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Home My WebLink AboutPermit Plumbing 1993-12-15COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 SPRINGFIELO R 6 ta 3 JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: LOCATION OF PRO ASSESSORS MAP PHONE: )i*-,--l'r r STATE:ztPYbt-z-v /ro 4. 34-V/ -t--m CITY: ADDRESS OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER VALUE 4/^f"^ L--*DESCRIPTION OF WORK: PHONENAMEADDRESS ARCHITECT; coNTRAcroR's NAME /lcC'* r'-f t S alts CONST. ooNTRACTOR o '/ ls./1EXP|RES 2 -a?/ MECHANICAL: ELECTRICAL: ftn- 3)- 1 ADDRESS PHONE7//a2 GENERAL: PLUMBING PLUMBING FEE CHARGENO. \(Y qc>'o(.-Single Fixture Relocated Bldg. (new fix. addtl) t It *ryffis"5C ?rc3- Sdhildry Sewer ft Storm Sewer ft Backf low Device TOTAL PERMIT Y5= MECHANICAL NO trFF T.HAFIGtr 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 f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE - ZONING HANDICAP ACCESS: FLOOD PLAIN: LIGHTING POWER BUDGET: WATER HEATER: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: VALUESQ. FT.$/SQ. FT, TOTAL VALUE OF PROJECT X X SO. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE BY I BUILDING PERMIT PLUMBI NG DEMOLITION 570 State Su rch arge 5% State Surcharqe MECHANICAL FENCE VALUE $ 5% State Su rcharge SIDEWALK FT. SUBTOTAL PERM ITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL 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 will be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be madethe following work day. SITE INSPECTION: To be ROUGH PLUMBING, pAVtNG: After gravet is inmade after excavation, but ELECTRICAL & place but prior-to placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLAB PLUMBING, inspections have been made SPECTAL TNSPECTIONS: tn accordance ELECTRICAL & and approved. Section 306 of the State Speciatty codeMECHANICAL: To be made a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. A FOOTINGS & FOUNDATTONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished io the Buildiig Division. excavated and forms are facing materials and before erected, all steel in place, but framing inspection' srRUcruRAL CONCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.I) coNcRETE SLAB: To be the roof' all framing' fire made after an insrab buirdins 313:5 l:.':ff ffi:Ir"r,';;:r" EI*:,."J"',f3"t,Y5f3of',rrr, ,service equipment, conduit, and vents are complete anclpiping, accessories and otherancilirv equipment items are H"o';::[j,]igi:,1'j,$[l:?: Bl?Xf],?;],?l[,?,o"tIH:"0in place but before any tighte-ning operations. (306concrete is placed. tNSULATtoN & vApoR a.6) BARRIER: To be made after allUNDERGROUND: 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 isprior to covering or filling applied.trenches. sPH'!vy. spEclAL GRADING, ,NDERFL..R: p,umbing [ll:,S""="'f;m'J3[Hi"' EX:iJt'iiil-:li',5;b'i]'"i, 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 floor 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 exterior, 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' 25'10'11)' sheathing. - gypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR TNSULATToN & finished' a'7) 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 :Hl3^Hifi'tr::f""!|,. 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. "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. 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 fuither 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 reguested 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 Signature c Date /2. /5- 7Z tlmes during construction 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 inspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before requesti ng this inspection. 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 COMMENTS:- PLANS REVIEWED BY DATE C'TY OF SPR"UGFIEL OREGO'U The !ollowing Proiect zi.tring. aPd does not as submitted has the require specilic land use 3 A !iP]lI1l.GFIELD ELBCTRICAL PERHIT City Job Number APPLICATION 73 rs4 7 225 PIfrfl STREBT SPRINGPIELD OREGON 974 77 ,nno Ll4.r INSPECTION REQUEST: 726-37 69 -7soPPrcE: 726-3759 I a1 1. LOCATTON OP rNsTAl1,4lr1fiyocr 68o rv. 36^ LEGAL DBSCRIPTION/?na- 3 t '2*/22sO JOB DESCRTPTION (,rrRrrrz t<aP H4i+M NT Rrni/-ntalK Permits are non-transferable and explre if vork is not started within 180 days of lssuance or lf vork ls suspended for 180 days. 2. CONT&A(f,OR INSTALI,ATION ONLT Electrical Contractor o/!L)Ez<- Address ci ty-Phone Supervisor License Number .lO?3 S Exp lration Date iO-('q5 constr contr. Number 6r"/0ai'E€ c,F Expiration Date 4ffi4- Slgnature of Supervlsing Electrician SCEEDULB BELOII Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular Dwelllng Servlce or Feeder $ 8s.00 $ 1s.00 : $ 40.00' Services or Feeders Installation, Alterations or Relocation: Sum B 200 amps or less t 201 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only $ so.oo $ 60.00 $100.00 $130.00 3/- -"\o,a) $300.00 $ 40.00 Ovners Name Address tutLL 4yr.,*/rtu)E c. D. Branch Circuits Nev, Alteration or Extension Per Panel one Circuit $ 35.00 J€Each Additional Circuit or vith Service or Feeder Permit 3 $ .2.00 q@ Temporary Services or Feeders Installation, Alteratlon or Relocation 200 amps or less '$ 40.00 201 amps to 400 amps - $ 55.00 over 401 ro 600 amps - $ 80.00 Over 600 anps or 1000 vorfs see 'Bu affi Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 sign/outline Lightins] $ 40.00 t imited Energy/Res - S 20.00 Limited Energy/Comm $ 36.00 ci ty-Phone OSNER INSTALI,ATION The installation is being made on property I ovn which is not intended for sale, Iease or rent. Omers Signature: DATE: B SUBTOTAL OF ABOVB 5Z State Surcharge TOTAL '5L ,DD 2-A O RBCBIVBD .Z 5 rs B.g o ,1