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Home My WebLink AboutPermit Building 1995-03-24CITY OF SPR OREGON The tollowin prolod aB submittod hts th€ lollowing lSPr TGIFIELD City Job Nunber 3.COHPI,BTB TBE SCEBDI'I,E BELOIT e\,/t ia1-Single oren 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders fnstallation, Alterations or ReLocation: 200 amps or less 20L amps to 400 amps -40i. amps to 600 amPs - 60L amps to 1000 amPS- 0ver 1000 amps/volts - Reconnect 0n1Y One Circuit Each Additional Circuit or vith Servic dI 225'BIiTE STREET SPRINGFTELD, OREGoN 974Tf*"" INSPECIfON REQUESTz'72 6-37 OFIICB: 726-3759 tor,il.;, and does nol requiru spsc,fic iorid usegtrggIBICAL PERI{IT APPLICATION r,l L 1 OF INST DESCRTPTION Perm ts are transferable and exPire if work is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COI{]TRACTOR INSTALI.ATION ONIY Electricaf Contractor Address Ci ty Phone L\b- Supervisor License Nu t- mber I ) Signature sing Electrician () 0vners Nam Address bb\ Ci ty Phone O9NER INSTALI"ATION The installation is being made on piop"tty I ovn vhich is not intended for sale, Iease or rent' Ovners SigBature: Multi-Family per dvelling unit. Service Included:Items Cost h^ Sum B $ 8s.00 $ 1s.00 $ 40.00 $ s0.00 $ 60.00 $100.00 $130.00 s300.00 $ 40.00 $ 3s.00 e/ $ z.oo ee trBil'a6ffi Expiration Date C constr contr. Number JHfiFBY ,0-453 g Temporary Services or Feeders Installation, Alteration or Refocation Expiration Date,3o b 40.00 5s.00 80.00 200 amps or less 201. amps to 400 amps T Over 401 to 600 amps 0ver 600 amps or 1OOO voEs Branch Circuits Nev, Alteration or Extension Per Panel $ $ $ s D 3a A E Miscellaneous (Service/feeder -Each instal]ation Pump or irrigation $ signzoutline Lighting- tLimited Energy/Res $ or Feeder Permit SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL not included) 40.00 40. o0 20. oo @5 DATE:L _q5 RECEIVED R"s. C^.P. YOF ,oR, SPR'NGFIELO The lollowing % 225 FIFTB STREET SPRTNGFIELD, oREGoN 97477 fNSPECTION REQUEST: 726$l'6 zoning, and approval.e-u 2-u <q OFFICE: 726-3759 A,lthorizsd 1.OT INSTALLATION A LEGAL DESCRTPTION;z)LE 3( o/?af JOB DESCPJPTION Permits are non-transferable and expire if vork is not started vithin 180 daysof issuance or if.vork is suspen-ded for 180 days. 2... CONTR/ICTOR INSTALI.ATION ONLY B Electrical Contractor R+t 6'k<(t:<o( Gn/r. Address tl"l S>"J &q Av. Ci ty A\lc..n.r.Phone <1G7 - ?eo7_______El Supervisor License Number JGus'5 Expiration Date /o-g5 C Constr Contr. Number Expiration Date )2- ttsc /o-?5 of Supervising ectr c not require sPecffic land use 00; 00 ee rB, aEoif D. Branch Circuits New, Alteration or Extension per panel ELECTRICAL PERHIT APPLICATION City Job Number ?ila s7 FEE SCMDULE BELOS Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: I tems Cos t Services or Feeders InstalLation, Al terationsor Relocation: 200 amps or Less 201 amps to 400 amps - 401 amps to 600 amps -60L amps to 1000 amps- over L000 amps/volts - Reconnect 0n1y Temporary Services or Feeders Installation, ALteration or Relocation Sum s 00 00 00 00 00 00 Sso s60 s100 $130 s300 40 0040 55 80 owners Nane Stfiaz7a:J 4ftZra-*gZ eaaress itf j ? ,4.*nfiuZ_ 42c;ry Qrrf? ynone 7y'2 -Aaz( OVNER INSTALLATION The installation is being made onproperty I ovn vhich is not intendedfor sa1e, lease or rent. 0sners Signature: DATE: 200 amps or less $ 20L amps to 400 amps - Sover 40L to 600 amps - $0ver 600 amps or 1000-7oEs s one circuit (----s 35'oo Each Additional Circuit or vith Serviceor Feeder Permit S 2.00 ? (ao\)( E Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Ou tline Lighting- Limi ted Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL '60 00 00 00 00 40. 