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Home My WebLink AboutPermit Building 1992-02-24COM M ERCIAL/I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP: SPAINGFIELE, s7 %, JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: ONE: ZIPSTATE: OWNE ADDRES CITY: NEW - REMODEL ADDITION DEMOLISH OTHER vALUE: /-??fu4 DESCRIPTION OF WORK: NAME ADDRESS PHONE ADDRESS EXPIRES PHONE ?74',a€ z4CONTRACTOR'S NAME ARCHITECT MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING PLU MBING NO FEE CHARG E Single Fixture Relocated Bldg. (new f ix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backf low Device TOTAL PERMIT MECHANICAL NO FFF EHA RGtr 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 System apart from AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE - '4 ZONING LAND USE HANDICAP ACCESS FLOOD PLAIN Y OF UNITS: LIGHTING POWER BUDGET: WATER HEATER: OCCY GROUP: # OF STORIES OUAD AREA: r OF BLDGS: CONSTR. TYPE: HEAT SOURCE: $/SQ. FT VALUESQ. FT. TOTAL VALUE OF PROJ X X X SQ. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER RCPT#DATEPLAN CHECK FEE BY 24 Q,?O BUILDING PERMIT Z3E,N PLUMBING DEMOLITION 5% State Surcharqe )/.?o 5% State Su rc harge MECHANICAL FENCE VALUE $ 5% State Su rcharge SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL il/t \ REQUIRED INSPECTION--. It is the responsibility of the permit holderto 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:OO a.m. will be made the same working day, requests made after 7:O0 a.m. will be made the following work day. SITE 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 work is to asphalt or concrete. be covered until these UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: ln accordance ELECTRICAL & and approved. Section 306 of the State Specialty Code MECHANICAL: To be made a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & by the Owneri Contractor duringCURTAIN WALLS construction of the following w6rk. A FOOTINGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished io the Building Division. excavated and forms are facing materials and before erected, ail steel in ptace, but framing inspection' - srRUcruRAL CONCRETE: lnprior to placing concrete. _"(: FRAMING: To be made after excess of 2500 P.S.t. (306 a.1) coNcRETE SLAB: To be ' the roof' all framing, fire made after au insrab buirdins Eiff5::.']ff 3,?:::t";,n;:r" FII3,"J"',X3"t,Y5tT',,rrr, ,, service equipment, conduit, and vents are complete andpiping, accessories and other anciilarv equipment items are *'.';::lj,lt"ji:,1'JJ;[3:i: Bl?:f],ffi]*ol*.?,o*1H1"oin place but before any t ./ tighte;ing operations. (306concrete is placed. )'.= tNSULATtoN & 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 Covering isprior to covering or f illing applied.trenches. syv,,vv. spEctAL GRADING, ,NDERFLo.R: prumbins I:::.S""=": m',Jfl[Hi"' iffifut'iiil#[',5J:'i],"i, electrical, mechanical. To be according to plans. chapter 29) floor sheathing. - / - BOARD: To be made after all Certif icate by an approved lathing and gypsum board, agency, furnished to the City's POST & BEAM: To be made interior and exterior, is in Building Division before prior to instaltation of ftoor place but before any !?fl:"fl?"P]aced' (2501 U'BC. insulation, decking or floor plastering is applied or before or uD' z3'lu,l l)' sheathing. - Sypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR INSULATToN & finished' a'7) 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. 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 prior to placing concrete. "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. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informationherein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinancesof the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUpANCywill 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. Signature ?aVALIDATION %r-t*" AMOUNT RECEIVED RECEIPT *:RECEIVED BY: DATE PAID FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. AII project conditions such as landscaping, parking lot striping, etc. must be completed beforerequesting this inspection. x=FINAL BUILDING: Requested after the final ptumbing, etectricat,mechanical 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 Divisionand posted on the premises. ADDITIONAL COMMENTS: -- PLANS REVIEWED BY DATE Da.. 2^zzi-?7 ASSESS9RS ttap, / 2^?V 75 *7=- LVt. - ELT'sPll h, ,7 TAX LOT SUBDIVISION JOB NUMBER LOCATION OF PROPOSED WORK: RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Of f ice: 726'3159 225 Fifth Street Sprirrg{iel11, Oregorr 97 477 PHONE: ZIPSTATECITY: ADDRESS: OWNER NEW *- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ELECTRICAL.. -- PHONEEXPIRESADDRESSCONTRACTOR'S NAME CONST. CONTRACTOR ,{ MECHANICAL: -,- ,- Cf--NERAL: . PLUMBING: RANGE: r OF BDFIMS: _ OFFICE USE _ ZONING CODE: FLOOD PLAIN WATER HEATER: SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: , OF BLDGS CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: Y OF STORIES: To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested be(ore 7:00 a m' made the same working <lay, inspections requested after 7:00 a.m' will be made the following work day' will be REOUIRED INSPECTIONS I -l temporary Electrictr Rough Mechanical - Prior to cover.w Final Plumbing - Wherr all plumbing worl( is colrlPlete. Site lnspeclion - To be rnade af ter excavation, but Prior to setting forms. Rough Electrical - Prior t<;Final Electrical - Wlren all electrical work is cotnPlete.cover. Underslab P!unrbing / Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. Final Mechanical - When all mechanical worl< is cornPlete. Footing - Af ter trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. Final Building - When all required inspections have been approved and building is corrrpleted.Masonry - Steel location, bond bearns, grouting.Framing - Prior to cover. Other Foundation - After forms are erectecl but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taPing. