The URL can be used to link to this page

Home My WebLink AboutPermit Building 1992-08-06/ COMMERCIAL/IN DUSTRIAL - PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 LOCATION OF PRO ASSESSORS MAP; PO K:7,2; 1lt .l.An SPRINGFlELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: &.2/ (,c','7 "ro*..,r7/fJ{t1 7 ar ?vr'.i >a;. L b*ftreCA, L/r,T STATE: it ztP:9 -t </ 7,(*r /1"4 / o,, i s"l ", /.) -?tlADDRESS:fl;ICITY: OWNER: DESCRT'T.N oF woRK qo/x //E!-' REB4" VALUE:DEMOLISH OTHER*=* t REMODEL ADDITION G EN ERAL: PLUMBING: MECHANICAL: - PHON E EXPIRES PHONE 22).u 5< - [/ tARCHITECT: CONTRACTOR'S NAME ELECTRICAL: ADDRESS CONST. CONTRACTOR # PLUMBING 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 Nn trtrF CHARGF 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 $10.00 TOTAL PERMIT Z.N,NG: Hf &rqlbd LIGHTING POWER BUDGET: -oF * OF BLDGS: OUAD AREA * OF UNITS: LAND USE HANDICAP ACCESS FLOOD PLAIN: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT,VALUE \ TOTAL VALUE OF PROJE 4 ?a7 7 ) X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER /3 BUILDING PERMIT PLU M BI NG DEMOLITION -/,K DATE BY 5% State Su rch arg e 7za 5% State Surcharoe bzrur:r-]?.*nhkza MECHANICAL FENCE VALUE $Fa,a vifa5% State Su rch arg e SIDEWALK FT. ,SUBTOTAL PERMITS /5 7.8= PAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT 1b 3?/-6?TOTAL PERMIT FEES EXCLUDING ELECTRICAL WATER HEATER: 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, call726'3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be madethe following work day. SITE INSPECT|ON: To be v EICfi*f.UMBtNG, pAVtNG: After gravet is in ilff",3t1"J,,"J??X,il; o" <HI.,+F#P.1No work is to !:Xn,?'J*,T:','#,8]u"'nn be covered until these UNDERSLAB PLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance ELECTRICAL & and approved. Section 306 of the State Specialty Code 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 iHXS^H'^fi'T'of""!|'. NAILING: Prior to installing erected but prior to placing any roof covering. concrete. 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. UNDERGROUN D: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or floor sheathing. FLOOR INSULATION & ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing inspection. v 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 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, interior and exterior, is in place but before any plastering is applied or before gypsum board joints and fasteners are taped and f inished. SIDEWALK & DRIVEWAY: Required for all concrete paving within street right of way, to be made after all excavating complete and form work and sub-base material in place. a special inspector shall be employed by the Owner/ Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 P.S.l. (306 a.1) STRUCTURAL WELDS: Performed on tlre job. (2722 t) HIGH STRENGTH BOLTING: During all bolt installation and ti ghteni ng 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, furnished to the City's Building Division before beams are placed. (2501 U.B.C. sTDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7) tln addition to the inspec- tions specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT E SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All project conditior.rs such as landscaping, parking lot striping, etc. must be completed before requesting this inspection. FINAL BUILDING: Requested after the final plumbing, electrical, mechanical and Fire Department inspections are made and approved. No occupancy of the premises can be macle until a Certificate of Occupancy has been issued by the Building Division and posted on the premises. ADDI ,g-PLANS REVIEWED BY DATE ln nf\ o ,P -r "-r h.\--q- r- I 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 all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon Fertainin! to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Sa'fety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. 7-{-zzDateSignature 3a111VALIDATION:5805 LAMOUNT RECEIVED: RECEIPT g:RECEIVED BY: DATE PAID: v v x J, 225 FIFTB STREET SPRINGFIELD, OREGON 97477 INSPECTI0N REQIJBST z 726-37 OFFICE: 726-3759 apProval' Zonl 1.OP Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COT.ITRACTOR INSTALI,ATION ONLY ag require specilic land ueo BLECTRICAL PERHIT APPLICATION BELOV Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included: Items Cost H,l?smBl?|'.1'0b A Sum cr,v \0&Lto rrui[lp Phone v\Av-+&b Electrica Contracto Add Supervisor License Number Expiration Date \D \q5 Constr Contr. Number \o5DD5 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less -L201 amps to 400 amps _ 401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect On1y Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 0ver 401 to 600 amps _ S 80.00 Over 600 amps or 1000 volts see I'Brr above D. Branch Circuits Nev, Alteration or Extension Per Panel B $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 5) Expiration Date s \3q3 Signa t re of Supervising Blectrician 0wners Name \\ Add ress c. One Circui t S Each Additional Circuit or vith Service or Feeder Permit U $ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/0utline Lighting_ $ Limi ted Energy/Res $ Limited Energy/Comm S SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL cir Phone OVNER STALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: RECEIPT 'ltl -tll 35.00 2.oo l4 not included) 40.00 40.00 20. oo RECEIVED BY: 5 D SI'IIINGFIELrJ QetCi ty Job Nuurber 'rnA1Yl JOB NO.azt ob1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (PROFESSIoNAL OFFICES & INDUSTRIAL) M ABL IN LrYNAME OR COMPANY: 1ZC2 t.tl zb1\ sT .\-7 o zbt ao o t-l oo LOCATION: r-.t nTow l.C,e.bW r- ( 5r+oe )DEVELOPMENT TYPE: BUILDING SIZE:'bo*4 V 1. STORM DRAINAGE IMPERVI0US SQ. FT. 0.5 x 2. SANITARY SEl,lER-CITY NO. OF PFU'S 0.5 X (See Reverse) 3. TRANSPORTATION 0.5 x 0.5 x 0.5 x LOT SIZ .-l o x $0.1e2 PtR SQ. FT X $39.78 PER PFU sQ. Ft. l.{ NO OF UNITS X TRIP RATE X COST PER TRIP o.\t x t .*'l x $4ol .05 x x $401.05 x _- x $4ol.os $ S SUBToTAL (ADD ITEMS 1,2, & 3)$la7t9 4 ADMINIST TIVE FEES BASE CHARGE (SUBToTAL AB0VE) X -05 TOTAL - C ITY SDC S a-oZ-t- 5. SANITARY SEWER-Mt,lMC NO. OF PFU'S X $13.62 PER PFU + $10 MlrJMC ADMIN. FEE $ (Use PFU Total From Item 2 Above Ml,lMC CREDIT IF APPLICABLE (SEE REVERSE) )*,L g Kip Burdick ) -+ Coordi nator 1z $ ?-o ^14L- TOTAL-MI^IMC SDC TOTAL SDC