HomeMy WebLinkAboutPermit Building 1994-3-16
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COMM ERCIALlIN DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
ClSlr)\!t
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726-3769
OFFICE: 726-3759
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LOCATION OF PROPOSED WORK: 7' 5"6 #A'C)t:.':::>w ~~p.
\fJO~8AJY) . . TAX LOT:
OWNER: l-\~(\ClX\ {.... C\~ J\+~Q-r-
ADDRESS: /~ /,L) #fW'r "79 /Y' .
CITY: E~.NC;~~ _ STATE:
(Y::;'2rY )
ASSESSORS MAP'
PHON'"
6gB-~
.d!S/!:?'
ZIP:
DESCRIPTION OF WORK: ~~ . (~\ t \)
NEW X REMODEL ADDITION ~OLlSH
OTHER
VALUE:
i'
NAME
ADDRESS
PHONE
ARCHITECT:
CONST.
~~B3() ~LnZ~pCrTRAn;m
,
EXPIRES PHONEJ7(2,1'1
\ (J ,~"g'). L..O"t
CONTRAqor;s NAME .
GENERAL:\J..~ \:"'{\\..\~
PLUMBING' ~
.',
MECHANICAl'
ELECTRICA' .
FEE
CHAReJE
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f'HARGE-j
6."a. I
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1
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I NO.
I
I Relocated Bldg.
lnew lix. addtl)
I ........... Water Service
.,..~ '~/!>o' H.
I ",..-- Sanitary Sewer
~..;-~ ' ft.
I Storm Sewer , I ~
......' "'" .,r.z ft. I :<7. I
I - Backl!ow De,Vlce ., I It'- - !
,4.)~7/~A-C ..p,#~ ~
~~.-:;r .;q~,;..<r.::;-tS::::>.
I
PlUMBINt:i
M~CHANICAL
Single Fixture
I
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
>100.000 BTUs
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I
~.....j
-r't'-
:o;>s-1
/
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent FaniSinglc
duct
Vent System apart
Irom AC or htg.
Mechanical exhaust
hoed and duct
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"3'.-0
TorAL PERMIT
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, '
!__i~~6~~ __._16'.-'"
I $10,00
I/-?- --
P~rrflit !!>5uancc
1 TOTAL PE~Mll'
OUAD AREA . ~ (' 1\ )\ 1 )
- O~CE USE
LAND ~SE: ~'l?Jrf)_.__
"ANDICAP ACCESS:
. OF STORIES:
fd'~:z.
/
. OF UNITS:
CONSrR. TYPE: ...f5'-N
HEAT SOURCE: GAar- ELL..,
=LQOD FLA1N:_,_
ZONING' (\ !:' ./
. OF BLDG~'
OCCY GROUP:
UGHTING POWER BUDGET:
WATER HEATER'
SO, FT.
$IS0. FT.
VALUE
/'75':~
'"
SO, FTG MAIN ~~ X
SO. FTG.ACCESS ~ ~\ r!,' --- t-. '\ . .
SO, FTG OTHER ~ ,~ X ~ --
\'. ./
PLllfllC.HE~K F~-..!)f) I. Jc::... RCPP .i:Ac::..1IlG-\
:if'TA.7/~;,ijr-.J:$ 1; -~ ~~............., / =~'
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T0TAL VALUE OF PROJEC~~
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DATEQ-'..8.Q3 B'(~_)
5(1/(1 Slale
.~~rchan;!~__
FENC~
IIALUE $..
'SIDEV':AlK
. ?r
I CURBCl'T
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7_2S-lt,,--/...~;zE,...A/ I
. '-___.. ~~~~ . ,. ~.52: I
I ' ...- 5URIOTA!. 'C;o '7 k
FT. /_7. 6::> PERM,T~ I 0,'7,.,$7 ,J2.
SYSTEI~S I I "\~.t../'>- -+ tt'
FT. /?~$ ,DgY.!':!:OP~ENT i.Y1C--:I ~~~I, ,
. . \:L:p~~,,, '7 FEE~ \--- '2~.-VJfi7flt~~~... I
Exr1ut'iV: r.:' r:T'fH'C"t I
ZJaF;;;~. - ~ C~' '..~-7C:;:--~-O'7"(:;;~'---
__.a_~ .:4___ ~_:=
I BUILDING PERMIT
15% State
, SurcharQc
I MECH~~
15% Slate
Surcharae
I PAVING
7".99.. 2?
~~.Y6
i<p.67>
L...,._ -
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/7/!').5'()
PLUM8ltlG
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· 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 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 y,
made after excavation, but
prior to setup of forms.
