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Home My WebLink AboutPermit Plumbing 1995-06-09CO M M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitih Street, Springf ield, Oregon 97477 LOCATION OF PROPOSED WORK SPRINGFIELO JOB NUMBER %;D INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: h, ASSESSORS MAP:,/s PHON E STATE:ZIP: z1> OWNER ADDRESS UIII. REMODEL ADDITION DEMOLISH OTHERNEW /(VALUE: DESCRIPTION OF WORK: MECHANICAL: - NAME DRESS PHONE EXPI RES PHON E v t/4"/E B?ADDCONTRACTOR'S NAME ARCH ITECT: ELECTRICAL: GENERAL: PLUMBING CONST. CONTRACTOR # PLUMBING NO.FFF CHARG E Single Frxture ,0,e Relocated Bld (new fix. addtl s ) Water Service f t. Sanitary Sewer ft.2d Storm Sewer ft Backflow Device TOTAL PERMIT 6qn MFC HAN ICAL NO FFF EHA FIG tr Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs FIoor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent se parat e Stationary evap. cooler Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT rAz*./€.ao _ OFFICE USE _ ZONING a-- FLOOD PLAIN: LIGHTING POWER BUDGET: WATER HEATER OCCY GROUPT , OF STORIES QUAD ABEA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: * OF UNITS: HANDICAP ACCESS: - 4t7oaa tZi^tr^r, ",,^"**3? $/SQ. FT.VALUE ?a2 SQ.FT. 2D4 X X SQ. FTG MAIN SQ, FTG ACCE.SS SQ. FTG OTHER PLAN cHEcK FEE /27. VV ssplr /??%, oartL^Z 7.€BY 6fi,27 BUILDING PERMIT 2A.5o PLUM BI NG 44-DEMOLITION 5% State Surcharqe /7,a8_ ?_,32 5% State Su rc h arge v-7?MECH L 4?FENCE VALUE $ 5% State Surcharqe ra SIDEWALK FT. SUBTOIAL PERM ITS 2PAVI NG Z€d,,4 CURBCUT FT, SYSTEMS DEVELOPMENT # E+9# TOTAL PERMIT FEES EXCLUOING ELECTRICAL LAND USE: REQUIRED INSPECTIONS It ls the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call726'3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be readyfor lnspection. Requests received before 7:00 a.m. will be made the same working day, requests made af ter 7:OO a.m. will be madethe following work day. SITE INSPECTION: To be ,Y RoUGH PLUMBING, PAVING: After grave| iS inmade after excavation, but ELECTRICAL & ptace but priorlo ptacingprior to setup of forms. MECHANICAL: No work is to asphatt or concrete. 4 be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing inspection. FRAMING: To be made after the roof, all framing, fire blocking and bracing are in place and all plpes, chimneys and vents are complete and the rough electrlcal, plumbing and mechanical are approved. 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 ls applied. FIRE & SEPARATION WALL: Located and constructed according to plans. made prlor to installation of f loor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or f loor sheathing. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams groutlng or verticals in accordance with uBc 2415. RooF sHEATHTNG AND iHffi^H?rtl'"r::f""!|'" NAILING: Prior to installing erected but prlor to placing any roof coverlng. concrete. LATH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board, interior and exterior, ls in place but before any plasterlng is applied or before gypsum board joints and fasteners are taped and f inished. STDEWALK & DRIVEWAY: Required for all concrete paving withln street right of way, to be made after all excavatlng complete and form work and sub-base material in place. SPECIAL INSPECTIONS: tn accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Owner/ Contractor duri ng construction of the following work. A copy of the special testing reports shall be furnished to the Buitding Division., STRUCTURAL CONCRETE: In excess of 2500 P.S.t. (306 a.1) STRUCTURAL WELDS: Performed on th6 jab. (2722 t) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) cLU.LAM BEAMS: tnspection Certif icate 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. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work ls covered. FOOTINGS & FOUN DATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. 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 ls placed. UNDERGROUN D: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing t re nc hes. UNDERFLOOR: Plumbing, electrical, mechanical. To be 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 lfurther certify that any and all work performed shall be done in accordance with the Ordinances of the Clty 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 Bullding 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 durlng construction. Signatu re Date VALIDATION:z-e^9 fAMOUNT RECEIVED: RECEIVED BY: DATE PAID RECEIPT #^n> 4 4 r FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL ,( FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: v SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before requestlng this lnspection. X FINAL BUILDING: Requested after the finat ptumbing, etectrical, mechanical and Fire Department inspections are made and approved. No occupancy of the premises can be made until a Certificate of Occu has been issued by the Building Divisionposted on the rem SES. PLANS REVIEWED BY Dli-E d;--*2F ,'( a^* 7 {Y,-[n.-- 4?a <t roB No. ?5ot t9 CITY OF SPRINGFIELD SYSTEMS DEVETOPMENT CHARGE WORKSHEET (C0MNERCIAL & RESIDENTIAL) Srxrtt G IE LD llrturr-/Bo*LDNAME OR COMPANY: L0CATION: ?4 oo SPo ars /-7 oZ t 5oct - OloO I DEV E LOPMENT IYPE: CC : ()t t c-rT/ BUILDING SIZI: 9OO *A.TT LOT SI 1. STORM DRAINAGE IMPERVIoUS SQ. FT.N A x $0.209 PER SQ. FT 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) X $43.26 PER PFU a. Ft. ?J . TRANSPORTAT ION . ,aoe t1o - Urt t-r Tt b9 -- o.4o / ro5 F NO OF UNITS X TRIP RATE X COST PER TRIP i.2 x 6.*o x$436.le X x $436. 19 X x $436. t9 4 . SAN ITARY SEI,IER-MWMC N0.0F PFU'S N.A. x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) Ml.lMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MWMC SDC SUBToTAL (ADD ITEMS I,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .05 $ $ $o- S 5?-4 p Burd ck SDC Coordinator oate:6f qfq6 TOTAL SDC s 5+13 .A ,N