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Home My WebLink AboutPermit Building 1992-02-25COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springtield, Oregon 97477 LOCATION OF PROPOSED WOFIK: ASSESSORS MAP: SPRINGFIELD JCI NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT:AO 5az2 ?4r'qZ PHON E ,a)R-STATE ztPCITY: ADDRESS: OWNER REMoDEL )<VALUEADDITION DEMOLISH OTHER DESCRIPTION OF WORK NEW - IARCHITECI ; CONST.coNTRAcToR'S NAME ADDRESS J coNTRAcroR # ExptRES pHoNE NAME ADDRESS PHONE MECHANICAL: ELECTRICAL: PLUM BI NG: GENERAL: Single Fixture Relocated Bld new fix. addtl ft ary ewer ft er ft. Backflow Device TOTAL PERMIT NO FFF CHARGEFurnace/burner & vent <100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent oor mounted unit heater Suspended wall or Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct em or htg.f rom hood and duct ec Permit lssuance s10.00 TOTAL PERMIT ZONING: - LIGHTING POWER BUDGET: WATER HEATEB: - OFFICE USE - LAND USE: HANOICAP ACCESS: FLOOD PLAIN: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE HEAT SOURCE: * OF UNITS: SQ. FT.$/SQ. FT.VALUE az) X X X TOTAL VALUE OF PROJ Fzq SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE RCPT#DATE BY_e__ 3 BUILDING PERMIT ?b f,o PLUMBING DEMOLITION 5% State Surch e 5% State Su rchMECHANICALFENCE VALUE5% State SIDEWALK FT.SUBTOTAL PE RM ITSPAVINGCURBCUT FT.N TOTAL PERMIT FEES EXCLUDING ELECTRICAL NO trFtr CHARGF Water Service a /,q 3 SYSTEMS DEVELOPMENT \ REOUTRED TNSPECTTON*- 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.m. will be made the same working day, requests made after 7:0O a.m. will be made the following work day. SITE INSPECTION: To be * RoUGll-lluNIBlNG, PAVTNG: After graver is in made after excavation, but ' <EIECfFIED place but priorlo 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 tNSpECT;ONS: tn accordance ELECTRICAL & 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 FooTlNGs & FoUNDATIoNS: E,hEn, ^^E. r. copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division. excavated and forms are facing materials and before erected, ail steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln prior to placing concrete. \,/ FRAMING: To be made after excess of 2500 P'S'l' (306 a'1) X= coNcRErE SLAB: ro be ._ f1:#:! ilJ'3[Xlfli,t],? ," srRUcruRAL wELDS:' 7-.\- miOe atter all inslab building place and a, pipes, chimneys Performed on the iob' (2722 t) service equipment, conduit, and vents are complete and pi ping, accessories and other the rough electrical, ptumbing HIGH STRENGTH BOLTING: ancillary equipment items are and mechanical are approved. During all bolt installation and in place but before any tightening operations. (306 concrete is placed. . - TNSULATION & VAPOR a.6)-a*171t4nr* - BARRTER: To be made after ati UNDERGROUND: 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 & 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' FINAL PLUMBING X- FTNAL ELE.TRI.AL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: 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. SPRAYED ON FIREPROOFING: U.BC. 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.B.C. sTDS. 2s-1011). STRUCTU RAL MASONRY: (306 a.7) *ln addition to the insPec- tions specified, the Building Official maY make or require DATE + 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 other inspections of any APRONS: After forms are construction work to ensure erected o,ri piio, to placing compliance with the Building, ______;g'14_____ ---J'tvj'' D=:r:tl:ilc'9: - SITEPLANREVIEWBoARD:MUstberequested2daysinadvance ot t[e Jaie you wish inspection. All prolect.conditions such as f .nOslaping, parking lot stri ping' etc' must be completed before requesting this insPection' X FINAL BUILDING: Requested after the final plumbing' electrical' .""n.ni"tiind Fire Department inspections are made and approved' No occupancy of the premises."3n.qt made until