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Home My WebLink AboutPermit Building 1996-02-22CffT OF SPilNGFIELD, SPRINGFIELD 225 North Fi-fth Street Springfield, OR 97477 Location of Proposed Work: 1475 MOHAWK BLVD Assessors ttap #: L7032534 COMMERCIAL/IIIDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD rTob Nurnber: COM!,II'NITY SERVICES DIVISION BUITDING SAFETY Office: Inspection Line: Page 1 9 50003 726 -37 59 726 -37 69 Tax LoE #: 03900 OwneT: RICK STEPINA Address a475 MOIIAWK BLVD Description of Work: REMODEL BAR/CooLER Phone #: 744-08L1- City/SLate/zip: SPRINGFIELD, OR 97477 REMODEL Value:1, 000 . 00 General: Contractor MARPET 0067032 361 Shelley SE Springfield OR 97477 Conat. Contractor #E:<pires 05/3t/e6 Phone 726 -3834 HANDICAP ACCESS: Y -- OFFICE USE QUAD AREA: 2CNW LAND USE: 5300 Item REMODEL TOTAL VALUE OF PROiTECT Square Feet r_000 x $/Sguare FeeE Value L4, 000.00 14, 000 .00 BU]LDING Surcharge/admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/admin PL.AN REVIEW FEE STIBTOTAL PERMITS TOTAL PERITTIT FEES EXCI,I,DING ELECTRICAL 104 I 0 0 0 0 57 .50 .37 .00 .00 .00 .00 .93 180.80 180.80 SPRINGFIELD Job Number: 960003 CITY OF SPilNGFIEA, Page 2 --- REQUIRBD INSPECTIONS --- It, j-s the responsibility of the permit holder Eo 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, request,s made after 7:00 a.m will be made the following work day. Special Inspections: In accordance wiEh Section 305 of the State Specialty Code a special inspecLor shall be employed by the owner/Contractor during construction of any following "*" work. A copy of the special testing reports shaLl- be furnished to Building Safety. In addition Eo the inspections specified, Ehe Building official may make or require other inspections of any construction work to ensure compliance wit,h the Building, City or Development Code. ROUGH PLUIIBING - Prior to cover. ROUGH DIECIIAIiIICAL - Prior to cover. ROUGH ELECTRICAT - Prior to cover. FRAMING - Prior Eo cover. DRY!'IALL - Prior to taping. FINAL PLITMBING - When all plumbing work is complete. FINAL MECIIANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL FIRE - When all Fire Department requiremenEs have been met ' been met. FINAL BUILDING - When all required inspections have been approved and the buifding is complete. --- ADDITIONAI, COMMEIiI1TS --- THE FOLLOWING INSPECTIONS MAY NOT ALL BE REQUIRED, DEPENDING ON THE SCOPE OF THE WORK REQUIRED. PLEASE COORDINATE WITH THIS OFFICE. Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 02/2L/96 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tshat all information hereon is true and correct, and I further certify thaE any and al-I work performed sha11 be done in accordance with t,he ordinances of the City of Springfield, and the Laws of the StaLe of Oregon pertaining to Ehe work described herein, and that NO OCCUPANCY wiLl be made of any strucEure without permission of the Community Services Division, Building Safety. f 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 a]I required inspectsions are requested at the proper time, that project address is readable from the street, that the permit card is focated at the fronE of the property, and the approved set of plans wiLl- remain on the site at all Eimes during construction. J-'J*l * 7 -( tSigna Date SPRINGFIELD .Tob Number: 960003 dTT OF SPruNGFIELI', Page 3 --- VALIDATTON --- Receipt Number, ?a/69 Date Paid, 2-22-% Amount Received' /?f FA Received By .4*---77- RICK STEPINA 1475 MOHAWK SPRINGFIELD, OR JOB# 960003 MARCH 29,1996 TEMPORARY OCCUPANCY IS ISSUED BASED ON THE FOLLOWING: PERMITS FOR THE SECOND RESTROOM WILL BE OBTAINED WITHIN TWO WEEKS FROM THE DATE OF OCCUPANCY. FRAMING APPROVAL WILL BE OBTAINED 20 DAYS THERE AFTER. FINAL INSPECTON SHALL BE OBTAINED WITHIN 20 DAYS AFTER FRAMING APPROVAL. MOHAWK VIDEO SHALL REMAIN OPEN AS LONG AS THE LOUNGE IS OPEN FOR BUSINESS. IT IS AGREED THAT IF ANY OF THESE CONDITIONS ARE NOT MET, BUSINESS OPERATIONS WILL TERMIINATE. zuCK cc S) .NGFIELO E 5. SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL ELECTRICAI PERHIT APPLICATTON ob Nunber C0MPI.JTTE FEE SCmDULE BELOV Nev Residential-Single orMulti-Family per dvelling unit. Service fncluded: I tems Cos t 225 FIFIB STRXET -1 _( r ^cr I . SPRTNGFTELD, OREGoN 97 477''':'r._._L--L!