HomeMy WebLinkAboutPermit Building 1992-12-15COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springf ield, Oregon 97477
SPRI'{GFIELO JoB NUMBER ?2/7/V
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:t ?'a j -A5:"9 TAX LOT:t9*+
PHONE
STATE:ZIP:7-7-4 -;>_CITY:
ADDRESS:
OWNER:
OTHER VALUE:
DESCRIPTION OF WOR
NEW- REMODEL
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
GENERAL: ,, ut , frz r:, ir, ?@%-- a*A z; z7 z/<-t€€
NAN/ E ADDRESS PHONE
Dn/,,8ARCHITECT:
PLUMBING:
MECHANICAL:
ELECTRICAL:
PLUMBING
NO FEE CHARGE
Single Fixture /a
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT ,4tzz /,<e
MECHANICAL
Nr.|FFF I csancp
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.
cooler
Vent Fan/Single
duct
Vent
f rom
sys
AC
tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE
HEAT SOURCE:
$/SQ. FT.VALUESQ. FT,
X
tuTOTAL VALUE OF PROJ
SO. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN cHEcK rer ffi scwn 7y2-DATE BY
///.ar
BUILDING PERMIT %-"7 PLUMBING /+Q DEMOLITION
5% State
Su rcharoe ? -G=)5% State
Su rcharge
oe-.>
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PE RM ITS
PAVING CURECUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
6 22"
FLOOD PLAIN:
/2r'f€2
v REQUIRED INSPECTIONS \r
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. Reguests 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.
srTE INSPECTION: To be * ROUGH PLUMBING, PAVTNG: After graver is in
made after excavation, but ' ELECTRICAL & place but prior to placing
prior to setup of forms. NctEGttAlti€Al* No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 of the State Speciatty 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, ail steel in place, but framing inspection'
-
srRUcruRAL CoNCRETE: ln
prior to placing concrete. / FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after an insrab buirdins 3i::5::."]fl 3l[:It";,;l:r" :lxH,"J.'f3"t,Y5tT',rrz oservice equipment, conduit, and vents are complete andpiping, accessories and other
anciriry equipment items are *:';::[i,]til:,1'i#[3:l: Bl?Xf],ffi]nol,l",?f"tl$T"oin place but before any tighteiing operations. (306concrete is placed. TNSULATION & 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.B.C.storm sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall covering isprior to covering or filling applied. S'ECIAL GRAD'NG,trenches.
,NDERFL..R: p,umbins [l?:,S'"'"? l*'J3l:Hl"' il:iUt'iiil#li:,5Jb'i],"t
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of .-/
ftoor insutation, decking or X LATH AND/oR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. - BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the city's
poST & 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'B.C'
insulation, decking or floor plastering is applied or before STDS' 25-10'11)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATToN & finished' a'7)
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 sHEATHTNG AND iHXS^H?,tJ",::f""1'.
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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.
"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.
4- FINAL PLUMBTNG
f F'NAL ELEcTRTcAL
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 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 on the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
By signature, I state and agree, that I have caref ully 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 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.
-/ z -z *? z--Signature Date
///..4/VALIDATIO 2AMOUNT RECEIVED:
BECEIPT *:25q2 RECEIVED BY:
DATE PAID:
/,r., z 4/€ Z@ F"n f a urerq * rZ
/?4?aL
CITY OF SPRINGF'ELD, OREGO'V
SPRINGFIELO
The lollowing Prol
zoning, and does not require sPeo ific tand use
.-etnleu$lg pazuOul
STREET
roval
225 FIFTB
SPRINGFIEI,D OREGON
INSPECTION
0FFICE: 7
)-
ELECTRICAL PERHIT APPLICATION
City Job Number
1. LOCATION OF
6uri^oltol iq1 ieq PePl3raf A.
