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Home My WebLink AboutPermit Building 1993-05-27COMM ERCIAL/ IN DUSTRIAL PERMIT APPLICATION 225 Frtlh Street, Springfield, Oregon 97477 SPRIi.GFIELO 4_i 2fr, JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 zLOCATION OF PROPOSED WORK: ASSESSORS MAP:z rAX Lor: Ara'*- cjC5 /e{: PHON E: STATE -.c5,*ZIP €zuz?CITY: ADDRESS: OWNER NEW - REMODEL ADDITION DEMOLISH OTHER VALUE DESCRIPTION OF WORK: NAME SS PHONE EXPIRESNAME PHONE Z ESS R CONTHACTO MECHANICAL: ELECTRICAL: ARCHITECT: PLIJMBING: G EN ERAL: CONST. CONTRACTOR # PLUMBING NO.FFF CHARGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backflow Device TOTAL PERMIT MECHANICAL Nr1 FFF EHA 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 ductAdZH 4zz /40 Permit lssuance $10.00 TOTAL PERMIT 7-// 7-"f'' I LAND US ZONING* OF UNITS: HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: * OF BLDGS: OUAD AR CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STORIES: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ xSQ. FTG MAIN SQ. FTG ACCESS SO. FTG OTHER PLAN cHEcK FEE f1-V7 RCPT#DATE BY BUILDING PERMIT 8o-sz PLU M BI NG DEMOLITION 5% State Surcharoe 7.a=5% State Su rc haroe MEC CA ./C2-+r7*-Q FENCE VALUE $ 5% Su ?f,.SIDEWALK FT. SUBTOTAL PERM ITS ,//a-?8'PAVING CURBCUT FT. SYSTEMS DEVELOPMENT -6- G 4lft A TOTAL PERMIT FEES EXCLUDING ELECTHICAL f*f+ffi /*na, t^ Vfuft 24,7 Z I REOUIRED 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 7:00 a.m. will be made the same working day, requests made after 7:O0 a.m. will be made the following work day. \SITE INSPECTION: To be / RoUGH.P+#rwffitq pAVtNG: After gravet is in made after excavation, but ELECTRICAL & place but prior to placingprior 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 Specialty CodeMECHANICAL: 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 FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be'furnished io the Building Division. . excavated and forms are facing materials and before erected, all steel in place, but framing inspection - srRUcruRAL CoNCRETE: lnprior to placing concrete. ,l 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 au insrab buirdins 3l::5::.':ff BIE:It"ri';;:r" F]ny,.T.'f3l,Y5tT',rrr, ,service equipment, conduit, and vents are'complete andpiping, accessories and other inciu-ary equipment items are :X?';::L",lijji:,X'jJ;[]:?: Bl?Xfl,?E]*"T,l",u,i,.THX"oin place but before any tighte;ing operations. (306concrete is placed' tNSULATtoN & 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 f illing applied. SPECIAL GRADING,trenches. ,NDERFL..R: prumbins I:::,S'.=^fSA'Jfl[Ht"' il;fUtiiil-tiL',5Jb'i],"" 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 Certif icate by an approved lathing and gypsum board, agency, furnished to the city's posT & BEAM: To be made interiol and exierior, 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 FLCioR rNsuLATloN & finished' a'7) 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 sHEATHTNG AND iHffi^il?fJ'"t::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 information herein is true and correct, and I f urther 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 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 f rom 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 Si gnatu Date times during co ction. VALIDATION Befi o 5-ZAMOUNT RECEIVED: RECEIPT *:RECEIVED BY: DATE PAID: FINAL PLUMBING /FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT Y SITE PLAN REVIEW BOARDI Must be requested 2 days in advance of the date you wish inspection. AII project conditions such as landscaping, parking lot stri ping, etc. must be completed before requesting 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 ZEz ?7E ,f-A )- I 7 m INsPBcTIoN RBQI Bsr | 726'376e t / il, /1tl0PFICE: 726-3759 " 225 FIFTB SIT'EEf, SPRTNGFTELD, OREGON 97477 BLBCTRICAL PBRHIT AP PLICATION Ci ty Job Number SCTTEDULE BELOV .- Nev Residential-Single or HuIti-FamilY Per dvelling unit' Service Included:Items Cost 1000 sq.ft. or less $ 85'00 Each additional 500 sq. ft or portion thereof $ 15'oo Each Manuf'd Home or Modtrlar Dvelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 50.00 60.00 100.00 130. 00 300.00 40.00 Temporary Services or Feeders Installation, Alteration or Relocation Authorizgd 1. A ,ON t_<t' Sum not included) 40.00 40. oo 20.00 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or lf vork ls suspended for 180 days. 2. COIIITACTOR INSTALI.ATION ONLY Electrical Contracto Address ci ? t ^,CA rnO Phone 200 amps or fess 201 amps to 400 amps -401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/volts - Reconnect 0nIY Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/outline Lighting- $ Limited Energy/Res _ $ Limi ted Energy/Comm $ SUBTOTAL OP ABOVB 5f State Surcharge TOTAL B $ $ $ $ $ $ -w \',1l Supervisor Lit-ense Ntimber Expiration Date q5 Constr Contr. Number Expiration Date Signature of Supervising Electrieian c D. Branch Circuits Nev, Alteration or Extension Per Panel onecircuir I S35.oo Each Addi tional Circuit or vith Service or Feeder Permit / $ 2.00 _ 200 amps or less S 40.00 201 amps to 400 amps - $ 55.00 Over 401 to 600 amps - $ 80.00 0ver 600 amps or 1000 volts see "8" above Z Owners Name Addr, ci ty OIINER ALI,ATION The instaLlation is being made on property I oun vhich is not intended for sale, Iease or rent. Omers Signature: DATE:. E RECEIVED 5 LtwL \L