The URL can be used to link to this page

Home My WebLink AboutPermit Building 1994-2-10 (2) ~ , ... COM M ERCIALlI N DUSTRIAL PERMIT APPLICATION - ~ . JOB NUMBER CJ 4-0 } 4- {" 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726,3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK: 1011 df'do'AJUo "tPr 1"/ o'2...~:)':)O c1 TAX LOT: (')-::J I_(")~ ~LJ.Lf .. 01 Sw , ASSESSORS MAP' CITY: \'"Y\('1 J 1 I 'A ') ('\ (\ rO - Q /\ro /' P., /0 f'J'tv-... 1 D 0 ~(\}I.. "/04-1 ~, (A~ DESCRIPTION OF WORK: J...r---.-Tg^,fl..r ~,",-h-t-:..(fVJ") REMODEL )( PHONE: OWNER: ADDRESS' STATE: o.lJ.., ZIP: ql~' C~\ -~~,,:V'~"-~) VALUE: Sf? (')f?(') 6, n2 V'Y"\f""ldf.y2 NEW ADDITION DEMOLISH OTHER NAME ADDRESS " PHONE ARCHITECT' CONTRACTOR'S NAME ADDRESS GENERAL:.1lr,~.I., ~;~, ~J\ 17t) ~,"",rR () 'AP . PLUMBING' MECHANICA" Ao, "",,,^p^ lH-.~, ELECTRICA" '?,;"/~",./ 'iO.n IJ , 1 ~ -- CONST, CONTRACTOR # EXPIRES PHONE CJ~~nl ~t.,7 1;,7/c,,-/ :z.'-f~-7'+~ PLUMBING NO, FEE CHARGE NO Single Fixture Relocated Bldg, (new fix, addtl) Water Service It. Sanitary Sewer It. Storm Sewer r'i It. Backflow Device I ""AMi I I I I 1 1 1 I 116~~~?JR4 ~~,h ~-... C;; 1 "'juo /:--= / 1 $10,00 /~~I MECHANICAL ~.~ Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit Issuance TOTAL PERMIT TOTAL PERMIT hA/. QUAD AREA: \0J\)LU - OFFICE USE - ""\ LAND USE: \-.~ J HANDICAP ACCESS: . OF STORIES: '7 . OF UNITS' CONSTR. TYPE:_5'=--/#k: HEAT SOUR""' FLOOD PLA/N'- ZONING: U t' ./ . OF BLDGS: OCCY GROUP' L~W- LIGHTING POWER BUDGET: WATER HEATER' SQ, FT, $iSQ, FT, VALUE SQ, FTG MAIN X SQ, FTG ACCESS X SQ, FTG OTHER 1#/'-"7i/~7t~2?.cc ~a~ TOTAL VALUE OF PROJECT PLAN CHECK FEL.L~~ erc., RCPTH } JI~()L-/ DATE~ BY C)A 1 BUILDING PERMIT 15% State Su rcharQe I MECHAN~~ -~ 15% Statl! Surcharae . 1 PAVING I ~ ;:$. <!!>C> /~./ :F I'C:> -- /~. -If? _?5"' PLUMBING , DEMOLITION 5% State Surcharoe 1 FENCE VALUE $ 1 SIDEWALK I CURBCUT FT, SUBTOTAL PERMITS SYSTEMS DEVELOPMENT 1 I I j 181 FT. .:J TOTAL PERMIT FEES EXCLUDING ELECTRICAl '7'2'2 . ~ , , . 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, 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. ,x ROUGH PLUMBING. ELECTRICAL & MECHANICAL: 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 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 Ownerl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. UNDERSLAB PLUMBING. ELECTRICAL & MECHANICAL: To be made before any work is covered. ATTIC DRAFT STOPS & CURTAIN WALLS x 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 PS,I. (306 a,1) 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. STRUCTURAL WELDS: Performed on the job, (2722 f) UNDERGROUND: Plumbing. electrical, gas, sanitary sewer, storm sewer, water and drai nage Ii nes. 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 FILLING: During earthwork, (306 a,11 & Chapter 29) y 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 UB,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. . y v 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 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 PLUMBING x FINAL ELECTRICAL FINAL MECHANICAL v FINAL FIRE DEPARTMENT ADDITIONAL COMMENT:'" --- - PLANS REVIEWED BY t:j ~~~?ATE ::27~~ 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 c~ntractors 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 times during construction, . / /J "- Signaturp ~~..t:2P~ -,,- / RECEIPT .' Date#71//7Y dbRlcp, \S)B VALIDATION: AMOUNT ~CEIVED: .2!>S~:i10 Ili<gq DATE PAID: RECEIVED BY' ,-:' " " . . SPRINGFIELD The fol1ol,ving proJr.ct as submltted has the following zoning, t,nJ .doe~ :1.0t {equira speci'fic land use 225 ,I'~~.u .,."""'. approval, ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zenina (' ,t, INSPECTION REQUEST: 726-376~, k J OFFICE: 726-3759 D'to_~ 1. ~TION OF STALd'lflf8ffdsignatur. {:Q,3. 10jl ~tnAAb... J La, LEGAL DESCRIPTION ' II ():z '.:J ';:}::20 ():::> {,.,()W JOB DESQUI.~'rIO~ L ~ (~^"" ^ 11..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. CONTRAcroR INSTALLATION ONLY B. Electrical contractor~IAV &C, Address D n '1<.('),( \:<'=<'-:l Ci tY_7 1 AG.R~ 0 Oe... ~h~;;'JO {,., ')lq ,:J.,qJ - (J Supervisor Licen.se Number -1 y:2,L.t<;' Expiration Date ID\ I \C1<'" Constr Contr. Number ()~",3\>o, Expiration Date (", -L. Cj'-l ing Electrician ~ D. ers Name YY\r"Q'<"'''''rvO :-n/V"O...}p~V) Address ~n ~'" iCl ,...(7 (' ql '-IDI City.L/..1OJ oR Phone .2.,l...Jl.{ .()ISl( o OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~--------~I~T-~~------------------ RECEIPT 11: 11<,/0<::1 RECEIVED BY: Of..), City Job Number COMPLETE PEE SCHEDULE BELOV A. New Residential-Single or Multi,-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 C1Lf~JLI(r< unit. Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit I $ 35.00 ;;so:; $ 2,00 ::JOG E. Miscellaneous (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. SIIBTOTAL OF ABOVE '2,),00 5% State Surcharge I ' 9~ TOTAL 2., <X, cds BwoP 3/,00 .-, r ,<,;,c.,