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Home My WebLink AboutPermit Mechanical 1994-04-14COM M ERCIAL/ I N DUST RIAL PERMIT APPLICATION 225 Fiftn Street, Springfield, Oregon 97477 SP;llNGFIELO QAEfu9 zfr, JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 2g-wLOCATION OF PROPOSED WORK: ASSESSORS MAP:TAX LOT:22? fi tt w\*L i, L 7?-b-3otqPHONE: OQSTATE:ZIP:q1rl1')P.o. B"r:rtOWNEFI: ADDRESS: CITY: NEW - REMoDEL ADDrroN Y DEMoLtsH orHER VALUE DESCRIPTION OF WORK: ADDRESS PHONENAME EXPIRES PHONEADDRESS qto 41 'L CONTRACTOR'S NAME ARCHITECT MECHANICAL ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUM BI NG PLU MBIN G NO FEE CHARGE Single Fixture Relocated Bld (new fix. addtl s ) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT MECHANICAL NO FFF EHARGF Furnace/burner & vent < 100,000 BTUs I Furnace/burner & vent >100,000 BTUs 1 ,50 Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct \^A^;^/T'-l( no Permit lssuance $10.00 TOTAL PERMIT f,Soo _ OFFICE USE _ ZONING HANDICAP ACCESS: LIGHTING POWER BUDGET:CONSTR, TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: WATER HEATER: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ X X SO. FTG MAIN SQ. FTG ACCESS SO. FTG OTHER BCPT#PLAN CHECK FEE DATE BY %,<1s BUILDING PERMIT PLU MBING DEN4OLITION 5% State Surcharoe 5% State Su rc harqe MECHANICALTL1-t5 00 r A ,/\ f'\ FENCE VALUE $ 5% State Su rch arq e -lf SIDEWALK FT. SUETOTAL PERN4ITS PAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL l1 .)?? / -,L{ FLOOD PLAIN: REQUIRED !NSPECTIONS It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call726'3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be madethe following work day. SITE INSPECTION: To be ROUGH PLUMBING, PAVTNG: After gravet is inmade after excavation, but ELECTRICAL & place but prior to ptacingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: tn accordance ELECTRICAL & and approved. Section 306 of the State Specialty CodeMECHANICAL: To be made a special rnspector shall be employed before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following w5rk. A FOOTINGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Buildiig 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. (3OO a.1) coNcRETE SLAB: To be the roof, all framing, fire made after ar insrab buirdins 3i::5 ::.':ff B|3:Ir";,'fi13r" Fl[3,Tyf3"t,Y.ttT',rrr, ,,service equipment, conduit, and vents are complete andpiping, accessories and other incirr-irv equipment items are :X?'fi::H]t"ii:,1'jJ;[3::: Bl?If],i.o]noLl",?,o,.'I]t"oin place but before any tighte"ning operations. (306concrete is placed. INSULAT|oN & vApoR a.6) BARRIER: To be made after all UNDERGROUND: 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 wall Covering is lrtJ;:;:":"r.ring or fillins apptied. spEctAL GRAD|NG, ,NDERFL..R: p'umbins Ill:'S".=,.':"XA',i3[Hl"' ifiiJx'iiil#il',5J:'i],"1 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 exierior, is in Building Division before prior to installation of floor place but before anv !?ffi"fi?"P]aced' (2501 U'BC' insulation, decking or floor plastering is applied or before Dr uD' zc'ru'rr)' sheathing. - Sypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLOOR INSULATION &f inished VI\POR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with u3c 2415. RooF sHEATHTNG AND iHRS^H'^rti,"r::f"":'. NAILING: Prior to installing erected but prior to placing any roof covering. concrete. 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. a.7) *ln addition to the inspec- tions specif ied, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. t-/ 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 Springf ield, 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 proiect. 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 Signat DateP V-r (f-?YF P,*';z times during tru ct ion ,(c.1{VALIDATION 'QB '{/rq I QL( I eq0 AMOUNT RECEIVED RECEIPT *:RECEIVED BY: DATE PAID: FINAL PLUMBING FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parklng lot stri ping, etc. must be completed before requesting 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 macje until a Certificate of Occupancy has been issued by the Building Division and posted on the premises. ADDITIONAL COMMENTS:- PLANS REVIEWED BY DATE FINAL ELECTRICAL OREGCITY O SP FIELD, The followlng pro;ec't as submlttEd hae th9 r-"1-s, ;iJ?5es'not require specific land 4fPfrova!' r . il!-stot ^r"s LW-- A^uAtt 225 FIFTE STREEf, SPRTNGFIEUT, ORBGoN INSPEGIION RBQTIBST: OPPICE: 726-3759 1. lf vork ls not started vlthln 180 daysof lssuance or lf work ls suspended for 180 days. ' 2. COIIIRACiTOR INSTATI,ATION ONLY Electrlcal contractor L.R. BRABHAi4, INC. Address 68 l.l. "Q" ST., Ctty SPFLD Phone 747-6638 Supervlsor Lleense Ndmber 1 473S Expl ratlon Date 10.11/95 Constr Contr. Number 08699 following PERHIT APPTICATION A Nev Resldentlal-Slngle or Hultl-Famlly per dvelllng unlt. Servlce fncluded:Items Cost 1000 sq.ft. or less Each addltlonal 500 sq. ft or portlon thereof Each Manuf'd Home or . Hodular Dwelllng Servlce or Feeder $ 85.00 $ 15.00 $ 40.00 B. Servlces or Feeders Installatlon, Alteratlons or Relocatlon: 200 amps or less 201 amps to 400 amps _ 401 amps to 600 amps _ 601 amps to 1000 anps_ 0ver 1000 amps/volts Reconnect 0nly C. Temporary Servlces or Feeders Installatlon, Alteratlon or Relocation 97 7 Clty Job Numbe r a**-*-11- 1 1rt 3. COHPLETB FBE SCEEDUI,E BELOII Sum " tlar $ s0.00 $ 60.00 $100.00 $r30.00 $300.00 $ 40.00 Exp 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 500 amps _ $ 80.00 Over 600 amps or 1000 volts see I'Brr above Slgna of Supervl slng Blectrlclan Owners {WKT€L OIINER INSTATTATION The tnstallatlon ls belng made on property f orn whlch ls not lntended for sale, lease or rent. Orners Slgnature: DATE: a lratlon Date I 2/18/94 Address {'a ' hov'gt+b ct 6?+lb Phone -LAb 50 l+ D. Branch Circuits Nev, Alteratlon or Extenslon Per Pane} one ctrcutt i $ 3s.oo iffi Each Additional Circuit or vith Servlce or Feeder Perml t Z S 2.oo _!b!0c E. Hiscellaneous (Servlce/feeder not included) -Each lnstallation Ptrmp or lrrlgation Sign/Outllne Llght inS- Llmlted Energy/Res Limtted Energy/Comm _ STIBTOTAL OT ABOVB 5Z State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 l,o RECEIVED 5