HomeMy WebLinkAboutPermit Building 1997-04-07CO M M E RCIAL/ I N D USTRIAT.
PERMIT APPLICATION
225 Fiffi Street, Springfield, Oregon 97477
SPFINGFIELO JoB NUMBE R 7^ Vfi
INSPECTION LINE: 726-3769
OFFICE: 726-3759zLOCATION OF PROPOSED WORK:
TAX LOT:
ZIP:
AD OTHER VALUE:
STATE:
H
4
TION
-
D
CITY:
DESCRIPTION OF WORK:
ADDRESS
OWNER:
NEW- REMODEL
NAME ADDRESS PHONE
ADDRESS EXPI RES PHON E
NE
CONTRACTOR'S NAME
ARCHITECT:
ELECTRICAL:
MECHANICAL:
CONST.
CONTRACTOR #
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
NO FFF CHA EIGtr
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
se parate
Stationary evap.
cooler
X xsiiryy'51 ?Z qz /9*
f,
lrom
sis
AC
Ven(tem'apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT ,/.a -D
- OFFICE USE _
LIGHTING POWER BUDGET:
WATER HEATER
* OF UNITS:
HANDICAP ACCESS
FLOOD PLAI
ZONING
OCCY GROUP:
* OF STORIES:
QUAD AREA:
r OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
pLAN cHEcK FEE7A83 Rcprr ?V?8 oerc 7^ 2€2
BUILDING PERMIT PLU M BI NG DEMOLITION
BY
tu
5% State
SurcharAe
57 5V32 5% State
Surcharqe
I'/ EC L 7;.7u FENCE
VALUE $
5% Sfate
Su rc harqe :?s€SIDEWALK
FT.
SU BTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
/75,r5TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
ASSESSoRS raae, /)ne?-7y' 7/22e*
-e
zy>.
,:7e
LAND USE:
ECTRICA
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, iob address, type of inspection requested and when you will be ready
i., '^"plJii;^.
n.q*"t" received before 7:00 a.m. wiil be made the same working day, requests made after 7:00 a'm' will be made
the 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'
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.
UNDERGROUN D: Plumbing,
electrical, gas, sanitarY sewer,
storm sewer, water and
dralnage lines. To be made
prior to covering or filllng
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made Prior to installation of
floor insulation, decking or
floor sheathing.
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 framlng, 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.
LATH AND'OR GYPSUM
BOARD: To be made after all
lathlng and gypsum board,
interior and exterlor, is in
place but before anY
plastering ls 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.
PAVING: After gravel is in
place but Prior to Placing
asphalt or concfete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty 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: IN
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722'fl
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnsPection
Certificate bY an aPProved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
srDS. 25-10,11).
STRUCTU RAL MASONRY: (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.
X MBING,
No work is to
I thesebeUti
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or f loor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or f loor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING ANO
NAILING: Prior to installing
any roof covering.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thet 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 pertainlng to the work described herein, and that No oCCUPANCY
will be made of any struciure without permission of the Buildlng Safety Division. I further certify that only contractors and employees
who are in compliance with oRS 701.055 will be used on this project.
uested at the propertime, that project address is readable from the
.JN
uctlfri.drr
prope
u 7?)1 t-b,n Date
I further agree to ensure that all required inspections are req
at allrty, and the approved set of plans willstreet, that the permlt card is located at the front
times during constr
tAt\Signature
2<'
VALI DATION
RECEIVED BY:
DATE PAID:
RECEIPT #
FINAL PLUMBING
/FINAL ELECTRICAL
SITEPLANREVIEWBOARD:Mustberequested2daysinadvance
of the date you wish inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting thls insPection.
t FINAL BUILDING: Flequested after the final plumbing, electrical,rt mechanical and Fire Department inspections are made and
ap proved. No occuPa ncy of the premises can be made until a
Certificate of Occu pancy has
premises.
been issued by the Building Division
A/
_/
FINAL MECHANICAL
FINAL FIRE DE
ADDITIONAL COMMENTS:
posted on the
PLANS REVIEWED BY os7 7^49,atz
?
remain
AMOUNT RECEIVED:
225 FTFTB STREET
SPRINGFIELD, OREGON 97477
INSPECf,ION REQTESTz 726-3
OFPICE: 726-3759
L{kI__
P rv^
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B. Services or Feeders
InstaIIation, Alterations
or Relocation:
S. aGFl[:LO
BLECTRICAL PERHIT APPLICATION
Ci tv Job Number QP ffi
COHPLETE FEE SCHEDULE BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1. LOCATION OP INST TTON
2 3
LEGAL DESCRTPTION
OB DESCRI
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. COMRACTOR INSTALLATTON ONLY
Electrical Contractor
Address
City_ Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name
Zonir ,_
4 :erq
3
A
One Circui t
Each Addi tional
Circui t or vi th
or Feeder Permit
/
Service
Sum
s 8s.00
$ 1s.00
s 40.00
a6ove
s 3s.oo 32
s 2.00
200 amps or less
20L amps to 400 amps
-401- amps to 600 amps _60L amps to 1000 amps_
Over L000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
s s0.00
s 60.00
s100.00
s130.00
$300.00s 40.00
c
200 amps''or less $
201 amps to 400 amps
-
S
over 401 to 600 amps
-
$
Over 600 amps or 1000-voITs se
40.00
s5.00
80.00
e ilBlr
Branch Circui ts
Nev, Alteration or Extension Per Panel
addrcss z// =2
4 7iY -
Ci ty - Phone %87-4:*
OVNER INST
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
Omer Signa ture:
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Limited Energy/Res $ 20.00
E
5 SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
DATE:
RECEIVED B 3n. *a
- z- c( z I
\