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HomeMy WebLinkAboutPermit Building 1996-02-13CITY OF SPruNGFIELD, SPFI]t.GFIELD COMMERC IAI./ IIIDUSTRIAI, PERMI T APP IJI CAT I ON CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY age 1 Job Nurnber: 96L477 225 North Fifth Street Springfield, OR 97477 Locatsion of Proposed Work: 267 39TH ST 1-18 Assessors Map #: 170231-4L Office: Inspection Line: 726 -3759 726 -37 69 Tax Lot #: 011-00 Owner: RGR DEVELOPMENT INC Address: PO BOX 193 Description Of Work: FND FOR 18 UNIT APT Phone #: 998-3632 ciry/stare/zip: ELMIRA, OREGON 97437 NEW Value 3, 000.00 Generaf: ContracUor RGR DEVELOPMENT 0041,282 95239 Oaklea Dr .function City OR 97 Const. Contractsor #Expiree 08 /2s / e6 Phone 998-3632 --- PLUIIBING --- No. L62 Fee Charge 1, 620 . 00 40.00 100.00 10.00 1,770 .00 Single Fixture Sanitary Sewer Water Service BACKFLOW DEVTCE TOTAL PERMIT L20 546 ft fr No --- DIECHAIITCAT, --- Furnace/burner & vent < L000,000 BTUs Mechanical exhaust hood and duct Vent, Fan/Single Duct Permit Issuance TOTAL PERMIT Fee Charge 108.00 81.00 r_08.00 10.00 351.00 36 HANDICAP ACCESS: Y # OF BLDGS: 3 -- OFFICE USE -- QUAD AREA: 3RNW # OF UNTTS: 18 LAND USE: 1134 ZONING CODE: HDR Item Sq. Ftg Main TOTAL VAIJUE OF PROiIECT Square Feet ]-5734 x $/Sguare Feet Vafue 500, 000 . 00 500, 000 . 00 Plan Check Fee:1-91-.75 Rec #: 23644 Date: LO/29/96 Rec By: LORNE PLEGER BUILDING Surcharge/admin t,483 118 00 54 SPFI]t.GFIELD h, Job Number: 96L477 Page 2 MECHANICAL surcharge/edmin PAVING VALUE PLT]MBING Surcharge/edmin SIDEWALK CI'RBCUT ELECTRICAL PERMIT FE WILLAMALANE SDC SUBTOTAL PERMITS SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXEI,I'DING ELECTRICAL 25 ,792 . OO 361.00 28.08 175.00 L,77O.OO 141.60 16.30 r.5.30 1, 858.40 L2 , 456 .00 t6,/95, ira /u?a2,?1 L8 , 434 .32 Wn k7t>*nEz? E0 r 521 .9^ , 7//?/?.e --- REQUIRED INSPECTIONS --- It is the responsibility of the permit hol-der to see that all inspections are made at the proper time. To request, an inspection, cal-l 725-3759 (recorder), state your City designated job number, job address, type of inspection requested and when you wilL be ready for inspection. RequesLs received before 7:00 a.m. will be made the same working day, reguests made after 7:00 a.m will be made the following work day. Special Inspections: In accordance wiEh Section 306 of the State Specialty Code a special inspector shafL be employed by the owner/Contractor during construction of any following "*rr work. A copy of the special testing reports shall be furnished to Building Safety. In addition to the inspections specified, the Building official may make or reguire other inspections of any construction work to ensure compliance with Lhe Building, CiEy or Development Code. FOOTING - After Erenches are excavated. SLAB - To be made after all inslab building service eguipmenL, conduit pipj-ng, and other eguipment items are j-n place but prior to concrete WATER LINE - Prior to filling trench. SAIiIITARY SEWER LINE - Prior to filling trench. STOR!{ SEWER LINE - Prj-or to filling trench. I,NDERGROI,ND EI.ECTRICAI. - PriOT TO COVET. ROUGH PLITMBING - Prior to cover. ROUGH MECEAI{ICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FR.NIING - Prior to cover. INSULATION - Floor,' prior to decking wa11/Ceil-ing; Prior to cover VAPOR BARRIER/INSULATION - To be made after insulation and required vapor barriers are in p1ace, but prior to any wall covering. DRYIIIALL - Prior to taping. ROUGH GRADING - After gravel is in place but prior to placing concrete FINAL PAVING - After paving is complete. FINAL PTITMBING - when all plumbing work is complete. FINAL IIECIIANfCAL - When a]I mechanical work is complete. FfNAL ELECTRfCAL - When all electrical work is compleEe. ffNAL FIRE - When all Fj-re Department requirements have been met. been meE. CURBCIIr - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in p1ace. SPF!NGF!ELD ilob Number: 96L477 SPilNGFIETD,OF Page 3 FINAL SITE PLAI'I - After aII reguirements have been met for Minimum Development Standards or from the DevelopmenE Agreement. FINAL BUILDING - When all reguired inspecEions have been approwed and the building is comPlete. .-- ADDITIONAI. COMMENTS --- SITE PLAN REVIEW JOURNAL NT]MBER 95-08-155, 'JILIA }ADJUK SECOND PLAN CHECK FEE OF $953.95 PArD L-3-97 Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: oL/3t/97 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all- information hereon is true and correct, and I further cerEify that any and all work performed shall be done in accordance with Ehe Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wifl be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contracLors and employees who are in comptiance wiLh ORs 701.055 will be used on this project. I further agree to ensure that atl reguired inspections are requesEed at the proper time, that project address is readable from the street, Ehat the permit card is located at the fron! of the property, and the approved set of plans wilL remain on the site at all times during construcLion. J-/3-?r si ture DaLe ..- VALIDATION --- ReceipE Number: Date Paid: 2r'977 2 Amount Received 2 Received By:,4-r:->-,7/- CITY OF SPilNGFIELT', SPRINGFIELD ,Job Number: 96A47'7A Page 2 FIXTURE I'NIT CALCULATION TABLE Number of New Fixture Unit Equivalent Fixture UnitsFixture Type Bathtub Drinking Fountain Fl-oor Drain Interceptors For Grease/oi1/Solids/etc Inteceptors For Sand/Auto Wash/Etc Laundry tub/CLotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/water Station/etc Receptor for Commercial Sink/Dishwasher/Etc Shower, Single Stall Shower, Gang Sink, Bar, Commercial, Residential Kitchen Urinal, Stall/Wall Wash Basin/LavaLory, Single Water Closet, Public Installation water CLoset, Private Miscellaneous 18 0 18 0 35 0 35 0 36 0 36 0 L44 0 z 1 2 3 A 2 5 1 3 2 2 1 6 4 18 0 0 0 0 18 0 0 0 35 0 0 0 0 36 0 0 0 36 0 TOTAL FIXTURE UNITS =324 CREDIT CALCTLATION TABLE: Based on assessed value. If improvements occured after dnnexation date, credits are calculated separately (calculations are by $1000) Year Annexed: 1969 Credit For Parcel Or Land OnIy If Applicable: 65,780 X 3.47 = 228.26 Improvement (if after annexation date): 0 X 3.47 = 0.00 CREDIT TOTAL = $i229.2G (If land value is multiplied by 1- then the parcel/Iand credit is not accurate.) PLAN CHECK F e@--RCPT#DATE BY BUILDING PERMIT 3*-5o PLUMBING DEMOLITION 5% State Surcharge /72 5% State Su rcharqe MECHANICAL FENCE VALUE $ 5% State Su rcharqe SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT T t- SYSTEMS DEVELOPM ENT q/,5?TOTAL PERMIT FEES EXCLUDING ELECTRICAL ..