LEGAL DESCRIPTION
C1 4 cPC-
r'
o2-L
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. COI.ITRACTOR INSTALI.ATION ONLI B
Electrical Contrac rcr ?aza 3 glaeT,7*l
Address a
COHPLETE FBE SCEEDT'LE BELOTI
Nev Residential-Single or
Multi-FamiIy per dvelling unit.
1 cgilcads
3.
One Circuit
Two to ten Circuits
Each Addt'I ten or
portion thereof
SUBTOTAL OT ABOVE
5I State Surcharge
TOTAL
?
$ 3s.00
s 60.00
$ e0.00
$130.00
s300.00
$ 3s.00
s 3s.00
s s0.00
s 1s.00
€V.o o
2. S7
ON utqns se
_tvz Phone f76-J7111
Service Included:
I tems Cos t Sum
1500 sq.ft. or less
trach additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Hodular DveIIing
Service or Feeder
s 8s.00
s 1s.00
s 35.00
Services or Feeders (10 Branch Circuits
included). fnstallation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps-
0ver 1000 amps/volts
Reconnect 0nlY
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less '$ 35.00
201 amps to 400 amps
-
$ 40.00
over 4b1 to 6oo ambs
-
S Bo.oo
0ver 600 amps or 1bO0 voTts see uB" af,66
Branch Circuits
Nev, Alteration or Extension Per Panel
Ci ty /.
Supervisor License Number
Expiration Date ./a 9i
Constr Contr. Number 7 >/
Expiration Dat e ,/d*J
S eof sing Electrician
0vners Name
Address
ci ty-Phone
OIINER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation q 1q.99Sign/Outline Lighting- S 36.00
Signal Circuit or
Iimited energy panel- $ 36.00
D
c.
,@
RECEIVED
5
€2. {72
/
COM M ERCIAL/ I N DUSTRIAI.
PERMIT APPLICATION
225 Fitiln Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
SPRINGFIELO
Z
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
ADDRESS: Z .d ffr {r
c,rr, €€>*^urq€4 * SrArE: f ,,r, ? ?4 77
746 -o6s 7OWNERPHON E:Jrn B.auql
PH/-"oe 118A4 &-a
VALUE
DESCRIPTION OF WORK:-T
DEMOLISH OTHERNEW
-
REMODEL ADDITION
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
ARCHITECT:
MECHANICAL
CONST.
CONTRACTOR #
GENERAL:
PLU M 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
MECHANICAL
NO FFF CHA RGF
Furnace/burner & vent
<100,000 BTUs l4*'f *n ,2z)
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent Sys
from AC
tem apart
or htg.
Mechanical exhaust
hood and duct
/,Aoo
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
LAND USE:
* OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJECT
X
X
X
SQ, FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
'25,7{
BUILDING PERMIT PLU M BI NG DEMOLITION
5% State
Surcharge
5% State
Surcharoe
MECHANICAL /5rc,/t)oo FENCE
VALUE $
5% State
Su rcharo e ,7d SIDEWALK
FT.
SUBTOTAL
PE RM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUOING ELECTRICAL
JoB NUMBE " 7 Z/ 7/3
trt tr/^Totr\A I
ZONING:
WATER HEATER:
- REOUIRED 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 iob 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, 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 INSpECT;ONS: ln 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 duringCURTAIN 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 ptace, but framing inspection' 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 framing' fire
made after ail insrab buirdins 3l::5 ::.']ff 3lE:It";,;*r" ;1x3,"J"'fl,1t,YstT',rrr, ,service equipment, conduit, and vents are complete andpiping, accessories and other
ancirrlrv equipment items are :i:H::Hlt"ii:,X'jJ;[9:l: Bl?,lf],?E]*'l[,".f,"T]X^oin place but before any tighte-ning operations. (306concrete is placed. TNSULATTON & 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.B.C.storm sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall covering isprior to covering or f illing applied. S'ECIAL GRAD'NG,trenches.
