HomeMy WebLinkAboutPermit Building 1995-08-03COMM ERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fitth Street, Springfield, Oregon 97477
SPRI'TGFIELO
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JOB NUMBER
INSPECTION LINE: 726'3769
OFFICE: 726.3759
ELOCATION OF PROPOSED WORK
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STATE:
L PHONE 9a3-747- 12( (
CITY:el>rril bPleeQ ZIP:q7q7 7
ADDRESS Zzo fl, (OWNER
f p'strt et ?a crrLelqAh
-VAEUE:25oo
lrf\DESCRIPTION OF WORK
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NAME PHONE
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EX PI BESADDBESS PHONE
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GENERAL:
Fcoce-t -
(*ut: -
PLUN4BING
ADDRESS
YAc
CcnnSt
,MECHANICAL:
CONTRACTOR'S NAN/E
ARCH ITECT:
* 33tS ,l?L
CONST,
CONTRACTOR #
NO.FEE CHARG E
Single Fixture
Relocated Bl
(new fix. add
dg
t l)
Water Service
ft
Sanitary Sewer
fr
Stonn Sewer
ft
Eachflow Device
TOTAL PERMIT
M EC HAN ICA L
NO FFF CHA RGF
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/Slngle
duct
Vent
f rom
System apart
AC or htg,
Mechanical exhaust
hood and duct
Permit lssuance $r 0.00
TOTAL PERMIT ,.n/3 ,/q*
- OFFICE USE _
LAND USE:
ZONINGY OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWEB BUDGET:OCCY GROUP:
r OF STORIES:
QUAD AREA
d OF ELDGS
CONSTR. TYPE
HEAT SOURCE:
SO. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJECT
x
X
SO, FTG MAIN
SQ, FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
/7.7?
BUILDING PEHMIT./2/A/../5.4 PLUMBI NG DEMOLITION
5% State
Su rcharge i9 ,%5% State
Su rc h aroe
MECH W ./a? ---/qG FENCE
VALUE $
SX State
Su rc haree re - -:2"*SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
D EVELO P.M ENT H4r/- '
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
a
WATER HEATER:
,2fr?4*T ti z
REOUIRED INSPECTIONS
It is the responsibility of the permit hotiEi to see that all inspections are made rt tn [op"r time. To request an inspection, ca,726'3769 (recorder), state your clty designated job number, iob address, type of inspection requested and when you wi1 be readyfor inspectlon. Requests received before 7:00 a.m. will be made the same working day, requests made af ter 7:OO a.m. will be madethe following work day.
SITE INSPECTION: To be
made after excavation, butprior 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 in place, butprior to placing concrete.
CONCRETE SLABI To be
made after all inslab buildingqervice equipment, conduit,piping, accessories and other
ancillary equipment items arein place but before any
concrete is placed.
UNDERGROUND: Ptumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage llnes. To be madeprlor to covering or f illing
trenches.
UNDERFLOOR: Ptumbing,
electrlcal, mechanlcal. To be
made prior to installation of
floor lnsulatlon, decklng or
floor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
lnsulation, decking or f loor
s heath i ng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to lnstallation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals ln accordance withuBc 2415.
ROOF SHEATHING AND
NAILING: Prior to lnstalling
any roof covering.
-4- RoucH pLUMBTNG,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
P,AVING: Af ter gravel is inplace but prior to placing
asphalt or concrete.
SPECIAL INSPECTTONS: ln accordance
Section 306 of the State Specialty Codea special inspector shall be employed
by the Owner/ Contractor duri ngconstruction of the following work. Acopy of the special testing reports shallbe furnished to the Buitding Division.
STRUCTURAL CONCRETE: tnexcess of 2500 pS.t. (306 a.1)
-..... STRUCTURAL WELDS:
Performed on th6 )ob. (2222 f)
HIGH STREI'IGTH BoLTING:
Duri ng all bolt installation andtightening operailons. (306
a.6)
SPRAYED ON
FIREPROOFTNG: U.B.C.
Standards 43-8.
"(
FIREPLACE: Prior to ptacing
facing materials and before
framing lnspection.
FRAMING: To be made after
the roof, all f raming, fire
blocking and braclng are inplace and all plpes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are ln place but
before any lath or gypsum
board interior wall coveri ng is
appl i ed.
