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Home My WebLink AboutPermit Building 1991-11-07COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitfi Street, Springfield, Oregon 97477 SPFINGFIELO 4 ?fJOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WOBK:z-o2.3 1'6$rl . ASSESSORS MAP:/7074 -Aa TAX LOT:e5>? PHON E o{a_2,", Q"l4J-lCITY:STATE ADDRESS: OWNER;S.U,B ASO N. A S\\ZEET NEW - REMODEL ADDITION \J DEMOLISH OTHER VALUE: 21 *,A Aor> nnuD E-ocm"DESCFIIPTION OF WORK: NAME ADDRESS PHONE EXPIR .Pfl o C ro q7- PHONE .l tst CE ELECTRICAL: MECHANICAL ADDRESS .<f CONTRACTOR'S NAME ARCHITECT: CONST. CONTRACTOR G EN ERAL: PLUM BI NG PLUMBING NO.FEE CHARGE Single Fixture Relocated Bld (new fix. addtl s ) Water Service ft Sanitary Sewer ft Storm Sewer ft Backflow Device TOTAL PERMIT NO FEE I esancr Furnace/burner & vent <100,000 BTUs Furnace/burner & vent >100,00Q BTUs Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT ZONING: LIGHTING POWER BUDGET: WATER HEATER: - OFFICE USE -HANDICAP ACCESS FLOOD PLAIN:_ OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS SQ. FT.$/SQ. FT.VALUE 7?a-onflqT * TOTAL VALUE OF PROJ X X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER BY PLAN CHECK FEE ?9.a3 DATE //-7 .€/RCPT# 65,q4 BUILDING PERMIT E-s:>PLUMBING DEMOLITION 5% State Su /50k h MECHANICAL FENCE VALUE $5% State Su SIDEWALK FT. SUBTOTAL PE RM ITSPAVINGCURBCUT FT, SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL -13.(o -&<q-l Y REQUIRED 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: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 /\ B9[IGILELIMBING, PAVING: After gravel is in made after excavation, but G.IE9IEJ9AE 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 SpEC1AL TNSPECTIONS: tn 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 Owner/ Contractor during CURTAIN WALLS construction of the following work. A FOOTINGS & FOUNDATIONS: FrhEhr A^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' - STRUCTURAL CONCRETE: ln prior to pracing concrete. K FRAMTNG: To be made after excess of 2500 PS.l. (300 a.1) coNcRErE SLAB: ro be ti:#:lii[J'i['Jlfl;t][ ," srRUcruRAL wELDS: made after all inslab building place aid all pipes,ihimneys Performed on the iob. (2722t) service equipment, conduit, and vents are complete and :i?.l,?'i""?T;?{:"..i ?i:i""'::J *'. H::[i,]t'il:,1'JJ;[9:1: Bl?,If],TE]u"T,1",?P"lSt"o in place but before any tightening operations. (306 concrete is placed. INSULATION & VApOR a6) BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.B.C. storm sewer, water and before any lath or gypsum Standards 43-8. drainage lines. To be made board interior wall covering is prior to covering or filling applied. SpEC;AL GRAD;NG,trenches. ,NDERFLo.R: p,umbins I:::,S'.="'f;X*'J3[H}"' il;iu!iil#lP'5Jb'j]'"1 electrical, mechanical. To be according to plans' chapter 29) made prior to installation of x , ^-u Arrh,n D ^vDcriir GLU.LAM BEAMS: rnspectionfloor insulation, decking or ^ LATH AND/oR GYPSUM 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 exierior, is in Building Division before prior to installation of floor place but before any beams are placed' (2501 u'B.C' insulation, decking or floor plastering is applied or before STDS' 25-10J1)' sheathing. 'vvr\rrrv gypsum board joints and fasteners are tiped and STRUCTURAL MASONRY: (306 FLooR TNSULATToN & finished' a'7\ MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to installing anY roof covering. VAPOR BARRIERST To be made prior to installation of decking or floor sheathing. 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. FINAL PLUMBING FINAL MECHANICAL FINAL FIRE DEPARTMENT SITEPLANREVIEWBOARD:Mustberequested2daysinadvance of tn" d.t. you wish inspection. All project conditions such as lanOsi"ping, parking lot stri ping, etc. must be completed before requesting this insPection. FINALBUILDING:Requestedafterthefinalplumbing,electrical, mecfianicat and Fire Department inspections are made and approved. No occupancy of the premises can be made until a iertificate of Occupancy has been issued by the Building Division and posted on the Premises. DATE /12 -2f ADDITIONAL COMMENTS: X PLANS REVIEWED BY By signature, I state and agree, that I have carefulry examined the completed application and do hereby certify that all information herein is true and correct, and I f urther certify tnat 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 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 constructi ontimes d Signature Date \ e;.q6VALIDATION RECEIVED BY: DATE PAIDAMOUNT RECEIVED RECEIPT *: X FTNAL ELEcTRtcAL ,C'TY OF 225 FIFTE STRBEf, SPRINGFIEID, ORBGON 97477 INSPEcf,IoN REQIEST2 726-3769 OPPICE: 726-3759 1. LOCATION OF sl.rlrNGl=rI:Lo ELBCIT.ICAL PERHIT APPLICATION Ct ty Job Nusrber 3. COUPIJTB FEE SCMDULE BELOS A. Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service fncluded:Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portionthereof $ 15.00 Each Manuf,d Home or -Modular Dwelllng Service or Feeder $ 40.00 <)- I.AGAL DESCRIPTION JOB DESCRTPTION Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if work ls suspended for 180 days. 2. COItTRACTOR INSTALI.ATION ONIY Electrical Contrac tor/LL..__,,J - i 1 Services or Feeders fnstallation, Alterations or Relocation: Sum B i E e( Address Ci ty d,, ft/-.r),ll-Phone j,y' L. V c,.tf Supervisor License Ntimber -.:', 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconneet Only / e< $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 s 3s.00 $ 2.oo .Lil,O ^d)i, t\v Explration Date 1 Constr Contr. Number / , c,.-, -- Expiration Date Signature of Supervlsing Electrician C. Temporary Services or FeedersInstallation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension per panel 200 amps or less $ 40.00 2oL amps to 400 amps - $ 55.00 over 401 to 600 amps - g go.o0 Over 600 amps or 1000 vo1Is see uB, aEiEr/,( 0wners Name, Address Ci ty Phone One Ci.rcui t I Each Additional Circuit or vith Serviceor Feeder permi t I OIINER INSTALI.ATION The installatlon is being made onproperty f ovn vhich is not intendedfor sale, Iease or rent. 0vners Signature: Miscellaneous (Service/feeder not included)-Each installation Pump or irrigation SSign/0utline Lighting- $Limited Energy/Res -- $ 40.00 40.00 20.00 36.00 DATE:5. SUBTOTAL OF ABOVE 5Z State Surcharge TOTALRECEIVED B. v?.n- l7-tr-=4-*, aosaa