{-- INSPECTION REQT EST z 726-81.6&r'.,*.": OFFICE: 726-3759 3 A nff*2Tg{r62U a?\Sunr Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. JOB ON 2. CONTRACTOR INSTALLATTON ONLY Electrical Contractor 5Rp0S e Address ?,0, BOX t k6 ciry (YXT3€- 11\71 nrror" 7 4t -bo4 7 Supervisor License Number 4Ot q - 9 Expiration Date to -r- qs Constr contr. Number l AZZO Expiration Date _\ 1OO0 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or -Modular 'Dvelling Sertice or Feeder $ 8s.00 s 1s.00 s 40.00 B Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps- Over 1000 amps/volts - Reconnect Only C. Temporary Services or Feeders fnstallation, Alteration or Relocation 200 amps''or less 201 amps to 400 a,np" -0ver 401 to 600 amps -Over 600 amps or 1000-vo-ITs ee (Bt" alove D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit ( S 35.00 3{ s s0.00 s 60.00 s100. 00 s130.00 $300.00s 40.00 40.00 55.00 80.00 s $ $ s Signat of 0vners Name Address q Electrician l<_ 6 V Phone 7L/ L/ -0< ICi ty \l OVNER ON The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: /-?'? Each Additional Circuit or vith Service-or Feeder Permi t 1 Miscellaneous ( Service/feeder -Each installation Pump or irrigation S Sign/OutIine Lighting- S Limited Energy/Res - $Limited Energy/Comm $ g 2.oo lg not included) 40. 00 40. 00 20.00 36.00 53,ao ,- a{ 1.51 5z, z.t n RECETVED 1. LOCATTON OF INSTAII,ATION , t L(?E /(Ol\Mph_ btu d 9t- CO M M ERCIAL/ IN DUSTRIAL PERMIT APPLICATION 225 Fitth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK ASSESSORS MAP SPRI'{GFIELO JOB NUMBER %ru7 INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: PHON E: ZIPSTATE: OWNER: ADDRESS CITY: NEW - REMODEL ADDITION DEMOLISH OTHER VALUE: DESCBIPTION OF WORK: ARCHITECT: CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR ' EXPIRES PHONE MECHANICALT - PHON EADDRESSNAME GENEBAL: PLUMBING M ECHANICAL NO trFF EHA FIG F 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 separale Stationary evap cooler Vent Fan/Single duct Vent Sys from AC tem apart or htg. Mechanical ,exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT PLU MBING NO.FEE CHARGE 3 Single Fixture ./2.c ZD.4 Relocated Bld (new fix. addtl s ) Water Service ft. Sanitary Sewer tt Storm Sewer ft Backf low Device TOTAL PERMIT Va,o _ OFFICE USE - LAND USE: ZONING* OF UNITS: HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: OCCY GROUP: # OF STORIES QUAD AREA: S OF BLDGS: CONSTR. TYPE: HEAT SOURCE: VALUE$/SQ. FT.SQ. FT. TOTAL VALUE OF PROJECT X X X SQ. FTG MAIN SO. FTG ACCESS SQ. FTG OTHEB RCPT#DATEPLAN CHECK FEE BY Vaa.at BUILDING PERMIT PLU M BI NG 7r2, o'-DEMOLITION 5% State Surcharge 5% State Su rcharoe ra /.+, % MECHANICAL FENCE VALUE $ 5% State Surcharge i SIDEWALK FT. SUBTOTAL PERMITS 2./e PAVING CURBCUT FT, SYSTEMS DEVELOPMENT 2re.6/ TOTAL PERMIT FEES EXCLUDING ELECTRICAL 27re ?Ylez REOUIRED INSPECTIONS -It is the responsibility of the permit holderto see that all inspections are made at the proper time. To request an inspection, call726'3769 (recorder), state your City designated job number, iob address, type of inspection 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 7:00 a.m. will be madethe following work day. SITE INSPECTTON: To be made after excavation, butprior to setup of forms. U N DERSLA 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, butprior to placing concrete. CONCRETE SLAB: To be made after all inslab building service equipment, conduit,piping, accessories and other ancillary equipment items arein place but before any concrete is placed. UN DERGROUN D: ptumbing,, electrical, gas, sanitary sewer, storm sewer, water and drainage llnes. To be madeprior to covering or filling trenches. UNDERFLOOR: Ptumbing, electrical, mechanical. To be made prior to installation offloor insulation, decking or floor sheathing. POST & BEAMr To be madeprior to installation of floor ihsulatlon, decking or floor s heath i ng. 