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Home My WebLink AboutPermit Building 1995-12-18COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP: SPRINGFTELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT:*)o .fnx- PHoNE: 3bo - bq 6 - 006 g Q8t toV/4,STATE ZIPl/a'"eouv", ^'CITY: ADDRESS: OWNER VALUE @ 4DESCRIPTION OF WORK: X DEMoLTsH orHERNEW - REMODEL ADDITION MECHANICAL: ELECTRICAL: NAME ADDRESS PHONE I 7 q z /v, tl a 4$rpro"ro* nADDRESS EXPI RES PHONE I CONTRACTOR'S NAME ARCHITECT; G EN ERA L: PLUMBING PLU MBING NO.FEE CHARGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backflow Device TOTAL PERMIT MECHANICAL NO FFF CHA RGF Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance s10.00 TOTAL PERMIT - OFFICE USE _ LAND USE: ZONING* OF UNITS: HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT.VALUE 6€@.4TOTAL VALUE OF PROJE X X X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER RcPr. /?93?73PLAN CHECK FEE DATE BY G/.e s DEMOLITION ,3 L FT, FT. rch BUILDING PERMIT PLUMBING CURBCUT 5% State 5% State SIDEWALK MECHANI % State PAVING Su rch rch TOTAL PERMIT FEES EXCLUDING ELECTRICAL SUBTOTAL PERM ITS SYSTEMS DEVELOPMENT FENCE VALUE ?s/7c' /7D3 25 / 3 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, iob 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. UNDERSLAB PLUMBING, ELECTRICAL & -X RoucH PLUMBTNG,-@ MECHANICAL: No work is to be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing inspection. X FRAMTNG: 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 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. LATH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board, interior and exteriol is in place but before any plastering is applied or before gypsum board joints and fasteners are taped and f inished. 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. PAVING: After gravel is in place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Owner/ Contractor duri ng construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: In excess ot 25OO P.S.l. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AN D FILLING: During earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: lnspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. STDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7\ *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. MECHANICAL: To be made before any work is covered. 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. UNDERGROUN D: PIumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing t re nc hes. UNDERFLOOR: PIumbing, electrical, mechanical. To be made prior to installation of f loor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or f loor sheathi n g. 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 sHEATHTNG AND iHffi^il'^,ti'T:f="X'. NAILING: Prior to installing erected but prior to placing any roof covering. concrete. By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information herein is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, 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 at the front of the property, and the approved set of plans will remain on the site at all Signature Date street, that the permit card is loc times during const ction VALIDATION a.{z 2a/,o,AMOUNT RECEIVED: RECEIPT *:RECEIVED BY: DATE PAID: FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL F]RE DEPARTMENT 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 stri ping, etc. must be completed before requesting this inspection.X 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. ADDITIONAL COMMENTS: -PLANS REVIEWED BY DATE /R -/tr- E4 x T'PHIN(3FIELc, Tho zonl i) : '' Zoni225 IIIFT'U STREET n'bV '55"18co 1e CAL PERHIT APPLICATION FBE SCHXDULE BELOS 1,000 sq.ft. or l-ess Each addltional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders fnstallation, Alterations or Relocation: 200 amps or }ess 201 amps to 400 amps -401 amps to 500 amps -_601 amps to 1000 amps Oyer 1000 amps/volts -Reconrrec r 0n1y s 50.00 s 50.00 s100.00 s130. 00 s300.00 s; 40. 00 CC SPRTNGIIIELD, OREGON 97 47]ao*,"12'#Ci ty Job Numbe, Q'S iqOS-INSPECTION REQUEST: 726-3769 0FFICE: 726-3759- AutiroLz'od 1. LOCA'TION OF TNSTALLATION Nev Residential-Single or I'luIti-Family per dwelling uni t. Service Included: I tems Cos t if of lB0 JOD I]ESCRIPT.ION . ) *Cr' Permits are non-transferabLe and expire work i.s no t s tarted vi thin 180 days issuar:ce or if work is suspended for <iays. 2. COM'RACTOR INSTALLATION ONLY Dl.ecrrjcal Coptraclqr- ABLE ELECTRIC Address 551 1 MAIN City SPRTNGFIELD Phone 726-67qf A B c $ 8s.00 s 15.00 s 40.00 s 40.00 s 40.00 s 20.00 s 36.00 Sum @o, Supervisor License Number lixpir.atiort Date i0-1-9t 3023s C,rrstr Contr. Nunrber 92506 Ii>:pJration Date 7 -16-s{ Signature of Supervising Electrician 4.n'ryf ovrrers Narrc /"LCrrr 7// ktoZt Add re o t3 + sr >Ttr t6[ Cir L,t Uf{2- Phone tr( OVNEI{ TNS'I'ALLA 'fhe instarllation is being made on proper t5, I oran vhi ch is no t in tended Ior saIe, Iease or rent. Ovners Signature: Temporary Services or Feeders Installation, Alteration or Relocation 200 arnps or fess $ 40.00 201 amps ro 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000-i6Tts see trgtt uffiJfi D. Branch Circul ts Nev, Alteration or Extension Per Panel One Circuit S 35.00, Eacli Addi tional Circuit or vith Serviceor Feeder Permit $ 2.00 E. Miscell"aneous ( Service/ feeder no t included ) -Each i Pump or Sign/0u Limi ted Limi ted YJn'o ns tallation irrigationtline Lighting--T Energy/Res .- Energy/Comm 5 SUBTOTAL OF AI]OVE 5Z State Surcharge 32 Admini.strative Fee TOTAL DATE: RECEI \-&-Z-dT- ,/ v0 RBCEIVAD B /-'70