HomeMy WebLinkAboutPermit Building 1994-11-22COMM ERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SPrllNGFIELO loa Nurtaeen
INSPECTION LINE: 726-3769
OFFICE: 726-3759
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LOCATION OF PROPOSED WOFIK
ASSESSORS MAP o TAX LOT:a.jr>a
S
ffi. zP ;Tv28STATE:
PHONE:OWNER
ADDRESS:
CITY:
VALUE:ADDITION DEMOLISH OTHER
DESCBIPTION OF WOR
"NEW REMODEL
PLUMBING:
MECHANICAL:
-
ELECIRICAL:
PHONENAMEADDRESS
EXPIRES PHONECONTRACTOR'S NAME
ARCHITECT:
GENERAL:
CONST,
CONTRACTOR #
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHANICAL
NO FFF CHARGF
Furnace/burner & vent
<100.000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or lloor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct v,a>e
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
,/)Lacrb,sr>z-,-?a?5 1-a*2
Permit lssuance $10.00
TOTAL PERMIT 7fu2</f,.o
OUAD
ZONING I t\P-
-o
,T OF UNITS:
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
I OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP:
r OF STORIES:
$/SQ. FT.VALUESO. FT.
4
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN cHEcK FEE /97-?{r /5/f6 /2&^7{DATE BYRCPT
?7/.A7
BUILDING PERMIT 287,.r<>PLUMBING DEMOLITION
5% State
Su rcharoe
/ v./?-2.41'5% State
Su rcharoeMecHwH,::7 ,?-;FENCE
VALUE $
5% State
Surcharoe
rzsZ.7 R SIDEWALK
FT,
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT 'yo Aoo2,\ d
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
/r'?/
?/z#r7
x
h
T
REQUIRED INSPECTIONS
It is the responsibillty 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 lnspectlon. Requests received before 7:0O a.m. will be made the same working day, requests made after 7:OO a.m. will be madethe following work day.
slTE INSPECTIoN: To be / RoucH PLUMBING, pAVtNG: After gravel is inmade after excavation, but ELECTRICAL & place but priorlo placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB PLUMBING, inspections have been made SpEC;AL INSpECTIONS: tn accordanceELECTRTGAL & and approved. section 306 of the State Specialty CodeMECHANICAL: To be made , a special inspector shall be empl-oyedbefore any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be iurnished io 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. A FRAMING: To be made after excess of 2500 p.s.l. (306 a.1)
coNcRETE SLAB: To be the roof, all framing, fire
made after an insrab buirdins 3i::5 ::..:f, 3i3:IrJ,';l:r" BII3,gyf3"t,Y5t,3olirrz oservice equipment, conduit, and vents are complete andpiping, accessories and other
incirr"arv equipment items are :x.oH'"3[i]igl':fl'fJ;;:9:t: 5l?IfL?E]u'lI.",?f*IH:"0ln place but before any e'Y'vrvv'
tightening operations. (306concrete is placed. tNSULATtoN & vApoR a.6)
BARRIER: To be made after allUNDERGROUND: 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 llnes. To be made board interior wall-covering isprior to covering or filling applied. - obE^,Ar ^hA,trenches. SPEC|AL GRADING,
,NDERFL..R: prumbins Il1:,S"":'f;m'J3[H].* EMITiiil-:iP,5Jb'j],"1
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of
floor insulatton, 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
prlor to lnstallation of floor place but before any beams are placed' (2501 U.BC.
lnsulatlon, decking or floor plastering ls applied or before STDS' 25'10J1)'
sheathlng. - Sypsum board ioints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATIoN & finished' a'71
VAPOR BARRIERS: To be
made prlor to lnstallation of
decklng or floor sheathlng.
MASONRY: Steel location,
bond beams groutlng or
vertlcals ln accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
SIDEWALK & ORIVEWAY:
Requlred 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.
'ln addition to the inspec-
tions specified, the Building
Official may make or requlre
other lnspections of any
construction work to ensure
compliance with the Bullding,
City or Development Code.
By slgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information
hereln is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordlnances
of the Clty 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 proiect address is readable from the
street, that the permlt card is located at the front of the property, and the approved set of plans will remain on the site at all
times durlng construction.
Slgnature Date
2?-?VALIDATION:
RECEIPT *:RECEIVED BY:
DATE PAID:
x
.v
)
FINAL PLUMBlNG
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 thls inspection.
-Y 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 Divislon
and posted on the premises.
ADDITIONAL COMMENTS
PLANS REVIEWED BY FrH-
?+
AMouNr RECETVED: =7197
SPlrtNGFTEit)
225 FTrTI STREET
SPRTNGFTELD, OREGON 9
TNSPECf,TON REQUEST:OFFICE: 726-3tSg I.ffpffi#&:;irys;*rf
ELECTRTCAL PERHTT APPLICATTON
J:3"",q ty Job NumberL3. COHPLETE FEE SCtrEDULE BELOH3ltt
1. LOCATI OF TNST
LEGAL
JOB DE
2... CONTRACTOR INST.
Electrical Contract
Add
Expiration Date
Nev Res
Hul t i-F
1ce
One Circui t
Each Addi tional
idential-single oramlIy per dvelling unit.fncluded:
t\
ci,rFhI!-hosrK-Phone YUo
supervisor License Number e3btls
\.q5
ftems
1000 sq.ft. or LessDach additional 500sq. ft or portion
thereof
Each Hanuf,d Home or
-
Modular Dvelling
Service or Feeder
Services or FeeclersInstallation, AI terationsor Relocation:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps,/voIts
-
Reconnect 0n1y
Cos t
s 8s.00
s 1s.00
s 40.00
s 50.00
s 60.00
$100.00
$130. 00
s300.00
$ 40.00
Sum
Permits are non-transferable and expireif work is not started "i;;i"-i80 daysof issuance or if vork i" -rr"p."aed
for180 days.
ONLY B
Constr Contr. Number
Expiration Dare tD.ti.qs
s ture of Supervising Electrician
Ovners
Address
3r t1
7
Cit
OUNER
The installation is being made on
property I oun vhich is not intended
for saIe, Iease or ren t .
t
0sners Signature:
DATE:
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
0ver 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000-vofts see ,Bn affi-
t 0a3tG
D. Branch Circuits
?u Nev, Alteration or Extension Per Panel
t s 3s.oo
ne
E
Circuit or vith Serviceor Feeder Permi, Z S
Miscellaneous ( Servi.ce/feeder
-Each installation
Pump or irrigation SSign/OutIine Lighting- S
Limi ted Energy/Res
-
S
Limi ted Energy/Comm S
SUBTOTAL OF ABOVE
52 State Surcharge
32 Adnrinistrative Fee
.I]OTAI,
2.oo y@
not included)
40.00
40.00
20.00
q,
RIiCEIVIID B
6-Yb 5
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