,NDERFL..R: p'umbins I:::,S".:1"HJ3[H]"' il;tuEiil-tii.:,5J:'i],"t
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the city'S
poST & 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'
insulation, decking or floor plastering is applied or before STDS' 25-10'11)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATToN & finished' a'7')
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 24'15.
RooF sHEATHTNG AND iH[3^H?tti,tr::#""X,"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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.
*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 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 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.
pections are requested at the proper time, that project address is readable from the
property, and the approved set of plans will remain on the site at all
Date
I further agree to ensure that all required i
times during c
X,nn.,,
front ofstreet, that the permit card is I
25.2rVALIDATION -7)z-/
RECEIVED BY:
DATE PAID:AMOUNT RECEIVED:
BECEIPT g:
FINAL PLUMBING
FINAL ELECTRICAL
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, etectrical,
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.
x FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
7<6 q
JoB No. lztltb
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(coMllERcIAL & RESIDENTIAL)
NAME OR COMPANY:Trr.a B<*uc-t{
LoCATIoN: bro N . 5rj ST .\10bb5z* - t*300
3
DEVEL0PMENT TYPE: CC : Er{cuoge.B*Te*\p l-1 e
BUILDING SIZE:SIZ a. Ft
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.ZT x $0.192 PER SQ. FT
2. SANITARY SEWER-CITY
NO. OF PFU'S X $39.78 PER PFU
(See Reverse)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x $40r.0s
x $401.05
x $401.0s
$
$
SUBT0TAL (ADD ITEMS 1,2, & 3)$ +o2
ADMINISTRATIVE FEES
BASE CHARGE (SUBToTAL AB0VE) X .0s
TOTAL-CITY SDC
5. SANITARY SEWER-Mt,lMC
N0.0F PFU'S x $13.62 PER PFU + $I0 Mt,lMC ADMIN. FEE
(Use PFU Total From Item 2 Above)
MhlMC CREDIT IF APPLICABLE (SEE REVERSE)
$
p Bur di ck
TOTAL-Ml^lMC SDC
TOTAL SDC
29
X
X
x
4
$+27
^UL)-
SDC Coordinator
,$+
FIXTURE UNIT CALCUIA'ITON TABLET Number of New Fixtures \-rit Equivalent = Fixture Units (NorE:
For remodels, calculate only the NEJ additional fixtures)
FIXTURE ryPE
Bathtub..
Drinking Fountain.
Floor Drain.
I nterceptors For Grease/Oil/Sol ids/Etc......'......'..
I nterceptors For Sand/Auto Wash/Etc..........-....-.
Laund ry Tub/Clotheswasher,
Clotheswasher - 3 Or More..................r..................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For R ef ri geratorlNater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall..
Shower, Gang.................
Sink, Bar, Commercial
Urinal, StallflVall.
Wash Basin/Lavatory, Single.
Water Closet, Public lnstallation.
Water Closet, Private.
Miscellaneous:
NUMBER OF
NEW FIXTURES
TOTAL FIXTURE UNITS
UNIT
EQUIVALENT
FIKI-URE
UNITS
/Head
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
b
4
CREDIT CALCULATION TABLE: Based on assessed value,
calculate credits separates-
lf improvements occurred after annexation date in table,
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x$
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1 985
1 986
1987
1988
1989
1990
1991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
Residential..
Commercial
lndustrial..
