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HomeMy WebLinkAboutPermit Building 1991-12-30 ~ -:;\.,;'MMERCIALIINDUSTRIAL . SP~'NGF'ELD PERMIT APPLICATION L........ 225 Fifth Street, Springfield, Oregon 97477 .... t@ . "l&71<Rt/5tF w",y. LOCATION OF PROPOSED WORK: t/r.C"iK/Y IICJ k ./ /..., t. !'I<!AII. II (J? 7_?'--uJ -JOB NUMBER 9///s:i!<./ INSPECTION LINE: 726-3769 OFFICE: 726-3759 ASSESSORS MAP' .J7J~,,,r,/,i',,. OK 9 NJ 7 O()'110--: TAX LOT: OWNER: . :0..( 2LL 'J IN <- ADDRESS:SY'bO CiJNN'~ L/1N~ CITY: <fA IN~./t J,od.t IV 0 . . , PHON'" 'llt'- t77-lft.7. Or.':'PI'I'/t:,/J... -0'-11;' ilQE 'ili,. t t z -tl..zJ STAT'" et1 ADDITION DEMOLISH OTHER . ZIP:_:lrtF2.~' ~ ~('Jt.J ) . VALUE: . ~ DESCRIPTION OF WORK' AI/v RLJ7AV'U.;:' I NEW / REMODEL I i . NAME A'RCHITECT' J".I/lLU:-, .J;7J1N r iJliJ) INC. , (l""77)../..-;'"/j~ ( 7'>r lI/iN 0 , ADDRESS .J,Y.? I/,Y) J7. Lt.t.tJt/./t. 4'l 97'1>1 CO NST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' EX,I ES,=. PHONE . riIGS ~W W~A"..?~$'""<,4 'eBrn 7/'I-~/::?7 GENERAL: 02&::06..... ~...../~ /U.c., .~~~ -9 ~ ~<" ". "200S"?_/ &z;<;- :,:_.-.!:> PHONE SOf- 71.5- JiJ,j> PLUMBING: MECHANICA' . ELECTRICAL:J3~.y-.....~ N~~ I, PLUMBING I I MECHANICAL " I I' NO. I FEE CHARGE I- ~ Nfl """ . rHARG;j 1~2 Single Fixture /0 Y'Z" 1 -z. Furnace/burner & vent 0 . /.7. 60 < 100.000 BTUs II Relocated Bldg. I I 1 .-{ Furnace/burner & vent 7. SO 1 I . (new fix. addU) > 100.000 BTUs I':n' Water Service 1 Ljp 1 1 Floor furnace and vent 1 It. 1!i'7'3' Sanitary Sewer I ;Z5 I I Suspended wall or floor I It. mounted unit heater 1 lilt! i Storm Sewer 1 1 1 / Appliance Vent ~.-" I It. .$S" separate li~ I '20 I I / Stationary evap. ~".QO I Backflow Device cooler I! I I I z Vent Fan/Single I duct I I I 1 -:? Vent System apart I I I - from AC or htg. I 1 1 I '3 Mechanical exhaust Iy.~' /~.S.::> I hood and duct I I 1 I /2- ~~ d,r,e T"$ I.~ ~~O.&> I I I I I Permit Issuance I $10.00 I I TOTAL PERMIT 15.90 I TOTAL PERMIT I 5""2. e>O I . \ ~J\)l.k) - OFFICE USE - HANDICAP ACCESS: a.~AD AREA: LAND USE: ,1=:)?f:{J FLOOD PLAIN: . OF BLDGS' \ . OF UNITF' ZONING: r0____ OCCY GROUP' CONSTR. TYPF' liGHTING POWER BUDGET: ! \ . OF STORIES: HEAT SOURCE: WATER HEATER: , I sa. FT. $/ sa. FT. VALUE sa. FTG MAIN ~9"2/ X - -~~... . ?2!:,/O~C? , sa. FTG ACCESS X sa. FTG OTHER. : . ~v/~&::'_l-5/~ ~A>L/.. /41";:-1""--' - ; TOTAL.VALUE OF PROJECT 4.6~..::::7~ , .J'~Jj~Hjg,~!EF;..f!!,; ~y~~' ~~ L",_ -!fl!,E ~-9-9/ BY~- ~..- J" 7 .. ---f -:- ''''~.. .~..... I BUILDING PERMIT 978, - PLUMBING 5f1t:? - 15% State ~6,q.e> 5% State 7Z <1. G't:J Surcharge SurcharQe I MECHANICAL ~'.-::.. 1 FENCE VALUE $ 15% State Z.~P I SIDEWALK "Z~.f;~ Surcharae /10 FT. I ~AVING -?:37': -:z..~ I CURBCUT /'5. /" 7'11 FT. I DEMOLITION I 1_~?X~~/...,,;~1Y~ I~.k" 2)~ /~ '3c> 1 SUBTOTAl PERMITS 22~./5" I SYSTEMS l\~~ ~:3-l?12 T DEVELOPMENT 1>--o./<7'S-'f-Z== ~ ft"'" /t!),5"<:::>7.B7 ?ALA'h'/6 I , t?P- "50/ ~ 7/"...J;- . TOTA'L P~'R-MIT FEES I l'2d$ '/3. 32 I! EXCLUDING I;J.ECTRICAI . . ~T=I'<. /:tnl. ~.c. 7%i'_~.'?.;:n.'-,-;/.;____ ~R74:: SI.. 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. 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. . REQUIRED INSPECTIONS )( J(. ROUGH PLUMBING,' ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. UNDERSLAB PLUMBING, . ELECTRICAL & MECHANICAL: To be made before any work is covered. ATTIC DRAFT STOPS & CURTAIN WALLS J( 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 fr.aming inspection. FRAMING: To be made after the roof, ali 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. It ;( CONCRETE SLAB: To be made after all Inslab building service equi pment, conduit, piping, accessories and other ancillary equipment items are in place but before any c.oncrete is placed. 