HomeMy WebLinkAboutPermit Building 1994-01-19COM M ERClAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fitth Street, Springfield, Oregon 97477
SPRI,t.GFIELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:g-grA, S*-11r- Sr,
ASSESSORS MAP:TAX LOT:oo ?e
PHON EOWNER 7re==77-7
ZIP:62E) IADDRESS:
CITY:
Zi1t, < t/p17., ,3-
__--7-___T____v srArE: e2<'
NEW
-
REMoDEL -JZ ADDrloN DEMoLtsH orHER VALUE:
Ao
DESCRIPTION OF WORK:
ADDRESS PHONENAME
EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
G EN ERAL:
CONST.
CONTRACTOR #
PLU MBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trFF EHA RG tr
(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.
coo I er
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and ductW '*>a tu
Permit lssuance $10.00
TOTAL PERMIT 2rn ./r.n
\LN$311\Ll'\
_ OFFICE USE -
ZONING
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATEH HEATER:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
I OF STORIES:
QUAD AREA:
* OF BLDGS:
VALUESQ. FT.$/SQ. FT.
/fr6T>
TOTAL VALUE OF PROJ
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER -7
/ 2 -1'-i.3e3RCPT#DATEPLAN CHECK FEE BY
EUILDING PERMIT //a.5a PLUMBING DEMOLITION
5% State
Surcharqe 5.€3 5% State
Surcharoe
MECHA w+*7^/2.oe/q7.?e FENCE
VALUE $
5% Stafe
Surcharqe ,)f SIDEWALK
FT.
SUBTOTAL
PE RM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT +#
TOTAL PERIVlIT FEES
EXCLUDING ELECTRICAL
(
q74 7V
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:OO a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
MBING,
I 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.
UN DERGROUND: PIumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
trenches.
UNDERFLOOR: Plumbi ng,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or f loor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals 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.
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 PS.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 AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certif icate 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
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
x
/{
,k
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.
MECHANI
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 proiect.
I further agree to ensure that all required inspections are requested at the
the property, and the approved set of plans will remain on the site at all
/-/?-7/Signature Date
proper time, that project address is readable f rom theit card is located at thestreet, that the
tiontimes during
AMOUNT RECEIVED: /4/. =SVALIDATION:?
RECEIPT *:// 7a?RECEIVED BY:
DATE PAID
V
/
x
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
v
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
requesting this i nspection.
FINAL BUILDING: Requested after the finat 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.
ADDITIONAL COMMENTS:
-PLANS REVIEWED BY DATE ,/?'=
I
c2-
CITY OF S
The fclr. .,rg project as eubmitted hm the followirg
zoning, and does not require speci{ic land use h
225 FTFTE SI3,EEf,appror,al.
sPRrNcFrBIJr, ORBGoN 97 477
INSPBCTION REQUBST: 726-3769
Zoning- L44I--
0FPICE: 726-3159 Datl.:J'l
1 k INSTALI..ATION
\tlb,
JOB DESCRIPTION
Permlts are non-transferable and explrelf vork ls not started vlthln 180 daysof lssuance or lf work ls suspended for
180 days.
2. C,0tlTRAGfoR INSTALLATION 0tfLY
Electrtcal Contractor L.R. BRABHAI4, INC.
Address 68 lt. "Q" ST. ,
ct SPFLD Phone 747-6638
Supervlsor Llcense Ndmber I 473S
BLECTRICAL PESHIT APPTICATION
Ctty Job.Nunber
A. Nev Resldentlal-Slngle or
Hultl-Famtly per dwelllng unlt.
Servlce fncluded:
A.ii,r:,r:...,:c sinnetura---F3. IOUBLEIE-.EEE SCEEDUIA BBI0V
1000 sq.ft. or less
Each addlttonal 500
sq. ft or portlon
thereof
Each llanuf'd Home or
Modular Dvelllng
Servlce or Feeder
B. Servlces or Feeders
Installatlon, Alterations or
Relocatlon:
Items Cost Sum
$ 95.00
$ 40.00
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
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
ExP lratlon Date 10/1/95
Constr Contr. Number 08699
Expi ratlon Date I 2/18/94
Slgna of Supervlsl Electrlclan
Owners LW t Yt Le Ill ou',f14. t ss
C. Temporary Servlces or Feeders
Installatlon, Alteratlon or Relocation
D. Branch Circults
200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see ilBtr abovex
Ct ty
aaar""" glb '*h,( l,LLot
Nev, Alteratlon or Extension Per Panel
one circuit t $ 3s.oo W0
Each Additional
Circuit or vith Servlcq;; F;;d.; r"'iit--- -g- $ 2.oo W
B. Hiscellaneous (Servlce/feeder not included)
-Each lnstallation
Pump or irrlgation
sign/outllne Lighting-
Limited Energy/Res
5. SUBTOTAL OF ABOVB
5f State Surcharge
TOTAL
PhoM
OIINER INSTATT,ATION
The lnstallatlon is belng made on
property f ovn whlch ls not lntendedfor sale, lease or rent.
Omers Slgnature:
DATE:
$
$
s
$
40.00
40.00
20.00
36.00
,00
I /T10T1L't
RECEIVED BYI
a
$ 1s.00
)