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Home My WebLink AboutPermit Building 1997-05-14COM M ERCIAL/IN DUSTRIAL PERMIT APPLICATION 225 Fiftn Street, Springfield, Oregon 97477 SPRINGFIELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 tg-t-* st-LOCATION OF PROPOSED WOFIK: ASSESSORS MAP:TAX LOT:077 oo PHONE: 7./a tZIP:r)-STATE: OWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER VALUE: ) J_ ' DESCRIPTION OF WORK: NAME ADDRESS PHONE ADDRESS EXPIRES PHON E S CONTRACTOR'S NAME ARCHITECT MECHANICAL: ELECTRICAL: coNsT. CONTRA TOR # GENERAL: PLUMBING MBING NO FFF CHARGE Single Flxture Relocated Bldg. (new fix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backflow Device S&)k c-N / S?z TOTAL PERMIT /;,64 NO trFtr EHA RGtr Furnace/burner & vent <100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or llcor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Slngle duct Vent from System apart AC or htg. Mechanical exhaus{ hood and duct Permit lssuance $10.00 TOTAL PERMTT - OFFICE USE - * OF UNITS: FLOOD PLAIN: LIGHTING POWER BUDGET: LAND USE: ZONING: OCCY GROUP: I OF STORIES: QUAD AREA: r OF BLDGS: CONSTR. TYPE: HEAT SOURCE: HANDICAP ACCESS: - WATER HEATER:- SO FT.$/SQ. FT. So9TOTAL VALUE OF,PROJ VALUE x x x SQ. FTG MAIN So. rrc AccESS SQ. FTG OTHER PLAN CHECK FEE RCPT#DATE BY 35-,al BUILDING PERMIT PLUMBING /s,uo DEMOLITION /bo-e5% State Su rcharge 3111"?!1',i" ,7r+,y'1 />o Jmrt. ,9o *,5 //,4fMECHANICALFENCE VALUE $ rc SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL /7nn 25 ?- REQUIRED INSPECTIONS It ls the responslblllty of the permlt holcler to see that all lnspectlons are made at the proper time. To request an lnspectlon, call 726.3769 (recorder), state your Clty deslgnated Job number, Job address, type of inspectlon requested and when you wlll be ready for lnspection. Requests recelved 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 TNSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in made after excavatlon, but ELECTRICAL & place but prior to placing prior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered untll these UNDERSLAB PLUMBING, lnspectlons have been made SPECIAL INSPECTIONS: ln accordance ELECTRICAL & and approved. section 306 0f the state specialty code MECHANICAL: To be made a special inspector shall be employed before any work ls covered. ATTIC DRAFT STOPS & oy ine ownei/ Contractor during CURTAIN WALLS construction of the following work. A FOOT]NGS & FOUNDATTONS: ETDEDT ^ E. r copy of the speclal testing reports shail To be made after trenches are FIREPLACE: Prlor to placlng be iurnished to the Building Dlvlsion. excavated and forms are faclng matorlals and before erected, ail steel ln place, but framlng lnspectlon' srRUcruRAL CoNCRETE: ln prior to placlng concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1) coNcRErE sLAB: ro be $:#:L ilJ'3lXlfl;tl[ ,^ srRUcruRAL wELDS: made after all lnslab bulldlng place aid all plpes,ihlmneys Performed on the lob. (2722 l) servlce equlpment, condult, and vents are'cbmplete andplplng, accessorles and other the rough electrtcat, plumbing HlcH STRENGTH BOLTING: ancillary equipment ltems are and me6hanlcal are-dpprovedl Durlng all bolt installation and ln place but before any tightenlng operations. (306 concrete is placed. INSULATTON & VApOR a.6) BARRIER: To be made after all UNDERGROUND: Plumblng, lnsulatlon and requlred vapor SPRAYED ON electrlcal, gas, sanltary sewer, barrlers are ln place but FIREPROOFING: U.BC. storm sewer, water and before any lath or gypsum Standards 43-8. dralnage llnes. To be made board lnterlor wall coverlng ls prlor to covering or fllllng applled. S'ECIAL GRAD'NG,trenches. ,NDERFL..R: p,umbins , - [l1.',].t":'f;m'i3l:Hi"' ilf;fJ1!iil-tll:'5Jb'i]'"1 electrlcal, mechanlcal. To be according to plans. chapter 29) made prior to installation of floor insulatlon, decklng or floor sheathlng. POST & BEAM: TO bE MAdE prior to lnstallatlon of floor insulatlon, decklng or floor sheathlng. FLOOR INSULATION & VAPOR BARRIERS: TO bE made prior to lnstallatlon of decklng or floor sheathlng. MASONRY: Steel