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Home My WebLink AboutPermit Building 1994-12-15 . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 ~ ~B NUMBER.!l.!i/ .., 2 cP INSPECTION LINE: 726.3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK' /Cf;'I 11,O?;,?,1.2.J; , O~N 4--r. ~~Il-.lGR\eLD I C)p.~J...l TAX LOT: -11.JJl() ASSESSORS MAP: OWNER' ~AM t?~MANE.TT ADDRESS' B:?/~:2- v(,...oVE:tA-OAL-S CITY' 6~1Ne..1.-l-- j2(::.1At:> PHONE: t;;o~- ~_C;- 4Mo~ STATF' ~pz. ZIP' 474-Z(p DESCRIPTION OF WORK' NEW V REMODEL hh:::.y.,J \ Wp v\~.j2.IAL.- e.\A I L-D1N.G- ADDITION OTHER VALUE*800. DOO ADDRESS PHONE ICOi'?O Ft''''L <;;.-r Et-IGoeJ.J.E: .0/2. "'I,etO/ (<31l}{P{)7-'f'-<<.l CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAL~AIo4e.e~ .tAt>N<?nz.w:.1"lo..J ~'l{L~, O()tQ3n PLUMBING: V~ PIl. ~O, 4-lPJ()10 MECHANICAL: ~fIt.l>l'&<' ~..,o.... ~~I":l W",Jtt -~.e~Y: ~O ELECTRICAL: c:..-l S PD.~1/ '~I~lrI 1M4c, I I Floor furnace and vent I Suspended walt or floor I mounted unit heater Appliance Vent I separate Stationary evap. I cooler Vent Fan/Single I duct Vent System apart I Irom AC or hlg, I Mechanical exhaust I I hood and duct . _ I~~~ 1/~"'7r'~J~ I Permit Issuance [ $10.00 I TOTAL PERMIT I DEMOLISH NAME ARCHITECT: j<::.t:;;l<-.ll-ll;""~ T. I<JAf.'::/AO EXPI RES fi~""> 4-4,ql') (~P) 11LL9~ I I NO, 1 1 I/V? I~sz> 17?o 12 V.{~ MEf:HANICAl PLUMBING Nn r ~I=I= FEE I CHARGE Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs Single Fixture Relocated Bldg, lnew IIx, addtl) Water Service I~O II -5" /'?-5 /p ;:::;:e> 1 ~I I I II. Sanitary Sewer It. Storm Sewer II, Backllow Device ;::~ ~HYt5 I I . I TOTAL PERMIT q", ,5" QUAD ARE'" \\~10 HANDICAP ACCESS: FLOOD PLAIN: ZONING: \.I'<\ \ - OFFICE USE - LAND USE:~()G\q . OF BLDG~' . OF UNITS' OCCY GROUP: . OF STORIES: CONSTR. TYpo, HEAT SOURCF' LIGHTING POWER BUDGET: WATER HEATER' SQ, FTG MAIN SQ, FT, 3~~'2- , x $/SQ, FT. VALUE :;'6l::!>_ ~' _' -' ~ SQ, FTG ACCES~ X SQ,FTGOTHER ~.?'c...c::..- P~~,K/~ iO!:~. 17? / ";i . TOTAL VALUE OF PROJECT PLAN CHECK FEE /17~,'1.s;- RCPP /5'71" 7 DATE I Z//P-t.- BY /p' /i::::-, " I BUilDING PERMIT 15% State Surcharoe 1 MECHANICAL 15% State Surcharoe I PAVING /y,rtB.'~~G PHONE ~ 48/:) -Ol)~l ~ 1i1,213f1J "'~lU:tt:l;1= I I i I I 7~ . PLUMBtNG t,l6~ e::-e> DEMOLITION I B ~.,~' 5% State ~2 ;E--2-.:<-;' 1<<. ~_~"-ClI"" <:;1, y~ Surcharae oJ-? IfIf, q4;'" ~F'5'S'_lr..,j ~/I. ~-:J 5': /7 I 1 FENCE j VALUE $ 7~.o 5:- I SIDEWA~I FT, 17.&~, m~~i~L 2~~.I'11 -=~~ I CURBCUT -,,,r S.YSTEMS 1.0/0.<>0 A/~ ?s:::> ~/ FT. I ../ ".~ I OEVELOPMENT '.t I ~A'r""'#6;t"~ ~t<? #/c1'}",:-,- ~;q~o //~dl';:"~'l~~;......t. , '". -::Z"',?BS.~~ #PW8i-)I.M;~"~<9 . TOTAL PERMIT FEES :1P.c I If ~/~ ~ ~C~ ~ ~ EXCLUDING ELECTRICA' , . " 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,lob 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. I .' - , ' x UNDERSLAB PLUMBING, 'ELECTRICAl: &. . . MECHANICAL: To 'be made before any work Is covered, ~ "~ v FOOTINGS &, FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concrete. . REQUIRED INSPECTIONS ..x y ROUGH,PLllMBING, . ELECTRICAL & MECHANICAL: No work is to be covered until these Inspections have been made and approved. PAVING: After gravel is In place but prior to placing asphalt or concrete. /' 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. , , -' , . j .UNDERG'ROUND: Plumbing: . electrlcai; gas, sanitary. sewer, s iorm sewer, water and ~ ,dralnage:.I,Ine~s. .TC? be made prior to covering or filling I . t,renches:'; ... , UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of floor Insulation, decking or floor sheathing, POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing. 