\. r-- i^t'L-97 (f8:.47A, rvlortaer Engirreering < =o,t ) 4=,4 - 6a'e ri{qJRTIER IlNGINEERING, P.C. PO. BCX 139. 1245 PEARL STHEET STRUCTURAL BUILDING t)[3lCr-i o i li]L i:.i;i". ii--,i-,.;r"r CODE CONSULTANT. PI,4N r*r iEr,'.j-,r..: -jr:r)NqTRUCTtOtrl I NtS pEC.T rON l:l lri!f,lg r1Qtrl:nN a'/idn Frlaiiil- t5! l, ac{-grau - r^x [5.tt, {6{-o6Jo Harc:tr 11 , 1997 ::Bsiign Studio 151 W- ?th, Suite 42O ?iugene, oR 97401 RE: 267 l.l. *39th. Sprinqfjeld Llre {a[Ja f't.mhJfl l.L997. Durlnq The roof sheathlng congigted of a 5/8 cDX prywood with Bd ring sharrl< naile at 4t! on center panel edges and about 6tt on c$ntc=:.field. Approxlmately LOt of the faetenera -i{ere over*dr.i-veii.Thig roof dlaphraqrnr system is adeguate to rasist. air i1npc..;1;"lloads per the Oregon State Structural Specialty code asaclopted by the Clty of Springfield (see attached copy of AFA,*over-driven nail lnformation sheet), T hope thls report fhank you very much. ie adeguate for your purpoaes at this time. 11, l1 Owen Grover, P.E. aIfi/Ye dsgn3sth milfl ..,I ,l IJJ-.-' EXPIfiES:6-30- 7z Poat-lt'. brand lax transmiltal rnemo 7571 * oi pegeu r {{- 1 I - w. o. #9398-BRtrt 49 yQu requcEted, I grer furrlreu alt irrsPr=r-Licrrr aL complexee on 39th St. in Sprinqfield on Dtarch ZB,that inepectlon I made the following observatlons: k hq'ffi t4glJoW 4rur/ 07,1{'97 THL lJ:15 FA-I 5J 1J56 CALCULATIONS STRIJcTUML EUILDING DESIGN o Fin= pROTi:C1tJi. CODE CONSULTA/VT . PUhl CHECKTNG alo NSTRUCTTO N tNS PECTION 5 r, ('t rA,, i, lal t-6 t- P n f -TJ zG ) N. J 4! st ALu r^; Ou O f.-r. a? P,'uC FtL.Lo O< I q16 () 56s (_ 3 uO A Co\tc<Ma.ta*Ei ltt40 19 ltk t(11 lA0o2'0tt':. cirErr -A-E5r6U 53 -A.a-t-c. SHEET NO CALCULATED BY RQr CTItCKEC AY o^r, 2./-J.-11-L-- \N' \\\N \ 7 +r6 34 t o't t"./ l7l-1 c.l #J t LA6 @ocz-ti, k" S tvCrllr, {FeArt(rat T-s ,L ( s,t-6 L5uta $ G N N" \ \ R Nir a N \ \ N \ $ t c s+/!+,* u*, te l"!'-t-iil iiWeos tl,'t t{i I -FR- i I I I I i ' I In '. tjtnr EXP tilES: C-3Lr- / 1t-o ItL k'D Ftk) \ f-,iLT ? r.S -fo >"i I ,.; (: L e U0 !,\rg ttrt { wr.i, lit/t' f 6aorS l-ltjc'i t Z\ IL 716 anta 11r Lu s 26._3 51r,1 1 5'/'. ll To14L l,lerGnt t il,- 2,t t loRlJEtt tt, 'f{iJ c i to ln I X T , t\ t,L(\ ,; fi Rocrs r lJ tz,, X,li,,A s6,' fii a-fi uG .,*i5arh,r:r. ?xe 4's€ T'I\l <-- ?rirsgnl ->I II( ,/: /i L t, >'i6 5 "7r 94 4 L tz r('oN.,e^lace)o{ (fl s,1€s,v,* ET- t n) 4xl + 2X$ *,tY p 0*r1 ,l; \t,/\tz . , .1... *xq t >-{,1 l:'l Apf RdN-fi,oF i a-7 t/ ,PBs 1+A 11 ''a.4,r.f,<''f411sStta-taw 7o rt'\*c, -rr/ r- t')'>l [luceo Vc.T zr 4 t^.r t-l sl /il F, ,,q $ AilO R4 tt- A.nr,irz{ a * - ...i .. \ 6t l' .Ii s -Atp 6 (rr" ( av7 _v a !? l-i { .\i I I I I i : ) I V 9r oe.5 ...+-,- _--'...,.--I l:':' 4' 7 ,v blo t'l I _l 1 I l Treads & Risers: The greatest riser height and thegreatest tread rt.rl (depth) shatt not exceed the smattestby more than 3,/8 inch. tlirriers: llinding treads are permitted, provided thedepth of the tread at a point not mone ttran'12( frorn theside rhere the treads are narro!.er is not tess than 9tt,the minimun depth is not less than 6,t aM the average depth of any tread is not less than 9,,. ilardrails &.Guardraits: Hardraits are required on atteast one side of stairs having three or more risers, and shatl be continuous the fut( length of the stairs. Ends shatt be returned to the ratI or shatI terminate in neHeI posts or safety terminats. The handgrip portion ofthe hardraiL shatl not be more than !-J78ir'in cross-sectionaI dimension, or ol an equivatent gripping surface. Open sides of stairs rith a totaI rise of-irrcrithan 30'r above the ftoor or grade betor shatt haveguardraits as retI as a handrait (see drasing). 3lz MAX Z?'I MIN, BETWEEN RoJEOTtoNsbTH AND T4WOB+/L ARERqUtRm AfffiN =fr1175 tt {\q aq s\ \i \ \) tlt ( ,It $\l \ t-l tt t)/zn lyltN, Hnttoru,tL Rt PD aNE I i \ \9r(\ AIDE ONI-Y -J " MtN,IR WID 7-a-?4t" - 24-qO l" l"llN, NostNG I I t- t- It I I E I L F I I F I RINGF1IELEI DATE: CITY OF SPRINGFIELD Developmenr Services Depr. Building Salety Dlvision 225 N. 5th Street Springtield, Oregon 9?4?? Stairways and Railings I I ,'9? THU lJ:lI FiI 511 _356 ld0ot,t,o: I $*$ Da4i4 /. O. Scrl*4* 27W 74La. Sru *-, Oirq 9?%s8e-#l TELEFAX TRANSMITTAL FAX#: (511) 726-36seDATE: July 24, 1996 TO: Lorne Plcger COMPANY: City of Springfield JOB: Springfield Apanments @rojcct No. 96[a??) FROII: David J.O. Bectrman CC: This Transmittal is 2 pages, including this cover sheel X For your record and inforuution. At your requcst. Please respond by Thurk you. Please confirm receipt to e[ (503)343-g694. Description: Stair layout detail Notes: Here is the detailing for the building stair. If you have any questions please call. Thank you C'TY OF EI.,ECTRICAL PERHIT APPLICATION Ci ty Job Nurnbe , ?0t '/ 7 7 I,ETE FEE SCEEDUIjE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: I tems Cos t $ 8s.001000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular Dwelling Service or Feeder s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less -1-20L amps to 400 amps 40L amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/voIts Reconnect Only 200 amps''or less 201 amps to 400 amps -Over 401 to 600 amps Over 600 amps or 