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Home My WebLink AboutPermit Building 1992-10-09COMMERCIAL/INDUSTRIAL - PERMIT APPLICATION 225 Fiftn Street, Springf ield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP: SPRINGFTELE,JOB NUMBER INSPECTION LIN E: 726-3769 OFFICE: 726-3759zfr, 0 rAX Lor: fl 00 PHONE STATE: OWNEFI: ADDR CITY:ZIP: 2 ADDrloN x-DEMOLISH OTHER DESCRIPTION OF R NEW- REMODEL .il IRE CONST. CONTRACTOR # NA ADDFIESS PHONE PHON E L: ARCHITECT: CONTRACTOR'S G EN ERA L: PLUMBING PLU M B ING 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 EHA RGtr Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or flooi 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 b7-fu:3.2,a 7 /4* Permit lssuance $10.00 TOTAL PERMIT 3\ ttQ- MI HANDICAP ACCESS: LIGHTING POWER BUDGET: WATER HEATER FLOOD PLAI ZONING* OF UNITS: LAND USE OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SQ. FT,$/SQ. FT.VALUE TOTAL VALUE OF PROJ x x SO. FTG MAIN SO. FTG ACCESS SO. FTG OTHER PLAN cHEcK ret €rO7 r4 oor, ?-7rr=BYRCPT BUILDING PERMIT ?PLUMBING DEMOLITION 5% State Su rch a -4V 5% State Surc MECHAN a FENCE VALUE 5% Stat Su rch EWALK FT, SUBTOTAL PERM ITS 6t PAVING CURBCUT FT. SYSTEMS DEVELOPMENT /€/ f,zTOTAL PERMIT FEES EXCLUDING ELECTRICAL \ REOUIRED INSPECTIONS It is the responsibilit'y 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 7:0O a.m. will be madethe following work day. slrE INSPECTION: To be -X RoucH eLUMBING, pAVtNG: After graver 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 Code MECHANICAL: To be made a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & by the owner/ Contracior during CURTAIN WALLS construction of the following w6rk. A FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall To be mader after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.. excavated and forms are facing materials and before erected, all steel in ptace, but , framing inspection' STRUCTURAL CONCRETE: ln prior to placing concrete, I FRAMING: To be made after excess of 250o PS.l. (306 a.'1) coNcRETE SLAB: To be - the roof' all framing' fire made after ar insrab buirdins 3i::5 :N.']fl 3l'3:I?;,;13r" EII:,"J"',.-3"t H5f3oi"rrr, ,, service equipment, conduit, and vents are complete and :fl1,?;""",',1;'J:? ?i.l":'YJ n:';::Hltil:fl'iJ;[3::: Slf,:f],?E]uol,l",1o,"Tg?"0in place but before any tightening operations. (306concrete is placed. INSULATTON & 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.drainage lines. To be made board interior wall covering is prior to covering or filling applied. S,ECIAL GRAD'NG,trenches' L, ExcAvATloN AND FTLLTNG:7 FIRE & SEPARATION WALL: UNDERFLooR: ptumbing L"""=,Joi-"f,"onstructed During earthwork (306 a'11 & electrical, rnechanical. To be according to plans. Chapter 29) made prior to installation of ftoor insulation, decking or y LATH AND/oR GYPSUM GLU'LAM BEAMS: lnspection floor sheathing. ----7\- aoanot to oe maae after all certificate by an approved lathing and gypsum board, agency, furnished to the City,S posr & BEAM: To be made interior and exierior, 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' 25-10J1)' sheathing. gypsum 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 sHEATHING AND iHlS^il'"fJ'",:'o#""1'" NAILING: Prior to installing erected but prior to placing any roof cc,vering. 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. 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. I 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 Certi and I v/\ FINAL ELECTRICAL * FINAL MEcHANTcAL fi cate of Occu pancy has s u ed by he B ubeenD d ng tston FINAL FIRE DEPA NT he rem SES. tTto COMM PLANS REVIEWED BY 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 proiect. pections are requested at the proper time, that project address is readable f rom the e front of the property, and the approved set of plans will remain on the site at all Si gnatu Date l0-\A?/ t I further agree to ens,ure that all requi it card is locatedstreet, that t times during DATE PAID: RECEIVED VEVALIDATION:AMOUNT REC RECEIPT *: FINAL PLUMBING t ! 0h 225 FIFTB STREET SPRJNGFTELD, ORBGON 97477" INSPECf,ION REQUBSTT 726-3769 OFPICE: 726-3759 \\U BLECTRICAL PBRHIT APPLICATION City Job Nunber 3. COHP[ATB IIEB SCTIEDULE BELOg Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service Included: Items Cost $ 8s.00 ffi 1. LOCATION INSTALIATtrON, ,. cD au,rl JOB DESCN.IPTION tubt Permits are non-transferable and expire if vork is not started within 180 days of issuance or if vork is suspended for 180 days. 2. COIITRASTOR INSTALI,ATION ONLY Electrical Contrac tor MA43 Q.Af . Address DH d.Zlob A city €.*hHO Phone ?4A-'1447- Superv isor License Ntimbet Z1l5 3 Expiration Date o Constr Contr. Number 363lrf Exp iration Date Signature of Supervising Blectrician Owner s Nanie Baf4 rAsS RECETPT 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 600 amps or L000 volts see IBI above $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -7- 401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0niy Temporary Services or Feeders Installation, Alteration or Relocation STIBTOTAL OF ABOVE 5Z State Surcharge TOTAL Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf 'd llome or Modular DveIling Service or Feeder $ 1s.00 B 7E$ 50.00 $ 60.00 $100.00 $130.00 s300.00 $ 40.00 eaaress '{1 b F.\FC^4E l-U,ilg9 ci &theaqe Phone 7G-il67 OIJNER INSTALI,ATION The installatlon is being made on property I own which is not intended for sale, iease or rent. Ovners Signature: DATE:. D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35.00 Each Acldi t ional Circui t or vi th Service or Feeder Permi t $ 2. 00 E. Miscellaneous (Service/feeder not included) -Each installation Prrmp or irrigation signzoutline Light ine- Limi ted Energy/Res Limited Energy/Comm 6095 00 00 00 00 $ 40. s 40. $ 20. $ 36. qdD --2--.-62e - RECEIVED BY C. roB No - lZtbZL CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (cot'IMERcIAL & RESIDENTIAL) NAME OR COMPANY:Roaerr K^r YoN LOCATION:/4t4 ^/. V or! 3f /7oZ?oZ4 7-oo DEVELOPMENT TYPE:CL: STO r-.r, .*teo BUILDING SIZE:25 t27 .5 lNcL. 1. STORM DRAINAGE IMPERVIOUS SQ. FT.5a7 2. SANITARY SEWER-CITY SIZ x $0.192 PER SQ. FT X $39.78 PER PFU $ $ SUBT0TAL (ADD ITEMS 1,2, & 3)$tlue TOTAL-CITY SDC $13.62 PER PFU + $10 MWMC ADMiN. FEE s Ft NO. OF PFU'S (See Reverse) 3 TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP X X X - x $401.05 x $401.05 x $401.0s 4 ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL AB0VE) x 'os 5. SANITARY SEhlER-MI,JMC NO. OF PFU'S (Use PFU Tot Ml^lMC CREDIT al From Item 2 Above) IF APPLICABLE (SEE REVERSE) -Ki p Burdi ck SDC Coordinator I TOTAL-Mt^lMC SDC Z7 TOTA L SDC $ a'loL.- COM M ERCIAL/ lN DUSTRIlrT- PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPFlIirGFIELO ?zt3?2JOB NUMBER INSPECTION LIN E: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: G TAX LOT:,*Zaa PHONE ZIP:STATE:CITY: ADDRESS: OWNER NEW - REMODEL ADDITION DEMOLISH OTHER VA LIJ E: DESCRIPTION OF WORK NAME ADDRESS PHONE EXPI RES PHON ECONTRACTOR'S NAME ARCHITECT: MECHANICAL ELECTRICAL: PLUMBING G EN ERA CONST. CONTRACTOR # PLU MBING NO FEE CHARGE Single Fixture Relocated Bld (new fix. addtl s ) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backflow Device TOTAL PERMIT MECHANICAL NN trtrtr 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 Sys from AC tem apart or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE _ LAND USE: ZONING:* OF UNITS: HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER OCCY GROUP: Y OF STORIES: QUAD AREA: C OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SQ. FT,$/so. FT.VALUE f*rp;arya,ofu TOTAL VALUE OF PROJ t>- X SQ. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER ,4,iilt) ,ffiPLAN CHECK F DATE BY z/.;v BUILDING PERMIT ?-iP PLU M BI NG DEMOLITION 5% State Su rch aro e /. a9 5% State Su rcharqe MECHANICAL FENCE VALUE $ 5% State Su rcharqe SIDEWALK FT. SUBTOTAL PERM ITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL REQUIRED INSPECTIONS It is the responsibili':y of the permit holder to see that all inspections are made at the proper time. To request an inspection, call726'3769 (recorder), t;tate your City designated job number, job address, type of inspection requested and when you wi1 be readyfor inspection' Requests received before 7:00 a.m. will be made the same working day, requests made after 7:O0 a.m. wiil be madethe following work clay. SITE INSPECTION: To be ROUGH PLUMBING, pAVtNG: After gravet is inmade after excavation, but ELECTRICAL & place but priorlo placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLT\B pLUMBING, inspections have been made SpEC;AL INSpECT;ONS: tn accordanceELECTRICAL & and approved. Section 306 of the State Specialty CodeMECHANI(IAL: To be made a special inspector shall be empt-oyedbefore any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during ,./ CURTAIN WALLS construction of the following w6rk. A ^ FOOTINGS & FOUNDATTONS: copy of the special testing reports shall To be mad,: after trenches are FIREPLACE: Prior to placing be'furnished io the Buildiig Division. excavated and forms are facing materials and before erected, al steel in place, but framing inspection' STRUCTURAL CoNCRETE: lnprior to plarcing concrete. FRAMING: To be made after excess of 2500 pS.