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Home My WebLink AboutPermit Building 1994-11-10COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 LOCATION OF PRO D ASSESSORS MAP: SPRINGFIELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: PHONE: STATE:ztP 7CITY: ADDRESS: OWNER: VALUE DESCRIPTION OF WORK: ARCHITECT; NAME ADDRESS PHONE ADDRESS EXPIRES PHON E ,.'ay'l)G ENERAL: CONTRACTOR'S NAME PLUM BI NG: ELECTBICAL: MECHANICAL: CONST. CONTRACTOR # PLU MBING NO.FEF CHARGE Relocated Bldg (new fix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT MECHANICAL NO FEF EHA RG tr 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 from System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE - ZONING LAND USE HANDICAP ACCESS: * OF UNITS: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: FLOOD PLAIN: LIG HTI NG POWER BUDGET: ______-_-___ WATER HEATER: CONSTR. TYPE: HEAT SOURCE: SQ. FT.$i SQ. FT.VALUE + TOTAL VALUE OF PROJ X X X SO. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE BY ,/A." BUILDING PERMIT /5do PLU M BI NG DEMOLITION 5% State Surcharge 2h- 1' .25 Z. r'dzA- 5% State Su rcharqe MECHANICAT "FENCE VALUE $ 5% State Su rch arq e SIDEWALK FT. SUBTOTAL PERM ITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL /'Jr< NEW - REMODEL t-/'- ADDITION DEMOLTSH OTHEFT Single Fixture .- REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all lnspections are made at the proper time. To request an inspection, call 726-3769 (recorder), state your Clty 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 7:00 a.m. will be made the following work day. 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. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICALT To be made before any work is covered. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. POST & BEAM: To bE MAde prior to lnstallation of floor insulation, decking or floor sheathlng. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS 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 lnterior wall covering is applied. 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. FIREPLACE: Prior to placing facing materials and before framing inspection.STRUCTURAL CONCRETE: In excess of 2500 P.S.l. (306 a.1)FRAMING: To be made after he roof, all framing, fire blocking and bracing are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing HIGH STRENGTH BOLTING 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 constructlon of the following work. A copy of the special testing reports shall be f urnished to the Building Division. STRUCTURAL WELDS: Performed on the job. (2722 t) During all bolt installation and tightenlng operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GBADING, EXCAVATION AND 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.BC. sTDS. 25.10J1). STRUCTURAL MASONRY: (306 a.7) *ln addition to the inspec. tions specified, the Building Official may make or requlre other inspections of any construction work to ensure compliance with the Bullding, City or Development Code. UNDERGROUNDT Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illlng trenches. FIRE & SEPARATION WALL: Located and constructed according to plans. X--aorH ANo/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.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 sHEATHTNG AND iHffi^H'^fJ't:'of""l|'" NAILING: Prlor to installing erected but prior to placing any roof coverlng. concrete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatlon herein is true and correct, and I further certify that any and all work performed shall be done in accordance wlth the Ordlnances 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 permlssion of the Bullding 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 inspectlons are requested at the proper time, that project address is readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remain on the site at all DateSi gn _E times during cons on za VALIDATION 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 advance of the date you wish lnspection. All project conditions such as landscaping, parking lot stri ping, etc. must be completed before requesting thls lnspectlon. FINAL BUILDING: Requested after the final plumbing, electrical, 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 COMMENTa' PLANS REVIEWED BY DATE SITE INSPECTION: To be made after excavation, but prior to setup of forms. C'TY OF OFEGO'V zon;ng, and not requlre approvsl. 225 FTFTE STREET SPRINGFIELD, OREGON INSPECTION REQTIBST: OFFICE: 726-3759 tu''}tt:{z:Yj 1. LOCATION lL/q^l. I . JOB DESCRTPTIoN INSIT+LL 4 nxfu( ES + 6 Q€cgPrlclEs Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONISACTOR INSTALI,ATION ONLI Electrical Contractor Reacon Ill e.fri. Addr Ci ty ess 2585 Roosevelt Blvd. Expi ration Date 1 /10 /9s Signature of Su Electrician C/,BI,ECTRTCAL PBRI{IT APPIJCATION City Job Nurnber q4{1p 3. COHPI, TE EEE SCEEDT'I.E BELOS A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:ftems Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular 'Dve1ling Sertice or Feeder s 8s.00 s 1s.00 -$ 40.00 B. Services or Feeders Ins tallation, Alterations or Relocation: SPRINGFIELED u$c Sum 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- Over L000 amps/vo1ts - Reconnect OnIY $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 40.00 55.00 80.00 ee (Bn aEolE Branch Circuits New, Alteration or Extension Per Panel s7*,lt tL. L *q+ 726-576r-l Eugene Phone 4G1 -?q1 Supervisor License Number 3485 S Expi rat ion Date 10 /1 l9s c Constr Contr. Number 38497 Temporary Services or Feeders Installation, Alteration or Relocation Ovner ame Address b 3 No(tru AID6C 200 amps or less $ 201 amps to 400 amps - $over 4b1 to 6oo amps - $ Over 600 amps or t0O0Tofis s -Each installation Pump or irrigation $ sign/outline Lighting- $ t iili tea Energy/Res - $ Limi ted Energy/comm - $ one circuit I S 3s.oo 35A0 Each Additional Circuit or vith Servica v nnor Feeder Permit 1 $ 2'00 l'ut E. Miscellaneous (Service/feeder not included) D city SPgirJotrta, prrone[soa)7qb-u(O?B OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAI 40.00 40.00 20.00 36.00 5 43.o DT,!Ar,lTTTf,rN 2-.t5l. 30 4b.45