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Home My WebLink AboutPermit Building 1994-10-27COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPRINGFIEL(, JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 24/ LOCATION OF PROPOSED WORK 5q \1 0q 21 I o r\85'c)()*ASSESSOHS MAP:TAX LOT: 6@ ZI P, q-1 +1? ADDRESS OWNER: AL VALUE I Io L rv\+h ea lJ^DESCRIPTION OF WORK: NEW - HEMODEL ADDITION DEMOLISH OTHER NAME ADDRESS PHONE ADDRESS EXPI RES PHONE D \^5,n"€- F* N-A N-t\ N-A G ENERAL: PLUMBING: MECHANICAL: ELECTRICAL: CONTRACTOR'S NAME ARCHITECT: CONST. CONTRACTOR # PLUMBING NO.FEE CHARGE Single Fixture Relocated Bldg. (new flx. addtl) Water Service ft Sanitary Sewer ft Storm Sewer \ft Backf lcur Device TOTAL PERMIT MECHANICAL NO trtrtr CHA RGF Furnace/burner & vent <100,000 ETUs Furnace/burner & vent >100,000 BTUs \oor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Staticnary evap. cooler -VenT FdnTSinsi duct Vent sys AC tem apart or htg.from Mechanical exhaust hood and duct Permit lssuance s10.00 TOTAL PERMIT I /r "," SQ. FT. s??7j / frta ZONING 1/rr' / TOTAL VALUE OF PROJ o 4b X LAND USE: HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: * OF UNITS: $/SQ. FT. WATER HEATER: VALUE SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER - OFFICE USE- ? OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: RcPrd /{/n carc €-7^?/PLAN CHECK FEE BY a DEMOLITION % FT.e FT.4,PM NT 5%ate Surch e HANI BUILDING PERMIT SIDEWALK CURBCUT PLUMBI NG SU PERMITS SYSTEMS Surch PAVI 5% State FENCE Surch TOTAL PERMIT FEES EXCLUDING ELECTRICAL I crrv: < PFtnr 6'F t € l.."$ STATE: crArKf- rrlorape$PHONE: er$$#'-S 4tO 4q1 *r[e.u,t-sv .f AN AL.7r-N 4za /q..-b ,O - REQUIRED INSPECTIONS It is the responslbility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call 726-9169 (recorder), state your City designated job number, job address, type of inspection requested and when you will be reapY 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 m(de the following work daY. \ S|TE |NSPECT|ON: 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 ,Y- --r MECHANICAL: To be made before any work is covered. FOOTINGS & FOUNDATIONS: 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: PIumbing, 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 floor insulatlon, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or floor 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. ROOF SHEATHING ANO NAILING: Prior to installing any roof covering. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing inspection. FRAMING: To be made after the roof, all framlng, fire blocking and bracing are in place and all plpes, chimneys 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 ls applied. 8..,?iHea sEPARATToN 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 in place but before any plastering is applied or before gypsum board Joints and fasteners are taped and f inished. SIOEWALK & DRIVEWAY: Reqr:i''ed for ail concrete paving within street right of way, to be made after all excavatring complete and form work and sub-base material in place. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. a special inspector shall be employed by the Owner/ Contractor during construction of the following work. A copy of the speclal testing reports shall be f urnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 P.S.l. (306 al) STRUCTURAL WELDS: Performed on the job. (2722 l') HIGH STRENGTH BOLTING: During all bolt installation and ti ghtening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: lnspection Certificate by an approved agency, furnlshed to the Clty's Building Division before beams are placed. (2501 U.BC. STDS. 2s-10,11). STRUCTU RAL 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. -- By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereln is true and correct, and I further certify that any and all work performed shall be done in accordance wlth 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 wlll 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 OBS 701.055 will be used on this project. I further agree to ensure that all required inspections are reguested at the proper time, that project address is readable from the at the front of the property, and the approved set of plans will remain on the site at all Signature -r-- c Date Lo-n-n+ street, that the permit card is times durlng constructlon. .zzVALIDATIONAMOUNT RECEIVED RECEIPT *:RECEIVED 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 conditions such as landscaping, parking lot striping, etc. must be completed before requesting this inspection.x-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:e 20 PLANS REVIEWED BY oate ? ^1a3^9t 7 .I ATTACHHENT 81 JDg No. 7z nc CITY OF SPRINGFIELD SYSTEMS DEVELOPMEh, C!.IARGE WORKSHEET (COHHERCIAL & RESIDENTIAL) NME OR COI'IPA}.IY: LOCATION:7 DEVELOPMENT TYPE: 1. STORM DRATNAGF IHPERVIOIJS SQ. FT.X $0.209 PER SQ. FT. 'o Z4o4 />4 -7- 2. to*troov srwER-cITY NO. OF PFU'S (See Reverse) 5. ANHTNISTATIVF FFFS CI{ARGE ( nig. P SDC X 543.26 PER PFU s ,)/ 3. TRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP x - x s436.19 x - x $436.19 s s x - x s436.19 S SUBT0TAL (ADD iTEMS i,2, & 3) s -G-z<t6--rolc 4. SANITARY SFt^rFR-MI^IHC N0. 0F PFU'S x $i7.19 PER PFU + $iC MhrMC ADMIN.FEE (Use PFU Total From Item 2 Above) H|.IMC CREDIT iF APPLICABLE (SEE REVERSE) ' T0TAI -f'll'll'lc SDC SUBTOTAL (ADD ITEHS 1.2.3 & 4) StT -//S 42-fr fa./ 6 ABOVE) X .05 7-zz-z 7 s2.67_:=- s0,/6 .2..s / 82. SDC i nator Date: TOTAI SNC /o -27-?y' BUILDING SIZE: /a'tJo' | 0T SIZE' SQ. Ft. S "Z