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Home My WebLink AboutPermit Signage 2000-5-24 ~-~ . SP.'::Lh~" ... -.,.. : DEVELOPMENT SERVICES DEPARTMENT . 225 FIFTH STREET SPRINGFIELD, OR 97477 2JlI1H1', "..//A7~,j(/&)QhJr; ~-V, J~tt4nr /M'/#/ r (541) 726.3753 .. -.n~.~~..JII' FAX (541) 726.3689 COMMUNITY SERVICES DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3753 INSPECTION LINE: 726-3769 Banner Location: 6*rr--klM( ~p 22 2CJ 41_ (lcl-fb ~rz.., ?JI 9 D ,/jAfA /my L'P ~///Xi/e-C) t'J IAI If } /Z4tI - <. .~02-+ ) 7/]3 Tax Lot 0 zSZ3-tJ Assessors Map #: Owner of Property: Address: Phone #: City: State: Zip: ContractorlInstaller: Address: Phone #: City: State: Zip: Construction Contractors Registration Number: Expires: Description: ON~L C1DA ) DateofInstallation: 0/.20/ CJO Banner Permit Fee $40.00 Date ~fReiilo~i:--q o/uo --. Deposit Required $100.00 ') By signature, I state and agree that I have carefully completed this application and hereby ce'1.i[y.t.J1~t_all infonnation herein is true and correct. I further agree lll}~nderstand that the above described ~) is not larger than 60 square feet, and will be removed within J.f'days from the date listed above. If the banRer(')D6'~'y is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special permit ca . ued only er calendar ear .. "'''0''' '<>!(:Q_agree to call the inspection line at 726.3769 b of the request an inspection to verify the removal of the banner(s). This inspection will , ~ the $100.00 deposit if the banner(s) has been remo,,/? f .13> ~rJ ~ ~ ~ ----------------------_::::::':':.:-:.=...._--~-----_..__......_.._-_.._-------_......_...._--_...._..........~............_..__.._............_..:.-.._....-------------------- OFFICE USE Date of Application: 5/2w7t'jJ) Job #: aJ-er'J~O/ Receipt #: Z\:O : ~3IHS\!:J Issued By: : 38N\!H:J O~'O $ 1 g6'g91 $ Z:G:J3~ lW\! OOOZ 80 Nnr:31\!G vLOZOOO-I0:#SN\!~1 Amount Collected: Q;f\~' tf'<l~ -,/ rJ1> ~ t ~ ~ \ LilAV- \ yf'J . . 0 - 01\)) f'J/ rr" ~: ~~\ , ~ , - - . . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION ~ JOB NuMD€I@R ?()()n/1n'~~ ~O, 45 INSPECTIq.tj.1 ~~T~2.!g~~OOOO-4261 )5 OFFICE: 7~m-iJtj:Ol-1l002074/M JAC( 38 JOB#:00-00B02-)1 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' ?'t'J94 2.'7 _ ?"-' &~JrA-bl , I i;J 17 rJ-:J., OWNER: ,hIi.KC SCtfIAJA4TZ7 ADDRESS' "?- ~ 9n /.A-4?I.4--TB~. CITY: .Ez;e::;6t.J-E- ASSESSORS MAP: TAX LOT: r-JZ1PChJ PHONE: ":i4-..2. - ~ 3L/ STAT~' cW ZIP' 97+t::l/ Pn,/ NEW REMODEL .~~6vV .q/&1,r,,,.t:?~~ ~ DEMOLISH ADDITION OTHER VALUE: DESCRIPTION OF WORK: NAME ADDRESS PHONE ARCHITECT' CONTRACTOR'S NAME GENERA" /:'Y\"V~ ADDRESS MF&J - , ,,- caNST. co. NT RACTO R . EXPIRES PHONE PLUMBING. MECHANICA' . ELECTRICA' . PLUMBING MECHANICAL NO. FEE CHARGE Nn o~o "'~6Rr.::i= ft. 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 Single Fixture Relocated Bldg. (new fix. addtl) Water Service Sanitary Sewer ft. Storm Sewer ft. Backflow Device Permit Issuance I I I I I S10.00 TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOaD PLAIN' ZONING' LIGHTING paWER BUDGET: WATER HEATER: QUAD AREA' LAND USo, . aF UNIT~' , . aF BLDGS' aCCY GROUP: CaNSTR. TYpo. . aF STORIE~' HEAT SaURCF' SQ. FT. SISQ. FT. VALUE SQ. FTG MAIN X X SQ, FTG ACCESS SQ. FTG OTHER X TOTAL VALUE OF .PROJECT PLAN CHECK FEf C),7S RCPT' DATF BY I BUILDING PERMIT 17%. Slate SurCherpe I MECHANICAL 7%" State Surcharae PAVING 15. .:>0 /,CI~ .4.