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Home My WebLink AboutPermit Building 1995-03-30s8ilitrf i?,f.! / I NrD u sr R I A L 225 Fttth Street, Sprlngfield, Oregon gt4t7 LOCATION OF PROPOSED WORK ASSESSORS MAP: INSPECTTON LtNE; 726.3769OFFTCE: t26-3tis SPRINGFIELO JOB NUMBER TAX LO'II PHONE: STATE:ZIP:€>q OWNEH: ADDRESS: CITY: "NEW REMODEL 4_ ADDITION DEMOLISH OTHER VALUE: DESCRIPTION OF WORK: NAME ADDFIESS PHONE ADDRESS EXPIRES PHONE GENERAL: CONTRACTOR'S NAME ARCHITECIT: PLUMBING: MECHANICAL: ELECTRICAL: CONST, CONTRACTOR # NO.FEE CHARGE /Slngle Flxture Relocated Bldo.(new tlx. addtli Water Servlce ft. Sanltary Sewer ft. Storm Sower ft. Backflow Devlce TOTAL PERMIT ./hlrq.,6* NO FFF CHA RGF <100,000 BTU s Furnace/burner & vent F urnace/burner & vent >100,000 BTUs Floor furnace and vent oorSuspended walf or mounted unit heater Appllance Vent separate Stationary evap. cooler I Vent Fan/Slngle duct frta). Vent System apart f rom AC or htg. Mechanical exhaust hood and duct Permlt lssuance $10.00 TOTAL PERMIT I 59o T'OF STORIES: - OFFICE USE - LIGHTING POWER BUDGET: LAND USE: OCCY GROUP: - QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: HANDICAP ACCESS: FLOOD PLAIN: WATER HEATER: r OF UNITS:ZONING: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ x x 3rcO-(=6 SO. FTG MAIN SQ, FTG ACCESS SO. FTG OTHER ssp1, /0d."20C2fa3PLAN CHECK FEE aDATE BY BUILDING PERMIT PLUMBING tfr*DEMOLITION 5% State €Surcharoe f?5% State Surcharqe tfr,fr 7 MECHANICALl rfd&r.,.-tc t162'rX'n FENCE VALUE $ 3'J;.?'j,f" t?r*,4s lLo SIDEWALK FT. SUBTOTAL PERMITS f2 ?? PAVING CURBCUT FT, SYSTEMS OEVELOPMENT /,4 ^ #lotoTOTAL PERMIT FEES EXCLUDING ELECTFIICAL ?tu{az lrut,Tz y -< qB.9 , '72 REQUIRED INSPECTIONS rt rs the responslbilrty of the permlt holder to see that all lnspectlons are made at the pro-per tlme' To request an lnspectlon' call 726.3769(recorder),stateyourCltydeslgnat.Jioo.,.oer,iobaooress,typeoflnspectionrequestedandwhenyouwlllbeready lor lnspectlon. RequesG ieceivecLbeforu 7,oo a.m. will be made the same worklng day, requests made after 7:00 a'm' wlll be made the followlng work day. SITE INSPECTION: TO bE X ROUGH PLUMBING' PAVING: AftET ITAVEI iS IN made after excavatlon, but ---/- EIe-crnrbau a place but prlor to placlng prlor to setup of forms. fVfECHeNf CaL: No work ls to asphalt or concrete' be covered untll these uNDERSLAB PLUMBING, inspectlons have been made sPEclAL lNSPEcrloNS: ln accordance ELE.TRI.AL & and approved. sectlon 306 of the state speclalty code MECHANICAL: To be made .++r^ ^h^Fr a speclal lnspector.shall be employed before any work ls covered. ATTIC DRAFT. sroPs & by the owner/ contractor durlng CURTAIN WALLS construction of the followlng work. A FOOTINGS & FOuNDATIONS: trrRtrpl aeF! copy of the speclal testlng reports shall To be made after trenches are FIREPLACE: Prlor to placlng be f urnished to the Bullding Dlvlslon' excavated and forms are faclng materlals and before erected, all steel ln place, but framlng lnspectlon' srBUcruRAL CoNCRETE: ln prror to ptactng conlrete.' ,( FRAMTNG: To be made after excess of 2500 P's'l' (306 a'1) coNcRErE sLAB: ro be $sJfi:!:lJ'3[:lflb'Ii ," srRUcruRAL WELDS: made after all lnslab bulldlng place and a1 plpes, chlmneys Performed on the lob. 12722 l\ servlce equlpment, condult, ind vents are'complete andplpi.!g,accessories and other the rough electrlcal, plumblng HIGH STRENGTH BOLTING: anclllary equipment ltems are and me|hanlcal are'dpprovedl Durlng all bolt lnstallatlon and ln place but before any tightenlng operatlons. (306 concrete ls placed. TNSULATION & VApOR a.6) BARRIER: To be made after all UNDERGROUND: Plumblng, lnsulatlon and requlred vapor SPRAYED ONelectrlcal, gas, sanltary sewer, barrlers are ln place but FIREPROOFING: U.BC.storm sewer, water and before any lath or gypsum Standards 43.g.dralnage llnes. To be made board lnterlor wall coverlng ls pl::*.""