HomeMy WebLinkAboutPermit Building 1992-02-24COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
SPAINGFIELE,
s7
%,
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
ONE:
ZIPSTATE:
OWNE
ADDRES
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER vALUE: /-??fu4
DESCRIPTION OF WORK:
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONE
?74',a€
z4CONTRACTOR'S NAME
ARCHITECT
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
G EN ERAL:
PLUMBING
PLU MBING
NO FEE CHARG E
Single Fixture
Relocated Bldg.
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NO FFF EHA RGtr
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 -
'4
ZONING
LAND USE
HANDICAP ACCESS
FLOOD PLAIN
Y OF UNITS:
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP:
# OF STORIES
OUAD AREA:
r OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
$/SQ. FT VALUESQ. FT.
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
RCPT#DATEPLAN CHECK FEE BY
24 Q,?O
BUILDING PERMIT Z3E,N PLUMBING DEMOLITION
5% State
Surcharqe )/.?o 5% State
Su rc harge
MECHANICAL FENCE
VALUE $
5% State
Su rcharge
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
il/t
\ REQUIRED INSPECTION--.
It is the responsibility of the permit holderto 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 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 of the State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owneri Contractor duringCURTAIN 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 io the Building Division.
excavated and forms are facing materials and before
erected, ail steel in ptace, but framing inspection'
-
srRUcruRAL CONCRETE: lnprior to placing concrete. _"(: FRAMING: To be made after excess of 2500 P.S.t. (306 a.1)
coNcRETE SLAB: To be ' the roof' all framing, fire
made after au insrab buirdins Eiff5::.']ff 3,?:::t";,n;:r" FII3,"J"',X3"t,Y5tT',,rrr, ,,
service equipment, conduit, and vents are complete andpiping, accessories and other
anciilarv equipment items are *'.';::lj,lt"ji:,1'JJ;[3:i: Bl?:f],ffi]*ol*.?,o*1H1"oin place but before any t ./ tighte;ing 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 isprior to covering or f illing applied.trenches. syv,,vv. spEctAL GRADING,
,NDERFLo.R: prumbins I:::.S""=": m',Jfl[Hi"' iffifut'iiil#[',5J:'i],"i,
electrical, mechanical. To be according to plans. chapter 29)
floor sheathing. - / - BOARD: To be made after all Certif icate by an approved
lathing and gypsum board, agency, furnished to the City's
POST & BEAM: To be made interior and exterior, is in Building Division before
prior to instaltation of ftoor place but before any !?fl:"fl?"P]aced' (2501 U'BC.
insulation, decking or floor plastering is applied or before or uD' z3'lu,l l)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATToN & 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 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
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.
"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 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 the Ordinancesof the City of Springf ield, 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
?aVALIDATION
%r-t*"
AMOUNT RECEIVED
RECEIPT *:RECEIVED BY:
DATE PAID
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. AII project conditions such as
landscaping, parking lot striping, etc. must be completed beforerequesting this inspection.
x=FINAL BUILDING: Requested after the final ptumbing, etectricat,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.
ADDITIONAL COMMENTS:
--
PLANS REVIEWED BY DATE
Da.. 2^zzi-?7
ASSESS9RS ttap, / 2^?V 75 *7=-
LVt.
-
ELT'sPll
h,
,7
TAX LOT
SUBDIVISION
JOB NUMBER
LOCATION OF PROPOSED WORK:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Of f ice: 726'3159
225 Fifth Street
Sprirrg{iel11, Oregorr 97 477
PHONE:
ZIPSTATECITY:
ADDRESS:
OWNER
NEW *- REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ELECTRICAL..
--
PHONEEXPIRESADDRESSCONTRACTOR'S NAME
CONST.
CONTRACTOR ,{
MECHANICAL: -,- ,-
Cf--NERAL: .
PLUMBING:
RANGE:
r OF BDFIMS:
_ OFFICE USE _
ZONING CODE:
FLOOD PLAIN
WATER HEATER:
SECONDARY HEAT:
SQUARE FOOTAGE:
OUAD AREA:
, OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
Y OF STORIES:
To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested be(ore 7:00 a m'
made the same working <lay, inspections requested after 7:00 a.m' will be made the following work day'
will be
REOUIRED INSPECTIONS
I -l temporary Electrictr Rough Mechanical - Prior to
cover.w Final Plumbing - Wherr all
plumbing worl( is colrlPlete.
Site lnspeclion - To be rnade
af ter excavation, but Prior to
setting forms.
Rough Electrical - Prior t<;Final Electrical - Wlren all
electrical work is cotnPlete.cover.
Underslab P!unrbing / Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical worl< is cornPlete.
Footing - Af ter trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsP.
Final Building - When all
required inspections have been
approved and building is
corrrpleted.Masonry - Steel location, bond
bearns, grouting.Framing - Prior to cover.
Other
Foundation - After forms are
erectecl but Prior to concrete
placement.
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taPing.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.[-_-| Wood Stove - After installation
Posl and Beam - Prior to floor
insutation or decl<ing.lnserl - After fireplace approval
and installation of unit.
