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Home My WebLink AboutPermit Building 1995-03-22COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fillh Street, Springfield, Oregon 97477 SPRINGFIELO ? sooTgJOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK 800 S. lBth Ave, Sprinqfield oR 97477 ASSESSORS MAP:TAX LOI / /on x ZIP:oSTATE: NE (503\ 747-12L3menSfnc. CITY:Springfield OWNER: ADDRESS;800 S. l8th Ave. lattice tower & unmanned prefab shelter NEW x FIEMoDEL ADDrroN DEMoLtsH orHER VALUE: DESCRIPTION OF WORK:150' Self-support PLUMBING: MECHANICAL: ELECTRICAL: CONTRACTOR'S NAME ADDRESS ARCHITECT: GENEBAL: -Z ghn Ste. 764 EXPTRES l/, NAME Gazley, Plowman, Atkinson PHONE ( s03 ) 274-7800 CONST. CONTRACTOR # ADDRESS 2701 NW Vau PLUMBING NO.FEE CHARGF Single Fixture Relocated Bldg. (new f ix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft. Backf low Device TOTAL PERMITn9 sewer,/water N/A MECHANICAL NO FFF C}.IA FIGF 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 -5r\\tr\LAND USE:sqqq HANDICAP ACCESS: * OF UNITS: LIGHTING POWER BUDGET: WATER HEATER: ZONING OCCY GBOUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: FLOOD PLAIN: -ao TOTAL VALUE or PRolEcr J*effi P<, SQ. FT. 220 VALUE Zl aa>SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER $/SQ. FT. 7'.^ ,, 'lin' @ X X 24*o ac'ry, ,/ Af ?f,5 DATE BY -l ./z BUILDING PERMIT PLUMBING DEMOLITION '> o/J/o 5% State Surcharge /.a 5% State Surcharoe lIodular Selup FENCE VALUE $ QFa-znq64,Gl///e- H/ED/a,Z -2.;;ISS 2o,/ MECHANICAL Permi t- 5% State Surcharqe SIDEWALK FT. SUBTOTAL PERMITS 71a. Vg PAVING CURBCUT FT. SYSTEMS DEVELOPMENT N,/A r TOTAL PERMIT FEES EXCLUDING ELECTRICAL I 97477 'tQ.r> , a.-ca 40.00 * REQUIRED INSPECTIONS It is the responsibillty of the permit holder to see that all inspections are made at the proper time. To request an inspeclon, call726'3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be readyfor inspection. Requests received before 7:OO 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 priorlo ptacingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLAB pLUMBING, inspectlons have been made SpEC;AL 1NSpECT;ONS: tn accordanceELECTRICAL & and approved. Section 306 of the State Specialty CodeMECHANICAL: To be made Ary, RhaF? --- a special inspector shall be employedbefore any work is covered. ATTIC DRAFT STOPS & Oy ine Ownei/ Contractor duringCURTAIN WALLS construction of the following work. A f FOOTINGS & FOUNDATIONS: F,hF^, copy of the special testing reports shail- To be made after trenches are FIREPLACE: Prior to placing be furnished io the Buildjig Division. excavated and forms are facing materials and before erected, all steel in place, but framing lnspection' v STRUCTURAL CONCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 25OO pS.l. (306 a.l) 3:I""*,'J'.,",\f3;{".1!q,", U:y:li:JTH:f ',m;:," v EI}H,."Jyfl} ,yf fio?',,,,, ,,service equipment, conduit, and vents are complete andpiping, accessories and other incir-iry equipment items are *i;::[s;ti:giiin:i:: x Bffilf],?E]*"1*g,o,h1g:".in place but before any tightening operations. (306concrete is placed. lNsuLATloN & vApoR a.6) * BARRIER: To be made after allA jD]HIOUND: Plumbing, insulation and required vapor spRAyED ON@!!caPgas, sanitary sewer, barriers are ln place but FIREpROOFING: U.BC.storm sewel water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior walliovering isprior to covering or filling applied.irenches. q'H,,vv. SPECIAL GRAD|NG, ,NDERFL..R: Prumbins |:::,S'"1fmi3l:Ht"' iliilfiiilJll:'5Jb'j|t electrical, mechanlcal. To be according to plans. Chapter 29) made prlor 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 exierior, Is in ' Building Division before prior to lnstallation of floor place but before any beams are placed' (2501 U'B.C. insulation, decking or floor plastering ls applled or before STDS' 25'10,11)' sheathlng. - Sypsum 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 ln accordance with uBc 24'15. ROOF SHEATHING AND NAILING: Prior to installing any roof coverlng. 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. Y 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 wor[< performed shall be done in accordance with the Ordinances of the City of Springfield, 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 Buildlng 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 thestreet, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at alltimes during constructlon. Signature IDate--r1*l ?