0.4
0.9
............... 0.45
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
x$
(Rate X Assessed Value)
CREDIT TOTAL = $_
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
CITY OF SPB"VGFIELD, OFEGOA'
225 PIFTE STRBET
SPRTNGPTELD, oRBGON 97477
INSPECTI0N RBQUBST: 726-3769 --> i*
oFPicE;-- tzh-itsg -. 1-
Erec t r i cal con t rac r* V*/rAt /.t. Z-lrle-rD
Address /OG il 2n"/
Ettcetre pnone 3la3 -77/Z
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI{TRACTOR INSTALI"ATION ONLY
Ci ty
Supervisor License Number 27lS S
Expiration Date
Constr Contr. Number 3 105?7
Exp iration Date
liPr- -JGFIELO
EI,ECTRICAL PBRIIIT
City Job Nunber
3. COIIPI,ETE FBE SCEEDUI,E BELOIT
Nev Residential-Single or
Multi-FamiIy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
gach additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
B Services or Feeders
Ins tallation, Alterat ions
or Relocation:
.00
.00
200 amps or less
201 amps to 400 amps
-401 anps to 600 amps _601 amps to 1000 amPs_
over 1000 amps/volts
-Reconnect Only
c.Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps _
Over 401 to 600 amps
Over 600 amps or 1000ToTIs
OP INSTALI,ATION/V S f/1
zed Signature1. LOCATION3do A
Sum
ee ilBil a666
$ s0.00
s 60.00
$100.00
sr30.00
$300.00
$ 40.00
$
$
$
s
40
55
80
.00
Signa sing EIec
Owners Name
Address
Ci ty e
OSNER
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATB:
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ SS.0O 3 ,
Each Additional
Circuit or with Service
or Feeder Permit
-
$. 2.00.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
D
B
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. STIBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
RECEIVED
@
,
tr
Jim Branch
2L2 Q Street
Springfield, OR 97477
JOB ADDRESS: 310 N. 5th Street
,
LAST ACTMTY DATE: March 13, 1993
INSPECTION RECORDED: Final Electrical
OTHER:
JOB # 92t7L3
Your permit expired on September 13, 1993.
If you plan to start or resume work on the project, a new permit must be applied for.
If we do not hear from you by March 31,1994 (ten (10) days from date of letter), we will
clear our files of alt related information with regard to the permit.
Afx''"
C'TY OF OFEGO'V
SPRINGFIELD
DEV ELOPM EN T SERV I CES DEPA RT M ENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(Sos) 726-375s
FAX (503) 726-3689a
Jim Branch
2LZ Q Street
Springfield, OR 97477
,
Deanna Buckem
Community Services Secretary
s,' \-P'
-r-oY $*'-^',O (
'b' n'{i.^
,4
a'
utr -t*.1
2v"'
\o"Jy
qrv LJ' q\v
...b
Dear Mr. Branch:
The Springfield Building Code Administrative Code requires that, for a permit to remain
valid, construction rvork authorized by it must begin within 180 days from the date of
purchase of the permit. I[ work is suspended or abandoned during the course of
construction for a period exceeding 180 days, the permit rvill automatically expire.
If a permit has expired and suspension ancl/or abandonment of rvork on a project has not
e*ceeded one year, a permit to start or resume work may be purchased for one half the fee
required for a comparable new permit, provided that no changes have been made in the
original plans and/or specifications.
If a permit has not yet expired and a permit holder anticipates the need for morc time to
begin construction rvork, the Conununity Services Mauager nray choose to grant a one time
extension of the permit not to exceed 180 days upon receipt from the permit holder of a
written request explaining rvhy the extettsion is nccessary.
The attached fornr inclicates the most recettt iltforntaliotr in ottr records rvith regard to
construction activity associated with your permit. Please advise this office of your
intentions with regard to the permit by ten (10) days from the date of this letter.
Please direct inquiries to me at 726-3664 Mondays, Tuesdays and Thursdays, 8:00 a.m. -
5:00 p.m.
Sincerely
attachment
March 21,1994
,
CO M M ERClAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fiftn Street, Springfield, Oregon 97477
LOCATION OF PRO
SPRIi.GFIELO
h,
th
JOB NUMBEB
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
POSED
lq
RK
ASSESSORS MAP
(I I
OWNER
ADDRESS
CITY:STATE:
PHON E:
ztP
OTHE VALUESH
DESCRI PT
NEW
N OF WORK:
REMODEL 'ADDITION DE
Ol I lt\ilAINln.
NAME ADDRESS PHON E
CONST.
