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Home My WebLink AboutPermit Building 1994-6-10 ....., SPRINGFIELD , JOB NUMBER ~YP~ . --- CO M M ERCIALII N DUST RIAL PERMIT APPLICATION INSPECTION LINE: 726-3769 OFFICE: 726-3759 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ~.~,/~ ~J /)-V:>?-2. "/-- ~ . - ASSESSORS MAP: ~~/'~h?'~ _6~~ ~'/ ~ #r - TAX LOT: c:::'~c:;. OWNER: ADDRESS: CITY: ' L"'7 ~Rh:;- -7"~~ /~~,~~,j::~PHONE: ----;;;.-'" ?7'-.", ~ - /" ,,/'. -7'O.~/ . , -/ STATE: ZIP: DESCRIPTION OF WORK: '~~ ~~ -........;-:;....... ~~~~h.......?-r..-"S;-- .~. / __ ~ ~7-' , ,,- c--r~-'" "r .~j _ ADDITION DEMOLISH OTHER VALUE: NEW REMODEL NAME ARCHITECT: CONTRACTOR'S NAME ADDRESS GENERAl' PLUMBING: MECHANICAL: ~~~~~ ELECTRICAl' PLUMBING NO. FEE CHARGE Single Fixture I Relocated Bldg. (new fix, addtl) I Water Service ft. ,I ~anitary Sewer ft. I Storm Sewer ft. 1 Backflow Device I 1 1 TOTAL PERMIT ADDRESS PHONE CONST. CONTRACTOR # EXPIRES PHONE I I NO I I I I I I I I I I I , Permit Issuance I TOTAL PERMIT MECHANICAL 1=1=1= r.HARnl= Furnace/ burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs I Floor furnace and vent Suspended wall or floor mounted unit heater '/ Appliance Vent separate I Stationary evap. cooler I Vent Fan/Single duct I Vent System apart from AC or htg, I Mechanical exhaust hood and duct I I I / $10,00 I 1~~4 m//X / ,,, LAND USE: - OFFICE USE.,- !Y ~:;;~~ HANDICAP ACCESS: FLOOD PLAIN: ZONING: LIGHTING POWER BUDGET: WATER HEATER: QUAD AREA: # OF BLDGS: OCCY GROUP: # OF UNITS: CONSTR, TYPI=' # OF STORIES' HEAT SOURCE: SQ. FT, SQ. FTG MAIN X SQ. FTG ACCESS SQ. FTG OTH ER X X PLAN CHECK FE.E RCPT# I BUILDING PERMIT 15% State Surcharge _ I MECH7~ I ~~~c~~r;e ~~ IPAVING '.", ' I , PLUMBING 5% State Surcharge /~.~ --_...:s I.FENCE /~ VALUE $ h-;?6 SIDEWALK . .- I CURBCUT $/SQ. FT. DATF FT, FT. VALUE TOTAL VALUE OF PROJECT BY 'I DEMOLITION I I I SUBTOTAL PERMITS I SYSTEMS , DEVELOPMENT I I I I I. TOTAL PERMIT FEES EXCLUDING ELECTRICAl -::;;: t:6.. .::;;>z::> 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, 9all 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. .y ROUGH PLUMBING, ELECTRICAL & <!OfE\,;HANI\,;@ No work is to be covelt::aLlntil these inspections have been made and approved, PAVING: After gravel is in place but prior to placing asphalt or concrete. 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, 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, 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 FOOTINGS & FOUNDATIONS: To, be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a,1) STRUCTURAL WELDS: Performed on the job, (2,722 f) UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. INSULATION & VAPOR BARRIER: To be made after all insu'!ation and required vapor barriers' are In place but before any lath or gypsum board interior wall covering Is applied. .;i;I!'''J~. '1='IFte> & SEPARATION WALL: Located and constructed according to plans. , HIGH STRENGTH BOLTING: Durlng'all bolt installation and tightening operations. (306 a,6) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. SPRAYED ON FIREPROOFING: U,B.C, Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. LATH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board, I nterlor and exterior, Is in place but before any plastering ),s 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) 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 covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. "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. FINAL ELECTRICAL 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 PLUMBING ~ 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' DATE By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information heretn 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. 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 rem~ln on the site at all times during con~tructlon, '7 / " Signature U)~ ?~~ ~- Date ~(/DI9,~ t?/ ---- VALIDATION: AMOUNT RECEIVED: RECEIPT #: 26. .. ,::<,b- /3,? 9(" DATE PAl D: RECEIVED BY: tS~.:S-~V /?~~- l~' , -j; .';" i>;:' The following proje('.~ as $ubmitted.~ioo the following zoning, and does not require specific land usa approval. 225 FIFTH STREET /' ~ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonina \.....V'" INSPECTION REQUEST: 72tiuJ769 ~-,)-c;<f City Job Number 47't!>~6 OFFICE: 726-3759 . Authorized Signotwo ,I>J ~~QM~-FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION /t;3t-/j), f7en-lennia/ Ail/d LEGAL DESCRIPTION /7'~"51":Zrq~_ 4~fi-~ . . . r JOB DESCRIPTION rnoV~ ~C:e.CLL 1"/1'1 ,:$/<.-leVYl 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 _'::::';?'In,'fro/ SKurdy. Address !?~, &-x ;;2//JtYl Ci ty WCf~- Phone L!&/-507K J Supervisor License Number Expiration Date Constr Contr, Number~,~/1q Expiration,Date fo-~ -qb Signature of Supervising Electrician Owners Name 5u nc::,f}j'np S-/-o-ti't)f/l Address Ci ty Phone 7Lj0-7?tJ~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: &.'/2'~o/ RECEIPT #: rr ~r RECEIVED BY: (',~~,_ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 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 461 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel $ 35.00 One Circui t Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limi ted Energy /Comm I $ 36.00 3c:',OGl 5. SUBTOTAL OF ABOVE 3to,OZJ 5% State Surcharge /, g'() 3% Administrative Fee J. Dg" TOTAL 3 g', 88'