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.[-_-| Wood Stove - After installation Posl and Beam - Prior to floor insutation or decl<ing.lnserl - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is cornPlete. Floor lnsulation - Prior to deckit.rg.Curbcut & APProach - Af ter forms are erected but Prior to placement of concrete. Plumbing Conneclions - Wllen home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Conneclion - When blocking, set-up, and plumbing inspections have been aPProved ancl the home is connected to the service panel. Slorm Sewer - Prior to {illing trench. Sidewalk & DrivewaY - After excavation is comPlete, forrns ancl sub-base material in Place. Water Line - Prior to lilling trench. Fence - Wlren comPletecl Streel Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have Lreen installed.w Rough Plumbing - Prior to cover. _tu_zez ?z+/// tl rr E fl tl tl tl r r Lot {aces Lot sq. ftg. Lot covcr;tllc Tr.rpography Total lteight Lot 'l-ypc Setbacks P.L.GAR ACClnterior Corrrcr Pan lran d le Cul-dc-sac N \) E t"'tsE S II-IE F]FIOPOSED WORK IN THE. I]IS"TORICAL DISTRICT, OR ON TI-IE I IISTORICAL REGISTER? lf yr:r;, llris;rgllrlication trtut;t bc silltrc<l :rnd :rpplovctl by tlrc Fl istorical Coor(.linator prior to pr:rtnit issuance. APPROVED BUILDING PERMIT ITEM SO. FT.X $/SQ. FT.VALUE Main Garage Carport Total Value Builciing Pernlit Fee State Surcharge Total Fcc (A) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernrit is granted on the express condition tltat the said consiruction shall, in all respects, conform to il.re Orclinance adopted by the City of Springfield, including the Development Cocle, regulating the conslruction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said orditrances. Plan Checl< Fee Date Paid Recei pt Number: Receivocl By Pl;rrt:; [:lcvir-.wotl []y f);r t r: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systenrs Developtrtctrt Cltargc is due on all undcveloped properties wittrin thc City limits which are bcitrg itnprovecl. PLUMBING PERMIT ITEM Fixt u re s Resiclential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE/2 N0 FT, FT. F'i Plumbing Permit State Surcharge Total Charge rqta.15f -2; (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stovei lnsert/ Fireplace Utrit Drycr Vetrt Mechanical Permit lssuance State Surcharge Total Permit (D) By signature, I statc ;rtrd a-qrec, that I havc caref ully cxamined the completed application and do hereby certify that all information hereon is true and correct, and I f urthcr certif y that any and all work pcrfot'tncd shall bc dorrc itl accordance with the Ordinanccs of tlre City of Springf ield, arrcl thr: Laws of the State of Orcg;on 1>r:rtaining to thc worl< dcscribr:tl Irerein, and tlrat NO OCCUPANCY will be tnatlc of any structure without pertnission of the Building Satety Divisiotr' I f urther certi{y that orrly contractors and ernployees who are in compliance with ORS 701.055 will be used on this proiect. I f urther agree to ensure that all requited inspections are requested at the proper time, that each address is readable from the street, that the permit card is locaterj at the front of the property, and the approved set of plans will remain on the site at all ti s during construction Slgnature Dats -7t MISCELLANEOUS PERMITS Mobile Home State lssuance Stato Surchargo Sidewalk *.-,----. .- ft Curbcut --- ft Dcmolitiotr State Surcll;rroa Total Miscellancous Permits (E) vnt tt)AIloN: NECEII]]' Nt]MRIII DATE PAID AMOUNT RECEIVi:D 777 / 7-/6^ Z/ RECEIVED BY TOTAL AMOUNT DUE (cxcluding electrical) (A, B, C, D, and E Combined) /U)S C'TY OF S]'II'NGFtELO 225 FIFTE STRBET SPRINGFTELD, oREGoN 97477 INSPECTION RBQIESTz 726-3769 OFFICE: 726-3759 tbte 1 Permits are non-transferable and expireif r*rork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2 COMRACf,OR aB srbmltted has B. Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less -l-201 amps to 400 amps _ 401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts _ Reconnect Only One Circuit Each Additional PERTIT APPLICATION City Job Number COI{PI,RTE TBE SCEEDUIJ BBLOIT I-Sing1e or Multi-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 Dwelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Aie Circuit or vith Servica- or Feeder Permit 15 ONLY Electrical Contract Addr ci €tOma Phone s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 50 ,,0";;;T"";se Ndmber Expiration Date constr contr. Number Expiration Date Signa o Supervising EIect ran Ovners Name Address ci OIINER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. Ovners Signature: DATE: Temporary Services or Peeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see ilBtr above c $ 3s.00 s 2.oo€D E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/outline Lighting- Limited Energy/Res STIBTOTAL OP ABOVE 5f State Surcharge TOTAL $ 40.00 s 40.00 s 20.00 $ 36.00 5 RECEIVED co Sum \A \t oQA