Blocking and Set.Up - When all
blocking is cornPlete.
Floor lnsulation - Prior to
deckit.rg.Curbcut & APProach - Af ter
forms are erected but Prior to
placement of concrete.
Plumbing Conneclions - Wllen
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Conneclion - When
blocking, set-up, and plumbing
inspections have been aPProved
ancl the home is connected to
the service panel.
Slorm Sewer - Prior to {illing
trench.
Sidewalk & DrivewaY - After
excavation is comPlete, forrns
ancl sub-base material in Place.
Water Line - Prior to lilling
trench.
Fence - Wlren comPletecl
Streel Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have Lreen installed.w Rough Plumbing - Prior to
cover.
_tu_zez
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tl
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E
fl
tl
tl
tl
r
r
Lot {aces
Lot sq. ftg.
Lot covcr;tllc
Tr.rpography
Total lteight
Lot 'l-ypc Setbacks
P.L.GAR ACClnterior
Corrrcr
Pan lran d le
Cul-dc-sac
N
\)
E
t"'tsE
S II-IE F]FIOPOSED WORK IN THE.
I]IS"TORICAL DISTRICT, OR ON
TI-IE I IISTORICAL REGISTER?
lf yr:r;, llris;rgllrlication trtut;t bc silltrc<l
:rnd :rpplovctl by tlrc Fl istorical
Coor(.linator prior to pr:rtnit issuance.
APPROVED
BUILDING PERMIT
ITEM SO. FT.X $/SQ. FT.VALUE
Main
Garage
Carport
Total Value
Builciing Pernlit Fee
State Surcharge
Total Fcc (A)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is granted on the express condition tltat the said
consiruction shall, in all respects, conform to il.re Orclinance
adopted by the City of Springfield, including the
Development Cocle, regulating the conslruction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said orditrances.
Plan Checl< Fee
Date Paid
Recei pt Number:
Receivocl By
Pl;rrt:; [:lcvir-.wotl []y f);r t r:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systenrs Developtrtctrt Cltargc is due on all undcveloped
properties wittrin thc City limits which are bcitrg itnprovecl.
PLUMBING PERMIT
ITEM
Fixt u re s
Resiclential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE/2
N0
FT,
FT.
F'i
Plumbing Permit
State Surcharge
Total Charge
rqta.15f
-2;
(c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan N0
Wood Stovei lnsert/ Fireplace Utrit
Drycr Vetrt
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By signature, I statc ;rtrd a-qrec, that I havc caref ully cxamined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urthcr certif y
that any and all work pcrfot'tncd shall bc dorrc itl accordance
with the Ordinanccs of tlre City of Springf ield, arrcl thr: Laws
of the State of Orcg;on 1>r:rtaining to thc worl< dcscribr:tl
Irerein, and tlrat NO OCCUPANCY will be tnatlc of any
structure without pertnission of the Building Satety Divisiotr'
I f urther certi{y that orrly contractors and ernployees who
are in compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all requited inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is locaterj at the front
of the property, and the approved set of plans will remain
on the site at all ti s during construction
Slgnature
Dats -7t
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stato Surchargo
Sidewalk *.-,----. .- ft
Curbcut
---
ft
Dcmolitiotr
State Surcll;rroa
Total Miscellancous Permits (E)
vnt tt)AIloN:
NECEII]]' Nt]MRIII
DATE PAID
AMOUNT RECEIVi:D
777 /
7-/6^ Z/
RECEIVED BY
TOTAL AMOUNT DUE (cxcluding electrical)
(A, B, C, D, and E Combined)
/U)S
C'TY OF
S]'II'NGFtELO
225 FIFTE STRBET
SPRINGFTELD, oREGoN 97477
INSPECTION RBQIESTz 726-3769
OFFICE: 726-3759 tbte
1
Permits are non-transferable and expireif r*rork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2 COMRACf,OR
aB srbmltted has
B. Services or Feeders
Installation, Alterations or
Relocat ion:
200 amps or less
-l-201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts _
Reconnect Only
One Circuit
Each Additional
PERTIT APPLICATION
City Job Number
COI{PI,RTE TBE SCEEDUIJ BBLOIT
I-Sing1e or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Aie
Circuit or vith Servica-
or Feeder Permit 15
ONLY
Electrical Contract
Addr
ci €tOma Phone
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50
,,0";;;T"";se Ndmber
Expiration Date
constr contr. Number
Expiration Date
Signa o Supervising EIect ran
Ovners Name
Address
ci
OIINER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
Temporary Services or Peeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
200 amps or less $ 40.00
201 amps to 400 amps _ $ 55.00
Over 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see ilBtr above
c
$ 3s.00
s 2.oo€D
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/outline Lighting-
Limited Energy/Res
STIBTOTAL OP ABOVE
5f State Surcharge
TOTAL
$ 40.00
s 40.00
s 20.00
$ 36.00
5
RECEIVED
co
Sum
\A \t oQA