40. 20. 36. $ s $ s 5 RECEIVED B 2 o, 1000 sq.ft. or less S 85.00 Each additional 500 sq. ft or portion thereof S 15.00 Each Manuf'd Home or -Modular DveIIing Service or Feeder $ 40.00 h/A zoning, and approval, 225 ETtrE STREET SPRTNGFTELD, oREGoN 974 INSPECTION REQIIBST z 72' OFPICE: 726-3759 Authorlzed Signatu .l\ 1. LOCATION OP INSTATLATION JOB Permi ts are t era 1e expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTATLATION ONLY SPFTilGF!ELC, project as submitted has thedoes'not require specilic ianO uso 0c/ELE TRICAL PERT{IT APPLICATION City Job Nunber 4 92 A SCHEDT'LE BELOII I tems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf 'd llome or Modular Dvelling Sertice or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 4oO amps -401 amps to 600 amps _ 601- amps to 1000 amps- Over 1000 amps/voIts Reconnect 0niy c. D. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Cos t s 8s.00 $ 1s.00 s 40.00 $ s0.00 s 60.00 $100.00 $130.00 s300.00s 40.00 Sum t Electrica I Contractor Addr Ci ty ess 8,2? 5. W. V144zs. ,ftAfr% azz'Phone%veff E ( Supervisor License Number 3 i = Expirat ion Dare /O -O/€7 constr contr. Numbe r ?2ea 2 Expiration oare 2 y'3 fG of Supervising Blectrician DATE: Ovners Name Address Ci ty 5T - Phone ??^ -4?7 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Orners Signature: Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less S 40.00 ioi "*b" to 4oO anps - $ 55.00 over 4b1 to 6oo amps - $ 8o.oo 0ver 600 amps or fbOO voTts see uBu aE6iil Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permi t ? S 2.00 G, -o Miscellaneous (Service/feeder not included)E 5 -Each installation Pump or irrigation $ sign/outline Lighting- $ l,i.mi ted Energy/Res $ 40.00 40. 00 20.00 36.00 SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL OREGO'V RECEIVED -- CITY OF LEGAL DESCRTPTION/,-€*2<-7 1 fr?*z> t COM M ERCIAL/!N DUSTRIAL PERMIT APPLICATION 225 Fitth Street, Springfield, Oregon 97477 SPRINGFIELO JOB NUMBER INSPECTION LINE: 726.3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK /5 zz lZbr*Ue BL/4- ASSESSORS MAP:3 TAX LOT: PHONE: 9oztP Z STATE:o/( " /oz CITY: ADDRESS OWNER:. DESCRIPTION OF WORK: NEW - REMODEL --- ADDITION DEMOLISH OTHEB VALUE: '4 Oo ADDRESS PHONE 2/ee< ADDBESS EXPI RES PHONE .gtr v27 o /.f c) /-,7 o 4 / ( /] a/.c . GENERAL: CONTRACTOR'S NAME ARCHITECT: 'Ko// MECHANICAL: ELECTRICAL: PLUM BING CONST. CONTRACTOR # NAMEc/ // PLU MBING NO.FEF CHARGE Single Fixture ft ra), Relocated Bld (new fix. addtl s. ) Water Service f t. Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT / r.n MECHANICAL NO FFF EHA 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 Sys AC tem apart or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE - LAND USE: * OF UNITS: HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER ZONING: OCCY GHOUP: Y OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ X X SO. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER /?, re BCPT#PLAN CHECK FEE DATE BY a7.x BUILDING PERMIT 21.