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Home My WebLink AboutPermit Building 1995-04-28J PERMIT APPLICATION 225 Fifth Street, Springfietd, eregon g74tl SPRINGFIELO JoB NUMBE " 7E:A 55-{ INSPECTTON LtNE: 726.3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK:Blo P *7th ASSESSORS MAP: PHONE: 7t{STATE:ZIP: 7q#6 r+eOWNER: ADDRESS: CITY: VALUE \ oADDITION DEMOLISH OTHER DESCRIPTION OF WORK: *.* / REM.DEL NAME ADDRESS PHONE EXPI RES PHON E,t 79 ELECTRICAL: CONTRACTOR'S NAME ARCHITECI ADDRESS CONST. CONTRACTOR # GENERAL: PLUM B I NG )#r.*o*,"o,- NO.FEE CHARGE Single Fixture Relocated Bldg (new f ix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft Backf low Device TOTAL PERMIT NO trFtr EHA FIG trFurnace/burner & vent < 10Q,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended waftiltoor - mounted unit heater Appliance Vent separate Stationary evap. cool er Vent Fan/Single duct Vent Sys from AC tem apart or htg. Mechanical exhaus[ hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE - LAND USE: ZONING* OF UNITS: FLOOD PLAIN OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGST CONSTR. TYPE: HEAT SOURCE: HANDICAP ACCESS: - LIGHTING POWER BUDGET: WATER HEATER: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ X X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE RCPT#BYDATE BUILDING PERMIT /5r PLUMBING DEMOLITION 3l1l.ih';'" t?r+t4.1,24 5% State Su rc harge MECHANICAL FENCE VALUE $ 5% State Surcharoe SIDEWALK FT. SUBTOTAL PEHMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT ./6,roTOTAL PERMIT FEES EXCLUDING ELECTRICAL TAX LOT:,f 71r)) nQ 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 ready for inspection. Requests received before 7:0o 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: AftCT gTAVEI iS iN made after excavation, but ELECTRICAL & place but prior to placing prior to setup of forms. f"=:#H."thi,,*,?*Tn'= t" asphalt or concrete' UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance ELECTRTCAL & and approved. Section 306 of the State Specialty Code MECHANICAL: To be made a special inspector shall be employed before any work ls.covered. ATTIC DRAFT STOPS & by the Owner/ C,ontractor during CURTAIN WALLS construction of fhe following w6rk. A FOOTINGS & FOUNDATIONS: ETDEDT A,.tr. r 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 faclng materials and before erected, all steel in place, but framing inspection' STRUCTURAL CONCRETE: ln prior to ptacing concrete.' \ FRAMING: To be made after excess of 2500 P'S'l. (306 a'1) coNcRErE SLAB: ro be -z----v IT:J*1:L i[J'3['Jlfl;t[,? ,, srRUcruRAL wELDS: made after all inslab building place aid all pipes,ihimneys Performed on the iob. (2722 1) service equipment, conduit, and vents are complete andpiping, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING: ancillary equipment items are and melhanical are approved. During all bolt installation and in place but before any tightening operations. (306 concrete is placed. INSULATION & VApOR a.6) BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC. storm sewer, water and before any lath or gypsum Standards 43-8. drainage llnes. To be made board interior wall covering is prior to covering or filling applied. SPECIAL GRADING, t re nc hes. ,NDERFL'.R: p umbins [[:,5T'f;:A!3[H].* ii;f!fiiil-:ii.:,5Jb'J],"t electrical, mechanical. To be according to plans. chapter 29) made prior to installation of floor insulation, decking or LI\TH 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 posr & BEAM: To be made interior and exierlor, is in ' Building Division before prior to installation of floor place but before any beams are placed' (2501 u'Bc' insulation, decking or f loor plastering is applied or before STDS' 25'10'11)' sheathing. gypsum board joints and eyDrr,^TriD^rfasteners are taped and STRUCTURAL MASONRY: (306 FLooR TNSULATToN & finished' a'7) VAPOR BARRIERS: To be made prior to installation of decklng or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with uBc 2415. RooF sHEATHTNG AND :Hl3^ilifJ'tt::f""I'" 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 lnformation 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 descrlbed 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 required inspections are requested 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 Date times during constructi VALIDATION O zoAMOUNT RECEIVED: RECEIPT *:RECEIVED BY: DATE PAID: FINAL PLUMBING FINAL ELECTBICAL FINAL MECHANICAL FINAL FIRE OEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. AII project conditions such as landscaping, parking lot striping, etc. must be completed before requestlng 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 X irr,-r f ollowing proiect zirlrlilg, ni.i:l cioes nol approvai. 225 FIF'TH STREET SPBINGFTELD, OREGON 974 INSPECTION REQUEST: 726-3769 OFPICE: 726-3759 '' ,Pf\\',o* OF INSTALT^ATIOND. -7'?t'-t 7 ON Permits are non-transferable and exp e if vork is not started vithin 180 d s of issuance or if vork is susPend for days. 2. Ele Add INSTALI-ATION ctri t rac tor SPR :IELO ELESTRICAL PERHIT APPLICATION ae submliied iras the roquiro opeciflc land %, us6 Job Nunbe ,1so s G 5 ress hone rvisor Lice Numbe r ra t lon e tr r. Number 3. COHPI,ETE FEE SCEEDTII-E BELOV A- 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 Home. or Modular Dvelling Service or Feeder s 8s.00 s 1s.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amPs - 401- amps to 600 amPs _- 601 amps to 1000 amPS- Over L000 amPs/volts - Reconnect OnIY C D One Circuit Each Additional SUBTOTAL OF ABOVE 5% State Surcharge 3Z Administrative Fee TOTAL Temporary Services or Feeders iniirff.iio", Alteration or Relocation 200 amps"or less $ 19'99,oi ;;" to 4oo amPs - I :1,99 Over 600 amps or rbOO-voTEs see 'B" a6i6 Branch Ci rcui ts ' -' Nev, Alteration or Extension Per Panel c,i, I s 3s'oo 35 * Sum Ci ty Supe Expi Cons Expi ion Date s s0.00 s 60.00 $100.00 s130.00 s300.00 $ 40.00 r ture of SuPervising Electrician 0o0vners Name I'ln ltt <rVr€4AA Address 7lo ,'t --7L Ci ty Fi Signa Phone 7'/ {'- {i LlO ^c: OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended -for sa1e, lease or rent' Circuit or vith Service or Feeder Permi I ) ;-,, -S 2-oo ltJ E. HisceLlaneous (Service/feeder not' included) -Each installation Pump or irrigation Sign/OutIi.ne Lighting-- Limited EnergY/Res _- Limited EnergY/Comm $ 40.0q s 40.00 s 20.00 s 36.00 5 DATE: BRECEIVED tu E) $ 40.00