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Home My WebLink AboutPermit Building 1999-10-18CO M M ERCIAL/I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97471 SPRTNGFIELc, JoB NUMBE " ?zzz=e INSPECTION LINE: 726.3769 OFFICE:726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP:/?6V-25-7/ rAX Lor: € STATE:ZIP: e, %z-7-77OWNER ADDBESS: CITY: "NEW X REMoDEL ADDrroN DEMoLISH orHER VALUE:% DESCRIPTION OF WORK: ELECIRICAL: NAME ADDRESS PHONf EXPIRES PHONEADDRESSCONTRACTOR'S NAME ARCHITECT: MECHANICA CONST, CONTRACTOR ' GENERAL: PLUMBING NO.FEE CHARGE Single Fixture Relocated Bldg. {new flx. addtl) Water Servlce ft. Sanltary Sewer ft. Storm Sewer ft. Backflow Devlce TOTAL PERMIT NA FFF t1HAAGF Furnace/burner & vent <100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap. cool er Vent FaniSingle duct Vent f rom System apart AC or htg. 2 Mechanical exhaust hood and duct /-z q.e (//4Ab 6 a4> Permlt lssuance $10.00 TOTAL PERMIT /-q;4 - OFFICE USE - LAND USE: ZONINGI OF UNITS: HANDICAP ACCESS: LIGHTING POWER BUDGET:OCCY GROUP: r OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: VALUESQ. FT.$/SQ. FT. TOTAL VALUE OF PROJ x x x SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER ?.?fPLAN CHECK FEE RCPT'OATE BY 72zf, BUILDING PERMIT PLUMBING DEMOLITION 5% State Surcharoe 5% State Surcharoeffiw/E:*FENCE VALUE S - 5To State " t Surcharee :7?SIDEWALK FT, SUBTOTAL PERMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL --a ?-> FLOOD PLAIN: WATER HEATER: REQUIRED INSPECTIONS It ls the responslblllty of the permlt holder to see that all lnspectlons are made at the proper time. To request an inspectlon, call 726.3769 (recorder), state your City designated iob number, Iob address, type of inspection requested and when you will be ready for lnspectlon. Requests received before 7:00 a.m. will be made the same working day, requests made af ter 7:OO a.m. wlll be made the following work day. SITE INSPECTIoN: To be X RouGH PLUMBING, PAVING: After gravel is ln made after excavation, but ' EIEBICf,!& place but prlor to placlng prlor to setup of forms. <VI'ECHANICABNo work is to asphalt or concrete.ffif,flpr,tiNorivork is to asphalt or conr UNDERSLAB PLUMBING, inspectlons have been made SPECIAL INSPECTIONS: ln accordance ELECTRICAL & and approved. Section 306 of the State Specialty Code MECHANICAL: To be made a special lnspector shall be employed before any work ls covered. ATTIC DRAFT STOPS & Oy ine Ownei/ Contractor durin!CURTAIN WALLS construction of the following w6rk. A FOOTINGS & FOUNDATTONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prlor to placing be iurnished io the Bulldiig Divlslon. excavated and lorms are faclng materlals and before erected, all steel ln place, but framlng lnspectlon' srRUcruRAL CoNCRETE: lnprlor lo placlng concrete. FRAMING: To be made after excess of 2500 P.s.l. (306 a.1) coNcRETE SLAB: To be the roof, all framlng, fire made afrer ail rnsrab buirding 3lr5',:H.":ff Bl'3:Ir;,xj:r" 8ll3,.Hyf3"t H5t,"to?irrn uservlco egulpment, condult, and vents are'complete andplping, accessorles and other incrrriry equipment rtems are :??H:?[j]igl:,'J'j#[il?: Bl?:f],l[]nolf",?io'l|lX^oln place but before any tighte-nlng operations. (306concrete ls placed' INSULATIoN & vApoR a.6) BARRIER: To be made after allUNDERGROUND: Plumblng, lnsulatlon and required vapor SpRAyED ONelectrlcal, gas, sanltary sewer, barrlers are ln place but FIREpROOFING: U.BC.storm sewer, water and before any lath or gypsum Standards 43-g.dralnage llnes. To be made board lnterlor walliovering lsprlor to coverlng or filllng applled, - obE^,A, Ah^,trenches. eFr.!vv. SPECIAL GRADING, ,NDERFL..R: prumbrns [:::,S"":'f;m'J3[gt"' El:,flEill":li:dJ::],"t electrlcal, mechanlcal. To be according to plans. Chapter 29) made prlor to lnstallation of floor lnsulatlon, decking or LATH ANDTOR GYPSUM GLU'LAM BEAMS: lnspectlon floor sheathlng. - BOARD: To be made after all Certiflcate by an approved lathlng and gypsum board, agency' furnlshed to.the Clty's pOST & BEAM: To be made lnterlor and 6xierlor, ls ln ' Bulldlng Dlvlslon before prlor to lnstallatlon of floor place but before any 99q-s are placed. (2501 U.BC. lnsulatlon, decklng or floor ilasterlng ls appliei or before STDS. 25'10,11). sheathlng. - Sypsum board Jolnts and fasteners are taped and STRUCTURAL MASONRY: (906 FLOOR |NSULAT]oN & flnlshed' a'71 VAPOR BARRIERS: To be made prlor to lnstallatlon of decklng or floor sheathlng. MASONRY: Steel location, bond beams groutlng or vertlcals ln accordance with uBc 2415. ROOF SHEATH]NG AND NAILING: Prlor to lnstalllng any roof coverlng, S]DEWALK & DRIVEWAY: Requlred for all concrete paving wlthln street right of way, to be made after all excavatlng complete and form work and sub-base material in place. CURB AND APPROACH APRONS: After forms are erected but prlor to placlng concrete. 