1000 voTt VGFIELO Circuit or vith Service or Feeder Permit 6,;,{; -,lll'r::JXj i Uffl ,:;: j;:',Hffty', Zoning IL 225 FIFTE STREET L)are SPRINGFIELD,74 INSPECTION REQT'E a66Prre OFFICE: 726-3759 1 1%'2 -7 A B C E DESCRTPTION ldo Sum JOB DESCRTPTION A/t w Serua 12-5 CtLCq 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. CO}ITRACTOR INSTALI.,ATION ONLY Electrical contrac rcr f. n/ f E?a:Vc* Address City_ Phone ,h fu/ SU * r'{qr'^ s s0.00 s 60.00 s100.00 $130.00 s300.00 s 40.00 -Each installation Pump or irrigation _ $ 40.00 sign/outline Lighting- $ 40.00 Limited Energy/Res $ 20.00 SUBTOTAL OF ABOVE {8,0O 5Z State Surcharge -Z:-, a 32 Administrative Fee /. C YTOTAL __GW- do ee I'8, aEovil $2 00 40.00 55.00 80.00S Supervisor License Number Expiration Dare /A*/ - Oel Constr Contr. Number ')ffiBf Expiration Date of Supervising Electrician Ovners Name Hrn Address 38 5zf ci OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: Temporary Services or Feeders Installation, Alteration or Relocation $ s $ss D. Branch Circuits Nev, Alteration or Extension Per Panel s 3s.00 Ar.1 Phone ?Y/- ? qf 1 One YCi rcui t Each\ Additional 3 6 Miscellaneous (Service/feeder not included) DATE:fiifRECETVED B 5 JFTALI,ATION COM M ERCIAL/IN DUSTRIAL PERM!T APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WOFIK: ASSESSOFIS MAP: SPRINGFIELEl qz JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT:y'n ' '"1D 77439ZIP:STATE: pHoNE: 7F4a - -i ' -Ql ,<oJZ- CITY: ADDRESS OWNER: DESCBIPTION OF WORK: NEW - REMODEL ADDITION DEMOLISH OTHER VALUE ARCHITECT CONST. CONTBACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE ADDRESSNAME PHO}IE MECHANICAL ELECTRICAL: G ENERA L: PLUM BING PLU MBIN G NO.FEE CHARGE Single Fixture Belocated Bldg. (new fix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backflow Device TOTAL PERMIT Nr)FFF EHA 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 System apart from AC or htg. Mechanical exhaust hood and duct &^r,,I -PtlL l-c^,t,- Ilqr^ Permit lssuance 0 $10.00 TOTAL PERMIT '':'i'llT SHAI=t "lPlPE !F OCCY GROUfit * OF STORIES: C e nveriEl - 8OO -332 -"3 4 4 ).Jl $/SQ. FT.SQ. FT. ' jF"Rl()i1 iOF X X T9TAL VALUE OF PROJ l. SQ. FTG MAIN SQ. FTG ACCE-Sb SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE BY BUILDING PERMIT $rlt.-PLUMBING drld -DEMOLITION 5% State Surcharoe ll, & r tl.bs'5% State Su rcharoe * r.as- {-.aaf MECHANIOAL Acz. *to,-PENOE VALUE $ 5% State Surcharoa t3,gs+ a.o ' SIDEWALK FT SUBTOTAL PERMITS PAVING Sq:, so CURBCUT FT. SYSTEMS +bbTOTAL PERMIT FEES EXCLUDING ELECTRICAL QUAD AREA: * OF BLDGS: REQUIRED INSPECTIONS It is the rdsponslblllty of the permlt holder to see that all inspections are made at the proper time. To rgquest an inspection, call 726.3769 (recorder), state your Clty deslgnated job number, Job address, type of inspection requested and when you will be ready for inspectlon. Requests received before 7:00 a.m. wlll be made the same worklng day, requests made after 7:00 a.m. will be made the following work day. -\\ : ./ SITE TNSPECTION: To be ROUGH PLUMBING, -- - PAVING: After gravet is in made after excavatlon, but ELECTRICAL & ./ - place but prior to placing prlor to setup of forms. MECHANICAL: No work ls to asphalt or concrete. be covered until these UNDERSLABPLUMBING,inspectionshavebeenmadeSPECIALlNSPEcTloNS:lnaccordance ELECTRICAL & and approved. Section 306 of the State Specialty Code MECHANICAL: To be made a special inspector shall be employed before any work ls covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringcuRTAlN WALLS cbnstruction of the following w6rk. A FOOTINGS & FOUNDATTONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Buildiig Division. excavated and forms are ., facing materials and before erected, .n "G"i in-b1""", out '. framing lnspectlon' srRUcruRAL CoNCRETE: tnprior to placlng concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1) coNcRETE SLAB: To be the roof, all framlng, fire made arter ar insrab buirdins 3l::5'::.':f; 3i'3:i:t"^",';l:r" EIXy,T".,f3"t,Y5tt3oi'rrrr, ,rservlce equipment, condult, and vents are complete andplplng, accessories and gther iricrEry equipment items are m'fl::[.',]i"'jif.1' jJ;[?l?? Blf,:fI?:]?HgPflSi".in place but before any tighte-nlng operations. (306concrete ls placed. INSULATIoN & vApoR a.6) BARRIER: To be made after all UNDERGROUND: Plumblng, insulation and requlred vapor SpRAyED ONelectrlcal, gas, sanitary sewer, barriers are ln place but FIREpROOFING: U.BC.storm sewer, water and before any lath or gypsum Standards 43-8.dralnage llnes. To be made board interior wall covering isprior to covering or f iiling appried. spEcrAL GRADTNG,trenches. ,NDERFLo.R: p,umbing [ll:,]""="?Hi3[g]"' fii,iruiil-:ii',5Jh'i],"" electrlcal, mechanical. To be according to plans. chapter 29) made prlor to installatlon of floor lnsulatlon, decklng or - LATH ANO/OR GYPSUM GLU'LAM BEAMS: lnspection floor sheathlng. 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 interiol and exierlor, is in Building Division before prlor to lnstallatlon of floor place but before any beams are placed (2501 U B.C' lnsulatlon, clecklng or floor plastering is applied or before STDS' 25-10'11)' sheathlng. - Sypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR rNsuLATloN & finished' a'7) VAPOR BARRIERS: To be made prlor to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or vertlcals ln accordance with uBc 2415. RooF sHEATHTNG AND iHRS^il?fJ'T"#!|'" NAILING: Prlor to lnstalllng erected but prior to placing any roof coverlng. 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. 