HomeMy WebLinkAboutPermit Building 1994-06-30COMM ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fillh Street, Springfield, Oregon 97477
LOCATION OF PROPOS
ASSESSOBS MAP:
SPRINCFIELO
t
JOB NUMBER
INSPECTION LINE: 726-3769
OFFIGE: 726-3759
TAX LOT:
r n )rPHONE:
ZIP:
ADP
OWNER:
CITY:STATE:
ADD
DESCRIPTION OF WOB
NEW- REMODEL MOLISH OTHER VALUE:
NAME PHONE
RESS EXPIRESIME
. ADDRESS
MECHANICAL:
ELECTBICAL:
ARCHITECT
CONTRACTO
CONST.
CONTBA TOR #
GENERAL:
PLUMBING
NO trEE CHARGE
Single Fixture
Belocated Bldg.
(new f ix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
Nrr FFF NHA EIGtr
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unlt heater
Appllance Vent
separate
Statlonary evap.
cooler
Vent Fan/Slngle
cluct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permlt lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
ZONING:
HANDICAP ACCESS:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE;
HEAT SOURCE:
* OF UNITS:
LIGHTING POWER BUDGET:
WATER HEATER:-
LAND USE:FLOOD PLAIN:
SQ. FT.$/sQ. FT.VALUE
TOTAL VALUE OF PROJ
x
X
X
SQ. FTG MAIN
SQ, FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT,,DATE BY
%
BUILDING PERMIT -flo-5o PLUMBING DEM LITION
5% State
Surcharge State
FE
SIDEWA SUBTOTAL
PERMITSPAVING
SYSTEMS
DEVELOPM ENT
TOTAL PERMIT FEES
EXCLUDING ELE TBICAL
*3\.Q.ur
REOUIRED INSPECTIONS
It ls the responslblllty of the permlt hotOello see that all lnspectlons are made at tne prfrer tlme. To request an lnspectlon, call
726.3769 (recorder), state your Clty deslgnated Job numbel Job address, type of lnspectlon requested and when you will be ready
for lnspectlon. 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.
CONCRETE SLAB: To be
made after all lnslab bulldlng
servlce equlPment, condult,
plplng, accessorles and other
anclllary equlPment ltems are
ln Place but before anY
concreto ls Placed.
UNDERGROUND: Plumblng,
SITE INSPECTION: To be
made after excavatlon, but
prlor to setup of forms.
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 ln Place, but
prlor to Placlng concrete'
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work ls to
be covered untll these
lnspectlons have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prlor to placlng
beforefaclng materlals and
framlng lnspectlon.
FRAMING: To be made after
the roof, all framlng, lire
blocklng and braclng are ln
place and all plpes, chlmneYs
and vents aro 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 lnterlor wall coverlng ls
applled.
F]RE & SEPARATION WALL:
Located and constructed
accordlng to plans.
LATH AND'OR GYPSUM
BOARD: To be made after all
lathlng and gYPSum board,
lnterlor and exterlor, ls ln
place but bofore anY
plasterlng ls aPPlled or before
gypsum board Jolnts and
fasteners are taped and
f lnlshed.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
pavlng wlthln street rlght of
PAVING: After gravel is ln
place but prlor to placing
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Sectlon 306 of the State Specialty Code
a speclal lnspector shall be employed
by the Owner/ Contractor during
constructlon of the following work. A
copy of the speclal testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the lob. (2722 l)
HIGH STRENGTH BOLTING:
Durlng all bolt installation and
tlghtenlng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECTAL GRADING,
EXCAVATION AN D FILLING:
Durlng earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnsPectlon
Certificate by an aPProved
agency, furnlshed to the Clty's
Bullding Dlvlsion before
beams are Placed. (2501 U.B.C.
STDS. 25-10J1).
STRUCTURAL MASONRY: (306
a.7)
dralnage llnes. To be made
prlor to coverlng or fllllng
trenches.
electrlcal, gas, sanl
storm sewer, water
tary sewer,
and
o9'
To be
UNDERFLOOR: Plumbl
electrlcal, mechanlcal.
made prlor to lnstallatlon of
floor lnsulatlon, decklng or
floor sheathlng.