-. , PLUMBING , DEMOLITION '/70 State ~urchBrae FENCE VALUE S I SIDEWALK I CURB CUT SUBTaTAL FT. PERM ITS I I SYSTEMS . FT, DEVELOPMENT -:;3pV(T ~) l!!N/) "?/:2-2- I TOTAL PERMIT FEES EXCLUDING ELECTRICAl I: I . . ,., ,....,. REQUIRED INSPECTIONS It Is,the:r,e.el?onsl~llIty,O', th,e,permlt holder to see that alllnepeCllone are made at the proper time. 'I'll reQueat an In"pOOtlon, o'H. 726.3769 (recorder), stat.. your City designated Job number, Job address, type of Inspection requested and when you will be ready .'fo'r'lnspe'dion:'Requests received before 7:00 a.m. wilt be made the same working day, requests made after 7:00 a.m. will be made '-:the \fo'ri'owl'ng;woirk ,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, 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. ATTIC DRAFT STOPS & CURTAIN WALLS " 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. FOOTINGS & FOUNDATIONS: ,To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing 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. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.l) 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. INSULATlaN & 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 BalTING: During all bolt installation and tightening operations, (306 a.6) SPRAYED ON FIREPROOFING: U.SG. Standards 43.8. POST & BEAM: To be made prior to Installation of floor insulation, decking or floor sheathing. FIRE & SEPARATlaN WALL: Located and constructed according to plans. 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. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.ll & Chapter 29) UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of floor Insulation, decking or floor sheathing. GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.S.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 USC 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. -In addition to the Inspec- tions specified, the Sullding Official may make or require other InspectIons of any construction work to ensure compliance with the Sullding, City or Development Code. ROOF SHEATHING AND NAILING: Prior to Installing any roof coverl ng. 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 BUILDING: Requested after the final plumbIng, electrical, l 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. F;INAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' PLANS REVIEWED SY OAT" By signature, I state and agree, that I have carefully examine completed application and do hereby certify that all Information hereIn is true and correct, and I further certify that nd all work performed shali be done In accordance with the Ordinances of the City of Springfield, and the Laws of th te of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any st cture Ithout pe sian of the Building Safety Division. I further certify that only contractors and employees who are in compll \ with RS .055 will be used on this project. r t II re uired Inspections are requested at the proper time, that project ad{jre s readable from the lac ed at the front of the property, and the approved set of plans' wll em n on the site at all Date <; 2i roO ~ I \.:.,......---- ~ ~~E!VED: RECEIPT N' DATE PAID' RECEIVED BY: VALIDATION: ..... ......- . \ '- ' . ...... -'.. \ t ':.. . . ". 1: .. H ! I 1 ! I i I I \ \ I ; , . . ..Q\~-\--e/ ~ .. k I '---. ./(~ \. /--.-------.----'\ . . ( \: . [01....~~. - - ----..----. \ ~\~\ -'~ ----- . \ \ ...J.___ -. -..- -.. ----n..---.-f ) ~ --. '- \. \ , \ \ I r , I I I [ f I I i I ) ; - { r i I I Ti 3' : I , i 0'1 ( ....-' ! cl { (-I I ( ( '.