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Home My WebLink AboutPermit Building 1996-03-07COM M ERCIAL/ I N DUST RIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPRINGFlELO JOB NUMBER INSPECTION LIN E: 726-3769 OFFICE: 726-3759 747e- ,zfr, a LOCATION OF PROPOSED WORK: ASSESSOBS MAP:TAX LOT:2€4 €2q.>>ZIP2BSTATE: PHON E:?q2 >a CITY: ADDRESS: OWNER: DESCRIPTION OF WORK; NEW-- REMODEL VALUE:DADDITION LISH - OTHEB MECHANICAL: PHON EADDRESSr',s/2@e.a)@c42 EXPI RES PHONEADDRESSCONTRACTOB'S NAME ARCHITECT: ELECTRICAL: CONST, CONTRACTOR # \ GENERAL' PLUMBING NO.FEE CHARG E Single Fixture Relocated Bldg (new fix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backflow Device TOTAL PEBMIT MECHANICAL NO trtrtr 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. cooler Vent Fan/Single duct Vent System apart f rom AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE - LAND USE: ZONING* OF UNITS: HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER OCCY GROUP: I OF STORIES: QUAD AREA: S OF BLDGS: CONSTR. TYPEr HEAT SOURCE: SQ, FT.$/SQ. FT.VALUE EA%TOTAL VALUE OF PROJE x X X SQ. FTG MAIN SO, FTG ACCESS SQ. FTG OTHER 29a7 RCPT#PLAN CHECK FEE DATE BY 6.6< BUILDING PERMIT 79.>a PLU M BI NG DEI\,4OLITION 5% State Su rch aro e n .t'72 5% State Surcharge MECHANICAL FENCE VALUE $ 5% State Surcharqe I SIDEWALK FT. SUBTOTAL PERM ITS //-97 PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PEHMIT 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, call726'3769 (recorder), state your clty designated job number, job address, type of inspection requested and when you will .be readyforinspection Requestsreceivedbefore7:00a.m.wilbemadethesameworkingday,reqresi;;;;;;;;;;;,;'".-.wi,bemade the following work day. PAVTNG: RttJr gravet is inplace but prior to placing asphalt or concrete. S|TE |NSPECT|ON: To be made after excavation, butprior to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANTCAL: To be made before any work is covered. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, butprior to placing concrete. CONCRETE SLAB: To be made after all inslab building service equipment, conduit,piping, accessories and other ancillary equipment items arein place but before any concrete is placed. electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be madeprior to covering or f illing trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of f loor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installatlon of floor insulation, decking or floor sheathing. FLOOR INSULATION & VAPOR BARRIERS: To be made prlor 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 installlng any roof covering. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to facing materials and framing inspection. MBIN G, L: No work is to be covered until these inspections have been made and approved. placing before SPECIAL INSPECTTONS: tn accordanceSection 306 of the State Specialty Codea special inspector shall be employed by the Owner/ Contractor during construction of the following work. Acopy of the special testing reports shallbe furnished to the Building Division. 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. X 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. STRUCTURAL CONCRETE: In excess of 2500 pS.t. (306 a.1) STRUCTURAL WELDS: Performed on the iob, (2222 l) HIGH STRENGTH BOLTING: During all bolt installation andtightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: Durlng earthwork. (306 a.1.1 & Chapter 29) GLU.LAM BEAMS: tnspection Certif icate by an approved agency, furnlshed to the City,s Building Division before beams are placed. (2501 U.B.C. STDS. 25-10,11). STRUCTURAL MASONRy: (306 a.7) 'ln addition to the inspec- tions specif ied, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. By signatur'e, I state and agree, that I have carefully examined the completed application and do hereby cerilfy 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 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 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 times during construction. Signature Date 7 q AMouNr RECETVED: 4.(i 7 rEzrzT-VALIDATION 7- )-z RECEIPT S:228,2 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 aslandscaping, parking lot striping, etc. must be completed beforerequesting thls 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 aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises. ADDITIONAL COMMENTS: PLANS REVIEWED BY D^rE 7*>< ,r r SII \GFIELO owing Prc{ect and does not a.9 r6qulre sub!'ntttsd sp6citic land use hasThe foll apcroval o 225 FIFTE STREET SPRINGFIELD, OREGON INSPECTION REQTIEST: OFPICE: 726-3759 1. LOCATTON OF I^EGAL DESCRIPTION 97 EIJCTRTCAL PERHIT APPLICATTON City Job Nr*b", ?&:?? COHPT^ETE FEE SCffiDTII.^E BEtOg3 A Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded: ftems Cost Sum JOB DESCRIPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if uork is suspended for 180 days. 2. COIITRACTOR INSTALI^ATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name Address DATE: Temporary Services or Feeders Installation, Al-teration or Relocation 200 amps"or less S 40.00 201 amps to 400 amps - S 55.00 0ver 401 to 600 amps - S 80.00 Over 600 amps or 1000-voTTs see rrBrr a66tt D. Branch Circuits 1000 sq.ft. or less Each additionat 500sq. ft or portion thereof Each Manuf'd Home. or -Modular Dvelling Sertice or Feeder Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to l-000 amps- Over 1000 amps/volts -Reconnect Only One Circuit / Each Addi tional' Ci rcui t or vi th Servi. ce or Feeder Permit SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL B s 8s.00 's 1s.00 s 40.00 .00 .00 .00 $300.00 $ 40.00 s 2.00 ss0 Soo s100 s130 00 C Nev, Alteration or Extension Per Panela s 3s.oo zffcttv 7{4*rZ> ynone ?c/? -23%, OI{NER INSTALTdTION The installation is being made on property f ovn vhich is not intended for sa1e, lease or rent. 0wners Signature: t4 E. Miscellaneous (Service/feeder not included) -Each installation Pump or i.rrigation Sign/Outline Ligh ting- Limi ted Energy/Res -Limited Energy/Comm 5 s 40.00 s 40.00 s 20.00 $ 36.00 zae./4./. 7, RECET\IED B ,/.a9*72:#- /)ea-z 7>. 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