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
V . Certificate of Occupancy has been issued by the Building Division
A;~;TIO:~~AcLo:;~;:ARTn~;r;. q3fii;d ~r-t~, tp\f\s~rwr - GQiU 1 ~ ~_
t ci\'T-"\', L\-\), \Om
;(A\\NOC ill t(L: t?f
. ~__~// -s;.~..G'''''-'-- ~~ ~~~~e;- _:1 ~.-"">'t~ ~::':-9>-.
, . . . 7 . PLANS REVIEWED BY ~!f{:,,<;~.7 ~~.----, DATE _~'Y"'- 9 ~
p;r;; r...-- ..
By signature, I state and agree, ttlat I have carefully examined the completed application and do hereby certify that all Information
herein is true and corre:;t, and I further certify that any and all work performed shall be done In 8.;cordan'ce 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 compll?-nce o"yith ORS !0~.055 will be u.sed 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
tJme.~.durl~.g constru~tio;.. .~~ L..
Signaturl' /d~~~-_ Date
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/O/4l'c:lc!> ~c:::.
AMOUNT RECEIVED: ~~..... 7
/I'~ ?,y
// "'~4"
y UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANtCAL: To be made
before any work is covered.
I'
. Y FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
.v 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.
'" UNDERGROUND: Plumbing,
, electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installatlon 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
vertlcals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
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FINAL PLUMBtNG
,,{
X
FINAL ELECTRICAL
FINAL MECHANICAL
VALIDATION:
-~
,RECEIPT ':
,
--+
ROUGH PLUMBING.
ELECTRICAL &' ,.
MECHANICAL: No work 13 10
be covered until these
inspections have been made
and approved.
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PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Seclion 306 of the State Specially Code
a special inspector shall be employed
by the Owner I Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
FIREPLACE: Prior to placing
facing materials and bdore
framing Inspection.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
x
FRAMING: To be made alter
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)
STRUCTURAL WELDS:
Performed on the job. (2722 I)
~
INSULATION & VAPOR
BARRIER: To be made alter all
insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering is
applied,
SPECIAL GRADING.
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
SPRAYED ON
FIREPROOFING: U.B,C,
Standardl? 43-8.
FIRE & SEPARATION WALL:
LCi;ated and constructed
ar:cording to plans.
y
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency. furnished to the CilY'5
Building Division before
beams are placed. (2501 U.S.G.
STDS, 25-10.11).
LATH ANDIOR GYPSUM
BOARD: To be made after ali
lathing and gypsum b03rd,
interior and exterior, is in
place but before any
plastering is applied or before
gypsum board joints and
fasteners are taped and
finished.
STRUCTU RAL MASON RY: (306
a.7)
;(
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, th'c Bui/ding
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
CURB AND APPROACH
APRONS: Alter forms are
erected but prior to placing
concrete.
x
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.
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DATE PAID:
~ -1"6-~5>'
7'Y'n-"'" ?"
/;I~" . ... '........
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RECEIVED BY:
~::lt 'i.. .l>\'h~l
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'flOB NO. T2ID '-17..
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL' & RESIDENTIAL)
.
NAME OR COMPANY: G1<-oc.ef('( CART MA~I'-E.T
LOCATION: bAfYle rA.Q./Vl ROAD 1f t-IltfCt../)'(o/ !\altD
DEVELOPMENT TYPE: c.c.: eoNI/ff:.IJIe:.Nc./E. 5-rOfC-tE.
/70'!>Z'Z.OO - C;Z700
BUILDING 'SIZE: "Z-'O?'1 SG. Ff. LOT S~'lF SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. "'?"l \ q X $0.203 PER SQ. FT. (IS-+~ 7?r. '9(,
PI?
2. SANITARY SEWER-CITY
NO. OF PFU'S D X $42.08 PER PFU (-e-~
(See Reverse)
3. TRANSPORTATION I
CoDe &;1: c.oWE:.I.IIE:.1JC.e tN-1!:J'.f:'T":: "2.6.0 -r<;.~f
NO OF UNITS X TRIP RATE X COST PER TRIP
'2 . B '?"l X "2.0' 0 X $424.31 G"'D97.~ "I::i-rS:~Y
'- ./ /,p,
X X $424.31 .$
X X $424.31 $
4. SANITARY SEWER-MWMC
NO. OF PFU'S 0 x $15.125 PER PFU + $10 MWMC ADM FEE $ ~
'(Use PFU Total From Item 2 Above) ,
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ~.t\.
TOTAL-MWMC SDC ~
"t-.. ..,., --'f~
SUBTOTAL (ADD ITEMS 1, 2,3 & 4) $ '2.'-1 b 4'1 -
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ ~LJe... f /zz/q~
(J , i(ip Burdick / /
SDC Coordinator ~q:;r //1Y't
~'''Z-''\2.~
~
TOTAL SDC $ -z. (,,08"1 bj:
~t#/ ?.o 'Y~'11Y /~/"'~"'-'~~
,&yY4~ !bE /~C>$?- GY
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