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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