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Home My WebLink AboutPermit Building 1992-02-27COM M ERCIAL/ I N DUSTRIAT- PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPRTNGF!ELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK 555 Shel 1 ey Street ASSESSORS MAP l7 oV7,z t o TAX LOT:()o7) L.OO Coast Distributors 7 47 -5242PHONE: 555 Shel I e.y Street Spri ngfi e1 d STATE:0reqon ZIP:97 477CITY: ADDRESS OWNER: NEW - REMoDEL x ADDrrroN DEMoLIsH X orHER Remodel'inq of ex'istino offi ce. VALUE:$250,000. 00 DESCRIPTION OF WOFIK EXPIRES PHONEESIDR ARCHITECT: ELECTRICAL: CONTRACTOR'S NAME GENERAL: MECHANICAL: PLUM BI N ADDRESS 975 Oak St./Sujte 200 PHONE 344-9157 CONST. CONTRACTOR # NAME Geral d McDonnel I Arch'i tect PLU MBING NO.FEE CHARGE /B Single Fixture /2 /ga.e Relocated Bldg. (new f ix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backf low Device TOTAL PERMIT MECHANICAL NO trtrF (:HA EIGtr I Furnace/burner & vent < 100,000 BTUs -/ .tt>C.e t Furnace/burner & vent >100,000 BTUs(/fr{#ft,€{"P,(ffi 46a. Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap. cooler ?Vent Fan/Single duct 4a /?.no Vent System apart from AC or htg. Mechanical exhaust hood and duct .U Permit lssuance $10.00 TOTAL PERMIT 30,e -r?-2 ?-/,qD? ^,a3 OFFICE USE _ -53CX)LAND USE: ZONING HANDICAP ACCESS: LIGHTING POWER BUDGET WATER HEATER: * OF UNITS: CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS SO. FT.$/SQ. FT.VALUE = 252,ffi.""*^fr*n.- TOTAL VALUE OF PROJ X SQ. FTG OTHER SQ. FTG MAIN SQ. FTG ACCESS tao ?s 4"trJ I -73 3tL_dPLAN CHECK FEE DATE BYRCPT# /6{z-3" BUILDING PERMIT 770,uo PLU M BI NG /BD.oe DEMOLITION 5% State Su rch arg e 3.e.64 5% State Su rcharqe ?,oc, MECHANICAL /,2f,.c-**/o,*- 'c@ gA)FENCE VALUE $ 5% State Su rch aro e /. oa SIDEWALK FT. SUBTOTAL PE RM ITS /oz2.O7 PAVING CURBCUT FT. SYSTEMS DEVELOPMENT #AZ"rY# TOTAL PERMIT FEES EXCLUDING ELECTRICAL 2_ FLOOD PLAIN: REQUIRED INSPECTIONS .g 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, ,/ made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is 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 is placed. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or f illing trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of f loor insulation, decking or f loor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or f loor sheath i n g. 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 iHRS^H'^*ti"r::i""1'" NAILING: Prior to installing erected but prior to placing any roof covering. concrete. ELECTRICAL & MECHANICAL: No work is to 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. l/ FRAMTNG: To be made after 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./.-/ TNSULATToN & 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. -,/g 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. PAVING: After gravel is in place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: ln accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Owner/ Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 PS.l. (306 a.1) 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 AN D FILLING: During earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: lnspection Certif icate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. STDS. 25-1011). 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. FINAL PLUMBING 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 ELEGTRTcALr FINAL MECHANICAL /,,*AL FIRE DEPARTMENT FINAL BUILDING: Requested after the final ptumbing, 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 Divisionand posted on the premises. u/- ADDITIONAL COMMENTS: - PLANS REVIEWED BY DATE 7 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 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. 