'ln addltion to the lnspec- tlons speclfled, the Bulldlng Offlclal may make or requlre other lnspections of any constructlon work to ensure compllance wlth the Bulldlng, Clty or Development Code. FINAL PLUMBING FlNAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days ln advanceof the date you wlsh lnspection. All project condltloni such aslandscaplng, parklng lot striping, etc. must be completed beforerequestlng thls lnspection. FINAL BUILDING: Requested after the flnal plumblng, electrlcal,mechanlcal and Flre Department lnspectlons are made andapproved. No occupancy of the premises can be made untll acertlflcate.of occupancy has been issued by the Bullding Dlvlslonand posted on the premises. ADDITIONAL COMMENTS: PLANS REVIEWED BY D^rE./?79€7' By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby cerilfy that all lnformatlonhereln is true and correct, and I f urther certify that any and all work performed shall be done ln accordance wlth the Ordlnancesof the Clty of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work described hereln, and that No OCCUPANCYwlll be made of any structure wlthout permlssion of the Bulldlng Safety Dlvlslon. I further ceril fy that only contractors and employeeswho are ln compllance wlth oRS 7o1.oss wiil be used on this project. I further agree to ensure that all requlred inspections are requested at the proper tlme, that project address ls readable from lhestreet, that the permlt card ls located at the front of the property, and the approved set of plans wlll remaln on the slte at ailtimes durlng Slgnat Date AMOUNT RECEIVED:DArE PAID: /27?2a- 'VALIDATION: ct RECEIPT *:RECEIVED BY: SPRINGFIEL() };,19,'gr*x;:j:* ff;:J$lii i:, : :1 i ;,, U225 FIWE STREET SPRINGFTELD, OREGON INSPECTTON REQTIEST:OFFICE: 726-3759 ON OP 97 47 ->)-bo.4 7264&X6&edStgnaure.Nr^ 3 ELECIRICAI PERHIT APP LICATION I 1q l/4ola INSTALLATIquK 6 A. COHPLETE FEE SCMDULE BELOV New Residential-Single orMul-ti-Family per avelling unit.Service Included:i-7 ON-)c5a-:> oO Pa rfQh,rct^1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf,d Home, or - Modular Dvelling Service or Feeder Services or FeedersInstallation, Alterationsor Relocation: Items Cos t Sum s 8s.00 s 15.00 $ 40.00 Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for1B0 days. 2. CONTRACTOR INSTAII.ATION ONLY Electrical con tractorCRoqJ u"'r( (< eddress PC.*>?o/200 amps or less 201 amps to 400 amps - 401 amps to 600 amps - 601 amps tor1000 amps-over 1000 amps/volts - Reconnect Only B. S/'Jn. t eLt <7rlod C. 00 00 00 00 00 00 S so. S 60. s100. s130. s300 $40 Ci ty vr.4 Phone Supervisor License Number 3%dV"S Expiration Date 5 Constr Contr. Number ?57fO Expiration Date Signature of Su pervising EIec trician(g Temporary Services or Feeders Install-ation, Alteration or Relocation 200 amps"or less $ 40.00 201 amps to 400 amps - S 55.00 over 40L to 600 amps - $ e0.00' -0ver 600 amps or 1000 voITs see ttgtr uffi!- Branch Circuits (, ovners 1r"*ep/i"r Nu<rg B'.rtr( ct ,rll^ Address 9'.< ci ty-Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: Nev, Alteration or Extension Per Panel one circuit / S 35.00 :'' 5 E Each AdditionalCircuit or with Service or Feeder Permi t q S Miscellaneous ( Service/feeder -Each installation Pump or irrigation $ Sign/0ut1ine Lighting- S Limited Energy/Res - SLimited Energy/Comm $ SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAI {D ' --1\.a Ltl2.00 i not included) 40.00 40.00 20.00 t' ,^'L iSDATE->'--3o-y5^2 RECETVED B 5 1 fcu r (a ( COMM ERCIAL/I N DUSTRIAL PERMTT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 sP'lrl{GFTELO JOB NUMBER ?zlzft INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK: ASSESSOFIS MAP:TAX LOT M STATE:ztP:e,3 PHON E:?qz-?>3/ CITY: ADDRESS: OWNER: NEW ^ REMODEL ADDIT|ON DEMOLTSH OTHER VALUE: DESCRIPTION OF WORK: ARCHITECT: CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE GENERAL: PLUMBING: ELECTRICAL: NAME ADDRESS PHON E MECHANICAL: PLUMBING NO.FEE CHARGE Single Fixture Relocated Bldg (new fix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT 6 r 1* -'2.a n ng e f rom or p ance Floor furnace and vent hood and duct nary evap. cooler duct em Permit lssuance TOTAL PERMIT $10.00 O6 Fu rnace / bu rner & vent <1 Furnace/burner & vent >1 BTUS orspend mounted unit heater LAND USE: ZONING* OF UNITS: HANDICAP ACCESS: FLOOD PLAIN: LIGHTING POWER BUDGET: WATER HEATER: _ OFFICE USEu OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SO. FT,VALUE TOTAL VALUE OF PROJ X x x SO. FTG MAIN SO. FTG ACCESS SQ, FTG OTHER RCPT#PLAN CHECK FEE DATE BY tVzrts ?a# Abr/8=e*a-€r / - t - ii/ rt /-;, ZbF; fur,bA 6zr= acV47=,. DEMOLITION /+.3 -a FT. FT. BUILDING PERMIT BTOTAL PLUMBING CURBCUT 5% State SIDEWALK E o 5% State PAVING 5% State e TOTAL PERMIT FEES EXCLUDING ELECTRICAL SYSTEMS DEVELOPMENT /?-D1e. REOUIRED INSPECTIONS It is the responsibility of the permit holder to see that all inspectlons are made at the proper time. To request an inspection, call 126.3769 (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. stTE INSPECTION: To be ,u ROUGH PLUMBING, PAVING: After gravel is in made after excavation, but ELECTRICAL & ' place but prlor to placlng prior to setup of forms. 4@4@No work is to asphalt or concrete.-Ee aEliffitfuntil these UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance ELECTRICAL & and approved. section 306 0f the state specialty code MECHANICAL: To be made a special inspector shall be employed before any work ls covered. ATTIC DRAFT STOPS & Oy ine Ownei/ Contractor during . CURTAIN WALLS construction of the following work. A FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division. excavated and forms are faclng materials and before erected, ail steel in place, but framing lnspection' srRUcruRAL CoNCRETE: ln prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1) coNcRETE SLAB: To be the roof' all framlng' fire made arter ail insrab buirdins 3lf5'::.':fl 3,T:I?f,nl:r" B:Is..Tyf3"tH5tTirr22 o service equipment, conduit, and vents are'complete and :l'J'?,?;""?",1;il!? ?i:'.:'::J :X? H:Zglffil:fl'X;;[3:?: Bl?If],?E:nol*,?f*IHX"oin place but before any tighte-nlng operations. (306concrete is placed. INSULATION & VApOR a.6) BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.BC.storm sewer, water and before any lath or gypsum Standards 43-g.drainage lines. To be made board interlor wall covering lsprior to covering or fiiling appried. spEclAL GRADTNG,trenches. 