FIRE & SEPARATION WALL:
Located and.constructed
according to plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interlor and exterlor, ls in
place but before any
plastering is applled or before
gypsum board joints and
fasteners are taped and
fi nl shed.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving wlthin 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.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a,11 &Chapter 29)
GLU.LAM BEAMS: lnspection
Certificate by an approved
agency, furnished to the City,sBuilding Division before
beams are placed. (2501 U.B.C.
STDS. 25-10,11).
STRUCTURAL MASONRy: (306
a.7)
_x_
'ln addition to the inspec-tions specified, the Buitding
Of f icial may make or require
other inspections of anyconstruction work to ensurecompliance with the Building,City or Development Code.
inspections are requested at the proper time, that project address is readable from thethe front of the property, and the approved set of plans will remain on the site at all
8-7trSignatureDate
S tats ae nd th h aree,VE re U exam n edBysv cohe m aeted capl ti no dan od hepp c er h al nbyfy rmafo on.ahnreidanUthantruedrreerChatanadtyrkwoerfoedrmanyphadbeeonnaccordnah h oe rd nna SofehSrlnfithandLawsethofeldetetaofnortattypsnlntoworhedkESOregpescedbrehenandathoNoUAP,NCYbemadofSttUrucrehoutitanyonSSIofBuhepermdnDivion.s Safety u hert ce rti no ractorscont nafyv ed mp oyeahorecomnntho.0701 5q bp Ue dSC no h S ec t.ro,ip
fu hert tore'e en U re hat Uagreq
s ree hat he Itrm ct,ard catpe
m dS riu n c o NSs
VALIDATIO N AMOUNT RECEIVED
RECEIPT *:BECEIVED BY:
DATE PAID
FINAL PLUMBING
K FrNAL ELEcTRTcAL
t FINAL MEcHANTcAL
FINAL FIRE DEPARTMENT
FINAL BUILDING: Requested af ter the fi nal plumbing, electrical,mechanlcal and Flre Department inspections are made andapproved. No occupancy of the premises can be made until acertlflcate of occupancy has been rssued by the Buitding oivistonand posted on the premises,
slrE PLAN REVTEW BoARD: Must be requested 2 days in advanceof the date you wish inspection. Ail project conditions such aslandscaping, parking lot stri ping, etc. must be completed beforerequeStlng this inspection.
/
ADDITIONAL COMMENTS
PLANS REVIEWED D^rE Q*7-=r+-
gnature,
of
lt
at
ti
ArrN/ t Lts*
CITY OF OR€G6I'1'
JOB DESCRIPTTON
A40 c)&ct , LT F?a clz(/q*-ru? t('lv\
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. COT.IISACTOR INSTALIATION ONLY
Electrical Contractor Beacon Electric
Address 2585 Roosevelt B1vd.
Ci ty Eugene Phone 461 -0291
Supervisor License Number 3485 s
Expiration Date
constr contr. Nun ber 38 497
Expiration Date 1/10/9s
Signature of ing Electrician
Name C *t+?L-
ress 3za t./ GTh
ci ty (PRltrJ6 trt Eto Phone i41- lzb b
O9NER INSTALI"ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Orners Signature:
DATE
SPRIIrlGFTEL[)
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf 'd llome or
HoduIar.'Dve11ing
Sertice or Feeddr
Services or Feeders
Ins tallation, Alterations
or Relocation:
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
0ver 1000 amPs/vo1ts
-
Reconnect OnlY
TemporarY Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps or less $ 40'00
ove, abr to 600 amps I S 80'00
ou.i OOO "rp" or-1600 *-ft" see rrBrr aE66
Branch Circuits ; .'
Nev, Alteration or Extension Per Panel
one circuit I $ 35'oo 35'oo
Each Additional
Circuit or vith Service
or Feeder Permit $ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utIine Lighting-
Limi ted EnergY/Res
-
Limited EnergY/Comm
lli.':i':q .4 46 BI,ECIRICAL PERHIT A?PIJCATION
Job Nr.rmber 95-121q
3. COHPLETB EEE SCEEDI'I,B BELOS
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:ftems Cost
SPRINGFIELD' OREGON 97 tlz|,..r;c S onaruro
INSPECTION REQITESTz 726-3769
OFPICE: 726-3759
225 FTTTE SIts.EEf,
1 LOCATION OP
^1"
G
INSTALI,ATION
TH
Sum
s 8s.00
$ 1s.00
$ 40.00
oo
).o
-
B
c
D
E
$ s0.00
$ 60.00
s100.00
$130.00
$300.00
$ 40.00
$ 40.00
s 40.00
$ 20.00
s 36.00
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