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 rernain on the site at alltimes during lon Signature Date VALIDATION AMOUNT RECEIVED RECEIPT *: DATE PAID:2 RECEJVED BY: JoB N0. azoolq CITY 0l- SPRINGFIELD SYSTEMS DEVEL0,,'rENT CHARGE WORKSHEET I (C0HMERCIAL & RESIDENTIAL) Coa5'( Tet*ta-tToRsNAME OR COMPANY: LOCATION:55 5 X1*LLLZY ,T 1 on21 to o 81ooI DEVELOPMENT TYPE: CL . KEMODEL BUILDING SIZE:LOT SIZ S a. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT.? \.L (See Reverse For Runoff Coefficients I 2. SANITARY SEWER-CITY x $0.186 PER SQ. FT. f Actual Imperv. Are ,2-s lGn"= a Is Unknown) NO. OF PFU'S lr X 538.55 PER PFU 1 PFU'S) s+Lq"z 3 4 (See Reverse To Determine Tota TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x x $388.61 5- --X x $388-6r $_ "' :t: '; x '-' x$388.6r I$'iltffiment C To Determine rt!q-!t!::),-^- sirBTorAL-(ADD ITEMS 1,2, & 3) s- ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .os 5. SANITARY SET,'ER.MI.IMC NO. OF PFU'S s 6ntb9 t,Bs zq- TOTAL-CITY SDC s G-?-b 513.25 PER PFU + SlO Ml'lI.IC ADMIN. FEE S 42b (Use PFU Total From Item 2 Above) HslMC CREDIT IF APPLICABLE (SEE REVERSE) K p Burdick s-' TOTAL.HI.'MC SDC s# 46s b'?-b- SDC Coordinator b 1L TOTAL SDC FIXTURE UNIT CALCUI-A-- -\N TABLE: Number of New Fixtures X For remodels, calculate only the NEJ atlditional fixtures) NUMBEF, OF FIXTURE TYPE NEW FIXTURES Bathtub....... Drinking Fountain... lnterceptors For Grease/Oil/Solids/Etc..............-.. lnterceptors For Sand/Auto Wash/Etc............-..... Laundry Tub/Clotheswasher........ Clotheswasher - 3 Or More.... Mobile Home Park Trap (1 Per Trailer)-..-.... R eceptor For R ef ri g eratorflVat er Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.: Shower, Single Sta|I............. Shower, Gang.. Sink, Bar. Commercial............-...-.. Urinal, StallflVall.... Wash Basin/Lavatory, Single....-...- Water Closet, Public lnstallation.. Water Closet, Private-.-..... Miscellaneous: TOTAL FIXI-URE UNITS 'r Equivalerrt 4 Firrure Units (trJOTE UNIT EOUIVALENT FIXTURE UNITS L 2 1 2 3 b 2 6 6 1 3 2 1 2 2 1 6 4 /- 2. + n /Head CBEDIT CALCUI-ATION TABLE: Based on assessed value- lf improvements occurred after annexation date in table, . calculate credits Credit for Parcel or Land Only lf Applicable X S (Rate X Assessed Value) lmprovement (if after annexation date)x$ (Rate X Assessed Value) CREDIT TOTAL = g .Year Annexed Rate per $l,q)O Assessed Value Year Annexed Rate per 51.000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 s2.66 2.& 2.53 2.41 2.19 2-04 1985 1986 1987 1988 1989 1990 s1.69 1-35 1.15 0.92 0.59 0.23 RUNOFF COEFFICIENTS FOR STOHM DRAINAGE Residential.... Commercial.. lndustrial..-.... 0.4 0.9 0.45 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT ?- 225 FTrrA STREET SPRINGFTELD, oREGoN TNSPECTTON REQIJBST: 0FFTCE: 726-3759 1. LOCATION OF 5 t, 1tl e- tcr d lrrt+fitod trrl ttrorLquiftilhifllot rr,PERilTT APPLTCATT City Job Number COHPLETE FEE SCEEDULE BELOV :;t ,, ttr{ c:l- | cL(J ential-Single orily per dl'elling uni t. ncluded: ON s Hul t i-Fam Service fIJSGAL JOB Loo- DESCRI.tL',',PTTON '6Lt l,{rtru-r-^1000 sq.ft. or less Each additional 500sq. ft or portion thereo f Each Manuf ,d llome or -Hodular Dvelling Service or Feeder Services or FeedersInstallation, Alterations or Relocation: I tems Cos t Sum $ 8s.00 $ 15.00 s 40.00 s 2.00 Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COI{TNACf,OR INSTALI.ATION ONLY Electrical Contractor AbI B Address tfc> t Te * at Ci