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 Installing any roof covering. SPECIAL INSPECTIONS: In accordance " Sectlon-306. of.the State Specially Code a special Inspector shalt be employed by tlie Ownerl Contractor curing construction of the following work, A copy of the special 'testing ,reports shall be furnished to the Building Division, ATTIC DRAF.T,.STOPS & CURTAIN WALLS r FIREPLACE: Prior to placing facing materials and before . ,framlng,lnspectlon,' , FRAMING: To be made after the roof, all framing, fire blocking and bracing are In place and all pipes, chimneys and vents are complete and the rough electrical, ,plumbing and mechanical are approved. 'HIGH STRENGTH 'BOLTING: DurIng all bolt Installation and tightening operations, (306 a,6! x STRUCTURAL CONCRETE: In excess of 2500 PS,I. (306 a,1) y STRUCTURAL WELDS: Performed on the job, (2722 f) ;< .Y INSULATION & VAPOR BARRIER: To be made' after all Insulation and'niqulred vapor barriers are 'In. place,but ' . before aJ]Y lB:th or gypsum , board' Interior' wall covering Is applied, . I.', '. "',., I. 'FIRE & SEPARATION WALL: Located and constructed according to plans, SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a,11 & Chapter 29) . \.:." .... ," .1 SPRAYED ON FIREPROOFING: U,B,C, , Standards 43.8, 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, GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed, (2501 UB,C, STDS, 25.10,11), .\ ,. " STRUCTURAL MASONRY: (306. a,7) l( . - 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, 'In addition to the Inspec. tlons specified, the Building Ottlclal may make or require other Inspections of any construction work to ensure compliance with the Building, City or Development Code. -11 ' CURB'AND APPROACH APRONS: After forms are erected but prior to placing concrete. . , ------------------------------------------------------- )' A -~ ADDITIONAL COMMENTS' ~;ij Q1. 'f). \Q3) D\f'\ (\ nO k" i 1'\ h(H-u{ ~()J\ f I~T: q <(2.,,; 4.. \0 ',' Af\f\o \( t\()Tn ,'. \0.,," n4 . ,---; r /),; PLANS REVIEWED BY ~~4- -- -U;~ DATE/-/A4S- /' //,~--- I' .....t~ iYV By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information herein Is true and c~rrect, and..1 further certify IIi at 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 thai 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 u~ed on this project. . I further agree to ensure that all required Inspections' are requested at the proper time, that project address Is readable from 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 times during construction. Signature ('f ',' VALIDATION: r; V1.- (] AMOlJNTRECElitEt~Yfg ~". - RECEIPT ': '-. q 4h yo FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT - .A' SITE PLAN REVIEW BOARD: Must be requested 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. ~ 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, ALp.- \'2--15-9'1' Date DATE PAI6'~ - ," 1:-\'2),-({S RECEIVED BY~ -' . ATTACHMENT Bl . B NO. 91/r.2C CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE . RKSHEET COMMERCIAL RESIDENTIAL) . , NAME OR COMPANY: ~ j)~ LOCATION: /'15"1 fb, 5hJ' DEVELOPMENT TYPE: "~ A~" ~; ,) BUILDING SIZE: lOT SIZ( . /...... -"__ J_, ;L c"" "'-"'/ .,2- SQ. Ft. L STORM DRATNAr::F . IMPERVIOUS SQ. FT. '1.5, Jd""O 2. ~ANTTARY SFWFR-CITY NO. OF PFU'S (See Reverse) 3. TRANSPORTATION X $0.209 PER SQ. FT. $ J'7. 95"9. 5'0 X $43.26 PER PFU $ To .8&" l>&"TIiRM'/Nf/J .AA-T&"/? ~ - NO OF UNITS X TRIP RATE X COST PER TRIP x X X X $436.19 X $436.19 X $436.19 $ To 8&" l)ETL,e- hf/NSO ~A TflR $ $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ 4. ' SANITARY SFWFR,MWM( NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ (Use PFU Total From Item 2 Above) To S,E O&T.e.ehN/'I~O .A)l TE,l? MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ IQIAI -MWMr, c;;n.c s SUBTOTAL (ADD ITEMS 1.2.3 & 4) s 5. ADMTNTST~F FFFS ~~l? B~E CHARGE (SUB/{lT;A.l ABOVE> X .05 Of" STORM DRA/#-'lG-G $ 9?7-?? ~~~' '. 'Date: J_/.2_?SONt..-r / Mary)Hornig. .E SDC"Coordi nato IDlAI ,;or $ 20. '7 s '??F S7tUh7 J)~A INA G- 4 ,. .. AIUrl. FL'f OIYL. 'I <? TlftS T/_~. ---........ B2 . sac .