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Home My WebLink AboutPermit Building 1997-12-18 I. . 9.::>/.?V:> COM M ERCIAL/I N DUSTRIAL PERMIT APPLICATION ~ JOB NUMBER ", INSPECTION LINE: 726.3769 OFFICE: 726.3759 225 Fifth Street, Springfield, Oregon 97477 \q\q L~~RA~~T LOCATION OF PROPOSED WORK' . ,ASSESSORS MAP' OWNER: 0: s ('o~ Tf A-C\o/2$ ;.41; ADDRF""" ICi ,q L. p..ll(l {lr '&72-8::~ 'SP(2,\/NG. M8-0 CITY' /?~ ~-'2?-/O e!!>3.:::<.- ~ TAX LOT' l . ~ PHONE/~-lt) 7eff-!-i'? 15 STATF' O2oooN .ZIP' ql<+ /'1 ~IL.D (..'2.) INSta-l:: (~) ~II...D\"~ VALUE: br~~-- DESCRIPTION OF WORK' NEW REMODEL 1- ADDITION FtLE: 'Sfb('~CL ROOMS () DEMOLISH OTHER CONTRACTOR'S NAME GENERAL: ~~~ ARCHITEcT. PLUMBINI>' MECHANICA' . ELECTRICAl' I I NO, I I I I I I I I I I I I NAME ADDRESS PHONE tJft\ ADDRESS CONST. CONTRACTOR' PHONE EXPIRES A .......IL ~ PLUMBING MECHANICAL FEE Nn ~S:J: ""'.o.Dns: CHARGE Single Fixture Relocated Bldg. lnew fix. addtl) Water Service 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 FanfSlngJe duct Vent System apart from AC or htg. MechanIcal exhaust hood and duel ft. s~nltary Sewer Storm Sewer ft. ft. Backflow Device Permit Issuance S10.00 TOTAL PERMIT TOTAL PERMIT QUAD AREA' . OF BLDGS' OCCY GROUP: . OF STORIE~' SQ. FTG MAIN - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN' ZONINI>' , LIGHTING POWER BUDGET: WATER HEATER' LAND USo, . OF UNITS' CONSTR. TYpo. HEAT SOURCF' So. FT. SISQ. FT. VALUE SQ. FTG ACCESS SQ. FTG OTHER X X X TOTAL VALUE OF .PROJECT PLAN CHECK FE.E~' 7'=3 RCPro 26~1!S DATEB-'Y"8 ~-, BY .......-::2~.;- ~ /// - I BUILDING PERMIT 15% State '/06" Surcharoe ~ I MECHANICAL I 15% State I Surcharae I PAVING I ~.:SO 1'.-~~ ' , PLUMBING DEMOLITION I I I I I I 5% State Surcharae FENCE VALUE S SIDEWALK , SUBTOTAL .PERMITS SYSTEMS , DEVELOPMENT 6/.~3 CURBCUT FT. 'FT. TOTAL PERMIT FEES I EXCLUDING ELECTRICA' 97?~ . . 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. v SITE INSPECTION: To be /" RQ.!,Uitl PLUMBING, ' made after excavation, but '4'P1.CTRIC~D& .' , prior to setup of forms. 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 or concrete. UNDERSLAB PLUMBING, . ELECTRICAL & MECHANICAL: To be made before any work Is covered. )' FIREPLACE: Prior to placing facing materials and before framing Inspactlo,:" 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 shalf 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 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) 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 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. FIRE & SEPARATION WALL: Located and constructed according to plans. 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. SPECIAL GRADING, EXCAVATION AND FILLING: 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. 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. 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 strfplng, etc. must be completed before requesting this Inspection. )' FINAL ELECTRICAL 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 Dlvfslon and posted on the premises. I FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' ...----7 PLANS REVIEWED BY / 4~~ L- /~ DATE / < "7RJ? "? By slgnature,l 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. 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 a~nt of the property. and the approved set of plans will remain on the site at all ::::t:~:lngconstr~~rr L- Date 12/t~/tf7 VALIDATION: AMOUNT RECEIVED: 9 7. ~ RECEIPT N: ~ ~ ':2.. ..,.;:1111 DATE PAID: /~-~~9-:> RECEIVED BY:_~ ~'--';' ?/~ '" ,t'. ;'.. '~1 I no, TOPrj".,';l'" I'\-.....l~...~ ...._ ,..., .,... ."~ _.' '.._... ~. zon,;'':'' C" < 'f .. . ,11 apPiOvd. .... .. k.... ~;= _...; I ;'. 225 FInn STREET . zoningLrr...._r EI.RcTRtCAl. l'ERHIT AI'l'UcATION SrRINGFIEW, OREGON 971077 Dat.Ll-IK-Cr-?' INSrECTION RF.OUEST: 726-3769 - I, -(-I . city Joh Number ~? /? '-/7 OFPICF,: n6-3759 Authorlze['j>ltn&ture_n~ , . /9/1' t..~~4' ~ 3. tOHi"LRTlnEE-ScmWUI.E nELOV 1. LOCATION OF iNSTALLATION , O(~ eLe:c:l1Z-\L :i>I4oP A. New Residential-Single or /.?...c;)?~':t:?-~ C,,?;;;:d'i!:S Multi-Family per dwelling 1U1lt. LF,GAI. DF.ScRtrnoN Service Included: I C\.\q l..f..uM..o... ~ SPR-D. I t ems Cos t Sum Jon DF,SCRIrTIO~ 17 _ _ .ktoJ\ WI"""" ~(1...) 'jj(D~ ~ Permits are non-transferable and exJI~e if work is not started within InO days of Issuance or If work Is suspended for 180 days. 2. CONTRACTOR IIlSTM,J.ATION ONLY n. OI~N Electrical Contractor :::hIoustrtc...L g~ Address Iq 1'1 /..,ktJ(A- ~~.,. cl ty Sf'r'Il'lbRIaJ) rhone(511I) 1'f1-e'f~ Superv isor LJ cense Number - ~~~S Expiration Date \O/l/q~ Constr Contr. Number b"3+""1~ EXrllratlon Date V'Z.(..)14 Signatur~pervislng F,lectrlclan d-L:: h- "/L ;' Owners Name ()', S CoI\+rAL\1)~ Address I.OJ I q LAv'('A STlU9=-----r Clty'SfFLo. rho"c;...II) 1c.j11111<s' - OIlNF,R INSTAI,I.ATIoN The Installation Is being made on property I own which Is not lntenrled [or sale. lease or rent, Owners SIgnature: .' ,,^TE: IOZ-/.e-?? RRCF.II'T ft: "'2. </l2..9 "7 RF.J:F.TVr.1J BY, /?u~:':_-- , r~ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof ~ach Hanuf'd "rime or Modular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to ~OO amps ~Ol amps to 600 amps 601.amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 S ,,0.00 ~ .0 -;>0 - C. Temporary Services or Feeders Installation, Alteration or Relocntioh 200 amps or less 201 amps to ~OO amps Over 401 to 600 amps Over 600 amps or 1000 volts 0.. Branch Ci rcuits $ 40.00 $ 55.00 $ 80.00 see "B" above ., New, Alteration or EKtenslon l'er l'ahel One CI rcui t Each Additional Circuit or with Service or Feeder Perml t 10 E. Miscellaneous (Service/feeder -Each installation' rump or Irrigation Slgn/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAl. OF ABOVE 5X State Surcharge 3X Administrative Fee TOTAl. $ 35.00 $ 2.00 1..D.Of> not InclOded) $ $ $ $ 36.00 10~ .:z,<e=> :1 I~ ...,.- ,.....- 40.00 40.00 20.00