HomeMy WebLinkAboutPermit Mechanical 1994-06-16I 'IAL
225 Fifth Street, Springtield, Oregon 9747t
sPNINGF'ELO
JoB Nt)MBEa ?*<za*->
INSPECTION LtN E: 7 26-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:680 N. 36th
ASSESSORS MAP:TAX LOT:e29a*^
726-4360PHON E
OB 97478SpringfieldZIP:STATE:
WillamaIa Park & Fleereati nn Di st -
3550 E. Street
CITY:
ADDRESS:
OWNER
NEW
-
REMODEL X ADDITION DEMOLISH OTHER VALUE:
Install air conditi onino unit (5 ton)DESCRIPTION OF WORK:
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
GENERAL:
PLUMBING:
ELECTRICAL:
PHONEADDRESSNAME
Comfort ene 974O2 #00460 6/27 /95 342-8t01,FIow Heatinq 855 W. First, EuqMECHANICAL:
PLU MBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MTOHANIEAL
NO FFF CHARGE
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
d uct
Vent Sys
from AC
tem apart
or htg.
Mechanical exhaust
hood and duct
I 4ln CoNBnciltNG' ba aoo BrLL
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE -
ZONING
LAND USE
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
* OF UNITS:
OCCY GROUP:
# OF STORIES
QUAD AREA:
'+ OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
VALUE$/SQ. FT.SQ. FT.
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE BYDATE
'--=-/ 2o<G2 o
BUILDING PERMIT PLUMBI NG DEMOLITION
5% State
Su rchare e
5% State
Su rcharqe
-?#M:rMECH /r,aE FENCE
VALUE $
5o/o
Surcha
SIDEWALK
FT.
SUBTOTAL
PE RM ITS
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
PERfiIIIT
'D-4<-
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UN DERGROUN D: Ptumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: PIumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathi ng.
FLOOR ]NSULAT]ON &
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.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
and mechanical are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior wall covering is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, is in
place but before any
plastering is applied or before
gypsum board joints and
fasteners are taped and
f inished.
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.
the rough electrical, plumbing HIGH STRENGTH BOLTING:
A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 PS.l. (306 a.l)
STRUCTURAL WELDS:
Performed on the job. (2722 t)
During all bolt installation and
ti ghtening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
Chapter 29)
cLU-LAM BEAMS: tnspection
Certificate by an approved
agency, furnished to the City,s
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25-10,11).
STRUCTURAL MASONRy: (306
a.7)
*ln addition to the inspec-
tions specified, the BuildingOfficial may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all informationherein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinancesof the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with OFIS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from thestreet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at alltimes during construction.
Signature dfu Date 6 - /d-/
=-Z;--2>VALIDATION:AMOUNT RECEIVED:
FIECEIPT r:RECEIVED BY:
DATE PAID
FINAL PLUMBING
FINAL ELECTRICAL
Y FINAL MEcHANTcAL
F]NAL FIRE DEPARTMENT
slrE PLAN REVTEw BoARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such aslandscaping, parking lot striping, etc. must be completed beforerequesting this inspection.
FINAL BUILDING: Requested after the final plumbing, electrical,mechanical and Fire Department inspections are made andapproved. No occupancy of the premises can be made until acertificate of occupancy has been issued by the Buirding Divisionand posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
T
CITY OF SPRINGFIELD, OREGO'V
225 PTFTE STREET
SPRTNGFTELD, oREGoN 974
INSPECTION REQIIESTz 72
OFFICE: 726-3759 'o"t"_b"L3-- cl tl
1 OF rNsrAtr-atf m{z'dr 3z.l\
LEGAL DESCRIPTION OZ
JOB DBSCRTFTION
/so tRr-t-r.rT fuB ArB co,c>s:D.a }JEP-
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. CONTRACTOR TION Y
Electrical- Contracto
Address
Ci ty Phone
Supervisor License Number 4o 3S
The loltrowing prolccl et rubml[od ]! thc
zoning, and doeo not rDqulro op€cllc ttrd
cpprovel SLgcrRrcat PERr{rr APPLTcATToN
'u'-rrur'*o-tn1- city Job *r-o", ? ( oF ?7
ltPBIT]GFIELD
COHPLETE FBE SCEEDUI^E BELOS
A. Nev Residential-Single or
MuIti.-Pamily per dvelling unit.
Service Included:
I tems Cos t
$ 8s.00
$ 15.00
$ 40.00
Sum
Expiration Date -gs
Constr Contr. Number }.J/A
Expiration Date
Signature of Supervising Electrician
Ovners Name
Address L J..> 36 Th.
Ci ty l NZ.F)6LD Phone 724 -4v,o
1-000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
ModuLar Dvelling
Service or Feeder
Services or Feeders
Installation, 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/vo1ts
Reconnect Only
200 amps or less
201 amps to 400 amps
-Over 40i- to 600 amps
Over 600 amps or 1000 voT[
Branch Circuits
Temporary Services or Feeders
Installation, Alteration or Relocation
a'
'-
B.
c.
D.
ET-
E
ss0
$60
$ 100
$ 130
$300
$40
.00
.00
.00
.00
.00
00
lO*t
$ 40.0
$ ss.O
$ 80.0
s see ttB
0
0
0
" a5&E-
OSNER TNSTALTATION
The installation is being made on
property I ovn which is not intended
for sale, Iease or rent.
Nev, Alteration or Extension Per Panel
One Circuit i $ 35.00 j:''
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
MiscelLaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited Energy/Res
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
Ovners Signature:
$
$
s
)
40.
40.
20.
36.
00
00
00
00
d)5
DATE:
RECEIVED B