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 withuBc 2415. ROUG ELECT MECHANICAL: No work is to be covered until these inspections have been made and approved. t-PAVING: After gravel is inplace but prior to placing asphalt or concrete. STRUCTURAL CONCRETE: Inexcess of 2500 p.S.l. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 l) HIGH STRENGTH BOLTING: During all bolt installation andtightening operations. (306 a.6) SPRAYED ON FTREpROOFING: U.B.C. Standards 43-8. SPECIAL INSPECTTONS: tn accordance Section 306 of the State Speciatty Codea special inspector shall be employed by the Owner/ Contractor during construction of the following work. Acopy of the special testing reports shallbe furnished to the Building Division. 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 inplace and all pipes, chimneys and vents are complete and the rough electrical, plumblng and mechanical are approved. INSULATION & VAPOR BARRIER: To be made after all insulation and requlred vapor barrlers are In place but before any lath or gypsum board interlor wall covering is applied. "ln addition to the inspec- tions specified, the BuildingOfficial may make or requlre other inspections of anyconstruction work to ensureROOF SHEATHING AND NAILING: Prior to installing any roof coverlng. FIRE & SEPARATION WALL: Located and constructed according to plans. LATH AND/OR GYPSUM BOARD: To be made after alllathing and gypsum board, lnterior and exterior, is inplace but before anyplastering is applied or beforegypsum 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing ____"g:'"ti__ SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.1.1 &Chapter 29) GLU.LAM BEAMS: lnspection Certificate by an approved agency, furnlshed to the City,sBuilding Division before beams are placed. (2501 U.B.C. STDS. 2s-10J1). STRUCTURAL MASONRy: (306 a.Zl FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: srrE PLAN REvrEw BoARD: Must be requested 2 days in advanceof the date you wish inspection. Ail project "onoition'"-"uch aslandscaping, parking lot stri ping, etc. must ue compreteo beforereguesting this inspection. of Occupancy has be on the premises. compliance with the Bullding,City or Development Code. en issued by the Building Division FINAL BUILDING: Requested af ter the final plumbing, electrical,mechanical and Fire Department ins pections are made andapproved. No occupancy of the premises can be made until aCertif icate an posted PLANS REVIEWED BY DATE MBI By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatlonherein is true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinancesof the city of springfield, and the Laws of the state of oregon pertaining to the work described herein, and that No occupANcywill be made of any structure wlthout permission of the Bullding safety Division. I further certify that only contractors and employeeswho are in compllance with oRS 7oi.o55 wilr be used on this project. ll required inspections are requested at the proper time, that project address is readable from thelocated at the front of the property, and the approved set of plans wlll remain on the site at all Si gna Date -1 I further agree to ensure that al street, that t times during he permit IS VALIDATION:AMOUNT RECEIVED: RECEIPT #RECEIVED BY: -l- DATE PAID: JOB NO.1A coc= : CIW OF SPRINGFIELD SYSTEMS DEVTLOPMENT CHARGE I^JORKSHEET NAME OR COMPA'TIY {tCR sr{flt A LOCATiON:r+iS /4o/-iLwq p!-,i {-', DEVELOPMENT TYPE i.:"r' t*i a$'€,* ADD.NG FLWIB //$ G BUiLDING SIZI: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. OT SI X $0.2i PER SQ. FT .Ft 2. SANITARY SEI^JER-CiTY N0. 