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Home My WebLink AboutPermit Building 1993-08-09CO M M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPfIINGFIELO JOB NUMBER 2<././% INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK:lzg tY.,L /o%Bro h/- sall.o 7 ASSESSORS MAP:/2e7pr-t4 TAX LOT:1-/w {.r-t..u{r. U P"rl / to- .AZ-o/s PHONE ARSTATE:-------T a 22a-3a ", ZIP:aAq z7CITY:Srzrt,-r6-/J OWNER: ADDRESS: ,L- E-t/ * 'f ^ 'n REMODEL ADDITION DEMOLISH OTHER DESCRIPTION OF WORK: r.rew X a VALU e,Jo44 Q/' NAME ADDRESS PHONE ADDRESS EXPIRES PHONECONTRACTOR'S NAME ARCHITECT: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING PLU MBING 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 M EC HAN ICAL NO trFtr .HA AGtr 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 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: $/SQ. FT.VALUESQ. FT. TOTAL VALUE OF PROJ X X X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHEB sspl* ?5fr DArE21,13PLAN CHECK FEE BY?4 43 56-za BUILDING PERMIT 72.5=a PLU M BI NG DEMOLITION 5% State Surcharqe /.67 5% State Su rcharqe MECHANICAL FENCE VALUE $ 5% State Su rcharoe SIDEWALK FT. SUBTOTAL PERMITS 3lB PAVING CURBCUT FT. SYSTEMS DEVELOPMENT d. TOTAL PERMIT FEES EXCLUDING ELECTRICAL REQUIRED TNSPECTTONS '- 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 7:00 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 X ;fg#Q{e$,MBlNG, PAVING: After gravel is in made after excavation, but <EtECIElSAtr& 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 of the State Speciatty Code MECHANICAL: 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 ,k FooTtNGS & FoUNDATTONS: 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' - srRUcruRAL CoNCRETE: ln prior to placing concrete. aY FRAMING: To be made after excess of 2500 P.S.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made after ar insrab buirdins Bl::5::.':ff 3i!:I?f,';l:r" BIR3,"J"',f3"t,Y5tT',rrr, ,, service equipment, conduit, and vents are complete andpiping, accessories and otherinciriry equipment items are :i:';'"3[j]HI':,1,jJ;[i::: Bl?lf],l[]n"1,1",u,,o,.T]?"0in 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_g.drainage lines. To be made board interior wall covering isprior to covering or filling applied.trenches. qyy,,vv. spEclAL GRADING, ,NDERFL..R: prumbins ll?5,S'"="'f;m'J3[gt"' El:'iU?il'-:lL?,5Jbi],"" electrical, mechanical. To be according to plans. chapter 29) made prior to installation of floor insulation, decking or X 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. - Sypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR TNSULATToN & finished' a'7l. 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. 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 further 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 OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project. / *q-Signatu re Date ?3 rtfu he toree SUen re alhat re red Sn tiag NS are tedUES thatqupecreq e ro m hatppee,ec ressadd S aprojread br f rom hththatitrmcthateardofthpeedanheperty,pro SE of a NSprovedapp re nmar on SIhe alate ntiSmeudfi truccons otis VALIDATION /z 9-E r?.*-,? AMOUNT RECEIVED: RECEIPT g:RECEIVED BY: DATE PAID: FINAL PLUMBING ( FINAL ELEcTRIcAL FINAL MECHANICAL ,( FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before requesting this inspection. -y FINAL BUtLDING: Requested after the final plumbing, etectrical, mechanical and Fire Department inspections are made and approved. No occupancy of the premises can be made until acertificate of occupancy has been issued by the Building Divisionand posted on the premises. ADDITIONAL COMMENTS: -_PLANS REVIEWED BY E g^€€=' s t reet, -4,43 :il:L2.i..3 SP' :FIELD nol t?Y,kf:",,,1-fltr afr )?\ PTI'TE qTntrET SPRTNGETELD, oREGoN 97477 INSPECTION REQUESTz 726-3769 OPFICE: 725-3759 1. LOCATION OF I,EGAL DESCPJHION JOB DESCR.IPTION Permits are non-transferable and expire i f vork is no t s tarted vi thin 180 ria;"s of issuance or if vork is suspended for 180 ciays. 2. CONTRACf,OR INSTALI.A,TTON O}TLY EIJCTRICAI PERHIT APPLICATION City Job Nunber qz .//>a- FEE SCEEDIiLE BELOS Nev Residential-Sing).e or Hulti-Family per dveL)-i.ng unr r Service Included: I t erns Cos t ^ na nn v v? r vw Lu ON Sum Electrical Contr aeror TtUtcfZ r'?rtfrzzZ Addr"ss 4/rru Z?tr fuRaq-E Ci ty Phone S.upervisor License Number 3 5 fT S Expiration Date 0 -{ Constr Contr. Number Expiration Date Signa of Supervising Electri cian 0vners Name i000 so.ft. or Less .iach additional 500 sq. ft or/ portion th ereo f Each l{anuf 'd iiome or -Yocjul-ar Dvell:ng Servi ce or Feed,er Services or Feeders Ins taS.iation, iLtera:ions or Rel-oca t i on : 200 amps or less 201 amps to 400 amps -401 amps to 500 amps -601 amps to 1000 amps- Over i000 amps/voIts -Reconnect 0n1y SIIBTOTAI OP ABOVE 5X State Surcharge TOTAI Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 anps - $ 55.00 over 40L to 600 amps - S 80.00 0ver 500 amps or 1000-voI-ts see rtgrr "ffi Branch Circuits Nev, Alteration or Extension Per Panel B c 1i nn s 40.00 s 50.00 s 60. 00 s100. 00 s130.00 s300. 00 s 40.00 C E l.'' Address /5oo N {LND' Ci ty .ttu;. /);!{)Phone 126- 327 5T---t-a OIINER INSTALI.{TION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Osners Signature: DATE: OneCircuit I S35.00 Each Additional Circuit or vith Service or Feeder Permi t S 2.00 Hiscellaneous ( Service/feerjer -Each installation Pump or irrigation S Sign/0utline Lighting- S Limited Energy/Res - S Limited Energy/Comm / S no t incJ-uded ) 40. 00 40.00 20. 00 5 7 /.ao7'qr7?.ss RSCET\':gD