HomeMy WebLinkAboutPermit Building 1998-05-05COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
LOCATION OF PBOPOSE
ASSESSORS MAP:
i-5F
h/
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726-3759
TAX LOT:
REMoDEL i ADDrroN DEMoLTsH orHEB
LLCowNER: -A/< ,Vc t-2 o?t*l V T)PHONE:
ZIP:
VALUE
DESCRIPTION OF WORK:
NEW
-
CITY:
ADDRES l77a flty- S
ARCHITECT:
NAME ADDRESS PHONE
ADDRESS PHONE
5-4 q ?3#
/l
ELECTRICAL:
EXPI RESCONTRACTOR'S NAME
MECHANICAL:
G E N ERAL:
PLUMBING:
coNsT.
CONTRACTOR #
/o
Backf low Device
IF
TOTAL PERMIT
o
ft.
ft.
rm
ft.
n
P
?oobt,
$10.00
tary
//dr'71
from
tem apart
or htg.
wa or
pp ance
duct
Single Fixture
Permit lssuance
TOTAL PERMIT
Furnace/burner & vent
<1
Furnace/burner & vent
cooler
nary evap.
hood and duct
c
mounted unit heater
Relocated Bl
new fix. addtl
ceWater
BTU
LAND USE:
* OF UNITS:
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
WATER HEATER
ZONING:
OCCY GROUP:
* OF STORIES:
QUAD ABEA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
FLOOD PLAIN:
SQ. FT.$/sQ. FT.VALUE
TOTAL VALUE OF PROJECT
x
x
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FE^E DATE BY
BUILDING PERMIT PLUMBING 4oD,ae DEMOLITION
5% State
Surcharge Zi!,#il["tortz <2. ?'
MECHANICAL /20,e FENCE
VALUE $
3lll.i'"1'f" 6rj,6p 760 SIDEWALK
FT.
SUBTOTAL
PERM ITStffii"n lD a)CURBCUT
FT.
SYSTEMS
DEVELOPMENT
5111"TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
?ee<za
747- /.u
Floor furnace and vent
- OFFICE USE -
REOUIRED INSPECTIONS
It is the responsibillty 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:OO a.m. will be made the same working day, requests made after 7:00 a.m. wi ll be made
the following work daY.
SITE INSPECTTON: 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 equi pment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
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
NAILING: Prior to lnstalllng
any roof coverlng.
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 ln place but
before any lath or gypsum
board lnterior wall covering is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans:
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterlor, 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 prlor to placing
concrete.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
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 testilg reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: IN
excess of 2500 PS.l. (306 a.1)
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 GBADING,
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.
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.
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 Ordlnances
of the City of Springf ield, 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 Buildlng Safety Division. I further certify that only contractors and employees
who are in compllance with ORS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested
Date
times duri
\kn,"
ng con ion
proper time, that project address is readable f rom the
approved set of plans will remain on the site at allcard is located astreet, that the front of the prope
DATE PAID
FIECEIVED
VALIDATION AMOUNT RECEI
RECEIPT *:
-7-
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FtRE 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
requesti ng this i nspection.
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 BEVIEWED BY DATE
CITY OF SPR OREGON
SPRllhrFtELO
;iHdi;ffi3;rrff*g"**,
225 FTFTE STREET
SPRINGFTELD, OREGoN 97477
INSPECTION REQITEST: 726-37
OFPICE: 726-3759
h:Y4 #4(-:-ELECTRTCAL PERUTT APPLICATION
City Job Nr Au, ?8 Af-?6
COUPJ.EIE. F-BE SCEEDULE BELOS
,.i, ,.1 i., A.[_{r.
1. LOCATION OF TNSTALLATION ^/ -' - ,,Lq/s{ ,9o,,,^"11:o (l
. f .r. Ynonefl?j--Jtt 7Z-
69
T,EGAL DESCRTPTTON / 7-a<2z -=<
JOB
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,ATTON ONLY
Electrical Contractor Gle- /r"l rlrJ.rr-
Address
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
ftems Cost
1"000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dvelling
Sertice or Feeder
$ 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
A
D.
L,r.c
Sum
B
Ci ty
Supervisor License Number .q 57u-s
Expiration Date lD -93
Constr contr. nunaer ?3753
Expiration Date q-?*
Signa Supervising EIec t c1€ln
0vners Name
200 amps or less
201 amps to 400 amps
40L amps to 600 amps
-601 amps to 1000 amps_
Over 1000 amps/vo1ts
Reconnect 0n1y
$ s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
00
00
ee rrBrr aEove
Nev, Alteration or Extension Per Panel
/ g 3s.oo 7r,oo
Circuit or vith Service-
or Feeder Permit 73- $ 2.oo /29--*u
MisceLlaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utIine Lightitg-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
200 amps''or less s
201 amps to 400 amps
-Over 401 to 600 amps
0ver 600 amps or 1000-vofT
Branch Circuits
s
s
$ss
0040.
55.
80.
Address 9q2
717- t42z tl
-4ffi;*5a>
OIINER INSTALLATION
The installation is being made on E'
f.op.tty r ovn vhich is not intended
for sale, lease or rent.
Omers Signature:
DATE:
Phone
One Circuit
Each Additionalciry Eotr*e FQ
$ 40.00
s 40.00
$ 20.00
s 36.00
RECEIVED
5
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,cl
tt\ t 24,L