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Home My WebLink AboutPermit Mechanical 1991-02-05COM M ERCIAL/ I N DUSTRIAL PERM!T APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 LOCATION OF PRO ED WOR ASSESSORS MAP: SPRII{GFICLO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT OWNER: CITY: ADD .PHONE: ZIP:STATE: NEW - REMODEL ADDITION DEMOLISH VALUE:ER DESCRIPTION OF WOR NAME ADDRESS PHON E ,S NA RESS EXPI RES E ARCHITECT: ELECTRICAL: GENERAL: CONT MECHANICA PLUM BI NG: CONST. CONTRACTOR # PLU MBING NO.FEE CHARGE Single Fixture Relocated Bld (new fix. addtl s ) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT M EC HAN ICAL NO FFF EHA RG tr /Furnace/burner & vent <100,000 BTUs t2t*./.T-c 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 ->?-t E ZONING HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER * OF UNITS: LAND USE: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPEr HEAT SOURCE: SQ. FT.s/so. FT.VALUE TOTAL VALUE OF P X X SO. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE BY 2U?, BUILDING PERMIT PLU M BI NG DEMOLITION 5% State Su rch arg e 5% State Surcharge MECHANICAL I''.fu.y)tr /A.ca./5.4 FENCE VALUE S 5% Siate Su rcharq e .>,SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUI FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL \e N\r\ - 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:O0 a.m. will be made the following work day. SITE INSPECTION: To be V ROUGH PLUMBING, PAVING: After gravet is in made after excavation, but ELECTRICAL & place but prior to placing prior to setup of forms. <@H-ANleEDto work is to asphalt or concrete. l-E-6lelEfri'ur lnese UNDERSLAB pLUMBING, inspections have been made SpEC1AL INSpECTIONS: ln accordance ELECTRICAL & and approved. Section 306 of the State Specialty Code MECHANICAL: To be made a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & Oy ine Owner/ Contractor during CURTAIN 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 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 25OO PS.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made after ar insrab buirdins Bi::5 ::.']ff 3l!:It",l,;;:r" FIRy,.T"',.-3"t H5t,3oi',rrr, , service equipment, conduit, and vents are complete and ::?[g;".?",];:{:? ?i:i""'::i ffi'fl:3l"",ltXi:,X iJ;[3:t: BI?,Xf],?EI-'T[9,'*I]:".in place but before any tighteiing operations. (306concrete is placed. TNSULATTON & 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 [||:,S";? XA'Jfl[H3"' EI:lUEiil-tlP,5J:'i],"1 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 Certif icate by an approved lathing and gypsum board, agency, furnished to the city's posr & BEAM: To be made interiol and exierior, is in Building Division before prior to installation of floor place but before any beams are placed' (2501 U'B.C' insulation, decking 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 floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 24.15. RooF sHEATHTNG AND iHlS^H'",tJ,tt::i""1'" 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. 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 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 further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the property, and the approved set of plans will remain on the site at all Sig Date street, that the permit card is located the f nt of times during const ction DATE PAID: RECEIVED VALI roN AMOUNT RECEI RECEIPT *: 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 pi ng, etc. must be completed before requesting this i nspection. 