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Home My WebLink AboutPermit Electrical 1996-04-23gPtsIIIYCiF'ELU -{ 225 TIFTE STREEf, sPRrNGrrELD, oREGoN 97477 INSPBCTTION REQIIEST I 726_3 OPFICE: 726-3759 The lollowing proiect as submitted he9 thg ii,"irs, ;'i?jSeinot require apacific land approval. c- o"," 1( *(7 EI,EGTRICAI PERI{IT A}PLICATION Nurnber $ 8s.00 (/ fS,$ortzed t ].. LOCATI ON OF INSTALI"ATION 5+h A JOB Permi ts a if vork i of issuan 180 daYs- re non-transferable and sno t started vithin 180 days ceo r if vork is susPended for 2. COI{TRA TOR IXSTALI,ATION ONLY Electrical Contracto rKu Her e(&-{c'tc Aqldress P.tl Dof- l?L1 Ci ty RaP,ittftt-Phone 9Yl b?L 3)3) Supervisor License Number 7 /-s Expiration Date /o-/-v8 Cons t r Contr. Number q+flo Expiration Date ll -81qle--- Signa ture of SuPervi Electrician 0vners Name Address qq &3-+133 COMFI,ETE FEE SSEEDIII^E BELOV Nev Residential-Single or Multi-Paml}Y Per drselling unit' Service Included, ,a**" CoEt Sum 000 ch sq. add ft. or less itional 500 " ft or Portion hereof Eaeh Hanuf'd Home' or Hodular 'Dve1ling Service or Feeder Services or Peeders Installation, Alterations or Relocatlon: 200 amps or less 20L aups to 400 enps - 401 amPs to.600 amps - 601 aurps to 1000 amPs- 0ver 1000 amPs/vo1ts - Recorrnect OnIY D. Brat:ch Circui ts TemDorary Services or Feeders i;;i;11;iion, Alteration or Relocation 200 amps"ot less $ 19'qqiol ;;; i. aoo aoPs - t ::'99o;;"-4bi to 600 a'is -- $ 8o'oo over 600 *rp, ot*f560-C'Itt st* rrgrr aEovt .8. s E $ s0.00 $ eo.oo $100.00 $130.00 $300.00 $ 40.00 $ 15.00 $ 40.00 $ 35.00 $ 2.00 00 L.o Nev, Alteration or Extension Per Pane1 cir one One Circuit Each AdditionalL Circuit or vith Service or Peeder Permit - INSTALLATION The lnstallation is being made on piop*rty I ovn vhich is iot intended ior-sa1e, lease or rent' 0vners Signature: DATE: Miscellaneous (Service/feeder not included) -Each installationP;;""; ;iiie"tio' q 49'99 -:..::--:iigfir6utiine"iiq.t tl"s--I- ! t9'99 tlQ.cto ;;;i;;a rn*'[Yrco*"' '- $ 36'oo SUBTOTAL OF ABOVE 5Z State Surcharge 3X Administralive Fee TOTAI.RE hf,^flftfEln n F"m 5. !13_ "?o INSPECf,ION REQUEST: 126-3769 .,'.DAD 225 Ftrus STREET 3spRrNGFrELD, OREGON 97477 ' -.---.-' ,kr,*krf7f^1'r;':5-r"'a"ce,7o-. Address 7 20 t zt 4uu S ?\.GFIELO ELECTRTCAL PERTTT Ci trr Ioh Nrrmfqt COHPIJTE FEE SCffiDtJIJ BELOV Nev Residential-Single orHulti-Family per dvelling unit. Service Included: ftems Cost 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf'd Home or - Modular Dvelling Sertice or Feeder s 8s.00 's 1s.00 $ 40.00 Services or FeedersInstallation, Alterationsor Relocation: Zonlng OFPICE: 726-3759 1. LOCATION OF INSTALTdTION 4t JOB DESCRTPTION Permits are non-transferable and expireif vork is not started vithin 1B0 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATTON OI.ILY t 3 A B s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 Sum above city Eaersrc/e. 0r ,non{rZ9jhs__*@ , rr-.