HomeMy WebLinkAboutPermit Mechanical 1995-02-23CO M M ERCIAL/l N DUSTRIAU
PERMIT APPLICATION
225 Fltlh Street, Sprlngfleld, Orcgon 97477
SPRINGFIELO JoB NUMBER f ^--
INSPECTION LINEr 726.3769
OFFICE:726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:/2-D7-= * ?z TAX LOT:
CITY: STATE:
PHONE:
ZIP:
ADDRESS:
. NEW REMODEL V ADDITION DEMOLISH OTHER VALUE: t .4
DESCRIPTION OF WORK:
ARCHITEGT:
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR ' EXPIRES PHONE
GENERAL:
NAME ADDFIESS PHONE
MECHANICAL:
PLUMBING:
NO-FEE CHARGE
Slngle Flxture
Relocated Bldg.(new flx. addtl)
Water Servlce
ft.
Sanltary Sewer
ft.
Storm Sewer
ft.
Backflow Devlce
TOTAL PERMIT
MECHANICAL
N11 trFF CHANGF
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unlt heater
Appllance Vent
separate
Statlonary evap.
cooler
Vent Fan/Slngle
duct
Vent
lrom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permlt lssuance $10.00
TOTAL PERMIT b.*
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
WATER HEATER:-r OF STORIES:
- OFFICE USE -
LAND USE:
OCCY GROUP:
* OF UNITS:
QUAD AREA:
r OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ, FT.VALUE
TOTAL VALUE OF PROJ
X
X
x
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
RCPT'PLAN CHECK FEE iDATEBY
Z;20
BUILDING PERMIT PLUMBING OEMOLITION
5% State
Surcharoe
5% State
Surcharoe
MEoHAEM|>?.ae. -e' 7J. -e
FENCE
VALUE S
5% Sthte
Surcharoe r1 .?r SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
e#D.<
ELECTBICAL:
Z ?sz
REQUIRED INSPECTIONS -
It ls the responslblllty of the permlt i,6iO", to see that all lnspectlons are made at the proper tlme, To request an lnspootlon, call
726.3769 (recorder), state your Clty deslgnated lob number, lob address, type of lnspection requested and when you wlll be ready
for lnspeotlon. Requests recelved before 7:00 a.m. wlll be made the same worklng day, requests made after 7:00 a.m. wlll be made
the followlng work day.
S|TE INSPECTION: To be ROUGH PLUMBING, PAVINGI Alter gravel ls ln
made alter excavatlon, but ELECTRICAL & place but prlor to placlng
prlor to setup of forms. MECHANICAL: No work ls to asphalt or concrete.
be covered untll these
uNDERSLAB PLUMBING, lnspectlons have been made sPEclAL INSPECTIoNS: ln accordance
ELECTRICAL & and approved' sectlon 306 0f the state spoclalty code
MECHANICAL: To be made a speclal lnspector shall be employed
before any work ls covered. ATTIC DRAFT. STOPS & Oy ine Ownei/ Contractor durln!
CURTAIN WALLS constructlon of the followlng work. A
FOOTINGS & FOUNDATIONS: FrhF^. a E. copy of. the speclal les.tlng reports shall
To be made after trenches are FIREPLACE: Prlor to placlng be'furnlshed io the Bulldlng Dlvlslon.
excavat€d and forms are faclng materlals and before
erected, all steet ln ptace, but framlng lnspectlon' srRUcruRAL CoNCRETE: ln
prlor to placlng concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE sLAB: To be the roof' all framlng' flre
mado afrer a, rnsrab burdrns Bl::|'.1fl."1fl Bi'fi:$i,i,Hl?r" 3l[:,flyf3]HSfiol',rrr. osorvlce equlpment, condult, ind vents are'complete ancL
::lJ,l,X''i"""offiil1?ill,1""'::i :li *iklt1l:,X,f#;:*t: BliIf5?EL?H:,:"iHSt^oln Place but before any lghteirlng operatlons. (306. concrete ls placed. TNSULATION & VAPOR a.6)
uNDERGRoUND: prumbrns, r*[?',ffi nff"ffii;."J:"J"?" spRAyED oNelectrlcal, gas, sanltary sewer, barrlers are ln place but FIREpROOFING: U.BC.storm sewer, water and beforE any lath or gypsum Standards 43-g.dralnage llnes. T,o be made board lnterlor wallLoverlng ls
fr*:,i:":t*rlns or rllllns applled. spEcrAL GRADTNG, e.
