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Home My WebLink AboutPermit Building 1995-6-28 ~SP~RINaFIELD .B NUMBER 9.5cY'l/3 .k INSPECTION LINE: 726.3769 225 Fifth Street, Springfield, Oregon 97477 ~" OFFICE 726.3759 LOCATION OF PROPOSED WORK: '- c::; '):::> ~), A ~ : 1'l()~(2.,~ COMM ERCIAL/I N DUSTRIAL PERMIT APPLICATION . (<ASSESSORS MAP' OWNER:. e. v>1e.f&-L>{erbt /12 ADDRE~'" 5'7t: 5. II ~t!. CITY: SD,'''' '1-t1e.1d . , n IInw1e s , STATF' ~ TAX LOT: ...,--~~~ TV'/. ,... PHONE: 7'f7 -~D >?' eN ZIP: f7t,t:.77 DESCRIPTION OF WORK: 'NEW V REMODEL ChJV~ ~r 4.... J"7D .$A-I 8' ~c.$- ADDITION DEMOLISH NAME ARCHITECT' CONTRACTOR'S NAME ADDRESS GENERA' . PLUMBING: f~'';;;'m'4 ~~~ MECHANICAL: l ELECTRIC.'" I PlUMRlNG. i NO , ~FE' , C':l-IaRn-= 1 I Single Fixture I I Relocated Bldg. I (new fix. addUl I Water Service /tftJ ~.~I II. I sanitary Sewer ;;) ~ 9tJ.dl I .. /IH: fl. I Storm Sewer I fl. I . Backflow Device I \ aA<': e?R/AJbP T I~pol , I I I I I I I I I TOTAL PERMIT 950"'1 OUAD AREA: "'r .3 t ~ ) - OFFICE USE - LAND USE: _r;::",~\f) , OF BLDGS' , OF UNITo. OCCY GROUP: , OF STORIES: CONSTR. TYPF' HEAT SOURCE: so. FT. $/SO. FT. so. FTG MAIN SO. FTG AC~ESS SO. FTG OTH ER X. X X ;:p;U, . PLAN CHECK FFF RCPT' DATF I BUILDING PERMIT 15% State Surcharae I MECHANICAL 15% State Surcharae I PAVING PLUMBING 5% Stale ~ c SurcharQe -i-?'r2.. r FENCE VALUE $ SIDEWALK CURBCUT FT. FT. OTHER VALUE: ADDRESS PHONE CO NST. CONTRACTOR' EXPIRES PHONE .''\\ MECHANIr:AL ...0 I ~F:'J: I l"1-l6IU-::1= Furnace/burner & vent < 100.000 BTUs Furnace/burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Slatlonary evap. cooler Vent Fan/Single duct Vent System apart from AC or hlg. Mechanical exhaust hood and duct PermIt Issuance $10.00 TOTAL PERMIT HANDICAP ACCESS' , FLOOD PLAIN' (lQ....., ZONING' LIGHTING POWER BUDGET: WATER HEATER' VALUE . TOTAL VALUE OF .PROJECT ~~~ BY , ,- 1'''--) ~'/ 1 ' ,-, , /OS -- ;Looo '95:00 1."0 ~~T~~U' '5Pf?lS /FS4~~ l~~ ~.J(/. J/f~~<2.J"".". 7./) SUBTOTAL - PERMITS SYSTEMS DEVELOPMENT ~.~I 1 ~"I41~W~ TOTAL PERMIT FEES I EXCLUDING ELECTRICA' \\<6~<\S . It Is the responsibility of the permit hofder 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. wIlt 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. REQUIRED INSPECTIONS UNDERSLAB PLUMBING, . ELECTRICAL & MECHANICAL: To be made before any work Is covered. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work Is to be covered until these Inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but,. prior to placing concrete. . FIREPLACE: Prior to placing facing materials and before framing Inspection. FRAMING: To be made after the roof, all framIng, flre blocking and bracing are In place and all pIpes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. . CONCRETE SLAB: To be made after all Inslab bulldlng service equipment, conduit, piping, accessories and other ancillary equipment Items are In place but before any concrete Is placed. INSULATION & VAPOR BARRIER: To be made afler all Insulation and required vapor barriers are In place but before any lath or gypsum board Interior wall covering is applied. y ( UNDERGROUND: P1vmblno. .... electrical, gas::""5anltarv se~ storm sewe~d drainage lines. 10 be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of floor Insulation, decking or floor sheathing. FIRE & SEPARATION WALL: Located and constructed according to plans. POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing. 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 finished. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of decking or floor sheathing. 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 materia.l In place. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any ro,?f covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ."- ~. fp PAVING: After gravel Is In place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: In 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 testlng reports shall be furnished to the Building DivisIon. STRUCTURAL CONCRETE: In excess of 2500 PS. I. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a.6) . SPRAYED ON FIREPROOFING:.U.B.G. Standards 43-8. SPECIAL GRADING, ,. EXCAVATION AND FILLING: During earlhwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: Inspecllon Certificate by an approved . agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. STDS. 25-10,11). :x. STRUCTURAL MASONRY: (306 a.7) 1J1/f1. SEt-/~-d /< FI DAL -;)0-U;; ~ddlllon 10 Ihe In'spec- tlons specified, the Building Official may make qr require other Inspections of'any construction work to 'ensure compliance wllh the Building, City or Development Code. FINAL PLUMBING ------------------------------------------------------- SITE PLAN REVIEW BOARD: Must be requesled 2 days In advance of the date you wish InspectIon. All project conditions such as landscaping, parking lot striping, etc. must be completed before requesting this Inspection. . X 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 Cerllflcale of Occupancy has been Issued by the Building Division FINAL FIRE DEPARTMENT and posted on the premises. . "mO~~Jrt^S~111fj/J Yi.QA~:It:- lf1OfL>5::\ ---rn /VfYnA-/L') Ir:c.k ~ ?J//J//./.t< LIsE /K ?"\:;or) ':;-F'cE _ /klb7/Ai?c 2,4 -/DLiC- hA'.C /3:x7?il:;t.lIS/t'a< /J1f)vU.J77Q) 4b6dftXJ "( '-S-' A:M~ /~. PLANS REVIEWED BY . ~ ~ DAT~ ? rF FINAL ELECTRICAL FINAL MECHANICAL A;- VALIDATION: AMOUNT RECEIVED: ~5?3. 5' S- /9; c:>.:iS ;- RECEIPT N: l/,{}IT /5 DATE PAID. RECEIVED BY: ," .:..' .7~' ': ~ . .'- . NO. Q'So7/3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . NAME OR COMPANY: EM!':.2AL-D Ll FE:.'?TY' L-E: ~OMI:;~ -.:rJ.lc. LOCATION: ?l '" '\ " 'So. A s.. . DEVELOPMENT TYPE: c..c.. , 6 F 1=-1 C-E- 'SP AC-E. BUILDING SIZE: q7A ~ . fT. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE SQ. Ft. X $0.209 PER SQ. FT. ~ ~ ~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) . X $43.26 PER PFU G4-) .'----- ---- 3. TRANSPORTATION Cope. 110" l:,E.>.\. O~P\C.E. 'e>L-D(:, ~ '2. .2-4-/,(:,0-=-10 NO OF UNITS X TRIP RATE X COST PER TRIP a.'l2A- X '2.,'2.4- X $436.19 G90'2-'6~ "--- ---- X X $436.19 X $436.19 $ X 4. ~ANITARY SEWER-MWMC NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ $ TOTAL-MWMC SDC $ G=) . '-- ----- $ ~O"2. '6~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) 4~ . Le...l. ip Burdick DC Coordinator X .05 Date: ?)~ l"tt; , . TOTAL SDC G 4-&SI~) ........... ----- $ "14192,