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Home My WebLink AboutPermit Mechanical 1992-11-12-* COMM ERCIAL/IN DUSTRIAL PERMIT APPLICATION 225 Fit$ Street, Springfield, Oregon 97477 SP'IINGFIELD -JoB NUMBER 7z/%.< INSPECTION LIN E: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK TAX LOT:24ge ADDRESS: CITY: STATE: ONE: ZIP: VALUE:,{_ (c_ ADDITION DEMOLISH OTHER OWNER: DESCRIPTION OF WOBK: NEW-- REMODEL ARCHITECT: CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE GENERAL: PHON EADDRESSNAME PLUMBING: MECHANICAI ELECTRICAL: PLUMBING NO.FEE CHABGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backf low Device TOTAL PERMIT MECHANICAL NO trFtr .HA EI.:tr Furnace/burner & vent < 100,000 BTUs -/ oelE-, 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 duct 3 /dpl(O. Vent System apart from AC or htg. Mechanical exhaust hood and duct ,*-r dDEr@6 6 e Permit lssuance $10.00 TOTAL PERMIT /€- * _ OFFICE USE - LAND USE: ZONING* OF UNITS: HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: $/SQ. FT.VALUESQ. FT. dfu-DTOTAL VALUE OF PROJ X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER RCPT#DATEPLAN CHECK FEE BY 75.ro BUILDING PERMIT PLU M BI NG DEMOLITION 5% State Surcharge 5% State Surcharoe MECHATiI.]f,AL/25 ,/#),att e_-:/ e_.e FENCE VALUE $ 5% Stafe Su rcharoe .aa SIDEWALK FT SUBTOTAL PERMITS PAVING CURBCUT FT, SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL ASSESSORS MAP: 6 27-Q57'=.- ?* /?rffi<6-/t F- REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all inspections are made at the proper time' To request an inspection' call 226.g76g(recorder), state your City designated job number, lob 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 after 7:00 a'm' will be made the following work day. v S|TE |NSPECT|ON: To be ROUGH PLUMBING, PAVING: After gravel is in made after excavation, but ELECTRICAL & place but prior to placing prior to setup of forms. dftEANICIDNo work is to asphalt or concrete. -E-arcrEd-u-ntrr these UNDERSLAB pLUMB;NG, inspections have been made SpECIAL INSpECTIONS: ln accordance ELECTRICAL & and approved. Section 306 of the State Specialty CodeMECHANICAL: To be made Ayrr^ ^h^r? - - a special inspector shall be employedbefore any work is covered. ATTIC DRAFT STOPS & by the Ownei/ Contractor duringCURTAIN WALLS construction of the following work. A FOOTINGS & FOUNDATIONS: F,hF^, copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished io the Building Division. excavated and forms are facing materials and before erected, all steel in place, but framing inspection. STRUCTURAL CONCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 p.S.l. (306 a.1) CONCRETE SLAB: To be the roof, all framing, fire made after all inslab building blocking and bracing are in STRUCTURAL WELDS: service equipment, conduit, :iTi"1x 3i!%5i";,!i"Tl:r" Performed on the iob' (2722 t) piping, accessories and other incirarv equipment items are :x?';::[flHi':,X'jJ;[i:i: Bl?,:f],lE]nol,l",?l,,TH1"oin place but before any qvH'vvev' tightening operations. (306concrete is placed. INSULATIoN & vApoR a.6) BARRIER: To be made after allUNDERGROUND: Plumbing, insulation and required vapor SPRAYED ONelectrical, gas, sanitary sewer, barriers are in plate but FlREpRooFlNG: U.BC.storm sewer, water and before any lath or gypsum standards 43-8.drainage lines. To be made board interior wall iovering isprior to covering or f illing applied.trenches. SPEC|AL GRADING, ,NDERFL..R: p,umbins [l?:,S""'^i m'J$[Hf"' il;iruiil-:ii:,5Jb']1,"t electrical, mechanical. To be according to plans. Chapter 29) made prior to installation of floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection floor sheathing. BOARD: To be made after all Certificate by an approved lathing and gypsum board, agency, furnished to the City's pOST & BEAM: To be made interiol and exterior, is in Building Division before prior to installation of floor place but before any !9ams are placed. (2501 U.BC. insulation, decking or floor plastering is applied or before STDS' 25'10'11)' sheathing. - Sypsum board joints and fasteners are taped and STRUCTURAL MASONRy: (306 FLOOR TNSULATTON & finished' a'71 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. 