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HomeMy WebLinkAboutPermit Building 1995-7-13 COMMER~IALIINDUSTRIAL. SPRINGFIELD -JOB NUMBER l{~(\~~ ~ PERMIT APPLICATION ~ INSPECTION LINE: 726.3769 225 Fifth Street, Springfield, Oregon 97477 ~ OFFICE: 726.3759 W~"ON 0'"'0"'" ~;" q f q , rw to ~() 0 ~ [r ASSESSORS MAP: 10 0- ~ 1 ~ , TA(LOT I j OWNE' . 0 1. 'm f) , PHONE.::::z:3:1o.~4"t4 ADDRES~' 5 l l~ \i~ f ~,,\ Jl Q ~ful . CITY: ~=-- \ lD..l':lq: 'of cjJ \\ STATE: . 0 ~ ()Yl) ZIP: Cjr l5!.F J. DESCRIPTION OF WORK: ,-,)/1 p j L - ( j-\l rv IJ- #. C) NEW v' REMODEL ADDITION DEMOL~' OTHER ~ NAME1~ ARCHITECT: 5\JJ 0 ~ cn \ !+ CONTRACTOR'S NAME GENERAl' 'PLUMBIN'" MECHANICA' . ELECTRICAl' I PLUMBING I NO, Single Fixture 1 Relocated Bldg. (new fix. addtll I ...... Water Service \~~ft. I ".. Sanitary Sewer .^. i'Z,~(t. I Storm Sewer '__l.,-,-~. v \ 37 "fift. '" ',I__~~ ,....-.-.-------- Backflow D'evice : L.. ._~-- A., , L, -- TOTAL PERMIT QUAD AREA:J_IJ't)u ) \ . OF BLDGS' OCCY GROUP' . OF STORIEF' SQ. FTG MAIN SQ. FT. I .' 140>26 ) VALUE: I. cOM \~DSEY~ {j 'I? P-H ad ~'!jE<-9f1S~ CONST. J ADDRESS ' CONTRACTOR' EXPIRES I FEE CHARGE i I 1 (,j;:'; I '7 ' I,' ;,70~-j 1 r- -0-'.', ': 7~,_{ /~ i 10' -'~- ~-~"'./ --'-..Jc....-. 1 1 I ,1,~u>JI PHONE " MECHANICAL J ('HARGj I I 1 J I I 1 I 1 $10.00 J I Nn r:a:1= F~urnacelburner & vent < 100.000 BTUs Furnace/burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap, cooler Vent Fan/Single duct Vent System apart, from AC or htg, 1 Mechanical exhaust , hood and duct 1 ' Permit Issuance TOTAL PERMIT - OFFICE)!'Sk LAND USE:' S,Qy VJ' I PLUMBING 5% State ,'""'.5 Surcharqe . r3 FENCE ~...."..... VALUE $ ,;1~. , ' 1 SIDEWAL~,? FT. I' I CURBCU~ FT. I ~ . -I', . OF UNITS: CONSTR. TYpo. HEAT SOURCF' ( \ I '. r- , J. ..; I $/SQ,,];T. X HANDICAP ACCESS' FLOOD PLAIN' ZONING: ~I T_ LIGHTING POWER BUDGET: WATER HEATER' I) " '/ ,.-' o- J 'r!Jq~A~UE -.'. = {()(Pf{J .. ~ ~/~ /2$ SQ. FTG ACCESf' X SQ. FTG OTHER ~~2..r;6 ~~~",:, ,-5:.~ /A,,~. -, . ~ , ".. = rIB~D1't/ ~;9~?> . ' ., ,. J" TOTAL VALUE OF PROJECL 5~ /25" - . ...- L I PLAN CHECK F~ ~ Q-~) ~PT~:Z+' ~Cr{J1 () BY 1 BUILDING PERMIT 15% State Surcharae 1 MECHANICAL 15% State . -~ " Surcharae' I PAVING 1"28.-e. "r6, yo 2?~o/ 8'/?,2> ,. .... " ~ ~ ...... -, ~.. "', " ~ i:2~,~G> I DEMOLITION \ /1 : .. -- I "I "" .66)" , -r."...c_ . v~..- ,-... -, -"""- . - -?-=?' -:2PI SUBTOTAL _~... / '7;;>.... PERMITS" -:;z?- 3> 15m~~~MENT >.. .J < 'l:l , I 1 ~ I 'l( ~'2/CY,791 ~ I ~bO~~~ ..i_. .... .' :,:;", \: TOTAL PERMIT-FEES EXCLUDING ELECTRICAl '<5'669:0 'I . REQUIRED INSPECTIONS Y.. . It is the responsibility of the permit holder to see that altlnspectlons are made at the proper time. To requ~st an Inspection, call 726-3769 (recorder), state your City designated job number, job address, type of inspection requested and w~en you will be ready for inspection. Requests received before 7:00 a.m. wilt 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. y UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is ,covered. I FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. N' . 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 Installation of floor insulatton, 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 verticals In accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS )i. FIREPLACE: Prior to placing facing materials and before framing Inspection. FRAMING: To be made after Ihe 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. /' PAVING: After gravel Is In place but prior to placing as phalt or concrete. ;( 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. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special Inspector shali be employed by the Owner! Contractor during construction of rhe following work. A copy of the special testing reports shall be furnished to the Building Division. )( STRUCTURAL CONCRETE: In excess of 2500'P.S.1. (306 a.1) FIRE & SEPARATION WALL: Located and constructed according to plans. x 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 applled,or,before gypsum board joints and fasteners are tape~d:and. finished. y STRUCTURAL WELDS: Performed on the job. (2722 f) IX , , ,,"'- , ' HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: UB.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) K ; GLU,LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. .~T9S. 25,10,11). . < STRUCTURAL MASONRY: (306 ...7), "~~?' /P~fg:.r~" o!, SIDEWALK & DRIVEWAY: Required for all concrete . paving within street right of way. to be made after all excavatlng complete and form work and sub-base material In place. y 'I CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ~ ,- \,-_..,... ,.,'\ '.l .1' f ~"; j 'In addition to the inspec, . tlons specified, the Building Official may make or require other Inspectlons of any construction work to ensure compliance with the Building, City or Development Code. ------------------------------(~,~~.--------------------- It FINAL PLUMBING Y SITE PLAN REVIEW BOARD: Must be requested 2 days In advance of the date you wish Inspection. All project condltlons such as landscaping, parking lot striping, etc. must be completed before FINAL ELECTRICAL requesting this Inspection. y FINAL MECHANICAL . , l... ,'. ~ 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. ." .~ ~ . - . 'Z' (.. '.~:RECEIPT #. . ->. -" . ~, AMOUNT RECEIVED: Y/5;.e::> y /~"7~ ,. r1' FINAL FIRE DEPARTMENT ~~TION{]L 9l-MME~TS: U', i\ · ~wJ~_;P-115'Q3 :D_~~. v. YI) f\~O'f \1\ > rlll~l~ \\Ot'\1 \,;A+T: 40~~Q..... : ~\\t\Q~(\~ \Q.r{\}f ~ :, 'PL~'NSREVIEWED By.fi~.t~..;i' DATE '~y??~9-S- . / /7 ,~ .pv, ?-II-e:z;:;" { - 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 w k described herein, and that NO'OCCUPANCY will be made of any structure without permiSSion of the Building Safety Dlvlslo . I rther certify that only contractors and employees who are in compliance with ORS 701.055 will"'b~:-u~~~:on this project. . ." ..... ~ . , . I further agree to ensure that all required inspections are r the roper time, that profect address Is readable from the street, that the permit card is located at the'fro~t'-" an e approved set of plans~wlll remain on the site at all ti.;~~ :~~~,,~onstructlo~ -~ ---' Date /" p~~ , s:gnat~r.p: .', ~ .__ ~ "". _ _/ /' ' ~~ RECEIVED BY: r' / ~....--...- /,tV VAll DATIO r:J: DATE PAID: -. .OB NO~ 9"'50 '52.. ~ AlTACHMENT B2 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (PROFESSIONAL OFFICES & INDUSTRIAL) NAME OR COMPANY: S,--(c..A t--.l ~ L.DR.? " LOCATION: "'I \C{ T\..I,.-E=-.I<..I.1A--nnI.lAL WAY 110~I'?oO - 0\111 OEVELOPMENTTYPE: 'SL..'I. - TUOu':'-rR.IAL St-\EL..L -\?LX>c.-l=t:5 BUILDING SIZE: \l?,ooo -S&. F-T. 1. STORM ORAINAGF IMPERVIOUS SQ. FT. x 0.5 x ~~~~ lOT SIZE SQ. Ft. X $0.209 PER SQ, FT~~C>'?) ........ --- 2. SANIT.l\RY SF\.!FR-r.TTY..-ro ~E Pto.'ise-MINED ~ICR. \b Oc.c..uf'Ar-J.c..y ((' ') ~ NO. OF PFU'S x 0.5 X (See Reverse) X $43.26 PER PFU 3. TRANSPnRU.TrOil -'\0 1:::>f:. 1)f::'T~ lNeE->> ?R.IO'R It> 6u:.\.lI"A-r-.!c( 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. SlIlillARY SF\.!FR-~lb1tl( -10 '\?Eo VEo'i EP-M I f...lE.P 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) $ ??:>9D'~ 5, AOMTNTSTRATTVF Ft[S BASE CHARGE (SUBTOTAL ABOVE) X ,05 ~G:.9?4.:) ......... ------- ~~.,-~~ '-'.1 ---. ...~. . .-. SDC Coordinator Date: 4hs /4S 2~ . 'IQIAI snc $ ??G:.o - B2,SDC