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Home My WebLink AboutPermit Building 1997-05-05t COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Frtfi Street, Springfield, Oregon 97477 SPRI'{GFIELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK:tbtL, N3OII! & o TAX LOT:/D /9 fASSESSORS MAP PHONE: ZIP:/,vSTATE:CITY:\k,^rdha,: ADDRESS: OWNER: NEW - REMODEL X ADDITION DEMOLISH OTHER VALUE PHONENAMEADDRESS EXPI RES PHONE *t tA VJ CONTRACTOR'S NAME ARCH ITECT: GENERAL: PLUM BI NG: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # PLU MBIN G NO.FEE CHARGE )Single Fixture /o /D9 Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backflow Device TOTAL PERMIT ,??ta),/5,* MECHANICAL NO FFF EHA RGF 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 from AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE - LAND USE: ZONING HANDICAP ACCESS: LIGHTING POWER BUDGET: WATER HEATER: OCCY GROUP: * OF STORIES: QUAD AREA: C OF BLDGS: CONSTR. TYPE: HEAT SOURCE: $/SQ. FT.VALUESQ. FT. TOTAL VALUE OF PROJ X X X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE BYDATE 2-o BUILDING PERMIT PLUMBING-*/6-,'-DEMOLITION 5% State Su rcharoe 3111.?!1',i, t7f+,4 r l,?o MECHANICAL FENCE VALUE S 5% State Surcharge SIOEWALK FT. SUBTOTAL PERMITS PAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL ? 7f 7.- a41 -sPgr-) DESCRTpI6N oF woFrK, AYl,xq FOf',n ?1t|-\ (rl.wrr.'tz * Nt.J Stu t< trr{? s*Du 4ru-t4 Dtree.".. Rn\tre 7 q3B'tL 4 ltt- WrA ADDRESS /rn.(r€rra r\J * OF UNITS: FLOOD PLAIN: MB 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 7:00 a.m. will be made the following work daY. SITE INSPECTION: To be made after excavation, but prior to setuP of forms. be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to Placing facing materials and before framing inspection. FRAMING: To be made after the roof, all framlng, fire blocking and braclng are in place and all pipes, chimneYs and vents are complete and the rough electrical, Plumblng 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 lnterlor wall covering is applied. FIRE & SEPARAT]ON 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 ls 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 vertlcals ln accordance with place. uBc 2415. CURB AND APPROACH UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work ls covered. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in Place, but prior to Placing concrete. CONCRETE SLAB: To be made af ter all lnslab building service equiPment, conduit, piping, accessories and other ancillary equipment items are ln place but before anY concrete ls Placed. UN DERGROUND: Plumbing, electrical, gas, sanitarY sewer, storm sewer, water and dralnage lines. To be made prior to covering or f illing trenches. UNDERFLOOR: Plumbing, e'lectrical, mechanical. To be made Prlor to installation of floor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installatlon of floor lnsulation, decking or floor sheathing. FLOOR INSULAT]ON & VAPOR BARRIERS: To be made prior to installation of decklng or floor sheathing. MASONRY: Steel location, bond beams grouting or ICAL: No work is to APRONS: After forms are erected but prior to Placing concrete. PAVING: After gravel is in place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: ln accordance Section 306 of 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 P.S.l. (306 a.1) STRUCTURAL WELDSI Performed on the iob. (2722 l') HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AN D FILLING: Durlng earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: lnspection Certificate by an approved agency, furnished to the City's Building 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 construction work to ensure compliance with the Building, City or Development Code. ROOF SHEATHING AND NAILING: 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 that all information nerein is true and correctfand 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 struciure wlthout permission of the Buildlng Salety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project' ure that all required inspections are requested at the proper time, that project address is readable from the it card ls located at the front of the property, and the approved set of plans will remain on the site at all DateSignature , I further agree to ens street, that t tiontimes durl / zo AMOUNT RECEIVED RECEIPT C:RECEIVED BY: DATE PAID: E F.NAL PLUMBING -F FTNAL ELEcTRtcAL SITE PLAN BEVIEW BOARD: Must be requested 2 days in advance of the date you wish lnspection. All proiect conditions such as landscaping, parking lot striping, etc' must be completed before requesting thls insPection. FINAL MECHANICAL FTNAL FIRE DEPARTMENT 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 Certlflcate of Occupancy has been issued by the Building Division and posted on the Premises. ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE VALIDATION: SF<INGFIELO BI.,ECTRTCAL PBRHIT APPLICATION225 FIFTE STREET SPRINGFIELD, OREGON INSPECTION REQTIEST: 0FPICE: 726-3759 The.lollowing proiec? fli r(rhn 1on,ng, end cjoes not rc*iu;i.iapproval. 97 47 726 qTobqf 1. LOCATION OFlloll,, 4olt\ ON DESCRIPTION DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI..ATTON ONLY Electrical Contract Address Ci ty Job Nurnber COHPLETE FEE SCEEDTII,E BELOV New Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dvelling Sertice or Feeder s 8s.00 $ 1s.00 s 40.00 Services or Feeders InstalIation, Alterations or Relocation: 3 A Sum B Ci ty Supe Expiration Date \tJ.\qR Constr Contr. Number Expiration Date of Su ing Electrician ers Name Phone rv I sor cense Number 200 amps or less 20L amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1.000 amps/volts Reconnect Only s s0.00 s 60.00 s100.00 s130.00 $300.00 $ 40.00 $ 40.00 $ ss.oo $ 80.00 \ c Temporary Services or Feeders Installation, Alteration or Relocation s see nBr a c$200 amps''or less 201 amps to 4OO amps -0ver 40L to 600 amps Over 600 amps or 1000 vofT D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit -y_ $ :s. oo 35- Each Addi tional Circuit or vith Service- or Feeder Permi t --L $ 2.oo q E. Miscellaneous (Service/feeder not included) -Each ins tal-lation Pump or irrigation sign/ou tline Lighting- Limi ted Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL 60ve Address *h Ph"".aL/)-5960 ,f Ci ty OVNER The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: l,l $ s $ $ 40.00 40.00 20.00 36. O0 q 5 DATE: RBCEIVED ffi ,"r,,r,r.*I--*