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. "ln addition to the inspec- tions specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. AII project conditions such as landscaping, parking lot stri ping, etc. must be completed beforerequesting this inspection. FINAL BUILDING: Requested after the final plumbing, electrical, mechanical and Fire Department inspections are made and approved. No occupancy of the premises can be made until acertificate of occupancy has been issued by the Building Divisionand posted on the premises. ADDITIONAL COMMENTS PLANS REVIEWED BY DATE /r/ <-3 By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUpANCy will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project. all required inspections are requested at the proper time, that project address is readable from the located at the front of the property, and the approved set of plans will remain on the site at all ttSignatureDate I further agree to ensure street, that the permit times during c VALIDATION O 242 RECEIVED BY: DATE PAIDAMOUNT RECEIVED V RECEIPT n, 6?/? I I , 225 FIFTB STRBEf, SPRINGFIEIJ)oRBGoN 97477 INSPECTION REQTIBST:726-3769 j. OPFICE: 726-3759 1 OP PERHIT APPLI CATION ty Job Number COHPIJTB TEE SCTIEDULE BBLOV New Residential-Single or HuIti-FamiIy per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Hanuf'd Home or Modular Dwelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 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_ 0ver 1000 amps/volts _ Reconnect 0nIy Temporary Services or Feeders Insta1lation, Alteration or Relocation ch Circuits Alteration or Extension eI \m one circui t -_t_Each Addi tional Circui t or vi th Serviqe.,- or Feeder Permi t l' I ,A 1 Permlts are non-transferable a p re if vork is not started vithin 180 days of issuance or lf vork is suspended for 180 days. 2. COIITRACTOR INSTALI,ATION Electri Con actor Address ci Phone Supervisor License Ntimber Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Blectrician Owners Add s Ct ty Phone OSNER INST The installatlon is being made onproperty f ocrn vhich is not intended for sa).e, lease or rent. Omers Signature: DATE: RECETPT , RECEIVED }qlq&rrt4oNr-,,f,\1*t ob7 Sum B $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 0ver 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see I'B[ above E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $Sign/outline Lighting- $ Limited Energy/Res $ Limited Energy/Comm -T S SUBTOTAL OF ABOVE 5f State Surcharge TOTAL Per Pan $ 3s.00 $ 2.00 40.00 40.00 20.00 J5 3* oo 3rv oo5 ? I 36. I D. 1 CO M M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springf ield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSOHS MAP: ON rg'5 Pl2ut6 -- JoB NUMBER INSPECTION Ll NE: 726-3769 OFFICE: 726-3759 o TAX LOT:DA Oo SPFI]{GFIEL(, b2 L -7-Sl2PHON E: STATE:LosDoau 3 CIA ScH u,reru 5 lmr+nJ5i{AN6 ZIP: /)s ?2o CITY: ADDRESS: OWNER: NEW -- REMoDEL >< ADDIION VALUE: €MeDESCRIPTION OF WOFIK:Terrt* DEMOLISH OTHER PHONEADDRESS o-tiG T C-A.quJ I-ess e Q- Acr c- S Fo, 3Qli A&dG - I s 52(oBc E EXPI RES ARCHITECT: NAME PHONEA|{ot, ets6 PLUMBING CONTRACTOR'S NAME G EN ERAL: MECHANICAL: ELECTRICAL: ADDRESS t-J I CONST. CONTRACTOR # 2 iezg)C- C^onts' FEE CHARG ENO. 9e-n/dqSingle Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft. Backflow Device TOTAL PERMIT 7e* MECHANICAL 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 duct Vent Sys from AC tem apart or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT _ OFFICE USE _ '7^z- 5Juuu; WATER HEATER LAND USE LIGHTING POWEB BUDGET: * OF UNITS: HANDICAP ACCESS: FLOOD PLAIN ZONING: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: SQ. FT,$/SQ. FT.VALUE / { X X TOTAL VALUE OF PROJ 5o@6 SQ. FTG MAIN SQ. FTG ACCESS SO. FTG OTHER 1B),7G RCPT#PLAN CHECK FEE 2DATE BYa-q BUILDING PERMIT <97.