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Home My WebLink AboutPermit Building 1995-6-19 . COMM ERCIALlIN DUSTRIAL PERMIT APPLICATION SPR'NGFOELD . Q~)Qa~ ~ INSPECTION LINE: 726.3769 ~t\ :::,:::::,,, TAX LOT: ()(~ \(X) 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: t\-C\S ASSESSORS MAP \C\Q?l'd.f)\'d.. OWNER Y\_\\~YTO u.~I:l~3\.t).{\,t PHON~ ^OO,~ ,:>.,_ ~()). \.('t 0 ~ -\(1\. ""'" CITY: N'\\i~.~~- STATE:_ ~~"."- DESCRIPTION OF WORK \j\'t\ \(\Q \ _<J\.,~ D- 'e ~~ NEW REMODEL ADDIT~. V DEMOLISH O~HER ZIP' 4\"\\~ VALUE: NAME ADDRESS PHONE Af,CHITECT' CONTRACTOR'S NAME "\co ~ C ADDR~SS GENERAL~ \,0\~~ \ r~ PLUMBIN'" ~ MECHANICAl . ~ ELECTRICAL: ~ ~C\.J CONST. n\O::IRACTOR . ....~O \C\W~\ EXPIRES PHONE '1"l1- R1l1 NO. FEE I MECHANICAL I CHARGE I ..n ~~~ ""ABGi_' ...I' I Furnace/burner & vent < 100.000 BTUs I Furnacel burner & vent 1 > 100.000 BTUs I Floor furnace and vent 1 1 Suspended wall or floor 1 mounted unit heater 1 Appliance Vent I separate 1 Stationaryevap. ,. cooler 1 Vent Fan/Single I duct 1 Vent System apart I from AC or htg, 1 Mechanical exhaust 1 hood and duct 1 I I Permit Issuance $10.00 I I TOTAL PERMIT I PLUMBING Single Fixture Relocaled Bldg. (new fix, addll) Water Service 11. Sanitary Sewer 11. Storm Sewer fl. Backflow Device I 1 1 1 J TOTAL PERMIT ~I .... " "). OUAD AREA: [tN(JJ LAND US~' - OFFICE USE - t:JbtJ-o. HANDICAP ACCESS: FLOOD PLAIN: CCV JJG . OF BLDG~' OCCY GROUP: ;::-2 - . OF STORIES: / . OF UNIT'" ZONING: CONSTR. TYPF' HEAT SOURCF' YR LIGHTING POWER BUDGET: WATER HEATER' sa. FT. $/sa. FT. VALUE sa. FTG MAIN sa. FTG ACCESS_73. ~R ~ 'X x sa. FTG OTHER X. TOTAL VALUE OF PROJECT \oA'\\O.oo , \\'t\b~ DATE \ o.\4.~ BY >'\',m ./ ... - '" PLAN CHECK FEE ~\O.~ BCPT' 1 BUILDING PERMIT [5% State r-t;L Surcharae r "!:I I MECHANICAL' 15% State Surcharae I PAVING 15&.5'e:> ~'.u I PLUMBI NG I DEMOLITION I. CURBCUT FT. FT. '. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT '7~ 7"3 ~ "24-<; <St!l I 1 1 I m 5% State Surcharae FENCE VALUE $ SIDEWALK , . TOTAL PERMIT'FEES I EXCLUDING ELECTRICAl · ?~9._d( . 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 address. type of inspection requested and when you wlil 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 foilowing 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, 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. )/ 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. SPECIAL INSPECTIONS: In accordance Section 305 of the Stale Specialty Code a special Inspector shalf be employed by the Ownerl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to Ihe Building Division. ATTIC DRAFT STOPS & CURTAIN WALLS K 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. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) CONCRETE SLAB: To be made after all inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are In place but betore any concrete Is placed. STRUCTURAL WELDS: Performed on tM 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.51 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 earthworl<. (306 a.l1 & Chapter 291 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 betore any plastering is epplled 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 U.BC. STDS. 25.10,11). FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. STRUCTURAL MASONRY: (306 a.7) )( MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. 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 con~truction work to ensure compliance with the Building, City or Development Code. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ------------------------------------------------------- FINAL PLUMBING 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 ELECTRICAL y 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 COMMENT'" PLANS REVIEWED BY / Z~'I--' ,;~- .DAT~ , //. 1" -?-"2 '/-"S- By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th?t 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 Clly of Springfield, and the Laws of the Slate of Oregon pertaining to the work described herein, and that.NO OCCUPANCY wlll 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 permit card Is loca{;]ted at the front of the property, and the approved set of 'plans Will remain on the site at all times during co true nC} Slgnatu'rp X j.,~ Date '7-..2.P~~ .~ .. ..........- ..' .~ AMOUNT RECEIVED' "3 3"7. ~/ /.$'7"~ DATE PAID: , - . . RECEIPT N' 7-2~~ -;;- RECEIVED BY: ~~., e::rr VALIDATION: .8 NO. 9'509\S3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . NAME OR COMPANY: CL' CHAf<Ro "RESTAUR...AI-.J7 LOCATION: 4"fS HPrJ2.L-CW R!) /707;;>7-7/2- - ()O/()() DEVELOPMENT TYPE:. ('_L: eXPAND PnllN6 A-f-E/l BUILDING SIZE: LOT SIZE SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT. N. P, . X $0.209 PER SQ. FT. ~ ~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) N.A. X $43.26 PER PFU c- '-- ) .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x X $436.19 c-1.~"?'6!) '-- -- $ $ 6,07 X "7. H X $436.19 X X $436.19 4. SANITARY SEWER-MWMC NO. OF PFU'S ~,If. x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ - TOTAL-MWMC SDC $ r=) '- ---- $ 1.~?~,j MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~L~ Date: t../Z.oz,/4,5 . ~U Kip Burdick ' 'TOTAL SDC SOC Coordinator cC If ~-0 $ "'2..4-5 ~