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Home My WebLink AboutPermit Building 1995-4-3 COMMERCIAL/INDUSTRIAL . PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 ~ ----- "OB NUMBER %L? 27'::;- INSPECTION LINE: 726.3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK: _-4'Go ASSESSORS MAP' /70 3 2. 7 LlvJA-LE /2- ~~ (~rJ//t ~.s) TAX LOT' CY'? S ~ OWNER: r~A--"-'I -r: AH~V'/~/ ADDRESS: ))/7, .&y -i61J~ ( h)d" ,,e Jht:/.-"'tz;t2 6~Ar:::"";/SJ7M~6 ADDITION 1.----' DEMOLISH 'NEW REMODEL OTHER PHONF.(7n2) ~.5 / -75".)7 - , 7lC',oAJ/S ~CE.) 7-t-7-C,~2 ZIP: 9;R4-;/J - c/9.,tJ~ . "w,~~ PHONE STATE: AlE CITY: DESCRIPTION OF WORK: NAME ADDRESS ARCHITECT' CONTRACTOR'S NAME GENERAL: r. IAI. PLUMBIN'" MECHANICAl' ELECTRICAl' ADDRESS 1A7~.~~ I kJ(!,. - CONST. CONTRACTOR' '7 fpiJ(; ~ EXPI RES 1/;fJl9S' PHONE 4S4-4<;e;.Z I PUIMRINO j MECHANICAl I NO FEF r.HARnF I "'n FFF ~HI 1 Single Fixture 1 Furnace/burner & vent < 100.000 BTUs 1 Relocated Bldg. 1 Furnace/burner & vent I {new fix. eddtl\ > 100.000 BTUs I Water Service 1 ' Floor lurnace and vent j II. 1 Sanitary Sewer 1 Suspended wall or floor I II. mounted unit heater 1 Storm Sewer 1 Appliance Vent j fl. separate 1 1 Stationary evap. I Backllow Devlee cooler 1 1 Vent FanlSlngle I duct , I I Vent System apart I from AC or htg. I I Mechanical exhaust I hood and duct I 1 I I 1 Permit Issuance $10.00 1 TOTAL PERMIT I TOTAL PERMIT \0 x\ )(J - OFFICE ~ - HANDICAP ACCESS' QUAD AREA: LAND USE: \ \ ~ FLOOD PLAIN' , OF BLDGS' \ · OF UNIT~' ZONIN'" OCCY GROUP' \J\ CONSTR. TYPF' LIGHTING POWER BUDGET:" . . OF STORIE~' HEAT SOURCF' WATER HEATER' So. FT. $150.. FT. VALUE sa. FTG MAIN X sa. FTG ACCESS fi~4.: r-ig ).F.x /d/o 7'1"37 sa. FTG OTHER .., .7h ..w:'~ 99 S.I. x l"i.~i) n.-Io PLAN CH ECK FFF c;ro.1- 3 RCPT' Ic" S'.3 tP DATC.....;/J/5'r TOTAL VALUE OF,PROJECT_ / CJ ~ 77 / p~ BY ~ 1 BUILDING PERMIT I 15% Slate 4H n~J, SurcharP.e . +- L.. I MECHANICAL 15% State Surcharae I PAVING ~0. S-o 0,7'3 , PLUMBING DEMOLITION 5% State Surcharce FENCE VAl LlF $ slbEWAL~ CURBCUT FT. SUBTOTAL PERMITS SYSTEMS . DEVELOPMENT ,i/. 1(,,( '51 I I J J J FT. TOTAL PERMIT FEES I ~ ~5d , 7':3 EXCLUDING ELECTRICAl T ~ REQUIRED 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 eddress, type of Inspection requested and when you will be ready for Inspection. Requests received before 7:00 a.m. wlll'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. . x <; :~~~~,~~M:ING, MECHANICAL: No work Is to be covered until these Inspectlona 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. x ( FIREPLACE: Prior to ptaclng facing materlala and before framing Inspection. FRAMING: To be made after the roof, all framing, fire' blocking and bracing ere In place and all pipes, chimneys and vents Bre complete and the rough electrical, plumbing and mechanical are approved. 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 apeclal testing reporta ahall be furnished to the Building Division. UNDERSLABPLUMBING, , ELECTRICAL & MECHANICAL: To be made before any work Is covered. ATTIC DRAFT STOPS & CURTAIN WALLS V t' - FOOTINGS & FOl1NDATIONS: To be made after trenches Bre excavated and forms are erected, all steel In placo, but. prior to placing concrete. STRUCTURAL CONCRETE: In excess, of 2500 P.S.I. (306 a.1) STRUCTURAL WELDS: Performed on the Job. (2722 f) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer. storm sewer, water and drainage lines. To be made prior to covering or filling trenches. 