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Home My WebLink AboutPermit Building 1997-07-10CO M M ERCIAL/ IN DUSTRIAL PERMIT APPLICATION 225 Fillh Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP; J.p4 ,s.,C. INSPECTION LINE: 726-3769 OFFICE: 726-3759 SP;IINGFIELO PHONE: STATE:ztP L e rh y'e >2 - -r?yv)yOWNER ADDRESS CITY: VALUEEJY-iuADDITION DEMOLISH OTHER DESCRIPTION OF WORK: NEW - REMOD NAME ADDRESS PHONE ADDRESS EXPI RES PHON Ert o,ax?oLO@ //eR CONTRACTOR'S NAME ARCHITECT: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING PLU MBING NO.FEE CHARGF Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backf low Device TOTAL PERMIT MECHANICAL NO FFF aHA eGtr 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. cool er Vent FaniSingle duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE _ LAN FO tS NoT LTGHrtNG PowER BUDGET: R WAIER HEATEB:-- FLOOD PLAIN woRK zoNlNG OCCY GROUP: * OF STORIES: QUAD ABEA: g OF BLDGS: HANDICAP ACCESS: SQ. FT.VALUEANY 18ooau.BEBlou TOTAL VALUE OF PROJ x x x SQ, FTG MAIN SQ, FTG ACCESS SO. FTG OTHER ,//n.Lf RCPT#DATEPLAN CHECK FEE BY g /,o J- BUILDING PERMIT zs4 PLUMBING DEMOLITION 5% State Su rcharq e / Lttr?f 5% State Surcharoe ilEztd-32 8o MECHANICAL FENCE VALUE $ ( 5% State Surcharoe SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL JoB NUMBE " 77lr /z- rAX Lor: O L7 O-O ro,?zr ECTR REQUIRED INSPECTIONS It is the responslblllty of the permlt holderto see that all lnspections are made at the proper time. To request an lnspectlon, call Z26.9Z69 (recorder), state your Clty designated job number, lob address, type of inspection requested and when you will be ready for lnspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. wlll be made the following work daY. SITE INSPECTION: To be made after excavation, but prior to setuP of forms. UNDERSLAB PLUMBING, ELECTRICAL & BING,PAVING: Atter gravel is in No work is to 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 Bullding Division. STRUCTURAL CONCRETE: ln excess of 2500 P.S.l. (306 a.1) STRUCTURAL WELDS: Performed on the iob. (2722 f) HIGH STRENGTH BOUTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: lnspection Certificate by an approved agency, furnlshed to the City's Bullding Divlsion before beams are placed. (2501 U.BC. STDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7) place but prior to placing asphalt or concrete. be covered until these inspections have been made SpECIAL INSpECTIONS: ln accordance and approved. Section 306 of the State Specialty Code MECHANICAL: To be made before any work is covered. ATTIC DRAFT STOPS & CURTAIN WALLS 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 lnslab building service equipment, conduit, piping, accessories and other ancillary equipment items are ln place but before any concrete is placed. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage llnes. To be made prior to covering or filling trenches. UNDERFLOOR: PIumbing, electrical, mechanlcal. To be made prior to installation of floor insulatlon, decklng or floor sheathlng. POST & BEAM: To be made prlor to lnstallatlon of floor insulatlon, decklng or floor sheathlng. FLOOR INSULATION & VAPOR BARRIERS: To be made prlor to lnstallation of decking or floor sheathing. MASONRY: Steel location, bond beams groutlng or verticals ln accordance with uBc 2415. ROOF SHEATHING AND NAILING: Prlor to installing any roof covering. FIREPLACE: Prior to placing facing materials and before framing lnspection. FRAMING: To be made after the roof, all framing, fire blocking and bracing are in place and all pipes, chlmneys 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. F]RE & SEPARATION WALL: Located and constructed according to plans. LATH AND/OR GYPSUM BOARD: To be made after all Iathing and gypsum board, interlor and exterior, is in place but before any plasterlng ls applled or before gypsum board Jolnts and fasteners are taped and f inlshed. # SIDEWALK & DR]VEWAY: Requlred 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- tlons speclfied, the Building Official may make or require other inspections of any constructlon work to ensure compliance with the Building, Clty or Development Code. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information 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 pertainlng to the work described herein, and that NO OCCUpANCy lng Safety Divlsion. I further certify that only contractors and employees this project. requested at the proper time, that proiect address ls readable from the e property, and the approved set of plans will remaln on the site at all 2'- /O -"7Signatu re at I Date will be made of any structure without permission of the Bulld who are in compliance with 701 us I further agree to ens street, that the pe times during co VALIDATION RECEIPT *:BECEIVED BY: DATE PAID 2 FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All project condltions such as landscaping, parking lot stri ping, etc. must be completed before requestlng thls i nspection. FINAL BUILDING: Requested after the final plumbing, electrical, mechanlcal and Flre Department inspections are made and approved. No occupancy of the premises can be made until a Certlficate of Occupancy has been issued by the Building Division and posted on the premises. ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE AMouNr RECEIVED: 8/, O S 2-lz L x # ll/lo/e I [B:aE SE0t ?r0 S0B0 SPFI, DEV. EER.1gl003 Sum d Zonli14]_ Authoriuad Signature. ,-J cPntilorleiD 225 rlrrE SrREm SPRI}IGFIEI,D, ORPGOTI INSPEGTION REQIIESTI OPEICE: 726-3159 97471 (:t ETACIBICAI. PERIfIT APPIJCATION 726-37'5s1: \9,: ! -l Clty Job Ntrubei 1. Loca 0r ,ALI.ArION JOB DESCRTPIION Address 68 West "Q" Street ct Spri ngf i el d, Phone747-6638 Permlts are non-transferable and explrelf vork Is not started'vtthln IB0 diysof _tssuance or lf .vork is susperid"A-for 180 days. 2. COIiITRACTOR IIISTALI..ATION ONLY Electrlcal Contractor L.R. Brabham, Inc. COI.{PI,g[E T8E SCEEDUI.E BEI.OS Nev Besldentlel-Slngle orltultl-Psntly per dv;UlrA unlt.Servlce fncludedt " Items 1000 sq.ft. or less Each addltlonal 500sg. ft or portlon thereof Each Hanuf ,d Horue or _- Hodular Dvelllng Servlce or Feeder Services or FeedersInstaIlatlon, Alteratlonsor Relocatlon; 200 anrps or less 201 anps to 1gg amps l--401 amps to 600_aurps :501 anrps to 1000 enps-- Over 1000 amps/volti Reconnect only HI 4735 3. A c. D. E. Cost $ 85,00 $ 15.00 $ 40.00 B $ 50.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 , Ovners Address cl /dc, Super,visor License Nunrber Explratlon Date 1ol1/% Conitr Contr. Number 08699 Explratlon Date 1Z/18/95 Slgna i,f Supervlslng Electricisn Temporary Servlces or IeedersInstallatlon, Alteratlon or Relocatlon 200 anps or less S 40.00201 anps to 400 amps -- S 55.00Over 401 to 600 aurls - $ g0.OO over 600 amps or 1000-il6Tts see uBi am Branch Clrcults Nev, Alteratlon or Extenslon per panel one ctrcutt _{ $ 35.00 35*Each AddttlonalClrcutt or vlth Servlceor Peeder pernlt _ $ 2.00 Hlscellaneous (Servlce/feeder not lncluded)-Each tnstallatlon funp or ltrlgatlon pl gnl0u tllne - ltght t ng--!lolted Energy/ResLlolted Energy/Coma -SUBTOTAT OF AEOVE 5Z State Surcharge 3Z AdsrlnlstrattvE pee MTAI LLo c ['hone OVNER INSTALT,ATION Ihe Installatlon ts belng made onproperty I oun vhlch ls not lntendedfor sale, lease or rent.-a Oyners Elgnature: $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 DATE: RBCEIVED do t . I.EGAL DESCRIPTION -h ( - .