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Home My WebLink AboutPermit Building 1992-07-30SPRINGF3ELE, ffi# TuezzCOM M ERCIAL/IN DUSTRlAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 h, JOB NUIVlBER I NSPECTION LIN E: 726-3769 OFFICE: 726-3759 to. s+0-LOCATION OF PROPOSED WORK ASSESSORS MAP TAX OWNER PHoNE: tlts-st" tt CITY:STATE:&-ADDRESS: PLEAGA1S {-\(u--ZIP:?-?c{ s S Mc tGuLte Or ue- N,ulrroas P.o. @o* tn 4o VALUE:x-ADDITION DEMOLISH OTHER DESCRIPTION OF WORK: NEW- REMODEL ADDRESSNAME PHON E ADDRESS PHONE Z'E ES PLUMBING Vos a K 272 vAN B,oaf;,,J <t ^< ARCHITECT: CONST. CONT 1J85 -irss I MECHANICAL: ELECTRICAL: CONTRACTOR'S NAME G EN ERAL: PLU MBIN G NO.FEE CHARGE /Single Fixture z*a)/5 do Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backf low Device TOTAL PERMIT /5u2 MECHANICAL Nr.|FEE I cxancr2Furnace/burner & vent < 100,000 BTUs 2ttl,/5 co 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 d uct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT _ OFFICE USE - LAND USE: ZONING* OF UNITS: HANDICAP ACCESS: LIGHTING POWER BUDGEI WATER HEATER: OCCY GROUP: * OF STORIES: QUAD AREA: r OF BLDGS: CONSTR. TYPE: HEAT SOURCE: $/SQ. FT,VALUESQ. FT. TOTAL VALUE OF PROJ X X X sb,*. np SQ. FTG MAIN SQ. FTG ACCESS SO. FTG OTHER RCPT#PLAN CHECK FEE DATE BY BUILDING PERMIT 47 s"PLU N/ BING ,/5"O DEMOLITION 5% State Surcharoe ' z,Eg 5% State Surcharge .7t MECHANICAL/5S.lrr"Ud /9,"u)A,a o FENCE VALUE $ 5% State Su rcharoe .79 SIDEWALK FT. SUBTOTAL PE RM ITS PAVING CU RBCUT FT. SYSTEMS DEVELOPMENT ?/,3uTOTAL PERMIT FEES EXCLUDING ELECTRICAL TA ) rb ) T /*zz,ervnoo a) T,/.r?ezn ) */ - *,711&s fu 2--t FLOOD PLAIN: NICA REOUIRED INSPECTIONS 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.iob 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 af ter 7:00 a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prior to setup of forms. e covere unt th UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. FOOTINGS & FOUNDATIONS: 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. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling 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 f Ioor 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 24'15. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. work is to ese inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before 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 joints and fasteners are taped and f inished. 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. PAVING: After gravel is in place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: ln accordance 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 PS.l. (306 a.1) STRUCTURAL WELDS: Performed on the jol:. (2722 f) HIGH STRENGTH BOLTING: During all bolt installation and ti ghteni ng 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 Certif icate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. sTDS. 25-10J1). STRUCTURAL MASONRY: (306 a.7) .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 ELECTRICAL FINAL MECHANICAL FINAL FIRE OEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as landscaping, parking lot stri ping, etc. must be completed before requesting this i nspection. - X.=- FINAL BUILDING: Requested after the final plumbing, electrical,/ ---rnechanical 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. 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 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 7-sr-?LSignatuDate n.times duri ?/,3b 57 Zs VALIDATION AMOUNT RECEIVED RECEIPT *:RECEIVED BY: DATE PAID + ADDITIONAL COMMENTS: - ,a I Permits are non-transferable and expire if vork is not started L,ithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR ONLY Electrical Contractor Add r:es Ci ty Phone Supe rv i sor cense Number Expiration Date Con:;tr Contr. Number Expiration Date Signa of Su pervi B1e trician c Owners Name Add ress Ci ty Phone OVNER INSTALLATION The installation is being made on property f ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: RBCEIPT 5l,t llNGl'tr:Ll, Hiscellaneous (Serv -Each installation Ptrmp or i rrigat ion Sign/Outline Lighti Limi ted Energy/Res Limi ted Energy/Comm SIETOTAL OF ABOVE 5Z State Surcharge TOTAL Temporary Services or Feeders Installatlon, Alteration or Relocation 97477 i 72,6,3769 ';'umcmr ab CAL PERHIT APPLICATION City Job Number 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 