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. PLANS REVIE WED BY DATE 2-s-* ,, ADDITIONAL COMMENTS: OREGO'U lr 225 PITTE STRBEf, SPRINGFIEIJ), OREGON 97477 INSPECIION RBQUBST: 7 oFPICE: 726-3759 1 LOCATION JOB DESCN.IPTION c PERHIT APPLICATION City JobNumber qtlV86 SCBEDUI^E BELOIT er,r Residential-Sing1e or Multi-Pamily per dvelling unit. Service Included: Items Cost \000 sq.ft. or less tplch additional 5OO- sq. ft or portion thereof Each Manuf'd Home or Hodular Dvelling Service or Feeder $ 8s.oo s 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Reloca t ion : 0b 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps 2 tO Lv ,7i/iz B. Sum Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI^ATION ONLY Electrical Contrac to, C{ { I ,7rrc Address 2/4 So /I 4 ci Phone ?q/-)"3LSupervisor License Ndmber lC f(5 Bxpiration Date constr contr. Nunber o j {"{ Expiration Date rt Signature of Supervising Electrician 0vners Name s eddress 405 *uq 99 l'lo .oCity S.rrutrnO r Phone Lgq -7.133r OIJNER INSTALI.ATION The installation is being made on property I own vhich is not intendedfor sale, Iease or rent. Ovners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation 0ver 1000 amps/volts Reconnect 0nly 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps _0ver 600 amps or 1000 volt SUBTOTAL OP ABOVB 5Z State Surcharge TOTAT $ s0.00 $ 60.00 $100.00 $130.00 $300.00 s 40.00 s see rrBrl c. a $ 40.00 $ ss.oo $ 80.00 above D. Branch Circuits Nev, Alteration or Extension Per Panel One Ci.rcui t / Each Additional ' Circuit or vith Service -*$ 3s.00 5) or Feeder Permit 3 $ 2.00 r E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lightine_ Limi ted Energy/Res Limi ted Energy/Comm ---------.l--ry- -a--&--Zl+E *- 00 00 00 00 ()u s 40. $ 40. S zo. $ so. 441 RECEIVED BY: 5 BLBCTRICAL COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 SPRI,tGFIELE, JOB NUMBER a^ INSPECTION LINE: 726-3769 OFFICE: 726-3759h, LOCATION OF PROPOSED WORK: ASSESSORS MAP:1 a TAX LOT: PHONE:6Aa CITY: ADDRESS: OWNER BEMoDEL * €- ADDITION DEMOLISH OTHER VALUE: t/!a 4 DESCRIPTION OF WORK: NEW -NAME ADDRESS PHONE EXPI RES PHONEADDRESS L: CONTRACTOH'S NAME ARCHITECT; PLUM BI NG: MECHANICAL: ELECTRICAL: CONST. CONTRACTOB # PLUMBING NO.FEE CHARG E Single Fixture Relocated Bldg (new fix. addtl) Water Service ft Sanitary Sewer ft. Storm Sewer I t- Backf low Device TOTAL PERMIT 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 f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT HEAT SOURCE az.*aZZ.-2 ZONING 4b/ - OFFICE USE - * OF UNITS: LAND USE: HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: coNSrB. 'vet: */// aPB -OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: $/SQ. FT.VALUESQ. FT. TOTAL VALUE OF PROJ X a€>SQ. FTG OTHER SQ. FTG MAIN SQ. FTG ACCESS pLAN cHEcK FF;-. 4-ea ssplr ? 3?! oerc 1?^2o-2.BY 46.77 BUILDING PERMIT /4-fa PLUMBING DEMOLITION 5% State Su rcharqe 2-z>5% State Surcharge MECHANICAL FENCE VALUE $ 5% State Surcharqe SIDEWALK FT, SUBTOTAL PERM ITS PAVI NG CURBCUT FT SYSTEMS DEVELOPMENT TOTAL PERIVIIT FEES EXCLUDING ELECTHICAL Gfi6r72 Z=4.%- srArE: ZVT - ztp,42fa/ / REAUIRED 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 7:0O a.m. will be made the same worki ng 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. MBING, be cove UN til these 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. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to coverlng or f illing trenches. UNOERFLOOR: 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 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. o work is to 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. 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: 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 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) 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. 25-10J1). STRUCTURAL MASON Ry: (306 a.Z) '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. v -/ ,y FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS / ^/ 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 completed beforerequesting 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 aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises. -S PLANS REVIEWED BY DATE ,^> 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 f urther certify that any and all work performed shall be done in accordance with the 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. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from thestreet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at alltimes during construction. Signature Date VALIDATION AMOUNT RECEI RECEIPT # DATE PAID RECEIVED x 2