HomeMy WebLinkAboutPermit Building 1996-03-21SPFIINGFIELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726'3759
?k^'?frCO M M ERCIAL/ I N D UST RIAL
Fenrutr APPLIcATIoN
225 Fitlh Street, Springfield, Oregon 97477
,h
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
TAX LOT:
PHON E:
STATE:
CITY:
ZIP
ADDRESS:
OWNER:
,Y ADDtrtoN DEMoLISH orHER
DESCRIPTION OF WORK:
NEW .--- FIEMODEL
PHON EADDRESSNAME
PHON EEXPI RES
NAME
ARCHITECT:
CONTRACTO
MECHANICAL:
ELECTBICAL:
CONST.
CONTRACTOR #
GENEBAL:
PLUMBING
NO._iE_E_
Single Fixture
new f ad
Relocated B
ft
eraty
torm ft
Backflow Device
TOTAL PERMIT
CHARGE -.- FEE..-
Furnace/burner & vent
1 BT
_NO._
Furnace/burner & vent
>100
Floor furnace and vent
oororeuep
(eheatintountedmu
App
SE
ance
t onary evap.
cooler
nglean
duct
Vent
f rom
System aPart
AC or htg.
ex
hood and duct
an ca
$10.00Permit lssuance
TOTAL PERMIT
- OFFICE USE -HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
LAND USE:
OCCY GROUP:
# OF STORIES
OUAD AREA:
# OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
VALUESQ. FT.
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ, FTG OTHER
PLAN cHEcK FEE //'73 oarc.71y'%BYRCPT'202 'e
BUILDING PEBMIT l?. >?PLUMBING DEMOLITION
5% State
Su rcharqe m 73 5% State
Su rcharge
MECHANICAL FENCE
VALUE S
5% State
Su rcharq e ,SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVI NG CU RBCUT
FT
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL 7.4.
o^l )
-frvaGr Service
ft.
$/SQ. FT.
,ltlilll,:3,"'ffiil1,!i:tn" 3-o",time ro request an inspection, ca,,726'3769 (recorder)' state your city oesignai"o ioo number, i"o .iJiu"", type of inspeciion requested and when you wir.be readyI;: tlifflitJ*ffX"."r]" received-bei"tE z'do a.m. will be made the same working day, requests made af ter 7:00 a.m. wi, be made
SITE INSPECTTON: To bemade after excavation, butprior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be madebefore any work is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches areexcavated and forms areerected, all steel in place, butprior to placing concrete.-
CONCRETE SLAB: To bemade after all inslab buildingservice equipment, conduit,ptptng, accessories and otherancillary equipment items arein place but before anyconcrete is placed.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is tobe covered until these
inspections have been madeand approved.
pAVtNG: eftSi gravet is inplace but prior to placing
asphalt or concrete.
SPECIAL INSpECTIONS: In accordanceSection 306 of the State Speciaitv Col-ea special inspector shail be empfoyeO--by the Owner/ Contractor durinoconstruction of the following w5rk. A
9op.y ol the speciat testing ,"epoits snaf rbe furnished to the Buitdiis Dirlil";'-"
ATTIC DRAFT STOPS &
CURTAIN WALLS
STRUCTURAL CoNCRETE: Inexcess of 2500 p.S.t. (306 a.1)
STRUCTURAL WELDS:performed on the job. (2222 l)
HIGH STRENGTH BOLTING:During all bolt installation andtightening operatlons. (306
a.6)INSULATION & VAPOR
BARRIER: To be made after allinsulation and required vaporbarriers are ln place butbefore any lath or gypsum
board Interior walliovering isapplied.
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 lnplace but before anyplastering ls applied or beforegypsum board Joints andfasteners are taped and
f inished.
SIDEWALK & DRIVEWAY:
Required for all concretepaving within street right ofway, to be made after allexcavating complete and formwork and sub-base material inplace.
FIREPLACE: prior to placingfacing materials and before-framing inspection.