- Supervisor License Number !az? S q< Expiration Date ,o -?E Constr Contr. Number OA4tAn Expiration Date Signature of Supervising Electrician 0vners NameP;,.rr /c z /-ro- Address /?95 ,J <tl Phone l/rkno*,, 200 amps or less 201 amps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps- over 1000 amps/voIts - Reconnect Only 5. SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee Temporary Services or FeedersInstallation, Alteration or Relocation C 200 amps''or less S 40 201 amps to 400 amps - S 55 over 401 to 600 amps - S B0 Over 600 amps or 1000-toTts see One Ci rcu i t -l Each Additional L Circui t or vi th Servi.ceor Feeder Permi t ?OIINER INSTALTATION The installation is being made on property I ovn vhich is not intendedfor sale, Iease or rent. 0vners Signature: DATE: .00 .00 .00 rtBrt D. Branch Circuits Nev, Al-teration or Extension Per Panel $ 35.00 3.f- S 2.00 /g - E Miscellaneous (Service/feeder not included) -Each ins tallat ion Pump or irrigation S 40.00 Sign/ou r l ine Ligh t ing-Y- S 40. 00 *Limi ted Energy./Res .--=- $ 20.00 Limited Energy/Comm S 36.00 foze< -/*=es- .jh*LWRECETVED B TOTAL E & L. ciry -Fr,n'?rt; /4 Cr , aC'TY OF 0L/27/92 ! ttz22 {}600 7Fc, 3880 SPFD DEV. SER [0 ooz,'ftll\lt l'lgll, t,?25 Ftfn SIBEE|T ePi;''*1r'etr' SPPJIGEIEUT' OnB00ll 97477 zo;ii INSPBCUON REQTIBSTT 0lEICEr 726-3759 Authorized 1,OT IISTAII.ATION{h The {ntlawing proiect es submitted h*s tho ; ;;,;l :,;;;;; t i,ie' not reqr.rlre *peeific land tis€ ELBCTRIC,AL PERI{IT APPLICATIOIIrCttyJob Nuuber q5\ SCEEDT'IT BEU)g A. Ncv Rcsldcntlal-Slnglc or llultl-Fenlly pcr dvrlllng unlt. Servlce Includedt It:ng Cost , 1000 sq.ft. or leetLl Each addlttonsl 500 sg. ft or Portlon tirereo! Each l{anuf'd llome or -HoduLar Dvelllng' Servlcq or Fecder $ 83.00 D. rffi'bo l.oo<,Sun JOB (rOQ EY Pruttr ltc non-trenrfcrabie anri explrel[ vork lr not atarted vlthtn 180 dayeol lssuancc or lf vork ls ruspendcd for 180 dayr. 2, @IIIB.ACTOR INSTAIJ.ATION OI{IT Blcctrlc,al Contractor <. Addrcse 0. bo oo Phons ("GY -L7ltct Supervlsor Llccnee Ntimber ,r1,Ot{ - s B,tPr rrtlon Datc- 1O QL Conctr contr. Nunbcr L\\oo d lR frfi{' rr.vv s 40.00 E. Scrvltes or Peedcru. Installatlonr Alterstlons or Reloeatlon: 200 amps or less 201 amps to 400 anps - 401 rmps to 600 amps - 601 amps to 1000 anp3- 0ver 1000 anrps/volts - Bcconnect 0nly r -c.Tcmporary Servlces or Fccders Inrtallatlonl Altcretlon or Rclocatlon ' 200 amps or less t S 4O'G) ([]- 201 amps to 400 anps - I l?.q - Over 401 to 600 arrps - $ 80.00 ovcr 600 amps or rboo-?6IEE see nB'effi Branch Clrcults Nev, Altarstlon or Ert3ntlon Pcr Frncl Ont Cl.rcult - $ 35.00 € Each Addttlonal Clrcult or vlth Servlcc or Feedcr Permlt - $ 2.00 -B. t'tlscellaneous (Servlcc/fceder not lncluded) 5. SI.IBTOTAt OF ABOVB {r-r't"> s 50. $ 60. $100. $130. 00 00 00 00 00 00 s300 $40 Explratlon Da Slgnrtur: of 0mcrc Electrlctan Addr*r SD\ N\^)u -qqo ct ,r\* OIINEN INSTALI.ATION Thr lnstrllatlon lr betng nede on proplrty I ovn uhlch ls not lntended for ralcl Xcagc or rent. . Ovnrru Sl3naturcr I 40.00 $ 40,00 $ 20,@ $ 36.00 Dlttst ---815t- -fffi@NFT.EIURT) a %'ff;rEtL:l':'5" I -Each lnstallatlon Prrmp or trrlgatlon Stgn/OutIlnc LlghtlnS- Llmltod Encrgy/Rer -, Llmlted Energy/Comn - CITY OF SPF]INGFIELD OREGON Tl:e ttPill.G,llET.D not (y BlaslRrcat rEm{n Ctty Job lftlrlber in;, and does SPBIIICETBu), Of,EGotf 97177 IilSPBCtIot{ RB0tlBSTc 726-3752. OFIICB: 726-3759 2r5 Yrrtl SIBEEI 1.0r JOB ,l I 9 ,riz.rrl B{gnat'i.li,;r_BBIOS Pcnlts are non-trensferable and explre ii vork ls not started rlthln 180 days oi