{o PLU M BI NG / 1,oo DEMOLITION 3h"i'"1t"" lle t.6t 2,17 3i1lir!1'r'" ,7rt,y'r LO MECHANICAL FENCE VALUE $ y'/*- ,(cvta<t /7./8 5% State Surcharoe SIDEWALK FT, SUBTOTAL PERMITS PAVING CURBCUT FT, SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL /qo< y'iae,z f )/ 9t S;' a-j' / - - J5 G/cft ea /3o-tt,- REOUIRED 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. wlll be made the same working day, requests made after 7:O0 a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prior to setup of forms. be covered untll these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FOOTINGS & FOUN DATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. FIREPLACE: Prior to 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 electrlcal, plumbing and mechanlcal are approved. HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work ls covered. CONCRETE SLABI 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: Plumbing, electrical, gas, sanltary sewer, storm sewer, water and dralnage lines. To be made prlor to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor lnsulatlon, decking or floor sheathlng. POST & BEAM: To be made prior to installation of floor insulation, decklng or floor sheathing. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or vertlcals in accordance withugc 2415. ROOF SHEATHING AND NAILING: Prior to lnstalling any roof coverlng. facing materials and framing lnspection. PAVING: After gravel is in place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: ln 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 P.S.l. (306 a.l) STRUCTURAL WELDS: Performed on the job. (2722 f) SPRAYED ON FIREPROOFING: U.BC. 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.BC. STDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7) 'ln addition to the inspec- tions specified, the Building Official may make or requlre other inspections of any constructlon work to ensure compliance with the Building, City or Development Code. -K L: No work is to placing before >< INSULATION & VAPOR BARRIER: To be made after all insulation and required vapor barriers are ln place but before any lath or gypsum board interlor 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 exterior, is in place but before any plasterlng ls applied or before gypsum board jolnts 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 prlor to placing concrete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation herein is 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 street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all Date a"16/,Inn.,u tlmes durlng ructi on. vALrDA,oN , ,f"#'{n at 3 AMOUNT RECEIVED: RECEIPT S:RECEIVED BY: DATE PAID: / F'NAL PLUMBTNG Y FTNAL ELEcTRtcAL SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as landscaping, parklng lot stri ping, etc. must be completed before requesting thls inspection. FINAL BUILDING: Requested after the final plumbing, etectrlcal, mechanlcal and Fire Department inspections are made and approved. No occupancy of the premises can be made until aCertificate of Occupancy has been issued by the Building Dlvisionand posted on the premises. FINAL MECHANICAL )(- FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE '-= t1 i-\2 53q, -C\3@ OCCTIPAI{CY INSPECTTON APPLICATION CITY OT SPRINGFTELD DATE: ADDRESS OF INSPECTION: OVNER: OVNER'S ADDRESS: BTIILDING DIYISION JOB NUMBER:?/T 7 APPLICANT: APPLICANT'S ADDRESS: FOR ACCESS TO PROPERTY _ TELEPHONE NUMBER: PROPOSED USE: A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OP APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OIINER OF THE PROPERTY TO BE INSPECTED. 'e/,b ;/" FOR OFFICE USE ONLI DATE PAID: DATE OF INSPECTION: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: RECEIPT NUMBER: DATE OF REPORT: t 9ela --1t- 1 i+lJ H f-- ---l fr--hl t E] L1= rl tJ!,--.I lt-- , i:" a I II = I ;re---/-J-== lt u t # r _l iL II o , t-: t r \. p I r-,i --) a, 6 .:a I -l t n G).. l l+ t o tn 1rl q4!g )-+I ,.1 { - ir f o \p 1e t i\ F I.i lr' ,l' i, 0 t :rD t -a' d 1=tlFEr-- HTE 1f i. ,.{i'*1 I x $rFEE :*--*-.--..-T*a 5 I c