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Home My WebLink AboutPermit Building 1995-12-28CO M M ERCIAL/ I N DUST RIAL PERMIT APPLICATION 225 Fitth Street, Springfield, Oregon 97477 SPFlINGFlELE'JoB NUMBE a ?fG /? INSPECTION LINE: 726.3769 OFFICE: 726-3759 LOCATION OF PFOPOSED WOHK: ASSESSORS MAP:/7e7- 27aa rAX Lor: 2a7a7 C2R ZIPSTATE: a PHON E: y'rs- 47 17 CITY:lfl gqaa: ADDRESS: OWNER -----7 Tao Oa/.mo-n / /Vt F A^y 1//F=vMt-*, DESCRIPTIO //' NEW - ,Je ^t 4,t.N - araru-ln^u+ REMODEL ADDITION DEMOLISH OTHER v 00t(t, IVALUE: N OF WORK fcilaoraT frmtn / lutto ?yt A,q/ ,/, Q.yr"!- ?740i NAME ADDRESS PHONE /r r-rst s T )7 ARCH ITECT: 6n 3 a o 6 G, CONTRACTOR'S NAME ADDRESS G EN EBA L: r u-4rJPLU M BI NG MECHANICAL: ELECTRICAL: 7873( br€ t 7/? 2At3 //6- CONST. CONTRACTOR #wEXPIRES PHONE PLU MBING NO.FEE CHARGE 5 Single Fixture /2 Relocated Bld (new fix. addtl v ) -Water Service z5tt.@.4- Sanitary Sewer ?2tt.4q%l#H.dl#?f" 2lb Backf low Device /a e-4 .&.ar Arrz€ ZS'qa4 _4/o,*TOTAL PERMIT MECHANICAL NN FFF CHA FIG F Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent a Suspended wall or f loor mounted unit heater 6 Le /8"* Appliance Vent separate Stationary evap. coo I er 6 Vent Fan/Single duct v.&lg"* Vent f rom sys AC tem apart or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT e6.oo - OFFICE USE -3qqq11@LAND USE WATER HEATER: g OF UNITS: LIGHTING POWER BUDGET: HANDICAP ACCESS FLOO} PLAI ZONING OCCY GROUP: I OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: $/SQ. FT,VALUE M TOTAL VALUE OF PROJ X Y SQ. FT, <f*-aSQ. FTG MAIN SQ. FTG ACCESS SO. FTG OTHER PLAN CHEcK FEE ?€,2>€{e^:<-DATE BYRCPT- /87/€ BUILDING PERMIT //6.-€PLU M BI NG 5% State Surcharge 7A42 ?o.z/-5% State Su rc h aroe ?lltAe.arx/4tqas.aav7 7a8.2 MECHANICAL /,21ekfrn.sr.%ED C*,FENCE VALUE S SY" State Su rcharqe v.72 SIDEWALK FT. SUBTOTAL PE RM ITS ?1qz---2. v5a.AO CURBCUT FT SYSTEMS DEVELOPMENT ?26//.4? ./2. a.R. 4' * DEMO LITION 76 trd.avTOTAL PERMIT FEES EXCLUDING ELECTRICAL q7y'o/ ltan- / g@aa2; -5-, zla t va-r : ^ PAVING Date rly, S n Uat andstate hat haveBysT€,ree,ucaref exam ned ethagv mco le ted ati npo dan hedoppl ce rt arebyty n atiform noh.atreihentrueSandcorrecnderurthertit,h and alty workany Sed ha beperform oned n oacc rdanc e h he rd0 na nceshecofntytidelthandSprisLawseoheateStoonoregrtanpethtowoerkngdescflbedreiheandnbeemadofhatNOaStrUctnyurethouOCCUNPAssrCYpermofonheBUItdingDiViSafetysion.fu rtareconm herncea certplitho thattyRS70 con.055 onlybeUS tractorsedon and mthectproj ployees fu hert ree eoag althat Ureq red NS ectip on are ues tedtreet,ha the req atit thepecard pro tisperlocated me,hadLeth ropti addjectthofmed Sres sunnrocon abreadppeasct lendtheon from hepprovedetoNSapitre rn ai n on he tesi al Signature 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 wlll 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 ,Y ROUGH PLUMBING, made after excavation, but ' ELECTRICAL & 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 cervice equipment, conduit, piping, accessories and other ancillary equipment items are in place but before any concrete is placed. UN DERGROUN D: 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 floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or f loor sheath i ng. FLOOR INSULATTON & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY Steel location, bond beams grouting or verticals in accordance with uBc 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. MECHANICAL: No work is to be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prlor to placing facing materials and before framing inspection. 