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. FIRE & SEPARATION WALL: Located and constructed according to plans. HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.c. Standarda 43.8. , UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of floor Insulation, decking or floor sheathing. SPECIAL GRADING, " EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of 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. SIDEWALK'& DRIVEWAY: Required for all concrete paving within street right of way, to be made after all excavating complete snd form work and sub.base material In place. GLU.LAM BEAMS: Inspection Certificate by an approved 'agency, furnished to the City's Building Division before beams are placed, (2501 U.B.c. STD5. 25.10,11), STRUCTURAL MASONRY: (306 a.7) POST & BEAM: To be made prior to Installation of floor Inaulatlon, 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. 'In addition to the Inspec- tions specified, the Building Official may make or require other Inspections of any construction work to 'ensure compllsnce with the Building, City or Development Code. ------------------------------------------------------- FINAL PLUMBING SITE PLAN REVIEW BOARD: Must be requested 2 days In advance of the dste you wlah Inspection. All project conditions such as landscaping, parking lot striping, etc, must be completed before requeatlng this Inspection. >< FINAL ELECTRICAL :><:::' FINAL BUILDING: Requested after the final plumbing, electrical, FINAL MECHANICAL mechanical and Fire Department Inspections are made and . approved. No occupancy of the premises can be made until a Certificate of Occupancy has been,lssued by the Building Division FINAL FIRE DEPARTMENT and posted on the premises. ADDITIONALCOMMENTS:_ ~/5<?~ eL~c.A-':Z.. A,'.' ~r /<; A'L:....u,....,1!k), ~ '" ." ~ A1Jbf17tJAJ AW '7)M)JJrl"'~ J / A/..-rfii'-+77/'TA) 7Z:) 7M:J e-("'J::,'":3f?/~ &~. PLANS REVIEWED BY 2..>--....-.~ _ <~ DATE VY/9C '. '. By signature, I atate 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 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 th'e 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 prolec!. ' I further agree to ensure that sll required Inspections are requested at the proper time, that project address Is readable from the street, that t It card Is located at the fronl of the properly, and the approved set of plans will remain on the site at all times du mg constJ'c n. ( ~ /:J ' naturf~ J. {/~<"J:IlP'~ Date c:/ A /9.< _/ VALIDATION: AMOUNT RECEI~ / ~4, 7''' DATE PAID: ~/3Q'.s- RECEIPT'" /h 7=,<;t!/ RECEIVED BY' ' f"~' ~ . ATTACHMENT B1 .B NO. qf>oZ.q5. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) " NAME OR COMPANY: JAMES T. 13Uc.KLE-Y LOCATION: 4-t,() LIIJPAL.t3. O~ - DEVELOPMENT TYPE: A-DOI/IDIJ BUILDING SIZE: 1-7 () 7:> ?- ,-' Z. - IJ () ? 0 0 I.OT SI7~ 5Q. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. .," (~c. .' X $0.209 PER SQ. FT. ~'?~ <6i) ----- .-/ 2. SAMlIARY SFWFR-(ITY NO. OF PFU'S (See Reverse) X $43.26 PER PFU c;~) ----- --------- 3. ~SPORT~ NO OF UNITS X TRIP RATE X COST PER TRIP X X $436.19 X X $436.19 G-) -------------- $ X X $436.19 $ ---- SUBTOTAL (ADD ITEMS 1.2. & 3) $ I S'? ~ 4. SAMlIARY SFWFR-MWMC NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ (Use PFU Total From Item 2 Above) - MWMC CREDIT IF APPLICABLE (SEE REVERSE) IQIAI -MWMC SDC SUBTOTAL (ADD ITEMS 1.2.3 & 4) d $ IS?~ ) 5. ADMINISTATTV~ ffES. BASE CHARGE (SUBTOTAL ABOVE) X .05 c: I~:l) ...:...... ----- ~-:P,L~ . -- ';. ':H++~. _ _&~ SDC Coordinator Date: '?114/QS IQIAI SDC $ \CoI'5~ B2.SDC .