ty 1; u $4: r-t6 Phone i'rZ'tStS Supervisor License Ntimber ggLJLl: Expiration Date /o-t- 4 3 Cons tr Contr. Number 5 1 7 ''t"I Expiration Date 'l-27-12 Signature of ising Electrician 200 amps or less 201 amps to 400 arps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 (/ C. Temporary Services or FeedersInstallation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel s 3s.00 200 amps or less $ 40.00 0ver 401 to 600 amps $ 80.00 0ver 600 amps or 1000 vorfs see rrg, "ffif- Ovners Name (-<2As1 f, t>rfZ r B vTcs(L\ Address s s-S SH c-ct- Y S f Ci ty >lzlt NGF17.;Lb{fr+r=t€phone .t,t7 _SL.{ L ogNER llNsteu.euon The installation is being made on property I ovn vhieh is not intended for sale, Iease or rent. Ovners Signature: DATE: * Onb Ci.rcui t Each Addi tional Circuit or vith Service or Feeder Permit E. l'liscellaneous (Service/f eeder not included ) -Each installation Pr.rmp or irrigation Sign/0utIine Light ing- Limited Energy/Res Limi ted Energy/Comm -Xf SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 RECEIVED BY @ The PHONE: OQ ztP: 5 STATE: qa 1q') -1.41 5OWNER: ADDRESS: CITY: OTHER LUE:H DESCRIPTION OF WORK: NEW - REMODEL ADDITION DEMO NAME ADDRESS PHONE ADDRESS EXPI RES PHON E fJ<.a1 4 G EN ERAL: CONTRACTOR'S NAME ARCHITECT: ELECTRICAL: MECHANICAL: PLUMBING: CONST. CONTRACTOR # PLU MBING NO.FEE CHARG E Single Fixture Relocated Bl (new fix. add dg. t t) Water Service ft Sanitary Sewer ft Storm Sewer ft Backf low Device TOTAL PERMIT M EC HAN ICAL NO trtrF EHA RGtr I Furnace/burner & vent <100,000 BTUs l^.oc)6.ao i Furnace/burner & vent >100,000 BTUs 1.50 a9o I qr.r.L ptf)tt-4 Fldor fdrnacednd vent 2a>).oa Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap. cooler L Vent Fan/Single duct Zus t).e) Vent f rom System apart AC or htg. Mechanical exhaust hood and duct ?) eo Permit lssuance $10.00 TOTAL PERMIT 31 s) _ OFFICE USE _ ZONING: LAND USE HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: Y OF UNITS: OCCY GROUP: * OF STORIES: QUAD ABEA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SQ. FT.$i SQ. FT.VALUE TOTAL VALUE OF PROJ x X X SQ. FTG MAIN SQ. FTG ACCESS SO. FTG OTHER PLAN CHECK FEE DATE BYRCPT# BUILDING PERMIT PLU M BI NG DEMOLITION 5% State Su rch arg e 5% State Su rc haroe MECHANICAL 3-1 ,SD FENCE VALUE $ 5% State Su rcharo e l?3 SIDEWALK FT. SUBTOTAL PERM ITS PAVING CURBCUT FT, SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL COM M ERCIAL/I N DUSTRIA.. PERMIT APPLICATION 225 Fitth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WOFIK: SPFINGF]ELO ASSESSORS MAP:t1C3>1 to JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT:o2qoo Ql,Ns-) 3A8"2 VV REQUIRED INSPECTIONS --/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 7:0O 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: 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 FOOTTNGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Buildiig Divislon. excavated and forms are facing materials and before erected, ail steel in place, but framing inspection' srRUcruRAL CoNCRETE: In prior to placing concrete. FRAMING: To be made after excess of 25OO PS.