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