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Home My WebLink AboutPermit Building 1999-11-16CO M 1,I E RCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, $pringfield, Oregon 97477 LOCATION OF PROPOSED WORK: SPFINGFIELO ASSESSORS MAP:\1-o\-j.L JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3?59 TAX LOT Soo OWNER 0R-CITY:STATE: PHONE:)z(-zs\ 6 ADDRESS:?_eLttrl s trZOT S. =,r, \)t)) Lonst rr^ct o. c -.rin -so urLt e r st at ian9- *=* \ REM.DEL ADDrroN DEM.LT.H orHER VALUE: DESCRIPTION OF WORK: i PLUMBING: MECHANICAL: ELECIRICAL: NAME ADDRESS PHONE ADDRESS EXPIRES PHONE cocoCONTRACTOR'S NAME ARCHITECT: GENERAL: NST, NTRACTOR # PLUMBING NO.FEE CHARGE Single Flxture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft. Storm Sewer ft. Backflow Device /;* TOTAL PERMIT MEEfiANICAL NA trtrtr EHARGF Furnace/burner & vent <100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspendecl wall or f loor mounted unlt heater Appliance Vent separate Statlonary evap. cooler Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE - 4Ur\tl\u HANDICAP ACCESS: LIGHTING POWER BUDGET: WATEB HEATEB: LAND USE: OCCY GROUP: I OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: , OF UNITS: FLOOD PLAIN: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ x x x SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE RCPT'DATE BYa/E BUILDING PERMIT 2?,ft PLUMBIN ?*rtr/o J /54 DEMOLITION State h 297 f,fr 2.3C State .fs'l,fo MECHAN 7%e E(e7,4tw,- sebSIDEWALK FT. SUBTOTAL PERMITSPAVINGSYSTEMS DEVELOPMENT /oc,a+TOTAL PERMIT FEES EXCLUDING ELE TRICAL ao REQUIRED INSPECTIONS It ls the responsibility of the permit holder to see that all.lnspectlons are made at the proper time. To request an inspection, call 726.3769 (recorder), state your City deslgnated Job number, Job address, type of lnspection requested and when you wlll be ready for inspection. Requests recelved before 7:0O a.m. will be made the same working day, requests made after 7:00 a.m. wlll be made the following work day. SITE INSPECTION: To be made after excavaJlon, but prior to setup'of forms. UNDERSLAB PLUMBING, ELECTR]CAL &.. " MECHANICAL: To be made before anY work ls covered. \/ FoorrNGS & FoUN,ATI.NS:' To be made after trenches are excavated and forms are erected, all steel ln Place, but prior to placlng concrete. CONCRETE SLAB: To be made after all lnslab bulldlng servlce equiPment, conduit, piping, acoessories and other incitt-arY equiPment items are ln place but before anY concrete ls Placed. UNDERGROUND: Plumblng' electrlcal, gas, sanitary sewer, storm sewer, water and dralnage llnes' To be made prlor to coverlng or filllng trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made Prior to installation of floor insulatlon, decklng or floor sheathing. POST & BEAM: To be made prlor to Installatlon of floor lnsulation, decking or floor sheathlng. FLOOR INSULATION & No work is to be covered until these inspectlons have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to Placing faclng materlals and before , ., It"TJlS lnsoection. FRAMING: To be made after the roof, all framlng, fire blocklng and bracing are in place and all PlPes, chlmneys and vents are comPlete and the rough.electrical,. plurhblng and mechanlcal are approved. INSULATION & VAPOR BARRIER: To be made after all lnsulatlon and required vaPor barriers are ln 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, lnterior and exterlor, ls in place but before anY plastering is aPPlied or before gYPSUm board joints and fasteners are taPed and f inlshed. 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 Prlor to Placing concrete. PAVING: After gravel is in place but prlor to placing . . asphalt or boncrete. SPECIAL INSPECTIONS: ln accordance Secti'on 306 of the State Specialty Code a special inspectof shall be employed by the Owner/ Contractor during construction of the following work. A copy of the specia[ testing repcirts shall be furnished to the Building Division. STRUCTURAL CONCRETE: ln excess of 2500 P.S.l. (30F a.1) STRUCTURAL WELDS: Performed on the iob. (2722 f\ HIGH STRENGTH BOLTING: During all bolt installation and tightenlng oPerations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU-LAM BEAMS: lnspection Certificate by an aPProved agency, furnlshed to the City's Building Division before beams are placed. (2501 U.BC. STDS. 25-10J1). STRUCTU RAL MASON RY: (306 a.7) 'ln addition to the inspec- tions speclfied, the Buildlng Officlal rhay make or require other