,NDERFL..R: prumbrns,
-
[||:,S'*?m'JPlLHl"' ft:,il1'i[l'-t]i,:dlb'j],"t
electrlcal, mechanlcal. To be accordlng to plans. chapter 29)
made prlor to lnstallatlon of
floor lnsulatlon, decklng or LATH ANDTOR GYPSUM GLU'LAM BEAMS: lnspectlon
lloor sheathfng. BOARD: To be made after all CertlflcatE by an approved
lathlng and gypsum board, qSg.ncy' furnlshed.to-the Clty's
pOST & BEAM: To be made lnterlo-r and 6'xierlor, ls ln ' Bulldlng Dlvlslon before
prlor to lnstallatlon of floor placo but before any eams are placed' (2501 U'BC'
lnsulatlon, decklng or floor irlasterlng ls appllei or before STDS' 25'10'11)'
sheathlng. - gypsum board Jolnts and
fasteners are taped and STRUCTURAL MASONBY! (306
FLooR INSULATToN & flnlshed' a'7)
VAPOR BARRIERS: To be
made prlor to lnstallatlon of
decklng or floor sheathlng.
MASONRY: Steel locatlon,
bond beams groutlng or
vertlcals ln accordance wlth
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any rool covorlng.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
pavlng wlthln otreet rlght of
way, to bo made after all
excavatlng complete and form
work and sub-base materlal ln
place.
CURB AND APPROACH
APRONS: After forms are
erected but prlor to plaolng
concrete.
'ln addltlon to the lnspoc.
tlons speclfled, the Bultdlng
Offlclal may make or raqulre
other lnspectlons of Fnyconstructlon work to €nsur€
compllance wlth the Bulldlng,
Clty or Development Gode.
FINAL PLUMBING
\'/ F,NAL ELECTRT.AL
,Y FrNAL MEcHANTcAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days ln advanceol the date you wlsh lnspectlon. All prolecl condltlon! such as
landscaplng, parklng lot strlplng, etc. must be completed before
requestlng thls lnspectlon,
FINAL AUtLOitlC: Bequested after the flnal ptumblng, electrlcal,
mechanlcal and Flre Department lnspectlons aro mado and .
approved. No occupancy of the premlses can be made untll aCertlflcate.of Occupancy has been issued by the Bulldlng Dlvlslonand posted on the premlses.
ADOITIONAL COMMENTS:
PLANS BEVIEWED BY DATE
By slgnature' I state and agree, that I have carefully examlned the completed appllcatlon and do hereby cerilfy that all lnformatlonhereln ls truo and correot, and I lurther certlfy that any and att work performed shalt be done ln acooidance wlth the ordlnances
of the Clty of Sprlngfleld, and the Laws of the Slate of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCYwlll be made of any structure wlthout permlsslon of the Bulldlng Safety Olvlslon. I further certlfy that only contractors and employeeswho are ln compllance wlth ORS 701.055 will be used on thls proJect.
I further agree to ensure that all requlred lnspectlons are requested at the proper tlme, that project address ls readable from thestreet, thal the permlt card ls located at the front o, ths property, and the approved set oi ptans wlll remaln on the slte at alltlmes durlng constructlon.
Slgnature Date Z- z:-
AMOUNT RECEIVEO 24-=o DATE PAID:VALIDATION:
RECEIPT *:,/zvq 2 BECEIVED BY:
-z:?
