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Home My WebLink AboutPermit Building 1992-12-14COM M ERCIAL/ I N DUSTRlAL PERMIT APPLICATION 225 Fitlh Street, Springf ield, Oregon 97477 LOCATION OF PROPOS ASSESSORS MAP: SPFIINGFIELO *,t".t JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT OWNER: ADDR CITY:STATE: PHONE: ZIP: ADDITION DEMOLISH OTHER VALUE DESCRIPTION OF WOR NEW - FIEMODEL NAME ADDRESS PHONE SN ADDRESS q7E H )kCO ARCHITECT: CONST. CONT MECHANICAI ELECTRICAL: GENERAL: PLUMBING PLU MBIN G NO.FEE CHARGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft. Storm Sewer ft. Backflow Device TOTAL PERMIT MECHANICAL NO FFF CHARGE 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 System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT _ OFFICE USE _ LAND USE: ZONING* OF UNITS: HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER OCCY GROUP: * OF STORIES: QUAD AREA: g OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SO. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ X X x SQ. FTG MAIN SQ. FTG ACCESS SO. FTG OTHER RCPT#PLAN CHECK FEE DATE BY BUILOING PERMIT eir),5r)PLUMBI NG DEMOLITION 5% State Su rch arq e / o3 5% State Su rcharoe MECHANICAL FENCE VALUE $ 5% State Surcharqe SIDEWALK FT. SUBTOTAL PERMITS PAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT ,S3TOTAL PERMIT FEES EXCLUOING ELECTRICAL 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 will be made the same working day,UeStS e after 7:0O a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prior to setup of forms. BING,NG: After gravel is in UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing t re nc hes. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or f loor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking 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 verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to installing anY roof covering. be covered until these inspections have been made and approved. 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 in place and all pipes, chimneys 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. 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 plastering is applied or before gypsum board joints and fasteners are taped and f inished. GLU-LAM BEAMS: lnspection Certif icate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. srDS. 25-10J1). STRUCTURAL MASONRY: (306 a.7) 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. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. 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 inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are in place but before any concrete is placed. L: No is CURB AND APPROACH APRONS: After forms are erected but Prior to Placing concrete. 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 duri ng 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 PS.l. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 t) HIGH STRENGTH BOLTING: 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) *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. 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 conditions such as landscaping, parking lot striping, etc. must be completed before requesting this i nspection. 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. ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE By signature, I state and agree, that I have caref ully 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 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 70.1.055 will be used on this project. inspections are requested at the proper time, that project address is readable from the e front of the property, and the approved set of plans will remaln on the site at all Signature tDate ensure that all reI further ag it card is loc tion street, that tl times during VALI o AMOUNT RECEIV RECEIPT #RECEIVED BY: DATE PAID 5 t.r |l t{ (; l'r r:1- L) l1r 225 FIFTII STRIIIiT SPRINGFIELD, OREGON 9747] INSPECf,I0N REQUBST. 726-3769 0FPICE: 7?.6-3759 2fi,The lollowing Proi zoning, and dcteo approvai.ELBCTRICAL PBRHIT AP PLICATION Zorring-L 3. A qA\\o3f) Permits are non-transferable and explre 1f vork is not started vlthin tBO days of issuance or if vork ls suspended for 180 days. 2. CO}ITRACTOR INSTALINTION ONLY E}rical Contractor Adcl r:ess Ci ty Supervisor Licen ber Expiration Dat Constr Con . Number Expir on Date si ture of Supervising Electrici ovners nur" fox,o [,Ju ,aa.,J Atldress A-l t{ Rrnel,e Ro ci ty Frt C*gpf rn"ne 14-3-Q r o f OSNr.n, INSTALLATION The installation is being made on property I own vhich is not intended for sale, Iease or rent. Signature: 7/ Ci ty Job Number LBTB BBLOV Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service fncluded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Hanuf 'd llome or Moclular Dvelling Service or Feeder s 85.00 $ 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: Signatu 1 Sum zP',h ,t: B 200 amps or less 201. amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders' Installation, Alteration or Relocation D. Branch Circuits 200 amps or less S 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see "Brr above Nev, Alteratlon'or Extension Per Panel onecircuit --t S3s.oo 35 Each Addi t ional Circui t or vi tlr Service.. /or Feeder Permit .