4r.., ,NDERFL..R: p,umbins Y$r;s'"'"'fm'J3l:5"' if,fUtlii-tlP,5Jb'i}"t electrical, mechanical. To be according to plans. chapter 29) made prior to installation of floor insulation, decklng or LATH ANDTOR GYPSUM GLU'LAM BEAMS: lnspectlon floor sheathing. BOARD: To be made after all Certificate by an approved lathing and gypsum board, agency, furnished to the city's posr & BEAM: To be made interioJ and exierlor, ls in ' Building Divlsion before prior to installation of floor place but before any beams are placed' (2501 U'B.C' insulatlon, decklng or floor plasterlng ls applled or before STDS"25'10J1)' sheathing. ' qypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR TNSULATToN & flnished' a'71 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 coverlng. 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. -ln addition to the inspec. tions specified, the Bullding Officlal may make or require other lnspections of any construction work to ensure compliance with the Building, City or Development Code. By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all lnformation herefn is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordlnances of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Divlsion. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I furtheragree to ensure that all required inspections are requested at the propertime, that project address ls readable from the ard is located at the front of the property, and the approved set of plans wlll remaln on the site at all 7/,Signature Date street, that the rm times during VALIDATIO ,2-28AMOUNT RECEIVED RECEIPT *:BECEIVED BY: DATE PAID: FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT 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 requesting this inspectlon. FINAL BUILDING: Requested after the final plumbing, electrlcal, mechanlcal and Flre Department inspections are made and approved. No occupancy of the premises can be made until a Certiflcate of Occupancy has been issued by the Building Division and posted on the premises. ADDITIONAL COMMENTS: PLANS BEVIEWED sa17 2^2^a 7 ,Y 225 PTFTH STREET SPRTNGTIELD OREGON 97 INSPECTION REQIIBST: 7 OFFICE: 726-3759 Authori,zed LOCATION OF INSTALLATION 1660 Mohawk Blvd LEGAI DESCRIPTTON Church )?D3 2-9 )/ JOB DESCRIPTION Insrall se Ovners Name Twin Rivers Bapc 1 The lollowlng prolect es subrnfrled hs thc zoning, end do€e not requlre apecl{lc land !iPRtItlGFIELD uso ELE TRICAT PERHIT APPLICATION City Job Nunber Z Z SCMDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Serviee fncLuded:Items Cost 1000 sq.ft. or fess Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations O CAAA em A c Sum 2. COMRAC:TOR INSTALLATION ONLY Electrical Contractor Ince*.r."d E1 ".Eronl.or Relocation: Address 232 W. 5ch sYscems' t"?oo amps or ress Permits are non-transferable and expire if vork-is not started vithin L80 days of issuance or if vork is suspended for 180 days. Ci ty Eugene Phone 485 - t+45 6 Supervisor License Number 1528JLE Expiration Date L0lt le6 constr contr. Number 20-375cLE Expiration Date to/Lle4 ture sing Electrician Temporary Services or Feeders Installation, Alteration or Refocation 200 amps or less $ 40.00 ior .*i" to 4oo amps - $ 55.00 over 4b1 to 6oo amps - $ Bo.oo Over 600 amps or fbOO voTts see uB" a66vE- Branch Circuits Nev, Alteration or Extension Per Panel 201 amps to 400 amPS _ 401 amps to 600 amps _ 601 amps to 1000 amPs- Over 1000 amps/voIts Reconnect 0n1y One Circuit Each Additional Circuit or vith Service or Feeder Permit SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL B D. i s c Church $ s0.00 $ 60.00 $1oo.0o $130. 00 $300.00 $ 40.00 $ 3s.00 $ 2.00 Address 1660 Mohawk 81 Cily SPringfield Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended f or sale, l-ease or rent . Owners Signature: DATE: Miscellaneous ( Service/feeder -Each instalfation Pump or irrigation $ signzoutline Lighting- $ t iilited Energy/Res - $ Limited rnergy/comm --Z- $ E 5 not incl-uded) 40.00 40.00 20.00 36.00 @o -rtgg- ) -1611- CITY OF OREGON RECEIVED firo alnr a CO M M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 SPrlINGFIELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PFIOPOSED WORK lbbo Aoet+at.rr< Buyr\{4Lt N6F'r EcA ASSESSORS MAP: owNER: -fvt U Ptvf-Ds t34.+tl9t o*;rtce pHoNE: ztP, q14r11 ADDRESS CITY:3PQ1tlCnA)u.O STATE:rrlL t(obO p16l-t"*ra.,r[ i\vt0 NEW - REMoDEL Y ADDrrroN DEMoLTSH orHER AS[-D-odr 9ave CCI VALUE: ?7.oc'tl ^ D9-t r,€tNbDESCRIPTION OF WORK: MECHANICAL: ELECIRICAL: NAME ADDRESS PHONE ADDRESS EXPIRES PHONE OA ARCHITECT: CONTRACTOR'S NAME CONST. >" 2 coNTRACToR # G EN ERAL: 4+tUar.. ) PLUM BI NG PLUMBING NO.FEE CHARGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT M EC HAN ICAL NO FFF (:HA EIGF Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap. cool er Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE _ 5300 0.( - HANDICAP ACCESS * OF UNITS: LAND USE LIGHTING POWEB BUDGET: WATER HEATER FLOOD PLAIN ZONING CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: SQ. FT.$/SQ. FT.VALUE RCPT#BY TOTAL VALUE OF PROJ X X X PLAN cHEcK FEE / 3/,25 SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER BUILDING PERMIT PLU M BI NG DEMOLITION 570 State Surcharqe 5% State Surcharge MECHANICAL FENCE VALUE $ 5% State Su rcharqe SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT?2 a TOTAL PERMIT FEES EXCLUDING ELECTRICAL 1J ?t, ; *6 7t,,j 2S 3 / rAX Lor ASffi o^rE /2 -7 -2 3 *afl*4/a I V REQUIRED INSPECTIONS V 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:O0 a.m. will be made the following work day. SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in made after excavation, but ELECTRICAL & place but prior to placing prior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: tn accordance ELECTRICAL & and approved. Section 306 of the State Specialty Code MECHANICAL: To be made a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during CURTAIN WALLS construction of the following w6rk. A FOOTINGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division. excavated and forms are facing materials and before erected, all steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln prior to placing concrete. FRAMING: To be made after excess of 25oo P.S.