FRAMING: To be made afterthe roof, all framing, fireblocking and bracing are inptace and all pipes, chimneysand vents are complete and
the, rough electrical, plumbing
and mechanical are approvedl
U.N DERGROUN D: plumbing,
electrical, gas, sanitary sewer,storm sewel water anddrainage lines. To be madeprior to covering or filling
t re nc hes.
UNDERFLOOR: ptumbing,
electrical, mechanical. T5' bemade prior to installation offloor insulation, decking orfloor sheathing.
SPRAYED ON
FIREpROOFtNG: U.BC.Standards 43_8.
SPECIAL GRADING,
EXCAVATION AND FILLING:During earthwork. (306 a.11 &Chapter 29)
cLU.LAM BEAMS: tnspecilonCertificate by an approvedagency, furnished to the Citv,sBuilding Division before
99q." are ptaced. (2501 U.B.C.STDS. 2s-10,11).
STRUCTURAL MASONRy: (306
a.7)
POST & BEAM: To be madeprior to installation of floorinsulation, decklng or floorsheathing.
FLOOR INSULATION &
VAPOR BARRTERS: To bemade prior to installation ofdecking or floor sheathing.
MASONRY: Steel location,
bond beams grouting orverticals in accordance with
UBC 2415.
CURB AND APPROACH, ApRONS: After forms areerected but prior to placing
concrete.compliance with the Builcjing,City or Development Coc,e.
'ln addition
tions specifi
Official may
other inspec
constructi on
to the inspec-
ed, the Building
make or require
tions of any
work to ensure
By signature, I state and agree, that I have carefully examined therein is true and correct, and I f urther certify that any and allof the City of Springfield, and the Laws of the State of Oregonwill be made of any structure without permission of the Builiingwho are in compliance with OFIS 701.055 wiil be used on thir
requested at the propertime, that project address is readabre from theproperty, and the approved set of plans will remain on the site at all
Signatu re Date ''r-/
certify that all
lance with the
mo ete dpl ap pl on dan do here by fon rma ionworkedrformpebdenoncordOrdcesnanthtoepertairkoedCnghebedrenthandNOatoCCUCYPAN
D stSafety o rtfu he rt ice hat nfy co racnt rstov eand m ployees
S ectproj
I f urther agree to ensure that all required inspections are
street, that the permit card is located at the front of the
times during
VALIDATIO N
RECEIPT A:Z67G- e FECEIVED BY;
DATE PAID
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS
SITE
'LAN
REVIEW BOARD: Must.be requested 2 days in advanceof the date you wish rnspection. eil project conditions such aslandsca.ping,-p^"fll"-S tot strt ping, etc. must Oe "ompiLt"o beforerequesting this lnspection.
FINAL BUILDING: Requested af ter the final plumbing, electrical,mechanical and Fire Department inspections are made and
lpproved. No occupancy of the premises can be maoe untlt acertifrcate.of occupaniy has been i""r"o-ov the Buirding Divisionand posted on the premises.
PLANS REVIEWED BY DAtt 3^ Zrt'a"-'
ROOF SHEATHING ANDNAILING: Prior to installing
any roof covering.
shal I
AMOUNT RECETVED: 2 Ze
COMM ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon g74Zl
LOCATION OF PRO
ASSESSOBS MAP:,
D RK:€rl I
NAME
CONTRACTOR'S NAME
GENERAL:
SPFitf{oFtELo
JOB NUMBEB
INSPECTION LINE: 726.3769
OFFICE: 726-3759
TAX LOT:
PHON E
EXPI RES
h,
sr.
ADDRESS
ARCHITECI:
ADDRESS
CO N ST,
CONTRACTOR,PI-ONE
s/9
PLUM BI NG:€r2€9t*a, atL ? 7aA
MECHANICAL:
ELECTRICAL:J*na- P. ll*v.." t<t C--
OWNE
ADDR
CITY;STATE
PHO N E:
ztP
DEScRtploN oF woRK. NELO -il6Et-tu6 *pD
NEW
-
REMODEL x ADDTION DEMOLTSH OTHER VALUE: -
Single Fixture
Reloc
fix. addt
r ce
f t.
an I
errm
fr
Backf low
9TAL PERMIT
A OF UNITS:
FE HA
s 1 0.00
HANDICAP ACCESS:
-FLOOD PLAIN:
ZONI NG:
LIGHTING POWER BUDGET.
