HomeMy WebLinkAboutPermit Building 1995-07-31CO M M ERCIAL/ I N DU ST RIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK
ASSESSORS MAP:
-JoB NUMBER -q5l ?&3-SPRINGFIELO
44
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
PHONE:
NR ZIP:
e -)A-
e STATE:
OWNER:
ADDRESS:
CITY:
oI/\
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE
DESCRIPTION OF WORK:
NAME ADDRESS PHONE
33 Ni|o"ro * r 7 TffeExpr RES / o/esfg, *o *,
/y,o
*JCONTRACTOR'S NAME
ARCHITECT:
MECHANICAL
ELECTRICAL:
ADDRESS
GENERAL:
PLUMBING
PLUMBING
NO FEE CHARGE
Relocated Bld
(new fix. addtl
s
)
Water Service
ft.
Sanitary Sewer
I t.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trFF r:HA Rt1tr
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 $10.00
TOTAL PERMIT
LAND US
LIGHTING POWEB BUDGET:
g OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
ZONING
OCCY GROUP:
# OF STORIES
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
o
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
\\ o-25 RCPT#PLAN CHECK FEE DATE BY
%LS
BUILDING PERMIT ,{SOO PLU M BI NG DEMOLITION
5% State
Su rch arq e &SI 5% State
Su rc haroe PnnCL \[c 2S
lf,€€tf^nl€trE i3%). -15 FENCE
VALUE $
5% State
Surcharqe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERIMIT FEES
EXCLUDING ELECTRICAL
t
7zb tr
Qz4
,(
I
I
Single Fixture
WATER HEATER:
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 job number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:0O a.m. will be made
the following work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel 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 INSpECT;ONS: tn accordance
ELECTRTCAL & and approved' Section 306 of the State Specialty Code
MECHANICAL: To be made _ a special inspector shal I be employed
before any work is covered. ATTIC DRAFT STOPS & ny ine owneri Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: 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, alt steel in ptace, but framing inspection' srRUcruRAL CoNCRETE: ln
prior 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
made after ar insrab buirdins 3n:5::.',11 B;E:I?;,;;:," EIIS'"J"',J3"t,Y5f3ol',rrr, ,
service equipment, conduit, and vents are complete and
:i,J[,?,i'.',',:;il:? ?,L',":'fJ :X..
,fl,":lf,]igi:,1'JJ;[l$: 3l?Xf],?E]nol,l".u,f,]l}T"oin place but before any tightening operations. (306
concrete is placed. INSULATION & 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-g.drainage lines. To be made board interior wall covering isprior to covering or filling applied. S'EC'AL GRAD'NG,t re nc hes.
,NDERFL.oR: p,umbins [l::,S'"="'f;m'Jfl[gl"' il;iJEi[til:,5J:'j],"1
electrical, mechanical. To be according to plans. Chapter 29)
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.
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.
cLU.LAM BEAMS: lnspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.c.
STDS. 25-10J1).
STRUCTURAL MASONRY:(306
7l
*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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
RooF sHEATHTNG AND :Hffi^H'^fJ'tr:,o#""X,"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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 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 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
Signature Date
times during nstructio
DATE PAID:
RECEIVED
VALIDATION AMOUNT RECEIVE
RECEIPT *:
FINAL PLUMBING
FINAL ELECTRICAL
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, 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
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
7-.q*?<
sr.tuNGFrE Ll){utb5_SIGN PERIVIII' APPLICAl ION
225 Filth Street
Slrrirrglield, Ot1 97477
LOCATION OF PROPOSED WORK:
h
JOB NUMBER-
lnspection Line: 726-3769
Oftice: 726-3759
55 NJ
2 LASSISSORS MAP:TAXLOT:
PHONE:7,?L-- 3?n1OWNEBs"f t 72 h
ADDRESS: lb55 il,,7fr /d
CII'Y STATE:op ZtP:
BUSINESS NAME, FIRM ETC S.F I 'Te (.)^-
DESCnIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate informationl
/-- Wult -_._- Freestandirrg
-
Proiecting
-
Roof - Marquee
Sirtglt: I'acc - Dorrblt: Face _ Billboard .( omer
Squirre Foot;rgr:Alo (X Total lleight above Grade:la
Vcrtir;itl Drmertsiort tlf sigrt or etlt:los
Elo<; trical lrtstallatio Yes _ No
(lf yes additional p is requiredl
4
Width of sign or enclosure:t7
VALUE:
Dirrrctrsrort lrorn (i
t0 bottorn of Sigrtt1""'7lr:'- x'o"
,(e
M:rterral Sigrr is construoted of
List ALL existing signage and attar:h a plrotograph of each sign
(a) Type
(c) Type
Sq. Ftg
Sq. Ftg
(b) Type
(dl Type
Sq. Ftg.
Sq. Ftg.