AME ADDR PHON E
t
CONTRACTO ,S
ARCHITECT:
MECHANICAL:
ELECTRICAL:
G EN ERAL:
PLU MBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl s
)
Water Service
fr
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
fun %zr*<.Hh/./1e
TOTAL PERMIT ,/5-
MECHANICAL
NO trtrtr CHA RGF
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
\ulo
f,ar/.<
ZONING
LAND USE:
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
WATER HEATER:
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUPT
# OF STORIES
QUAD AREA:
* OF BLDGS:
$/sQ. FT.CIdH.
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHEB
RCPT#PLAN CHECK FEE DATE
p4.f,/
BUILDING PERMIT 8a-Sa PLUMBI NG ,/{a DEMOLITION
5% State
Surcharqe {.a3 5% State
Su rc harqe -?g
MECHANICAL FENCE
VALUE $
5% State
Su rch arq e
SIDEWALK
FT.
SUBTOTAL
PE RM ITS /4.ry
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT *+r: #
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
gHTfi
,u-/
r OF UNITS:
FLOOD PLAIN:
d)
/
rt is the responsibirity or the permit h"r;,. ":.=,P,Y:ffi""JI::::'i:): the proper time. ro request an inspection, carr
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.
stTE TNSPECTTON: To be v 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 ;NSpECTIONS: 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 is covered. ATTIC DRAFT STOPS & OV tn" Owner/ Contractor during
CURTAIN WALLS construction of the following w6rk. A
y FOOTINGS & FOUNDATTONS: ETE EDT A.-E. r 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, ail steel in ptace, but framing inspection'
-
srRUcruRAL CoNCRETE: ln
prior to placing concrete. V FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after ar insrab buirding 3l::5 l:.":fl 3ffi:I?,i,';l:r" EIXN,."J"',.-3"t HStT',rrr, ,
service equipment, conduit, and vents are'complete and
:#X3'i""?",1;:{:? ?i:i""'::J :xx H::[.",iti[,1 iJ;[3:l: Bl?lf],?E],?l*gf"'lg:".in place but before any tightening 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 43-8.drainage lines. To be made board interior wall covering is
l"tl::L:-"t'"rins or fillins applied' spEcrAL GRADTNG,y F'RE & sEpARATToN wALL: ExcAVATIoN AND FILLING:
UNDERFLooR: plumbing Located and constructed During earthwork (306 a'11 &
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of
floor insulation, decking or "( LATH AND/oR GYPsuM GLU'LAM BEAMS: lnspection
floor sheathing. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency' furnished to the City,s
posT & BEAM: To be made interio] and exierior, is in Building Division before
prior to installation of floor place but before any beams are placed' (250'l u'Bc'
insulation, decking or floor plastering is applied or before STDS' 25-10J1)'
sheathins' iJ$Hli:il0,#[}""i:o srRUcruRAL MAS.NRy: (306
f inished. a.7)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 sHEATHTNG AND iHffi^il'^,tl"t::f""!|'.
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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.
"ln addition to the inspec-
tions specif ied, 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 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 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 furtheragree to ensure that all required inspections are requested at the propertime, 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
Sig natu Date /-zo-e3
times onstru ct i o
DATE PAID
RECEIVED
VALIDATION
L /-AMOUNT RECEIVED
RECEIPT #
/ FINAL PLUMBTNG
X FINAL ELEcTRTcAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
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 made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY D^rE /-/8-:?
v
,\
Wtrttftcute of @ccupttnt?
