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HomeMy WebLinkAboutPermit Building 1995-7-13 COMMERCIAL/INDUSTRIAL. SPRINGFIELD PERMIT APPLICATION L~ 225 Fifth Street, Springfield, Oregon 97477 ......~ LOCATION OF PROPO/,ED WORK: gOC\ ,\~ 0 (\\{)110Y'0 0 \).X.&l..J) ASSESSORS MAP' \l')ry~\ <:=:rlj . TAX LOT: D \ 111(\ - - - OWNER:Q\ \(\(\ 'f\ \f\ ('\t~ ~ PHONE ",q-ln.K~ ADDRES~ (~Pj\{) ~ \ ~~ \J n I I \ \ \ Q H _) 'c{,cL0Q ~ r. CITY: ,_"\.1\ i -~~O O[j ~TATE: \~)~o.f\~ ZIP: Y.l4iJ DESCRIPTION OF WORK: ~ I)'vu ~ Q . \ l-\\ rtrv:~.'\- '. NEW ......... REMODEL ADDITION DEMOL~~ OTHER VALUE: 9Z-POl55 . ;I:I.....z JOB NUMBER q ~)5(X() INSPECTION LINE: 726.3769 OFFICE: 726.3759 (' .' . - - --'-, NAME ARCHITECT: It\ n'l~+ , ADDRESS 01~ ~Lt) I?tAue f2linrrl CONST. I ADDRESS C9NTRACTOR . EXPIRES PHONE ~22Jlr;,c.::J. CONTRACTOR'S NAME GENERAL: )I~6/f P~/7~ . . PLUMBING' JR.T ~r MECHANICA' . ELECTRICAl. j 13 G'L~. PHONE I I NO I I i . , I I I 1" I Backflow Device I qo I FI71Z ~.-</c- - I I '\" I I I I TOTAL PERMIT PLUMBING MECHANICAL J FEE r:HARn~ Nn e,EL _CHARGj I . Furnace/ burner & vent < 100,000 BTUs I Furnace/burner & vent I > 100.000 BTUs 16.&. ""'I Floor furnace and vent 1 -5"-5.'<>-1 Suspended wall or floor I mounted unit healer 17"5. ""1 Appliance Vent I separate /c). =s.1 Statlonary evap. I cooler 'n? "';-1 Vent Fan/Single I duCI I Vent System apart I from AC or hlg. I Mechanical exhaust I hood and duCI I I I Permit Issuance $10,00 I I TOTAL PERMIT I Single Fixture Relocated Bldg. Inew fix. addll) Water Service 2i?~ft. Sanitary Sewer , '2.// It. Storm Sewer _ _ ~ - ---, (~L)It. , " OUAD AREAJ IfDl 1') i - OFFI~ Urf ? LAND USE: ...s~ HANDICAP ACCESS: . OF BLDG'" . OF UNITS' FLOOD PLAIN' ZONING: ~ L L (' OCCY GROUP: CONSTR. TYPF' LIGHTING POWER BUDGET: . OF STORIES: HEAT SOURce. WATER HEATER' SO. FTG MAl N SO. FT. ffi 1)A.~ ) - $/SO. FT. --c<\ '\ ~A.~UE -"- , p~~ . I e:?3~B7,5: .. ; . ~ -'I." I I SO. FTG ACCES" X X X SO. FTG. OTHER ""- TOTAL VALUE OF PROJECTi ??!;&"7;;-, , l .. - I DATE':~.:Y' [) .q:=) BY bJ \['(;;;. _ ) .. , ~~/~~ FY..} \9J.2 ~....RCPT' ~?9J I BUILDING PERMIT 15% Slate SurcharQe I MECHA'NICAL I' 5% State Surcharoe I PAVING 13-7'7/.456 10 7....."" """,. d'::2. , PLUMBING t.j I c>. 0,:7 , DEMOLITION I -=?~. X? ~)'YAY~ X'r1P /7. ?~?tii'y~ ~ 4!//. ~ ~ ~ 5% Slate Surcharge I FENCE VAlliE ~ SID-€WALK CURBCUT FT. FT. I SUBTOTAL PERMITS I SYSTEMS DEVElOPMENT I J9~S' /21 ~ ~B2.14~~I~j " ...... . -, -> ....- - . "'..:. . ;. , I ... ... , '. 'T6TA~ PERi.m'FEEs EXCLUDING ELECTRlr^' /~ 2&/ 32. . 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 mad~ 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. )I 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 ,cove.red. ATTIC DRAFT STOPS & CURTAIN WALLS I 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 framln'g Inspection. 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. 'I )l x 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. 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. x 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 Installation of floor Insulation, decking or floor sheathing. )I 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. 