HomeMy WebLinkAboutPermit Building 1991-07-15COMM ERCIAL/ IN DUSTRIAL
PERMIT APPLICAT!ON
225 Fitth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
SPFIINGFIELO o
-f \08(-\ *,n 32nrL Jt"r n..t'
JOB NUMBER
I NSPECTION LIN E: 726-3769
OFFICE: 726-3759
TAX LOT:
PHONES,fi.t
OL 9)(2)ZIP:
1*L2€d,
STATE:
6!7-Zua-t or..Z,2o l4;-- A a/asleOWNER:
ADDRESS
CITY:
ruEw f REMoDEL ADDtrtoN DEMoLISH orHER
4)
VALUE
DESCRIPTION OF WORK:
EXPIRES
,<"/e-z/
?o*rur*uO,@erz
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:zy'z-tzzs
PHONE
ZX7-qzoo
CONST.
CONTRACTOR #PHONE
3r'G?'4E
ADDRESS
Zaat<Za.c7.-.1
ADDRESS
//No ,?a?./ <s T
GENERAL:
PLUMBING
NAME
r{.a* 4-;rr.
*/e27 fuqQ.
PLUMBING
NO.FEE CHARG E
/4 Single Fixture /o /4o-d
Relocated Bld
(new fix. addtl
s
)
1f,6'Water Service
ft.a€6z).
70
Sanitary Sewer
ft.qafo
3t a'Storm Sewer
ft.?2,p
I Backflow Device /D.AO
TOTAL PERMIT 285,fl
MECHANICAL
Nr)trFF EHA RGF
-
Furnace/burner & vent
< 100,000 BTUs 6 /g.b
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
--z
Suspended wall or f loor
mounted unit heater la ./z,e
Appliance Vent
separate
Stationary evap.
cooler
,Vent Fan/Single
duct v /u*
2 Vent
f rom
sys
AC
tem apart
or htg.45a q-Q
Mechanical exhaust
hood and duct
4 Gza /,zrn ,€o zoo
Permit lssuance $10.00
TOTAL PERMIT ru.6A
E-
v-2
2
QUAD AREA Sf-NL
WATER HEATER:€za<7
- OFFICE
S OF BLDGS:
LIGHTING POWER BUDGET: O.K.
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING
LAND USE:
r OF UNITS:
A-/e#
6vOCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
o
H
TOTAL VALUE OF PROJ
X
X
% z7/?
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
bt)8u1"*',*...241---,L9'E#f, ,n.o4r43:ze-: jL BY
g7a 7.a8
BUILDING PERMIT 1/ Fv:oa PLUMBING 23f.-DEMOLITION
5% State
Surcharge f 7.6u 5% State
Surcharoe /q.2q ./DDrrtt*,s,?z-n,R*ura<
MECHANICAL 6b.da FENCE
VALUE $Fee 29.2{
5% State
Su rcharoe Z.BO SIDEWALK
FT.€?.&2 SUBTOTAL
PERM ITS lq?9,fu
PAVING 27{,oo CURBCUT 12n./6,40 SYSTEMS
DEVELOPMENT 70 /a. /3
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
5/ 4d:';4
q 7/-/2
Z ,-' /a 1 v€'fi-1-- .
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, 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
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
INSULATION & VAPOR' BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior wall covering is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
v LATH AND/OR GYPSUM
' BOARD: To be made after all
lathing and gypsum board,
interior and exterior, is in
place but before any
plastering is applied or before
gypsum board joints and
fasteners are taped and
f inished.
^
,\
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.
x pAVtNG: After graver is in' place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Speciatty Code
a special inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be f urnished to the Building Division.
/ STRUCTURAL CONCRETE: tn
excess of 2500 PS.t. (306 a.t)
STRUCTURAL WELDS:
Performed on the job. (2722 t)
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghtening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
cLU.LAM BEAMS: tnspection
Certificate by an approved
agency, furnished to the City,s
Building Division before
beams are placed. (2501 U.B'C.
