HomeMy WebLinkAboutPermit Building 1994-08-22COMM ERCIAL/ I N DUSTRlAL
PERMIT APPLICATION
225 Fitfi Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK
ASSESSORS MAP:
SPFlINGFIELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
PHONE;
AzA, J ZIP:
.farrict
STATE:
Ifa
ztt -s
92y'CITY:
ADDRESS
OWNER:
NEW
-
REMODEL ADDITION Y DEMOLISH OTHER VALUE:ZEraoc
NAME
zy'z-Pt{+
*
G E N EFIAL:
PHON EADD RESS
PLUMBING
PHONE
Bf-8.]aa
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
EXPI RESy'rr
CONST.
CONTRACTOR #
llp-1,>Oaaac- aJtrzzz.T,il 4- -bs s/n?>
PLU MBING
NO.FEE CHARG E
Relocated Bldg
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trtrtr CHARGF
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 System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
* OF STORIES:
- OFFICE
ZONING t l"yl I
OCCY GROUP:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
* OF UNITS:
LAND USE:
CONSTR. TYPE
HEAT SOURCE:
QUAD AREA:
* OF BLDGS:
SQ. FT.$/SQ. FT.
,y'tr /asaf -a
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
VALUE
2R-ez>
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE BYRCPT#DATE
7/9.32
BUILDING PERMIT /8./."PLU MBING DEMOLITION
5% State
Su rcharqe
,+B ?:*.5% State
Su rcharqe
MECHANICAL FENCE
VALUE $
5% State
Surcharqe
SIDEWALK
FT.
SUBTOTAL
PERMITS /?e.4
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
/{o i0D'1
lDr?acr- suRE0
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
DESCRIPTION OF WORK:
ELECTRTcAL: l/.keoU ,(u;. SJ*T; ft ev ru A.r:f.*il, aSv€ Z*a-qor{,8
5J".,*, STe&t ,^to
ADDRESS
r, , (-b )SY 1*f* e/qr-Fl}
Single Fixture
3f,Nn
/ ado
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
,f MASoNRY Steet tocation,
bond beams grouting or
verticals in accordance with
uBc 2415.
RooF sHEATHTNG AND iHRS^H'^ttJ'tr::f""X,"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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
726-3769 (recorder), state your City designated iob number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:OO a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTIoN: To be y RoUGH+L{J*B{+}Q, pAVtNG: After gravet is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & Oy ine Owner/ Contractor during
CURTAIN WALLS construction of the following w6rk. A
X FOOTINGS & FOUNDATIONS: E,DEDT A^E. c copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, ail steet in ptace, but framing inspection' srRUcruRAL coNcRETE: ln
prior 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 arter ail insrab buirding 3l::5::.':fl 3,T:It;,;;:r" FIn8,fl"T3^tHitT',rrz oservice equipment, conduit, and vents are complete and
:H,!,?'i".',',jil{:? ?['*:'H :X? H::Hlt"ji:,X,J#[3:H 5l?,Xf],?E],?l*,1o*TS:"0in place but before any tighteiing operations. (306concrete is placed. TNSULATION & 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.B.C.storm sewer, water and before any lath or gypsum Standards 43-g.drainage lines. To be made board interior wall covering is
l;;:;:":"*rins or filling applied. spEctAL GRAD'NG,
,NDERFL..R: p,umbins [:::,S"*1"m'J3]"Hf"' il;i;t'iiil-:li:,5Jb'i],"1
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or v 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 interior and exterior, is in Building Division before
prior to installation of floor place but before any beams are placed' (250'1 U'B.c'
insulation, clecking or floor plastering is applied or before STDS' 25'10'11)'
sheathing. - Sypsum board joints and
fasteners are taped and X STRUCTURAL MASoNRY: (306
FLooR TNSULATToN & finished' a'7\
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.
(/
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 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
times during construction.
Sign Date
bVALIAMOUNT RECEI
RECEIPT *:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
/ FrNAL ELEcTRTcAL
f FINAL MEcHANTcAL
V FINAL FIRE DEPARTMENT
ADDITIONAL COMME
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaping, parking lot striping, 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 made until a
Certlficate of Occupancy has been issued by the Building Division
and posted on the premises.
PLANS REVIEWED BY DATE *-2>*?7
*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.
x
225 ?TYTE SIT.EEf,
The followlng lxojectzontng, and does not requlre epecifloapproval.
sPRnrcErELD, oREGoN 97477
INSPBCTION REQUEST: 726-3769
OBPICE: 726-3759 . u"_J*-A4_ ,.
1 LOCATION OT
SPFTI\IGFI€LO
PERHIT
City Job Nunbe, ?7/283
COHPI,ETE FEE SCMDULE BBLOS
Single or
@as submlttod hes the
A.ew
B
E.
I,EGAL DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or lf vork ls suspended for
180 days.
2. COIITRACTOR INSTALI,ATION OIILY
Electrical Contracto r/U c kt*zte ,fura<fun
Address P.a e)x ///
utvWns+tb ?/flhone 4/i'/e4a
Supervisor License Number s
Expiration Date /O -/-fg
c
' Constr Cont r. Number 6iaeg
Expiration Dat e3 - t3 -16
Signa of Supervising Electrician
D.
Omers Name
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Servlce or Feeder
$ 8s.oo
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
$ 40.
Sum
200 amps or lessior .rb" to 499 ^ ps T7401 amps to 600 amPs
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less z- $ 40.00 @
201 amis to 400 amps
-
$ 55.00
over 4b1 to 600 amps
-
$ 80.00
-
0ver 600 amps or tbOOGTts see 'Bu a56lE
Branch Circuits
Nev, Alteration or Extension Per Panel
$ so.
$ 60.
$100.
$130
$300
@.00
00
00
00
00
00
i
t/rAddress
ci
olINqR
DATE:
The installatlon is being made on
property I own vhich is not intended
for sale, Iease or rent'
()trners Signature:
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t I
SUBTOTAL OP ABOVE
5f State Surcharge
TOTAL
Miscellaneous (Service,/feeder not included)
-Each installation
Pump or irrigation $ 40'00
t i.ilited Energy/Res I $ 2o.oo
Phone
$ 3s.00
$ 2.00
5
RECEIVED
CITY OF OREGO'U
A2 d)
-T53:3c