HomeMy WebLinkAboutPermit Electrical 1997-04-04s __!.GFI€.L{)
225 FIFTE STREET U
SPRINGFTELD, OREGON 97477 I
INSPECTfON REOUEST: 726-3769
OFFICE: 726-3759
A+t&?|.',
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ELECTRICAL PERHIT APPLICATION
City Job Number 7 7O 7;-z
: u-?7
/-aa *
1. LOCATION OF INSTALTdTION,/oS/ z?-9Tt
LEGAL DESCRIPTION
JOB DESCRIPTION
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COMTRACTOR INSTALI^ATION OI{LY
COHPTETE FEE SCffiDULN BELOV
irlev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
I tems Cos t
3
A
Sum
Electrical Contractor
Address 93 7i t,t"t
Ci ty Phone 3'13-/ 6Pl
Supervisor License Number 3;17 7 5
Expiration Da re .10 - / - *
Constr Contr , nr*A", W-
Expiration Date
Signature of Supervising Electrician
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular DvelIing
Sertice or Feeder
s 8s.00
s 1s.00
s 40.00
B. Services or Feeders
Ins tallation, Alterations
nLo or Relocation:
200 amps or less y- S 50.00
201 amps to 400 amps
-
S 60.00
401 amps to 600 amps
-
5100.00
601 amps to 1000 amps- $130.00Over 1000 amps/volts $300.00
Reconnect On)-y S 40.00
5af
c Temporary Services or Feedersfnstallation, A)-teration or Relocation
200 amps"or less $ 40.00
20L amps to 400 amps
-
S 55.00 ----
over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000 voTts see rrgrr
"[ou=
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Limi ted Energy/Res .Limited Energy/Comm -
-9i^
7rQ pL.
)(
Ovners Name
Address
Ci ty vnone 6Q, B ^9o/(,
OITNER TNSTALLATION
The installation is being made onproperty f ovn vhich is not intendedfor sale, lease or rent.
Ovners Signature:
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
s 40.00
$ 40.00
$ 20.00
s 36.00
5
DATE:
RECETVED
?<Dr
t7
E u ", <P-4--L {-
'U'T?u ': lo.fri,cw :*7 S ,.rGFIELO
.:1.:r i :' t/-
3:l(:-9-?225 FTFTE STREET
SPRTNGFTELD, OREGoN 97477
TNSPECTION REQLTESTz 726-3169
OFFICE: 726-3759
1. LOCATION OF INST
B. Services or Feeders
' Installation, Alterations
lo'.c*t8r Relocation:
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
LEGAL DESCRIPTION/?^Z^3/-2?,. 42<'ao
ELECTRICAL PERHIT APPLICATION
City Job Number I
COHPLETE FEE SCffiDIJLE BELOV
Nev Residential--Single or
Multi-Family per dvelIi.ng uni t.
Service fncfuded:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
t hereo f
Each Manuf'd Home. or
Modular DveIling
Service or Feeder
s 8s.00
s ls.00
s 40.00
/0f/ tr' 3
3
A
JOB DESCRIPTION
f?empoEL - l4o*Ct.t"a/v d'
Sum
00 >q-_-f_
included )
exP i re
i f vork is no t s tarted vi thin l"B0 days
of issuance or if vork is suspended for
1B0 days.
2. CONTRACTOR INSTAILATION ONLY
Electrical Contractor tV E/o,/ic
Address 2
Ci ty Xu., eq e Phone 7/ Z qer?t
,/
Supervisor License Number tif I S'
Expiration Date ?