2r-
SPEINCTFIELD
Address: 149 sTH ST N
Description: INSTALL AIR CONDITIONER
Urban Growth Boundary:
Owner: FARMERS INSURANCE
149 NORTH 5TH STREET
SPRINGFIELD, OREGON 97477
Owner Phone:
Contractor Phone:
General Contractor:
Plumbing Contractor:
Electrical Contractor: C &S
MechanicalContractor: COMMERCIALAI
Design Contractor:
SEQ TYPE REQUIRED PERMITS
1 6 MECHANICAL
2 87 MECHANICAL ISSUAN
3 4 ELECTRICAL
SEQ TYPE MINIMUM INSPECTIONS
1 31 ROUGH MECHANICAL
2 42 ROUGH ELECTRIC
3 39 FINAL MECHANICAL
4 49 FINAL ELECTRICAL
SEQ TYPE INSPECTIONS
CITY OF SPRINGFIELD
BUILDING DIVISION JOB # 950224
FINALED
Value: $0.00
Finaled: 01/31/1996
Flood Plain: No
Occ Group
Lot:
Division
Tax Lot 1703353105000
Heat 1:
Water:
Range:
lnsulation
Path:
FEE
Block:
Addition:
Started: 021241199
Heat 2: Zone'.
Bldg:
Stories:
Bedrooms:
Units:
Category: NEW
Type: COMMERCIA
Land Use: COMMERCIA
Status: Finaled
Quad Area: lCNW
DATE RECEIPT
02t2311995 16397
02t23t1995 16397
02t24t1995 16415
$15.00
$10.00
$35.00
SURCHARGE
$0.75
$0.00
$1.75
COMMENTS
500
EXP DAT
CATEGORY
520
VALUE
ACT DATE
03/2911 995
01 /31 /1 996
03/29/1 995
0"t/31/1996
COMMENTS INSP DATE RESULT INSPECTO
1
2
3
4
39
31
42
49
FINAL MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRIC
FINAL ELECTRICAL
03/29/1 995
03/29/1 995
01/31/1 996
0't/31/1996
OK
OK
OK
OK
RALPH SHA
RALPH SHA
DAVE GADOMSKI
DAVE GADOMSKI
d,u
1110712000 1:26:42 PM Page I of 1
L
apProval. t /a.L/lonrng---
225 ETTTE STREET "? ) r , /,{
SPRTNGETEID, oREGON 97 477 D*lY--fl -1)
SPfI!}IGFIELD
BI,ECTRICAL PERHIT APPIJCATION
INSPECTT0N REQIIEST: 726-3]ffi61ps6
OFFICE: 726-3759
1 OF INSTALI,ATTON
4sulz+ci Job Number
3. COUPI,RTB TEE SCEBDTII,E BELOS
Ner.r Residential-Single or
Multi-Family per dvelling uni
Service Included:
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular.'Dve11ing
Sertice or Feeder
B.Services or Feeders
Ins tallation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reeonnect Only
c
A
t.
i -+ESL,I /(,5 c)?lco :}
Cos t
$ 8s.00
$ 1s.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Sum
JOB DESCKTPTION ItDrrVA0.OtrL rtit tpyld It ]
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI{ItsACTOR INSTALI,A:TTON ONLY
Address t4
Erectrical contact"' Cf,S €0ont-iro ,,S,tO.
Ci Phone 'l+l-A^36
Supervisor L e Number lb86S
Exp iration Date l0 -- I -q5
constr contr. Number DlXtl q Temporary Services or Feeders
Installation, Alteration or Relocation
s
Ovners Name
Address
of Supervis ing Electrician
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000 voTt
Branch Circuits
ee B" a6ilE
$
$
$ss
40
55
80
00
00
00
ll
cir rnone 741-O{ll
OIJNER
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Orners Signature:
Nev, Alteration or Extension Per Panel
one Circuit I $ 35.00 35, oo
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
Miscellaneous (Servicelfeeder not included)
-Each installation
Punip or irrigation $ 40.00
Limited Energy/Res
-
$ 20.00
Limited uner[y/Comm $ 36.00
D
Et
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
CITY OF G'?EGO'I'
RECEIVED .erl. 9.o
!Expirationoate 9--/-45