-l S 2.00 ( f Hiscellaneous (Service/feeder not included) -Each installation Pr,rmp or i rriga t ion S Sign/OutIine Lighting_ S Limi ted Energy/Res _ S SI'BTOTAL OP AI}OVE 5f State Surcharge TOTAL 40. 00 40. 00 20.00 36.00 I,I RIiCI.]IVED IIY: E ,--", 1 2 Permit No lssued Date OR OFFICE USE ONLY STATEMENT: !NFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration underORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. Contractor reqistration number- I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. 3.8 will be my own contractor. lf I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. lf I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and understand the lnformation Notice to Property Owners about Gonstruction Responsibilities on the ide this form. 'z{7 na it Applicant te UCTION CONTRACTORS BOARD OR / WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT 8/91 Address: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILIT!ES NOTE: This lnformation Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.0566), passed by the 1989 Oregon Legislature. 'l-: lf you are actin$ as your own contractor to construct a new home or make a substantia! impiiivement,to an existing structure, you can prevent fany problems by being aware of the following responsibilitigs and areas of concern lf you hire persons not registered with the Construction Contractors Boqrd to do labor in constructilg or assisting in the construciion or iriprovemeot.oj g residential slructure;'.yg..u.iryJJl,,in most;inStances,'tfu'fufeo to be an "employer" and the people you hire will'be "employees". As the employer, you must comply with.the following:,.; gregon's Withholdl As an employer, yqu must wrthhold'income taxes from employee wages at EMPLOYER RESPONSIBILITIES: the time employees are paid. You wilthe ljable for the tax payments even,if you donlt actually withhold the tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390. Unemployment lnsuratce Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of allemplo!€e$- For more information, call the Oregron Employment Division DHR at 378-3224. ,: Workers' Compensation lnsurance: As an employer, you are subject to the Oregon \fibrkers'"Compensation Law, and must obtain workers' compensation insurance for your employees. lf you fail to obtain workers' compensation insurance, you,may be sublect to penalties and will be llable for all claim costs if one of your employees is injured on the job. For more information, callthe Workers' Compensation Division DIF at 9ru74%. U.S. lnternal Revenue Service: As a p employ.qr, you must withhold federal income tax from employees' wages. for more information, callYou will be liable for the tax payment even if you didn't actuqlly withhold the tax the lnternal Revenue Service at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCEBN: Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 Code Compliance: As the permit holder for this proiect, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage lnsurance: Contact your insurance agent to see if you have adequate insurance chasfallingtools,paintoverspray,waterdi.magefrompipepUnc. tures, fire, or work that must be re-done. Time to Sup ervise Employees Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rouffin and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. lf you have additional questions, write to: o24N 10t24t89 / *"OCCT'PAIICY INSPECTION APPLICATION DATE:uevl^\ev- e q JOB NUMBER:?- /us O ADDRESS 0F INSPECTI0N: lqU 5, tqn OIJNER:-5.n.*l \si* \\so,t'PH0NE NUMBER: a{z *oq 0!INER' S ADDRESS: j-t r S R, j.K.q u APPLICANT: orr) \ rurt So n-) APPLICANT,S ADDRESS: 3-.? t S ( r.reR-lQo rc D 6n..1-c ^$g Q1^e1ar'.) FOR ACCBSS TO PROPERTY - TELEPHONE NUMBER: 3q2- qI O? PR0P0SBD USE: Cc,,". u-.'o .\Q-ao\ t=L[e o-Cc;€ A $35.00 INSPECTION FEE TS REQUIRED AT TIIE TIME OF APPLICATION THIS APPLICATION FORM MUST BE STGNED BY THE OWNER OF THE PROPERTY TO BE OF PRO OIINER FOR OFPICB USE ONLY DATE PAID:, DATE OF INSPECTTON: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: Vo 03RECEIPT NUMBER: DATE OF REPORT: CITY OF SPRINGFIBLD BTIU)ING DIVISION:======:======::===:==:===:===:=======::========================-===============