HomeMy WebLinkAboutPermit Building 1993-01-04COM M ERCIAL/IN DUSTRIAL .*
PEHMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
SPEINGF]ELE,JOB NUMBER ?7*<
INSPECTION LINE: 726-3769
OFFICE: 726-3759
IAX LOT:a?a=;
h,
4
PHONE
STATE:ZIP:
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE:vDESCRIPTION OF WORK:
MECHANICALi
-
ELECTRICAL:
PHONENAMEADDRESS
ADDRESS EXPI RES PHON E
PLUM BI NG
ARCHITECT
CONTRACTOR'S NAME
GENERAL:
CONST.
CONTRACTOR #
1.
PLU MBI NG
NO.FEE CHARGE
Relocated Bld
(new fix. addtl
s
)
Water Service
ft.- Sanitary Sewer
ft.
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trtrtr N!{A EIG F
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 $10.00
TOTAL PERMIT
ZONING
- OFFICE USE -HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWEH BUDGET
WATER HEATER
LAND USE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
g OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
VALUE$/SQ. FT,SQ. FT.
d7>
TOTAL VALUE OF PROJ
XSQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#DATEPLAN CHECK FEE BY
/d.
BUILDING PERMIT 13-5>PLUMBI NG DEMOLITION
5% State
Su rcharg e /fr 5% State
Surcharge
MECHANICAL FENCE
VALUE $
5% State
Su rcharqe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT ,//-/y',
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
fr?.
Single Fixture
tcA
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that atl inspections are made at the proper time. To request an inspection, call
726-9769 (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.
B
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.
llNG, 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.
UNDERGROUND: PIumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
t re nc hes.
UNDERFLOOR: Plumbing,
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
s heathi 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 withuBc 2415.
ROOF SHEATHING AND
NAILING: Prior to instailing
any roof covering.
FRAMING: To be made after
the roof, all framin€, 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.
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 I\
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening 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
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 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 compriance with oRS 70i.055 wiil 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.
Signatu re 53
\,
{Date ,v
VALIDATION AMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
slrE PLAN REVTEw BOARD: Must be requested 2 days in advanceof the date you wish inspection. Ail project conditions such aslandscaping, parking lot striping, etc. must be completed beforerequesting this inspection.
FINAL BUILDING: Requested after the finar prumbing, erectricar,mechanical and Fire Department inspections are made andqpproved. No occupancy of the premises can be made until acertificate.of occupancy has been issued by the Building oivisionand posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
X
:;l.tltr{(;l:tr_t-u
I
>llowrng e&
225 FTFTII STRIJIiT
SPRINGFIELD, OHEGON 97477
INSPECTI0N REQUEST: 726-3769 . - 1 t -oFPICE: 726-3759 \ {r
1 LOCATION
LEGAL DESCRIPTION
DESCRI
ILBCTRICAL PERHTT APPLICATION
Ci ty Job Number
BELOV
Nev Residential-Single or
HuIti-FamiIy per dwelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf 'd llome or
Modular DweIIins
$ Bs.0o
$ 1s.00
$ 40.00, _
Services or Feeders
fnstallation, Alterations or
Reloca tion:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Ins.tallatlon, Alteration or Relocation
tJRt3
S
A
Permits are non-transferable and explreif vork is not started vlthin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALIJ\TION ONLY
Electrical Contractor
Add ress
F"lLnnu,rnone 72ff/4 L
(
1
B
C
50
s300
.00
.00
.00
.00
.00
.00
60
100
40
130
$
$
$
$
$
Sum
not included)
40.00
40.00
20. o0
Supervisor License Ndmber 1)lA -S
Expiration Date
Ci ty
Constr Contr. Num
Expiration Date
ber 17 Ni
200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see *8" above
Signature of Supervising Electrician
0uners Name
Addrcss 40 > -rt V^,B-u* traJ
Ci ty ,r,t "n. 1 2?f d(L
OSNT.R TNSTALI.ATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
DATE: ',
RIICEIPT
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one ci rcui t I S 35. OO J_d[
Each Addi t ional
Circuit or vith Service
or Feeder Permit -f $ 2.00 / O
E Hiscellaneous (Service/feeder
-Eaclr ins taIIa t i on
Ppmp or irrigation $
Sign/Outline Lighting $
Limited Energy/Res
-
S
SUBTOTAL OF ABOVB
5I State Surcharge
TOTAL
RIiCIiIVED I}Y:
5 qS
z5
or
{
(Tl) ^, ^!0 ^^J-