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HomeMy WebLinkAboutPermit Electrical 2002-12-6 l~:;~~}:~R~:~~~~=__'_"'"~'::6]::~:~ .. 225 FIFTH STREET. SPRTNGFIELD, OR 97477 . .PH:(541)726-J753 . FAX: (541)726-3689 ELECTRICAL PER...IY1JT APPLICA110N City Job Number DZ-6D 'ZZ5J -01 Dale n \ \01 D'2 j:OQiiION of. tvsiill~4T.1.0N(": 1. " ,- 3. '\~ - ~"~~-1J~() --~~~:ra.~~c\' 'w ~= LEGAL DESCRIPTION J7031SliO 00/00 JD~ r:i .?~ .:".0n-\-v",\ Ser.ice Included JOB DESCRIPTION 1000 sq. ft. or less , I J r.Wa tollOw1ng 01) V.:J.ir..l.t:. ~cc.",." c.o",+,oI , f,*b,Bddll~ia'!Rnu1utllor I Toe 10\\Owlng p~~~e~1!IiQ"itli~'6rr...-:'" Permits an: non-transferable and expire ifwQrK ~n\s'L9' and d Each Man~CJJ-lorn... 8. started within 180 days of issuance or if work is apPfo\lal. . 9 MnA'II~ Bwell1A.~etvice zonln - I" u'" A Suspended for 180 days" der' 2.C('J~7;RA~Q~~Nj,1AH1TfO~ON})Y:,", d SI,a~W~~~'~;.:~';,.' ' -.. .. , .. ' , , ..., , AutliOflze ,... .. Electrical Conrraclo, ~~-\-c-O{\, \nL- _ 200 Amps or less $ 63.00 201 Amps to 400 Amps ~75.00 Address 1'1. L.S ~W .'1-r-n'A;>_ \U. 401 Amps to 600 Amps . ,e. \K\.l !-25.00 f'.. \\\~ ~, 601 Amps to 1000 Amps \~t.. \\ '~l~ \~ 163.00 Over 1000 Amps/Vo&,\. t..'I-'? ~ '?\"'~_~ ~~"'.s375.00 ReC!\\~.on~ ~~~ &.~ ~~~t.: ~50.QO ,_ c.~~~~~~~~a~~n ," "" """,', ~ Q~~~ \)~ '? 200 ~~ ~~s $ 50.00 201 A\\\ps 10 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amp. or 1000 Yolts see "B" above.1,) \0 ",.. "", "........" ~_e.'1v 'e,\~ ....." .. D "B;'illj<hCircl1ii~. ,'.c<, :,;;(eQ.'l\ ~:;'\~\i~~'\.;';ti: ~, . ..... ", ...., .. , -..' !'IIC."" ''Of;;'''''' .....-,t.... ~.,()le~O, .,\ne ~lese' r;:{v"l- New Alteralion@r.'Extension~Pe' ParielS '1?t 9'6~' '0'1 ~f-\'" " '000\'-. "nOS\:: . - :n oil' ",,!'IS Olte C:'irc~ II,)\eS ~\el. \\\fO,}g "'1'\12$ 'I3.0Q, \0\\0 \iO\,Ce _.00'\0 O~\e':>v' e\a~\\O"'Of\ Each Addiii~nal~GiFc~it O"wilh C .,,' \\\e~ \n"\-;\Ca.\\ ."v- '" ~~- . ,)",- I~O\'<" ~", Servi~,e, '51F.e~~fJ,i~er1nitf:\\.al. " ,\\i\\\~, \l)~'OO . ' ' " , . ... .. t"':nO." ..~~.G~ ..."..~(\'CI',~",...",...I. . ...., .' '. E. j\1jSCellac~":IHs.:(~~;i.~,tI~""l'~(!,ot.iiicliided.>'~r::.,Ch ] o,5t",111I t,iun : P ". ~l~~'oel ~U;'~W,\~ \ _u ' , ... . , " ump or It., gallon $ 50.00 SignlOutline Lighting $ 50.00 Limited Ene'gylResidential.,.._ $ 25.00 Limited Energy/Commercial ,/ $ '15,00 L..\ 'S. bD City 7Qv'..\.\avv!.. Phone ';So...,. 1o.'>..p,-'1~ Supervi.or l.iccu.e Numlxr 'K \ \" 'S'8 L~ Expiration Date 10.10\ ) <:::>5 COltso'. Conrr, Numbe, ld-\~'-\ \ ~1)(J~\ Expiration Date :ASUP:ViSing Owners Name ~../2L. ..s,l......r~ Address ZSb G-,-~..J..,..j' dIAL. ~ Ciry ~1t:;N"~ Phone b'il6 - IZl{Z OWNER INST ALLATlON The installation is being made on property I own which is nol intended for sale. lenst or rent. Owners Signalure: Inspection Req nest: 726-3769 ~002 "' .' C01\1iPLETEF!':i::t.PtED[TLElJIW?"", ,,>q, :,:_~.., A. ,'..N~w,ilesiden:!t~i.o.~ S!~$I~i;i,'J\1~,iii~r~m(ly~r~ ~';elli~~ ~~ ~ if'. .~~' $106.00 $ 19.00 $50.00 1nsiafl~ti~n~ Aii~t~t;;;ri~iiiReici~~iiil~; " : . . :'," ,.. -"": . ..... ON" .. "H.:' :'H" .": :~ ~ ":..': : . ," Minimum Electric Pe~~.it Inspection Fee is S45.~~ + SU,rchilrges .. ... .. . 'I. ,,$UBTOiAiOFAHOVF: ,",' . . . . . . -. . '"1'5:",:.,;, ' .. ,: .. ~.. " '.,,," :',1$ '~.