HomeMy WebLinkAboutPermit 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,