CITY OF SPRINGFIELD
BUILDING DEPARTMENT
This Certifcate i.rsued pursuant to tlte reqttirenetts of Section 306 of tltc (Jniforn Building
Code certifying tltat at tlte titne of issuance this structure was in cotnpliance witlt t/te uarious
ordinancu of the City regulating ltuilding construction or t$e. For tlte following:
Occ. Grou F Type Constru.lion V l-hour Fire Zone II Ure Zone C-3
Owner of Buildin ?e lers Bank of S f t_d.310 North Fifth Street
Building Add 310 North Fifth Street ldg. Permit No 6000-s
-
Ll',1
t'1 1 c';-- *--- -Dote
Buildins Officiol
POST IN A CONSPICUOUS PTACE
OCCT'PAIICY TNSPECTTON APPIJCATION
CITY OF SPRINGFIEIJ)BIIIIDING DI\rISION
DATE: t9*t4 q, tqqt JOB NUMBER:
ADDRESS OF TNSPECTION: 3IO N, Sfl */E S P2'r,1, F/Qfl
OIINER:C, E, l,ttl4S l*t r*, , gtytt€ yl*eryryrt pHoNE NUUBER: 7(z- LaO6
OWNER,S ADDRESS 21
APPLICANT:c, €,. ta-p-?s*qu-4e
APPLICANT,S ADDRESS: 2o,q 3-tutadVt4rnY , €lrh&&ar< q'746
FOR ACCESS T0 PROPERTY - TELEPHONE NUMBER: y? tt- €eO4) g qZ- AdO6
PROPOSED USB:6 s u,^"n i*,/
Y
e nrl
DATE PArD, 5-i .l -1 t
DATE OF TNSPECTTON:
DATE OF CERTIFICATE OF COMPLTANCE:
COMMEMS:
TH
A $SS.OO INSPECTION FEE IS REQUIRED AT THE TIHE OF APPLICATION
CATTON MUST BE STGNED BY THE OI.INER OF THE PROPERTY TO BE
POR OPFTCB USB ONLI
L
RECEIPT NUilBER:
DATE OF REPORT:
ZDDW
,,"4?D
I
,...;
/
+ \A/r+s'H B ITRNE
H,s:tr_sE +
* StlsNd'B"sTREE x"
EFRINGF'IIULD,EJA N REGgN"
II
q rFuttl
a
REQUEST FOR ZONING S USE CHANGE FOR PROPERTY IN THE CITY OF SPRINGFIELD, OR.
--- -;::::==a=========i-:============================================= aAD0RESS: 310 North 5th Avenue, Sprlngfield, 0regon
Pr'esent Zoning 8 Use: Community / Commerciel property hasabout 5 years, prevlous us€ wcts a Bsnk
Requested Zonlng 8 Use:
been
/S
vacant for
8L
Nelghborhood Impact Statement
F'osstble Ne etive Impact
Developers / Owners:
Res iderrt isl / Commerc iaIAsslsted Living Complex,
C. E. Harshell
2995 !.lashington
Eugene, OR. 97405
50 3- 342-6005
Property would serve as eLevel I ond Level II
Steve i'larshal I450 l.lest 29th
Eugene, OR. 97405
503-484-5984
An Assisted Llvlng Complex uould beneflt a1lof the City of Sprlngfteld, in particular itwould enhance the downtown core wlth thepresence of fine citizens. that would tradewith merchents, on a daily basls... And ulscstrlve to lmprove this neighborhood on apersonal basis, and os a group of persons.
upon Neighborhood: I I]4puT NEEDED l
t
. FLOWFE
Bf tr-
I
Ano,,
N
m
*
tilf.
Su..v xx
DaLl<
Eu*, Atoq *
L
dK
Ptr
c
k
( ruw.t lE.a,v )-- aafhcrrYrq ' -u!Oir44 *
Tb
PA,?(lA&lJrl
-/
lf
ftpnrAeD u,r46H RuQr/F HOU\s€
A^rrYCx fri,{ le p.tlr'6
I
' t'-7 rl'0
I
p
L
L
K
UPPAA Dtt|<dess\-rAll- Moo.qlSnav
*aga / 7{
f2oott'
foe6f/ €^{.ctF
* ftfauit1"
Ifrfl10
:_
*fA(Lcrq<(tlrr/t>
^f,vrn{ I F'dyc]?
