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Home My WebLink AboutPermit Building 1991-01-09'.\u43 COM M ERCIALII N DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 SPNINGFIELO JOB NUMBER ?//ru/ INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK ASSESSORS MAP:'- o7-z*q?TAX LOT o?aeet NEW - REMODEL \.7 ADDITION DEMOLISH OTHER VALUE: 85AZA DESCRIPTION OF WORK Dr r rnratNt1:. ELECTRICAL: NAME PHONE ADDRESS EXPI RES PHON E I DRESS MECHANICAL: CONTRACTOR'S NAME ARCHITECT: CONST. CONTRACTOR # Qryat6a G EN ERAL: PLU MBIN G NO.FEE CHARGE n Single Fixture lb nD?o Relocated Bldg. (new f ix. addtl) Water Service Sanitary Sewer ft Storm Sewer ft Backflow Device TOTAL PERMIT MECHANICAL NO trFtr I.HA AGtr 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 Fan/Single duct 300 Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT rZt,t/,-"<&Z-\) _ OFFICE USE _ ZONING HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: OUAD AREA: * OF BLDGS: SQ. FT.$/SQ. FT,VALUE a-500.@ 05oaTOTAL VALUE OF PROJECT X X SQ. FTG MAIN SQ, FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE43 BY 35/.? / BUILDING PERMIT 74.tro PLU M BI NG / ?O,DP DEMOLITION 5% State Su rc harqe 'q,73 5% State Su rc harge q"50 MECHANICAL 25e FENCE VALUE $&+,0 ,(z/.49.+s 5% State Surcharqe 7-,SIDEWALK FT. SUBTOTAL PERM ITS PAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL owNER: f'fp', ,' f I al,f D(f Ca4f 'r,/,1 .pHoNE: 63?-22/l ADDRESS: % Caf - Vaaf= ltf #l : ? a^ ^ ,ry. ",rr, F G&F srArE: < . ztp, ?Z?o4 V REQUIRED INSPECTIONS V 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 lnspection requested and when you will be ready for inspection. Requests received before 7:OO a.m. will be made the same working day, requests made after 7:00 a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prior to setup of forms. & covered until theseXUN DERS ELECTR MECHANICAL: To be made before any work is covered. FOOTINGS & FOUN DATIONS: 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. UN DERGROUN D: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or floor sheathing. FLOOR INSULATION & ROU No work is to ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and befofe 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 ioints and fasteners are taped and f inished. PAVING: After gravel is in place but prior to placing asphalt or concrete. inspections have been made SpECIAL INSpECTIONS: ln accordanceand approved. 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 f urnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 P.S.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.B.C. 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. 2s-1011). STRUCTURAL MASON RY: (306 a.7) x, ++ 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 iHXS^HifJ,.',:,t#""I|'" NAILING: Prior to installing erected but prior to placing any roof covering. concrete. 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. *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. LUMBI x x X )< 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 stri ping, etc. must be completed before requesting this inspection. 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 f urther 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 employeeswho 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 thestreet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at alltimes during construction. ature r\Date /*7 *f< VALIDATION 3r'73 -2_/,7/AMOUNT RECEIVED: RECEIPT *:RECEIVED BY: DATE PAID: \./ C'fY OF 225 FIFTE STREET SPRINGFIEID, ORBGON 974 INSPBCTION RBQUBSTT 72 OFFICE: 726-3759 1 LOCATION OF INSTALI,ATION JOB DESCRIPTION trH A-0 r .Irzrth tcddltnmr Permits are non-transferable and expirelf vork is not started withln 180 daysof issuance or if vork is suspended for 180 days. 2. COI{TRACTOR INSTALI.ATION ONLY Electrical Contractor Address o 8X- Residential-Sing1e or Multl-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation Sum B city,J prumttrd./-Phone l4l-e*et Supervisor License Ntimber I 6rbS Expiratlon Date lO - i-9 t-- Constr Contr. Number A394q Signature of Supervi Electrician Ovners Name Address Q03.39 -f,l .?.,ru , Ci ty &rnrmlI phone b89-1655tr- OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: RECEIPT il: D. Branch Circuits E New, Alteratlon or Extension Per Panel one circuit f $ 35'oo 35' oo Each Additional Circuit or vith Service orFeederPermit 3 $ 2..00 6.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/outline Lighting- Limi ted Energy/Res Limi ted Energy/Comm ST'BTOTAL OP ABOVB 5Z State Surcharge TOTAL 41. oo 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 Over 600 anps or 1000 volts see frBrr above $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 a $ 40.00 $ 40.00 $ 20.00 s 36.00 5 RECEIVED BY: / .os +?.oS CO}IPIJTE BELOg APPLICATIONq\ \rq\ ExpirationDate Q - l-lX.-,