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Home My WebLink AboutPermit Building 1997-05-07COM M ERCIAL/I N DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 SPrlINGFIELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 ?2a^ ? LOCATION OF PROPOSED WORK: ASSESSORS MAP:/?€3 *2)'rz2 TAX LOT:aB":, : (CS O2azostSTATE:ztP \> 07c-l 1A PHON E:5t-ltOWNER: ADDRESS CITY: NEW - REMODEL ADDITION DEMOLISH OTHER TP*N VALUE:\DESCRIPTION OF WORK: ELECTRICAL: PHOI.,,I ENAMEADDRESS EXPI RES PHON E GEITIERAL:@a- PLUMBING ARCHITECT: MECHANICAL: CONTRACTOR'S NAME CONST. CONTRACTOR # /2 Forr/ZglFQ ADDRESS ?,,o6, M EC HAN ICAL NO FFF EHA RGF Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wali or f loor mounted unit heater Appliance Vent se parate Stationary evap. cooler \/A.r F.^/qin^lo.v;rr , 6r.r J.rr9re duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT Backf low Device TOTAL PERTVIIT Iaty I Single Fixture Relocated Bl ew fix. addt ft ft ft - OFFICE USE - LAND USE: ZONING* OF UNITS: HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT.VALUE 55fl).ob TOTAL VALUE OF PROJ X X X SQ. FTG MAIN SQ. FTG ACCESS SQ. F.TG OTHER BCPT#DATEPLAN CHECK FEE BY Z/,o3 BUILDING PERMIT 5d"52 PLU M BI NG DEMOLITION 5% State Su rcharo e 24 <-g=/.> o 5% State Surcharge MECHANICAL ,FENCE VALUE $ 5o% State Su rch arq e SIDEWALK FT. SUBTOTAL PERM ITS PAVING CURBCI.JT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL Nr.|FFF nHAAetr Water Service REOUIRED INSPECTIONS J 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:O0 a.m. will be made the same working day, requests made after 7:00 a.m. will be made the following work daY. S|TE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in made after excavation, but ELECTRICAL & place but prior to placing prior to setup of forms. MECHANICAL: No v'/ork is to asphalt or concrete. be covered until these UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance ELECTRTCAL & 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 during CURTAIN WALLS construction of the following work. A FOOTINGS & FOUNDATIONS: E,6Eh, ^^E. r copy of the special testing reports shall To be made after trenches are FIREPLACE: Prlor 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 2500 P.S.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made arter ar insrab buirding 3if5::"':ff 3|6:It#,H;:r" ;l}8,.T"'f3"t HitT',rrr, ,, service equipment, conduit, and vents are'complete and 5i?[3;""?",:;il:? ?[i'"'fJ ffi',i:31":it"jffi,X'JJ;[3:t: Bl?,:f],ffi}?T*,".i,]lST".in place but before any tightening 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_8.drainage lines. To be made board interior wall coverlng is l"ti:::,:-""r"rins or fillins applied. SpECIAL GRADING, ,NDERFL..R: p'umbins [:::,s'.:rx*'J3[Hf"' il;iut'iii-:lL:,5Jb'j],"1 electrical, mechanical. To be according to pl.ans. 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 posr & 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 f loor plastering is applied or befoi'e STDS' 25-10'11)' chorrhinn gYPSUm board joints andar'eqrrrrrrv' fasteners are taped and STRUCTURAL MASONRY: (306 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 sHEATHTNG AND :HS3.T?fJ"t::f="X,. NAILING: Prior tc.r installing erected but pricr to placing any roof covering. concrete. f inished. SIDEWALK & DRIVEWAY: Required for all concrete paving wirnrn streel right ot way, to be made after all excavating complete and form work and sub-base materia! in place. -l n tion to r nspec- 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 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 pertaining to the v;ork described herein, and that NO OCCUpANCy will be made of any structure