HomeMy WebLinkAboutPermit Mechanical 1999-08-18CO M M ERCIAL/ I N DUST RIAL
PERMIT APPLTCATTON
225 Fifth Street, $pringfield, Oregon 97477
SPAINGFIELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
9/'z*
a uLOCATION OF PROPOSED WORK:
ASSESSORS MAP:2 TAX LOT:
6ra.STATE:
,
PHON E:141-1q1q
N ZIP:?-z+laCITY:
ADDRESS:
OWNER:
I
E:DEMOLISH OTHER
DESCRIPTION OF WORK:
NEW
-
REMODEL ADDITION
ADDRESS PHONENAME
EXPIRES PHONEADDRESS
I
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
CONST.
CONTBACTOR #
GENERAL:
PLUMBING
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
NN trtrtr EHA RGF
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
t/Suspended wall or f loor
mounted unit heater a 2/.n
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct6;,0Zm .-taO1.
Permit lssuance $10.00
TOTAL PERMIT %.-
- oFFrcE usE -
* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGETI
WATER HEATER:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
SQ. FT.$/so. FT.VALUE
TOTAL VALUE OF PROJ
x
x
x
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT'DATE BY
PLUMBING DEMOLITION
l%' state
Surcharoe
";;#Hs;"
Surchalge,
/e.2z -?JrZ,FENCE
VALUE $t:s7,SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
36.4bTOTAL PERMIT FEES
EXCLUDING ELECTRICAL
o?,/aG
LAND USE:
ZONING:
PLAN CHECK FEE
BUILDING PERMIT
y'70 State
Surcharoe
It is the responsibillty of the permit holder to see that all inspectlons are made at the proper time. To request an-inspection, call
726-3769 (recorder), state your City designated job number, lob 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 worklng day, requests made after 7:00 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 SpEC;AL ;NSpECT;ONSI ln accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & Oy ine Owner/ Contractor during
CURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATIONS: cooy of the special testing reports shall
To be made after trenches are FIREPLACE: Prlor to placing be'furnished to the Buildiig Division.
excavated and forms are facing materials and before
erected, ail steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 250O PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after ar insrab buirding Bl::5::.':ff ll'fi:Iffinl:r" FIRN,T"',X3.t,Y5f3ol',rrr, ,,
service equipment, conduit, and vents are complete ancl
:H,?,?;"""'",1;H? ?H""'fi n". H:3Hl[il:,X'iJ;[3:H BI?:f],?E:,?T*,?|*IH:".in place but before any tighte-ning operations. (306concrete ls placed. INSULATION & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, Sanitary Sewer, barriers are ln place but FIREpROOFING: U.BC.storm Sewer, water and before any lath or gypsum Standards 43-g.dralnage llnes. To be made board lnterior wall covering isprior to covering or filling apptied. SPECIAL GRAD|NG,trenches.
,NDERFL..R: p,umbins [|[:,S'.'"'f;m'JPl:[1"' ffiilTiiil-:ii:,5J:'i],"t
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulatlon, decklng or 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
posr & BEAM: To be made interlor and exierior, is in Building Division before
prior to lnstallation of floor place but before any beams are placed' (2501 U'BC'
lnsulation, clecking or floor irlasterlng ls applied or before STDS' 25'10'11)'
sheathlng. gypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR tNsuLATroN & finished' a'71
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 sHEATHTNG AND [H[3^H'^fi'"t:,oi""L.
NAILING: Prior to installing erected but prior to placing
any roof coverlng. concrete.
S]DEWALK & 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.
*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.
u
By slgnature, I state and agree, that I have carefully examined the completed appllcation 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 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 Dlvlsion. I further certify that only contractors and employees
who are in compllance with ORS 701.055 will be used on this project.
uired inspections are requested at the propertime, that project address is readable from the
at the front of the property, and the approved set of plans will remain on the site at all
Signature Date ?-/*-na
thatI further agree to
card istreet, that the
on.times during
A6,aaVALIDATIONMOUNT RECEIVED:
RECEIPT ,. Sfzao RECEIVED BY:
DATE PAID:,
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 lnspection. AII prolect conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requesting thls inspection.
FINAL BUILDING: Flequested 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
-U6t Y-v\r!(l(d
OREGO'VCITY OF SPR
SiT GFIELO
PERHIT APPLICATION
ci Job Nunber 1?rt z 6
SCMDULE BELOV
New Residential-Single or
Multi-FamilY Per dvelling unit.