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made arter ail insrab buirdins 3l::5 ::.':fl 3i3:I?,i,';;:r" E:X:,T.'f3^t HitT',rrr, ,service equipment, conduit, and vents are complete andpiping, accessories and other incir-ary equipment items are n'.'fl::li,lti[,1'iJ;[3::: Bl?,:f],?E]noT,l",?i,,tl}T,oin place but before any tighteiing 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.BC.Storm sewel water and before any lath or gypsum Standards 43_g.drainage lines. To be made board interior wall covering isprior to covering or fiiling appried. spEcrAL GRADTNG,t renc hes. ,NDERFL..R: prumbing Il::,S",:'f;m'J3I"Hf"' EfiiJt'liil#lP'5Jb'iT'"1 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 posr & BEAM: To be made interiol and exierior, is in Building Division before prior to installation of floor place but before any beams are placed' (2501 U'B.C' insulation, clecking or floor plastering is applied or before STDS' 25-10'11)' sheathing. - Sypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR INSULATIoN & 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 iHRS^il'^rtJ,tr::i""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. FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof 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 ptumbing, etectricat, 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 DATE By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of 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 the front of the property, and the approved set of plans will remain on the site at alltimes during tructi on. 3-tt -qLSignatu re Date VALIDATION AMOUNT RECEIVED:4aa , dqt .^DATE PAID:3 u lq> RECEIPT *:RECEIVED BY:r@ --- 225 FIFTB STIIBET SPRTNGFTELD, oREGoN 97477 INSPBCf,ION RBOUBSTT 726-3769 0FFTCE: 726-3759 hte 1 Ardhort€d Slgndure L.) I,EGAL 2 JOB Permits are non-transferable and expirelf vork is not started vlthln 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY st'rttNGl.tGLo a8 APPLICATIONrequire usa City Job Number FBE SCBEDULE BELOU fuingleor MuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or -Modular Dvelling Service or Feeder s 8s.00 $ 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: Sum Blectrical Contractor Vln Address rA ,2150 Ci ty Euceilts Phone /r(A- z ', br Supe rvisor License Ntimber -:j2h--S Expiration Date -/ -7L Expiration Date /C 'l ,7A Blectrieian C. Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Pane} 200 amps or less S 40.00 2ot anrps to 400 amps - $ 55.00 Over 600 amps or 1000 volts see rrBrr above 200 amps or less I 201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/volts Reconneet Only One Circui t Each Arldi tional Circuit or vith Service or Feeder Permit 4C SUBTOTAL OP ABOVE 5f State Surcharge. TOTAL $ s0.00 $ 60.00 $r00.00 $130.00 $300.00 $ 40.00 $ 3s.00 $ 2.00 <D of 4- Ovners Name T-' Address 5 .t ci OIINER INSTALI..ATION The installation is being nade on property I own vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: RECEIPT l'liscellaneous ( Service/feeder -Each installation Pump or irrigation $ Sign/outline Lighting- $ Limited Energy/Res $ Limited Energy/Comm $ E oD not included) 40.00 40. o0 20. o0 130:'b7a ac RECEIVED BY: -72 5 /?';''o ?zao7" Constr Contr. Number 2l- tlF <' phone 7fl-'ttt,/V SPRINGFIELE,COM M ERCIAL/ I N DUSTRIAU PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED ASSESSORS MAP: JOB NUMBER INSPECTION LIN E: 726-3769 OFFICE: 726-3759 TAX LOT: OWNER: CITY: ADD PHONE: STATE:ZIP: NEW - REMODEL ADDITION DEMOLIS DESCRIPTION OF WOR OTHER LUE ARCHITECT: NAME ADDRESS PHONE ADD RESS,PHON EME( ELECTRICAL: CONST. NT MECHANICAL CONT GENERAL: PLUMBING PLUMB ING NO.FEE CHARGE Single Fixture Relocated Bld (new fix. addtl ) Water Service ft Sanitary Sewer ft Storm Sewer ft. Backf low Device TOTAL PERMIT MECHANICAT Nr)trtrF 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. cooler Vent Fan/Single duct Vent from System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE _ ZONING* OF UNITS: FLOOD PLAINLAND USE: OCCY GROUP: * OF STORIES: QUAD AREA: g OF BLDGS: CONSTR. TYPE: HEAT SOURCE: HANDICAP ACCESS: - LIGHTING POWER BUDGEI WATER HEATER:-_ SQ. FT.