ls.u*ce or lf rrork ls suspended for 180 days. 2. CUIIRACr(}R I}ISTAIJAjrIOil OIILI Nev Resldentlal-Slnglc or tlultl-Parntly per rlvelllng unlt' service rncruded: rtens cost 1000 sq.ft. or less Eaeh addltlonal 50O sq. ft or Portlon thereof Each l{anuf'd Eole or llodular.'DreLllng Sertlce or Feeder Servlces or Feeders Installatlon, Alteratlons or Relocatlont 200 anps or lcss 201 anps to 400 anps -I401 aaps to.600 amPs - 601 anfis to 1@0 arps- Over 1000 anps/volts - Reconnect OnIY TenDoEarv Senrices or'Peeders ir"i.iiaittin, Alteratlon or Selocatlon 200 anps or less zoi "ris to 4oo aEPs -Over 401 to 600 arPs - 0ver 600 anps or 1000-volts Branch Ctrcults q-e te A. B. c. l). Sun S 85.00 $ 15.00 $ 40.00 see iBi above oD Blectr lcal Contractor LJ c lrldress P.0.(3oo ?8t ct p,pnonu blaZ bl)t Supervlsor License Nunber A (,oq-5 Expl ratlon Date b- qa Conetr Contr. Nunber (rQ { 0o Explratlon Date 3's.qG Slgnature of rlclan 0mers Naue Address ct Phone DAIS: Nevr Alteratlon or Extenslon Per ?anel $ 35.00 $ 2.oo iotl.oo B. l{teccllaneous (Servlce/feeder not lncluded) $ 40.00 s 55.00 s 80.00 $ 50.00 $ 60,00 $100.00 $130.00 $300.00 $ 40.00 OmtES. NISMI,IATTO{ lte lnstaltatton ls, belng nade on- ;;;ffii-i om Yhtch ls not intended ior sale, lease or rent. Ormera Slgnature: One Clrcult Eech Addltional Clrcult or vlth Servlce- oi-r"ea.r Peruit r-'.f,. -Each installatlon Pump or irrlgatlon Slgir/outline Llght lng- Limited Bnergy/Res - Liuited EnergY/Comm $ 40.00 $ 40.00 $ 20.00 $ 36.00 5, SIIBTOTAL OT ABOVE 5Z State Surcharge 3E Adninistrative Fee TOTAL NECBIIIBD rooE ll[lS 'A.q(I O.,ldS 6e0G 0?l sogcl 00:e0 t$/go/ol *i.*"- I COMM ERCIAL/I N DUSTRIAL PERMIT APPLICATION 225 Fiftn Street, Springfield, Oregon 97477 SPRINGFIELO INSPECTION LINE: 726-3769 OFFICE: 726.3759 e ELOCATION OF PROPOSED WORK: ASSESSORS MAP: HON E: STATE:ZIP:CITY: ADDRESS: OWN VALUE:A D DEMOLISH K OTHERONNEW Y REMODEL DESCRIPTION OF WORK: PLUMBING: MECHANICAL: ELECIRICAL: NAME PHON E D DE ?ARCHITECT: PHON EXPIRESCONTRACTOR # ONST. G EN ERA L: CONT PLUMBING NO FEE CHARGE 7 Single Fixture 2 z2e Relocated Bldg. (new f ix. addtl) Water Service %ftt.55* Sanitary Sewer ./7Stt.gEn Storm Sewer Zfutt.tr4 2 Backflow Device ,/2 222-4 TOTAL PERMIT 24;a MECHANICAL NN FEE-CHA RG F /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. cool er Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT r12*.,/9-d _ OFFICE USE - ZONING LAND USE HANDICAP ACCESS: FLOO} PLAIN LIGHTING POWER BUDGET: WATER HEATER * OF UNITS: OCCY GROUP: Y OF STOFIIES: QUAD ABEA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: ry r,7r* rorAL vALUE oF PRolEcr 6?tu 7O SQ. FT.$/SQ. FT.VALUE X X X SQ. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER 'LAN cHEcK FEE 4. 26 Rcprr /8728 D,rrE E -/),?f ,, fr 2 62,// BUILDING PERMIT 7_Z.n PLU M BI NG 2/rt5-- 4D'DEMOLITION 5% State Su rch aro e G /5. qaqH 5% State Surcharoe R /o,1 z,;C1,arcueNffiffja ,/;%[^t],i5r Ae 1'ao 5% Statb Surcharqe fr :b stDEw/.>/ FT.4a 4,SUBTOIAL PERIM ITS PAVING wu")b FT.q;3f,SYSTEMS DEVELO PMENT //. TOTAL PERMIT FEES EXCLUDING ELECTRICAL JoBNUMBER% /2,4i^24-/2 rAX Lor: Ae= a3 €r2<../.i.