location, bond beams groutlng or verticals ln accordance wlth uBc 2415. ROOF SHEATHING AND NAILING: Prlor to lnstalllng any roof coverlng. LATH AND'OR GYPSUM BOARD: To be made after all lathlng and gypsum board, lnterlor and exterlor, ls in place but before any plasterlng ls applled or before gypsum board Jolnts and fasteners are taped and f lnlshed. SIDEWALK & DRIVEWAY: Requlred for all concrete pavlng wlthln street right of way, to be made after all excavatlng complete and form work and sub-base material in place. CURB AND APPROACH APRONS: After lorms are erected but prlor to placing concrete. GLU-LAM BEAMS: lnspectlon Certlflcate by an approved agency, furnlshed to the Clty's Building Divlslon be{ore beams are placed. (2501 U.BC. srDS. 25-10J1). STRUCTURAL MASONRY: (306 a.7) 'ln addition to the inspec- tlons specified, the Bullding Offlcial may make or requlre other lnspectlons of any constructlon work to ensure compllance with the Bulldlng, Clty or Development Code. x By slgnature, I state and agree, that I have carefully examlned the completed appllcation and do hereby certlfy that all lnformatlon hereln ls true and correct, and I further certlfy that any and all work performed shall be done ln accordance wlth the Ordlnances of the City of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work descrlbed heleln, and that NO OCCUPANCY will be made of any structure wlthout permission of the Bulldlng Safety Dlvlslon. I further certify that only contractors and employees, who are in compllance wlth ORS 701.055 will be used on thls prolect. I further agree to ensure that all requlred lnspectlons are requested at the proper tlme, that prolect address ls readable from the t card ls located at the front of the property, and the approved set of plans will remain on the slte at all Slgnatu Date S-//- 7z he ctlon. street, that t times durlng 3SFVALIDATION:723 76 ? AMOUNT RECEIVED RECEIPT *:RECEIVED BY: DATE PAID: FINAL PLUMBlNG FINAL ELECTRICAL FINAL MECHANICAL FINAL FlRE DEPARTMENT ADDITIONAL COMMENTS: SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wlsh lnspectlon. All prolect conditlons such as landscaplng, parklng lot striping, etc. must be completed before requestlng thls inspection. *FINAL BUILDING: Requested after the final plumblng, electrical, mechanlcal and Flre Department inspections are made and approved. No occupancy of the premises can be made untll a Certlflcate of Occupancy has and posted on the premlses. been lssued by the Buildlng Dlvlslon PLANS REVIEWED BY DATE A SC ,GFTELO ELECTKTC.AL PERI{IT APPLICATION City Job Nunber q n4t COT{PT,ETE FEE SCMDUI,E BELOII Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanuf'd Home. or -Hodular 'Dvelling' Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or FeedersInstallation, Alterationsor Relocation: l_ : 726-3769 59 1 OF IJGALt1 0\o-fT)6 ci Supervisor License Number o-s Expiration Date wt-q Constr Contr. Number 7f:-C Expiration Date n-t4 B Signature of Supe trician Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COITISASTOR INSTALIATTON ONLT .B Electricar contr lulLDtlsttEc[rE:actor lei mig'sor Address tucEt{t,on gr(tr rrrone;fi5:CQaL 3 A DESCRIPTION)a 3r Sum 200 anps 201 amps 401 amps 601 amps Over 1000 Reconnect or less-to 400 amps -to.600 ampsto 1000 amps- amps/volts -OnIy s s0.00 s 60.00 $100.00 s130.00 s300.00s 40.00 200 amps"or less I S 40.00 201 amps to 400 anps - $ 55.00 Over 401 to 600 amps - $ 80.00 Over 600 amps or 1000-161f[s see (Btr a' s 40.00 $ 40.00 $ 20.00 s 36.00 C- Temporary Services or Feeders Installation, Alteration or Relocation ing @, Eove Ovners Name Address -* Ci ty ne OVNER INSTALIITTION The installation is being made onproperty f ovn vhich is not intendedfor sale, Iease or rent. OvnersBSignature: DATE: Urdec D. Branch Circuits E Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each AdditionalCircuit or vith Serviceor Feeder Permit _ $ 2.00 Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Ligh ting- Limited Energy/Res -Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Admini.strative Fee TOTALBRBCETVED 5 e 'rr,',,:-W--9Q AU Hqff[*EB