Constr Contr. Number Co 4 6 L
Expiration Date
Si ture of Supervising Electrician
200 amps or less 2-20i amps to 400 amps _401 amps to 600 anps /
601 amps to i.000 amps-
Over l-000 amps/vo1ts
Reconnect 0n1y
s s0.00
s 60.00
s 100. 00
s130.00
s300.00
s 40.00
C
D. Branch Circuits .
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or uith Service
or Feeder Permit q) S 2.--+
E. Miscellaneous (Service/feeder not
-Each installation
Pump or irrigation
Sign/OutIine Lighting-
Limited Energy/Res
Limi ted Energy/Comm
Temporary Services or Feeders
Installation, Alteration or ReLocation
200 amps"or less S 40.00
201 amps to 400 amps
-
S 55.00
over 401- to 600 amps
-
$ 80.00
0ver 600 amps or 1000-vofts see rrgrr u[[!u
/oa
7@
t
Ciry tu,jea z-Dr,Phone bft - ?o ,/ L,
Ovners Name MaU4$4 trb
Address P.o 7x 2f lD
OVNER INSTALT^ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ouners Signature:
DATE:
s 40.00
s 40.00
$ 20.00
s 36.00
RECETVED
2?4.-'
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aa
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C
5
-
CO M M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springf ield, Oregon 97477
LOCATION OF PROPOSED WORK
SPRI,{GFIELO JOB NUMBER ?z=g>
INSPECTION LIN E: 726-3769
OFFICE: 726-3759
TAX LOT:aas>
?/ft,
E
ASSESSORS MAP:l?-22^3/^2 2
lzs-? o
.,r. ?zy'-oLSTATE:OR
(t;tc,ffor\t . 1y't,
o
e A,.e
PHON E:GST?EL
CITY:
ADDRESS
OWNER:
NEW
-
REMoDEL X ADDrloN DEMoLTsH orHER VALUE:
DESCRIPTION OF WOBK:CCla,e fucI
MECHANICAL:
ELECTRICAL:
ADDRESS PHON E
6 C(a.-r
EXPI RES PHONE
Cs*t) iil-tvL
ADD RESS
C) t-.-r.,Lre 12_
CONTRACTOR'S NAME
ARCHITECT:
CONST.
CONTRACTOR #
NAME
E.lt6nvecltl
GENERAL:
PtUM BI NG
PLUMBING
NO,FEE CHARG E
Single Fixture
Relocated Bld
(new fix. addtl
s
)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
IM EC HAN ICAL
NO FFF r:HAFIGtr
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
se parat e
Stationary evap.
cooler
Vent Fan/Single
duct
Vent Sys
from AC
tern apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance s10.00
TOTAL PERMIT
_ OFFICE USE _
ZONING
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
WATER HEATER
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
, OF UNITS
OCCY GROUP:
C OF STORIES:
OUAD AREA:
4 OF BLDGS
FLOOD PLAIN:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJECT
X
X
66^- eo
SQ. FTG MAIN
SQ. FTG ACCESS
SQ, FTG OTHER
BC PT'PLAN CHECK FEE DATE BY
Zoe,//
BUILDING PEFMIT /?v.-PLUMBI NG DEMOLITION
5% State
Su rcharge 13 7.55129 5% State
Su rc h arqe
MECHANTCAL ,FENCE
VALUE $
5% State
Su rch aro e
SIDEWALK
FT.
SU BTOTA L
PERM ITS
P,A.VIN G CURECUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PEBMIT FEES
EXCLUDING ELECTRICAL
REOUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all lnspections are made at the proper time' To request an inspection, call
226.3769 (recorder), state your City designated job number, iob address, type of inspection requested and when you will be ready
{or lnspection. Requests received before 7:00 a.m. will be made the same working day, requests made af ter 7:O0 a m' will be made
the following work daY.
SITE INSPECTION: To be
made after excavation' but
, prior to setup of forms.
UNDERSLAB PLUMBING'
ELECTRICAL &
MECHANICAL: To be made
before anY work is covered'
FOOTINGS & FOUN DATIONS:
To be made after trenches are
excavated and forms are
erected, al I steel in place' but
prior lo Placing concrete'
CONCRETE SLAB: To be
made af ter all lnslab building
service equi Pment, conduit,
piping, accessories and other
ancillarY equiPment items are
in place but bef ore anY
concrete is Placed.
UNDERGROUND: PIUMbiNg,
electrical, gas, sanitarY sewer,
storm sewer, water and
drainage llnes. To be made
prior to coverlng or filling
trenches.
UNOERFLOOR: Plumbing,
electrical, mechanical' To be
made Prior to installation of
floor insulation, decklng or
floor sheathing.
ROUGH PLUMBING'
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
insPections have been made
and aPProved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to Placing
facing materials and before
framing lnsPection.
FRAMING: To be made after
the roof, all f ramlng, fire
blocki ng and braclng are in
place and all PiPes, chimneys
and vents are comPlete and
the rough electrlcal, Plumblng
and mechanical are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and requlred 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
BOARO: To be made after all
lathing and gypsum board,
interior and exterlor, is in
place but before anY
plastering is aPPlied or before
gypsum board joints and
fasteners are taPed and
finished.
