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Home My WebLink AboutPermit Building 1991-09-06?tlos I COM M ERCIAL/ I N DUSTRIA.. PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PRO ASSESSORS MAP: RK; ffi rc, +n JOB NUMBER INSPECTION LIN E: 726-3769 OFFICE: 726-3759 TAX LOT: OWNER: ADDRESS CITY: PHONE: ZIP:STATE: NEW - REMODEL ADDITION RDESCRIPTION OF VALUEDEMOLISH OTHEB EI EffiOIAAI NAME PHONE EXPIRESNAMEADDRESS =*zeS% R 7 l7? 6 PHONE MECHANICAL ARCHITECT: CONTRACTO CONST. CONTRACTOR # GENERAL: PLUMBING PLU MBING NO.FEE CHARGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft. Backf low Device TOTAL PERMIT MECHANICAL NO FFF CHA RGE Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent z Suspended wall or f loor mounted unit heater 6 /<.n Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Z Vent Sys from AC tem apart or htg.4ra /-a Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT 4/-* I QUAD AREA .9Cs u) WATER HEATER _ OFFI * OF BLDGS: LIGHTING POWER BUDGET: LAND USE:FLOOD PLA ZONING* OF UNITS: OCCY GROUP: g OF STORIES: VALUESQ. FT. TOTAL VALUE OF PROJ $/SQ. FT. X X SQ. FTG MAIN SQ. FTG ACCESS SO. FTG OTHER PLAN cHEcK FEE /51'7/ - RCPT#BYDATE /Ya F€E<lft ArZery BUILDING PERMIT 6a PLU MB ING DEMOLITION 5% State Su rch arg e 5% State Surcharge I MECHANICAL 7t c4,FENCE VALUE $ 5% State Surcha /.5,SIDEWALK SUBTOTAL PERMITS #PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL il-q tc CONSTR. TYPE: HEAT SOURCE: HANDICAP ACCESS: ?q, aeh,? 7eg*?WFz @ -//. ?a FT. -REQUIRED INSPECTIONS J 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. stTE |NSPECT|ON: To be x ROUGH+HJ+i€,H{# 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 UNOERSLAB 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'/ FOOTINGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be iurnished io the Building Division. excavated and forms are facing materials and before erected, ail steet in ptace, but framing inspection' .{ srnucruRAL CoNCRETE: lnprior to placing concrete. x FRAMING: To be made after excess of 2500 P.s.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing, fire made after a, insrab buirdins 3i::5 ::.":ff 3ffi:It"r,;;3r" :H1,"J"',.-3"t,Y5tT',rr, oservice equipment, conduit, and vents are complete andpiping, accessories and other incitt-Jry equipment items are *:'fl::lj,lt"j[fl'JJ;[3::: 3l?,Xf],?E],?T[gf"tl}:"0in place but before any tightening operations. (306concrete is placed. tNSULATtoN & vApoR a.6) BARRIER: To be made after allUNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC.Storm sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall-covering isprior to covering or filling applied.trenches. SPEC|AL GRADING, ,NDERFL..R: p'umbins I:::,I'"="? m',Jfl[H]"' iliflfiiil#il',5J:'j],"1electrical, mechanical. To be according to plans. Chapter 29) made prior to installation of floor insulation, decking or / LATH AND/OR GypSUM GLU'LAM BEAMS: lnspection floor sheathing. BOARD: To be made after all Certificate by an approved lathing and gypsum board, agency, furnished to the City's pOST & BEAM: To be made interior and exterior, is in . Building Division before prior to installation of floor place but before any 999." are placed. (2501 U.B.C. insulation, decking or floor plastering is applied or before STDS. 25-10,11). sheathing. - Sypsum board joints and Vfasteners are taped and / STRUCTURAL MASONRy: (306 FLOOR TNSULATTON & finished' a.7) / x VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 24'15. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. SIDEWALK & DRTVEWAY: 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 BuildingOfficial may make or require other inspections of anyconstruction work to ensurecompliance with the Building,City or Development Code. v / / FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT slrE PLAN REvrEw BoARD: Must be requested 2 days in advanceof the date you wish inspection. All pro.iect conditions such aslandscaping, parking rot striping, etc. must oe compreleo beforerequesting this i nspection. FINAL BUILDTNG: Requested after the finar prumbing, erectricar,mechanical and Fire Department inspections are made and lppr.oved. No occupancy of the premises can be made untll acertificate.of occupancy has been issued by the Buirding orri"ionand posted on the premises. ADDITIONAL COMMENTS: PLANS REVIEWED BY DA]|E ? -:i^? / By signature' I state and agree, that I have caref ully examined the completed application and do hereby certify that all informationhereln is true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinancesof the city of springfield, and the Laws of the state of oregon pertaining to the work described herein, and that No occupANcywill be made of any structure without permission of the Builiing safety Division. I further certify that only contractors and employeeswho are in compriance with oRS 7o'r.055 wiil be used on this project. Signatu re Date furth er enstoagree reu atth a U red n ectreq Sion arep re estedqu the m thproper ro ectp readd SS S lereadab mlro heshattreet,he rmlpe S ocat ated he ro n o he ndrty,prope dhe rovedpp etS o anpl atrem onn h S teCSmUdnfl alatcons VALIDATION RECEIVED BY: DATE PAIDAMOUNT RECEIVED RECEIPT *: / at COMM ERCIAL/ I N DUSTRh.- PERMIT APPLICATION 225 FiIfi Street, Springfield, Oregon 97477 LOCATION OF PROPOSED SPRlilGFIEL(,q,\\D5\JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 *n 5->ryq TAX LOT:(ASSESSOHS MAP: \PHONE ZIP: OWNER ADDRESS: STATE: NEW - REMODEL ADDITION DEMOLISH OTHER VALUE: DESCRIPTION OF WORK \83. ^,ECHANICAL Er EmotnAl ADDRESS PHONENAME EXPIRES PHONEADDRESS ARCHITECT: CONTRACTOH'S NAME CONST. CONTRACTOR # GENERAL: PLUMBING PLU MBING NO.FEE CHARGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backf low Device t ]ftrNKr f\q.6..t -\sr r N(tr r \\ ,a/ TOTAL PERMIT MECHANICAL Nr)FFF 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 System apart from AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT USE _- oFFlc ZONING LAND USE HANDICAP ACCESS: FLOOD PLAIN WATER HEATER: * OF UNITS: OCCY GROUP: # OF STORIES QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: VALUE$/SQ. FT.SQ. FT, TOTAL VALUE OF PROJECT x X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER RCPT#DATEPLAN CHECK FEE BY BUILDING PERMIT PLUMBI NG DEMOLITION 5% State Surcharqe 5% State Su rcharge MECHANICAL FENCE VALUE $ 5% State Surcharoe SIDEWALK FT, SUBTOTAL PE RM ITS PAVING CURBCUT FT SYSTEMS DEVELOPMENT CITY: .v) a LIGHTING POWER BUDGET: I Joro,- ,.*nn,r FEES (xcr-uorNo ELEcTRTcAL .-AEQUtRED 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 gravet is inmade after excavation, but ELECTRICAL & place but prior to placingprior 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 Speciatty CodeMECHANICAL: To be made a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duri ngCURTAIN WALLS construction of the following w6rk. A FOOTINGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished io the Building Division. excavated and forms are facing materials and before erected, all steel in place, but framing inspection' STRUCTURAL GoNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1) coNcRETE SLAB: To be the roof, all framing, fire made arter ar insrab buirdins Bl::5::.":fi !ffi:I?f,Hl:r" E:,Y,T"'f3"t,YjtT',rrr, ,service equipment, conduit, and vents are complete andpiping, accessories and other anciiliry equipment items are ffi H::lj,lHi:,1 jJ;[i::: 3l?,lf],?E]u"l*g,o"Ts:"0in place but before any tightening operations. (306concrete is placed. tNSuLATIoN & vApoR a.6) BARRIER: To be made after all UNOERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.B.C.storm sewer' water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall-covering isprior to covering or filling applied.trenches. SPEC|AL GRAD|NG, ,NDERFL..R: prumbins Il1:,fl'.'^fX*'J3[Hf "' El;iUt'iiil-til',5Jb'j],"* electrical, mechanical. To be according to plans. Chapter 29) made prior to installation of floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection floor sheathing. - BOARD: To be made after all Certificate by an approved lathing and gypsum board, agency, furnished to the City's pOST & BEAM: To be made interior and exterior, is in Building Division before prior to installation of floor place but before any beams are placed' (2501 U'BC. insulation, decking or floor plastering is applied or before STDS' 25-10,11)' sheathing. - Sypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR tNsuLATroN & 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 withugc 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. 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. FINAL PLUMBING 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 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 andapproved. No occupancy of the premises can be made until acertificate of occupancy has been issued by the Building Divisionand posted on the premises. ADDITIONAL COMMENTS PLANS REVIEWED BY DATE By signature, lstate and agree, that I have carefully examined the completed application and do hereby certify that all informationherein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinancesof the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project. ns are requested at the proper time, that project address is readable from theof the property, and the approved set of plans will remain on the site at all Signatu re Date t a ?-8-7/ I f urther agree to ens street, that the perm times during constru ure that all required inspectio it ardc ocated at eh f ront o VALIDATI AMOUNT RECEIVED FTECEIPT # DATE PAID RECEIVED FINAL ELECTRICAL CITV 1F SPRINGFIELD SYSTE},IS DEV * OPHEI{T CHARGE WORKSHEET NAME OR COMPANY: CTI{ oF RTN6F ELD IOCAiION: 1 (t031 Q roqaa ll O.bVbOO _ooEoo 2-o I e=o \BTB grrerr I DEVELOPHENT TYPE:?utt -Ma,ur. S++oe PI'TIOt-l BUILDING SIZE:LOT SIZ STORI.I DRAINAGE eA9l A"a tg €aveo - F\o Aop'i'- fiqeegv.A+-E* IHPERVioUS SQ. [T. () x $0.186 PER SQ (See Reverse For nuffiIf Actual Imperv {'.(o rlew ,v'rdeta9 a. Ft .FT. $ +. Area Is Unknown) ? 3. TRANSPORTATION IiO OF UNITS X TRiP RATE X COST PER TRIP Nlo Aoee> 1-steg x x $388 .6r._,,, x $388.61 x x $388.61 See Attachment C To Determine ftip_lllgs) . -__ __ SUBToTAL (ADD ITEMS 1,2, & 3) 4 ADHINISTRATiVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .os (Use PFU Total From Item 2 Above) Mr{Mc CREDIT IF APPLICABLE (SEE REVERSE) 5 TOTAL.CITY SDC se CREDITS IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: T0TAL-CITY SDC X (s0%) = ADJUSTED CITY SDC S N/A. 6. SANITARY SEIIER-MI.IHC NO. OF PFU'S o $13.25 PER PFU + $IO HI.IMC ADMIN. FEE s& NO. OF PFU'S (See Reverse ToD eterm ine Tota X $38.55 PER PFU PFU'S) $+ s+ s+ s+ s $ TOTAL-MI..IMC SDC TOTAL SDCKip B ick SDC Coordinator s+ s+ s r.t/* ---/ - . I . , strtuN(;FtEL() 225 FIFTE STREEf, SPRTNGFTBLD, OREGON 97477 INSPEGTION RBQUBST: 726-3769 OFPTCE: 726-3759 ( qr APPLICATION 4lt FBB SCf,EDULE BELOS1.ON or "-frfu*[ Residential-Sing1e orHulfi-fenlly per dvelling unit. Service Incllded: Permits areif vork isof issuance 180 days. 2. COI{TRACTOR INSTALI"A,TION ONLY Electrical Contractor transferable and expire tarted vithin 180 daysf vork is suspended for ,Q- c 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf,d Home or -Modular DveIIing Service or Feeder Services or Feeders Installation, Alterations or Relocation: 2oo amps or less 1- 201. amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/voIts -Reconnect 0nIy Items Cost Sum $ 8s.00 $ 1s.00 $ 40.00 s130.00 s300.00 $ 40.00 not s ori B Addre Ci ty Phone Supervi sor License Ntimber Expiration Date Constr Contr. Number c Temporary Services or Feeders Insta1lation, Alteration or Relocation s s0.00 $ 60.00 $100.00 aEi,ve 40.00 55.00 80.00 ,e ilBrr t Expiraition Date Signa ture of Supervising Electri cian 0vners Name Add ci Phone ALI^ATION The installation is being made on property I ovn vhich is not intendedfor sa1e, lease or rent. Ovners Signature: DATE: RECEIPT D. Branch Circuits Nev, Alteration or Extension Per Panel 200 amps or less $ 2oL amps to 400 amps - $ over 401 to 600 amps - $ Over 600 amps or 1000-volts se One Circuit $ 35.00 Each Addi t ional Ci rcui t or vi th Servi ce --r orFeederPermit lU $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Prrmp or irrigation Sign/OutIine Lighting- Limited Energy/Res -Limited Energy/Comm ST,BTOTAL OP ABOVE 5Z State Surcharge TOTAL $ $ s s 00 00 00 00 40. 40. 20. 36. -tRECEIVED BY: 5