HomeMy WebLinkAboutPermit Building 1991-04-02SPNINGFIELO to LCOMM ERClAL/IN DUSTRIAL -
PERMIT APPLICATION
225 Frtfi Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK
ASSESSORS MAP
JOB NUMBER
INSPECTION LIN E: 726-3769
OFFICE: 726-3759
TAX LOT:
PHON E:
ZIP:STATE:
OWNER
ADDR
CITY:
DESCRIPTION OF WORK:
NEW-- REMODEL.OTH ER VALUE:)< ADDrroN k DEMOLISH
PHON E
ENq
EXPINECO
DRESS
ARCHITECT:
G EN ERAL:
PLU M BI NG
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
PLUMB ING
NO.FEE CHARGE
6 Single Fixture /a 4a.d
Relocated Bldg
(new f ix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
lrlsr>,baa*4r /a.-
TOTAL PERMIT
MECHANICAL
NO trtrF aHA Aetr
f,Furnace/burner & vent
< 100.000 BTUs e v4a
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
/Suspended wall or f loor
mounted unit heater ./ d,(?t
Appliance Vent
separate
Stationary evap.
cooler
6 Vent Fan/Single
d uct ,/B-azVent System apart
from AC or htg./-P 7*
Mechanical exhaust
hood and duct
q .4tn Pter*,*D 7-,9o
Permit lssuance $10.00
TOTAL PERMIT O2.4
.qI [..l 0-
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
WATER HEATER:
* OF UNITS:
LAND USE:FLOOD PLAIN:
ZONING
CONSTR, TYPE:
HEAT SOURCE:
OCCY GROUP:
# OF STORIES
QUAD AREA:
* OF BLDGS:
VALUESQ. FT.$/SQ. FT.
SQ. FTG MAIN
SQ. FTG OTHER
rorAL vALUE oF PRoJEcr /fu/@6
- L- - -st_
SQ, FTG ACCESS
X
X
Y
tialUru
3.s-qlRCPT#PLAN CHECK FEE DATE BY
7?7 66
BUILDING PERMIT 5/r,ro PLUMBING o,4*
v.u-
DEMOLITION
5% State
Su rch arqe 27. ?b 5% State
Surcharoe
MECHANICAL 7Z€O FENCE
VALUE $
5% State
Surcharqe 7. aa SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT /y4.
TOTAL PERMIT FEES
EXCLUDING ELECTBICAL
- OFFICE USE _
-
REOU!RED !NSPECTIONS
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
726.3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:0O a.m. will be made the same working day, requests made after 7:O0 a.m. will be made
the following work day.
SITE INSPECTION: To be ,X ROUGH PLUMB|NG, pAVtNG: After gravet is inmade after excavation, but ELECTRICAL & place but priorlo placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpEC1AL INSpECTIONS: In acoordance
ELECTRICAL & and approved' Section 306 of the State Speciatty CodeMECHANICAL: To be made a special inspector shall be employedbefore any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. AX FooTINGS & FoUNDAT|oNS: copy of the special testing reports shail
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 pS.l. (306 a.1)
coNcRETE SLAB: To be the roof', all framing' fire I
"r*rcruRAL
wELDS:made after all Inslab building blocking and bracing are in
service equipment, conduit, :iTi"?l* :l.L?ffii;iiil:," h
Performed on the iob' (2722 f)
:fli,ff:"Xxl;fl:? ?i"i:'i:J :Xi H*[ifi".Il:*;l*[w A Bl?Xf],?:]-"1*gP*I]:".in place but before any v
stsFlv'vvr
tightening operations. (306concrete is placed. v INSULATIoN & vApoRv '\ [I?'*tH:# f,u,fi"..tJ.,,", ",, a'6) /f a'€2'
6 UNOERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC.storm sewer' water and before any lath or gypsum standards 43-8.drainage lines. To be made board interior wallLovering isprior to covering or filling applied.trenches. SPEC|AL GRADING,
,NDERFL..R: prumbins [:::,it=^'f;x*'J3[,Yltt' Efilt'jiil*[tB:':1,"a
electrical, mechanical. To be according to plans. Chapter 29)
ii#'",5:l:':l''"1:".t5J;,t;?i?t X LAIH AND/oR GypsuM cLU-LAM BEAMS: rnspection
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 interior and exterior, is in Building Division before
prior to installation of floor place but before any pgams are placed' (2501 U.BC.
insulation, decking or floor plastering is applied or before STDS' 25-10J1)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATToN & finished. a.7l
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
NAILINGT 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 SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesti ng 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 Division
and posted on the premises.
/ F'NAL ELE.TRT.AL
X FrNAL ME.HANT.AL
Y FINAL FIRE DEPARTMENT
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 f urther 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 OCCUpANCywill 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.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from thestreet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at alltimes durin truction.
Si gnatu Date
I U
VALIDATION:AMOUNT RECEI
RECEIPT S:
E DATE PAID:
RECEIVED BY:
x
225 PIFTE SlRBEf,
SPRINGPIBU), OBBGON 97477
INSPBCTION RBOUBSTS 726-3769
OPFICB: 726-3759
1
\fl?5 \ oo\D\
Permlts are non-transferable and expirelf vork ls not started wlthln 180 daysof lssuance or lf vork ls suspended for
180 days.
2. CONTnACIoR
Electrlcal Con
Address
City Job Nunber
3. COHPI,BTB TBE SCIIEDT'I,E BBLOS
A New Resldential-Single or
Multi-Faml}y per dvelling unlt.
Service Included:ftems Cost
1500 sq;ft. or less
Each addltlonal 500
se. ft or portlon
thereof
Each Manuf,d Home or
Modular Dvelllng
Servlce or Feeder
$ 85.00
$ 1s.00
$ 35.00
D. Servlces or Feeders (10 Branch Clrcuits
included). Installation, Alteratlons
or Relocation:
SPTITNGFIELrl
BI,]ECTRICAL PERHIT APPLICATION
D. Branch Circults
New, Alteratlon or Extenslon Per Pane1
q\o\qa
100 amps or less
101 amps to 400 amps _401 amps to 600 amps
601 amps to 1000 amps-
0ver 1000 amps/volts
Reconnect Only
200 amps or less $ 35.00
Over 600 amps or 1000 volts see rrBrr above
Sum
ONLY
tract
cl ,n".t1-2L\3
Supervlsor e Number .34btS
Expiration Date to/rl qL
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 3s.00
Constr Contr. Number
Expiratlon Date
Blectrlcian
rs Name
Add
Ct ty
OSNBR
The lnstallatlon is belng made on
property I ovn vhlch ls not lntendedfor sale, Iease or rent.
Omers Slgnature:
DATB:
RBCBIPT
C. Tenporary Services or Feeders
Installatlon, Alteration or Relocation
rt One Circuit
Tr*o to ten Clrcults
Each Addt,l ten orportion thereof
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
$ 3s.00
$ so.oo 565
g ls.oo \5"
B Miscellaneous (Servlce/feeder not included)
-Each lnstallatlon
Pump or irrigation $ 36.00
Slgn/outline Lighting- $ 36.00
Slgna1 Clrcuit or
Iimited energy panel $ 36.00
co
3)s
CITY OF ONEGON
RBCBIVBD BI:
5
GrS