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made after au insrab buirdins 3l::5::.':fl 3,T:It;,;;:r" ilIy'"J"',f3^t,Y5tT',rrr, , service equipment, conduit, and vents are'complete and :Hl3'i""".",:;H:? ?i:i:'5J :H';::li;ti51'iJ;[?:l: Bl?Xf],?E]nolX".1","11HX"0in place but before any tightening operations. (306 concrete is placed. TNSULATION & VApOR a.6) tU BARRIER: To be made after all ^ UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ONejEglsglllas, sanitary sewer, barriers are in place but FIREPROOFING: U.B.C.ffiffi1ft3i1"0" B::?:',:iJ,,';J1"3i',n"'J#,Tn," Standards 43.8 prior to covering or f illing apptied. SPECIAL GRADING,trenches. ,NDERFL.oR: p,umbing il::,S""="'f;m'J3[[]"' il;iJ!'iii-til:,5Jb'l],"1 electrical, mechanical. To be according to plans. chapter 29) made prior to installation of floor insulation, decking or LATH ANDTOR GYPSUM GLU'LAM BEAMS: lnspection floor sheathing. BOARD: To be made after all Certificate by an approved Iathing and gypsum board, agency' furnished to the city's posr & BEAM: To be made interior and exierior, is in Building Division before prior to installation of floor place but before any beams are placed' (2501 u'Bc' insulatlon, decking or floor plastering is applied or before STDS' 25-10'11)' snedurrtg. gypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR TNSULATToN & finished' a'7\ VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MI\SONRY: Steel location, bond beams grouting or verticals in accordance with u3c 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. 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. CURB AND APPROACH APRONS: After forms are erected but prior to Placing concrete. *ln addition to the inspec- tions specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information herein ls 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 Springf ield, 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 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 located at the front of the property, and the approved set of plans will remain on the site at all times during construction. l>-/4 43DateSignature 7 ,lrz4 eLL VALIDATION AMOUNT RECEIVED: RECEIPT *:RECEIVED BY: DATE PAID: FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT AD TIONAL COMMENTS: 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 stri pi ng, 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 made until a Certificate of Occupancy has been issued by the Building Division and posted premises PLANS REVIEWED BY o^rE /2-+*' REgIDENTIAL - COTANERCIAL SIDEIIJALK / CURrcUl APPL ICATIOI.I / PER|IIT SPFI!NGFIELD 225 NORTI-{ FIFTI] gTREET gPRlhlGFIELD, OREGOI I 314'l'1 ENG INEERING D IVI9IOI.i ffitcE No. 126-)1>3 IN9PECTION LINE' 126-3169 h, JOB ADDRE9S;60 A95E95OR9 HAP NO./') - O3 - 2s'3 ( rAxLorNo'{8oo gJBDIVI9ION, orr.hiER, TIU t ,"t {ZrqqtJ BqlVsf aq2pz{/ ADDRE99, aa A=-PHONE NO. RECEIPT NO: CA* CHECK TL>*& * CHECKED FOR DEL ING'JENCIEg 9IGNED' DAiE, La3aT UIOFK DE9CRlPflCtl, sTDETuaLK; Y cuRB grDE - sETBA6K _ cuRts-cur: X- REgrDEr.irrAL - col-jr-lERrcAL - g=COND DRI\EIIAY ( 5EE TRAFIC ) eaJl€9 AFPLICATION FoR A 9ECOND DRI\6IIJAY(T-4.1a) oR A COTJNTY APPLICATIoN FoR FACILITY PERIIT (C 9b-2oi) IF IN TI{= U65. DATE tr APFLICATION 3o 3 oiLt,iER + CoN;RACTOR '''oE- (*tr_OtSU CONTRAC;OR REGrgrRATron *o.* ADD, ,55 PHONE: PROCEDUFE FoR fNgPECTlohl RE@tlE9T' CALL 12b.3169 (R=CORDER ) STATE YOUR CITY D=SIGNAT=D JO3 N'.JI.13=R, JO7 ADDRE9S,TYP= cFN9PECTION REAUE9TED AlD IIHEN YOU II]ILL B= R=A>Y FOR INSPECTICT,{, c:c>NTRACTclRg OR Ou}l=Rg NAY= ANDPHoN= NI.HBER REaUE9TS RECEIVED ts=FoRE 1,oo 41 ulLL BE IIADE i]-1= 94J'1= DAy, REaUES;9 -:-1-=R.TooAI'1 IIJILL BE I,1ADE TI-]E NEXT IIORKING DAY QZt zct^EXIgTII.IG BUILD ING PEFA-1IT No. ( lF l-^=t = l *'YOUR CITY DE'IGNATED 'O- XO. 'SfgEE 30d. X SIDEIUAL< / DRIVEuJAY FOR A].L CONCRETE PAVING IUITi-JIN THE STREET R,IGIT OF IIJAY, TO 3E I1ADE AFTER ALL EXCAVATING 19 COI1PLETE A{D FOB1 UJOFa< AND 5UB-BAgE I1ATERIAL 15 IN PLACE X cU@ / APPROACH APROI'JI AilER FORI,1g AE ERECTED BUT PRIOR TO POURNG CONCRETE. FEE9: gIDEUJALK5 ?o'x, t54 + l3 loOO TOTA PERIIIT FEE: g1o.oo + rA.lb/LF.( X NF UJALK e lG#Z3ro cuRB-cuT |1O.oO+@)A/LF.(X) tlarR s CO|.II.IERICAL DRI\€II]AYg 9HALL HAVE 5'TO A'FLAIR93'. @" gTA{DARD UJALK X, ) 24 fe' I |.4A\€ CA,REFULLY EXA}1INED 'i.iIE COI"IPLETED APPLICATIO\] FOR PER.IIT, ;I{D DO |..{EREBY CERTIFY iH,lT ALLiNFO, IATION I-.IEREON 15 TRIJE AND CORR=CT, AND I FURTI-.{ER CERTIFY TI.,1AT ANY AND ALL U,oR< PERFO3,1=D9i-]ALL BE DONE IN ACCORDANCE I.,I,,ITH TI]E.ORDNANCES G TiIE CITY G SPRINGFIELD, AND THE LAI.IJS OF THEgTA.I.E OF OREGON PERTAINING TO THE IJORK DEgcRIsED HEREIII, AND .I.I".{AT xo bciueaNcY IIJILL BE I.1ADE# ANY STRLICTURE tlJlTi'louT FEtrilSglct'l oF THE BUILDING DlvlgloN. t ruerueaclFir;r lsar oNLy coNiRAcToRgAND El"lPLoYEEg ujllo ARE tN cotlpLlANcE rutrH oe<g loio>> uJrLL BE ugED oN ruis pRo;ecr. 9IGNED a.