DweIIing Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installatlon, Alterations or Relocation: 200 amps or less 201 amps to 400 amps _ 401 amps to 600 amps - 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0niy 200 amps or 1ess 201 amps to 400 amps _ Over 401 to 600 amps 0ver 600 amps or 1000T-fs see rrBrr a Sove <..) Branch Circuits Nev, Alteratlon or Extension Per Panel 225 FIFTII STRtrET SPRINGFIELD, OREGON INSPECTION REQUBST: 0FPICE: 726-3759 1 \55- r,lhorreed Slgndure 3. COHPI,ETE t'EB SCTTEDULE BELOV ON A. Nev dential-Single or Sum B $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c $ $ $ 00 00 00 $ 3s.00 --=5 40 55. 80. E 5 one Circuit --LEach Addi tional Circui t or wi th Service, or Feeder Permi t L0 $ 2.oo I}p ice/feeder not included) $ 40.00 $ 40.00 s 20.00 $ 36.00 RIICIIVED I}Y ng_ d oe COM M ERCIAL/I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPRIilGFIELO 7fJOB NUMBEFI INSPECTION LINE: 726-3769 OFFICE: 726-3759 B LOCATION OF PROPOSED WORK: ASSESSORS MAP:/?o? ?S- 3l TA.X LOT:o 17 L, PHONE STATE:ZIP c C,ACITY: ADDRESS: OWNER NEW - REMODEL ADDITION DEMOLISH OTHER VALUE: DESCRIPTION OF WORK: MECHANICAL: NAME ADDRESS PHON E ADDRESS EXPI RES PHON E 747-738 CONTRACTOR'S NAME ARCHITECT: CONST. CONTRACTOR # GENERAL: PLUM BI NG PLU MBIN G NO.FEE CHARGE Single Fixture Relocated Bld (new fix. addtl s ) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT MECHANICAL NO FEF CHARGF 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 Ventseparate r Stationary evap. cooler Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT _ OFFICE USE _ LAND USE: ZONING* OF UNITS: HANDICAP ACCESS: FLOOD PLAIN: LIGHTING POWER BUDGET: WATER HEATER: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGST CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ X X SO. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE BY / 5,7s BUILDING PERMIT Ntp, 156 PLU M BI NG DEMOLITION 5% State Su rcharqe ,75 5Yo State Su rcharoe MECHANICAL FENCE VALUE $ 5% State Su rcharoe SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUOING ELECTRICAL ?7/,Ss ELECTRICAL: ... REOUIRED INSPECTIONS .-' 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 7:0O 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 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 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 cbnstruction 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 to the Building Division. excavated and forms are facing materials and before erected, all steel in place, but - ^- framing inspection' STRUCTURAL CONCRETE: ln prior to placing concrete.' )< FRAMTNG: To be made after excess of 25oo PS.l. (306 a.1) coNcRETE SLAB: To be r - the roof' all framing' fire made after ar insrab buirdins 3l::5 ::.':ff 3ffi:It";,Hl:r" FII:,.fl"',X3"t H5lJol',rrr, , service equipment, conduit, and vents are complete and :#lg;""",",:;il:? ?i:'-:'TJ ffi H::l,",ltil:,1'JJ;[i::: 3l?lf],?E]uol[Bi,"T]X"oin place but before any tighte;ing operations. (306concrete is placed. INSULATION & 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 is prior to covering or f illing apptied. SPECIAL GRAD|NG,trenches. ,NDERFL..R: prumbins l:::,S""=^'f;m',ifl[Hi"' EX:l;t'iii,:li.',5Jb'i],"i electrical, mechanical. To be - according to plans. chapter 29) made prior to installation of '/ froor insuration. deckinq or .X LATH AND/oR GYPSUM GLU'LAM BEAMS: lnspection floor sheathi;g. --- - - -- BOARD: To be made after all Certificate by an approved Iathing and gypsum board, agency, furnished to the city's poST & BEAM: To be made interiol and exterior, is in Building Division before prior to installation of floor place but before any beams are placed' (2501 u'Bc' insulation, decking or floor plastering is applied or before STDS' 25-10J1)' eho.ilrin^ gypsum board joints anderreq,rrrrv' fasteners are taped and STRUCTURAL MASONRY (SOG FLooR TNSULATIoN & finished' a'71 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. 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, etectrical, 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 8y signature, I state and agree, that I have carefully 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 Springf ield, 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 times during constr on. Signature Date VALIDATION AMOUNT RECEIVED:/5.75 DATE PAID: RECEIPT #<5&a,.RECEIVED BY: