HomeMy WebLinkAboutPermit Demolition 1991-04-08JA,JL
COMM ERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SPRII\lGFlELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:5b r;o &g*n
ASSESSORS MAP:\ r\ ()e,3 \ Dc TAX LOT:03
OWNER
ADDRESS
CITY:
PHON E:
ZIP:STATE:
NEW
-
REMODEL ADDITION DEMOLISH x OTH ER VALUE:
DESCRIPTION OF WO
MECHANICAL:
-
ELECTRICAL:
NAME ADDRESS PHON E
NAME ADDR EXPI RES PHONER#
CONST.
CONT
ARCHITECT:
CONTRACTO
PLUM BI NG:
GENERAL:
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new f ix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
MECHANICAL
NO FEE EHA RG tr
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
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
LAND USE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:WATER HEATER:
* OF UNITS:ZONING:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
BUILDING PEBMIT PLUMBING DEMOLITION
Su rch e
5% State 5% State
Su rchMECHANICAL
o
FENCE
VA5% State
rc SIDEWALK
FT.SUBTOTAL
PERMITSPAVIN
FT.
URBCUT
SYSTEM S
DEVELOPM ENT
TOTAL PERMIT FFFS
EXC LU D I N G e I iCl-rir ce r_
.... -....................ffi
q(ffi*4
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 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
UNDERSLABPLUMBING,inspectionshavebeenmadeSPEC|AL|NSPECT|oNS:lnaccordance
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 during
CURTAIN WALLS construction of the following w6rk. A
FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, ail steel in ptace, but framing inspection' STRUCTURAL CONCRETE: ln
prior to placing concrete. FRAMINGT To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after ar insrab buirdins 3l::5:x.':ff ilE:iizr,;;:r" ;lR3,"J"',J3l,Yu=tT',rrr, ,
service equipment, conduit, and vents are complete and
:l'J[ffi'"",',]il:? ?$:'fi :i: H::[i,]i""ii:,X,JJ;[3:1: Bl?Xf],ffi]?T*,1o,"'IHT"oin place but before any tightening operations. (306
concrete is placed. TNSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.B.C.storm sewer, water and before any lath or gypsum Standards 43-8.
drainage lines. To be made board interior wall covering is
prior to covering or filling applied. S,EC'AL GRADING,
t renc hes.
,NDERFL..R: prumbing l;x:.$"i"? m'Jfl[Hf"' il;iJt'i[il-tll',5J:'i],"1
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or f loor
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 AND
NAILING: Prior to installing
any roof covering.
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 ioints 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.
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
"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.
L/
Sign
s'6i)ftril&
plication and do hereby certify that all information
shall be done in accordance with the Ordinancesthat I have carefully examined the completed apBy signature, I state and agree,
herein is true and correct, and I f urther certify that any and all work performed
work described herein, and that NO OCCUPANCYLaws of the State of Oregon pertaining to theof the CitY of SPringfield, and the further certify that only contractors and employeesission of the Building Safety Division' Iwill be made of any structure without perm
will be used on this Project.who are in compliance with ORS 701'055
roject address is readable from theions are requested at the proper time, that p
to ensure that all required inspectI further agree will remain on the site at alland thfront of thestreet, that the Permit card is
times during constructi C5
Date
toNVALI 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 project conditions such as
landscaping, parking lot stri ping, 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 made until a
iertificate of Occupancy has been issued by the Building Division
and posted on the Premises'
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
.joe Reevee
Flennint; Dj.rectcr
?om !.. Johnson
Clty Enrineer
Uniterl []"ectric Service
55 S. ?.tth Street
Sener ConneetLon Charge
(3).
TR.l: JJA: bw
bcc: Subj. Irll.e
R. IT.
Chrono.
Jenuery 5, 1968
b6
(,
(,
1d:
The irontege o'f subJectf s property on 28th Street ts trreguLar
a.nd tctals ?4?".2t+,.eet ln length pcr their plot plet submittecl for
a building permit. The total depfh of their property is a maxlrntrooi ti+9 .A9 feet but the preeentl.y uaed bulldtng sre6 beyond a depth
of 150 feet i-s L4,A?2 sq. ft. Thelr sewer eonnectlon, accordLngto vour departarent, is a /+" trine Cirectly lnto the South fAt InLer-
ceptor.
Thelr conneetion charge fatls un<ier Co<!e ?-lt}*3 eiEher (2) or
Codb 2-L0-3(2) charge Ls $3.40 per front foot plus 2 cents per
squar€ foot for any additional area beyond the 150 foot dapth. The
totatr- charge cn thf.s basis ls $1,10/r.06.
Code ?-1CI-3(3) charge ls $300.00 per di.ameter tneh. The toral
charge on this basis is $1,?00.00 :'or a 4" Line,
Based on eh* abcve, the $ewetr connectl.on charge shouLd be
$1, i04.06.
{
Tom R. Johnson
City Englneer
JJA:
cw$:
rrrD r.
14 [.ri.:
I
clTY_oF sPRlNqE_[ELD
APPLICATION A D AGREEMENT FOR TRUI,IK LI SEWER }IOOKUP
Application is hereby made by the undersigned property owner for permission
to connect to the following described property to a trunk line sewer owned and
maintained by the City of Springfield, and I agree to pay such a hookup charge
of $3.40 per front of the property for the first l!0 feet in depth to be served
by such trunk line sewer in lieu of an assessment against the described property,
An additional $0.02 per square foot will be charged for any additional property
beyond the first l!0 feet.
Property Description:Address:*S3E fatn
idt ar [lll*m*, I ptrtrrdr rr6ry6p6 ilolrr tsr Frytr lX cf t** Santy
it*t *m{r" }0} * l$0t * $ | amnrrt fr utllltlcr.
Sewer hookup charge: ($1.+o per front foot)s 83{I.ffi
This agreement has been computed as being one-half (+) of the equivalent cost
of an eighi (S) inch lateral sanitary sewer at the rate ofr$3.40 per abutting
front foot and doe's not include the cost of a house connection to said trunk sewer,
sewer user charges, plumbing permits or other such costs to be assumed by the pro-
perty owner"
CITY OF SPRIN FIELD. OREGON PROPERTY OWNERS:
By
Date:
STATE OF OREGON
q<
the undersigned, a Notary
County of Lane )
BE lT REMEMBERED, That on this-day of 19-, before me,
said County and State, personallYCrol ll. tlrtpf,fappeared the within names,
Public inIllllr and or theStishff ind
known to me to be the identical indiv
within instrument and acknowledged to
idual_ described in and who executed the
me that- executed the same freely and
voluntarily.
WITNESS my hand and seal this day and year last above written.
Notary Publ ic
My Conrni ss i on Exp i res
)
)
Bcglnntag rt r polat gl.tb. lfcrt llnr of tbr Southorn
Peoltlo copenvTi-ionalfng Errneh rellrord rtght ot
,ir-fbA.Z tirl'gontn Ot Oi' trrt of, thl IntlnrctlonIi'.iii'iri[t-"c-;it rlor rbr Eoutrr rlghr g!_rry-llno,
ot thc xorcnlli xlgfrrey, rrtd polnt !91n9 12'l'6t tmt
ilri-La-itt.i frrf, soitn ot tirr f,orthmrt cornu o!
tf,l-f..."-giiggi-Oonrtfon f.tnd Claln !fo. 8' Xu l!'lrn-
.irp-fi-go"in]-nrn'; 2 lhrt of tlrc rttlarottc ;lcrldlrrt
tfit rlrt ebO.? irct parellcl vlth tbo tl'outh rlght-of
rrv llnr of, tli-lr"r.artir Elghury, thcncG tforth 0t 07'
ilir-zot.i-tJ.i to iifa eouf,h right ol.ury ll,nrr tlnlcc
ldaa lO.3g rcrt o" iiia rlght of-rry l1net thtnco south
1!0.0 tcrtl tninci rrit 60;0 lrotl Lbrncc South 20'0
tcrt; thrnor rrit to th. talt*ly rlght of ray po?
oC-iifOcatrd South 28th Etptt er rct torgr by lnltruoat
ncordtd iltmr l, 19Ci I C[rk I r !l[ Ho. - 636 3, Ltsl . County
il66n-D.la nrcirraf; imnoi south.rly .lgtg rald rlsht ol
ili-iroi to .-por,ni-qqt o! t_Eoln! o1 F. tl.tt rly rlsht
"t'rif i1ai of-tha rallroad tli.! f6t South 0r 07r llrrt
;r ;[i p"i"t o! brgtlnbgr tlrraor tert to-nl{ polat on
tfc-i6lirfy ilght'o! ,.t li.nr o! tbr rrllrordt thrnoc
ro;th-oa-otr ir;a el5.t irot to tJrr polnt of boElnnltE,
la Irnc CountY, Oragoa.
EXgtgtt 'A'