HomeMy WebLinkAboutPermit Mechanical 1991-07-25COMMERCIAL/INDUSTRIAL -
PERMIT APPLICATION
225 Fitth Street, Springfield, Oregon 97477
LOCATION OF PROPO K
ASSESSORS MAP:
!iPRINGFIELE,
JOB NUMBER
INSPECTION LIN E: 726-3769
OFFICE: 726-3759
TAX LOT:
PHONE:
ZISTATE
OWNER
ADDR
CITY:
VALUE:ADDITION DEMOLISH OT
DESCRIPTION OF WORK:
NEW- REMODEL
ELECTRICAL:
PHON ENAME
MECHANICAL
ADDRESS
G EN ERAL:
PLUM BI N G
MECHAN
NO FFF
Furnacelburner & vent
< 100,000 BTUs llttv /5- +
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
tlent Fan/Singte
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT -)?e
CHARGEFEENO.
Single Fixture
Relocated B
fix. addt
-WateiServlce
ft.- Sanitary Sewer
ft.
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
- OFF
WATER HEATER
g OF UNITS:
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN
ZONING:
CONSTR. TYPEr
HEAT SOURCE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
r OF BLDGS:
VALUE$/SQ. FT.SQ. FT.
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
572.6a
BUILDING PERMIT ?qz oo PLU MBING DEMOLITION
5% State
Surcharge 1z-7u 5% State
Surcharge ,/*tzE7/Z.4,Vz ,4
MECHANICAL 2U t"FENCE
VALUE $,rya*?q2 6'
5% State
Surcharqe / -?5 SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
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LIG HTI NG POWEFI BUDGET:
REOUIRED INSPECTIONS
It is the responsibirity of the permit holder to see that all inspections are made at the proper time To request an inspection' call
726,l*g(recorder), state your City designa,.JloO number, iob address, type of inspection requested and when you will be ready
for inspection. Requests ieceivecLbefor" 7,oo 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.
UN DERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
t re nc hes.
UNDERFLOOR: ptumbing,
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 floor
sheath i 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 installing
any roof covering.
ROUGH fEUNtBTIVGi
ELECTRICAL &
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.x 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.
x TNSULATToN & 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
Iathing and gypsum board,
interior and exterior, is in
place but before any
plastering is applied or beforegypsum 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 speclal inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be f urnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.t. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2222 t)
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghteni ng operations. (306
a.6)
SPRAYED ON
FIREPROOFTNG: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: tnspection
Certif icate by an approved
agency, furnished to the City,sBuilding Division before
beams are placed. (2501 U.B,C.
STDS. 25-10,11).
STRUCTURAL MASONRy: (306
a.7)
*ln addition to the inspec-
t-ions specified, the BuildingOfficial may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
FINAL PLUMBING slrE PLAN REvrEw BOARD: Must be requested 2 days in advanceof the date you wish inspection. Ail project conditioni such asIandscaping, parking lot striping, etc. must be completed beforerequesting this inspection./
x
V
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS
FINAL BUILDING: Requested after the final plumbing, electrical,mechanical and Fire Department inspections are made andapproved. No occupancy of the premises can be made until acertificate of occupancy has been issued by the Building Divisionand posted on the premises.
Y
-r tL
'/-
PLANS REVIEWED BY DArE 7'2'?/
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that ail 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 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 compliance with ORS 701.05S will be used on this project.
Sign Date
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VALIDATION AMOUNT RECEIV
RECEIPT S:RECEIVED BY:
DATE PAID:
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225 TTFTB SlREEf,
SPRTNGFTEIJ, oREGoN 97477
TNSPEcf,IoN REQUEST: 726-3769
OPPICE: 726-3759
JOB DESCN.IPTTON
Permits are non-transferable and expire
lf vorlc is not started vithln 180 days
of issuance or if vork is suspended for
180 days.
2 CONISACTOR INSTALI,ATION ONLY
ELECTRICAL PERHTT APPLICATION
City Job Number Qlaa
3. COHPIJTB FEE SCIEDULB BELOV
A Nev Residential-Sing1e or
MuIti-FamiIy per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
s 1s.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocat ion:
Sum
Electrical Contrac t-o, @
Address ?15 7 - ,8. f,7
ciry 5fft-T- yhone Z?6 -/2.€
Supervisor License Ntimber '-< /fS
Expiration Date i/Z>^faz-
Constr Contr. Number 1S/2?
Expiration Date /*/€Z
Signature of Superv ls ing Electrician
Ovners Name Z
Address
Ci ty Phone
OIINER INSTALI"ATION
The installatlon is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
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
$
$
$
$
$
$
60.
100.
130.
300.
40.
00
00
00
00
00
00
50
C. Temporary Services or Feeders
Installatlon, Alteration or Relocation
200 amps or less ? $ 40.00 3-*a-
201 amps to 400 amps _ $ 55.00
0ver 401 to 600 amps _ S 80.00
0ver 600 amps or 1000 volts see rrBrr above
D. Branch Circuits
Nev, Alteratlon or Extension Per Pane1
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit
E Hiscellaneous (Service/feeder
-Each installation
Ptrmp or irrigation $
Sign/Outline Lightine_ $
Limited Energy/Res $
Limi ted Energy/Comm $
not included)
40.00
40.00
20. oo
36.00
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
/24.+
RECEIVED
*:
5
,.:6
_ . - ; : -- -
1. LOCATION OP INSTALI,ATION
-{ t * <Olb 17-
IJGAL DESCRIPTION
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