$/so. FT.VALUE TOTAL VALUE OF PROJ X X X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE RCPT'DATE BY BUILDING PERMIT PLU M BI NG DEMOLITION 5% State Su rcharge 5% State Su MECHANICAL FENCE VALUE S5% State Surcharoe SIDEWALK FT. SUBTOTAL PERMITSPAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL (4, cC V' V REOUIRED INSPECTIONS .- 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. S|TE TNSPECTTON: 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: 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 & by the Owner/ Contractor during CURTAIN WALLS construction of the following work. A FOOTINGS & FOUNDATIONS: E'DED| 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 place, but framing inspection' STRUCTURAL CONCRETE: ln prior to placing concrete. FRAMING: To be made after excess of 2500 P'Sl (306 a'1) coNcRErE SLAB: ro be l1:JffiL ilJ'3[x.}fl;t|? ," srRUcruRAL wELDS: made after all inslab building place and all pipes, chimneys Performed on the iob (2722t) service equipment, conduit, and vents are complete and piping, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING: ancillary equipment items are and meihanical are approved. During all bolt installation and in place but before any tightening operations. (306 concrete is placed. INSULATION & VApOR a.6) BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON electrical, 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 prior to covering or filling applied. SpEC;AL GRAD;NG, trenches. ,NDERFL..R: p'umbins ll::,3.".="'fHJflll[t"' il:iut'i:ilJil:,5;:'i]'"n electrical, mechanical. To be according to plans' chapter 29) made prior to installation of r,^,Ab ^vDerrni GLU.LAM BEAMS: lnspectionfloor insulation, decking or LATH AND/OR GYPSUM 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 interior and eiierior, is in Building Division before priortoinstallationoffloorplacebutbeforeanybeamsareplaced.(2501U.Bc. insulation, decking or floor plastering is applied or before STDS' 25-1011)' sheathins. /vvr\r rY FJ"tlli:il0,13[X".ilo srRUcruRAL 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. 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. ROOF SHEATHING AND NAILING: Prior to installing anY roof covering. By signature, I state and agree, that I have carefuily examined the completed application and do hereby certify that all information herein is true and correct,-and I further certify tnat any and all work performed shall be done in accordance with the ordinances of the city of Springfield, and the Laws of thestate of oregon pertaining to the work described herein, and that No occuPANoY 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 proiect. DateSign haddrESSreadeablf romromhatecesteduthatprojenSnoateppehatalredreqentorerequpectiSUfurthagreeonnheSatteofremaiandherovedplansofethroappatedethppertY,f rontcitardSochepermsreet tim constructi on toNVALI RECEIVED BY: DATE PAIDECEIVEDAMOUNT R RECEIPT *: FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL 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 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 iertificate of Occupancy has been issued by the Building Division and posted on the Premises. PLANS IEWED BY DATE a-5 4a IS Po Fd& FIRE DEPARTMENT INSPECTION OCCUPANCY NAME -, bn CLASS SPRINGFIELD ADDBESS BUS. PHONE OCCUP. NAME HOME PH. BUILDING OWNER PHONE ADDRESS cooE sEcTroN VIOLATIONS (?*-,{ ol& rl,*t +.l Lr"rou,bLd . 'o o YOU ARE HEREBY NOTIFIED TO CORRECT THE ABOVE VIOLATIONS IYTTHIN OAYS. SIGNED'- VToLATToNS: Noted INSPECTOR J co.oo* rf 4lt7 NUMBER 5l*oile., J vtc^ca i< a €-,.^ Ll .J ABATED ISA-)