SIDEWALK & DRIVEWAY:
Required for all concrete
pavi ng within street right of
way, to be made af ter 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.
PAVING: After gravel is ln
place but prior to Placing
asphalt or concfete.
SPECIAL INSPECTIONS: ln accordance
Section 306 ot the State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor during
construction of the following work' A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: IN
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. 12722 t)
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghtening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
Duri ng earthwork. (306 a.11 &
ChaPter 29)
GLU.LAM BEAMS: lnsPection
Certif icate bY an aPProved
agency, furnished to the City's
Building Division before
beams are Placed. (2501 U.B.c.
sTDS. 25-10,11)
STRUCTU RAL MASONRY: (306
a,7)
- ln addition to the inspec'
tions specified, the Bullding
Of f icial may make or require
other inspections of anY
construction v,/ork to ensure
compliance with the Building,
City or Development Code.
POST & BEAM: TO bC MAdC
prior to installation of f loor
insulation, decking or floor
sheath i n g.
FLOOR INSULATION &
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 installlng
any roof coverlng.
By signature, I state and agree, that I have carefuily examined the completed applicatlon and do hereby certify that all information
herein is true and correct,'and I f urther certify tnit any and allwork performed shall be done in accordance with the ordinances
of the city of spri ngf ield, and the Laws of the state of oregon pertainlng to the work described herein, and that No occuPANoY
will be made of any structure without permission ol the Building Saf ety Divlsion. I f urther certif y that only contractors and employees
who are in compliance with oRS 701.055 will be used on this proiect.
nsure that all required inspections are requested at the proper tlme, that project address ls readable from the
rmit card ls located at the front of the property, and the approved set of plans will remai n on the site at all
Signature Date 7- to -q7
I f urther agree to e
street, that the Per
times during construc
VALIDATION
RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
SITEPLANREVIEwBoARD:MUstberequested2daysinadvance
ofthedateyouwishlnspection.AllprolectconditionsSUchaS
landscaping,parklnglotstriping,etc'mustbecompletedbefore
requestlng thls lnsPection.
FINALBUILDING:Requestedafterthefinalplumbing,electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made untll a
Certlticate of Occupancy has been issued by the Building Division
FINAL FIRE DEP
ADDITIONAL COMMENTST
ARTM NT posted on the Premises
o
PLANS REVIEWED BY D^rE 7Y62>
AMouNT BECEIVED: 2a9. 74
RECErpr,, Z79eE
r
CITY OF SPRINGFIELD
IMPROVEMENT AGREEMENT AND APPLICATION FOR SEWER HOOKU4
We, the undersigned property owners, request permission to connect the following described
property to the sanitary sewer owned and maintained by the City of Springfield. We therefJre agree to
pay a charge of $0.28 per square foot of the benefiting property for the firsi 150 feet of depth as a ieposit
against future assessments for sanitary sewer. Area in excess of the above mentioned 150 feet of d'epth
is charged $0.14 per square foot.
Tax Lot No.t7 023 22500 Receipt No
PROPERTY DESCRIPTION: Address l05t N. 2gth Street
The westerly 100. 00 feet of the fol'lowi ng descrl bed par.cel s :
Parcel I and Parcel III of that deed from tllinlock Handle Company to 0regon Handle
Company Fi'led on Reel I 52D, Instrument No.89323, November 7, lgi2, Deed Record of LaneCounty, 0regon;
EXCE?I that parcel of land describe by Deed from 0regon Handle Company to SouthernPacific Company in Instrument No. 99077 on Reel 363-R Recorded Septem6er 21, tg6l,Records of Lane County, 0regon.
Fee Calculation: 0 Sq Ft. at $0.28 per Sq. Ft.
32.488 Sq. Ft. at $0.14 per Sq. Ft.
Total
This agreement does not include the cost of a house connection to said City Sewer, sewer user
charges, connection fees, plumbing permits or other such costs to be assumed by the property owner.
The applicant agrees to waive all right to remonstrate against an improvement project for
sanitary sewer to be duly initiated by the City Council, but not the right to protest the amount or mannerof spreading the assessment thereof, if the same shall appear to Applicant to bear inequitably or unfairly
upon said property of Applicant.