4 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. ' srRucruRAL CoNCRETE: rn excess of 2500 PS.l. (306 a.t) Performed on the job. (2722 t) f HIGH STRENGTH BoLTING: During all bolt installation and ti ghteni ng 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) cLU.LAM BEAMS: tnspection Certif icate by an approved agency, f urnished to the City's Building Division before beams are placed. (2501 U.BC. STDS. 25-10,11). STRUCTURAL MASONRy: (306 a.7\ /r FRAMING: To be made after the roof, all framing, fire blocking and bracing are in place and all pipes, chlmneys and vents are complete and the rough electrical, 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 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, interlor and exterlor, is ln place but before any plastering is applied or before gypsum board joints and fasteners are taped and fi ni shed. 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 inpr^"".fu17r7778 CURB AND APPROACH APRONS: After forms are s ,/ FINAL pLUMBTNG I F,NAL ELEcTRT.AL x F'NAL ME.HANTcAL IV FINAL FIRE DEPARTMENT *ln addition to the inspec- tions specified, the Building Official may make or requlre other inspections of any construction work to ensure compliance with the Building, City or Development Code. SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project condition-s such aslandscaping, parking lot stri ping, etc. must be completed beforerequesting 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 aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises. oarc./e* /-z-- ITIONAL MM PLANS REVIEWED AMOU RECEIVED: VALIDATI BECEIPT +: RECEIVED BY: I --r+ x DATE PAID: / ,( -1 JOB No. 15 i3+7 0e.< qS - oA - tboCIW OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME 0R COMPANY '. i ic rA. r id lt i='--'i tt 1.., I t. LOCATION:Ir Z5 5d €t-e-€15 t:rT, DEVELOPMENT TYPE:D€u T BUILDING SiZE:OT SI 1. STORM DRAINAGE IMPERVIOUS SQ. FT. -1rer@ X $0.2i pER SQ FT :,2. SANITARY SEWER-CITY Ft ZE X $43.43 PER PFU 3. TRANSPORTATi0N tfio ;,.p;,u Faeoett-r (. NO OF UNITS X TRIP RATE X COST PER IRIP 2g;.oco x o,-77 x $437.93 x _ x $437.93 x _ x $437.93 s o $18.75 PER PFU + $10 HL.JMC ADMIN.FEE $ o NO. OF PFU'S (See Reverse) 4. SANiTARY SEWIR-MWMC NO. OF PFU'S (Use PFU Tot s al From item 2 Above) MI^JMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL.MI^JMC SDC SUBTOTAL (ADD ITEMS i,2,3 & 4) $Z=3+1 33 5. ADMINISTATIVE FEES BASE CHARGI (SUBTOTAL ABOVE) X .05 '{et5 n'Aru ;TEE- Troy l'lcAllister SDC Coordinator ai6* I ?*tL zb7 Date: I TOTAL SDC ZG 4 Gjt r' f lr\ I Ul-tE ul\rr I trALfJLrf-,{ I '\"f I t rll'l-L' lYUlllusr vr rrcYv r l^tulc:5 vr'r( Lqvrre'v!!! (NOTE: For remodels, calculate onl're !