HomeMy WebLinkAboutPermit Demolition 1997-08-11COMM ERCIAL/I N DUSTRlAL
PERMIT APPLICATION
225 Fitfn Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WOFIK:
SPFTNGFIELO JOB NUMBER ??B
INSPECTION LINE: 726-3769
OFFICE:726-3759
TAX LOT:ASSESSORS MAP:.>a
PHONE:
a2v ^ZIP:STATE:5,2<v-z>-?-.--___-_-?2
24-
CITY:
ADDRESS:
OWNER:
OTHER VALUE:ADDITION DEMOLISH X
DESCRIPTION OF WOFIK:
NEW- REMODEL
ARCHITECI-:
PLUIyIBING:
ELE6TRICAL:
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL:
G EN ERAL:
CONST.
CONTRA TOR #
PLU MBI NG
NO FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
MECHANICAL
NO FFF CHARGF
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Applignce 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
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:-
- OFFICE USE -HANDICAP ACCESS:
FLOOD PLAINLAND USE:
OCCY GROUP:
* OF STORIES:
QUAD AFIEA:
Y OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
I OF UNITS:
$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
/7./7
BUILDING PEFIMIT PLUMBING OEMOLITION /6n5% State
Surcharoe
5% State
Su rcharge fr fl{/MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIOEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTBICAL
a/?
Dfr
SQ. FT.
REOUIRED INSPECT!ONS
It is the responslblllty of the permlt holder to see that all lnspectlons are made at the proper tlme. To request an inspection, call
726.3769 (recorder), state your City deslgnated job number, Job 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 atler 7:OO 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: tn accordance
ELECTR]CAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
before any work ls covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATTONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prlor to placing be furnished to the Building Division.
excavated and forms are faclng materials and before
erected, all steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framlng' fire
madeafterallinslabbuildlngBr::-::"run3rjI';m*,"
service equipment, conduit, and vents are'complete and
:i?'?,?;""",",:;il:? ?i:''":'::J *i X::mHI:,l'JJ;[i:t: Bl?,:f],?E],?H,'"i,"THi".in place but before any tightening operations. (306
concrete is placed. TNSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumblng, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are ln place but FIREpROOFING: U.BC.storm Sewer, water and before any lath or gypsum Standards 43-8.drainage llnes. To be made board lnterior wall coverlng is
prior to covering or filling applied. S'ECIAL GRADING,trenches..! ,NDERFL..R: prumbins,
-
[l::,s'"=^?m'J3[Hl"' EX;ixtiiil-tii.:,5J:'i],"1
electrlcal, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulatlon, decking or LATH AND/oR GYPSuM GLU'LAM BEAMS: lnspection
floor sheathlng. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency, furnlshed to the City's
posr & BEAM: To be made lnterlol and exierlor, ls ln . Building Division before
prlor to lnstailaflon of floor place but before any beams are placed' (2501 u Bc'
insulation, decking or ftoor blastering ls appliei or before STDS' 25'10'11)'
sheathing.gypsumboardJolntsandfisteners are taped and STRUCTURAL MASONRY: (306
FLOOR ]NSULATION &
VAPOR BARRIERS: To be
made prlor to lnstallation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams groutlng or
vertlcals in accordance wlth
uBc 2415.
f lnlshed
RooF sHEATHTNG AND iHlS^ilifi"t::i""l|'.
NAILING: Prlor to lnstalllng erected but prlor to placing
any roof coverlng. concrete'
SIDEWALK & DRIVEWAY:
Required for all concrete
pavlng wlthln street right of
way, to be made after all' excavating complete and form
work and sub-base material in
place.
a.7)
'ln addition to the inspec-
tlons specified, the Building
Officlal may make or require
other lnspections of any
constructlon work to ensure
compllance with the Building,
Clty or Development Code.
v
By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby.certify th.at all lnformation
nerein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordlnances
of the City of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work described herein, and that NO OCCUPANCY
will be made of any structure wlthout permission of the Bulldlng Salety Dlvision. I further certify that only contractors and employees
who are in compllance 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 p[oiect address ls readable from the
street, tnat tne permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all
times durlng constructlon.
DateSignature
VALIDATION /4AMOUNT RECEIVED:
RECEIPT *:?"a29 RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish lnspection. All proJect conditions such as
landscaplng, parklng lot striping, etc. must be completed before
requesting thls lnsPectlon.
FINAL BUtLDING: Requested after the final plumbing, electrical,
mechanical and Flre Department inspections are made and
approved. No occupancy of the premises can be made until a
Certlflcate ol Occupancy has been issued by the Building Divislon
and posted on the Premlses.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
:
,i ,-/ -, ^
y'->, .,{,1 o,,.,
C,ITY OF OREGON
1. LOCATION OF INSTALLATI Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:. Items Cost
NOTICE:
THIS PEBMIT SHALL EXPIRE IF THE WORK
SPFlII\RiFIELD
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home' or
Modular Dvelling
Service or Feeder
A
CATION
$ 8s.00
$ 1s.00
$ 40.00
50.00
60.00
100.00
130.00
300.00
40.00
$ 40.00
$ ss.oo
$ 80.00
s see ItBrt
Sum
a66vil
O/.300(
JOB
Permi ts
if vork
of issu
e non-tr ansferable and exPire
is not star ted vi thin 180 daYs
ance or if vo rk is susPended for
1B0 daYs.
2. CONTRACTOR INSTALT,ATION ONLY
Electrical Contractor
Address q')
Ci tY Phone 343 - (6? I
Supervi sor License Number /so"i-<
Expiration Date
Constr Contr' Number Ax
Expiration Date n ^o
Si ture of SuPervising Electrician
,(9
Services or Feeders
lnstaflation, Alterations
or Relocation:
200 amPs or less
201 amps to 400 amPs
-
401 amPs to 600 amps
-
50L amPs to 1000 amPs-
over 1"b00 amPs/voIts
-
Reconnect 0n1Y
TemoorarY Services or Feeders -illl"ii"irr;, Alteration or Relocation
B
$
s
$
$
$
$
I
c.
D
Ovners Name
dress
OVNER.IN ALLATION
rhe ins tarlat ionnilr,oil"fl.T"ti,3lo.o
DroDerty I oun v
?;;:;it, Iease or rent'
0vners Signature:
200 amPs''or lessi;i il;; ;; aoo amps
-Over 40L to 600 amPs
over 600 amps or f bOO- v<ir[
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit I $ 3s'00 3S3
T;l"ttt'il":iil service , 2.oo *:Ir-r."a"t Permit --1- ) I
ttiscellaneous (Service/feeder not included)
pump or irriealI_?l. --- [ ,.o.oo
-
'sin."l6i,,1inJ li,gntins- i io. oo
lY,BTgTi:ll':'n:X'," ffi-
TOTAL
"ltt , -/
tb
Ad
Ci
e +\q
5
DATE
B
E
225 TIFTE STREET
OR IS ABANDONED FORSPRINGFIELD'
INSPECTION
OFFICE: 726-3759
/-3 1o
City Jo b Nurnber
3. COMPLETE FEE SCEEDT'I,E BELOV