Service Included:Items Cost
?fr,
ill
225 FIFTE STREET
SPRINGFIEIJ, OREGON 974
INSPECTION REQUEST" 72
OFFICE: 726-3759 Authonzeci SiOnature
1. LOCATIONtr7 ALLATIOIILl 7 'dOF INST
So A
LEGAL DESCRIPTION Sum2\'t t4 7 oz/0 o
Permi t s are non-transferable and'expire
180 daysif vork is not started vithin
of issuance or if vork is susPe nded for
180 days.
2. COMRACTOR INSTALI^ATION ONLY
Electrical Contractor +5 L
Address ,, h 9nx It+
Ci pno""14|- WZtv
Supervisor License Number ib8
Expiration Date lD"0 l-01
constr contr. Number AC
Expiration Date tD"tqq
of Supervising Electrician
rs Name /n
Address /, 7 So '{7
Phone ?t7' 7? 7 7
OIINER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
0'rners Signature:
DATE:
RECE
1000 sq.ft. or less
Each additional 500
sq. ft br portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or feeder
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over l-000 amPs/vo1ts
-
Reconnect 0n1Y
DESCRIPTI $ 8s.00
$ 1s.00
s 40.00
s s0.00
s 60.00
s 100. 00
s130. 00
s300.00s 40.00
t-
t-
C.Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps''or less
201 amps to 400 amPs
-
Over 401 to 600 amps
Over 600 amps or 1OOO-voITs
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit / $ 35'oo 75
Each Additional
Circuit or vith ServicQ 4or Feeder permil 2- $ 2.00 /
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Out1ine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
40.00
55. OO
80.00
ee I'Br a566
$
$
$
s
Ci ty frt
40.00
40.00
20.00
36 .00
s
$
$
s
??.a a
5
2.
RECEIVED B
I
C'TY OF OREGO'V
225 FIFTE STREET
SPRINGFIELD, OREGON 97 477
INSPECTION REQUEST. 726-3769
OFPICE: 726-3759
SPRIA ELE,
BLECTRICAL PERI{IT APPLICATTON
Ci ty Job Nunbe, ?f/t'(
3. COHPIJTE FEE SCESDT'LE BELOII
B Services or Feeders
Installation, Alterations
or Relocation:
amps or less
1
I..EGAL DESCRIPTION
/ 702 it-+ z 02/06
JOB DESCRIPTION-"- cl"""Z,i"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. COMRACTOR INSTALT.ATTON ONLY
Address )(
Ci ty Phone
Supervi.sor License Number IU61S
Expiration Date lD- 0 1- 01
constr contr. Number ArDt4C,
Expiration Date lD-0 L'qq
S t of Supervising Electrician
rs Name c
Address iSl 5 A7t
Ci ty {t /Phones
OVNER INSTALLATION
LocArIoN o7*rf*?) ,/rl A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
NOTICE: rtems cost
rHldpmMlrstALlrEXEffilFTHE woR$ as . oo
nufisflr# HFffi ffi Rtvtrr rs Nor
;Mihdiobh fls"'{riA&Bor'reo ron $ ls. 0o
ANftBHmfffigEil; "'
Service or Feeder S 40.00
Erectrical con trac tor C+ 6 Aldnc,lnC
s s0.00
s 60.00
s100.00
s130. 00
$300.00s 40.00
Sum
I
-(P3J
llow ru amps to 400 amps
amps to 600 ampsto 1000 amps_
am /voIts
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less
201 amps to 400 amps _Over 40L to 600 amps
Over 600 amps or 1000 vol-Es
$
$
$
s
.00
.00
ee rrBrr a6oie
0040
55
80
D. Branch Circuits
Nev, Alteration or Extension Per Pane
Ionecircuit I 535.00
Each Additional
Circuit or vith Service,
or Feeder permit / S z.oo (,
The installation is b
property I ovn ruhich
for sale, lease or re
ng made on
not intended
Eei
is
nt
Miscellaneous (Service/feeder not included)
-Each installation
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.s trative Fee
TOTAL
r8-r
0vners Signature:
DATE:
$ 40.00
s 40.00
$ 20.00
,l l. r"
Pump or irrigation
sign/outline Lighting-
Limited Energy/Res
Limited Energy/Comm
RECETVED
7 t3 f v-5
4 ia
A-l-TEt'i
Yott
calting
I
I
torthe
on UtiittY