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HomeMy WebLinkAboutPermit Building 1992-06-16COMMERCIAL/INDUSTRIAL -' PERMIT APPLICATION 225 Fifth Street, Springfield, Orcgon 97477 SPRINGFIELD JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK:McKsuzt€,Mr+r.orr- t33'3 lJ. FIKJT- 5 772"9 ASSESSORS MAP:17o3 2 33 TAX LOT:OC PHON zlP I I OWNER (rr.ra?.'ur P STATE:<1 R€e€lj TLC.USA UMNA P* 17oo ADDRESS CITY:I%Zva>7n rrr DESCRIPTION OF WORK NEW- REMODEL VALUxADDITION DEMOLISH OTHER NAME ADDRESS PHONE IE CONST. CONTRACTOR'S NAME ADD RESS CONTRACTOR RES GENERAL: PLUM BI NG ARCHITECT: MECHANICAL: ELECTRICAL: PLUMBING NO.FEE CHARGE Single Fixture Relocated Bld (new fix. addtl s ) Water Service ft. Sanitary Sewer (+ Storm Sewer ft Backf low Device TOTAL PERMIT NO FEE 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 System apart from AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE _ LAND USE: ZONING* OF UNITS: HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: OCCY GROUP: # OF STORIES QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT.VALUE aaTOTAL VALUE OF PROJ X X X * SQ. FTG MAIN SQ. FTG ACCESS SQ, FTG OTHER 4e!'PLAN CHECK FEE 5/)3RCPT#DATE BY o3 65.{b BUILDING PERMIT 39,50 PLUMBI NG DEMOLITION 5% State Su rcharo e /,77 5% State Surcharoe MECHANICAL FENCE VALUE $ 5% State Su rcharoe SIDEWALK FT. SUBTOTAL PEBM ITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT N/A TOTAL PERMIT FEES EXCLUDING ELECTRICAL ozosy'-s .(so! 646-5tBa E i 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. S|TE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in made after excavation, but ELECTRICAL & place but prior to placing prior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance ELECTRICAL & and approved' section 306 0f the state specialty code MECHANICAL: To be made a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & oy ine ownei/ Contractor during CURTAIN WALLS construction of the following work. A FOOTINGS & FOUNDATIONS: E'bE6r A^E. r 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,allsteelinplace,but\rframinginspection'sTRUcTuRALCoNCRETE:ln prior to pracing concrete. X FRAMTNG: To be made after excess of 2500 PS'l' (306 a'1) coNcRErE SLAB: ro be ti:J;:l;ilJ'3il'Jlfli,tL? ," srRUcruRAL wELDS: made after all inslab building place and all pipes, chimneys Performed on the iob. (2722 1\ service equipment, conduit, and vents are'complete andplping, accessories and other the rough electrical, plumbing HlcH STRENGTH BOLTING: ancillary equipment items are and meihanical are approved. During all bolt installation and in place but before any tightening operations. (306 concrete is placed. INSULATION & VApOR a.6) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing 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 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 verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. 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. SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AND 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.BC. sTDS. 25-10J1). STRUCTURAL MASONRY: (306 a.7l .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. LATH AND/ BOARD: To be 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. GYPSU 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 proiect. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all '? "--nature DateA tontimes during c Fos.<oVALIDATION:z 5/3 7 AMOUNT RECEIVED: RECEIPT *:RECEIVED BY: DATE PAID FINAL ELECTRICAL FINAL MECHANICAL S]TE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parking Iot stri ping, etc. must be completed before requesting this inspection. FINAL BUILDING: Requested after the flnal 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.x FINAL FIRE DEPARTMENT A DDITION A L COIVI IVI FNTS PLANS REVIEWED BY DATE X FINAL PLUMBING x COMM ERCIAL/ IN DUSTRIAL - PERMIT APPLICATION 225 Fiftn Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP: SPFIINGFIELO -- JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: o^ E4s S/- -tqL- Lsg lPHONE: ZIP:STATE: C*-ut** !f Oyz-cl CITY: ADDRESS: OWNER: NEW - FIEMoDEL U( ADDtrloN DEMoLtsH orHEFl VALUE: DESCRIPTION OF WORK: ARCHITECT ELECTRICAL: PHONEADDRESSNAME