*--- DATE Dq -q3 REOU IRED IN9PECTIOI{S DATE:v lto lqt APPLICANT (PROPERTY OWNER) : ADDRESS 0F APPLICANT: tb6o APPLICATION FOR A SECOND DRIVEVAY -fla/r rr/ E-l L/GfLt BA/ilS f C Pvz?1,1 APPLICANT'S TELEPHONE NO. z 1A7->LO \ 141 -nLr{ (iqlr1-> .nc-rSc*-) l4l o t++.,rJlz- B uzlr - ADDRESS OF PROPERTY FOR 2ND DRIVEVAY: IQ,@O fid t++rnzla . BL./f\ The folloving conditions must be ansvered affirmatively in order for this application to be considered for approval: 1). Property is either a single family residence or duplex. YES_ N0 +- 2). The proposed drivevay vi11 take direct access from a minor street(not a collector or arterial street). YES N0 k 3)The drivevay vi1I have a minimum setback of 30 feet from the curb return of an intersection (for corner lots). YES X N0_. 4)The proposed drivevay (parking area) must have a minimum depth of 18 feet betveen the front property line and the garage, carport, fence or va1I, if any (identical to setback for garage). YES *-- N0_. s)The second drivevay must have direct access to a garage, carport, rear yard or the side yard vhere the vehicle, trailer or boat viI1 be stored. YES_ N0_. UA If the vehicle, trailer or boat is to be parked/stored in the sideyard, there must be a minimun setback of 5 feet betveen the store{ vehicle and the side property line. This setback is for fire ' fighting access.and to comply vith the intent of the zoning code. Setback satisfied? \ES d N0_. The proposed parking/sto-rage area must not create a vision obstruction to adjacent property drivevays or to any vehicular movement on a public street. Satisfied? YES.f N0 6). 7). This application sha11 include an I l/2'r x 11rr draving shoving existing drivevays, and the proposed drivevay. Please include dimensions, and measurements to road intersections and/or bordering drivevays. A11 applications outside the city limits of Springfield that are within the Urban Grovth Boundary require a Lane County permit. Applicant hereby agrees to install the requested drivevay to City of Springfield standards. The apf,licant further agrees [o have 6" of concrete in the sidevalk area adjacent to tire proposed drivevay and further agrees to pave the area behind ihe back edge bf the sidevalk, or drivevay apron, adjacent to the drivevay vith a miiimum depth of 3r'of asphaltic concrete or vith a minimum J"ptt, of 6u of portland cement concrete. -The area behind the sidevalk shall be paved to the prbperty line or for a distance of 4 feet vhich ever is greater. The applicant agrees that if he/she does not pave the area behind the sidevalk vithin'30 days 6f cutting the curb opening, the City_of_springfield has the .rifi"rity of-close the dlivevay accels by the removal of the curb cut. AIl incurred costs shall be assumed Uy ttre applicant and if unpaid, said cost shall become a lien of the ProPerty. Vhen this application is approved by the 9i!V'__the applicant (p-roperty ovner) ,u"t oUt"in'i driver.y p"rrit from ttre puUlic llorks Department Engineering Division. PERMIT FEE 0n an improved street (existing curb): $I"O.OO plus $.15 per 1inea1 foot of curb cut' 0n an unimproved street (not curbed): $12'00 On currently unimproved streets that are under construction: $12.00. PROPERTY OIINER' S SIGNAT1IRE:fr*/ CZ* tuq lwtt Dtutuzr E(w-7?cr @) a b c 04EO-40&- sAtYT L aM4- DATE: I l -30 -n t 792 ->2t i f orr*orED BY: DATE: BUILDING PERMIT NO.: DATE: TRA 9-1 ATTACHMENT:City of Springfield Standard Draving No' 3-11 Dated 1.0/B/82 ffz/',l=qtZS6I S?brw{) 4ory55 CITY OF SPR"VGFIELD, OREGO'U SPRli.r.FlELO 225 ?TYIB SlTEBf, SPRTNGPIBLD, oREGoN 97477 INSPECTION RBOUBST: 726-3769 oPPICE: 126-3759 1. LOCATION OP INSTALI,ATION,/Zao r?o*y'tq7<tr>, I,EGAL DESCRIPTION/\O=-*7,-r dn54 JOB Pe ts are rans ra and exp lre lf uork is not started vlthin 180 days of lssuance or lf vork ls suspended for 180 days. 2. COI|TRACTOR INSTALI.ATION ONLY Address f,y')-5,7],n-r.y''". -zta' 4"2 Supervisor Licen:e Number /F7/ S Expi ration Date //i'- ?' 3 Constr Contr ,. Nunbet '7 .z t7/ Explratlon Date ,//- 7 3 of ing Electrlclan Owners Name Address Electrlcal Contraclor )n/r'Y iL.- c77t( Z-1 m ELB TRICAL PBRHIT APPLICATION city Job Nwaer ?z /25€ 3. COHPI.JTE TBB SCEEDTII.E BELOU A. New Resldential-Single or HuIti-FamiIy per dvelling unit. Service Included: I tems Cos t $ 8s.001000 sq.ft. or Iess nach additional 500 sq. ft or portion thereof Each Manuf'd Home or -Hodular Dwelling Servlce or Feeder $ 1s.00 $ 40.00 B Services or Feeders Installation, Alterations or Relocation: Sum I 200 amps or less Z 201 amps to 400 amps /401 amps to 600 amps 601 amps to 1000 amPs_ 0ver 1000 amps/vo1ts .1 Reconnect 0nIy 200 amps or less 201 amps to 400 amps -Over 401 to 600 amps Over 600 amps or 1000 voT[ Temporary Services or'Feeders Installatlon, Alteration or Relocation s s0.00 $ 60.00 $100.00 $130.00 s300.00 $ 40.00 % .aa@ c D E $ $ $sse 40.00 55.00 80.00 ,e xBrr aSoIE $q 7im vnone ?/6-7V/ OSNER INSTALI,ATION The lnstallatlon ls belrig made on property I own vhlch is not intended for sale, Iease or rent. Omers Signature: DATB: Br4nch, c-i rcu i rc R b r2a2.ffirSZft (,, (ffir,ffinsion Per Paner '0ne Circuit $ 35.00 Each AdditionalCircult or vith Service or Feeder Permlt - $ 2.00 Mlscellaneous (Servlce/feeder not included) -Each installatlon Pump or irrigation - Slgn/0utIine Lightlng- Limited Energy/Res SUBTOTAL OP ABOVB 5f State Surcharge TOTAL $ s s $ 40. 40. 00 00 00 00 20 a.a 5 # RBCBIVED 36 Clty Sr,?!r.-'4rt/cD thone ,7/A- S fft t- DATE FROM NUMBER D CAME TO SEE YOU u AREA CODE M3 .M,P O RETURNEDYOURCALL tr URGENT D TELEPHONED PHONE 8-u frnfrn %/a?'/s EXT SIGNED 225 FIFTE STRBET SPRTNGFTELD, oREGoN 97477 INSPBCTION REQUBSTz 726-3769 OFPICB: 726-3759 si rr* - 'IELD BIJCTRICAL PERHIT APPLICATION City Job Nunber %/a56 coxPl.rEE SCEEDT'LE BELOTI Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s. oo $ 40.00 AUIho CC )-lO-93 SJ:-- 1 OP INSTALI"ATION/VoHnn:( JOB a NEI,) permits are non-transferable and expire if vork is not started r.rithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY A B. Services or Feeders Installation, Alterations l2S<or Relocation: c Sum ON t )+ Electrical Contract", Jrlal 9z-r<- +( aaaress P( \ &{- r[S X city'.*AttlE8; phone€5e,-3blS. ,,X Supervisor License Number )C rxp:.ration Date, -+ constr contr. Number -Y Expiration Date 200 amps or less I 201 amps to 199 amps 7-401 amps to 600 amps 601 amps to 1000 amps_ Over 1.000 amps/voIts / Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps Over 600 amps or 1000 voTt s s0.00 s 60.00 s100.00 $130.00 $300.00 $ 40.00 /p-e:-@.e- @ $ $ $ 40 5s 80 00 .00 .00 + Signature of ing Electrician Ovners Name Address Ci ty Phone OVNER The installation is being made on property I ovn vhich is not intended for saIe, lease or rent. 0cners Signature: DATE: s see rrBrr a D Branch Circuitsft UrXDAT€ 7o Bg Pa,Waasgo AT Nev,Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2,00 B. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation sign/outline Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVB 5Z State Surcharge TOTAL -1.t $40 s40 $20 $36 00 00 00 00 -/3 RECBIVBD a 5 4 cffv oF 5l.t t I.'a (;l: lr: L u n'l:<l r' '- . " 'r' ' ". .' . .-,:,., ,..,,,,, 225 FIFTII STRIiIiT SPRINGFIELD, oREGoN 97477 f f INSPECTI0N RBQUBSTz 72-6-3769 S'- l-- *-air OFFfCE: 726-3759 n$* 1?-l b- ?a 1. LOCATION OI? INSTALLATION lLl,o [Mo*rhlK R LV A. ON JOB DESCRIPTION nlF-uj ClUk l+r"Tloil. Permits are non-transferable and expire if vork is not started vlthin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B Elcctrical Contractota A<ldr:css Z{ \^l< ci ry4UJilEE- Phone 83 &= -BJJD- Supervisor License Ntimber \zAD-b Expiration Date constr contr. Number Signature of Su ctrician ELBCTRICAL PERHIT APPLICATION Ci ty Job Number COHPI,BTB I'BB SCIIEDULE BELOU A. Nev Residential-Single or HuIti-FamiIy per dwelling unit. Service Included:Items Cost 1.000 sq.ft. or less Each additional 500 sq. ft or portlon tlrereo f Each Manuf'd fiome or $ Bs.oo $ 1s.00 Modular Dvelling Service or Feeder Services or Feeders Installatlon, Alterations or Relocation: 200 amps or less 20L anrps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect 0nIy Sum $ 40.00 s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installatlon, Alteration or Relocation Expiratio" D"te .#g@ tg 3l'q'l 200 amps o.r less $ 40.00 $ ss.00 $ 80.00 see ltBrr aEffi Ovners Name Add ress ci ty tr\S"\{e.S Ptrone €5[o'3b] OUNER INSTALLATION The installation is being made on property I ovn vhich is not interrded for sale, Iease or rent. Ovners Signaturc: 201 amps to 400 amps _ Over 401 to 600 amps _0ver 600 amps or 1000 volts One Ci rcui t Each A<lditional Circuit or vith Service or Feeder Permi t Branch Circuits Nev, Alteration or Extension Per Panel $ 3s.00 D s 2.00 _ E. I'liscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Lighting- Limi ted Energy/Res SI'BTOTAL OF ABOVB 5Z State Surcharge TOTAL 00 00 00 00 $40 s40 s20 s36 5 DATE: RRCII PT RI|CNIVIiD II d) roB No .nztz+t- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (C0MIi|ERCIAL & RESIDENTIAL) Twrxt €tVtB r9a C*tuecr\NAME OR COMPANY: \L o Mor+A \AlK 9uVo .\-'t o 22ZbVl - o5loooLOCATION: QC - Aupt rot-\DEVELOPMENT TYPE: BUILDING SIZE: Zo,qBB *e'rr' - NIE!ueouEr'LoT SIZ STORM DRAINAGE iMPERVI0US SQ. FT.x $0.i92 PER SQ. FT. 2 SANITARY EI,lER- C ITY NO. OF PFU'S GI X $39.78 PER PFU (See Reverse) 3. TRANSPORIAIISII eave q@ Cw?u+o.torS ?W <1G9( NO OF UNiTS X TRIP RATE X COST PER TRIP sQ. Fr. I + ?a,98l o.b+x $401.05 x $401.05 x $401.05 A X X $ q{ SUBT0TAL (ADD ITEMS 1,2, & 3)11e-1 4. ADMIN ISTRATIVE FEES 5 BASE CHARGE (SUBTOTAL ABoVE) X -05 TOTAL-CITY SDC S AETEf / SANITARY SEWTR_Mt,'lMC N0. 0F pFU,S bl lW x $13.62 PER PFU + $10 MtltMC ADMIN. FEE 5 8'h69 (Use PFU Total From Item 2 Above) MI,JMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MWMC SDC Kip Burdick SDC Coordinator 5>to 7b q?- TOTAL SDC S 3OIAIZ q FIXTUBE UNIT CALCULATTON TABLE: Number of New Fixtures XI'nitEquivalent = Fixture Units (NOTE: For remodels, calculate only the NEJ additional fixtures) FIXTURE TYPE Bathtub.. Drinking Fountain..... Floor Drain. I nterceptors For G rease/Oil/Solids/Etc-.-..'...-......' I nterceptors For Sand/Auto Wash/Etc--....--.-... ""' Laund ry Tub/Clotheswasher.... -- Clotheswasher - 3 Or More..-- NUMBER OF NEW FIXTURES L+ 4 UNIT EQUIVALENT FIXTURE UNITS b b '\NJe) 2 1 2 3 6 2 o o 1 J 2 1/ Z 2 1 o t+ Mobile Home Park Trap (1 Per Trailer)'......-.'...-... Receptor For FlefrigeratorAVater Station/Etc.-.'... Receptor For Commercial Sink/Dishwasher/Etc. Shower, Single Stall. Shower, Gang... Sink, Bar, Commercia|................... Urinal, Stall/YVall... Wash Basin/Lavatory, Single........ Water Closet, Public lnstallation... Head L+ ,q Water Closet, Private.. Ii/iscellaneous TOTAL FIXTURE UNITS GI CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) N.4 x$ (Rate XN.ft Assessed Valge)x $_ (Rate X Assessed Value) CREDIT TOTAL = g ^l .4. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1985 1986 1 987 19BB 1989 1990 1 991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 1979 or before 1980 1 981 1982 1983 1984 $2.83 2.76 2.7'l 2.60 2.46 2.33 RUNOFF COEFFICIENTS FOR STORM DHAINAGE IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT 1- 1- COM M ERCIAL/ I N DUSTRIAu PERMIT APPLICATION 225 Fifth Street, Spri ngfield, Oregon 97477 LOCATION OF PROPO ASSESSORS MAP: SP'IINGFIELO t JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: t ol,o( )t [\]OWNER: ADDR CITY:STATE: PHON E: ZIP: VALUE:DEMOLISH OTHER DESCRIPTION OF WOR NEW - REMODEL ADDITION NAME ADDRESS PHONE ADDRESS EXPIRES PHONE G ENERAL: CONTRACTOR'S NAME ARCHITECT; PLUM BI NG: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR-} PLUMBING NO.FEE CHARG E -.Q Single Fixture ,/a =#Relocated Bldg. (new f ix. addtl) /Water Service < ra 'ft a4 /Sanitary Sewer 1&ft € Storm Sewer i€O' tt 20 /Backflow Device ,/a TOTAL PERMIT 7ga MECHANICAL NO FFF EHA RGF Furnace/burner & vent < 100,000 BTUs 6 eo ?Furnace/burner & vent >100,000 BTUs 7da .3 Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap. coolerzVent Fan/Single duct .€ Vent System apart from AC or htg. /Mechanical exhaust hood and duct 6 Or* Oo;zezs Permit lssuance $10.00 TOTAL PERMIT 1?,# I UrDu) OFFICE USE -s30c)QUAD AR LAND USE: WATER HEATER: # OF BLDGS OCCY GROUP: * OF STORIES: LIGHTING POWER BUDGET: Y OF UNITS: HANDICAP ACCESS: FLOOD PLAIN ZONING CONSTR. TYPE: HEAT SOURCE: $/SQ. FT.VALUE7r,e ?etr7W le?€, Z7oX X SQ. FT. SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER TOTAL VALUE OF PROJ PLAN DATE BY //, f z>.da /02?.oa PLU M BI NG 78a.'-BUILDING PERMIT DEMOLITION 5% State Su rcharoe I 1,1,5% State Surcharoe /? .'"Pt* frErza.? fE€ea,5e/o,'//?.[^'LE" lSOn'7 -F aa2.MECHANICAL -:Cz*zEry a t /4(/a 5% State Su rcharqe sroEwnl( FT. '/SUBTOTAL PE RM ITS 2v/79= //o. f,o CURBCUT.a.La*< *tFT.SYSTEMS DEVELOPMENT PAVING #qorOY2 F TOTAL PERMIT FEES EXCLUDING ELECTRICAL 7,lvr* 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 ROUGH PLUMBING, v PAVING: After gravet is in made after excavation, but ELECTRICAL & place but prior to placing prior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these / UNDERSLAB PLUMB|NG, inspections have been made SpEctAL tNSpEcTtoNS: tn accordance ELECTRICAL & and approved. Section 306 of the State Specialty Code MECHANICAL: To be made .t - a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS &- by the Owner/ Contractor duri ngCIJnifAh+.1ffi++S- construction of the following w6rk. A To be made after trenches are FIREPLACE: Prior to placing be'furnished io the Building Division. excavated and forms are facing materials and before erected, all steel in place, but framing inspection' srRUcruRAL GoNCRETE: ln prior to placing concrete. x FRAMING: To be made after excess of 2500 PS.l. (306 a.1) 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. 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. UNDERGROUN D: PIumbing, 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. 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 f inished. 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing STRUCTURAL WELDS: Performed on the job. (2722 t\ HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU-LAM BEAMS: lnspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. STDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7) 'ln addition to the inspec- tions specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. / J Y UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of f loor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or f Ioor 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. v RooF SHEATHTNG AND NAILING: Prior to installing any roof covering.concrete.t6aBE FINAL PLUMBING X X FINAL ELECTRICAL FINAL MECHANICAL 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 stri ping, etc. must be completed before requesting this i nspection. X FINAL BUILDING: Requested after the final p mechanical and Fire Department inspections approved. No occupancy of the premises can Certificate of Occupancy has been issued by lumbing, electrical, are made and be made until a the Building DivisionV FINAL FIRE D ENT and pos on the premises ADDITIONAL COMMENTS:2 PLANS REVIEWED BY oarc /2-2V'*t By signature, I state and agree, that I have caref ully examined the completed apptication and do hereby certify that all information herein is true and correct, and I f urther 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 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 compliance with ORS 701.055 will be used on this project. required inspections are requested at the propertime, that project address is readable from the of the property, and the approved set of plans will remain on the site at all Signature Aa*/1---Date 3 I further agree to ensure that all is located at the fro n. street, that the times during c DATE PAID: RECEIVED ON AMOUNT RECEI RECEIPT # A AU /-GSITE PLAN REVIEW DEVELOPMENT AGREEMENT THIS DEVELOPMENT AGREEMENT, hereinafter "Agreemento, is entered into this 23-0", of 1992 (the "Effective Date") by and between the CITY OF SPRINGFIELD, hereinafter "City", and Twin Rivers Baptist Church, hereinafter "Applicant", in accordance with Sections 31.090,3.070(3),3.080(3),3.090(3), and 3.100(3) of the Sprinsfield Development Code. RECITALS WHEREAS, on the 5th day of October, i 992, the City approved the Final Site Plan (Journal Number 92-05-105) submitted by the Aoplicant for the purpose of allouring the expansion of the existing Twin Rivers Baptist Church facility located at 1660 Mohawk Boulevard, (Assessor's Map 1 7- 03-25-31, Tax Lot 5600). WHEREAS, in consideration for Site Plan approval, the issuance of a Building Permit, and the issuance of an Occupancy Permit, as specified in the Springfield Development Code, Section 31.090, Applicant agrees to comply with allthe standards of the Springfield Development Code and Springfield Municipal Code which may be applicable to this development project unless modified or excepted by the Site Plan Review Development Agreement, Planning Director, Planning Commission, Building Official or their agents, or the Fire Marshal, which modifications or exceptions shall be reduced to writing. WHEREAS, in consideration for the Site Plan Approval, the issuance of a Building Permit, and the issuance of an Occupancy Permit, as specified in the Springfield Development Code, Section 31.090, Applicant agrees to comply with the following specific conditions imposed by the City as part of the Site Plan approval: 1. All improvements shall be constructed/installed as shown on the revised Final Site Plans dated October 5, 1 992, provided however that storm drainage facilities shall be constructed/installed as approved by the City's Building Division. 