(..D ""',\ :-;~ 7% State Su,charge 8% ^dminisu"ative fee TOTAL Shar~ Drh,'c(T:)JBuilditlgForm!i!Electricfl:1 Pc.nnit Application (O-Ol.doc . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 11/20/2002 APPLIED: 07/23/2002 EXPIRES: 06/11/2003 VALUE: $ 5,467,000.00 Status: Issued 225 Fifth Slree!, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 110 International Way ASSESSOR'S PARCEL NO.: 1703154000100 Spr TYPE OF Office TYPE OF USE: New Commercial PROJECT DESCRIPTION: Professional Office Bldg, ZAlning: CI, Foundalion & sitework for new office bldg. Building plans submitled for permils 818102 dim Owner: Pacific Source Health Plans Address: 250 Country Club Road Eugene OR 97401 Contractor Type Architect General Eleclrical I\lechanical Owner Plumbing Sewer # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Slree t Storm Sewer Available: Special Instruction: Noles: I CONTRACTOR INFORMATION I Phone Number: (541) 686-1242 Contractor License Expiration Date Robertson Sherwood Architect to C UlfBS IIOU 1996 LL on laW reo. . Utility Builders Electric Inc !l..iiEN1\ON..oreg dbytheoregon tforttl Comfort Flow Heating <ic31low rules adopt\tlOse rules are S~'2.001' Pacific Source Health Plan~iCation center'1 0 ttlfOUgtl OAR 9 \es by Twin Rivers Plumbing~O~AR 95'2.001.00 ain COpies of tne r~one Delta Construclion Co.l~nn(\ YoU may o~t _ ,"'nIl'!: ttle teIB~. _~"nn - - ._~. ....-. '\Ity 'xv..... BUII:;DING INF.ORMA:rION..' _'2344). nUl\1IJ'" . - r Ie 1_13UU'''''Z # f St r:Df\te. - 2 o orles: Height of Type of Heal: Waler Type: Range Type: Energy Path: Lol Size: Sq FI 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carporl: Sq Ft Other: 1m pervious Surface Area: -~ 'DEVELOPMENT INFORMA~fl"'l't\t. ~~1 ~O~\t.~\1.?'t\t>.\.\.~~~~\S'~t.~~~~\\ \'t\\fi:\l~~~~~S t>.\!lt>.~~ lite ~O~:~~~'l1\10t). t>.~~K:overage: B II-N !pUBLIC IMPROVEMENTS I Phone (541) 342-8077 (541) 687-9445 (541) 485-0922 (541) 726-0100 (541) 686-1242 (541) 688-1444 (541) 688-2233 592,416 60,928 REQUIRED PARKING Total: Handicapped: Compacl: Sidewalk Type: DownspoutslDrains 1 of 7 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Desc r;ption Bid Amount Bid Amount Type of Construction Use Bid Amount Use Bid Amounl Fee Description Commercial Plan Check Fire & Life Safety Plan Review Commercial Plan Check Fire & Life Safety Plan Review 8% Admin Fee - Electrical 8% Adminislralive Fee - Plumbi 8% Building Administralive Fee Additional Driveway Address Assignment Backflow Prevention Device Foundalion Only New Curbcul Number of Fixlures Paving Planning Plan Review Sanitary Sewer Foolage Stale Surcharge - Electrical State Surcharge - Plumbing Slate Surcharge For Building P Storm Sewer Footage Temporary: 20 I to 400 Amps Waler Service Foolage -Mechanical Issuance Fee- + 7% Stale Surcharge + 8% Administrative Fee Add, Aller, Exlend Circ Ea Add Air Handling Unil Up to 10,000 Boiler/Comp 3-15 Ii P Building Pe,mit Fixture Furnace - up to 100,000 blu Gas Outlets 1-4 Heat Pump Perm Sen-/Fdr 1000 ampslvolls Perm Serv/Fdr 200 amps or less Perm Sen-/Fdr 201 to 400 amps Planning Final Occy Inspection . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 11/20/2002 APPLIED: 07/23/2002 EXPIRES: 06/1112003 VALUE: $ 5,467,000.00 I Valuation Descriotion , $ Per Sq Ft $1.00 $1.00 Amount Paid $1,924.59 $1,184.36 $13,215.90 $8,132.86 $5.52 $54.48 $94.91 $35.00 $8.00 $14.00 $1,186.40 $75.00 $224.00 $2,015.15 $55.00 $73.00 $4.83 $47.67 $83.05 $255.00 $69.00 $115.00 $10.00 $1,334.32 $1,524.94 $1,230.00 $16.00 $44.00 $17,767.75 $1,134.00 $24.00 $4.00 $12.00 $375.00 $504.00 $300.00 $11 0.00 Square Footage 5,467,000.00 837,000.00 Value $5,467,000.00 $837,000.00 $6,304,000.00 Date Calculaled 11/1412002 11/1412002 Total Value of Project I Fees PaidJ Date Receipt N urn ber Received By 7/23/02 10019 7123/02 10019 818/02 10241 818/02 10241 9113/02 10598 9113/02 10598 9/13/02 10598 9/13/02 10598 9/13/02 10598 9/13102 10598 9/13102 10598 9/13102 10598 9/13102 10598 9/13/02 10598 9113/02 10598 9/13/02 10598 9/13/02 10598 9/13/02 10598 9113/02 10598 9/13/02 10598 9113/02 10598 9/13/02 10598 11/20/02 1200200000000000275 11120/02 1200200000000000275 11/20/02 1200200000000000275 11/20/02 1200200000000000275 11/20/02 1200200000000000275 11/20/02 1200200000000000275 11/20/02 1200200000000000275 11/20/02 1200200000000000275 11/20/02 1200200000000000275 11/20/02 1200200000000000275 11/20/02 1200200000000000275 11/20/02 1200200000000000275 11/20/02 1200200000000000275 11/20/02 1200200000000000275 11120/02 1200200000000000275 2 of 7 Status: Issued 225 Fiflh Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Drainage Impervious Area Vent Fall + 7% Slale SUI'cha'ge + 80/0 AlIministrative Fee Low Voltage - Commercial Indus Total Amount Enginl'l'rillc-C/III' Eneinl'l'rint!.~C/I/P Eneinl't.'rillt!,.C/I/P Fire Dl'lwrtlllcllt Review Fire Marshal-CII/P 10/0212002 . $10,000.00 $60.00 $3.15 $3.60 $45.00 11/20/02 11/20102 12/17/02 12/17102 12/17/02 $63,374.48 I Plan Reviews I 08/29/2002 09111/2002 09/1912002 09/3012002 09/11/2002 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 11/20/2002 APPLIED: 07/23/2002 EXPIRES: 06/11/2003 VALUE: $ 5,467,000.00 1200200000000000275 1200200000000000275 1200200000000000420 1200200000000000420 1200200000000000420 Appr PO Pend PO Foundation & Site only Waiting for fonndatlon plan to be issued Appr PO OK AG 1. Fire department connection shall be mounted between 18 inches and 48 inches above grade. 2. Fire line shall be Installed and tesled per NFP A 24. 3. Call for piping Inspection prior to backfilling. 4. Call for pressure testing and nusing of underground fire line, minimum 56 seconds at hydranl; verify minimum fire now requiremenls with now tesl. 5. Fire hydrant shall be fitted with a 5 inch slorz type seamer porI fitting compatlable with City of Springfield Fire Oepartmenl fitting. 6. Combustible construction will not be permitted until the on site fire hydranl has been installed, lested, and approved. 7. Pipe under driveway shall be buried a minimum of 3 feet per NFPA 24. 8. Provide sign.ge at FOC. Foundation & site only Appr AG 3 of 7 Status: Issued 225 Fifth Slrccl, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire I\lar,hal-C/III' . 09/2312002 4 of 7 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 11120/2002 APPLIED: 07/23/2002 EXPIRES: 06/1112003 VALUE: $ 5,467,000.00 Appr AG Plan review - New Conslruction of a 65000 sq ft, 2 slory, office buildiug. Type II-N(sprinkled ) construction. 1. Provide fire sprinkler plan submittal for review and approval by Ihe City of Springfield Fire Marshal's Office. 