HomeMy WebLinkAboutPermit Building 1994-07-01COMN, ERCIA L/IN DUSTRIAL
PERMIT AFD'LICATION
225 Frtlh Street, Springfield, Oregon 97471
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
5P'IINGFlELO
+t
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:5
PHONE:
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STATE:ZIP:
&
a2qz -)
OWNER
ADDRESS:
CITY:
-qEscnrprroN oF woRK
N?* k REMoDEL o6
VALUE oADDITION DEMOLISH OTHEFI 3aa
ELECTRICAL: \_
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONE
.,1
vOrl nn
CONTRACTOR'S NAME
ARCHITECT:
G EITERAL
PLUMBING:
MECHANICAL:
CONST.
CONTRACTOR d
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new f ix. addtl)
Water Service
f t.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
/
TOTAL PERMIT
$10.00
t
I'tt
anEC
uspe orwa
eng
duct
n an
Systern
ACorh
nVe t apart
rof m
hood and duct
Permit lssuance
TOTAL PERMIT
Furnace/burner & vent
< t00
Furnace/burner & vent
>10 BTUs
Floor furnace and vent
mounted unit heater
Vent
separate
evap.
cooler
usE -S\NTD
)
-o
WATER HEATER:
LAND USE:
HANDICAP ACCESS
FLOOD PLA
LIGHTING POWER BUDGET:
ZONING
OCCY GROUP:
, OF STORIES
OUAD AREA:
I OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/so. FT.VALUE
Zbo %
TOTAL VALUE OF PBOJ
X
X
x
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE BYDATE=:€3
BUILDING PERMIT 9.s>PLUMBING DEMOLITION
5% State
Surcharoe iZ 2-r2/.q2-5% State
Surcharoe
MECHANICAL FENCE
VALUE $
5% State
Surcharqe
SIDEWALK
FT
SUBTOTAL
-PE RMITS
SYSTEMS
DEVELOPMENT
PAVING CURBCUT
FT.4
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
87Va
7r'4 -z<7<
* OF UNITS:
It ls the responsibility of the permit holder to see that all inspections are made at theproper time. To request an lnspectlon, call
726-3769 (recorder), state your City designated job number, lob address, type of lnspection requested and when you will be ready
for lnspectlon. Requests recelved before 7:O0 a.m. wlll be made the same worklng day, requests made after 7:00 a.m. wlll be made
the following work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is ln
made af ter excavation, but : ELECTRICAL. & place but prlor to placing
prior to setup of forms. MEQHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB PLUMBING, inspectlons have been made SPECIAL INSPECTIONS: ln accordance
ELECTRICAL & ' and approved. Section 306 of the State Specialty CodeMECHANICAL: To be made a speclal lnspector shall be employed'befpre any work ls c9vered. ATJIC DRAFT. STOPS & .Oy ine Ownei/ Contractor duringCURTAIN WALLS construotion of the following w6rk. Ay FOOTTNGS & FOUNDATTONS: copy'of the special testing ieports shall
To pe made after trenches are FIREPLACE: Prlor to placing be furnished io the Buildiig Divlslon.
excavated and forms are facing materlals and before
erected, all steel in place, put framlng lnspection'
prior to ptacins concrete. l X FBAMTNG: ." o" ,.,.0".,,", :*'"::ti%h."3.J:4il:r'i
----:-' -.0" .ite,;, rnsrab buirdins 3i::5::.'3fl 3i;:Iif,';l:r" E]I:,"J"T3".,Y5tTirr, oservice equipment, conduit, and vents are complete and tpiping, accessories and otherancirirv equipment items are n: H::liltiiT,x'J,]E[3:i: Bl?xf],lE],?H,?i"tlH?^oln place but before any tightening operations. (306concrete is placed. INSULATIoN & vApoR a.6)
BARRIER: To be made after allUNDERGROUND: Plumbing, lnsulation and requlred vapor SpRAyED ONelectrical, gas, sanltary sewer, barrlers are ln place but FIREpROOFING: U.B.C.storm sewer, water and before any lath or gypsum Standards 43-8.drainage llnes. To be made board lnterlor wallioverlng lsprlor to coverlng or fllllng applled.irenches. sHv,vv' SPECIAL GRAD|NG,
,NDERFL..R: p,umbins [:::,S'"1'f;HJPl:Hl"' El:,iU1'lil'-:li:,5J:'i],"t
electriial, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulatlon, decking or LATH ANDTOR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. - BOARD: To be made after all Certlficate by an approved
lathing and gypsum board, agency, furnished to the City's
pOST & BEAM: To be made lnterlol and 6xierlor, ls In Buildlng Divlsion before
prior to lnstallation of floor place but before any beams are placed' (2501 U'B.C'
lnsulatlon, decking or floor llasterlng ls applled or before STDS' 25-10'11)'
sheathlng. " Sypsum board Jolnts and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATIoN & flnlshed' a'7t
VAPOR BA,RRIERS: To be
made prlor to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals ln accordance withuac 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
- REQUIRED INSPLCTIOruS
SIDEWALK & DRIVEWAY:
Flequired for all concrete
paving withln street right of
way, to be made after all
excavatlng complete and form
work and sub-base material in
place.
CURB AND APPROACH
APRONST After forms are
erected but prlor to placlng
concrete.
'ln addition to the inspec-
tlons specifled, the Building
Officlal may make or require
other lnspections of any
constructlon work to ensure
compllance wlth the Bulldlng,
Clty or Development Code.
By slgnature, I state and agree, that I have caref ully examlned the completed applicatlon and cJo hereby cerilfy that all lnformation
herein is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordlnances
of the Clty of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, qn( that NO OCCUpANCywlll be made of any structure wlthout permlssion of the Bulldlng Safety Dlvlslon. I further certify that only contractors and employeeswho are ln compliance wlth OFIS 701.055 wlll be used on thls proJect.
I further agree to ensure that all requlred lnspections are requested at the proper tlme, that prolect address ls readable from thethe property, and the approved set of plans w-lll remdln on the slte at all
Signature
e
Date 7-t-?/
street, that the per
times durlng cons
rmlt c ls located at the fro
VALI DATION AMOUNT RECEIVED:
RECEIPT A:
DATE PAID:
RECEIVED
F]NAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days ln advanceof the date you wlsh lnspectlon. All proJect conditlons such aslandscaplng, parking lot striping, etc. must be completed beforerequestlng thls inspectlon.
FINAL BUILDING: Requested af ter the final plumbing, etectrical,
mechanlcal and Flre Department inspections are made and
approved. No occupancy of the premises can be made until aCertlflcate of Occupancy has been lssued by the Buitding Dlvisionand posted on the premises.
.v
ADDITIONAL COMMENTS:-
PLANS REVIEWED BY DATE '1--27
aD
CITY OF SPIT OFEGOA'
SPFrINGFTELD QctoTb b
does not ffr""lli*fg,ffi,l*?,,:go,",,n
1f
225 FTtrE STREET
JOB
Ci ty
EI,ECTRTCAL PERITIT APPIJCATION
City Job Nunber
3. COHPI,gIE EEE SCEEDUI,E BBLOS
#.tu
B. Services or Feeders
Installation, Alterations
, or Relocation:
200 amps or less A201 amps to 400 amPs
401 amps to 600 amps
-
601 amps to 1000 amPs-
0ver 1000 amps/vo1ts
-
Reconnect 0n1Y
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less $ 85.00
nach additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
-Modular Dvelling
SerVice or Feeder $ 40.00
ts are non-t'ransferable and expire
if vork is not started r^rithin 180 days
of issuance or if vork is suspended for
180 days.
Ci ty Phone 1Ai, I - *44t ,
Supervisor Number lb ?,1""\cense
Owners Name
Address A
A
2. COIITRACTOR INSTAIJ,A:TION ONLY
Electrical Contractor
Address
Expiration Date lo-
c
Constr Contr. Nutb"t-031/|9--
Temporary Services or Feeders
Installation, Alteration or Relocation
IExpiration Date
of Supervising Electriciana
e
Phone
Sum
100, oo
Sove
o
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55-00
over 4b1 to 6oo am-ps
-
$ 8o.oo
Over 600 amps or 1000 voTts see rBu a
Branch Circuits ;
$ 40.00
s 40.00
$ 20.00
$ 36.00
o
OVNER ALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service ,
or Feeder Permit L $ 2.00 +;@
E. Miscellaneous (Service/feeder not included)
-Eaeh installation
Pump or irrigation
Sign/Out1ine Lighting-
Limi ted EnergY/Res
Limited EnergY/Comm
,L.oo
5''lo
3 , t0-
- b345
5 SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI
io
DATE:
RECEIVED it^. A4-,
1.. LOCATTON OF INSTALI,ATIONil,tii".3.;iti'. -))i7 iE z4?.
I..EGAL. DESCRIPTION^irz*ZrF/ zDT fa .
c