0F PFU'S (a X $43.43 PER PFU (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x x $437.93 x _ x $437.93 x $437.93 4. SANITARY SEI^/ER-MI^JMC NO. OF PFU'S $18.75 PER PFU + $10 l'4l^/l"1c ADMIN.FEE s (Use PFU Total Fr^om Item 2 Above) l'4t^JMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MI^IMC SDC SUBTOTAL (ADD ITEMS 1.2,3 & 4)s ZQo 5. ADMiNISTATIVE FFES BASE CHARGE (SUBTOTAL ABOVE) X .05 s $ {eo5 t4,frL!rylE&*/qp Troy l',lcAllister SDC Coordi nator L{.Dl Date TOTAI SDC $ZlzL t' FIXTURE UNIT CALC| ATION TABLE: Number of New ures X Unit Equivatent : Fixrure Lr,rits (NOTE: For remodels, calculate oiily the NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS . Bathtub...... Drinking Fountain.... Fioor Drain., lnterceptors For Gr easelOillSolids/Etc............-... - lnrerceptors For Sand/Auto Was[/Etc Laundry Tub/Clotheswasher...... Clotheswasher - 3 Or More.--. Mobile Home Park Trap (1 Per Trailer). Receptor For RefrigeratorAVater Station/Etc Receptor For Commercial Sink/Dishwasher/Etc-. Shower, Single Sta11................ Shower, Gan9......... Sink: Bar, Commercial, Residential Kitchen....nt-----a Urinal, Stalli}Vatl... Wash Basin /Lavatory, Single....... Toilet, Public lnstallation. foilet , Private Miscellaneous: TOTAL FIXTURE UNITS CREDTT CALCULA''IION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits separates. o ad/He 2 1 2 ,) 6 2 6 6 1 J 2 1 ') 2 'l 6 4 Year Annexed Rate per $ 1,OOO Assessed Value Year Annexed Rate per $'l ,O0O Assessed Value 1979 or before 1 9BO 1 981 1982 1 983 1 984 1 985 1 986 $3.47 3.39 I 1.7 3-21 3.06 ) a') 2.74 2-46 1987 1 988 1 989 1 990 1 991 1 992 1 002 1 994 $2.13 1.76 1.35 o.95 o.58 o.41 o.29 o.14 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation datel X$ (Rate X Assessed Value) X$ {Rate X Assessed Value) CREDIT TOTAL - $ 6 CO M M ERCIAL/IN DUSTRIAL PERM!T APPLICATION 225 Fitth Street, Springfietd, Oregon 97477 SPN!i|OFiELO JOB NUMBEH -%+= - INSPECTTON LtNE: 726.3769 OFFICE: 726-AZ5! LOCATION OF PBOPOSED WOBK:7' ASSESSORS MAP: (%-2-'-- rAx Lor: F?-14 ADDRESS: CITY:STATE ztP 7PHON Er OT FlE R vALUr:/44?c'b NEW-- RE MODEL DESCRIPTION OF WORK: TION __- DEMOLISH NAME AODRESS PHON E ADDRESS EXPI RES Pl-rONE CONTRACTOR'S NAME ARCHITECT: MECHANICAL: ELECTRICAL: CONST CONTRACTOR, GENERAL; PLUM B I NG ) Single Flxture Btdocate new fi ce ft n eweraty ,t. ft. rm Eackflow Devlce TOTAL PERMIT F U ACn bu rne &VC nt BT SU FEE F U rn ac e bu rn I ntVe 0 Floor furnace anci vent ooruspenwaormounted unit heat ntp S ra le p e ance ro nary evap. er tat cool ant'l n e e atn par ro o ht s ducl hood and duct ec e San Perm il lssuance TOTAL PERMIT cHA s 1 0,00 - OFFICE USE - LAND USE: # OF UNITS: HANDICAP ACCESS: - FLOOO PLATN:-- ZONING: LIGHTING POWER BUDGET: WATER HEATER: OCCY GHOUpT A OF STORIES: QUAD AREA: A OF BLDGS: CONSTR. TYPE; HEAT SOURCE: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJE X X X SQ. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE RCPT, BYDATE BUILDI PERMIT PtUM ING D EMOLITION(State Surcha e urch e State ANM L F CE 5% State SID K ITS SU PPAVINGRBCUT DEVE PMENT SYSTEMS TOTAL PERMIT FFF'C EXCLUotNG elr6iircn./8.?r _4 I REQUIRED INSPECTIONS It is the responsrbility of the permit holder to sce that all inspections are made at the proper time' To request an inspection' call 726.3769(recorder), state your city designated iob number,,iob address, type of lnspection requested and when you will be ready for inspccrion. Fequests ieceived be(ore 7:oo a..r. will be made the same working day, requests made af ter 7:00 a'm' will be made the (ollowing work daY. SITE INSPECTION: To be rnacje after excavation, but prior to setuP of lorms' UNDERSLAB PLUMBING' ELECTRICAL & MECHANICAL: To be made before any work is covered'ATTIC DRAFT STOPS & CURTAIN WALLS ROUgH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. FIREPLACE: Prior to Placing {acing materlals and before framing insPection' FRAMING: To be made after the roof, all (ramlng, f ire blocki ng and braclng are ln place and all PlPes, chlmneYS and vents are complete and the rough electrlcal, Plumblng and mechanical are aPProved. INSULATION & VAPOR BARRIER: To be made after all insulatlon and requlred vaPor barriers are ln Place but before any lath or gYPSum board lnterlor wall covering is appl I ed. FIRE & SEPARATION WALL: Located and constructed according to plans' LATH AND/OR GYPSUM BOARD: To be made atter all lathlng and gYPsum board, lnterlor and exterlor, ls ln olace but before anY plasterlng ls aPPlled or before gypsum board lolnts and iasteners are taPed and fi ni shed. SIDEWALK & DRIVEWAY: Requlred for all concrete paving withln street right ol way, to be made after all excavatlng comPlete and form work andlub'base materlal in p I ace. PAVING: After gravel is in Place but Prior to Placing asPhalt or concrete, SPECIAL INSPECTIONS: ln accordance Section 3OO of the State Specialty Code a special inspector shall be employed bv the Owner/ Contractor during construction of the following work A coov of the speclal testlng reports shall be'furnished to the Building DivislonFOOTINGS & FOUNDATIONS: 'l-o be tlacie a{ter trenches are excavated and forms are erected, all steel in Place, but prior to placing concrete. CONCRETE SLAB: To be rnacle after all inslab building service equiPment, conduit, prping, accessories and other ancillary equiPment items are in place but before anY concrete is Placed, UN DERGROUND: Plumbing, electrical, gas, sanitarY sewer, storm sewer, water and drainage lines, To be made prior to covering or (illing trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to lnstallation of iloor insulation, decking or {loor sheathlng. POST & BEAM: TO bC MAdE prior to installatlon of f loor insulation, decklng or lloor sheathing. FLOOR INSULATION & VA.POR BARRIERS: TO bC ma<le Prior to installation of dccking or lloor sheathing, M,ASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. STRUCTURAL CONCRETE: IN excess of 2500 P.S.l. (306 a1) STRUCTURAL WELDS: Performed on the jab (2722 l) HIGH STBENGTH BOLTING: During all bolt lnstallation and tightenlng oPerations' (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43'8. SPECIAL GRADING' EXCAVATION AN D FILLING: Durlng earthworl(. (306 a.11 & Chapter 29) GLU'LAM BEAMS: lnsPection Certltlcate bY an approved agency, furnlshed to the CitY's Bullding Divislon before beams are Placed. (2501 U'BC' STDS. 25'10J1). STRUCTU RAL MASONRY: (306 a.7) ROOF SHEATHING AND NAILING: Prior to instal ling any roo{ coverl ng, CURB AND APPROACH APRONS: After forms are erected but Prlor to Placlng concrete. 'ln addltion to the insPec' tlons sPeclfled, the Building Officlal may mak6 or requlre other lnspections of anY r constructlon work to ensure compllance with the Bullding, Clty or DeveloPment Code. FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIBE DEPARTMENT ADDITIONAL COMMENTSi --- -'- SITEPLANREvIEwBoARD:Mustbereques.ted2daysinadvance Ji'tnd Jit" you wtsh r,i"puciion. A, prolect,ionditlons such as i""i"-"ipi"g1 parklng loi'stnl plng, etc' must be completed before requestlng thls lnsPection' FINAL BUILDING: Requested a{ter the flnal plumbing' electrical' ;;;h;"I;aano rtr" Department inspectlons are made and appioveO. No occupancy of the premises can be made until a Certlflcate of Occupanty has been issued by the Building Division and posted on the Premises' PLANS REVIEWED BY DATE I f urther certriy that any and all work perform appllcation and do hereby certify tl ed shall be done in accordance wiBy sigrrature, I stlrte and agree, hereir'r rs true and correct' and that I have cl.rre(ully examined the completed hat all information th the ordinances of the CitY of Springlield, and the Law s of tire State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be tnad e of any structure without Pe rmission of the Buildlng Safety Dlvlsion' I further certify that only contractors and employees who are in compliance with OBS 701 0 55 will be used on this Prolect lfurthc'r agree to ensure that all required tnsp ections are requested at the ProPe r time, that proiect address ls readable f rom the is located at thc f ront of the property, and the approve d set of plans wlll remain on the site at all street, that th times cl uring SiSn. AMOUNT RECEIVED Date DATE PAID VALIDAT IO N epe on BECEIPT ' .2r RECEIVED BY: ^?