2. Provide submittal for review and approval by the City of Springfield Fire Marshal's Office of Ihe FM 200 clean agenl suppression system. 3. All Assembly rooms shall be shall be posted with Ihe maximum occupancy load permitled in accordance wilh Arl. 1007.2.6 of the 19980SSC. 4. Provide Special Inspection certification and testing documenlation from an Oregon registered Electrical Engineer verifying egress Iighling meets all requirements of Article 1003.2.9 of Ihe 1998 OSSC. 5. Areas of Rescue Assislance shall be provided in accordance with Article 1107 of the 1998 OSSC. Provide plan submitlals and cuI sheels specifying equipment, drawings, locations and other details specified in Article 1107 of Ihe OSSC for review and approval. 6. Rooms numbered 220,221,222 show an egress path through more Ihan one inlervening room. Please provide verification Ihallhe design shown meets the requirements of Article 1004.2.2 of the 1998 OSSC 0' redesign to meel the requirements of this article. 7. Exit slgnage shall comply wilh the requirements sel forlh in Article 1003.2.8 of Ihe 1998 OSSC. Occupancy will not be granted if the requirements of this article are not met. For inslance, page E-2 of Ihis submittal does not show the required number of means of egress signs for the ist Door M uitl Purpose room. 8. Provide a fire alarm plan submittal for review and approval . -~r~PI~' ..... - """'!l:' . ~"'-.", , ,..~ Status: Issued 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541-726-3676 Fax 541-726-37(,9 Inspection Line Initial Review-C/IIP Initial Review-C/IIP Planning-C/I/I' Planning-CII/I' Revised Plan Review - SIre Revisl'd PI:IIIS lleccivedlRo . 01/01/2005 10/1512002 07/24/2002 08/09/2002 07/24/2002 10/15/2002 10131/2002 . CITY OF SPRINl.NJ<..Lu Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 11/20/2002 APPLIED: 07/23/2002 EXPIRES: 06/11/2003 VALUE: $ 5,467,000.00 by the City Fire Marshal's Office. 9. All duet deledors within the building shall be monitored by Ihe fire alarm panel. Please provide specifications and cuI sheets for the duct deleetors including mounting and manufacturers lesting inslructions with the fire alarm submittal. 10. FM 200 system shall be monitired by Ihe Fire alarm panel. II. Provide address #'s on Ihe building clearly visible from Ihe slreet and eonlrastlng In color with their background. 12. Provide a Knox Box keyed entry system above the right fronl door jamb ( or In a location approved by the Fire Marshal) Ihe Knox shalll be supplied with a Masler key for the building. Conlact the City Fire Marshal's Office for a Knox box applicalion. 13. The underground, fire line, on-site hydranl and olher appurlenanl equipmenl shall be Inspected, and approved by the Fire Marshal's Office In accordance with NFl' A 24 prior to the commencemenl of combuslible construction. 14. The fire lane shall be marked wilh signage or curb painling in accordance with article 901.4.5 of Ihe 1997 Uniform Fire Code. Appr LH Appr LH Appr AD Plans for struclure submitted Needs LDAP prior to issuance of foundation permit. Corrective LDAP must be resolved prior 10 building permit Issuance Response to Tom Rogers letter from Robertson/Sherwood Architects Fed Ex'd 10 Tom Rogers. Letter daled 10/15/02 from John Bramwell and Included structural calculations. See job file for copy of letter. Received from architect, engineer's response to plan review comment struclural item #4. Faxed 10 Tom Rogers. Pend AD 10 LLH 10 DLM 5 of 7 . ~.