STDS. 25-10,11).
STRUCTURAL MASON RY: (306
a.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.
/
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UNDERGROUND: PIumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
FLOOR INSULATION &
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
NAILINGI Prior to installing
any roof covering.
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 furtheragree to ensure that all required inspections are requested at the propertime, 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.
Signatu re Date
AMoUNT RECETVED: ?/?=,*f 4.7>*v(7RECEI PT #. 26a1D
VALI
RECEIVED BY:
DATE PAID:
FINAL PLUMBING
x FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
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
requesting this inspection.
FINAL BUILDING: Requested after the final plumbing, electricat,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
x
v
ADDITIONAL COMMENTS
PLANS REVIEWED BY E ?/>7
OF OREGO'U
-\.s1'ruN(:FrELo
225 FIFTE STREBT
sPRrNcFrBLD, OREGON 97477
INSPECTI0N REQIBST. 726-3769
oFPICE: 726-3759
1
BI.,ECTRICAL PERHIT APPLICATION
City Job Number
3. COHPI,ETB TEE SCEBDUI,E BELOV
New Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 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_
Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
ab
200 amps or less \ $ 40.00
201 amps to 400 amps _ $ 55.00
Over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see rrBrl
{ t\rro
IJGAL DBSSRIPTION
(\$^,s/v\:ehD)
JOB DBSCRIPTION
Permits are non-transferable and expirelf vork is not started within 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONIY
Electrical Contractor
AddressR-lO \\ >=$
C i t y kilSe,f rra-SPhone
Supervisor License Number
1xr+G-i}
3\s\3
Expiration Date re\.H.'-
c
Constr Contr. Number ?S--=SC-
Expiration Date \s\\\
Signa of Supervisl
Ovners Name
Address
ci ty-Phone
OTINER INSTALI,ATION
The installation is being made on
property I own vhich is not intendedfor sale, Iease or rent.
Ovners Signature:
DATE:
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
LOCATION
3A^\t' +
OF INSTALI,A:TION
Ou:-lt-\P\<-A.
Sum
B
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
UJ
above
-Each installation
Pump or irrigation $
Sign/outline Lighting- $Limited Energy/Res $
Limited Energy/Comm S
00
00
00
00
40.
40.
20.
36.
5
RECEIVED
Electrieian
TY OF
225 FIFTE STRBEf,
SPRINGFTBIJ), ORBGON 97477
INSPBCTI0N REQIBSTI 726-3769
OFPICE: 726-3759
1
sl,rttI{GFtELf,
BLBCTRICAL PBRHTT APPLICATION
City Job Number
3. CO}IPIJTB TEE SCBEDULE BBLOII
A Nev Residential-Sing1e or
MuIti-FamiIy 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
Serviee or Feeder
$ 8s.00
$ 40.00
B.Services or Feeders
Installation, Alterations or
Relocation:
200 amps or s
amps
amps
o
o
o 1000 amps_
Over 1000 amps/volts
Reconnect 0nly
C. Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Ti},A'D
o Sum
I
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 INSTALI,ATION ONIY
Electrical Contract
Add
citN Phone*\\a\b\3
Supervisor License Ntimber 3'\S\S
Expiration Date ro\i\qb.
constr contr. Number ?OS5C
Expiration Date fo\r\.ft
Signature of Superv Electrician
Owners Name
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
0ver 600 amps or 1000 volts see ilBil above
201 amps t
401 amps t
601 amps t
I
4
6
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
es,
00
00
Address
Ci ty Phone
One Circuit
Each Additional
Circuit or vith Serv
or Feeder Permit 13r ECIAC
.00
.00
.00
.00
a
OIINER INSTALI,ATION
The installation is being made on
property I own which is not intendedfor sale, Iease or rent.
Onners Signature:
DATE:
RECEIPT
RECETVBD
$ 3s.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $Sign/outline Lighting- $
Limited Energy/Res SLimited Energy/Comm $
SUBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
40
40
20
36
d5
B
I
I
QI
$ 1s.00
w
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