|ft additional fixtures) NUMBER OF UNIT NEW FIXTUHES - EOUIVALENT FIXTURE TYPE Bathtub.... Drinking Founlain.. Floor Drain. FIXTUAE UNITS a Laundry TubiClotheswasher"" " lnterceptors For GreaseiOil/Solids/Etc' lnterceptois For Sand/Auto Wash/Etc' Clotheswasher - 3 Or More""' Mobile Home ?arkTrap (1 Per Trailer!"".. Receptor For Refrigerator/lvater Station/Etc"""" Receptor For Commercial Sink/Dishwasher/Etc" 7- -?u ead 2 ,1 2 a 6 2 6 6 1 3 2 1tH 2 2 1 6 4 Shower, Single Stall....""" Shower, Gang......... Sink: Bar, Commercial, Residential Kitchen"" Urinal, Stall/Wall... Wash Basin lLavatory, Single Toilet, Public lnstallation' Miscellaneous: 4 tt TOTAL FIXTURE UNITS Based on assessed value. lf improvements occurre X$ Zb d after annexation date in table, CREDIT CALCULA calculate credits .TION TABLE: s. Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value)x s- (Rate X Assessed Value) CREDITTOTAL =$ - Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,0OO Assessed Value 1 987 1 988 1 989 1 990 1 991 1 992 1 993 1 994 $2.1 3 1.76 1.35 o.95 0.58 0.41 0.29 0.14 1 979 or before 1 980 1 981 1 982 1 983 1 984 1 985 1 986 $3.47 3.39 3.33 3.21 3.06 2.92 2.74 2.46 C'TY OF OBEGO'U 2. COI{TRA(TOR INSTALI.ATION ONLY Electrical Contractor Address \\fO ts clg|r\ cf ty S\>ES Phone aG\3 Supervisor License Number Expiration Date /0 *l ?r Constr Contr. Number Exp iration Date s ture sing Blectrician ers Name Address BLBCTRICAL PERHIT City Job Nunber COHPLETB PEE SCEEDULE BELOII New Residential-Single or MuIti-FamiIy per dwelling unit. Service Included:Items Cost Sum 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf'd Home or -Hodular Dvelling Servlce or Feeder s 8s.00 $ 1s.00 $ 40.00 Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reeonnect On1y Temporary Services or FeedersInstallatlon, Alteratlon or Reloca 225 TIFTE STRBBT SPRINGTIELD, ORBGON 97477 approval. INSPBCTION REQIIBSTz 726-3769 OPPICB: 726-3759 1. LOCATION INSTALI,ATffiOTi':EdOPtj The installation is being made onproperty I ovn vhich is not intended for sale, Iease or rent. Orners Signature: DATB: Tlre fcl lowlng projec-t as eubmitted has the fo zoning , an'J doea not roquire epocific [enC A SP]TINGFTELE, SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL Permits are non-transferable and expireif work is not started vithin 180 daysof lssuance or lf work ls suspended for 180 days. Ci ty ^7t11OnC Phone offi{ffion B $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c It I ong Over 600 amps or 1000 voEs see t'Bu affi D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each AdditionalCircuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) 200 amps or less t S 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 -Each installation Pump or irrigation $Sign/0utline Lighting- $Limited Energy/Res - $ Limi ted Energy/Comm $ 40.00 40.00 20.00 36.00 ITLIJ.RBCBIVBD 5 ctrY oF SPRINGFIELO, OBEG@fU Zo 225 FIFIE STREBT SPRTNGFTELD, oRBcON 97477,,. ,.v ''1h-'att BIJCTRICAL PBNHIT APPLICATION Ct Job Nunbe' q5l SLiq 3. COXPLETB PEE SCMDULB BEI,OII A. New Residentlal-Slngle or HuItl-FamiIy per dielling unlt. Service Included: I tems Cos t $ Bs.oo1000 sq.ft. or less Each additional 500 sq. ft or portlon thereof Each Hanuf'd Home or -Hodular DveIIlng Servlce or Feeder $ 1s.00 $ 40.00 :iPllINGFTELO SUBTOTAL OP ABOVE5f State Surchargel0t*trM.*a4 M h INSPBCTION RBOTIEST: OPPICE: '726-3759 726-3769 1. I,oCATION OP INSTALIJ\TION t\2.5 rHErL.B?