~~FI~..... ! l. - , - Status: Isslled . CITY OF SPRINGFIELD' Building/Combination Permit 225 Fiflh Street, Springfield, OR 541-726-3753 Pholle 541-726-3676 Fax 541-72(,-:17(,9 IlIsperlion Line PERMIT NO: 02-00881-01 ISSUED: 11/20/2002 APPLIED: 07/23/2002 EXPIRES: 06/1112003 VALUE: $ 5,467,000.00 Struclurnl Rt'\'il'w 10/01/2002 10 DM Strurttlr"I-C/111' Slructtl ral-C/III' 08126/2002 Appr TR 10 TR SUB - ClIIlI 111/1 lid 08/20/2002 Wait JF SUB - CfI III 111/1 lid 08/2112002 Appr JF FedEx'd Exiting Plans for bolh floors to Tom Rogers 10/01/02 dim Foundation and site only Fed Ex'd plans and specs for building Building envelope and hvac pass. Lighting cnrrenlly has failed. Calculations appear to indicale that Ihe planned interior Iighling load exceeds the budgeted allowable wattage by 2,697 watts. Have placed a call wilh Builders Eleclrlc to work out the Iighling situation. Will nolify building when matter Is resolved. J. Foster Lighling issues have been resolved for now and can pass the lighting portion of review To Rl''i uesl all inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reouired Insnections I I \Jr,'r Electrical Ground: Install ground rod al fooling and call for inspection in conjunction with footing andlor foulIdation inspection. 2 Fuul ing: Arter trenches are excavated. 3 Fouudalioll: After forms are erected but prior to concrete placement. 4 111:<II'rgroulld Plumbing: Prior to filling Ihe trench and including required tesling. S SlOrlll Sl'\nr Line: Prior to filling trench. 6 I.'l:(ll'rgrollnd Electric: Prior to cover 7 Waler Line: Prior 10 filling Irench and including required testing. 8 Fiual Building: After all Conditions have been completed as required on Development Agreemenl. 9 Slah: To be made after all inslab building service equipment, conduit piping and other equipmenlllems are in plal'l' hilt prior to concrete. 10 (';:'C Ikparllllrllt Sprinkler System: Prior 10 cover. Hydro pressure test, fire line flow lest. II Fil'( Ih'parllllrlll Underground Sprinkler System: Prior 10 cover. Hydro pressure lesl, fire line flow tesl. 12 BoilS Installrd in Concrete: To be done by a Slate Certified Special Inspector. Provide inspecllon tesl reports 10 Cily BlIildill~ Inspector. 13 I' "ugh Cradiug: After gravel is in place but prior to placing concrete. 14 I""all'al'ing: Aftcr paving is complele. IS TI'llIporal')' E1rrtric: Approval required prior to Utility Company energizing pole. 16 S,"';lal')' Srwer Line: Prior to filling trench and including required testing. 17 Framing Insprction: Prior to cover and after all rough in inspecllons have been approved. 18 \V:llllnsulalinn: Prior to cover. 19 Ctiling Insulation: Prior to cover. 20 Houling: Priur to installing any roof covering. 21 D:'~,'wall: Priur to taping. 22 1';I'(\\'all: tell'atrd and constructed according 10 plans. 23 ]\1...'10111)': 6 of 7 . . CITY OF SPRINGFIELD' Building/Combination Permit Status: Issued PERMIT NO: 02-00881-01 ISSUED: 11120/2002 APPLIED: 0712312002 EXPIRFS: 0611112003 VALUE: $ 5,467,000.00 225 Fiflli Sln'l'l, Sprillgfield, OR 541-72(,-.