 1
$10.00
TOTAL PERMIT 45Ct]
- OFFICE USE _
ZONING
LAND USE
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
WATER HEATER
* OF UNITS:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
BUILDING PERMIT PLUMBING DEMOLITION
5% State
Surcharqe
5% State
Surcharge
MECHANICAL t5 FENCE
VALUE $
5% State
Su rch arqe
,r\
A
SIDEWALK
FT.
SUBTOTAL
PERMITS
"TWo-j luc{-)CURBCUT
FT.
SYSTEMS
DEVELOPMENT
dt ?5TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
FLOOD PLAIN:
EAY
X
-- 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 7:00 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
made after excavation, but
prior to setup of forms.
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
crete is placed
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
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.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
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: In
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 ghtening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U BC.
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.B,C.
sTDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
'ln addition to the inspec-
tions specified, the Building
Off icial may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
UNDERG
electrical
RBl+ry
/9a8,
D: Plumbing,
sanitary seweL
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
f loor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheath 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 sHEATHTNG AND iHRS^H'^,ti"r::f""X'"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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 stri ping, 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 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 project.
I required inspections are requested at the proper time, that pro.iect address is readable from the
located at the front of the property, and the approved set of plans will remain on the site at all
DateSi gnat
thI f urther agree to ens
street, that the pe
ti duri
AMOUNT R
RECEIPT *:
DATE PAID:
RECEIVED
VALIDATIO EI
,a aC'TY OF
st'rilNGFtI:Lo
^
tted has the follow
necific land use f.ab
225 FIFTB STREET
SPRTNGFTELD, oREGoN 97477
INSPECTION REQUBSTz 726-3769
OFPICE: 726-3759
ELECTRICAL PERHIT APPLICATION
3 COHPIJTB FEB SCHEDULB BBLOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular DveIling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocat ion:
7or
,,.r}{hJa
1. LocATroN or rNSTALLATroNAutnorizcdSignatuie
3o /, slhot hu '+It. , + 5r
DESCN.IPTI ON
--T-
A
c
IEGAL
/n42-Z ^-Sum7
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALI,ATION ONLY B
Electrical Contractor
Address gr-
cit phone ?4 L' AASI-
Supervisor License Number lb86.y
Expiration Date to-l-gs
Constr contr. Number 0
Expiration oarc 1 -l-93
Signature of Supervising Electrician
Ovners Name
Address l6OO
Ci ty Phone bbb - 8a8o
OTINER INSTALLATION
The installation is being made onproperty f ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
200 amps or less
401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect Only
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $
201 amps to 400 amps
-
$
Over 401 to 600 amps _ $
Over 600 amps or 1000 volts se
40.00
5s.00
80.00
erBra bove
P. Branch Circui ts
lbo
Nev, Alteration or Extension Per Panel
one Circuit I $ 35.00 55J]C,
Each Additional
Circuit or vith Service
or Feeder Permi t j $ Z. 00 (o , oO
E Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/outline Lighting- S
Limi ted Energy/Res $
Limi ted Energy/Comm $
not included)
40. 00
40. oo
20. o0
STIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
RECEIVED BY:
5
Trra lollowino I
D
City Job Nu b". ??/437
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