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made after an insrab buirdins 3l::5 3:..1ff 3,'3:Ir",l,';;3r" ;lR3,."JyI3"t,Y5tT',rrz oservice equipment, conduit, and vents are complete anclpiping, accessories and otherinciuiry erluipment items are :i?H::[j,]i""ji:fl'JJ;[|:l: Bl?,:f],?E],?l*,?i,]IHi^.in place bcrt before any tightening operations. (306concrete is; placed. INSULATION & VAPOR a.6) BARRIER: To be made after allUNDERGR,OUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.BC.storm sew()r, water and before any lath or gypsum Standards 43_g.drainage lires. To be made board interior wall covering isprior to co.rering or filling applied.trenches. SPEC|AL GRAD|NG, ,NDERFL..R: prumbins llx:,S'.:'f;m'J3[[]"' El;iUfiiil-:ii''5J:'i]'"i, electrical, rnechanical. To be according to plans. chapter 29) made prior to installation of floor insulzrtion, 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 interiol and exterior, is in ' Building Division before prior to installation of floor place but before any beams are placed' (2501 U'B.C' 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 rN$uLATroN & 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 SHEATHING AND NAILING: F)rior to installing any roof ccvering. 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 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 Certificate of Occupancy has been issued by the Building Division and posted on the premises. PLANS REVIEWED BY DATE 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 colrect, and I f urther 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 stt'ucture without permission of the Building Safety Division. I further certify that only contractors and employees who are in complianr:e with ORS 701.055 will be used on this project. are requested at the proper time, that project address is readable f rom the the property, and the approved set of plans will remain on the site at all Date 9-ril{2- S ti S VALIDATION -eAMOUNT RECEIVED: RECEIPT *:RECEIVED BY: DATE PAID ADDITIONAL COMMENTS: I further agree to ensrre that all perm t card is 2/.5> 6282t C'TY OF st'TilNGFtELr) ELECTRICAL Nev Residential-Si ngle orIy per dwe APPLICATION IIing uni t. Items Cost $ 8s.00 s 1s.00 s 40.00 $ s0.00 $ 60.00 $100.00 $130. 00 $300.00 $ 40.00 ee rrBrr a Aie225 FIFTE STRBEf, SPRINGTIEID, ORBGON 97477 INSPBCTION REQUBST: 72G-3769 0FFICE: 726-3759 1. LOCATION OF DESCN,IPTTON Electrical Contractor Address ,-:*rnt,t, -City Job Number 3. *TOHPI.^BTE FEE SCEEDULE BELOII Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for180 days. 2. CONTRACTOR INSTALI.ATION ONLY Ciry ,/cfuEext<,Phone 155.{* CtjlS' Service fncluded: 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanufrd Home or -Modular DveIling Service or Feeder Services or FeedersInstallation, Alterations orRelocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconneet 0n1y -- B Sum bove Supervisor License Ndmber Z.S'/; *. _.- Expiration Date ,/4 * /> Constr Contr. Nunbec S4/1"€/ Expiration Date ./t'. *- ,/-. Signat sing Electrician Owners Address Ci ty ne OVNER TION The installation is being made onproperty I own which is not intendedfor sale, lease or rent. Ovners Signature: DATE: PT Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less $201 amps to 400 amps - $over 401 to 600 amps - $Over 600 amps or 1000-6-fTs s D. Branch Circuits E. Nev, Alteration or Extension per panel One Circui t $ :S. OO _42'LEach Additional Circuit or vith Servicenor Feeder Permit I( ) $ Z. OO ;/()tte: Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limi ted Energy/Res -Limited Energy/Comm c 40.00 55.00 80.00 $ $ $ s 00 00 00 00 40. 40. 20. 36. BRECEIVED SI,BTOTAL OP ABOVB5f State Sureharge TOTAL fl3 ?s t4-r' -, .rt--4.,,-/:-r--ruZ.Ui 5 69. a