without permission of the Buildlng 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 permit card is located at the front of the property, and the approved set of plans will remain on the site at all Signature Date 5 '7 -c17 times durin q,e=VALIDATION AMOUNT RECEIVED: RECEIPT *;?z7B RECEIVED BY: DATE PAID: 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 inspection. FINAL BUILDING: Requested after the final plumbing, etectrical, 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 D,ATE SPFIr-riFlELD % 225 FIIIIH STREET SPRINGFTELD, OREGON 97471 INSPEGTT0N REQUESTT 126-3 oFPICE: 126-3759 1.LOCATION OF INSTAILATI JOB DESCRTPTION Multi-Family Service IncIlrn i p ud CAL PERHIT APPLICATION b Number q 10705 SCMDTILE BELOV a I-Single or er dvel-ling uni t. ed:ftems Cost Sum /\rrfl:fl i3;i[,iir'i33 sq. ft or Portion $ 85.00 s 15.00 $ 40.00 s Per Panel 35.00 $ 2.00 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTAI,I.A'TION ONLY Electrical Cont ractor Sonitro I Secur it AddressP.O. Box 21009 Ci ty Eu ene Phone 461 -5678 Supervisor License Number i68q Kef Expiration Date Cons tr Contr. Number 65149 Expirat ion Date 7-2OO0 of sing Electrician Ovners Name Add res s 5 Ci ty Pnone 747-9743 OI{NER INSTALLATION The installation is being made on property I ovn vhich is not lntended for sale. Iease or rent. Ovners Signature: Temporary Services or Feeders fnstallation, Alteration or Relocation 200 amps or fess S 40'00 over 4bL to 6oo amps - $ Bo.oo Over 600 amps or fbOO voTts see rrgrr "ffiE- Branch Circuits the reo f Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or l-ess 201 amps to 400 amps - 401 amps to 600 amPS - 601 amps to 1000 amPS- 0ver 1000 amps/volts Reconnect OnlY Nev, Alteration or Extension One Circui t Each Addi tional Circuit or vith Service or Feeder Permit SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL v B C D E s s0.00 s 60.00 s100.00 $130.00 s300.00 s 40.00 Misce]laneous (Service/feeder not included) -Each ins tal-lation Pump or irrigation Sign/Out1ine Lighting- Limi ted Energy/Res _Limited Energy/Comm I 3Ge s s S s 40.00 40.00 20.00 36.00 @ 5 /*oDATE: RECE /og3gaa-RECEIVED B -v n OREGO'UC/,TY OF SPF 225 FIFTE STREEf, zoning, and do€s not rsqulre specllic land uso approval.Lntt BI.ESTRTCAL PBRHIT APPLICATION City Job Nvnber ?aO:rG;Z SCffiDTILE BELOS A. Nev Residentlal-Single or HuIti-FamiIY Per dvelling unit. Service Included:Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwel}ing Servlce or Feeder $ 8s.00 s 1s.oo $ 40.00 B. Services or Feeders Installation, Alterations INc. or Relocation: 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amps/volts - Reconnect 0nIY c SPR'TTIGFIELO One Circui t e'/ Each Additional Circuit or vith Service or Feeder Permi t SUBTOTAL OF ABOVB 5f, State Surcharge TOTAL f,il#8fi8P*3ffiST'lll1no-f.z,,e i OFEICE: '726-3759 Authorlzod 1 LOCATIOI{INSTALI"ATION LEGAL DESCRIPTION JOB 2 '.t7 permits are non-transferable and expire if vork is not started vithin 180 days of lssuance or lf vork ls suspended for 180 days. 2. CONISACTOR INSTALI,ATION ONLY Electrical Contracto r Alert Electric Ct ty inofie Phons L7 -)?1 ?'ld Supervisor License Number 243 s Expiration Date 10-1-94 Constr Contr. Number 2 0-55C ration Date 10-1-94 ture Electrician s Name Address Citv Phone O9NER INSTALI,.ATION The installatioh is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less $ 40.00 201 amls to 400 amPs - $ 55.00 over 4b1 to 600 ambs - $ 80.00 over 600 amps or 1000ETts see rrB" $ 40.00 $ 40.00 $ 20.00 $ 36.00 a6oIE $ 3s.oo 55* $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utline Lighting- Limited Energy/Res Limited Energy/Comm -O RBCEIVED -=)- 5 V7.g?o Address 1970 N. 28th St-