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Home My WebLink AboutPermit Plumbing 1994-09-28COM MERCIAL/ IN DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfietd, Oregon gt4tl SPRINGFTELO JOB NUMBER INSPECTTON LtNE: 726.3769 OFFICE: 726-3159 7,/ e aLOCATION OF PROPOSED WORK: ASSESSORS MAP:rAx Lor: aiE>a> STATE:ZIP: DESCRIPTION OF WORK: VALUE: '='4 c> PHoNE: ? G-€OWNER; ADDRESS: CITY NAME ADDRESS PHONE ADDRESS EXPIRES PHONE ELECTRICAL: ARCHITECT CONTFACTOR'S NAME MECHANICAL: PLUMBING: GENERAL: CONST. CONTRACTOR , NO.FEE CHARGE2Single Fixture E Relocated Bldg. (new f lx. adcltl) Water Servlce ft Sanitary Sewer ft. Storm Sewer ft. Backflow Device TOTAL PERMIT NO FFF EHA REFFurnace/burner & vent <100,000 BIUs Furnace/burner & venl Floor furnace and vent Suspended wall oiTloormounted unit heater nt se evap. duct n an s t f rom or hlg apart Permlt lssuance $10.00 TOTAL PERMIT - OFFICE USE _ LIGHTING POWER BUDGET; WATER HEATER OCCY GROUP: I OF STORIES: QUAD AREA: I OF BLDGS: CONSTR. TYPE: HEAT SOURCE: HANDICAP ACCESS: -LAND USE:FLOOD PLAIN: r OF UNITS:ZONING: SQ. FT.$/so. FT.VALUE TOTAL VALUE OF PROJ X X X SA. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE RCPT#DATE BY BUILDING PERMIT PLUMBING ?a-e DEMOLITION 5% State Surcharge 5% State Surcharge 7. t-=-.16MECHANICALFENCE VALUE $ 5% State Surcharoe SIDEWALK FT. SUBTOTAL PERMITSPAVINGCURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRTCAL =/& ;T cooler Mechanical exhaust- hood and duct MBlNG REOUIRED INSPECTIONS It ls the responsibility of the permit holder to see that all inspectlons are made at the proper time' To request an inspectlon' call 726.3769 (recorder), state your clty deslgnat.Jlto number, lou "00r."", type of inspection requested and when you will be ready for inspectlon. Requests ieceived before 7,oo a.m. will be made the same working day, requests made af ter 7:oo a'm' wlll be made the following work daY. SITE INSPECTION: To be X made after excavatlon, but Prior to setuP of forms' inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prlor to Placing faclng materials and before framlng lnsPection. FRAMING: To be made after the roof, all framlng, fire blocklng and bracing are in Place and all PlPes, chlmneYs and vents are complete and the rough electrlcal, Plumblng and mechanlcal are approved' INSULATION & VAPOR BARRIER: To be made after all lnsulatlon and requlred vapor barrlers are ln Place but before anY lath or gYPSUm board lnterior wall coverlng is applled. FIRE & SEPARATION WALL: Located and constructed according to Plans. LATH AND'OR GYPSUM BOARD: To be made after all lathlng and gYPsum board, lnterlor and exterlor, ls in Place but before anY plasterlng ls aPPlied or before gypsum board loints and {asteners are taPed and f lnlshed. VAPOR BARRIERS: To.be STDEWALK & DRIVEWAY: .- made prlor to lnstallatlon of Requlred for all concrete decklng or lloor sheathing. paving withln street rlght of UNDERSLAB PLUMBING' ELECTRICAL & MECHANICAL: To be made before anY work ls covered' FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in Place, but prlor to Placlng concrete' CONCRETE SLAB: To be made after all lnslab bullding servlce equlPment, conduit' PlPing, accessorles and other ancillarY eguiPment items are ln Place but before anY concrete ls Placed. UNDERGROUND: Plumblng' electrlcal, gas, sanltarY sewer, storm sewer, water and dralnage llnes. To be made Prlor to coverlng or lilllng trenches. UNDERFLOOR: Plumbing' electrlcal, mechanical. To be made Prlor to lnstallatlon of floor insulatlon, decklng or floor sheathlng. POST & aEAM: To be made Prlor to lnstallatlon of floor lnsulatlon, decklng or floor sheathlng. FLOOR INSULATION & FINAL MECHANICAL FINAL FIRE DEPARTMENT ROUG MECHANICAL: No work is to be covered until these PAVING: After gravel is ln Place but Prlor to Placlng asPhalt or concrete. SPECIAL INSPECTIONS: ln accordance Section 306 of the State Specialty Code a special lnspector shall be employed bv the Owner/ Contractor during construction of the following work. A copy of the speclal testing reports shall be'iurnished to the Building Divlslon. STRUCTURAL CONCRETE: ln excess of 25OO P'S.l' (306 a.1) STRUCTURAL WELDS: Performed on the lob. 12722 ll HIGH STRENGTH BOLTING: Durlng all bolt lnstallatlon and ti ghtenl ng oPeratlons. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43'8. SPECIAL GRADlNG' EXCAVATION AN D FILLING: During earthwork. (306 a.11 & ChaPter 29) GLU-LAM BEAMS: lnsPectlon Certificate bY an aPProved agency, furnlshed to the CltY's Building Dlvlsion before beams are Placed' (2501 U.BC' srDS. 25-10J1). STRUCTURAL MASONRY: (306 a.7l way, to be made after all MASONRY: steel location' excavatlng complete and form bond beams-groutlng or work andlub-bise material in 'ln additlon to the lnspec' vertlcals ln aicordanle with place. tions speclfled, the Bulldlng UBC 2415. - Officlal may make or requlre RooF .HEATH'NG AND iHf;3^Hifl',::f:l,u 3:1"J,,[:fi3:',f:,"ni11Y",," NAILING: prlor to lnstalllng erected but prlor to placing compllance wlth the Bullding, ____{'g"1.:fg__ ---;g:'gi----- ----c!-"'T5r:PIat c'3' - FINAL PLUMBING SITEPLANREvIEwBOARD:Mustberequested2dayslnadvance ofthedateyouwlshlnspection.Allprojectcondltlonssuchas landscaplng,parklnglotstriping,etc.mustbecompletedbefore requestlng thls insPection. FINAL BUILD|NG: Requested af ter the flnal plumbing, electrlcal, mechanlcal and Flre Department inspections are made and approved. No occupancy of the premises can be made untll a iertificate of Occupancy has been issued by the Bullding Dlvislon and posted on the Premises. FINAL ELECTRICAL ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE By slgnature, I state and agree, that I have caref ully examlned the completed appllcation and do hereby certlfy that all lnformatlon hereln ls tru6 and correct, and I further certify that any and all work performed shall be done in accordance wlth lheo1fllnanc9s of the Clty of Sprlngfleld, and the Laws of the State of Oregon pertainlng to the work described herein, and that No occUPANCY will be made ol any struciure wlthout permission of the Bulldlng Safety Dlvision. I further certify that only contractors and employees who are in compllance with oBS 701.055 will be used on thls proiect. I further agree to ensure that all required inspect ions are requested at the proper time, that proiect address ls readable from the street, that t times d Signat t card ctlon. ls located at the fro nt of the property, and the approved set of plans wlll remain on the slte at all Date AMOUNT FIECEIVED DATE PAID: BECEIVED VALIDATION: RECEIPT *: zta /-za €q =v //Eg+ J,-I 225 TIFTE SlTBEf, SPUNGPTBLD, oBBGoN 97 471 approval. INSPBCf,ION RBOTIBSTI OPPICE: 726-3159 I Tne followlng Proiect zoning, and does nor as submitred require sPec;ific t.:.:-io r'rgc EtE TRICAL Ctty Job Number A. Nev Resldenttal-Slngle or Hultl-Fanlly per drrelllng unlt. Servlce Includedr Items Cost 1000 sg.ft. or less gach addtttonal 500 sq. ft or portlon thereof Each Hanuf'd Home or -. Modular Dvelltng Servlce or Feeder $ g5.oo $ 15.00 $ 40.00 B Servlces or Feeders Installatlon, Alteratlons or Relocat lon: 5l'iltNulitELo has the foll Owl |,I O-(t -t L( !:;{; ;i s..i,, i,i 1 i'., - n -8r:-colPLg[a-BBB SCEEDULE BELoV a 1 fuvdw\ ts are non-transferable and explrelf vork ls not started slthln 180 days of lssuance or lf vork ls suspended for 180 days. 2. OOIITRACf,OR INSTALI.ATION ONLY Electrlcal Contractor L.R. BRABHAI4' INC. Address 68 ul. "Q'1 ST. , ct SPFLD Phone 747-6638 Supervlsor Ltcense Ntimber I 473S Exp tratlon Date 10./1195 Constr Contr. Number 08699 ExP lratlon Date l2/18/94 .- :- 200 amps or less 201 aurps to 400 amps _ 401 anps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts - Reconnect On1y Temporary Servlces or Feeders Installatlon, Alteratlon or Relocatlon . 200 anps or less $ 40.00 Over 500 amps or 1000 volts see I'Btr above Sum t"l $ 50.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 Slgnature of Supervlslng Blectrlclan Owners I Address b cl t ttb,N o Phone OIINER INSTATI,ATION The lnstallatlon ls belng made on property I om vhlch ls not lntended for sale, Iease or rent. Omers Slgnature: DATE: c. D. Branch Circults E b 5. SITBTOTAL OP ABOVB 5Z State Surcharge TOTAL Nev, Alteratlon or Extenslon Per Pane1 one crrcutt I $ 35.00 ru Each Addltlonal Circult or vlth Servlcg;;-i;;;.;-p"iiit--"'iP- s 2.. oo fulD Hlscellaneous (Servlce/feeder not lncluded) -Eaeh lnstallatlon Ptrmp or lrrlgation Slgn/0utllne Llght ln8- Llmlted Energy/Res _ Llmlted Energy/Comm .0D ,13 s 40.00 s 40.00 $ 20.00 $ 36.00 a RECEIVED 7b,b8