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 is applied. . x /- UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. y FIRE & SEPARATION WALL: Located and constructed according to plans. UNDERFLOOR: Plumbing, electrical, mechanical. 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 piastering Is applied or before gypsum board joints and fasteners are taped and finished. 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. 1\ SIDEWALK & DRIVEWAY:. Required for all concrete paving within street rlght,of way, to be made after all excavating complete and form work and sub.base material in place. MASONRY: Steel location, bond beams grouting or verticals In accordance with USC 2415. x CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. )( A FINAL PLUMBING A' FINAL ELECTRICAL . '~ 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 Ownerl 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.1. (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.S.C. Standards 43.8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU.LAM SEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.G. STDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7) *In 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. \, )( FINAL BUILDING: Requested after the final plumbing, electrical, x FINAL MECHANICAL mechanical and Fire Department inspections are made and approved. No occupancy of the premises can be made until a ;y Certificate of Occupancy has been issued by the Building Division /" FINAL FIRE DEPARTMENT and posted on the premises. ADDIT~NALCOMMENTS:ffi OcL...T:;_...._,.,..... ~T""-':" ?"z:.c:.. ~~:'.J~~~7~",.../_4" .rFE /-S 1?~~ V,e-~ i p/./:::> \' - - ,,' PLAN'S REVIEWED SY ""z-~~ . //~ ~. y~ . ~ -1 - ~-~ -- . DATE /,1111- 3::'~9/ 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 correct, and I further certify that ahy"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 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 used 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 p It card Is located at t e front of the property, and the approved set of plan's will remain on the site at all times during c suction. Signatu'rp VALIDATION: AMOUNT RECEIVED: ./2_~4'5. :; S//S 32... RECEIPT #: Date /2..- 30 -yf DATE PAID' /:z-;h-"'7/ RECEIVED SY:.W~' , ~.. .\ ~, . ..' -, CITY JOB NO. CJ1118'-\- OF tRINGFIELD SYSTEMS OEVELOP~T CHARGE . WORKSHEET (COMMERCIAL & RESIDENTIAL) 0, F, ""LEX''? :ll.lc. (bf:N./..1Y~ ') .NAME OR COMPANY: LOCATION: 9 e., KIU)<S>E: WA.'< , '"10-:z.,'2-'"2.'2-0 - ooqo'(~' DEVELOPMENT TYPE: CC - ~\G.I-\ 10!l-NOVEcl2- 'I<e.'7,AUl2..Al-lT BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT.. ?'404"2- X SO.I86 PER SQ. FT. ~ ~"?~',~ (See Reverse For Runoff Coefficients If Actual. Impery:. Area Is Unknown) 4"17.-"2-, SQ.,f'T. LOT SIZE "2,"" . t..6Cf SQ, Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S ~~ X $38.55 PER PFU (See Reverse' To Determine Total PFU'S) 3, TRANSPORTATION '3oS .$ "2-4108 - NO OF UNITS X TRIP RATE X COST PER TRIP '4,"'"'2-? X \"".'1"? X $388.61 "".~:. .$-?'O-:-1'2-'O~ X X $388.61 .$ - X X $388.61 . .$ - (See Attachment C To Determine Trip Rates) . ,e . SUBTOTAL (ADD ITEMS 1,2, & 3) .$ 4-,'4'2.f,- '9~./~ ~.9'~70/7/..r~ 1"'l!:6 ?3zY*,?~./~ +-$-/77/Y",? ~n ~'#/7"/C:: 4, ~AaM~7STRATIVE FEES' , BASE CHARGE (SUBTOTAL ABOVE) X ,05 5i :2:~,i~- '1t'?<>( .~ . - 5, SANITARY SEWER-MWMc' . . NO. OF PFU'S ,"'1. TOTAL-CITY SOC. s4""eoo~ . ~76-$.I7 x $13,25 PER PFU + $10 MWMC ADMIN. FEE$\o"?o~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ", V' -g, .l-Je.. U Kip Burdick SDC Coordinator '. \1:>/1 \/.,1 ($ -z.6'~) TOTAL-MWMC SOC $ f'-l-'2..~ TOTAL SOC s-5eS'-\v~ ~ 1~~7- ~7 p jjc c::;~c=/=-~ #r~/77(.qcF.: