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Home My WebLink AboutPermit Building 1991-03-28COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitfn Street, Springfield, Oregon 97477 LOCATION OF PROPOSE WORK: ASSESSORS MAP: SPRINGFIELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: PHONE: ZIP:STATE: /5 GS ,//4ah-k CITY: ADDRESS: OWNER: DESCRIPTION OF WORK NEW- REMODEL VALUE: Eo (ADDITION DEMOLISH OTHER PHONE iAac ut, ,/ ADDRESSG ,/.fe 2 no / 1= / ,; uy',- ARCHITECT: PLU M 8IN G: CONTRACTOR'S NAME G EN ERA L:a, MECHANICAL: ELECTBICAL: 4rr-=* /na EXPIRES .z -/? - ?z PHONE 3 //- 3ow CONST. CONTBACTOR # //fu </73s 7 NAME Fr^on.1o ZD, L, ,4r//c- 8, , '/r/. -t ,€ao" I r,'c PLUMBING NO.FEE CHARGE ^r Single Fixture /2 *.4 Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backflow Device TOTAL PERMIT fu"' MECHANICAL NO trtrtr CHA RG F Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100.000 BTUs-ffi ,2 -? 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. I Mechanical exhaust hood and duct 1,sa ,Ulru-,/s* Permit lssuance $10.00 TOTAL PERMIT ff* AU\Ju)63no_ OFFICE USE - WATER HEATER LIGHTING POWER BUDGET: HANDICAP ACCESS: FLOOD PLAIN ZONING OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF P X X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER (/s ooo 1\ e ^",,r lQ43Q DArE 3 8qrPLAN CHECK FEE BY /7/-7e BUILDING PERMIT //a_€o PLU MBING fQoo DEMOLITION 5% State Surcharqe 5,5V 5% State Su rc h arge 2<fO MECHANICAL 2€-"o FENCE VALUE $ 5% State Surcharqe /.2€SIDEWALK FT, SUBTOTAL PERM ITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT /yr/ - TOTAL PERMIT FEES EXCLUDING ELECTRICAL a€ /4a D" n o / Jo r?.- /r.oo nl -7 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, 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, requests made after 7:00 a.m. will be made the following work day. SITE INSPECTION: To be X ROUGH PLUMBING, PAVING: After gravel is in made after excavation, but ELECTRICAL & place but prior to placing prior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNOERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: ln accordance ELECTRICAL & and approved. Section 306 0f the State Specialty Code MECHANICAL: To be made a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. A FOOTINGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division. excavated and forms are facing materials and before erected, ail steel in ptace, but framing inspection' srRUcruRAL CoNCRETE: ln prior to placing concrete. FRAMING: To be made after excess of 25OO P.S.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made after arr insrab buirding 313:5 ::.',:fl 3,T:It;';;:r" ;ll3,"J"',f3"t,Y5tT',rrr, ,service equipment, conduit, and vents are complete anclpiping, accessories and other incirtary equipment items are H?H::Hlt"ji[fl'jJ;[i:X: Bl?,lf],l[]nol*,?,o,]1}:"0in place but before any tighte-ning operations. (306concrete is placed. INSULATION & VApOR a.6) BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.BC.storm sewer, water and before any lath or gypsum Standards 43-g.drainage lines. To be made board interior wall covering isprior to covering or f illing applied. SPECIAL GRAD'NG,t renc hes. ,NDERFL..R: p,umbins I:::,S""'"?"H3[HI"' El:iUt'iiil-tii:,5Jb'il"l electrical, mechanical. To be according to plans. chapter 29) made prior to installation of floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection floor sheathing. - BOARD: To be made after all Certificate by an approved lathing and gypsum board, agency, furnished to the city's posT & BEAM: To be made interior and exierior, is in Building Division before prior to installation of floor place but before any beams are placed' (2501 u'Bc' insulation, decking or floor i:lastering is applied or before STDS' 25-10J1)' sheathing. " Sypsum board ioints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR INSULATToN & finished' a'7) 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 NAILING: Prior to installing any roof covering. 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. *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 caref ully 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 with the Ordinances of the City of Springfield, 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 of the property, and the approved set of plans will remain on the site at all 3-a*2tSignatu re Date located at thestreet, that the permit c times during const VALIDATION AMOUNT RECEIVED RECEIPT *: DATE PAID RECEIVED J x FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL SITE PLAN BEVIEW BOARD: Must be requested 2 days in advanceof 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, 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.o- PLANS REVIEWED BY DATE V^28-?,/ SPTTIIJGFIELE) 225 IIT-I'H S'I'RBET SPRINGTIBLD, oRBGoN 97477 INSPECTIOH RE0UEST? 726-3769 0FPTCE: 726-3759 1 ELECTRICAL PERHIT APPLTCATION City Job Nunber COHPI.STE FEE SCEEDUI^E BELOS Nev Residential-Single or ql Mu1ti-Family per dvelling unit. Service Included: ftems Cost 1500 sq.ft. or less $ 85.00 Each additlonal 500 sq. ft or portion thereof g 15.0C Each Hanuf ,d licme or -Hodular Dvelling Service or Feeder $ 35.00 Services or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: 100 amps or less 101 amps to 400 amps 3 A ,AIqp -z # o-7 Sum Permits are non-t rans ierable and expireif vork ls not started vithin L80 daysof lssuance or if vork ls suspended for 180 days. 2. COIIIRASIOR IT{STALI,,ATIOH ONLY D Electrical Contractor Address $ 3s.00 $ 60.00 $ e0.00 $130.00 $300.00 $ 3s.00 ffi OOCi ty Phone Supervisor Number Expiration Date Constr Contr. Number Expiration Date Signature of rv lclan Address Ci ty Phone OI]NER INSTALIATION The installation is being made onproperty I ovn vhieh is not intendedfor sale, lease or rent. 0vners Signature: DATE: RECBIPT T: 1 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect 0n1y C. Temporary Services or Feedersfnstallation, Alteration or Relocation 200 amps or less $ 35.00 201 amps to 4oo amps - $ 40.00 over 4oL to 6oo amps - $ go.oo Over 600 amps or 1000ToTts see rrgn "f,ffiD. Branch Circuits Nev, Alteration or Extension per panel 5 One Cireuit Tvo to ten Circuits Each Addt,I ten orportion thereof $ 1s.00 limited energy panel $ 36.00 STIBTOTAL OF ABOVB5I State Surcharge TOTAL s 3s.00 $ s0.00 Miscellaneous (Service/feeder not inclucied)-Each installation Pump or irrigation $ 36.00Sign/outline Lighting- $ 36.00Signal Circuit or I / E L-1cRECEI!ED BY: 5 OO