\75.\ I'hollc 541-72(i-.\(,7(' Fa, 541-72; -37~~ Inspl'l'fion Line 24 :',,;lin~ Grid: Afler drywall approval but prior 10 eover. 25 1',,,-,)' ..I II d", 1''' To be done by Certified Speial Inspector. Provide Inspection results to City Building Inspector. 26 :;, "'llllral Wdds: To be done during construction by Slate Certified Special Inspector. Provide inspection lest n:sulls In Cil~' Uuilding Inspector. 27 Sperlnl: $"l' Plan Reviewer or Inspectors Notes for specific requirements. 28 ~;pl'l'i,d: Sl'l' Plan Reviewer or Inspectors Notes for specific requirements, 29 ~;p,'l'ial: S"l' Pia" Reviewer or Inspectors Notes for specific requiremenls. 30 I, i'lnIBllildillg: After all required inspections have been requested and approved and Ihe building is complele. 31 SUB Finnl: ,lfll" all required energy inspeclions have been requested and approved. 32 l 'n~kdloor I'lullIhing: Prior to insulation or decking. 33 1"""I~h 1'111 IlIliillg: I'rior to cover and including required testing. 34 1';,1'11 I'llImhing: When all plumbing work is complele. 35 R(llIgh eas: ,....rll'r Ii"e is installed and required lesting and eapped ifnot attached to an appliance, 36 (; ., S,'n'Irl': .-1 fler line is inslalled and line has been connected to a minimum of one applianee including required 1'~Slillg. Pn'slIrc test done at this point. 37 HllllgI11\h'(,:hallil'al: Prior to Cover 38 J-'i:!':i en" lI'hell all gas work is complete. 39 1".llIl :'ll'l'IJallical: \Vhen all mechanical work is complete. 40 ~;: "~I ,\ ",,,Ii a II i"a I: Following City Rough Mechanical inspection approval and prior 10 any cover. 41 I' 1I!,'1l EIl'l'lrk: Prior to Cover 42 1:'l'c.rk Sl'nkl.": Approval required prior to utility company energizing service. 43 Fi'l,'; Ell'l'lrir: \Vhen all electrical work is complete. 44 :,,;l: C,'ilin~ C;l'id: Interior Lighting 45 Cnrht'lIl - Stalldard: After forms are erected but prior to placement of concrete. 46 C ,''':''"1 - Sl'",,,,,I: After forms are erected bul prior to placement of conerele. 47 1"J11~11 Ell'I.'lrk: Prior to Cover 4X F"','ll'il'Sl'n'it'e: Approval required prior to utility eompany energizing serviee. 49 I,' i E1l'l'lrit': When all electrical work is complele. SO I.l'w Vtlllagl.': I'rior to cover. By sigl'l"l' "e, I sl a It' a nd agree, that I have earefuDy examined the eompleted application and do hereby eerlit)' that all infol'lll"';'''' Iien'oll is I rue lllld eorreet, and I further eertify that any and all work performed shall be done in aeeordance with I:,.: enlin:IIIl'l'S IIi' the Cily of Springfield and the Laws of the Slate of Oregon pertaining to the work deseribed hen'ill, ,,"d I h:ll NO OCCUPANCY will be made of any strueture without permission of the Community Serviees Division, Builllil": ~;ali:')'. I ro rlhel' cerlit)' that only conlrac\ors and employees who are in eomplianee with ORS 701.005 wiD be used O:l U. jo.; projl't'l. I furth:' ,":r" tOl'IIS0re that all required inspeelioDS are requested al the proper lime, Ihat eaeh address is readable from Ihe "1'1'( . U",I t h" perm it card is located at the front of the property, and the approved set of plaDS will remain on the site atallli! Il'\ tluring l'OIl:ilruction. OWlwr or COlllr:Jl'lorS Signature Dale 7 of 7