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Home My WebLink AboutPermit Building 1995-07-13^1 COMM ERCIAL/I N DUSTRIAL PERMIT APPLICATION 225 Fifln Street, Springf ield, Oregon 97477 SPFINGFIELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK ASSESSOHS MAP:TAX LOT: -/l 33Zr/PHON E: ?ZzzlZIP:STATE: rz- J Or?CITY: ADDRESS: OWNER VALUEOTERMADITION og/ u. oooODEL ARCHITECT CONST, CONTHACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE PHONEADDRESSNAME srt 73 - oL?osr. 2 tuv d z7k7 o(RLS R" PLUM BI NG: GENERAL: MECHANICAL: ELECTRICAL: PLU MBING NO. I FEE CHARGE LJ sinsre Fixture (*mo,i,)/4 ep-* Relocated Bld (new fix. addtl s ) Water Service ft. Sanitary Sewer ft. Storm Sewer ft Backf low Device TOTAL PERMIT -/t';d2L/. M ECHAN ICAL NO FFF I CHARGF Furnace/burner & vent < 100,000 BTU s Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate 7 Stationary evap. cooler 6 ,2-* Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct,4mfu-ro.z<_/zPle' Perm it lssuance $10.00 TOTAL PERMIT ,/B--> - OFFICE USE _ 53DO WATER HEATEB * OF UNITS: LAND USE LIGHTING POWER BUDGET: HANDICAP ACCESS FLOOD PLAI ZONING CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: Y OF STORIES: QUAD AREA: # OF BLDGS SQ. FT.$/so. Fr.VALUE X X SQ, FTG MAIN SQ. FTG ACCESS SO. FTG OTHER PLAN cHEcK FEE S?-73 2.2e,DATE BYRCPT# /72 77 BUILDING PERMIT %P PLU M BI NG 4?.e DEMOLITION 5% State Surcharqe 7.a r>2. q'2 5% State Surcharge f2_?-g>-se ME zdz> .PB FENCE VALUE $ 5o/o e Su rch e ?5l SIDEWALK FT. SUBTOTAL PERM ITS /?".37 PAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL 3: //35 &rr". S/u,u.rnn /z= Al ee"t .QC \!,) TOTAL VALUE OF PROJECT- /q. - 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, call726'3769 (recorder), state your city designated job number, job address, type of inspeciion requested and when you will be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:O0 a.m. will be madethe following work day. SITE INSPECTTON: To be made after excavation, but prior to setup of forms. 7u !g_U-qt llrlMBtNG, pAVING: After sravet is in' ELECTRICAL & ptace but priorlo ptacingMECHANICAL: No work ts to asphalt or concrete.be covered untll these UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. FOOTINGS & FOUN DATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placlng concrete. CONCRETE SLAB: To be made after all inslab building service equipment, conduit, plping, accessories and other ancillary equipment items are in place but before any concrete is placed. UNDERGROUN D: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing t renc hes. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathlng. POST & BEAM: To be made prior to installation of floor insulatlon, decking or floor sheathlng. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILINGT Prlor to installing any roof coverlng. inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS 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. INSULATION & VAPOR BARRIER: To be made after alt insulation and required vapor barriers are in place but before any lath or gypsum board interlor wall covering is applied. FIRE & SEPARATION WALL: Located and constructed according to plans. ,N LATH AND/oR GYPSUM' BOARD: To be made after all lathing and gypsum board, interior and exterior, ls in place but before any plastering ls applied or before gypsum board Joints and fasteners are taped and fl ni shed. 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. SPECIAL INSPECTIONS: tn accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Owner/ Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 pS.t. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2222 t) HIGH STRENGTH BOLTING: During all bolt instaltation and tightenlng operations. (306 a.6) SPRAYED ON FIREPROOFTNG: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AN D FI LLING: During earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: tnspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.BC. STDS. 25-10,11). STRUCTURAL MASONRy: (306 a.7) ,L *ln 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. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein ls true and correct, and I further certify that any and all work performed shall be done in accordance witn tne Ordinances of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUpANCy will be made of any structure without permission of the Bulldlng Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. lfurtheragree toensure that all reQuired inspections are requested at the propertime, that project address is readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remain on the site at all Signatu re Date times during construction VALIDATION 2'v,/,tr-AMOUNT RECEIVED RECEIVED BY: DATE PAID / r' ,, 7V FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All proJect conditions such aslandscaping, parking lot stri ping, etc. must be completed beforerequesting this inspection. FINAL BUILDING: Requested after the final ptumbing, etectrical, mechanical and Fire Department inspectlons are made and approved. No occupancy of the premises can be made until aCertiflcate of Occupancy has been issued by the Building Divisionand posted on the premises. ADDITIONAL COMMENTS: -PLANS REVIEWED E7 -{-- REcErPr ., 15? 7A=, ,V 1^ OREGONCITY OF SPR SPP FIELO The {ollowing zoning, and d apProral. l:ffi,l,?il,"f :"Sill',"'ffi iorrov"ins '! 225 TIPTE STREET SPRINGFIEI.,D, OREGON INSPECTTON REQUEST: OFPICE: 726-3759 / i35 ON Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTATI.ATION ONLY Electrical Contnactor Address f ck( Ci ty Phone )aq -136e Supervisor License Number 34a: s Exp iration Date iOlqS Constr Contr. Number C Expiration Date .t Signature of rvising Electrician Ovners Name Addr Ci ty Phone OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0wners Signature: DATE: ELECTRICAT PERHIT APPLICATION ty Job Nunber ?Y/O COHPLETE FEE SCffiDtII..B BELOS Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular DvelIing Service or Feeder $ 8s.00 s 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: -l 1. LOCATION OF INSTALLATION 3 EDTEZA A'Bzzo. fllls f B C Sum s s0.00 s 50.00 s100. 00 $130. 00 s300.00s 40.00 s see "B* a56G- 200 amps or less 201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/voIts Reconnect OnIy One Circuit Each Additional ns-w SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or Less 20L amps to 400 amps _0ver 401 to 600 amps Over 600 amps or 1000 voTt s 40.00 $ ss.00 s 80.00 D. Branch Circuits Nev, Alteration or Extension Per Panel I $ 3s.oo Jf- Circuit or vith ServicQ. -or Feeder Permi t I0 $ 2.00 JA Miscel-Ianeous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighti Limited Energy/Res Limited Energy/Comm E 5 $ 40.00 s 40.00 $ 20.00 s 36.00 RECEIVED .<2ae'a' ?-E= DESCRIPTION