7v''x- ,Y -* 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 landscaplng, parking lot stri plng, etc. must be completed before requesting thls lnspection. FINAL BUILDING: Requested after the flnal plumbing, electricat, mechanlcal 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 applicatlon 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 with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work described hereln, and that NO OCCUpANCy will be made of any structure without permisslon of the Buildlng Safety Divlsion. I further certify that only contractors and employees who are in compllance wlth ORS 701.055 will be used on this proiect. 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 permlt card ls located at the front of the property, and the approved set of plans wlll remain on the site at all times durl constructlon. Signature Date VALIDATION AMOUNT RECEIVED Lt RECEIPT *:3aL 0 1, -)+ DATE PAID: ?_T1-- X 1 RECEIVED BY' q(J CITY OF OREGON S' GFIELI) 225 FIFTE SPRINGTIELD, Zoning l{ D r'r- 3-r1-q Jl,il:,:#[%3:?T:iri11g:;:mHf ,J:!'fi ?rrr-irE,' ""'l1,ft_@np city jSbc L000 sq.ft. or less Each additional 500 sq. ft or portion APPLTCATION t*1 1 s 8s.00 INSPECTI0N RfiQffif,,;o OFPICE: 726-3759 1. LOCATTON OF INSTALLATIONStor 3q fr\- 3ht-c* LEGAT DESCRTPTIONl? o\al brr f7) JOB DESCRIPTIONl*l-- Expiration Date- lO:L: O_t Constr Contr. Number 2o 8n ? Expiration Date /L-?o^u> Signature of Supervising Electrician 0vners Name ( 0vners Signature: DATE: A. Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost Sum Address 3K 3a*5 \aSpr-r L-*.\lt{ Ci ty ("tX c{ <,L pn"." J\ 6-?\8 9 OVNER INSTALTATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. ee rrBrr a6ove D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit I $ 3s.00 iL-Each Additional + Circuit or vith Service or Feeder Permit S 2.OO 200 amps''or less 201 amps to 400 amps -Over 40L to 600 amps -Over 600 amps or 1000-16-ITs s $ $ s Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _ $ 40.00 sign/outline Lighting- $ 40.00 - Liilited Energy/Res S 20.00 I Limited nnerfy/Comm S 36.00 : Temporary Services or FeedersInstallation, Alteration or Relocation SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL c E. 40.00 55.00 80.00 5 RECEIVED Arr, I -ADDRESS-267 39TH ST t_-]-B -INFO- NEW RESIDENTIAL 113 4 001--060-coM/rND PLN cHEcK OO2-OO5-PLUMBING OO3-O]-s-STORM SEWER OO4-OO3-TEMP ELECTRICAL OO5-OO2_BUILDING PERMIT 006-060-coM/rND PLN CHECK OO7-OO2-BUILDING PERMIT OO8-OO6-MECHANICAL O O 9_O 87_MECHANICAL I SSUAN 0L 0-0 0 8-PAVTNG/GRADTNG O 1 1-O O 5-PLUMBING 012_O ]- 3-SIDEWALK 013_O]-2-CURBCUT o L 4 - 07 4 -SDClWr LLAMALANE 0 L 5-0 7 0-sDC/STORM oL6-07 1-SDC/SANTTARY 0L7 -07 2-SDCITRANSP O1B-05s_REGIONAL SEWER 019-073-SDC/ADMTN O2 O_O O4-ELECTRICAL O2L_07 1-SDC/SANITARY 022_055_REGIONAL SEWER BUILDING DIVISION JOB# 9F'477 -LEGAL-LOT BLOCK DESCR!18 UNIT APARTMENT COMPLEX L7 023L4L01- 1- 0 0 _OWNER- RGR DEVELOPMENT INC 998_3632 PO BOX 1-93 ELMTRA, OREGON 97437 961-031 / 97t007 -ENERGY- -STATS-HEATI- 2- 3 BLDG ZONE HDR H2O- STORIES FLOODPLAIN RANGE- BEDRM OCC GRPINSULATION 1.8 UNITSPATH- SQ FEET CONST TYPE _CONTRACTORS- GENL-RGR DEVELOPMENT CONTRACTOR PHONE-998_3 63 2 PLMB- ELECT- MECH- DESGN- -VALUE- 628792 ACTIVE 600, 0o 25,79 QUAD AREA 3RNW sEQ-REQUTRED pERMTTS- -------FEE--SURCHARGE--DATE--RECPT--CAT-------VALUE 1-91 1-00 5 40 38 963 1, 483 351 L0 L75 L,770 L6 L6 456 959 000 7LL 485 532 730 499 48s 75 00 00 00 50 95 00 00 00 00 00 30 30 00 36 00 15 30 74 00 00 30 0.00 5.00 0.00 2 .00 1.93 0.00 74.15 L7 .55 96LO29 2 96LO3L 2 961-031- 2 96LL25 2 96L2L3 2 970L03 2 9702L3 2 9702L3 2 9702L3 2 9702L3 2 9702L3 2 9702L3 2 9702L3 2 9702L3 2 970306 2 9702L3 2 970306 2 9702L3 2 970306 29702t3 2 970306 2 9702L3 2 3644 3679 3679 3 901 4047 4208 4573 4573 4573 4573 4573 4573 4573 4573 47 87 4573 4787 4573 47 87 4573 4787 510 500 827 10s 520 906 5t-0 6t- 3 6L2 500 3, 00 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 04757 0.00 0.00 88.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86. s0 0.00 0.00 L2 4 10 4 6 1 1 4 6 SEQ-MINIMUM INSPECTIONS + REQUTREMENTS-- --EXP DATE---ACT DATE- OO1-027-STORM SEWER APPROX 467 FEET OO2-O4O-TEMPORARY ELECTR BY OWNER 003-002-FooTrNG OO4-OO3-FOUNDATION 005-002-FoorrNG 0 0 6-0 04-SLAB OO7-024-WATER LINE OO8-02 6-SANTTARY SEWER OO9-027-STORM SEWER O1O-041-UNDERGROUND ELEC O1- 1-_02 3-ROUGH PLUMBING O 1 2-O 3 1-ROUGH MECHANICAL 013-042-ROUGH ELECTRIC 014_044-ELECTRIC SERVICE 015_OO6-FRAMING O].6-0Og_INSULATION FLOOR 017-018-VAPOR BARRIER 961- 101 96LL26 96L220 97 07 LL 97 07 30 97 07 L6 97 07 02 97 07 02 97 052L 97L007 97 07 L6 O1B-O]-]._DRYWALL O ].9-1-OO-ROUGH GRADING O2O-101-FINAL PAVING O 2 1-O 2 g-FINAL PLUMBING 022-0 39-FINAL MECHANI CAL 023_049-FINAL ELECTRICAL 024_064_FINAL FIRE DEPT 0 2 5 - 0 9 0 -DRI VEWAY/CURBCUT O 2 6-O 91-SIDEWALK 027_OBg_SITE PLAN FINAL PLANNER IS JULIA HAJDUK O2B-01.g-FINAL BUILDING 970728 970815 SEQ--INSPECTTONS -COMMENTS------- -----DATE---RSLT--INSP OO]--027-STORM SEWER LLz' 1 CB. OO2-027-STORM SEWER 250' 003-040-TEMPORARY ELECTR SUB-CALLED PEND,RTSER WrRE 004-002-FoorrNG 005-002-FoorrNG OO6-OO2-FOOTING BLDG 1# FOOTINGS ONLY OO7-OO3-FOUNDATION OO8-OO3_FOUNDATION OOg-OO2-FOOTING BLDG 2 O1O-OO2-FOOTING SURVEYED LOT 011-004-SLAB OL2_047_SPECIAL GROUND ROD O]-3-04I-UNDERGROUND ELEC 3-SLABS&EUF'ER GRN. 014_OO6-FRAMING 015-108-ROOF SHEATHTNG/NAROOF NEEDS TO BE RENATLED/NO C/N O]-6-02O-UNDERGROUND PLUM CWI LETTER ACCEPTED OL7-LO4-SHEAR WALL NAILINBLDG 1# FIRST FL ONLY 0I_8-108-ROOF SHEATHTNG/NANEED LETTER FROM ENGr/BLDG 2# O].9-1-04_SHEAR WALL NAILINLEFT CARD O2O-1.04-SHEAR WALL NAILINBLDG 2# O?I-TO4-SHEAR WALL NAILINBLDG 3# 022-L0 8-ROOF SHEATHTNG/NA 023-104-SHEAR WALL NAILIN 024-108-ROOF SHEATHTNG/NABLDG 3 025-OO6-FRAMING026-0O6-FRAMING FIREWALL PENETRATIONS 027-023-ROUGH PLUMBING BLDG 1 028-042-ROUGH ELECTRIC BUILDING#1. 029_027_STORM SEWER MINIMUM INSPECTION DONE 961101 O3O-OOg-INSULATION SLAB EDGE INSULATION O.K. 031-03]._ROUGH MECHANICAL NEED CHANGE ORDER FOR 1HR SYS. 032-014-SPECIAL O3 3-03 ]--ROUGH MECHANICAL 034-042-ROUGH ELECTRIC HOLD FOR THURS. 