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. 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. MASON RY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILING: PrlDr to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. PAVING: After gravel Is In place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: In accordance Section 30.6 of the State Specialty Code a special Inspector shall be employed by the Owner/ Contractor during construction of fhe following work. A copy of the special testing reports shall be furnished to the Building DlvlslDn. x STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) x STRUCTURAL WELDS: Performed on the job. (2722 f) HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a,6) SPRAYED ON FIREPROOFlt,j'G: U.B.C. Standards 43.8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) x 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). STRUCTURAL MASONRY: (306 a.7) . f~rY-,~-P~~ 'In addition to the Inspec, tlons specified, the Building Official may make or require other Inspections of any construction work to ensure cDmpllance with the Building, City or Development Code. / / :Y 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 BUILDING: Requested after the final plumbing, electrical, mechanical and Fire Department Inspections are made and approved. No occupancy of the premises can be I}lade until a Certificate of Occupancy has been Issued by the Building Division and posted on the premises. FINAL PLUMBING FINAL ELECTRICAL )( FINAL MECHANICAL v FINAL FIRE DEPARTMENT , ~T0;t q~~0~. ()5? _~ ~\flll(\O.!( 'J\~~. ) \ \0 ~,U ~~~:\ D\',d,Q 9> t~rf\f\,^6lC l'o Tn ~1 \C-\f){) / ~ PLANS REVIEWED BY ~~~ ~~ DATE./!-~. ~'2':. < /. ~ -'l/'2v ?-/I"~"'7S-- . . v 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 01 the City of Springfield, and the Laws Df the State of Oregon pertaining to the work described here'ln, and'that NO OCCU'PAt--ICY 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 ens.ure 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 times during construction. Signaturo " " . VALIDATION: AMOUNT RECEIVED: _/,C?,~./.: '"'S":;:> RECEIPT ': /fi' ~ - - DatI" DATE PAID' RECEIVED BY' ?-v7~ /4"__..." ._" ~ -/JY . .OB NO.. q~o?o (0 ATTACHMENT B2 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (PROFESSIONAL OFFICES & INDUSTRIAL) NAME OR COMPANY: 7--(CAI--l -e. C-o~-p LOCATION: "'109 "I.I-.l'lf.:-g.t-J.A-IIOr-lAL WAY \"lo'?\l?oo -Ollll DEVELOPMENT TYPE: ?L ,_ - T->-IOU~'IP-\I>.-L ~E:LL - -:'!SLDb *' 4 LOT SIZE SQ. Ft. X $0.209 PER SQ. FTc;1e,e,6'?) '- --- 2. SANITARY SF\.!FR-r.TTY -10 Be Pe,E.\1...M\t-.leb <\.1L1012- To O<:c.oPA-t-..lc.." 0-) ~ NO. OF PFU'S x 0.5 X (See Reverse) X $43.26 PER PFU 3. TRANSffi[[ATlniJ--To "OE:. 'Dc:.,~IV\It-..1l":D f'~\OR To De.c...Uf'Al-tc..y 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. Sl\t:llIARY SF\.!FR -~1\itlC - T c> "'b.E: 'DE..IE:.l2J\t)\ N.r.!) 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) TOTAl -MWMr. snr. $ ~-) '-- .-/ . ,(., SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $ 1'6<60 - 5. ADMINISTRATIVE FFES BASE CHARGE (SUBTOTAL ABOVE) X .. 05 s6C-Coordi~~tor-' ~ ?94-o1) '-- ---- Date: 4/-zsJQr:; ~o . MAl snr. $ 5:2..,4-- L.._'l3 .. L J... ~'-~:'-- B2.SDC