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HomeMy WebLinkAboutPermit Mechanical 1991-7-17 ?i ,. , , COMMERCIAL/INDUSTRIAL. PERMIT APPLICATION ~ -JOB NUMBER 9/('.?6Z~ , 225 Fifth Street. Springfield, Oregon 97477 INSPECTION LINE: 726.3769 . OFFICE: 726.3759 'LOCATION OF PROPOSED WORK: /i..I'-! L/ YY\(}.. ,,\ f,r. ASSESSORS MAP' /7~t:J'?- ~6.?' :2 22,p IrQ. (Q f'..Q......... TAX LOT' c:;; ~~e-, OWNER' . <frY\(,9 .{:b~.t:\. > ADDRESS: 11../ L.j (fl VVLru"N"< ~f chtl; h, lA- CITY: ~j J'o()0~U ' 1J.1 DESCRIPTION OF WORK: ~V\~(\ 1 j 1 m~ NEW REMODEL ADDITION PHONE: 7J(n-7'Jc( q STATE: ro/lll( IY\ ) ZI P: q 7 d., '77 . UnfiX a)LG ~ ~lA'rf),{) (1"LM1/.1~~,,/AI. .A1M1;I?) DEMOLISH OTHER ~ VALUE: NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME GENERA' . PLUMBINC" ADDRESS CONST. CO NT RACTO R . EXPI RES PHONE (7\I1Jl U <3'yIVlN ~ ~ MECHANICA' . ELECTRICAl' ~JI c/b;AJ '- (f ) I I NO. r I 1 1 1 1 1 I 1 1 1 I PLUMBING MECHANICAL Nfl ~~~ ,...u^o~e Furnacel burner & vent < 100.000 BTUs Furnacel burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. v--- Mechanical exhaust Io/I'A/ J5"OO hood and duct Permit Issuance $10.00 TOTAL PERMIT 25"00 FEE CHARGE Single Fixture 'Relocated Bldg. (new fix. addtl) Water Service It. Sanitary Sewer It. Storm Sewer It. Backffow Device TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS' FLOOD PLAIN' OUAD AREA LAND US". . OF BLDG'" . OF UNIT'" CONSTR. TYPF' ZONING: LIGHTING POWER BUDGET: OCCY GROUP' . OF STORIES' HEAT SOURCE: WATER HEATER' sa. FT. $/sa. FT. VALUE SO. FTG MAIN SO. FTG ACCES" SO. FTG OTHER X X X TOTAL VALUE OF PROJECT PLAN CHECK FF~ , RCPTH DAT" BY 1 BUILDING PERMIT 15% State SurcharQe 1 MECHANICAL 15% State Surcharae 1 PAVI NG 1 PLUMBING 15% State Surcharqe 1 FENCE VALUE $ 1 SIDEWALK- I CURBCUT FT. I DEMOLITION 25pO 12-5'" FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT - I TOTAL" PERMIT FEES EXCLUDING ELECTRICAl :26 ,z-s ----~~-~-_.~ . 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, cail 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 7:00 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. :><. ROUGH PLUMBING, 4LECTRIl-'Jn. & --MI::CHANICAl;;,No work is to be covered until these inspections have been made and approved. PAVING, After gravel Is In place but prior to placing asphalt. ~>r concrete. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. FIREPLACE: Prior to placing facing materials and before framing Inspection. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Ownerl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. ATTIC DRAFT STOPS & CURTAIN WALLS )( FRAMING: To be made after the roof, all framing, fire blocking and bracing are in place and all pi pes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. STRUCTURAL CONCRETE: In excess of 2500 PS,1. (306 a.1) 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. STRUCTURAL WELDS: Performed on the job. (2722 f) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. 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. HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B,C. Standards 43,8. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor Insulation, decking or floor sheathing. FIRE & SEPARATION WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLlN'G: During earthwork. (306 a.11 & Chapter 29) -..,( 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 finished. GLU-LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. STDS. 25-10,11). POST & BEAM: To be made prior to installation of floor insulation, decking or floor sheathing. STRUCTURAL MASONRY: (306 a.7) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. 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. -In 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 SHEATHING,AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. FINAL PLUMBING 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 ELECTRICAL , x: FINAL MECHANICAL "'v; ,,, 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. Y FINAL FIRE DEPARTMENT / ADDITIONAL COMMENTS' OU/N;<;? 4//{/C,) TIMr ~ oWDS 7nE 7RE &/6i'~( A'-'r 7/;7< M,w/-,:,,;,;( I SI/"gJa;;7 N/IVt5e7Z/ } atJ~ An":5 PLANS REVIEWED BY o/~ DAT~ By signature, I state and agree, that I have carefully examined the completed application 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 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. inspections are requested at the proper time, that project address Is readable from the the front of the property, and the approved set of plans will remain on the site at all 'I Date /7/;17/1/ GMOUNT RECEI D: .c5-', /0 RECEIPT ': -2'=?:?:<"" DATE PAID: RECEIVED BY: '7 -/?-"? /' ~'-:;'~" '/ ~ . ~~ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATIO~ /Y' 144L..J---'L4t1 ;N\ ~r 5p.\.(Q. ( l))v LEGAL DESCRIPTION I /-6J"'3 - 36' -'3':>... eo> ==3-_,--, '" JOB DESCRIPTION ! (OV\~fl I 0 (ll)y,(\~V1JlJJ'n,'r,O A ~. , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician I \ I . .-Q . Owners Name ~n.(lo (;/(),SI1 t- \ Address luLl ( r? rY7 () i IY) ,,<;;f f)nlh -tt- City +Jf19P,Q)& Phone 721o-7:;Cf1 OWER INSTALLATION The installation is being made on property I own which is not intended RECEIPT 1I: ~oC' ~ - RECEIVED Bo/ 1:-_ __ 4 'l- SPUINGFIEU) Ci ty Job Number 9'1 ~ q, -;; f1-, 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders Installation, 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see fiB" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit 1/ $ 35.00 ?5 </0 Each Additional Circuit or with Service or Feeder Permit ) $ 2.00 ?-.~ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. '2'7(),;J - /.$~ '<~.'20~ SUBTOTAL OF ABOVE 5% State Surcharge TOTAL . ~. i . . Permit No: q/0f33~ /4'-11 M/!/-<J or; ~/.J' Address: Issued by: Date: FOR OFFICE USE ONLY STATEMENT: 'INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the followin9 statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 2A or 2B: / 1. L-...J I own, reside in, or will reside'in the completed structur!3. 2. A. c::::::J My genera,I' contractor is Contractor registration number , I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B. '15><:1 I will be my own general contractor. , If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and 00 hire a Qeneral contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby cermJthat the above information is correct and that I have read and understand the Information Notice;;.o P operty Owners about Construction Responsibilities on the reverse side of this form. X r;p,,1#~.J?t, ~ lJ/r;/9/ 'ghature of eeram Jl:Pplica Date' . I CONSTRUCTION CONTRACTO 0244J 1/90 " " " WHITE COPY TO ISsUING AGENCY PERMIT FILE PINK COPYTO APPLICANT ~.