035-042-ROUGH ELECTRIC 036-02 3-ROUGH PLUMBING 037 -023-ROUGH PLUMBING 038-031-ROUGH MECHANICAL 039-014-SPECIAL CKED SETBACK AND HOUSE TO NORTH O4O-042-ROUGH ELECTRIC 041-OO6-FRAMING 042-042_ROUGH ELECTRIC ALREADYM INSULATED 043-03 1-ROUGH MECHANICAL 044-OO6-FRAMING 045-0 2 3-ROUGH PLUMBING 046-OO6-FRAMING 047-O 14-SPECIAL O4B-OO6_FRAMING UPSTAIRS ONLY BLDG ]. AND 2 049-042_ROUGH ELECTRIC BLDG, #2 ROUGH-IN 050-031-ROUGH MECHANTCAL BLDG2, 2ND FL. 051-OO6-FRAMING BLDG L#/AT CHASE AREA DOWN/STATRS 052-023-ROUGH PLUMBTNG BLDG2,2ND FL. 9611-01 0K 28 96LLO4 OK 28 96LL26 0K 61 96L2]-6 96L2L7 96L220 970 L 06 97 oLO9 97 010 9 97 01-0 9 97 010 9 9701-09 97 0204 97 032L 97 0328 97 0328 97 040 8 97 041-4 97 042L 97 042L 97 042L 97 0507 97 0507 97 050 B 9705L5 97 0520 97 052L 97 052L 97 052L 97 052L 97 052L 9706r-0 97 06LL 97 06LL 97 06lL 97 06LL 97 06LL 97 06LL 97 06L2 97 06t2 97 0623 97 0623 97 0623 97 0625 97 0625 97 0625 97 0625 97 07 0L 97 07 02 97 07 02 97 07 02 97 07 02 ro 59 NR OK cwI WIR OK OK OK OK OK IO NOTOK NAPP OK POK UGE OK OK NR WIR OK IO IO OK OK WTR POK IO IO NOTOK IRC WIR NOTOK WIR WIR IO NR 38 59 09 59 59 59 59 59 59 59 59 61 59 59 59 59 59 38 38 38 59 38 20 6L 20 92 59 59 61 59 61 28 38 28 38 59 3B 6L 28 59 28 59 28 61 61 28 28 28 IRC CWI NOTOK IO IO ro IO POK OK OK POK OK 053-OO6-FRAMING 054-OO6-FRAMING 055-OO9-INSULATION 056-024-WATER LINE 057-OO6-FRAMING O5B-012-FIREWALL 059-O]. ].-DRYWALL O6O-04].-UNDERGROUND ELEC O 61-02 3-ROUGH PLUMBTNG 062-OO6-FRAMING 063-01]--DRYWALL 064-OO6-FRAMING 065-011-DRYWALL 066-023-ROUGH PLUMBING 067-03 1-ROUGH MECHANICAL 068-024-WATER LINE 069-042_ROUGH ELECTRIC O7O-O 2 3-ROUGH PLUMBING 071_03 I-ROUGH MECHANICAL 07 2-O 1 1-DRYWALL 073-O].2_FIREWALL 07 4_042_ROUGH ELECTRIC 075-O 3 ].-ROUGH MECHANICAL 076-OO6-FRAMING 077 _042-ROUGH ELECTRIC O7B-O]-1--DRYWALL 07 9-O 2 3-ROUGH PLUMBING O8O-OO6_FRAMING OBl--042-ROUGH ELECTRIC OB2_026-SANITARY SEWER OB3-02 3-ROUGH PLUMBING O 84-02 6-SANITARY SEWER OB5_O 3 1-ROUGH MECHANICAL OB6-03 1-ROUGH MECHANICAL OB7-042-ROUGH ELECTRIC OBB-042-ROUGH ELECTRIC O 89-03 1--ROUGH MECHANICAL O9O-042-ROUGH ELECTRIC O9].-091-STDEWALK 092-011-DRWALL 093-OO6-FRAMING 094_OO6-FRAMING 095-OO6-FRAMING 096-0 -ELECTRIC SERVICE 097 -0A _ELECTRIC SERVICE #g 2 2 BLD. BLDG BLDG ^T CHASE DOWNST/BLDG Z# ASE AREA DOWNST/BLDG 3# NEED TO CALL JOHN MC. BLDG T# BOTTOM UNITS AT FRONT ENTRY/BOTTOM BLDG t_# BOTTOM UNIT BLDG Z# BOT/UNIT gLOe Z# PLENIUM WALLS ONLY BLDG. #2 BLDG 3 SUB. MECH. AND ELECT. BLDG 2 BLDG 3 BLDG 3 2ND FL ONLY BLD#3 BLD, #3 BLDG 3 1ST FL. PANEL WALLS BUILDING 3 STAIR INFO NEED WATER GRN TO 250_94 BLD L_2_3 ]-B UNITS SUB-CALLED 97 07 02 97 07 02 97 07 02 97 07 LL 97 07LL 97 07 LL 97 07 Lt 97 07 L6 97 07 L6 97 07 L6 97 07 L6 97 07 L6 97 07 L6 97 07 L7 97 07 L7 97 07 L8 97 07 L8 97 07 22 97 07 22 97 07 28 97 07 28 97 07 30 97 07 29 97 07 29 97 07 29 97 07 29 97 07 29 97 07 30 97 07 30 97 07 30 97 07 30 97 07 30 97 07 30 97 07 3L 97 07 3L 97 0804 97 0804 97 08L4 9708r-s 9708L5 97 0909 97 09LO 97 0 910 97 0925 97L007 POK POK IO OK IO IO IO OK IRC OK POK OK POK OK OK WIR POK OK OK OK OK OK NR OK IRC NOTOK OK IRC NR OK WIR IRC NOTOK OK NR OK OK OK OK OK IO IRC WIR NOTOK OK 59 59 59 28 59 59 59 6L 28 59 59 59 59 28 28 2B 6L 28 28 59 59 6l_ 6t 61 28 61 66 38 38 38 28 38 61 38 28 38 6L 38 28 38 38 28 59 61 6l_ JFN--24-199? a7'247 Br-€ OBSERVATION REPORT s413455343 P.At January 24,1997 PAGES: 1 Balthitcr & llrblail taiiacctt UECI{ANICAL. ELESIRICAL, CIVIL COIISULTAT.TTS s75 LIiICOLN ST., EUGENE' OR 97'101 FO gOX 10347. EUGENE, ORS7.l40 iorrj se&saza ohone), (54r) 345€30s (rax) f obrS'rr< To Rod Crawford 7'{4- e5?2 COIIPANY RGR DeveloPment, lnc' PROJECf 39th $traet Apartmcnts (P'O' #9352) DATE OF VlSlT January 23, 1997 C-- \\ '/h o'^. o\r SS4^L/33L VISITED BY BlllPrenties Location: PcrmltNumbrr: Purpo*: 39th Street Apartmcnts 267 N. 39th $treet Springfteld, OR ffi1477 Obeerva thc undcrground qanitary drain and domeStic eold water rough-ln for code 1 2 3. compliance. Present:Rod Crilvford RGR DetreloPment, lnc. 484-4099 Kurt Blachnik Voss Plumhiqg Joumeyman Ucense #4'683JP. exp' 4/97 0hocrvatione: Ggne*l: The complex consistg of three apartment mmplexes. Oboervatione includes only piping tocateO below the apartment floor slabs, EemeElic.lt{steI:e. Pipe used: TYPe L softcoPPer b. lffitalletion: No fittings or joints used:belottr grade- SanitaqrXratn:;. Ptpe used: Sclredule 40 PVC-D\ A/. ASME F891'93a' ;. init"tt"t6nr All piping irrstallcd in trench with adequate slope aM installed on bedding' c, Testing:i. Observed tcet performed by Kurt Blachnik in accordance with the Uniform Plumbing Code, Section 712-2Water Test' ii. Each sf the three complexes teated separately' iii. No drop in water levelwas obeerved and the systems were tight at all points' ttl/tlliam H. Prentise -J I B\qCE.I*TIOAP ARTM. OBS TOTfl- P.61 ) ,, na "r1:l SPRTNGFIELD, OREGON 97 477 INSPECIION REQUEST: 726-3769 OFFICE: 726-3759 h D0- ur4 --ET.ECTRICAL PERHIT APPLICATION City Job Number /q77 3. COHPLETE FEE SCEEDIJI^E BELOIT A Nev Residential-Single or z' Multi-FamilY Service Incl SPRII'iGFl€LO d 1. LOCATION OF I,EGAL DESSRIPTION JOB DESCRIPTION ION per uded: velling unit. I tems Cos t Sum /52-e Permits are non-transferable and expire if vork is not started vithin 180 days oi ittu"nce or if vork is suspended for 180 days. 2. CONTBACTOR INSTALI-A'TION ONLY The installation is being made on property I oun vhich is not intended for sa1e, lease or rent. 0vners Signature: 1000 sq.ft. or less ach additional 500 sq. ft or Portion thereo f Each Manuf'd Home' or Modular DvelIing Service or Feeder tg s 8s.00 s 1s.00 s 40.00 Erectrical contrac rct JB flkih'-T'/t' Address tr.t&#tg(at s Ci ty (,t Phone /o37'{77o Supervisor License Number 38?A S Expiration Date /o 7 Constr Contr. Number 2 Expi tion Date Si of e ing Electrician Ovner Name 226,4 f l "' '- Address Ci ty Phone ?3-?z-32- OVNER INST TemporarY Services or Feeders Insiallaiion, Alteration or Relocation Services or Feeders Installation, Alterations or Reloeation: 200 amps or less 2 201 amps to 400 amPs - 401 amps to 600 amPs / 601 amps to 1000 amPs- Over 1000 amPs/vo1ts - Reconnect OnlY -Each installation Pump or irrigation - Sign/0utIine Lighting- Limited EnergY/Res - Limi ted EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL B C s s0.00 s 50.00 s100.00 s130.00 s300.00s 40.00 -l@.'o /ae.1- O. 200 amps''or less 201 amps to 400 amPs - 0ver 401 to 600 amPs Over 600 amPs or fOOOETis 40.00 55. O0 80. oo ee t'B* aSoTi $ s $ s D. Branch Circuits Neu, Alteration or Extension Per Panel One Circui t Each Additional Circuit or vith Service or Feeder Permit - s 3s.00 s 2.00 E. Miscellaneous (Service/feeder not included) s 40.00 s 40.00 s 20.00 s 36.00 DATE: 2 =D-2 DE'ETIrcTT D .! 