CONTRACTOR/INSTALLER
ADDRESS:LJ
PHONE:
CI TY
CONS IlUC TION CONTNACTOIlS I]E(i ISTTIATION NUMBER
cTTyBUSTNESSL|CENSENUMBER: - 9lo{'
SiUrr Dist Land Use
Zclnir.tg Code Section
Sigrr Permit Fee +,t)Approved By:
REOUIRED INSPECTIONS
STATE: O
Ouad Area
\
Electrical
prior.to energizing
9rtaZIP
PIRES:'
_-__ Site
to be rnade prior
to sigrr placement
Footing
prior to placement
ol concrete
OFFICE USE
Attachment
atter fasteners are
irrstalled/prior to cover
DATE:
I / Final
completion of sigq
instal
Arl itiorral Co ents /or Cond rtS
By signature, I state alcl agree, that I have carefully examirred the completed application and do hereby certify that all information herein
rs true.rld correct, ar-rd I further certily rlrat any and all work perforrred shall be done in accordance with the Ordinances ol the City of
Sprrngfield, and rhe Laws of the State of Oregon pertaining to the work described herein. I Iurther certify that only contractors and
ernploycgs wlro ar(l irr cornpliatrce with ORS 701.055 will be used on this proiect.
llurther agree to ensure that all required inspections are requested atthe proper time. that project address is readable from the street, that
tht: pernrit cord is located at the tront of the property, arrd the approved set of plans will remain on the site at all times during the installation
(srq, l4[,Received By
,/-79ol tlrc sigrt(s)
SiUrtature Date 7'-
I
/, ^-
frrf-rc?7
Date Paid:Vllida tiort:
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. lf you are the sign contractor/installer, or if you are
hiring a contractor, you need to make sure that both the City of Springlield Business License Nunrber and the Begistration
Number 1rom the State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each.
lf the sign you are proposing is illuminated, an electrical permit application also needs to be completed and signed by either
, ,rp.rriring electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in
which you are occupying, and you will be performing the electrical installation yourself, you maY sign the electrical
application.
lf there are existing wall and/or freestanding signs' a plrotograph(sl of each existing sign needs to bo sttachsd to the
application. The size ol each existing sign also needs to be listed on the application'
PLANS
To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and
' a plot plan indicating where the proposed sign will be located. lf you are installing a {reestanding sign which exceeds 20
feet in total height, the footing detail needs to be prepared and stamped by a registered engineer. AIter the plan review
process is completed, and, if your sign(sl is approved, one set will be returned to you. The approved set oI drawings need
to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign(s), you may be required to request one or all ol the following inspections durirrg the installation
of your sign:
Site:
Footing
Attachment
Electrical:
Final:
To be requested after indicating on the lot where the proposed sign will be located but prior to any work
being performed lor the installation of the sign. This inspection is required if there is a question on the
location oI the proposed sign.
To be requested after excavation and the forrns are installed, but prior to pouring concrete. ll tlrere will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
To be requested when all fasteners are installed but prior to cover.
To be requested after the electrical connection to the sign is made, but prior to energizing.
After all required inspections are conducted and approved and the sign installation is complete.
The inspections that are required f or your specilic sign will be indicated on the application during the plan review process.
Failure to request ANy of the required inspections could result in sign removal irr order to inspect the sign at the required
intervals of work.
To request an inspection, phone 726-3769. This is a24hour recording. On the recorcling you will need to leave your City
Designated Job Number, location of where the sign is being installed, the type of inspectiorr you are requesting, and whtln
yo, *itt be ready lor the inspection. All inspections called in to the recorder prior to 7:O0 a'nr. will be made lhe sante
working day, all inspections phoned in after 7:00 a.m. will be made the following work day.
lf you have any questions regarding the application, required plans or inspections, please leel f ree to phonc the Building
Salety Division at 726-3759.
City of Springl'icld
Building Safety Division
225 Fifth Street
Springl'ield, OR 97477
OPEGO'VCITY OF
SPRINGFIELO
The following proisct
zoning, and dceg not
as submilted has the
require225 PTYTfr SlREEf,
SPRINGETEI,D, OREGON 97477
INSPECTION FGQUEST2 726-3769
OFFICE: 726-3759
PERHIT APPIJCATION
ci ty Job Number
COHPI,RTB TEE SCffiDTIIJ BELOIT
Nev ingle or
Multi-Family Per dvelling unit.
Service Ineluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
$ 85.00
$ 1s.00
$ 40.00
Services or Feeders
Ins tallation, 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
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini-strative Fee
TOTAL
approval.
1 OF
DESCRTPTION
Permits are non-transferable and 1re
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI{IBACTOR INSTAIJ,ATTON ONLY
Electrical Contractor &NN'
Address 2/ce a)*Llrs # c
Ci ty Phone 687 -/3CL
Supervisor License Number 7o// S
Exp iration Date /o/t /?.s
Constr Contr. Number 7V 7az-
Expi ra t ion Date C
Electrician
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
over 600 amps or lb00Er[s see uBu aEilE
Branch Circui ts ; ..
New, Alteration or Extension Per Panel
one circuit
-.j_
$ 3s.oo g5
Each Additional
Signature
ON
Sum
B
c
D.
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Signatu;e o$ IU'A
0vners Name
Address
ci Phone
The installation is being made on
property I orln vhich is not intended
for saIe, lease or rent.
Orners Signature:
DATE:
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/0utline Lighting_
Limited Energy/Res
Limi ted Energy'/Comm
'1Llo3qZL
s 40.00
s 40.00
$ 20.00
s 36.00
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