WATER HEATER:
- OFFICE USE -
D AREA:
B LDG S:
LANO USE
'GROUP:
STORIES:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT,$/sQ. FT.VALUE
i MAIN
.ACCESS
OTHER
X
X
X
r[1
)S
)Y
he
all
ECK FEE
TOTAL VALUE OF PROJECT
8YRCPT'
i 3 PERMIT
DATE
TOTAL PERMIT FEES
SYST S
DEVELOPN,4ENT
NO
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUS
Floor furnace and vent
Suspcnded wall or l: f loor
mounted unit heater ./7Appliance Vent
sefJarate
Stal ionary ev44lcoolcr -/Vent F;rrTSingledu{
tern apart
or htg.
,l6nt Sys.lrom AC
Mechanical eihaust
hood and duct
Permil lssuance
TOTAL PERN4IT
-1zF,z<J
-
o.ryl,!.,*l_Y**
z.lsI 5% Stats-"
Surett6ige
Coll;x. -;75 FENCE-/
vaka€. $ _sl}$4trK
FT,
S U BTOTA L
PERM ITScuyr*r'
FT
t zro
EXCLUDING ELECTF]IC^L
/97,L
REPcA<E_5_its?€_eeEgZ€tLJ'tG
/AMOUNT RECEIVED
REOEIPT /
DATE PAID:
RECEIVED
REQUIRED INSPECTIONS
It is the responsibrtity of the perrnit holder to s{ie that all inspections are made at the proper time. To request an inspection' call
726.3769 (recorder), state your city designatcd job number, iob address, type of lnspection requested and when you will be ready
for inspcction. Requests ieceived before 7:OO a.rr. will be made the same worklng day, requests made after 7:00 a m' will be made
the follovrir-rg worl( daY.
. SITE INSPECTION: To be
rnade af ter excavation, but
prior to setuP of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUNDATIONS:'Ib be rrrade af ter trenches are
cxcavated and {orms are
erected, all steel in place, but
prior to placing concrete.
CONCRETE SLAB: To be
rnade after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
rn place but before any
concrete is placed.
UN DERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
dralnage lines. To be made
prior to covering or f illing
trenches,
UNDERFLOOR: Plumbing,
electrical, mechanlcal. To be
made prior to lnstallation oI
floor insulatlon, decking or
{loor sheathlng.
POSI & BEAM: To be made
prior to Installation of floor
insulation, decklng or f loor
sheathing,
FLOOR INSULATION &
VAPOR BARRIERS: To be
nraCe prior to installation of
cccking or liooi' shealhing.
MASONRY: Steel location,
t:ond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prlor to placlng
{acing materials and before
framing lnspection.
FRAMING: To be made after
the roof, all (raming, fire
blocking and braclng are ln
place and all plpes, chlmneys
and vents are complete and
the rough electrical, plumbing
and mechanlcal are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulatlon and requlred vapor
barriers are ln place but
before any lath or gypsum
board lnterlor wall covering ls
applled.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND/OR GYPSUM
BOABD: To be made after all
lathing and gypsum board,
interlor and exterlor, ls in
place but before any
plasterlng ls applled or before
gypsum board jolnts and
fasteners are taped and
fi ni shed.
SIDEWALK & DRIVEWAY:
Required for ali concrete
paving wittrin street right of
way, to be made after all
excavating complete and form
work and sub-base mateiial in
place.
-
CURB AND APPROACH
APRONS: After forms are
erected but prlor to placlng
concrete.
PAVING: Atter gravel is in
place but Prior to Placing
asPhalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special lnspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the speclal testing reports shall
be furnished to the Building Divlslon.