5 oa I ctw oF sPR SPFIIN(iF IELI) lj,i, I?, xt t8J:f r, ffi,:fJgr,#il,ff 225 FTTTE STREET SPRINGFIELD, OREGON INSPECTION REQUEST: oFFICE: 726-3759 1. LOCATION OF LEGAI DESCRIPTION JOB DESCRIPTION (-t - ELECTRICAL PERHIT APPLICATION Ci ty Job Numbe, 26/Y >? SCMDULE BELOV 974 726a3dft9a ON v l\/ 3 A. B C D Nev Residential-Single or Mul-ti-FamilY Per dvelling unit' Service Incfuded: I tems Cos t Permits are non-transferable and expire if vork is not started vithin 180 days of l""u"nce or if vork is suspended for 180 days. 2. COMRACTOR INSTAII,ATION ONLY 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home or Modular DvelIing Serti.ce or Feeder Sum $ 8s.00 s 1s.00 . s 40.00 40.00 55.00 80.00 s see rrBrr a6ove Electrical Contractor Ci tv Phone Supervisor License Number Expiration Date- Constr Contr. Number Expiration Date- Signature of Supervising Electrician 0vners Name Address a, Vhone V8,'74,77 Services or Feeders Ins tallation, Alterations or Relocation: 200 amps or }ess ZOr "*p. to 400 amPs -401 amps to 600 amps - 60L amps to 1000 amPs- Over 1000 amPs/volts - Reconnect 0nIY TemporarY Services or Feeders inst"tt"iio.,, Alteration or Relocation 200 amps''or less / 201 amps to 400 amps - Over 401 to 600 amPs - 0ver 600 amps or 1OO0 voTt Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35' nach additional Circuit or vith Service or Feeder Permit - S 2' Miscellaneous (Service/feeder not s s0.00 s 60.00 $100.00 s130.00 $300.00s 40.00 $ s $ 7a 00 Ci ty DATE: OVNER The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent' -Each installation Pump or irrigation _- Sign/Out1ine Lighting_- Limited EnergY/Res - Limited EnergY/Comm E 00 included ) Signature $ 40.00 $ 40.00 $ 20.00 $ 36.00 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL q2-e___*Z-_a RECEIVED 5 ?o CITY OF SPruNGETELD, SPR!NGFIELD Page 1 CITY OF SPRINGFIELD SYSTE}TS DEVEI.OPMETiIT CHARGE (COMMERCIAL / INDUSTRIAL) Name or Company: RGR DEVELOPMENT INC Location| 267 39TH ST 1-18 Developement Tlpe: C Building Size: Job No. : 961-477A Lot Size: 39054 Sq Ft 1. STORM DRAINAGE Impervious Sq Ft 1.0 X 22950 2. SNiIITARY SEWER - CITY Number Of PFUs 1.0 X 324 (see Page 2) X 0.21,6 Per Sq Ft =V$4 ,959 .36 X 44.75 Per PFU =$L4,499.oo D OA|O,lJo Y' -cs Y Cost Per Trip 45L.26 $4, 711 . 15 $4 ,7LL .L5 L- 3. TRAI{SPORTATION Number Of Units l-.0 x l_8 x Trip Ratse 0.580 x Transportation Tot.al 4. SAI'IITARY SEWER - MI'MC Number Of PFUs 324 5. ADMINTSTRATIVE FEES Base Charge (Subtotal Above) x x Per PFU + 20.690 + MWMC Admin Fee 10.00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SITBtOTAL - (Add Items 1, 2, 3 & 4) $6, 713 . s5 $228.25 $5,485.30) x_ $30, 554 . 82 $1- , 532 .7 4x 0.50 TOTAL SDC 2,L87 .56 Reviewed By: TROY MCALLISTER DaLe: OL/06/97 $,r52, €e X $692 per unit $ tz, ?r€v. '* NAME: ADDRESS, .. ?,O. fu/' /?> - STATE: OZ ZtP: - ?2 f>2eL/v/ry- LOCATION OF PROPOSED BUILDING SITE: Street Address:a Plat Name Tax Lot Number: /: ^-z /, A//e 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Single-Family Detached Single Family home Manufactured home not in a Park NO. OF UNITS X $1,000 per uoit = $ B. Single-Family Attached NO. OF UNITS X $924 per unit $ C. Multi-Family Apartment NO. OF UNITS D. Manufactured Home Park NO. OF UNITS X $699 per unit WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC-payer must fumish proot of \Mllamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ment Se $ $ $ $ / 12/ tq7Date --- Ci f Springfield .sa Willamalane Fair.-& R-ecreation District Job. No. ?6,/"77 SYSTEM DEVELOPMENT CHARGE WORKSHEET ,.?G;.7 71 * -:* PHONE: aa€2-%?z REQU IRED 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. 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 SPECTAL TNSPECTIONS: tn 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 ( fOO, NGS & FOUNDATIONS: copy of the special testing reports shall--t'|- i.";.; ';;;'after trenches are FIREPLACE: Prior to placing be furnished to the Buitding Division. excavated and forms are facing materials and before erected, all steel in place, but f raming inspection' srRUcruRAL CoNCRETE: ln prior to placing concrete. FRAMING: To be made after excess of 2500 P'S.|. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made arter au insrab buirdins 3l:::'::.':l 3f:lt";,';;:r" BI,S'T"'f3,l.Y5f3o"',rrr, ,, service equipment, conduit, and vents are complete and 5Hl,?;""",",:;:l:? ?['.:'::J *?'fl::[""]ffii:,X'iJ;[3:i: El?,:,T?E],?'i[,:?h1}i".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.dralnage lines. To be made bOard interior wall covering isprior to covering or filling applied. SPECIAL GRADING,trenches. ,NDERFL..R: p,umbins il::,*'i"'.^i*'J3[Ul"' El:lUtiii-:ii:,5Jb'j],"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 Certif icate by an approved lathing and gypsum board, agency, furnished to the city's posr & BEAM: To be made interiol and exterior, is in Building Division before prior to installation of floor place but before any beams are placed' (2501 u'8c' 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 TNSULATToN & 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 iHlS^H'^tti'T:i."!