NOw THEREFORE, the City agrees that if Applicant complies with the terms of this agreementand_with all other applicable laws of the State of Oregon, Lane County, and the City, the said Aiplicant
shall be entitled to connect the existing residence to the public sewer systems.
The covenants herein contained shall run with the land herein described, and shall be bindingupon the heirs, executors, assigns, administrators, and successors of the parties hereto, and shall beconstrued to be a benefit anda burden upon the property herein described. This agreernent shall berecorded in the Lane County Deed Records.
WHEREFORE, the parties have set their hand and seal this _l day of t\pr<rt^ , l9?L.
CITY OF SPRINGFIELD APPLICANT
{
$__0*00
$ 4.548.32
$ 4,548.32
By 4-1
of Public Works
STATE OF OREGON)
)SScor.rNry oF LANE )
on this I duy of Apnte ,lg?Gthe applicant personally appeared before me and signed the abovedocument.
Notary Public for Oregon
My Commission expires </z;P6
Finance Department Information:
Trunk Sewer Lateral Sewer
RETURN TO:
CITY OF SPRINGFIELD - PUBLIC WORKS DEPT - 225 FIFTHSTREET. SPRINGFIELD,oREGON 97477
^a-s, oFFtCtAt_ sEAtf,,ff:,n .,^_D_lNNts p. enr.rirH\E*r?,q NoTARy pusl_rc t"o,,t-rcoN
w"'.ofi?',tt,3',.1:*,ll? #idi r r.
CO M M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fifln Street, Springfield, Oregon 97477
SPAINGFIELO JOB NUMBEFI
INSPECTION LINE: 726-3769
OFFICE: 726-3759
o-T.. - v
zfr,
L)-s cLOCATION OF PROPOSED WORK:
ASSESSORS MAP:(7'o'2- -?/ -21-TAX LOT:#fua
4<.
7l*zZIP:STATE:
,;d-
I 6
On-
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE ^7 ,-
DESCRIPTION OF WOFIK
PLUMBING:
MECHANICAL:
ELEGIRICAL:
PHONENAME
t^/
b
-/€o 2_
ADDRESS
EXPIRESADDRESS
tUb
CONTRACTOR #
NST.
PHON ECONTRACTOR'S NAME
ARCHITECT:
GENERAL:
PLUMBING
NO FEE CHARGE
Relocated Bld
(new fix. addtl s
)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHAN ICAL
NO trFF EHA FIGF
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
FIoor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent FaniSingle
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
ZONING
LAND USE
HANDICAP ACCESS:
FLOOO PLAIN:
LIGHTING POWEB BUDGET:
WATER HEATER:
* OF UNITS:
OCCY GBOUPT
, OF STORIES
OUAD AREA:
S OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT,$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
x
X
SQ, FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
?4s2.ealg 7>?).P,-RCPT#PLAN CHECK FEE BY
?73,a€L
BUILDING PEBMIT /fu.5e PLU M BI NG OEMOLITION
5% State
Surcharoe rA 5% State
Su rc harge
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT,
SUBTOTAL
PERMITS /a/,7f
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
eaoNe(rql ) GP?' fo lL
Single Fixture
?/73
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 readyfor lnspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. wlll be madethe following work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravet is inmade 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 SpEC;AL INSpECTIONS: tn accordance
ELECTRICAL & and approved. Section 306 of the State Specialty CodeMECHANICAL: To be made a special inspector shall be employedbefore any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor durin!CURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be'furnished io the Buildiig Division.
excavated and forms are faclng materials and before
erected, all steel in place, but framing lnspectlon' STRUCTURAL CoNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 p.s.l. (306 a.1)
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage llnes. To be made
prior to covering or f illing
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installatlon of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to lnstallation of floor
insulation, decklng 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: Prlor to lnstalllng
any roof coverlng.
the roof, all framing, fire
blocking and bracing are in
place and all plpes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
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 ls
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
f inished.
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 WELDS:
Performed on the iob. (2722 t)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightenlng operations. (306
a.6)
/
,u
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnspection
Certlflcate by an approved
agency, furnished to the City's
Bullding Division before
beams are placed. (2501 U.B'c,
sTDS. 25-10J1).