STRUCTURAL CONCRETE: In
excess of 2500 PS.l. (306 a.l)
STRUCTURAL WELDS:
Performed on the job. (2722 I)
HIGH STRENGTH BOLTING:
Durlng all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
Durlng earthwork. (306 a.l1 &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certlflcate by an approved
agency, furnlshed to the City's
Bulldlng Division before
beams are placed, (2501 U.B.C.
STDS, 25.10J1).
STRUCTURAL MASONRY: (306
a.7l
'ln addition to the inspec.
tions speclfled, the Building
Of ficlal may mak6 or requlre
other lnspections of any'
construction work to ensure
compllance wlth the Bullding,
Clty or Development Code.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be reques.ted 2 days in advance
of the date you wish lnspectlon. All prolect ionditlons such as
landscaplng, parklng lot stplplng, etc, must be completed before
requestlng thls lnspection.
FINAL BUILDING: Requested af ter the final plumbing, electricat,
mechanlcal and Flre Department inspectlons are made and
approved. No occupancy of the premlses can be made untll a
Certlflcate of Occupancy has been issued by the Building Dlvision
and posted on the premises,
t
PLANS REVIEWED BY OATE
By sig.:rrure, I sttrte and agree, that I have c;rreIully examined the completed application and do hereby certify that all informatic
herein rs true and correct, and I further certify that any and all work performed shall be done in accordance wlth the Ordinancr
of the City of Sprirrgf ield, and the Laws of tlrc State of Oregon pertainlng to the work described hereln, and that NO OCCUPAN(
will be rrrade of any structure without perrrission of the Bulldlng Safety Dlvlslon. I further certify that only contractors and employe
who zire in compliance with ORS 701.055 will be used on this project.
I furtlrcr agree to ensure that all required inspcctions are requested at the proper time, that project address ls readable from t
street, rirat the permlt card is located at tl)c front of the property, and the approved set of plans wlll remain on the site at
times tt uringlcI
Sionatrr re
on s tru ct lon
Date
VALIDAI ION:
ADDITIONAL COMMENTS:
-
I
1 LOCATION OP INSTALITTION
/6t t A/, /?nt ST
PTI
JOB
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 INSTALLATTON ONLI .8.
EIec t r i cal Con t, ^. torJA Un= R HrtV s E frz.
tddrress PcO ,&al 9at4>
Ci ty Etaatg
Supervisor License Number e703 -y
Expl ration Date /a - t-?8
C.
SPFIiIJGFIELO
BT^ECTBJCAL PERI{IT
Job Nunber
COHPLiTE FEE SCIIEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq. f t. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home. or
Modular 'Dvel1ing
SerVice or Feeder
$ Bs.oo
s 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 OnlY
lttir+ftdr@la?ler pqFct ae er'rbmttlod F*? -SSPl!9wjl'S;;t;;-d;-dil' oot roqrrtro u*'qalig tenc $$e
(zft,
apprond.
Zon L
225 TITTB STREET
SPRINGFIEI,D, OREGON
INSPECTION REQUEST:
OPPICE: 726-3759
n.fi1'3
3
A
Sum
s s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
J
0vners Name
Addres
Ci ty
Temporary Services or Feeders
Insiallation, Alteration or Relocation
200 amps"or less S 40'00
over 4b1 to 6oo amps
-
$ 80.00
Over 600 amps or fbOO "oTts see rrBr aIffi
Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit / $ 35'oo @
Each Additional
Circuit or vith Service
or Feeder P"ttit 'i- S 2'oO 4
': I
Miscellaneous (Service/feeder not included)
OVNER ALLATION
Omers Signature:
D.
Phone
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
E
5
-Each installation
Pump or irrigation
-
$
sign/outline Lighting- q
Limited Energy/Res S
qo. oo
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
53.e-
DATE:
RECEIVED
4,65
\
Phone 6{t'o237
Constr Contr. Number Ja-3Sl C
Expiratio n Date- /2 - t- ?6
Signature of Supervising Electrician