inspectlons of anY constructlon work to ensure compllance wlth the Bullding, Clty or Development Code. VAPOR BARRIERS: To.be STDEWALK & DRIVEWAY: _ made prlor to lnstallation of Required for all concrete decking or floor sheathlng. p.ving within street right of MASONRY: Steel location, bond beams grouting or vertlcals ln accordance with uBc 2415. ROOF SHEATHING AND NAILING: Prlor to lnstalllng any roof coverlng. By slgnature, I state and agree, that I have caref ully examined the completed appllcation and do herpby certify that all lnformatlon hereln ls true and correct, and I further certify tnat any and all work performed shall be done in accordance wlth the ordinances of the clty of Sprlngfield, and the Laws of the state of oregon pertaining to the work described herein, and that No occuPANoY wilt be made of any struciure wlthout permission oi tn" eutt-oing'safety oivlslon. I further certify that only contractors and employees who are in compllance wlth oRS 701.055 will be used on this proJect. re that all requlred inspectlonsare requested at the'propertlme, that projeot address [s readable from the card ls located at the front of the property, and the approved set of plans will remain on the slte at all constructlotimes durl Signature Date I further agree to ensu street, that the Permlt VALIDATION: 2 40/e AMOUNT RECEIVED: RECEIPT *:RECEIVED BY: DATE PAID: F]NAL PLUMBING FTNAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITEPLANREvIEwBOARD:Mustberequested2daysinadvance ofthedateyouwishinspection.Allprolectconditlonssuchas landscaping,parklnglotstriping,etc.mustbecompletedbefore requestlng thls lnsPectlon. FINALBUILDING:Requestedafterthefinalplumbing,electrlcal, mechartioal an<l Flre Department inspections are macie and ipjroveO. No occupancy of the premises can be made until a ce'rtlficate of occupancy has been issued by the Building Dlvision and posted on the Premises. ADDITIoNA[GOMMENTS: / PLANS REVIEWED BY DATE * a C'TY OF OREGON 225 FIFTE SIREET SPRINGFIELD, OREGON 97 477 INSPECTION REQIIEST: OFFICE: 726-3759 Zoning 769 Authorized Signature Phone 7y'7- B/bO ,u"r ?36\5 SPFTINGFIELI) PERHIT APPLICATION ity Job Nunber rEE SCMDULE BELOII Nev Residential-Single or MuIti-FamilY Per dvelling unit. Service Included:Items Cost $ 8s.00 zfr, 1 Address LOCATION20L OF A PTION JOB DESCRIPTION Sum Permits are non-transferable and expire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI.,ATION ONLY B. Electrical contrac ,.rd$Sa+; hW EUI 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amPs -401- amps to 600 amPs - 601 amps to 1000 amps-- Over 1000 amPs/voIts - Reconnect OnlY 200 207 0ver 0ver TemporarY Services or Feeders Insiallaiion, Alteration or Relocation Expiration Date Constr Contr. Number L 3.t-13 Expiration Date Signat rvising Electrician so r Ci ty Phone -t 4'</ OVNER INSTALLATION The installation is being made on piop"tty I ovn vhich is not intended for sale, lease or rent' 0rners Signature: DATE: $ 1s.00 s 40.00 $ s0.00 $ 60.00 s100. 00 $130. 00 s300.00 $ 40.00 Ci ty Supe 5,/hT rvisor License Nu amps"or less $ 40'00 amps to 400 amPs $ 55'00 +bt to 600 amps - $ 80'00 600 ;;p; or rboo-uoITs see rrB, amtE- D Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35'oo S5* Each Additional Circuit or vith Service or Feeder Permit -- $ 2'00 Miscellaneous (Service/feeder not included) 0wners Name Address 2 E -Each installation Pump or irrigation - Sign/Outline Lighting- Limited EnergY/Res -- Limited EnergY/Comm s 40.00 $ 40.00 $ 20.00 $ 36.00 SUBTOTAL OF ABOVE 7% state Surcharge 3Z Administrative Fee TOTAL (t RECEIVED 5 ?<fr++8-e- A OREGO'VC'TY OF SPR INGFTELD, SPRINGFIELO BACKFLOI PREVENTION DEVICE PERHIT APPLICATION CITY OT' SPRINGFIELD BUILDING SAFETI DIVISION 225 FIFTH STREET:i::yi::::_::_!,.,, ___:y:::,'o$'11fif;: l?2-1121, JOB LOCATI0N: '2 O L S R tL <1 ASSESSORS MAP *: r) -ca.-C TAX LOT *:\ OIJNER: ADDRES CTTY: S:l Z s.l<A <7.PHONE *:\z c-zsqL = ZTPSTATE:8.1)1)\ BACKFL0W PERMTT rs $rs'00 +1.05 (STA?E SURCHARGE) + $.45 (ADMrN. FEE) =$16.50 CONTRACTOR: S [rR- r'qfe - ADDRESS: CTTY: C0NSTRUCII0N CONTRACaORS RBGTSTRATTON #: PHONE *: STATE:ZIPz EXPTRES: BY STGNING THIS PERMIT/APPLICATION, I AGREE TO CALL FOR AN INSPECTION ONCE THEBACKFLOU PREVENTT0N DEvrcE nas susN rlrsteiiuo-eio rs vrsrBLE FoR rNspEcrroN[lift]l:'r' r ALso srArE rnai ar.i rrlroniieii6niu tnrs irnnirTi-pprrcerroN rs FOR OFFTCE USE RECETPT *: 3 bT 7 z TSSUED BY: TOTAL AHOI'NT COLLECTED:;o JOB #:DATE 0F APPLICATION: //-?t ??,','r.G