a Certificate of Occupancy has been issued by the Building Division and Posted on the Premises' PLANS REVIEWED BY mes during construction -/ 5- 7Date Signature \-( fon onrmatitiathalerehcerandnobytydcoatimconedheappluexampletedhcareflyavehatndancenSSeagree,tat h h rdoSIUnatanrdcefa'acn coByalshbeonddrmealworkerfoandprticeanyhatrtUfyheandctcandrreo CYPANutrehaOCCUNoreihennandnSCherebedhedeworknntosonaStoftepertaiofheOregthdLawanefidoSeandmheCngpritorsployeescontracoftyrtthonuhertCCvDsionvntheofUBdSafetyssionsthouurepermictofstruanymadilwibet.econhsrojbesedpU055701othRSancenochorempa leab mfro thretsSreadaddectmththeatrojpredperproesteonarerednectquaalUpthrequreNStoreeeheteSIalaherrtmrenalonuagedthandethapproveheroofv,propertntocatedatcardShermhatpetreSet, -2-;- VALIDATION t{off (qnf a,uzA)z AMOUNT RECEIVED: RECEIPT g:3sz€RECEIVED BY: DATE PAID: set of plans I 225 FIFTH STREET SPRINGFIELD, oREGoN 97477 INSPECTI0N REQUBSTT 726-3769 OFFICE: 726-3759 Oato Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for sr'rtrNGFtE.Lo H$ PERHIT APPLICA City Job Number 3.FEE SCHEDUI.,E BELOIJ A. New s Single or HuIti-FamiIy per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.oo $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps I 0ver 1000 amps/volts Reconnect 0nly Temporary Services or Feeders Installation, Alteration or Relocation *,:,8,'xllsJli;;i 1 Sum t, 180 days. 2. COI{TRACf,OR INSTALI,ATION Electrical Contracto, L (. ONLY htm,*^ B. I[r- rl ll Address $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Ci ty Supervisor License Number Phone 1+l bbbS l+us 200 amps or }ess 201 amps to 400 amps -Over 401 to 600 amps _ Over 600 amps or 1000 volt i?ppD s see uBu aEiF Expiration Date /0-l '4u Constr Contr. Number f'(cqq Expiration Date L z-- Signa of Supervislng Electrician Ovners Name N6r Address c1 Ci ty C. of\n.Pho""\ OIINBR INSTALLATION The installation is being made on property I own vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: RECBIPT *: D. Branch Circuits Nev, Alteratlon or Extension Per Panel One Circuit $ 35.00 Each Addi tional Circuit or with Service or Feeder Permit $ 2.00 C $ 40.00 $ ss.oo $ 80.00 "lab-b15b E Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/Outtine Lighting_ $ Limited Energy/Res $ not included) 40.00 40.00 20.00 .[}D5STIBTOTAL OF ABOVE 5Z State Surcharge TOTAL RECEIVED BY: X a OFEGCITY OF 225 FIFTE SlREEf, SPRINGFTEIJ, oRBGoN 97477 INSPECTION RBQUESTT 726- 0FPICE: 726-3759 1 LOCATTON OF I.EGAL DESCRIPTION/70) \a o D ,D,oSO o JOB DESCRTPTIONl*4' \ sTDeaE Drt&s - Permits are non-transferable and expirelf vork is not started wlthin 180 daysof issuance or if vork is suspended for 180 days. 2 COTTTRACf,OR INSTALI,ATION ONLY Electrical Contractor .t-? + ya Address 2Z<A/. sn .eT, cir.y Srli Phone Supervisor License Ntimber 3?1^S Expiration Date SI'TIINGF!EL() APPLICATION rEE SCEEDULB BELOII Nev Residential-Single or per dvelling unit. Service fncluded: I tems .Cos t 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 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocat ion: Sum B 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/volts Reconnect 0nly $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number Expiration Date Signa of t cI.an 0vners Name Address ci ty-Phone OgNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: DATE: RECBIPT *: C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 0ver 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see rrBrr above Nev, Alteration or Extension Per Pane1 one circuir / $ 35.00 3*Each Addi tional Ci rcui t or vi th Servi ce or Feeder Permit S 2.00 E 5 Miscell.aneous ( Service/feeder -Each installation Ptrmp or irrigation $ Sign/0ut1ine Lighting- $ Limited Energy/Res S Limited Energy/Comm S SIIBTOTAL OF ABOVE 5Z State Surcharge TOTAL not included) 40. 00 40. o0 20. 0o RECBIVED 3 4 -';:2, a,7( teu.2Eb (uo @) ty Job Number Qbzq? D. Branch Circuits