*PLU M BI NG 42*DElvlOLlTlON 5% State Surcharqe /7.rf 5% State Surcharge ' ?.go MECHANICAL FENCE VALUE $ 5% State Surcharqe SIDEWALK FT. SUBTOTAL PEBMITS PAVING CUBBCUT FT. SYSTEMS DEVELOPMENT 4-p 7?/.3{TOTAL PERMIT FEES EXCLUDING ELECTRICAL 7zt+s CONSTR. TYPE: HEAT SOURCE: REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an rnspection, ca,726'3769 (recorder)' state your city designated job number, job adJress, type of inspection requested and when you wi, be readyI;: l;ffill"J*ff:t"rl" received beforl 7:00 a'm. will be made the same workins day, requesrs made after 7:o0 a.m. wiil be made S|TE tNSPECT|ON: To be made after excavation, butprior to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANTCAL: To be made before any work is covered. FOOTINGS & FOUN DATIONS: To be made after trenches are excavated and forms are erected, all steel in place, butprior to placing concrete. CONCRETE SLAB: To bemade after all inslab building service equipment, conduit,piping, accessories and otherancillary equipment items arein place but before anyconcrete is placed. UNDERcROUN D: ptumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be madeprior to covering or filling trenches. UNDERFLOOR: ptumbing, electrical, mechanical. To be made prior to installation offloor insulation, decking or floor sheathing. POST & BEAM: To be madeprior to installation of floor insulation, decking or floor sheathing. FLOOR INSULATION & VAPOR BARRTERS: To be made prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance withuBc 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. 't/ RoucH pLUMBTNG, ELECTRICAL & MECHANICAL: No work is tobe covered until these inspections have been madeand approved. ATTIC DRAFT STOPS & CURTAIN WALLS PAVING: After gravel is inplace but prior to placing asphalt or concrete. FIREPLACE: prior to placing facing materials and beforeframing inspection. SPECIAL TNSPECTTONS: tn accordanceSection 306 of the State Specialty Codea special inspector shall be employedby the Owner/ Contractor duringconstruction of the following work. Acopy of the special testing reports shallbe furnished to the Building Division. INSULATION & VAPOR BARRIER: To be made after allinsulation 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 alllathing and gypsum board, interior and exterior, is in place but before anyplastering is applled or beforegypsum 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. STRUCTURAL CoNCRETE: Inexcess of 2500 pS.t. (306 a.l) STRUCTURAL WELDS: Performed on the job. (2722 t) HIGH STRENGTH BOLTING: During all bolt installation and ti ghtening operations. (306 a.6) SPRAYED ON FIREPROOFTNG: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AN D FILLING: During earthwork. (306 a.11 &Chapter 29) GLU-LAM BEAMS: tnspection Certif icate by an approved agency, furnished to the City,sBuilding Division before beams are placed. (250j U.BC. STDS. 25-10,11). STRUCTURAL MASONRy: (306 a.7) .ln addition to the inspec- tions specified, the Building Off icial may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. FRAMING: To be made afterthe roof, all framing, fire blocking and bracing are inplace and all pipes, chimneys and vents are complete andthe rough electrical, plumbing and mechanical are approved. v FINAL PLUMBING v FINAL ELECTRICAL FINAL MECHANICAL F]NAL FIRE DEPARTMENT r SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such aslandscaping, parking lot stri pi ng, etc. must be completed beforerequesting this inspection. FINAL BUILDING: Requested after the final plumbing, etectrical, mechanical and Fire Department inspections are made and approved. No occupancy of the premises can be made until a Certificate of Occupancy has been issued by the Building Division and posted on the premises. t/ / ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance 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 project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all Si gnatu Date Y24i,' q, /q fQ times ng construction BY: VALIDATION D:DATE PAID: RECE AMOUNT RECE RECEIPT #