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Home My WebLink AboutPermit Building 1992-06-29COM M ERCIAL/ I N DUSTRIAL ._- PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 iffi .--JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 7za"'a e ,?LOCATION OF PROPOSED WORK: ASSESSORS MAP:TAX LOT:o./2ao NEW /a REMoDEL ADDrroN DEMoLtsH orHER PHON E: STATE:ztP VALUE: €- EB E_ ADDRESS CITY: DESCRIPTION OF WORK A OT\ LJ ITtrA-T. CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE MECHANICAL: NAME ADDRESS PHONE GENERAL: PLUM BI NG PLU MBING NO.FEE CHARGE Single Fixture Relocated Bldg (new fix. addtl) 76'-lAlater Service -7-E"zsrkZ<i-./z.os/' Sariitarr S6raIer%*zzfuq2z-t be Storm Sewer t( 7 Backf low Device TOTAL PERMIT &'> MECHANICAL NN trFtr r:HA FIGtr 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 $10.00 TOTAL PERMIT _ OFFICE USE _ LAND USE: ZONING* OF UNITS: HANDICAP ACCESS: LIGHTING POWER BUDGET: WATER HEATER OCCY GROUP: * OF STORIES: QUAD AREA: r OF BLDGS: CONSTB. TYPE HEAT SOURCE; SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PBOJ XSQ. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER RCPT#2 s-a>PLAN CHECK FEE DATE BY 2726= BUILDING PERMIT PLUMBI NG fl.oa DEMOLITION 5% State Su rcharq e /.?=5% State Su rcharge /,*ffm*/a.* MECHANICAL FENCE VALUE $ '2--o'it*-Z€.c= 5% State Su rcharoe SIDEWALK FT. SUST TAL PERMITS /2?. /3 PAVI NG CUBBCUT FT. SYSTEMS DEVELOPMENT //D. /? TOTAL PERMIT FEES EXCLUDING ELECTRICAL 97 trt traTalaat FLOOD PLAIN: made prior to installation of f loor 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 sHEATHTNG AND :HR3^H?tti'tt::f""X'" NAILING: Prior to installing erected but prior to placing any roof covering. concrete. 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. GLU.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) 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 UNDERSLAB pLUMBING, inspections have been made SPECTAL INSPECTIONS: ln accordance ELECTRICAL & and approved. Section 306 0f 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 work. A X FOOTINGS & FOUNDATIONS: E,DEDT A^E. c copy of the special testing reports shall__/+ i" n. nl"OL 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 place, but framing inspection' STRUCTURAL CONCRETE: ln prior to placing concrete. FRAMING: To be made after excess ot 25oo P.S.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made arter a, insrab buirding lify:li"run 3fjlt"f,;;:r" ;:I:'Tyf3"t,Y5f3ol',rrz u service equipment, conduit, and vents are'complete and :fJ[,?f""",",:;:{:? ?i}l"""'Ti ffi'fl'.:[.",itXi:,X'iJ;[::t: Bl?Xf],?:],?l*,?,o"'IHX".in place but before any tightehing operations. (306 concrete is placed. INSULATTON & VApOR a.6) BARRIER: To be made after all K 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. SPECIAL GRADING,trenches. ,NDERFL..R: prumbing H:,s""="tf;m'JflI"Hft* ilif;x'iin-:ii.',5J:ti}"l electrical, mechanical. To be according to plans. Chapter 29) x *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. X FINAL PLUMBING L rwoL ELEcTRTcAL 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 pi ng, etc. must be completed before requesting this inspection. X FTNAL BUILDING: Flequested 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: PLANS REVIEWED BY DATE € -=6^- =* at the front of the property, and the approved set of plans will remain on the site at all Signatu re Date street,that the con ruction it card is I times du ON S2<aVALI Z'29-='>-AMOUNT RECEIVED: RECEIPT #RECEIVED BY: DATE PAID: 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. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the 2?7.1> J?B N0. Vo<.zr< CIfY 0f YpruuoFIELD srsrr/'rs DEVELopiENT IHARGE WORKSHEET (PRoFESSI0NAL oFFICES & INDUSTRIAL) F(F AB Ntc .NAME OR COMPANY:(a o LOCATION:Lo -z o F-!.-b\>a DEVELOPMENT TYPE: ar''lp' Ap p t-r I o r''( a. Ft.E- LOT SIZBUILDING SIZE: t. 5TORM I NAGE IMPERVIOUS SQ. FT. O. (See Reverse For Runof SANITARY SEI,lER-CITY N0. 0F PFU',S 0.5 X N'4 : =,,,=.X $38'55 PER PFU (S;;-Reverse To Determine Total PFU'S) 3. TRANSPORTATION bp* l.{o - M*xtlrFAcf .--I.IO OF UNITS X TRIP RATE X COST PER TRIP 5xfC x !0,186 PER.SQ' FT' oeffliiEnti If Actual Imperv' Area Is ? Un kn own ) s o 1L 0.5 X 0.5 X A 4 5. SANiTARY SEt,lER.MI,JMC p Burdick N0. oF PFU',S A/.4. x S13.25 (Use PFU Total Frcn It:ii i 1)cv MI,JMC CREDIT IF APPLiCABLE (SEE REVERSE) A^l- G PER PFU + $10 Mla,tMC ADMIN' FEE .l ,12 X .15 X $388.61 0 .5X--X-x$388'6Iii.. nt*n-..t C Toletermine Trip Rates) SUBTOTAL (ADD ITEMS 1'2' & 3) ADMINISTRATIVE FEES ?t.r. .t:.:.r: ,:,':l:TAL;.:-il) .,i .C;:r.)L L"-.i\J- \-' ' x $388.61 TOTAL-I'Il,lMC SDC TOTAL SDC sa- 1z S l o4 zb S b -1 TY oq\\ S S \1 SDC Coordinator Z 'l-$t lo S c q C'TY OF sl.ruNGFtIiL() ah 225 FIFTE STREEf, SPRTNGFIEIJ, oREGoN INSPBCTION RBQTIEST: OPPICE: 726-3759 'Yho 97477 v 1 LOCATION OF INSTALI.ATIN .7t IJGAL DESCT,IPTION JOB DES(RIPTTON -,oo Permits are n - transfera Ie and expire hin 180 daysif vork is not started vitof issuance or if vork is suspended for 180 days. 2. COI\rTRACf,OR INSTALI.ATION ONLY Electrical Contractor Address q Ci ty Phone 1+) A.+r)q Supervisor License Number eogss Expiration Date llj , I q> Constr Contr. Number O O LD7 Expiration Date I >q of Supervising clan Ovners Name (,t>-% Address 2Of il,7t sr Ct ty Phone a/>L" OSNER INSTALI.ATION The installatlon is being made on property I ovn vhich is not intendedfor sale, Iease or rent. Ovners Signature: DATE: ELBCTRICAL PERHTT APPLICATION Ci ty J,Nunber PEE SCHEDULE BELOII Nev Residential-Single or HuIti-Family per dvelling unit. Service fneluded: Items Cost L000 sq.ft. or less S S5.00 Each additional 500 sq. ft or portion thereof S 15.00 Each Manufrd Home or -Modular Dvelling Service or Feeder $ 40.00 100. 130. 300. 40. Temporary Services or FeedersInstallation, Alteration or Relocation A Services or Feedersfnstallation, Alterations or Relocation: Sum l6n.Q B c 200 amps or less ?. S 201 amps to 400 amps - $ 401 amps to 600 amps - $ 601 amps to 1000 amps- $over 1000 amps/vorts - $ Reconnect 0nly $ 00 00 00 00 00 00 50. 60. 200 amps or less S 40.00 201 amps to 4oo amps - $ 55.00 over 401 to 600 amps - $ BO.oo Over 600 amps or lOOOETrs see uB, aE6E D. Branch Circuits Nev, Alteratlon or Extension Per Panel One Circuit S 35.00 Each AdditionaL Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pnmp or irrigation $ Sign/OutIine Lighting- $ Limi ted Energy/Res - SLimited Energy/Comm S SIIBTOTAL OP ABOVE 5Z State Surcharge TOTAL 00 00 00 00 40. 40. 20. RECETVED BY: 5 36 r-)ao6.) /11 12on I