STRUCTURAL MASONRY: (306
a.7)
*ln addition to the inspec.
tions specified, the Building
Official may make or require
other inspections of any
constructlon work to ensure
compliance with the Bullding,
Clty or Development Code.
By signature, I state and agree, that I have caref ully examined the completed applicatlon 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 Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY
will be made of any structure wlthout permission of the Buildlng Safety Divlsion. 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 requlred lnspections are requested at the proper tlme, that proiect address ls readable from the
at the front of the property, and the approved set of plans will remain on the site at all
DateSignature
street, that the permlt card ls loc
lontimes during con
t2
VALIDATION:oAMOUNT RECEIVED:
RECEIPT #?%z HECEIVED BY:
DATE PAID
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE OEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish lnspection. All proJect conditlons such as
landscaping, parking lot striping, etc. must be completed before
requesting 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 a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
--*J4d; -"
7-e7-f7
-
OWNER:
CITY:
ADD
go </(
ZIP:STATE:
PHONE:ep
VALUE:
I
4-JzFADDITION DEMOLISH OTHER
DESCRIPTION OF WORK:
NEW- REMODEL
NAME ADDRESS
ADDRESS PHON EEXPIRES
PHONE
MECHANICAL:
ELECTRICAL:
CONTRACTOR'S NAME
ARCHITECT:
PLUM BI NG:
GENERAL:
CONST.
CONTRACTOR #
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
IL
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHAN ICAL
NO FFF CHA RNF
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
2100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
coorer
Vent Fan/Single
duct
Vent sys
AC
tem apart
or htg.f rom
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
ZONING
FLOOD PLAIN:
OCCY GBOUP:
* OF STORIES:
QUAD AREA:
# OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
HANDICAP ACCESS:
-
LIGHTING POWER BUDGET:
WATEB HEATER:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ, FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT'PLAN CHECK FEE DATE BY
BUILDING PERMIT //o,60 PLUMBING DEMOLITION
3',11.i!1t'" S,frf ?3L F,-ur 5% State
Surcharge
MECHANICAL FENCE
VALUE $
5% State
Su rch arq e
SIDEWALK SUBTOTAL
PERM ITS
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT
3tTOTAL PERMIT FEES
EXCLUDING ELECTRICAL
COMM ERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fillh Street, Springf ield, Oregon 97477
LOCATION OF PROPOSED WORK:
SPRINGFIELE,52
h,
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:{d'eASSESSORS MAP /7 -e'?- -3 / * 2-
LAND USE:
A/,4
FT.
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:OO 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: After gravel is ln
made after excavation, but ELECTRICAL & 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 Specialty Code
MECHANICAL: To be made a special lnspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: trrr,EDr A^E. r copy of the special testing reports shall
To be made after trenches are FTREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, a1 steel in place, but a traming inspection'
-
srRUcruRAL CoNCRETE: ln
coNcRErE sLAB: ro be t1:"1;:L *J'el|flbtii ,^ srRUcruRAL wELos:
made after all inslab building ptace and a1 pipes, chimneys Performed on the iob' (2722 l)'
service equipment, conduit, and vents are complete and
piplng, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and meihanical are dpproved. During all bolt installation and
ln place but before any tightening operations. (306
concrete ls placed. TNSULATTON & 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.
dralnage lines. To be made board interior wall covering is
prior to covering or filling applied. SpEC;AL GRADING,
;::",::""R: prumb ns I;x:'1'":?T'J3[H3"' 5l;fIti:i-:ll:'5;b'i]'"t
electrical, mechanical. To be according to plans' chapter 29)
made prior to installation of rrh,Ah ^v.o,,^i GLU.LAM BEAMS: lnspection
floor insulatlon, decklng or LATH AND/OR GYPSUM
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 exieriol is in ' Building Division before
prior to installation of floor f tace but before any beams are placed' (2501 U B."'
lnsulation, decking or ftoor btistering is tppflej or before STDS' 25-10'11)'
sheathlng.
Jevr\rrrv gypsum board loints and
fasteners are tiped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'7)
VAPOR BARRIERS: To be
made Prior to installation of
decking or floor sheathing.
l
MASONRY Steel location,
bond beams groutlng or
verticals in accordance with
uBc 2415.