<? a LBGAL DBSCRIPTION l?o3a?oo. oogo:, JOB DBSCRIPTION Jft l *aur- sfia N!4,r53 fVodtnsr-r 6utr S{-ffia,r. . permits are non-transferable anti expirelf vork ls not started vlthln 180 daysof lssuahce or lf vork ls suspended for 180 days c1 E tCs nhone {BF-ss(n(o Supervlsor Llcense Nurnber 5to Fgr Explratlon Date lD-q(P c Explratlon Date lD- l-qb Slgna ture Superv ng Blectrlclan Suma 2. CO!|TRACTOR INS'IALIJITION ONLY E. Serviees or Feeders Erec t r I cal con t rac to rilffi ofiJALFEE FI s++r4e.:if; :l*:: I il;, o' t "'" t I ons Address Zglt 1,g, 6Tl+ Sf 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps over 1000 amps/volts -Reconnect Only 200 amps or less $ 201 amps to 400 amps - $ Over 401 to 600 amps - $ Over 600 amps or 1000-EfEs s $ so.oo $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or'Feeders Installatlon, Alteratlon or Relocation 40.00 55.00 80.00 ee trBr aEilil I Add res s @P Z3S CAlr$,ulhJru.)*? ctryEtg:- Phone qgg- 1l t(\ O9IIER TNSTALUITTON The lnstallatloh ls belrig made onproperty f ovn vhlch is not intendedfor sale, lease or rent. Omers Slgnature: DATB: D. Branch Circuits Nev, Alteratlon or Extension Per Panel One Clrcult $ 35.00 Each Addi tional Clrcult or vlth Servlce or Feeder Permlt $ Z,0O Hiscellaneous (Servlce/feeder not lncluded) -Each lnstallatlon Pump or irrlgatlon Sign,/OutIine Llght lng-Llmited Energy/Res -Llmi ted Energy/Comm -f ers I E. $ 40.00 $ 40.00 $ 20.00 $ 36.00 tecr f''*l BRECBIVBD 5 * 8%$39.89 ./- constr contr. Number 20-3z5cL? .L C,TY OF SPF'NG FIELD,OREG ol, zoning, and doe$ approval. Arrthcrtzed nol roqulre rpecific |and SP|IINGFIELO lrrlgaIlnb L EnergY h 225 EIFTB STREEf, iinrncruslD' oREGoN TNSPBCTTON RBOTIBST: orrrCs, 726-3759 97477 726-3769 i-": Nev Residential-S Hultl-FamlIY Per Service Included: BI,BCTRICAL PERHIT AP PLICATION CitY J ob Nurnber q b\3 q BELOU ingle or dwelling unit '1.A Cos t $ Bs.oo $ 1s.00 s 40.00 SumItems permits are non-transferable and explre lf vork ls not "iati"a vlthln 180 days of lssuance or ii-notrt ls suspended for 180 daYs. 2. COTITRACTOR INSTALI'ATION ONLY 1000 sq.ft' or less nt"n "daitional 500-sq. ft or Portlon thereof Each Hanuf 'd llome or Hodular Dwelling B. Services or Feedersu' ii"t"[.trott' Alterations Inc. or Relocation: 200 amps or less 3- 201 amirs to 400 amPs - 401 amps to 600 amPs - 601 amls to 1000 lmPs- over fbOO amPs/volts Reconnect 0n1Y JOBtr Y1 lt 0- Electrical Con tractor Aleft Electric H)s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 40 55 80 ee Addres s 1970 N.28 rh st. CltY SPrinqfield Phone7 47-22t2 Supervlsor Llcense Number 243 s Explratlon Date Constr Contr' Explratlon ture of s ress Cl tY OgNER DATB: L0-0 L-9 4 c. .00 .00 '.00 PumP or tlon Slgn/0ut tghti ng-$40.00 Llml ted EnergY/Comm 20 36 .00 .o0 D0 t tmlted /Res STTBTOTAL OT ABOVB A 5Z State Suicharge fflHii:I,ii:"li::'li'[i"li'i" ro"" t i on 201 ambs to 400 amPs - over 401 to 600 aTP:^-- 6r"i OoO amPs or 1000 vorts Branch Circults Number 20-55C Date 10- 0 l--9 4 $ $ $ s a5-o6Blectrlclanr,Bx D. i. Nev, Alteratlon or Extension Per Panel $ 3s.00 B.H lscellaneous (Servlce/feeder not included) -Each lnstalla tlon $ 40.00 Phone 5{\rl one Circult Each Additionalclrcuit or wlth or Feeder Permlt serviK, g 2.oo \eL The lnstallatloir ls belrig made-on orooerty I own vtti"tt-i" iot lntended [oi'""rL, ]ease or rent' ovners Signature: $ $ RBCBIVBD 5 TOTAL tq 32' I