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Home My WebLink AboutPermit Mechanical 1995-11-27CO M M E RCIAL/ I N DUST RIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPFINGFiELO JoB NUMBE " ?f/)z- INSPECTION LINE: 726-3769 OFFICE: 726-3759h, LOCATION OF PROPOSED WORK ASSESSORS MAP: STATE:ZIP:CITY: ADDRESS: OWNER 7V ADDITION DEMOLISH OTHEB VALUE: .fu- DESCRIPTION OF WOFIK: NEW- REMODEL ARCHITECT NAME ADDRESS PHON E ADD RESS EXPI RES PHONE ELECTRICAL: CONTRACTOR'S NAME MECHANI CONST. CONTRACTOR , G E N ERAL: PLUM BI NG PLUMBING NO FEE CHARGE Single Fixture Relocated Bld (new fix. addtl s ) Water Service ft. Sanitary Sewer ft. Storm Sewer ft Backf low Device TOTAL PERMIT MECHANICAL NO trtrtr CHA RGF Furnace/burner & vent < 100,000 BTUs ./ arob" Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wal oilOor mounted unlt heater 6 & Appliance Vent separate Stationarv evao.coorer ' 4a&2,,L 6 .ab Vent Fan/Singl6' duct Vent System apart from AC or htg. Mechanical exhaust hood and duct 4q P'pvr2a 2-Y n^n' 7 Permit lssuance $10.00 TOTAL PERMIT 3 a- - OFFICE USE - ZO NI NG HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: LAND USE: OCCY GBOUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: * OF UNITS: SQ. FT.$/so. FT.VALUE TOTAL VALUE OF PROJE X X x SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE RCPT#DATE BY 7/aia BUILDING PERMIT PLUMBING DEMOLITION 5% State Surchaioe 5% State Su rc h aroer'trcueffi[)a ./4, --'2a-+FENCE VALUE $ 5% St{te Su rcharq e 14 azr; @ SIDEWALK FT. S U BTOTA L PERM ITS PAVI N G CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL PHONE: -rQ^^ ffO REOUIRED 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, lob 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. stTE tNSpEcTtoN: To be x ROUQH PLUMBING, PAVING: After gravel is in made after excavation, but ELEQIE!.CAL & place but prior to placing prior to setup of forms. @IarutCAtx No work ls to asphalt or concrete. be coVered until these UNDERSLAB pLUMBtNG, inspections have been made SPECIAL INSPECTIONS: ln accordance ELECTRICAL & Ttglroved. Section 306 of the state Specialty code MECHANICAL: To be made 7/ a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & Uy ine Owner/ Contractor during CURTAIN WALLS construction of the following work. A FOOTINGS & FOUNDATIONS: ErDEor AnE. E 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, ail steel in ptace, but framing lnspection' STRUCTURAL CONCRETE: ln prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1) coNcRErE SLAB: ro be i[J'::lii[J'3[Xlfl;ti,? ,, srRUcruRAL wELDS: made after all inslab building place and all pipes, chimneys Performed on the iob. (2722 l\ service equipment, conduit, and vents are'complete and piping, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING: ancillary equipment items are and meLhanical are approved. During all bolt installation and in place but before any tightening operations. (306 concrete is placed. INSULATION & VApOR a.6) BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC. storm sewer, water and before any lath or gypsum Standards 43-8. dralnage lines. To be made board lnterior wall covering ls prior to covering or filling applied. SpECIAL GRAD1NG,trenches. EXCAVATTON AND FILL|NG: gNDERFLS9R: prumbins [|f;:,S""t"?mtJ3[Hltt' Durins earthwork' (306 a'11 & electrical, mechanical. To be according to plans. Chapter 29) made Prior to installation of floor insulation, decking or LATH ANo/oR GYPSUM GLU'LAM BEAMS: lnspection f loor sheathing. BOARD: To be made after all Certificate by an approved lathingandgypsumboard,agency,furnishedtotheCity,s posr & BEAM: To be made interlor and eiierior, is in ' Building Division before prior to installation of floor place but before any beams are placed' (2501 u'BC' insulation, decking or f loor plastering is applied or before STDS' 25-10J1)' sheathing'Jvvl\lltvgypsumboardjointsandiasteners are tiped and STRUCTURAL MASONRY: (306 FLooR TNSULATToN & 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 tion to e inspec- tions specif ied, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. v By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify th9t all information herein is true and correct, and I f urther 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 pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Divlsion. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. to ensure that all required inspections are requested at the propertime, that prolect address is readable from the re permit card is located at the front of the property, and the approved set of plans wlll remain on the site at all construction. Si gnatu Date times durin I f u rther street, th VALIDATION ? RECEIVED BY: DATE PAIDAMOUNT RECEIVED RECEIPT *: FINAL PLUMBING FINAL ELECTRICAL SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All proiect conditions such as landscaping, parking lot strl ping, etc. must be completed before requesting this insPection. FINAL BUILDING: Requested after the final plumbing, electrical, mechanlcal 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. FINAL MECHANICAL4t/5 FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE ?/o ,{ ONEGONCITY OF f 225 FTrTE STREET SPRINGFIELD, OREGON 97 477 fNSPECTIQN REQ[ EST. 726-37 @rthorizotl OFFICE: 725-3759 1 OF \rBS3ffi 'AS\(:c) 5P1' }FIELE' The following Proiect as submitted has the zcning, and approval. does not roquiro epecilic land rY) o,." ll-lb -q"5 ELECTRICAL PERilIT APPLICATIONqanql .JOB ON Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for days. 2.INSTAII,ATION ONLY Electrie tractor Address Ci ty Ph Supervisor License Nunber COHPI{FTE FEE SCHEDULE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: I tems Cos t 1-000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 3 A Sum B 200 amp 201 amp 40L amp 601 amp Over 10 Reconne J s s s 00 ct r o o o t t t S 0 amps 0 amps o 1000 amps_ amps/vo1ts _ 0n1y 1e 40 60 s s s0.00 s 60.00 s100. 00 $130. 00 s300.00s 40.00 s 3s.00 $ 2.00 5 Expiration Constr Cont Number Da te Expirat n Date S ture of Supervising Electric Ovners Address Ci ty Phone Temporary Serviees or Feeders Insta1Iation, Alteration or Relocation 200 amps''or Less $ 40.00 201 amps to 400 arps ll $ 55.00 over 4bL to 600 amDs - S 80.00 0ver 600 amps or lbOO vofts see rrBrr a66IE- C D. Branch Circuits Alteration or Extension Per Panel One Circui t Each Additional Circuit or vith Service or Feeder Permit,A. OITNERu\t}\Ar The instal Iat made on property I ovn vhich is not intended for sale, lease or rent. rs Signature: E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ s $ $ 5 B eo S ng Nr"uiftaJUD/