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 speclfled, the Bullding
Officlal may make or requlre
other lnspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
ROOF SHEATHING AND
NAtLING: Prior to installing
any roof covering.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify th.at all information
hereln 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 hereln, and that NO OCCUPANCY
will be made of any struciure without permission of the Building Safety Division. I further certify that only contractors and employees
who are in compllance with oRS 701.055 will be used on this project.
Signature Date
I further agree to ensu
street, that the Permit
ec dad res S blreada f rome thethateromhatonareSreede,proestalUIdreNSqupperethatreqpect
al onn he tesl a allSErovedofanremthdanheplronte\t ap patedpropertocat
n.times during constru
ToztVALIDATION
IAMOUNT RECEIVED:
RECEIPT #:RECEIVED BY:
DATE PAID
FINAL PLUMBING
F]NAL ELECTRICAL
FTNAL MECHANICAL
FINAL FlRE DEPARTMENT
ADDITIONAL COMMENTS
of the date you wish inspection. All proiect conditions such as
landscaplng, parking lot stri ping, etc. must be completed before
requesting this insPection.
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
NAL BUILDING: Requested after the final plum , electrical,bing,
madmechanical and Fire Department inspections are e and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Divlsion
and posted on the Premlses.
PLANS REVIEWED BY DATE
IS
C'TY OF OFEGO'V
,l'rlrr*r lI I l)
DEV ELOP M ENT S ERVICES DE PARTMENT
Building Permit
5%o State Surcharge
3% Administrative Fee
Plurnbing Pelmit
5%u State Surcharge
3% Aclministrative Fee
,h,225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-37s3
FAX (541 ) 726-368s
Marclr 18,1997
Jim IIolm
Cascade Flandle
PO Box 488
Eugene, Oregon 97440
Dear Mr. Hohn
I arl writing in responsc to your lctter datcd March 6, 1997 rcgardirtg your intent to sell the property
located at 105 I 28th Street, Springlield, Oregon and to removc your conlpany's name fiom the permits and
replacc it with North Wcst Steel Fabricators.
Althouglr your permit is not expirod at this point, thc permits which wcre obtaincd werc purchased April l,
1996. Orrr rccords inclicatc that no activity has occurred on tlre pr<rject since that date. 'l'lte Springlicld
Builcling Sal'ety Cocle Adrninistrativc Codc requires that perrnit shall cxpire by linritation and become Itttll
and void, if the building or work authorized by strch perrnits is trot cottttncnced within 180 days liom tlte
clate of such perrnit, or ilthe bLrilding or work authorizecl by such pernrit is suspcndecl clr abandoned at any
tirlc alicl tlrc worh is cornrncncccl [br a pcliocl ol'lltO rlays. l]clbrc suclt worl< can bc rccontntenced, a ncw
permit slrall be llrst obtained and the I'ee thelelbre shall be onc half the arnount recluired lbr a new permit
lbr such work, provided no changes have been madc or will be rnacle itr the original plans and
specilications (br sr.rch worl<; and provided lirrther that such suspension or abandonment has not exceeded
one year.
Bectruse we have no recolcl of activity since the pernrit was obtained, your pennits may be renewed prior to
April l, 1991 at one half the original amount paid. If'yoLr choose to renew your permits prior to April l,
1997, the amount due is as follows:
$ I 59.50
1.91
4.18
92.50
4.62
2.17
Total Amount Due $272.14
I1'yr,ru choose not to renew prior to April I ,lr991 , plans will need to be sLrbmittcd lbr plan review and
pern.rit l'ees will not be recluced to llall'Iee. On the original permit you paid a nttrnber ol'System
Development Clrarges and an in lieu olassessment. 'lhose were one time f'ees and wotrld not be due again
If you have any questions, please feel free to phone me at126-3790.
Sincerely,
L
Building Safety
Cascade Handle
C OM pA N y, lN C O R p O RAT E D PO.BOX488.EUGENE,OREGON97440i541/687-8611 .Fl'd,5A1/3454542
March 6,7997
City of Springfield
Development Service, Building Permits
225 5th St.
Springfield, OP.97477
Dear Sir/IV1adam:
Cascade Handle Co. Inc. applied for and received a building permit for remodeling a
building located on the Company's North 28th St. property.
Cascade Handle has now agreed to sell that property to North West Steel Fabricators.
Please assign Cascade Handle's building permit to North West Steel so they can complete
the project.
Sincerely,
President
Cascade Handle Co. Inc.