-:.. l
P(tv*.rEDtwtrvl /
PcL ierA
cRAF-l
ZdA
., .'. ]: ,
FoRnf:u
I
-t:J.tlsrt
r(
a
b 5tO€ wAU4->
A tt rl
Ot sFLqv e|qE6'
I
t
)
)
t
Pr,l rt,Ft6uq oEr$o^/
I
\
,
I
,t
t.
rjb-.+--li'').r,o.rttlr
f\ (t t:
i-LIASHBURNE HOUSE S
5th And rrBrr Street i.,'
SprLngfleId, 0regon .
ooF59 D
SPACE U{n6 4r
FrraE CC,rzuffF€CK
LJ Lg
li€t
i
I' vr rvr, earov\
,les5 2.al.Se.l
\
il
--+l
Of Ar?o@r.A
RNirE{f,orvT
g gl
- Kc>d l= -
I
'TO
, 51rr
-tFr
€L--
-t NO
L€VA.
(rouuo
fuooc
_lr_
t:f
EAEE*NN * ftfRl h [,\ azr
+
e9f ft,lC H lrqY
C.iaM -
1r.c.
aI - Allltullal
i' $nuwaQ't tG
=r
Psrv*r€ r>tul^16 /
PCC BEEE
tctvt cE
EEe€'.5 -a
A eER
e.bo |4
r
)E
rI
5i
TTA"
r3f")Ir
I
liill I
ls-[{l
!
'I
o
r?
n
l.
€
I
f1
s
T
A
,(
5t
i( I IcHil'l
A"eA l,tt
t I
0
I
,
6
,&r
TO
PqR(rl,/t *
II
5t)ba(
a
-.f0F' l{v\L-^"
E^/i-r? Y ,/ Fole:t<
G'; rIA sIoPP€^ ?/lt" Lot< *
QorrcaqfrgooM
ob
o
FLlLU
Broe.{'.,\B*1|lgtrrtllb I r v rNbP0cl\4
-lzd'8.<-x>(: -
I
Ibo hJ
^/- BRLcOur'
+I
Iq
a
t
Ir
c
I
T
A
F
F
I
I
FULL
UTH
I rliftl
I a-J
SrqFF
a drlArXaf
ROovlu ptrJrnrb I\Et_7
vrt r^ utelr=, ' ''celLtt'r6'' q1Pci^r TD
6RouMD, FualSrr? '
,'
+- s t r)E u4 Lt< -\
Lr dr
I
Hr
ltr'.ra
Iecroq-r r.c.r-
-JJ
I
---
/.1 /a
r'{ r
l'-)
i,
t
L
I
I
I
i.
i'
t
I
: FrlJ *'stlrgs
. sLll *'El',
= i,rLfi ,4' L"'"t
'i',t'll. -sl"ll g.k1 bi
. cx{ rYch rvr )
. h..J *,k GN)
, clo*. Co,rt-NJ
nll cteck
t
6,I
tq.
I
j1
I
:
ii?
',.'J l*:1'-+,\,
i
:
, rt.l"il. Q,|qtr/tri,
o
= G&^c-.b
a Belcoort
OtifrNX-'6&l- lr" ',Nav^x
5'rcFP>-..
*- swL do{.'la:
ffi= ac/ct- euyal lTLk
I
| 6. u)€
f
vr
u5
L
ra
I
I
I
. Atkrah Lvi^1 €ooe'
o,;:^, A*+
Etl"LarHr-
FullE,;*lti
I
: p"tl 6<th
, a?f icc
Kikr.rr He
r Draial *.(<
bu P*r,t
.*o.^y /'
WASt't Bu RN e AouS€'- z4 F coo R *
----A.' tNb
t a AoA
1
C
{ooao
<,c, P
"
:I
t
.,t'
-\3:
_$.