2. The proposed fence shall not extend beyond the 1O-foot setbacks from the property lines along Mohawk Boulevard and 17th street. All improvements shall be constructed/installed as shown on the revised final Landscape Plans, dated October 5, 1992, which are included as a component of the Final Site Plan. Approved street trees shall be planted along Mohawk Boulevard, at approximately 3O-foot spacing, as shown in red on the Landscape Plan. The street trees shall be planted no farther than 10 feet from the property line. Four approved shrubs shall be planted between eacf two trees along the north boundary to achieve a continuous hedge, as shown in red on the Landscape Plan. A total of 3 signs showing the international symbol of accessibility for the accessible parking spaces shall be installed. One of these shall indicate "van-accessible" and shall be located adjacent to the space farthest to the west, as shown on the Final Site Plan, The other two may be mounted on the building wall, as shown in red on the Final Site Plan. One of these shall be directly across from the line separating the center of the next space to the east. The other shall be located directly across from the line separating the two spaces farthest to the east, and shall include double-pointed arrow, indicating that the sign refers to both spaces. .) J 4 $te Plan Development Agreement Page 1 5. 6. r?.-i, 2 4 T!-.IEREFORE, IN CONSIDERATION OF THE FOREGOING RECITALS \A/HICH ABE EXPRESSLY T\4,ADE A =.LiTnE'I-LJIC 4,-nrrtrtrn,T r-!T\, ^f,rt.DDll^^t.!Til:Dtrtr Qtr/''\llf'\\qfc., ntrt vt ttttu huttLLtvtLttt, vtt I ntry nt I Ltvnrtt nvtrLL n9 I vLLvLl9. AGREEMENT FINAL SITE PLAN. The Applicant has submitted a Final Site Plan in accordance with Section 3i.080 of the Springfieid Development Code. STANDARDS. The Applicant agrees to fulfill all applicable standards specified in the Springfield Development Code and the specific standards listed in "RECITALS" prior to occupancy, unless certain standards have been deferred to a laterdate in accordance with Section 31.040 of the Springfield Development Code. CONDITIONS. The Applicant agrees to fulfill all specific conditions of approval required by the City listed in "RECITALS" priorto occupancy, unless certain conditions have been deferred to a later date in accordance with Section 31.040(4)(b) of the Springfield Development Code. MODIFICATIONS. The Applicant agrees not to modify the approved Final Site Plan without first notifying the City. Modifications to the Final Site Plan shall be reviewed in accordance with Section 31.100 of the Springfield Development Code. 5. MAINTAINING THE USE. The Applicant agrees to the following: (a)The building and site shall be maintained in accordance with the provisions of the Springfield Development Code in order to continue the use. (b)It shall be the continuing obligation of the property owner to maintain the planting required by Section 31.040 of the Springfield Development Code in an attractive manner free of weeds and other invading vegetation. ln addition, plantings in the vision clearance area shall be trimmed to meet the 2 1 12 foot height standard in accordance with Section 32,070 of the Springfield Development Code. (c)Parking lots shall be maintained by the property owner or tenant in a condition free of litter or dust, and deteriorated pavement conditions shall be improved to maintain conformance with these standards. (d)Undeveloped land within the development area shall be maintained free of trash and stored materials in a mowed and attractive manner. Undeveloped land shall not be used for parking. 6 ln addition to all other remedies which may be provided by law or equity (including but not Iimited to penalties provided by applicable State Law or City Ordinances), Applicant agrees that the City may enforce the Applicant's responsibflities by withholding Applicant's Final Occupancy Permit, and terminating any Temporary Occupancy Permit which may have been granted. Any Final Site Plan approved becomes null and void if construction does not commence within two years of the date of this Agreement. 7 Site Plan Development Agreement Page 2 1 .i tN \A4TNESS THEREOF, the A,pplicant and the City have evecuted this Agreement as of the date fi'st hereinafter r,^vritten. /^(4)h2.t?"x- Date STATE OF OREGON, County of Lane L Ee* ^oo BY 1992. Personally appeared the above named /-!:E\ {/,8#i"\ ', .-= / OFFTCIAL SEAL ooi.;r,!A [EecKLOrY N0TAriY rLiB!-lC . OitEG0lt .crc,lrir.,4 isglarN No. 0101 33 tiY il'1:;flbs::Ji: i!.i;iis ACT. ll. lSE vuho acknowledged the foregoing instrument to be their voluntary act. Before me: CITY BY br,o lL.l - . L. +'v,<- Date STATE OF OREGON, County of Lane oEneionrlt 5'Srvices bi rbcto r A&</r>pr 15W 1992. Personally appeared the above named who acknowledged the foregoing instrument to voluntary act. Before me: Public for on My Commission expires rylteT qL Site Plan Development Agreement Page 3 l)r- .q\,a-/ ftn, , ) t) Not5ry Public for OreUrt My Commission expires lO - t.3, - g < \o .t9.4*