EXPI RESADD RESS trhl inhrP u at,\t 6Lo i, Su G E N ERAL: CONTRACTOR'S NAME MECHANICAL: PLUMBING: CONST. CONTRACTOR #PHONE UBL(-3737 PLUMBING NO.FEE CHARG E>_ Single Fixture nD Relocated Bld (new fix. addtl s ) Water Service ft. Sanitary Sewer ft. Storm Sewer ft Backf low Device TOTAL PERMIT Z'2 MECHANICAL NO trFF EHA FIGF Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or tloor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT ZONING: _ OFFICE USE - LAND USE: HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: * OF UNITS: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: $/so. FT.VALUESQ. FT, TOTAL VALUE OF PROJ XSO. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE BY 4/-oo BUILDING PERMIT PLUMBI NG zo,eo DEMOLITION 5% State Surcharge 5% State Su rc haroe /n MECHANICAL FENCE VALUE $4aaP 2o.a 5% State Su rch arge SIDEWALK FT. SUBTOTAL PERM ITS PAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL 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 & 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. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of f loor insulation, decking or floor sheathing. POST & BEAMr 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 f loor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with uBc 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. ROUG ELECT 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. 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. STRUCTU RAL CON CRETE: 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 tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. 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.7l *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 LUMBIN 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 street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all &,,:"7', _2_Date aoVALIDATION 2zAMOUNT RECEIVED RECEIPT #RECEIVED BY: DATE PAID FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE OEPARTMENT 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 -X- C'TY OF sl 'l llr.l(;r.lLLO % 225 FIFTB STREET SPRTNGFTELD, oREGoN 97477 , INsPEcf,roN REQUBST. 726-3709 fi0FFTCE: 726-3759 1 OF ty Jo FEECOHPI.^ETE Ic ONPERHIT APPLICATI SCTTEDULE BELOU b Nuurber A Nev ReiidEntial-Single or HuIti-FamiIy per dvelling unit. Service fncluded: Items Cost Sum .4"d FTION t f,s 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manufrd Home or -Hodular Dvelling Service or Feeder Services or FeedersInstallation, Alterations or Relocation: 2. COMRACf,OR INSTALI.ATION ONLY Electrical Contrac tor trtl'N f Lhnz .gauta Address ILD lho r* Sf, 0.0.box 23q 2q Phone ylq - 35b1 Supervisor License Ndmber 75ll - S Expiration Date lO Constr Contr. Number h cl 910 Expiration Dare q lS/q I Signature of ing Electrician Ovners Name Address Ci ty Phone OIINER INSTALI^ATION The installation is being made onproperty I ovn which is not intendedfor sale, Iease or rent. ture: RECEIPT )lt s 8s.00 $ 1s.00 $ 40.00 Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if work is suspended for 180 days. B c 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 00 00 00 00 00 00 50 60 100 130 300 40 $ $ $ $ s $ Temporary Services or FeedersInsta1lation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - g 55.00 0ver 401 to 600 amps S 80.00 Over 600 amps or 1000 voITs see ,rgr "ffi1- \ E1- Nev, Alteratlon or Extension Per Panel onb circuit _l_ $ 35.00 _fi' Each Addi t ionalHt -totBt ::';::i.:'r:il1,'"'u"u I s 2. oo 4 E. I'liscellaneous (Service/feeder not included) -Each installation Prrmp or irrigation SSign/0utIine Lighting- $ Limi ted Energy/Res - SLimited Energy/Comm 5 SUBTOTAL OF ABOVE5f State Surcharge TOTAL 00 00 00 00 40. 40. 20. 36. 0vn e DA RECEIVED BY:EEsa2-{ rtre n*""Mrutr.-F-* Plan Ck. Conm/lnd 55%/81do Per Fep ?<:D9 teris Derqe (1 Svs cha VE 57 opmentBUILDING PERIIIT Charges anC Surc ha rges _38-*____Plan Ck. Res 30%/Bldq Per Fee Fence Dgmo PLUI,IBING PERMIT Charges and Surcha rges Sidewal k A/C Paving {a./9 ELECTRICAL PERIlIT Charges and Surcha rges Total Comb. Permit Curb Cut 6r, f6TOTAL T,IECHANICAL PERMIT Charges and Surc harges TOTAL VALUATION ( city fi^ffu, ?k1lvo" fnhdi$u'rcuits Flood Plain Slories ,/ }ccy Group_Q, __Sq. Ftg.