POST & BEAM: To be made
prlor'to lnstallatlon of floor
insulatlon, decklng or floor
sheathlng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made Prlor to lnstallatlon of
decklng or floor sheathlng.
way, to be made after all
MASONRY: Steel locatlon, excavatlng complete and form
bond beams groutlng or work and sub.base materlal in 'ln additlon to the inspec'
vertlcals ln adcordance wlth place. tions speclfled, the Building
Offlclal may make or requlreuBc 2415.
RooF
'HEATHTNG
AND iHRS^Hifi'T,o*ix," 3:1"J,J,1:fi::'"fi,"nil?",,"
NAILING: prtorio lnstalllng erected but prlor to placlng compllance wlth the Bulldlng'
any roof coverlng. concrete. clty or Development code'
FINAL PLUMBING
F!NAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wlsh lnspection. All project condltlons such as
landscaplng, parklng lot strlplng, etc. must be completed before
req u estl n g tltJp..l3s Pect I o n.
FINAL BUtLDING: Requested after the flnal plumbing, electrlcal,
mechanlcal and Flre Oepartment inspectlons are made and
"pproveO.
No occupancy of the premlses can be made until a
Cl?ttit""te of Occupaniy has been lssued by the Building Divislon
and posted on the Premises.
A*2.r--^'Date
SI
nances
PANCY
hat all fon onrmatihertcenodofyandcatlrebyth6nedcomexamlplEtedapplhavecaref u vthatstateandree,agsl he rdiognature,By hdoneaccordancenedhalsbworkallatandperformceherrtthanyandrtlfvfucorrect,andlstrueerelhn Nhat occuoerelhandderkbedn,scrlthetowonStateeofn9pertalofLawsthOregonthandendctgflelofthetySprlof eand mractorscontrticethat ployeesfuherlyonlyrtDlvlslon.he ilBu dl SafetyoisslofngnwlthoutpermrestructuofmadeWIbeanythlsUbeonproJectsed.05570'lowlthRSlancelnarecomwhopl
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s
street,
tlmes
It card
ctlon.
VALIDATION:AMOUNT RECEIVED
RECEIPT *:
DATE PAID:
RECEIVED
VT_
wlll
readable
ofls
CITY OF GREGO'{
F* E.-? -;tv r''v6
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\ITRACTOR INSTALI,ATION ONLY
Electrical Contractor,4D/5' t'efc
Address f tr/ ,Z4zo
Ci ty S/arao Phone 2o.
Supervisor License Number ?az-s.f
ExpirattonDate /?-75'
Constr Contr. Number 7 z-ro 6
Exp iration Date ?D '7t
Signature of Supervising Electrician
Address 7 /o /t/. ,74
Ci 'trlo Phone
OI'NER TNSTALLATION
The installati,on is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ouners Signature:
DATE
SPRINGFIELE'
ELECTRICAL PERilIT APPLICATION
City J ob Number 7 1 Ol t,x
3. COHPLETE FBE SCEEDT'LE BELOS
A Nev Residential-Single or
Hulti-Family per dvelling unit.
Serviee Included:Items Cost
1000 sq.ft. or less
Each additlonal 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ Bs.oo
B
C
D
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps _
60L amps to l-000 amps_
Over L000 amps/voIts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amPs _
Over 40L to 600 amPs
Over 600 amps or 1000-6ITs
Branch Cireuits
" aE6G-
Nev, Alteration or Extension Per Panel
one circuit / $ 35.00 35 o o
Each Additional
Circuit or vith Service
or Feeder Permi t $ 2. O0 V-d o
Miscell-aneous (Service/feeder not included)
-Each i.nstallation
Pump or irrigation
Sign/Out1ine Lighting_
Limited Energy/Res
Limited Energy/Comm
aPProval.
zonns 39-
s747tt"' ?k:q..I*225 FIFTH STREET
SPRTNGFTELD, OREGON
INSPECTTON REQIIBST:
oFFICE: 726-3759
1. LOCATION OF
7265u{"6,9-.1 5,,
TION
q trCD Sum
JOB ctia
$ s0.00
s 60.00
$100.00
s130.00
$300.00
s 40.00
$ 40.0
$ ss.o
s 80.0
see ItB
0
0
0
E
5
s
$
$
$
00
00
00
00
40.
40.
20.
36.
BRECEIVED 2€-2<_
-\
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