HomeMy WebLinkAboutPermit Building 1994-11-7
..
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
SPRINGFIELD
~
.
JOB NUMBER
f:]qoq'l2-
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK'
'7073
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,
d2~
ASSESSORS MAP'
} /0.5 2.<;7' 2:Df/ ~,'"
TAX LOT:
OWNER:-\51"'\.cl.,IL "O~l'4Ll '--=. ~~Al:S-G.>>...2"'PHONE:
ADDR~"'" ~~c>.tpI..J E- ~ i,2-0.
STATF' ~
A~) ~28.Cf I
CITY'
rr-( "P.,F->.)-c-
ZIP: '7 )V'CJ.s-
DESCRIPTION OF WORK'
--rtz f\)7'l-fA.. "7 :J:.~ Ii
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERA' . IJ A L.Z:071 ,~-
i
ADD RESS
CONST.
CONTRACTOR 0
~ ~"..$,- D
EXPIRES
PHONE
~8?-z<(
(
I"
1
PLUMBING'
MECHANICAl' &1/VL~"7 ~
ELECTRICAl' Q.W~D...s:. '
" .
.::>.. O-/S-S(
<?Y"2 -efO/
~<Y~ -725)
PLUMBING
MECHANICAL
NO
FEE
r.HARGE
Nnl
I
~~~
"'~lU:lrl:l::;
Single Fixture
Relocated Bldg.
(new fix. addUl
Water Service
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
>100.000 BTUs
Sanitary Sewer
It.
I
I
I
I
I
I
Ilf.c-~~ /)~
Floor furnace and vent
Suspended walt or floor
mounted unit heater
Appliance Vent
separate
Statlonary evap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or htg.
Mechanical exhaust
hood and duct
I
I
I .4;:y...o .
It.
Storm Sewer
It.
Backflow Device
,
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
/.S-; hJ
QUAD AREA
- OFFICE USE -
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
. OF BLDG~'
o OF UNITS'
OCCY G RO U p.
. OF STORIES:
CONSTR. TYP.'
HEAT SOURCF'
sa. FT.
$/50. FT.
VALUE
sa. FTG MAIN
X
SQ. FTG ACCESS
SQ. FTG OTHER
x
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
RCPTO
DATF
BY
I BUILDING PERMIT
15% State
SurcharQe
MECHANICAL "
/ <j ~ /./ LJn?6.
5% State I
Surcharae
I PAVING I
/;::,~.l _-
/~~
,7r
.1_r
I PLUMBING
15% State
Surcharoe
FENCE
VALUE $
SIDEWALK
I CURBCUT
. DEMOLITION
FT.
SUBTOTAL
PERM ITS
SYSTEMS
, DEVELOPMENT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
:2-' ,.:2-:0
,
.
,
,
.
REQUIRED INSPECTIONS
.
It Is the responsibility of the permit holder to see that alllnspecllons are made at the proper lime. 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 7:00 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.
;<; ~2~~~~I~~~~ING,
~ANI<';AC:-I'jO work Is to
....... ....vw...'....... ulj~~rthese
Inspectlons have been made
and approved.
PAVING: After gravel Is In
place but prior to placing
asphalt or 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 Owner/ 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
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.
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.!. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanItary sewer,
storm sewer, water and
drainage I1nes. 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 boll 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 FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to InstallatIon of floor
insulation, decking or floor
sheathing.
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).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'In addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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 strlplng, etc. must be completed before
requesting this Inspection.
V
/
FINAL ELECTRICAL
.~
FINAL MECHANICAL
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.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
OAT"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th!lt all Information
herein Is true and correct, and 1 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
witl 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 project address Is readable from the
street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all
t1m~lng ~, ~7, /'//7..?-,
Signature t~ , F ~ _____ Date //. ~
/:/~
r I
.-
~
lis/of!,
/'\3';,/
DATE PAID:
VALIDATION:
AMOUNT RECEIVED'
RECEIPT N'
RECEIVED BY'
, II)
Tho. followlr.g project as oubmlttod has tho !o.!l~
225 FIFTH STREET Z('fllng, ond does not requiro cpocific lar.J!~nuCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 approval.
INSPEctION REQUEST: 726-3769 Zor.inp L,D~ . City Job Number 94;tJ '7-/-2-
OFFICE: 726-3759
"e.JA. -7-'iLt 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATI~tt,Orlzod Si9natU~8 i)~_
2.~ 7 s ,c,(ij,nAldZ -n. ..~w ..~~lJ~....Hal-Single or
I Hulti-Family per dwelling unit.
. LEGAL DESCRIPTION Service Included:
/ "7.b' 6. ::2.. S'" :.;L:L. C> /1" e-v It ems Cos t Sum
JOB DESCRIPTION
>>t'1~-'\~/-, !"".TW' m-, "}~ _
---~:', -; ,
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 B.
Electrical contractor~fh?~A ~#~
Address .,2 7$'?. /"/:':~~
City .L;;"rPt::/ Phone ~~-.?2-??
Supervisor Licen~e Number ..,25 -;20-5
Expiration Date ~~~
Constr Contr. Number J~;j:s-~
Expiration Date / tJ--9.3
Signature of Supervising Electrician
, fk,~/,~..?'
ownerA:me ~~ 87'- ~~_
Address
City
Phone
OVNER INSTALLATION
The. installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
DATE: // / ;? 7,:z--
RECEIPT I: I '/ (';.}~I
RECEIVED BY: /tP' ~
~
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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 liB"
above
D.
Branch Circui ts
Nev. Alteration or Extension Per Panel
One Circuit .....- $ 35.00 3 s: a;o
Each Additional
Circuit or with Service
or Feeder Permit 2.~ $ 2.00 :i!e....~
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~ I ,(70
5% State Surcharge 4-~
..wl'ilh ;;fo ~dtI_ ?,'F5
to 7 4g.
c:P ,