\N
A
*
a6 ZA
I
PET,,J
5
A
*-'(ner t t)
A
*A
A W C3 *A
,:f\'r"
ittA* !,-4)\
rt A (r+or azt
u A *t )
+1
'11f rt A I-{t
@ @ @
-l4 2t N (
,?i?t
#e
-l t-
I
I
i
I
Ft
'.1l
r^)
o
o
iY
oooo oooo
^ss-{oorr4-
- PRIP
F e(e'
}^o B r Lr:
wro e r< C6a7'
t-I
o
a
PLq^tXril, otreg5
,a
-E5-
rru ^ltl'
a
pr3{
*ss .-
NT€R.
/
0
I l-lq
EL C O\U wT6R j
- €ceuu ,lLlr,q4)'
T€+yyoe^L(
a- E'--+
2'5to€ Qt+tLS
-lEEurLi- Aa€A'
@
llrt tl2Q h,i^. (Tler^ot )
BAR
OOO?S
\,,t'
t4/6lZ
C lltl,*W W911:Lt/* ( ced'o>
R rarvt"ts J'
o
us
t
t-6
.I
, J- " furqs(le . t
t\-
Scto'tlb does
{
o
a iil nQQli'^x {
CLO'ET
o
- ilnsr+go$E koure -
(l<,**v,?rotL)(
perr^',irlr,
Flr+rt r N
@
D8v
sToRnst
- Fooo-
\^jto ,z---HAoo gJeffitcr Foodt4 fub€ -
{aE
AdO idefi(
- SERVlc6
FETR-
tirS,.L5 -+
t
Es: - \
1u;;r,?nli'',
?;rwn *"n
- ';( l,lJ**n,*
-- p', p Ar.rt
- Jrt,ttnrr cto5ef
. grr,L1.tlrb rdal,rrl tl t'v{ 6uf l\
REFE
.i c
PEFG
c,V
-rcE -
- Ir (Ctt
prSrr5
l
I
:
iasxEs
FuceteU'
I
l
o
,
..is.!,e )
i
I
.^t.!*;l
STANDARD ELEVATION
WITH ENCLOSED ENTRY
S]ANDARD ELEVATION
- ?Qo ?O 56D 4 Nt E/- trtt-
^/>++t
9{+e6 *O wS d -
qru
t:1
--i--=_:-!&r,r,,,,.
SI
-J-
XITC}IEN
tl,lRCrcOf
EEDROOM .2
@-oettom * 3
o
BEDROOM
rAR@(
I
EEOROOM
9'.3'r rr-o'
I,
Et
z,
I
BEDRooM' I9'.3'r o'- z'
tz
D
IQo,,ptPtrlb ,/
psa *Qd b&zooAuq
@t@r^+3
ze
LE|IEL (
t
a)TH-
Dt ut tJ(.Qt*
BEDBOOM " 3
tlxlr
BEDROOM.2
K tTcHE l'l
LtvtN6
Cnr: Aerq)
3Eocoot't
4rt
H,c.
g€oelo|v\ r 3
!t.0.
BEOROOM. I
9:5' x D'- ,'
BEDROOM'2
9'.!'x tI'o'
tl. c.
rl.c.
r^iOIOl(
t, Oea,lar)
L€|/tu
E
7
to9Sbv B.E.g"-g.b, o,
h/Ast{-ts,r et6 k il n/5x Eu> b
5
('
t
to
t!
-POSST bLE FLc)oQ ?Lt+N FoB
o
rlroncat
\
o
C
t'
...-Vfir<Nq? 6NrvP*qN
o
lit AfllN,T otgx tlor,u*tp rvxt<
tvt-'"r^/
- Ar/trLx -
-1
i
i
I
.lt
hi,
LI
I
a{'i.l
I. -,{
\,*J? n,lr
7
$
itA
j
I
:
t
I
u.(d.-
bi
. ltr:
tL*.
ft CI;) ,l-lc'rL)
n-6\ I acd
-1.*
i
I
I
t
c
I
i
Ii
I
I
I
I
t
t
I
I
I
i
I
I
I
i
i
I
I
I
I
t---
. ;*d
:10 (:f, [