|," 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 ln place. t 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. that the uring cons 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 allwork 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. all required inspections are requested at the proper time, that project address is readable from the ront of the property, and the approved set of plans will remain on the site at all tim DateSignature lfu at the ensure t itc oc q,1 nVALIDATION 2 AMOUNT 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 proiect conditions such as landscaping, parki ng lot striping, etc. must be completed before requesting this inspection, FINAL BUILDING: Requested af ter the final plumbing, electrical, mechanical and Fire Department inspections are made and approved. No occupancy of the premises can be made until a Certiflcate of Occupancy has been issued by the Building Division and posted on the premises. ADDITIONAL COMMENTS PLANS REVIEWED BY oere r/?'/7 ^?d t aD-t D 0 INSPECTION LINE SEE INSPECTIONS ON BACK SIDE APPLICATION DATEi /Z-V,/-% rffi DATE ISSUED: 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION oFFrcE TELEPHONE (503) 726-37s3 ENCROACHMENT PERMIT NUMBER: PERMIT NUMBER: 96t477 LOCATION OF WORK STATE: PHoNE:*-23 PHONE oNE %3-%=>. ztP: 22/2A, EXPIRATION DATE: /A ^7> ADDRESS OWNEB TAX LOT: z./ac> TAX MAP ADDRESS: CITY SUBDIVISION CITY:STATE: CONTRACTOR SITE ADDRESS: APPLICANT PHoNE: -4^71-2ztPt €2?7> CONTRACTOR REGISTRATION NO PROJECT SUPEBVISOR: REOUESTED PERMITS ACCOUNT NO:INSPECTIONS REOUIREO: APPLICATION FEE / DEPOSIT f erucnoncHMENT PERMIT No: ...tr E $20.00 / VALIO FOR SIXTY (60I DAYS FROM DATE OF ISSUANCE fl cur srnerr O BoRE D orHEn tr E$ I ousr coNTRoL {TypE oF coNTRoL) Q corusrnucloN. sroRAGE, srAGlNG tr tr E$ Ds E$ Q orxen Q asnHalr DEpostr........... TYPE OF SECURITY DEPOSIT Q ar-arxer sunEry BoND E sunlry BoND Q casH / CHECK E$ E cune cur PERMTT No: .... FT tr_ CONCRETE.INSPECTION: CURE / APPROACH AFT€R FORMS ARE ERECTED 8UT PRIOR TO POURING VALIO FOR I80 OAYS FROM DATE OF ISSUANCE. fl secoNo oBtvEWAy (sEE sEnARATE AppLtcATtoN) f, stoewaLK eERMtr No: ..........,......... FT. VALIO FOR 180 OAYS FROM DATE OF ISSUANCE,E $10,00+ $.1S/FT. I r.rew l] REMovE / REeAIR I eave eLANT srRtp [] srraacr D cURBStDE ll lerucrH INqPF'TION. SIOEWALK / DRIVEWAY FOR ALL CONCRETE PAVING WITHIN THE STREET RIGHT OF WAY, TO BE MADE AFTER ALL EXCAVATTNG rs coMpLETE , AND FoRM woRX ANo suB.6AsE MATEFTAL rs rN pLAcE. f sarvtraRy sEWER coNNECTtoN pERMtr: VALID FOR SIXTY (60I OAYS FROM DATE OF ISSUANCE I ro srua E MAIN L|NE (EASEMENT-R/W) O orHER E $s,00 / fr sronrvr sEWER coNNEcloN eERMrr ,fr $5.00 /raO VALIO FOR SIXTY 160) DAYS FROM DATE OF ISSUANCE ,& carcx BAsrN / BUBBLER E sruB E MAINLINE PROOF OF INSURANCE: $500,000 MtNtMUM fl arracHeo E REoUIRED AMoUNT TOTAL DUE: $ TOTAL DUE WITH PERMIT $ DESCRIPTION OF PROJECT: and work zone protectionto be in complianco with the Manual on Uniform Traffic Control Devices (MUTCD). WORK SHALL COMPLY WITH CHAPTER X ARTICLE 5 OF THE CITY CODE. CONTRACTOR TO COMPLY BACKFILL MATEBIAL: Advance signing WITH MUTCD DESCRIPTION BORE: AREA: LENGTH WIDTH EXISTING SURFACE MATERIAL: BACKFILL MATERIAL TO BE UTILIZED HEIGHT: TYPE OF WORK: CUT: OTHEB: SURFACE REPLACEN4TNT MATERIALS TO BE UTILIZED TYPE OF DUST CONTROL TO BE UTILIZED: NAME OF OTHEB UTILITIES IF THIS IS A JOINT PROJECT WARNING DEVICES TO BE UTILIZED: TIME: TIME: FROM DATE: TO DATE: REV|S|ONS 8/24195 FORM ' 116 4.2/)Y>> E $10.00+$.1s/FT. DEPTH: PERIOD OF USE OR TIME OF CONSTRUCTION: tr PLANS (TWo SETS) ATTACHED PLAN REVIEW COMMENTS /SPEP'-1 L INSTRUCTIONS : BESTORATION WORK SHALLSTANDARD specrrtcarroruS alllt-QQttlrvBMANcE-w-lrH ExtsrtNc crry coDES AND tN covrplralrcE wtrH cuRRENr, EXCEPT AS NOTED BELOW. 001 002 003 004 00s 006 007 o08 009 010 o11 012 o13 014 015 016 017 018 019 020 021 o22 o23 o24 025 026 o21 028 029 030 031 032 033 343 Minurnum 4' cleararrce at any point, swing-away. Concrete minimum 4" depth, 3,OOOpsi. Trench to be "T" cut. Needs State / County permit. No above ground enclosings in sidewalk or handlcap ramps. Diamond cut A.C./Concrete value boxes to grade. Freslr Oil signs / Graded. Comply with Americans with Disabilities Act. Concrete slabs, 72hrs. curing time, a5OObsi. Concrete slabs require joint seal material. Driveway requires dowels every 18". Submit traffic control plan prior to excavalion. Notily Traf f ic Division bef ore excavatipn. Core drill main line, insert tee, 2ok min, grade. Must cornply with the provisions of ORS 757.541 to 757.571 6" Circular hole/H2O-Vac. THE LANE "ONE YOU ARE REOUIRED TO CALL uTtIfTlES COORDINATTNG COUNCTL'SCALL NUMBER" 1-800-3 32_2344 - - 48 HOURS BEFORE DIGGING lNSPECTIONS: CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOBNUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPEdTION REOUESTED, AND WHEN YoU WILL BE READY FoRINSPECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REoUESTS REcEtvEo BEFoRE 7:OO A.M. WtLL BEMADE THE SAME DAY, REOUESTS AFTER 7:OO A.M. WILL BE MADE THE NEXT WORKrrlrC OaV. INSpECTIONS ARE TO BECALLED lN AFTEB EXCAVATIONS ARE MADE AND FORM WoRK i5 tru place BUT pnloR To poURtNG CoNCRETE. SANITARY SEWER, STORM SEWER, ENCROACHMENT PERMIT AND OTHER INSPECTIONS CALL CITY MAINTENANCE AT726-3761.tr SIGNATURE Py-:!gngtut", lstate and agree, that lhave carefully examined the comp.leted application and.do hereby certify that all informationherern ls true and correct, and lfurther certifv that.'any and iil worti pJit;fi;i"E;it"b;'j;;;in accordance with the ordinances of the3l1v;[si:pJisii''ulil'.'13!:'f;fi^'.1;:flzu{ini;Ij',r1"*r*i;yitds[1Jifi ffinii5: ;,ri#.ti",qtr;li:i.1E !315: .:,li[' project. Ilt'?'';'Tixl?il's:'Jlfivs!:;ri3"i"i'rl?