The URL can be used to link to this page

Home My WebLink AboutPermit Building 1995-5-8 CO'~MERCIALlINDUST!~ PERMIT APPLICATION INSPECTION LINE: 726.3769 225 Fifth Street, Springfield, Oregon 97477 ~ OFFICE: 726.3759 LOCATION OF PROPOSED WORK: " 1~t5>!~ ~,c h4-,~ .....4. (), C~~ ASSESSORS MAP' /70 S :2.. 2- n rI TAX LOT: z.<::.!Jr'I ; '? '-.a;!L2..JtLf- OWNER: _~C.k'Q.,,?/~ j,lJtLI~~ ~ ADDRESS' /~/"0 r::;. '5; S.a,.?/A'..4n~J ~'-'STATF' ~ > ( ~ J/KIIIEl,} A-~ / DESCRIPTION OF WORK: ~I".v"'t-,.:, ~tfitI--,~dl~~&J?f NEW ~REMODEL CITY: NAME ARCHITECT' CONTRACTOR'S NAME GENERAL: I./!>c. ~>(J5/- C~ . PLUMBINr.. MECHANICAl' ELECTRICA' . I PLUMBING I NO, I Single Fixture I Relocated Bldg. Inew Ilx. addtll 1 Water Service '1b~ It. Sanitary Sew~ ~.~r~'?~~t. .- . d.. torm Sewer 78., It. 1 / Backllow Device I I I 1 1 1 TOTAL PERMIT QUAD AREA: . OF BLDGS: \~LLJ . OCCY GROUP' . OF STORIES' sa. FT. SQ. FTG MAIN SQ. FTG ACCES~ ADDITION DEMOLISH ADDRESS P()n,,..,..... //J?~'9 - ; I FEE CHARGE I I I ~-I :2"5":-1 g.~1 /~--I 1 1 I 1 1 1-;;?G1~-1 PHONE: 72(" - 9'4 S"/J ,~ ZIP: '7 7f7 7 (:J....."~I No. 'N-tn-II.fS') OTHER VALUE: ADDRESS PHONE CONST. CONTRACTOR' EXPIRES PHONE y/~/~~ - .?-~eJ] 1"JCt" '? 17 5' I II MECHANICAL J EEE_'_CHARGEl J 1 J I j I I I 1 $10,00 I I Furnace/burner & vent < 100.000 BTUs Furnace/burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or Iloor mounted unit healer Appliance Vent separate Stationaryevap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit Issuance TOTAL PERMIT - OFFICE USE - LAND USF' 5&x) . OF UNIT"" CONSTR. TYPF' HEAT SOURC.' $/SQ. FT. X SQ, FTG OTHER X X PLAN CHECK FEE -L'P,3. q J RCPT# -/./J C:;-~O I BUILDING PERMIT 5% Stale Surcharge MECHANICAL 15% State Surcharae I PAVING " " " :z.$3. ~ 1 PLUMBING 5% State Surcharge FENCE IIAII)F $ I SI[JEWALK 1 /~ FT. I,.CURBCUT/.!JI' .yo/>' I ,- "'a..; ~'''.3If'r ;~ HANDICAP ACCESS: FLOOD PLAIN' (!b~ ZONING"":' Co LIGHTING POWER BUDGET: WATER HEATER' VALUE = ,pl€AP/AIJ /,.", '- " TOTAL VALUE OF PROJ,EC~ C:;ffa,p...~.../B7) DATE~O/~.[ BY ./f/~ ::? c;!i:"-' /P, J:~ 6'/~ , DEMOLITION /$, _t? .~ ,~~ , ::?$. Y7 f/? ~:r I ,', SUBTOTAL . PE RM ITS SYSTEMS ,DEVELOPMENT' , J I I 5f?6~ 1 I 1J..'7::>05S'i!: l{t ~ , ' ! J I TOTAL PERMIT FEES EXCLUDING ELECTRICA' %?;>,";;?~ . .QUIRED INSPECTIONS It is the 'ie~POi1SlbilitY 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. ~ UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. ROUGH PLUMBING, EL~CTRICAL & 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. 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 be'fore framing Inspectlo~. SPECIAL INSPECTIONS: In accordance Section 306 of the State SpeCialty Code a special Inspector shall be employed by the Owner I Contractor during construction of the fo'llowing work. A copy of the special testing reports shall be furnished to the Building Division, ATTIC DRAFT STOPS & CURTAIN WALLS 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. FRAMING: To be made after the roof, all framing, fire blocking and bracing are in place and all pi pes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. STRUCTURAL CONCRETE: In excess of 2500 P.S,!. (306 a,l) STRUCTURAL WELDS: Performed on the job. (2722 f) x '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 Insulatlo'n' 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,S) , SPRAYED ON FIREPROOFING: U,B,C, Standards 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) 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, . . GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed, (2501 UBC, STDS, 25.10,11), " , STRUCTURAL MASONRY: (306 a,7) .. '. 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 material in place, "'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, MASONRY: Steel location, bond beams grouting or verticals in accordance with U,BC 2415. y CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ROOF SHEATHING AND NAILING: Prior to Installing any root covering. ------------------------------------------------------- y FINAL PLUMBING x SITE PLAN R'EVIEW 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 requestlng this Inspection. x FINAL ELECTRICAL A 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, FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: .