*rlns or fllllns applled. spEctAL GRA,DING, ,NDERFL..R: prumbrns, - [|[:,S""Tf;m'J3[Hl"' ElitlTilil-tli.:,53bT],"t electrlcal, mechanlcal. To be accordlng to plans. chapter 29) made prlor to lnstallatlon of ,/ ^. ,r r Arr DE,floor lnsulatlon, decklng or / LATH ANDTOR GYPSUM GLU'LAM BEAMS: lnspectlon ftoor sheathi;g: --- ' - AOAnO: to Ue maOe after all Certlflcate by an approved lathlng and gypsum board, qsgncy, furnlshed to-the clty's posr & BEAM: To be made lnterlol and 6xierlor, ls ln ' Bulldlng Dlvlslon before prlor to lnstallatlon of floor place but before any beams are placed' (2501 U'BC' lnsulatlon, decklng or floor flasterlng ls applle! or before STDS' 25'10J1)' sheathlng. gypsum board Jolnts and fasteners are taped and STBUCTURAL MASONRY: (306 FLooR rNsuLATroN & flnlshed' a'71 VAPOR BARRIERS: To be made prlor to lnstallatlon of decklng or lloor sheathlng. MASONRY: Sleel locatlon, bond beams groutlng or vertlcals ln accordance wlth uBc 2415. ROOF SHEATHING AND NAILING: Prlor to lnstalllng any roof coverlng. SIDEWALK & DRIVEWAY: Requlred for all concrete pavlng wlthln street rlght of way, to be made after all excavatlng complete and form work and sub-base material ln place. CURB AND APPROACH APRONS: After forms are erected but prlor to placlng concrete. 'ln addltlon to the lnspec. tlons speclfled, the Bulldlng Offlclal may make or requlre other lnspectlons of any constructlon work to enaure compllance wlth the Bulldlng, Clty or Development Code. \/ FINAL PLUMBTNG ,/ FINAL ELEcTRTcAL F!NAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days ln advanceof the date you wlsh lnspectlon. All prolect condlilons such as landscaplng, parklng lot strlplng, etc, must be completed before requestlng thls lnspectlon. FINAL BUILDING: Flequested after the flnal plumblng, electrtcal. mechanlcal and Flre Department lnspectlons are made and approved. No occupancy of the premlses can be made untll a Cer.tlflcate of Occupancy has been issued by the Bultdlng Dlvlslonand posted on the premlses. ADDITIONAL COMMENTS: PLANS FIEVIEWED BY oerc 7:?125+ By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon hereln ls true and corrsct, and I further certify that any and all work performed shall be done ln accordance wlth the Ordlnances of the Clty of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCYwlll be made of any structure wlthout permlssion of the Bulldlng Safety Dlvlslon. I further certlfy that only contractors and employeeswho are ln compllance wlth ORS 701.055 will be used on thls proj€ct. I further agree to ensure that all requlred inspections are requested at the proper tlme, that project address ls readable from thestreet, that the t card ls located at the front of the property, and the approved set of plans wlll remaln on the slte at alltlmes durl Slgnat Date AMOUNT RECEIVED:DATE PAID:VALIDATION: ctl RECEIPT *: /ot'OZ RECEIVED BY:9r> r., CITY OF OREGO'V SPF|!' gtELE' 225 FIFTE STREET SPRINGFTELD OREGON 97 INSPECTI0N REQUEST: 7 0FPICE: 726-3759 1 ON INSTALI,ATION I,EGAI DESCRIPTION JOB DESCRIPTION 47'il. .(1-Ltr- it/264i69-- r.l ...{' {..,n.:,.}1J.,.,.i,,r-, . Io:ring-C?ELECTPJCAL PERHIT APPIJCATION P V citY Job Nurnber 4o 3. COHPI,ETE SCMDULE BELOV A Nev Residential-Single or Multi-Family per dvelling unit. Service rncluded' ,a.*s cost L000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home- or -Modular 'DveIIing Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or }ess 201 amps to 400 amPs -401- amps to 600 amPs - 601 amps to 1000 amPS- 0ver 1000 amPs/voIts - Reconnect OnlY $ 3s.00 s 2.00 SUBTOTAL OF ABOVE 5% State Surcharge 3Z Administrative Fee TOTAL 8> zo 6o PaI-/r'.h/S ,/^ Sum c -60 2 . COMRACTOR INSTALLATION ONLY B Electrical Contractor l.) Ci tv Phone Supervisor License Number Expiration Date C- Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name Et,, tnbr:o 4a*,1/BLVI)Address I [\n ci ty sP?lJ(rftliL4. Phone Permits are non-transferable and expire if vork is not started vithin 180 days oi i""r"nce or if vork is suspended for 180 days. OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended ?or sa1e, lease or rent' TemporarY Services or Feeders instat:-ailotr, Alteration or Relocation 200 amps"or less $ 19'99,oi ;;" to 4oo amps - t ::'99o;;.-4bi to 6o0 amps -- $ 80'00 0ver 600 .*p" ot-i6Oo-7ffi" see rrBrr a561iil Branch Ci rcui ts ; .'i'Nev, Alteration or Extension Per Panel one Circuit ( Each Additional Circuit or vith Service Jt-r..a". Permit -3 3s o-D -Each installation Pump or irrigation --Sien/Outline Lighting_- Limited EnergY/Res -_-Limited EnergY/Comm s s0.00 s 60.00 s100. 0o s130.00 s300.00s 40.00 E Miscellaneous (Service/feeder not included) ignature: qs 40.00 s 40.00 $ 20.00 $ 36.00 5 t-23 RECEIVED c(aa,iAq€d-. 4Ll'L8 L, iil 7qG "t7zi