*'.qti:;i'#;flt'ffi$j,-,*1,"ffi[tr]rdi*qr:,i+ii:t-:fiii+i,$,i# **ir,d?;*r*. return the site'to a standaid-a;Cep-taulJ i;ih;' d^ays (30) from the date of trre noiitito Jo-ii6tCity and the costs will be Uittea to tfre-peimiiiee. lfurthor aoree to enstrre that all required insoections are requested at thg^q1qgc1firne, tlrat project address is readable frorn the street,and the ap-proved set of drans witiiemiin o"{t#';ii; ;i".iii1ilr'e.s.?tliis construcr,on. Signature Date /0- 3 /- 7,( 5.ae RECEIVED BY DATE PAIDAMOUNT RECEIVED RECEIPT NO: VALIDAT!ON: FOR SIDEWALK AND CURB CUT PERMITS PLACE A COPY (COMPLETED) IN PERMIT DRAWER. AT TIME OF COMPLETION: DATE: ELEVENTH MONTH:- DATE: f, rnarrtc REVTEWED By: WORK IN PROGRESS DEPOSIT RETURNED DATE: DATE: DATE: DATE: DATE: INSPECTION: INSPECTION: DATE DATE DATE f, ernrrlttr ISSUED By: f rrucrrueEntNc REVTEWED By f naernreNANCE : Comments: Backfill with %" minus rock. Compact every 18" loose depth. Requires compaction with a steel rolller. A.C. to match the greater of existing depth or 4.,. All cuts sealed for final inspection. Temporary patch may be used at the end of the day. Signing and Zone protection to comply with MUTCD Cut concrete only on score lines or cold joints. Sidewalks and driveways min. 3,OOOpsi. Curbing min 3,500psi / No patchwork less than 3,. Meet min. requirements on curb cuts, Spfd. code. Restore planted areas, Spfd. code 206.3.0S Spec. to Bore / Jack / No A.C. cuts. Mechanical compacting required. No patchwork allowed. Lateral cuts to have control density filt. Cuts to be polymerized crack sealed for f inal inspection. Mininum 2'' crushed rock %" minus. tr CO M M ERCIAL/ IN DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springf ield, Oregon 91477 LOCAIION OF PROPOSED WORK SPrlINGFIELO h, JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: z ASSESSORS MAP:/7 -a 7/t q,z t^)lwe u @(LSTATE:ZIP:YszqCITY:e tru tnA O ssLtLt jJ 6COA-*cf PHONGOWNER: ADDRESS: 3(3a Bor< I =;pc, C6 D DESCRIPTION OF WORK Ula UD/ REMODELruEw X s#r s ADDITION DEMOLISH OTHER NAME ADDRESS PHONE AME EXPI RES PHON E6Ue ADD RESS MECHANICAL: ELECTRICAL: CONTBACTOR ARCHITECT: ELtt44+ o 6ox 11, s PLUMBING: G EN ERAL: CONST. CONTRACTOR # PLUMBING NO.FEE CHA RG E Single Fixture Relocated Bldg. (new f ix. addtl) Water Service ft Sanitary Sewer ft. Storm Sewer 427 rr./2d.'o Backflow Device TOTAL PERMIT NO CHA RG F Furnace/ burner & vent < 100,000 BTUs FFE Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended watl oilt,ror- mounted unit heater Appliance Vent separate Stat ionary evap. cool er Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT _ OFFICE USE _HANDICAP ACCESS r OF UNITS: OCCY GROUP: I OF STORIES: OUAD AREA: I OF BLDGS: CONSTFI. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ X X X SO. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE ;ATE,/A ^??-rE BYRCPTo ZVZ ././ BUILDING PERMIT PLUMBI NG /2A.*DEMOLITION 5% State Surcharoe 5% State Su rcharg e f-, at2v.n-MECHANICAL FENCE VALUE $ 5% State Su rcharoe SIDEWALK FT. SUBTOTAL PERM ITS PAVI NG CUBBCUT FT. SYSTEMS DEVELOPMENT 12A.*TOTAL PEBMIT FEES EXCLUDING ELECTRICAL o1: FLOOD PLAIN: ZONING: LIGHTING POWER BUDGET: WATER HEATER: LAND USE: REOUTRED INSPECTIONS It is the responsibility of the permit holder to see that all inspections are made at the proper tirne. To request an inspection, call 226-3769 (recorder), state your City designated job number, iob 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 INSPECTIONS: ln accordance ELEcTRtcAL & , and approved section 306 of 'the state specialty code MECHANICAL: To be made a special inspector shalll be employed before any work is covered. ATTIC DRAFT sroPs & by the owner/ contractor during CURTAIN WALLS construction of the following work. A I FOOTINGS & FOUNDATIONS:copy of the special testing reports shall be furnished tb the Building Division' STRUCTURAL CONCRETET ln To be made after trenches are excavated and forms are erected, all sJeel 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. X uNDERGRouND: Plumbing, electrical , sanitary sewer, ater and rai nage nes.To be made prior to covering or f illing t re nc hes. 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 sheathi ng. FLOOR INSULATION & VAPOR BARRTERS: To be made Prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. FIREPLACE: Prior to Placing facing materials and before framing insPection. FRAMING: To be made after the roof, all f raming, fire blocking and bracing are in place and all PiPes, chimneYs and vents are comPlete and INSULATION & VAPOR BARRIER: To be made after all insulation and recuired 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, interior and exterior, is in place but before anY plastering ls 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. CURB AND APPROACH APRONS: After forms are erected but Prior to Placing concrete. the rough electrical, Plumbing and mechanical are aPProved. STRUCTURAL WELDS: Performed on the iob. (2722 t) HIGH STBENGTH BOLTING: buring all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AN D FILLING: Duri ng earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: lnspection 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) '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 ANO NAILING: Prior to installing any roof coverlng. 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 thsstate 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 f urther certif y 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 remai n on the site at all ctiotimes during co DateSignature )/- VALIDATION >D RECEIVED BY: DATE PAIDAMOUNT HECEIVED RECEIPT # FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITEPLANREVIEwBOARD:Mustberequested2dayslnadvance of the date you wish inspection. All proiect conditions such as landscaping,parkinglotstriping,etcmustbecompletedbefore requesting this insPection. FINAL BUILDING: Requested af ter 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 Bullding Division and Posted on the Premises. PLANS REVIEWED BY DATE /^7,/-21 ADDITIONAL COMMENTS: ,01)\,ar \A ( /D