HomeMy WebLinkAboutPermit Building 1999-02-18E-
COMMEBCIAL/INDUSTRIAL
.-
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK
ASSESSOHS MAP:z3
SP'II,{GFIELO ..JOB NUMAEF ??023o
I NS PECTION LINE: 7 26-3769
OFFICE: 726-3759
TAX LOT:65Eon
5a
PHON E:
STATE:
trd/
ZIP:7zo z <"
CITY:
ADDRESS
OWNER
NEW
-
REM.DEL H ooDtrtoN DEMoLtsH orHER VALUE
DESCRIPTION OF WORK:
PLUMBING:
MECHANICAL:
PHONENAMEADDRESS
PHON EEXPIRESADDRESSzCONTRACTOR'S NAME
ARCHITECT
ELECTRICAL:
GENERAL:
CONST.
CONTRACTOR #
PLU MBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new f ix. addtl)
Water Service
ft.
Sanitary Sewer
I t.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO FFF EHA RG F
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
SuspenOeC wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent FarilSingte
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
ZONING
- OFFICE USE _HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
LAND USE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
C OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
VALUE$/SQ. FT.SQ. FT.
TOTAL VALUE OF PROJECT
X
X
Ooo
SQ. FTG MAIN
SQ, FTG ACCESS
SQ. FTG OTHER
BCPT#PLAN CHECK FEE BYDATE
BUILDING PERMIT u r"'PLU M BI NG DEMOLITION
5% State
Su rc
4 ll'q 57o State
Surcharoe
MECHAN FENCE
VALUE $
5% State
Surch
SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CUFBCUT
FT.
SYSTEMS
DEVELOPMENT
7.0TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
76, 72,? 737/
illbe
R
VALIDATION ED:AMOUNT REC
RECEIPT *:RECEIVED BY:
DATE PAID:
REOUIRED INSPECTIONS
It is the resPonsibilitY of
7 26-3769 (recorder), state
for inspection. Requests
the following work daY.
the permit holder to see that all in
your City designated i obn
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 & FOUN DATIONS:
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.
an
UN DERGROUND: Plumbing,
electrical, gas, sanitary sewe
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
t re nc hes.
rspections are made at the proper time' To request an inspection' call
jobaddress,typeofinspectionrequestedandwhenyouwillbeready
Lade the same working day, requests made after 7:00 a.m. will be madeI,
received before
GH PLUMBING,
ICAL &
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
barriers are in place but
before any lath or gypsum
board interior wall covering is
applied.
FIRE & SEPARATION WALL:
and constructed
ording to plans.
AND/OR GYPSUM
RD: To be made after all
Iathing 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 duri ng
construction of the following work. A
copy of the special testing reports shall
be f urnished to the Building Division.
STRUCTU RAL CONCRETE: In
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 l')
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU:LAM BEAMS: INSPECTiON
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)
rough electrical, plumbing
-
HIGH STRENGTH BOLTING:
mechanical are approved. During all bolt installation and
ti ghteni ng operations. (306
LATION & VAPOR a.6)
RRIER: To be made after all
nsulation and required vapor
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheithing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or f Ioor
s heath i ng.
FLOOR ]NSULATION &
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.
FINAL PLUMBING
INAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
srrE PLAN REvrEw BoARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such asdscaping, parking lot stri ping, etc. must be completed beforeuesting this inspection.
BUILDING: Requested after the final plumbing, electrical,hanical and Fire Department inspection s are made andapproved. No occupancy of the premises can be made untilCertificate of Occupancy has been issued by the Building Divisionand posted on the premises.
Note:
Building Inspector may require
additional plans information,
and/or fees for the completion of
this project.
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 further certify that any and all work performed shall be done in accordance with tne 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 Builiing safety Division. I further certify that only contractors and employeeswho are in compriance with oBS 7oi.o55 wiil be uied on this project.
PLANS REVIEWED BY DATE
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable f rom thestreet, that the permit card is located at the property, and the approved set of plans will remain on the sitimes during
Signatu re
ction.
t of the
Date
*/9.-
te at all
.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,
_ _ _ _ _ _C,,r_:,' l"vel opment Code.
approval.
Zoning
225 FIFTB STREET
SPRINGFTEID, oREGON 97477
rt
INSPECTI0N REQT EST : 726-37 69 Authorized Signature
0FFICE z 726-3759
3.
SPFl]NGFIELE)
The following project as submittdd has
zoning, and does not require speoific land use
M b rz--
NIEMMSAL PERHIT APPLICATION
Jo ber V7 -azsa
COHPLETE FEE SCBEDTILE BELOV
uaF
A. Nev Residential-Single or
MuIti-FamilY per dvelling unit.
Service Included:Items Cost
1-000 sq.ft. or less
Deh:c:bs-Each addi tional 500
$ 8s.00
sq. ft or portion
thereo f
Each Manuf'd Home. or
$ 40.
Date
1 ON OF.t'
JOB DESCRI PTION //-S.tr-tAteg OM
//r'///lfrrt*a - -92/ot€
Permits are non-transfera b1e and expire
if vork is not started vithin 1BO days
of issuance or if vork is suspended for
180 days.
2. CONTRAC"TOR INSTALT,ATION ONLY
Electrical Con rracror <lrue otu Efft'rLi
Address P.l)6ar J3t5 /
Ci ty tTtdrE ?f,,2p6on. 3y/ q72(
Supervi-sor License Number 33735
Expiration Date - o/
r contr. Number {6677
cats'/z-uctrottt
Address )77/)Bausa,tr 4"
ciw lrhbri/E 77{oZ Phone hn aSA
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0wners Signature:
DATE:
emporary Services or Feeders
tion, Alteration or Re loca t i on
an e1
$ 3s. oo-5,a0
g 2.oo a20
One Circui t /
Each Additional
Circuit or vith Service
or Feeder Permi t 7
B.
C.TI
20L
401
601 amps
Over 1000 amps
Reconnect 0nIY
s 1s.00
lou
00
00
00
00
00
00
40.00
Sum
60ve
{'tL
rvising Electrician
teation Da
ture of
Cons t
Expir
Signa
-OO 2 sss
0
1e
40
on
Ci rcui
lterati
0.00
s.00
0.00ilBr a
4
D. Branch
e Nev, A r P
E. Miscel-laneous (Service/feeder not included)
-Each ins tal-Iat ion
Pump or irrigation
-
Sign/Outline Lighting-
Limi ted Energy/Res
Limited energY/Comm
$ 40.00
$ 40.00
$ 20.00
s 36.00
5. SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTALRECETVED B
<3'OD
1ar Dve 11ing
Feeder
rHts
amps _
ts see