> REQUIRED 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 wlll be ready for inspection. Flequests 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. SITE INSPECTIoN: To be ,( RoUGH PLUMBING, -*- PAVING: After gravet 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 spEctAL tNspEcfloNS: 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 duri ngCURTAIN WALLS construction of the following w6rk. A To be made after trenches are FIREPLACE: Prior to placing be iurnished io the Building Division. excavated and forms are facing materials and before erected, all steel in ptace, but framing inspection' srRUcruRAL CoNCRETE: ln prior to placing concrete. CONCRETE SLAB: To be made after all inslab building cervice equipment, conduit, piping, accessories and other ancillary equipment items are in place but before any concrete is placed. UN DERGROUN D: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing t renc h es. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installatlon of floor insulation, decklng 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 24'15. ROOF SHEATHING AND NAILING: Prior to installlng any roof coverlng. 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 fi ni shed. 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. excess of 2500 PS.l. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 l) 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 & ch te r 29) LA MS:ns pecti on Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. STDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7) v / / r X x -G t ln addiilcr,^lc the i:-,spec- 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. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th.at all information herein is true and correct, and I further 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 Euilding 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 requlred inspections are requested at the proper time, that project address is readable from thestreet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at alltimes during construction. Signature tz.(3Date ?( ECETVED: P6^ ,i,4BzrVALIDATION: RECEIVED BY: AMOUNT R RECEIPT *: , ( F'NAL PLUMBTNG f FrNAL ELE.TRTcAL 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 af ter the final plumbing, electrical, mechanlcal 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. ,fr x ADDITIO FINAL MECHANICAL FINAL FIRE DEPARTMENT AL COMMENTS: r PLANS REVIEWED BY DATE ,r J -1 --L DATE PAID: v /r7?f COM M ERCIAL/IN DUSTR!AL PERMIT APPLICATION 225 Fiftn Street, Springfield, Oregon g74ll SP'IINGFIELO JoB NUMBE^ o</7 ?1 INSPECTION LINE: 726-3769 OFFICE: 726-3759 NE: STATE:ztP NEw K OTH ER VALUE 92&E HS DESCRIPTION OF WORK: CITY: ADDRESS: OWNER REMODEL ADDITION DEMO NAME ADDRESS PHONE ADD RESS R#EXPI RES ( CO CO NST, CONTRACTOR'S NAME ARCHITECT: MECHANICAL: ELECTRICAL: G ENERAL:, PLUM BI NG PLUMBING NO FEE CHARGE Single Fixture Relocated Bld (new fix. addtl I ) Water Service ft. Sanitary Sewer ft. Storm Sewer f t. Backf low Device TOTAL PERMIT M EC HAN ICAL NO FEE -CHAEQEFurnace/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 Sys from AC tem apart or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE - LAND USE: * OF UNITS: HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGEI WATER HEATER OCCY GROUPT # OF STORIES OUAD AREA: g OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SQ. FT $/SQ. FT.VALUE TOTAL VALUE OF PROJ jrFr X SQ. FTG OTHE SO. FTG MAIN SO. FTG ACCESS RCPT#PLAN CHECK FEE DATE BY 67.fi DEMO LiTION 1* FT. FT. 5 State BUILDING PEFMIT PLUMBI NG CURBCUT MECHANICAL eSu 5% State PAVI NG Su e 5% State SIDEWALK e TOTAL PERMIT FEES EXCLUDING ELECTFICAL SUBTOTAL PERMITS SYSTEMS DEVELOPMENT FENCE VALUE LOCATION OF PROPOSED WORK ASSESSORS MAP:/?a\-24-/2 TAX LOI =(*zt t:', j ZONING: REQU IRED 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 726.9769 (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 after 7:00 a.m. will be made the following work daY. S|TE |NSPECT|ON: 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 pLUMB;NG, 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 & Oy ine Owner/ Contractor during CURTAIN WALLS construction of the following work. A V FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall i"'#';;;'after trenches are FIREPLACE: Prior to placing be furnished to the Building Division. excavated and forms are facing materials and before erccted, all steel in place, but f raming inspection' STRUCTURAL CONCRETE: ln prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1) coNcRErE SLAB: ro be tl:J;:li i[J'i['Jl:i,t][ ,n srRUcruRAL wELDS: made after all inslab building ptace aid all pipes,-chimneys Performed on the iob. \2722f) service equipment, conduit, and vents are'complete and :i?1ffi""?";;il:? ?[',":'YJ :X? H::["l["ii:fl'J#[?:i: 3l?:f],1:]-'l[g'*lgi".in place but before any tightening operations. (306 concrete is placed. TNSULATION & 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.B.C.Storm Sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall covering is Ltl::1,:-""""rins or f illins applied' spEcrAL GRADTNG, ,NDERFL..R: p,umbing [;x:,5'"="'3mi3[g]* ifiiJ1!i[:ll:,5J1'i],"1 electrical, mechanical. To be according to plans. chapter 29) made prior to installation of floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection f loor sheathing. BOARD: To be made after all Certificate 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'Bc' insulation, decking or floor plastering is applied or before STDS' 25'10J1)' sheathing. gypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 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. fi ni shed a.7) RooF sHEATHTNG AND itsR3^H"^ttJ'T:f""1," NAILING: Prior to installing erected but prior to placing any roof covering. concrete. 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. v tln 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. //^2^<<- By signature, I state and agree, that I have caref ully examlned 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 pertainlng to the work described herein, and that NO OCCUpANCy will be made of any structure without permission of the Building Safety Divlsion. 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 ls 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 construction. Signature (Date st(.? .q VALIDATION RECEIPT #BECEIVED BY: DATE PAID:AMOUNT RECEIVED FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaplng, parking lot striping, etc. must be completed before requesting thls inspection. FINAL BUILDING: Requested af ter 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. PLANS REVIEWED BY z2 '//??/o