-/7 =--- ./ PLANS REVIEWED BY ~i"~ /?~ DATE '>I'''::;>.e:.~ "// ,,,-- 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 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 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 lhis project. I further agree to ensure that all required Inspectlons'are requested at the proper time, that project address Is readable from the :~g::::::~~;~:: :::&;2' .ro~," '",.., ...m..'..'.' "'~.~,"";~o~; ,,"" '" ..L.--- ((///'1/,,/I/L,/,'1/-.- : -//' / ~OUNT REC~IVED:0(p'6h,lf, '. . -. DATE PAID' (6: f~qs' RECEIPT N' 0/1 J,'1Q RECEIVED BY:~ '-/ , .'. VALIDATION: 01/12/95 11:22 'n'503 120 3689 .. SPF\> DEI', SER, .. SPRINQ,FIF.:I.O' ~002 . ~ I r I. owIng project as submttted has the folJowir zonIng, and does not require specific land use approval. 225 FIFTH STREET Zonina (L ELECTRICAL PERKIT APPLICATION ~~~~~i~~REg~~~ 9~i~~mJ -fl-~(' ., City Job Number o...SD~? 0 OFFICE: 726-3759 Authorized SJgnature W. M J. 6SHPrUTU ~EE SCHEDULE BELOV 1. ^OCA'1;.ION. QF INSTALLATION ~~\ 't'\(\l\\PtIJ \ -'~?<J!lliPTln'LSCO .lOB DESCRIPR;g~. '\ _. " ~I\ l \ l}to , ~O t ......J.t'J"V: Permits a~e non-transferable and expi~e if work is not sta~ted 'within 180 days of issuance or if,wo~k is suspended fo~ 180 days. 2..' CONTRACTOR INSTALLATION ONLY Electdcal Contracto~ JKG Electric, Inc. Address 2157 Don street City Springfield Phone(503)746-4656 Supervisor License Number 3148S Expiration Date 1 Q/1 /95 Constr Contr. Number 45129 Expiration Date 4/24'/95 Sigpature of Supervising Electrician y ~~ fl" .~~~ Owners Name~'{~H\\i!~lD\\\ ~.~. Address ~ (~ ~\.O(\\ ' Ci ty ~ Phone \1l0.4'\-~ 0\1NE~ I~TALLATION . The installation is being made on property I own vhich is not intended for sal~. lease or rent. . Owners Signature: --------------- ;r-/7.------------- DATE: ~"'I' ,.....,,<:.,. .. RJ>CEII'T jJ: _ '~ RECEIVED BY: ^ ..J A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Halluf'd Home or Hodular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less ' I 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 15D $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps o~ less 201 amps to 400 amps Ove~ 401 to 600 amps Over 600 amps or 1000 volts Branch Circui ts $ 40.00, $ 55.00' " $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Ci~cuit or with Servic~ o~ Feeder Permi t , ,-") E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE , 57.' S ta te Surcharge 37. Admini5trative Fee TOTAL $ 35.00 $ 2.00 ill no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 (g[).~ l1L~.rRi- . .B NO','9?O:'O'2-.0' ATTACHMENT B2 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (PROFESSIONAL OFFICES & INDUSTRIAL) NN1E OR COt'1PI\NY: /VIe. KIENZlE IA//I-I-FtN\ t:..7 TE HlJ'SfITAL " LOCATION: q5/ 1-IA-I?-J-oW f(D. DEVELOPMENT TYPE: Pt'<OF, ~FF"IC.e - BUILDING SIZE: 1. ~TnRM DRAINAGE IMPERVIOUS SQ, FT, x 0.5 x '2:1 M-B /7b3?-?-oO - 2600, '2-Sol 2~"+ '.. ..' DF<IVE>>1 A'!J . I 1?1Z1 i/A-Te.r:::...RlJ7+"b IMe/UlVE:.mCJ:,LTS tOT SIZF SQ. Ft. X $0.209 PER SQ. FT~9 \O\~ .... ---- 2. S8tllIARY SFWFR-CITY NO, OF PFU'S x 0,5 X (See Reverse) 3, TRANSPORTATION . X $43,26 PER PFU (( . '--- , ) ...-/ NO OF UNITS X TRIP RATE X COST PER TRIP 0.5 X X X $436,19 ~ '-- ----- 0.5 X X X $436,19 $ 0,5 X X X $436.19 $ 4. S8tllIARY SH!FR-~1\oJMC NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADMIN, FEE 5 (Use PFU Total From Item 2 Above) TOTAl -MWMC snc $ ~-) ......... ...-/ MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2--'110 \~ 5, AnMTNTSTRATTVF FFES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ J4-7~ . ~ ...-/ V',C'1<- ~ ~. :~-_. ..:~. ~ - SDC Coordinator Date: ?/llo /45 TOTAl SDC $?O? S "'2:: B2.SDC