{ -?VALIDATION AMOUNT RECEIVED: RECEIPT *:RECEIVED BY: DATE PAID FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT A ITIONAL COMMENTS: ,y x PLANS REVIEWED BY 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 beforerequesting this inspection. FINAL BUILDING: Requested after the final plumbi ng, electrical, mechanical and Fire Department inspectlons are made and approved. No occupancy of the premises can be made until a Certificate of Occupancy has been issued by the Building Divisionand posted on the premises. o^rE ?'.< <.-.-=F r4a- i, : <T r-- ln addition to the inspec- tions specified, the Building Official may make or requlre other inspections of any constructlon work to ensure compliance with the Buildlng, City or Development Code. :=, /ft C'TY OF OREGON SPFrI IELO 225 FTYTE STREET SPRINGFIET,D, OREGON 97477 INSPECTION REQIIEST 3 726-3V'6i?:orized OFPICE: 726-3759 1 OF INST Ort@ JOB Permi ts are transferable and e if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. COIiITRACTOR INSTALI..ATTON ONLY E1 rical Contractor Addres Ci ty Supervisor L Expiration Date Constr Contr Expiratio clarn Address following use c)BLE TRICAL PERHIT APPLICATION City Job Number BEtO}I Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf 'd llome- or Modular Dvelling Sertice or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps _ 40L amps to 600 amPs _ 601 amps to 1000 amPs- 0ver 1000 amps/volts Reconnect 0n1y J1,",4',' g, * g:,ffi ?LT:*X::,#i",ff t: Sum,l 3. A B C s s0.00 s 60.00 s100.00 $130.00 $300.00 $ 40.00 Temporary Se Ins tallat ion 200 amps"or 20L amps to Over 40L to 0ver 600 amp rvices or Feeders , Alteration or Relocation Iess I 600 amps S 80.00 s or 1b00T6lf[s see rrB, aEolE cit OIJ}TER INST The installation is being made on property I ovn vhich is not intended for sale, lease or rent. s DATE: ch Circuits , Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 Miscell-aneous (Service/feeder not included) -Each ins tall-at ion .\frtfr1 tc E Pump or irrigation _Sign/Outline Lighting- Limited Energy/Res Limited Ener[y/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL s40 s40 $20 s36 00 00 00 00 Phone ense Num te re of Superv ising RECEIVED igna ture: 5 00 CITY OF SPF OREGO'" SPRIHGFIELD C 225 PIFTE STREET sPRINCrrEtJ), ofi.EGON 974 1. LOCATION OT' o o o JOB DESCRIPTION us d hes ll,eroqUlrekii;iJ {,t$E 3 p,ffix*:l Dde IIISPBCIII0N REQUEST: 726-3769 0PPICE: 726-3759 .' City Job l,Iunber COHPLBTB FEg SCBEDULE BBLOII Nev Residential-Single or Multi-Family per dvelling uni t. Service fncluded: ftems EIJCTRTCAL PERTTT APPLICAI'IONq 3-r Cos t $ 85.00 Sum A. @- ?+ lezt ..P,.dH Permits are non-transferable and expireif vork is nor srarted vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTATI,ATTON ONIY B. Electrical contr actor futtlCstitL€ @Atd Address l|i # n bi ty Supe Phorre 4:!-? - -7b17 rvisor License Number 2a{L-t; Expiration Date,to- t-7s C. Constr Contr. Number @ 7q Explration Date q-q-_q{ ovners Nane 4.tErflilef 4,1,/6fl.t@$IJi, eaaress 8oO 5, /8?,4,A ciry S&t4qqqo ..Phone ?t/7-)z-t 3 OVNER INSTALI,ATION The instaJlation is beirrg made on property I ovn vhich is not intended for sale, lease or ren t. 0vners Signature: DATE: L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or -.- Modular Dvelling Service or Feeder Services or Feeders Installation, Alteratioits or Relocation; s 1s.00 $ 40.00 200 amps or less I201 amps to 400 amps 4QL amps to 500 amps .-501 amps to 1000 anps_ 0ver 1000 amps/volts Reconnect Only s s0.00 $ 60.00 s100.00 $130.00 = s300. 00 $ 40.00 Temporary Services or FeedersInstallation, ALteration or Reloeation Signatqre of Supervising Electrician1* Ai/t; 200 amps''or less 201. amps to 400 amps --Over 40L to 600 amps Over 600 amps or 1000ETl $40sss $80s see .00 .00 '8" aE6TE- 00 D.Branch Circuits Nev, Alteration or Extension Per Pane1 One Circuit S 35.00 Each Additional Oircuit or with Service or Feeder Permit -.- $ 2.00 Miscellaneous (Service/fecder not included) -Each installation Punip or irrigation Sign/Outline t ighting-l Limited Energy/Res Limited Energy/Comm 9a@ E 5 $ 40.00 $ 40.00 $ 20.00 s 36.00 zf,o_------.-4-+ ,/ ,fO<4 tD SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTALRBCEIVED I