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Home My WebLink AboutPermit Building 1993-01-25t 51 COM M ERCIAL/ I N DUSTRIAL -- PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPFIINGFIELO 680 North 36th Street JOB NUMBER INSPECTION LIN E: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK ASSESSORS MAP:t7 -02-31-2-l TAX LOT:2900 7?6-4335PHONE: 97 4770regonSpri ngfi e1 d,ZIP:STATE: Wi I I amal ane Park and 151 North 4th SL et Recreation District CITY: ADDRESS OWNER: f residence into Parks Services 0ffice Buildin1 VALUE DESCRIPTION OF WORK: ADDITION DEMOLISH OTHERNEW- REMODEL X 6sx5RAL. WttJildAALAstE EXPIRES PHON EADDRESS 132 East Broadway,Su'ite 540, EuqeneARCHITECT ADDRESS CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: PLUMBING: PHONE 342-8077 CONST. CONTRACTOR # NAME Robertson/Sherwood PLU MBING NO FEE CHARGE €Single Fixture /a A.* Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer (1Prt ?<4 /Backf low Device /d. t' TOTAL PERMIT 9f* MECHANICAL NO 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 Z Vent Fan /Single d uct -t 6 C,O' Vent from System apart AC or htg. Mechanical exhaust hood and duct btz*ztZapn .4r7,-a6-e Permit lssuance $10.00 TOTAL PERMIT Dr,*t ./5* 3cnn - OFFICE US HANDICAP ACCESS: LIGHTING POWER BUDGET: WATER HEATER FLOOD PLAI ZONING OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS SQ. FT.$/SQ. FT.VALUE /fta7 a7e Ffqaa X .{a TOTAL VALUE OF PROJ SQ. FTG MAIN SQ. FTG ACCESS SO. FTG OTHE X X x '7^ /-{ acwn 722- oarc /-2e?aPLAN CHECK FEE BY BUILDING etat'lltl'P PLUMBI NG gs*DEMOLITION 5% State Surcharoe Vt -fr t,26c.q 5% State Surcharqe /25 ME}HANICAL ./2?fulnrr /?.-7./4+FENCE VALUE S 5% State Su rcharoe 2f,r'ru*o.b ,r./ ?."5 SUBTOTAL PERM ITS 1//.p PAVINGB./da H,*CUBBCUTZ./?782lry.l/ 7a rr.7 /229 SYSTEMS DEVELOPMENT * ze+1"3 # TOTAL PERMIT FEES EXCLUDING ELECTRICAL vza€lz 2q4 REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all inspections are made at the 726-3769 (recorder), state your City designated job number, job address, type of inspec for inspection. Requests received before 7:00 a.m. will be made the same working day, the following work day. SITE INSPECTION: TO bE ,f ROUGH PLUMBING, made after excavation, but ELECTRICAL &prior to setup of forms. MECHANICAL: No work is to be covered until these UNDERSLAB pLUMBING, inspections have been made ELECTRICAL & and approved. MECHANICAL: To be made before any work is covered. ATTIC DRAFT STOPS & CURTAIN WALLS FOOTINGS & FOUN DATIONS: To be made after trenches are FIREPLACE: Prior to placing excavated and forms are facing materials and before erected, all steel in place, but framing inspection' prior to placing concrete. / FRAMING: To be made after coNcRETE SLAB: To be the roof' all framing' fire made arter al insrab buirdins 3l::5'::.':ff 3,'i:::g".i';13r"service equipment, conduit, and vents are complete andpiping, accessories and other ancir-ary equipment items are :X? H::lf,ligi:,X' jJ;[:::: in place but before any concrete is praced. x TNSULATION & VAPOR t./ BARRIER: To be made after all ---{- UNDERGROUND: Plumbing, insulation and required vaporelectrical, gas, sanitary sewer, barriers are in place butstorm sewer, Water and before any lath or gypsum drainage lines. To be made board interior walliovering isprior to covering or f illing applied.trenches. uNDERFLooR: prumbins l:::,Sti"tf;m'Jfl[[ltt' 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 & 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. accordino to Dlans.t9n77 12€ 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. proper time. To request an inspection, call ;tion requested and when you will be ready requests made after 7:O0 a.m. will be made X pAVtNG: After gravet is in place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: ln accordance Section 306 of the State Specialty Code 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.t. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 t) HIGH STRENGTH BOLTING: During all bolt installation and ti ghteni ng operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AN D FILLING: During earthwork. (306 a.11 & Chapter 29) cLU.LAM BEAMS: lnspection Certif icate 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) "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 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 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 reguested at the propertime, that project address is readable from the located at the front of the property, and the approved set of plans will remain on the site at all Signatu Date -lAlt ZS (Wb lfurther ree to ensu street, t the times du ng it S 4zag. /2VALIDATIONAMOUNT RECEIVED: RECEIPT *:BECEIVED BY: DATE PAID: / FINAL PLuMBTNG / FINAL ELEcTRTcAL / F.NAL ME.HANT.AL Y 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 requestinq this insoection.//V2FINAL 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 F PLANS REVIEWED BY oata'€'% -v- x aa,o t-QfrTh" fou"nt'''t' zoning, a;rci d ulre oPecific ianc 225 FIETB STREEf,approval SPRINGFTEI,I), OREGON 97477 ,: -' ',i." INSPECTION REQUESTz 726-3769 1:'1,0-A2-OPPICE: 726-3759 1. LOCATION OP INSTALIATION^. 10 io A/, 3 A+h IJGAL DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. ELECTRI CAL PERHTT APPLICATION Ci ty Job Nusrber Ctlntbq PEE BELOV A. Nev Residential-Single or HuIti-Family per dwelling unit. Service fncluded: Items Cost Sum 1000 sq.ft. or Iess $ 85.00 fach additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home or -Hodular DveIling Service or Feeder S 40.00 B Services or Feeders fnstallation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Only 60. 100. 130. 300. s 40.00 $ ss.00 $ 80.00 see rtBtt above 2 CONTRACf,OR INSTALT..A,TION ONLY Electrical Contrac tor SOnikol Secur, Address P.O. 6",y LtY)q Ci$ fr t ae.n ( Phone t --T Supervisor License Ndmber , 4bl-sb-t g 5L (er $ $ $ $ s $ 00 00 00 00 00 00 50. 40 Expiration Date /0- / 'q3 Constr Contr. Number bS t a9 Expiration Signat ing Electrician Ovners Narie lt )i//n mrt h( Address citv-Ynone 72b -/zbl OVNER INSTALI,ATION The'installation is being made on property I own vhich is not intended for sale, lease or rent. Ovners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation C 200 amps 201 amps Over 401 Over 600 or less to 4oo amps -to 600 amps _ amps or 1000 volts D. Branch Circuits Nev, Alteration or Extension Per Panel One Ci.rcuit S 35.00 Each Addi tional Circuit or vith Service or Feeder Permit S 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation S Sign/outline Lighting- S Limi ted Energy/Res S Limi ted Energy/Corr ' i S STMTOTAL OF ABOVE 5Z State Surcharge TOTAL 00 00 00 00 40 40 20 36 *.or 5 RECEIVED 31" 80 JOB DESCRIPTTON in<*a tl ,1rlr,, riltt ,S,tsrletn 3b,oc .: t.t I r N (; l: I l: LlJ 2fr, ELBCTRICAL PBRHIT APPLICATION ?.25 FIFTII I;TRJ']IIT sPTuNGFIELI), ORIiGOi't 97 477 iHspr,.grroN REQUIIsT z 7?-6-3769 OIIPICIi: 7?.6-375') 1. LOCATION OII INSTALLATION Lril Ci tY Jo { 'Y1/' ' J. .-COHPLETII I'BE L. b Number SCIIEDULB BBLOS Nev Residential-Single or HuIti-FamiIY Per dwelling unit' Service Included: ? q9 2. CO}NT.ACTOR INSTALI-ATION ONI.Y Iilcctrical Contracto ,t 8u A.as Addr:ess Ci ty l'hone ?%- a72z Supervisor License Ntimtrer A 2 os Ilxp iration Date /O' Constr Contr. Numb er O</29L Expiratio n Date /2 I Signature of SuPc rv sing Electrician 680 No 36th f reet. LEGAL DESCRTPTION Tax Lot #17 -02-3 t-2-t-2 00 JOB DESCRITUON Conversion of residen ce 'into of ce a W'i I I amal ane Park & Recreati on TemporarY Services or Feeders Insial1ailon, Alteration or Relocation Items L000 sq.ft. or less Each additlonal 500 sq. ft or Portion thereo f Each Manuf 'd llome or Hodtrlar Dvelling Service or Feeder Services or Feeders Installatlon, Alteratlons or Relocation: 200 amps or less I 20L anrps to 400 amps --401 amps to 600 amps - 601 amps to 1000 amPs- 0ver 1000 amPs/volts - Reconnect 0nIY 200 amps or less 201 amps to /r00 amPs - 0ver /r01 to 600 amps _ 0ver 600 amps or l'000 volt SI,BTOTAL OP ABOVE 5f State Surcharge TOTAI, +-1 3 A b1 ds Sum Pcrmits arc non-transferable and expire if vork is not started vlthin 180 days of isstrance or if vork ls suspended for 180 days. Cos t $ 85.00 $ 1s.00 $ 40.00 B $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 tu 40.00 5s.00 80.00 ee trB'r aEiF C $ $ $ss Owners Name Add ress Di stri ct 151 North 4th Street, ci ty-Phone 7?-4??5 OUNIiR INSTALLATION The instaltation j.s being made on property I ovn vhich is not intended for sale, lease or rent. 0vncrs Si gna ttrre : DATE: RIiCEI D. Branch Circuits Nev, Alteratlon or Extension Per Panel one circuit $ 35'oo Eaclr Addi tional Circtri t or vi th Service /-do or Feeder Permi t 4 S 2'00 qE a l'liscellaneous (Service/feeder not included) rln field E -Each installation Prrmp or irrigation S signzoutline Liglrting- q Limi ted EnergY/Res - S 40. 00 40.00 20. 00 36.00 I(I|CI.IIVII) I}Y: 5 2,p ? €a-or.l a - l0B N0.bo CITY OF SPRINGFIELD SYST-EI'{S DEVELOPMENT CHARGE WORKSHEET (G0MMERCIAL & RESIDENTIAL) a Dtsr<l cT NAME OR COMPANY:LL Tr| <--- - Jl.11 ozz t z\ -z 4ooLOCATION:G9o r{ bG DEVELOPMENT TYPE: BUILDING SIZE:b LZ I. STORM DRAINAGE IMPERVIOUS SQ. FT. OT SIZ S a. Ft oG b9r 7Z 2 G 12+x $0.192 PER SQ. FT SAN IT ARY SEWE R-CITY NO. OF PFU'S -- (See Reverse) X $39.78 PER PFU TRANSP0RTATIoN - -.., ^?,.?c_ ?_,;r_=2.2\C-ose1q (=rEN'u 67(1c-*-t?2v>C- = 2 '2\ ft? fc-eF NO OF UNITS X TRIP RATE X COST PER TRIP Z,obL X Z ,2-l x $401.05 J LSrs tr<l,oaz x $401.05 X 4 IN IS TRAT i VEF ES BASE CHARGE (SUBToTAL ABoVE) X '05 5. .SANITARY SEV{ER-M IX x $401.05 TOTAL.CITY SDC SZ $13.62 PER PFU + $10 Mt.lMC ADMIN. FEE Item 2 Above) CABLE (SEE REVERSE) TOTAL-MI^,MC SDC TOTAL SDC $ ZAEP9 SUBT0TAL (ADD ITEMS 1,2, & 3 ) $21t5'3 s NO. OF PFU'S (Use PFU Totaj From Ml,lMC CREDIT IF APPLI Kip B urdi ck SDC Coordinator 0'{4 Tom Marx Structural Inspector L7 "r43 4- CC: Dtvc Puent, Building Oflicill tol