HomeMy WebLinkAboutPermit Building 1995-05-015 -48-1
COMMERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Flfth Street, Sprlngfleld, Oregon g7477
/615
LOCATION OF PBOPOSED WORK:
ASSESSORS MAP:17'oz'=ZA nO
.JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726-375S
No usrt<,trn- Pgr-* # L
SPRINGFIELt,
TAX LOT;o/7 .<1
I
STATE:ZIP:
5
Tlf S Po15tlrft(.ur)
o(LCITY:fr.1 aer,t r
A-/L.ADDRESS:
OWNER:- S{z u-PHONE:9o3 -S
DESCBIPTIO
. NEW r'.FEMODEL ADDITION DEMOLISH OTHER VALUE:{@ ooo
W?tlunfruilNfA^t d stfreN OF WORK:
PHONE
AODRESS EXPIRES PHONE
BINN t
t,t
<-
L RO.
8t
7r).J /?73
3762 L
Eu<rtu*-t-
*BOIIITE€f:
- oo 6?-
CONTRA TOR'S NAME
PLUMBING:
GENERAL:
MECHANICAL:
ELECIRICAL:
NAME
EN. Kercd<t,q
CONST.
CONTRACTOR ,
. AOORESS
LouZa Ekvs* tnt
fS 087- t3c?/
>-
- OFFICE USE -HANDICAP ACCESS; _
QUAD AREA:
r OF BLDGS:
3T_t0e-LAND USE:sqqq FLOOD PLAIN:
r OF UNITS:ZONING:
occY GRouP, 7 a- f p-=
r or srbnrds, /f 4aZz
CONSTB. TYPE:
HEAT SOURCE:
f-r: f,T.Z4i WATER HEATER:
PLUMBING
NO FEF CHARGE
?Slngle Flxture /a ?a--
Relocated Bldg.(new flx. addtl)
z/d Water Servlce
ft.,5
2q<Sanltary Sewer
ft.,,
/2aA Storm Sewer
ft./7f,
/Backflow Devlce 10
n,aE (rza ,{
TOTAL PERMIT /{a*
NN trFF CHA RGF
Furnace/burner & vent
<100,000 BTUs 6 a
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Z Suspended wall oillooi
mounled unlt heater 6 /z.e
/Appllance Vent
separate 7.4
Statlonary evap.
cooler
z-Vent Fan/Slngle
duct 7 -/4(o.
Vent
trom
System aparl
AC or htg.
Mechanical exhaust
hood and duct
6* Zt,rza Z.4,
Permlt lssuance $10.00
TOTAL PERMIT
, 1Gy'73zc)
PLAN CHECK FEE J-DATE BYRCPT
so.$/SQ. FT.VALUE
XSQ. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
2/
TOTAL VALUE OF PROJ
OEM N/a.PLUMBING5DBUILDING PE
h5%
e
EM
/??,SUBTOTAL
ITS7SI
b?q.15D724e,2
TOTAL PERMIT FEES
EXQLUOING ELECTRICAL
1,5 77,6/
? 5e-, 3
774o3
7f3, a--'
<a.6tZ-o. {s ,z z./4.2Atu- _ - - --U
5% Statd ,2
Srrrcharao /J
(..2?,
FT.
PAVING ry:*y'FT.
REOUIRED INSPECTIONS
It ls the responslblllty of the permlt holder to see that all lnspectlons are made at the proper tlme. To request an lnepectlon, call
726.3769 (recorder), stat€ your clty deslgnated lob number, lob address, type of lnspectlon requested and when you wlll be ready
for lnspectlon. Requests recelvedbelore 7:oo a.m. wlll be made the same worklng day, requests made aftor 7:00 a'm' wlll be made
the followlng work daY.
SITE INSPECTION: To be
made alter excavatlon, but
Prlor to setuP of forms.
X UNDERSLAB PLUMBING'
ELECTBICAL &
MECHANTCAL: To be made
before anY work ls covered'
-/FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and lorms are
ereoted, all steel ln Place, but
prlor to placlng concrete'
CONCRETE SLAB: To be
mado after all lnslab bulldlng
gervlce equlPment, condult,
plplng, accessorles and other
anclllary equlPment ltems are
ln Place but beforo anY
ooncrete ls Placed.r UNDERGROUND: Plumblng,
electrlcal, gas, sanltarY sewer,
storm sewer, water and
dralnage llnes. To be made
prlor to coverlng or fllllng
trenchos.
UNDERFLOOR: Plumblng,
electrlcal, meohanlcal. To be
made prlor to lnstallatlon of
lloor lnsulatlon, decklng or
lloor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
insulatlon, decklng or lloor
sheathlng.
FLOOR INSULATION &
VAPOR BARRTERS: To be
made Prlor to lnstallatlon of
decklng or floor sheathlng'
MASONRY: Steel locatlon'
bond beams groutlng or
vertlcals ln accordance wlth
uBc 2415.
X RoucH PLUMBING,
ELECTRICAL &
MECHANTCAL: No work ls to
be covered untll thEse
lnspectlons have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE Prlor to Placlng
faclng materlals and before
lramlng lnsPectlon.
.r( FRAMING: To be made atter
-
the roof, all framlng, fire
blocklng and braclng are ln
Place and all PlPes, chlmneys
ind vents are oomplete and
the rough electrlcal, Plumblng
and meLhanlcal are aPProved.
r INSULATIoN & vAPoR
BARRIER: To bo made after all
lnsulatlon and requlred vaPor
barrlers are ln Place but
belore any lath or gYPSum
board lnterlor wall coverlng ls
applled.
A FIRE & SEPARATION WALL:
Located and construct€d
accordlng to Plans.
SPECIAL INSPECTIONS: ln acoordance
Sectlon 306 of the State Speolalty Code
a speclal lnspector shall be employed
bv the Owner/ Contractor durlng
constructlon of the followlng work. A
coov of the epeclal testlng reports shall
be'furnlshed io the Bulldlng Dlvlslon.
'/ srRUcruRAL CoNCRETE: ln
excess of 2500 P'S.l' (306 a.1)
V STRUCTUBAL WELDS:
Performed on the lob. 12722 It
,( HrcH STRENGTH BoLTING:
-
Durlng all bolt lnstallatlon and
tlghtenlng oPeratlons. (306
a.6)
,/PAVING: After gravel is ln
place but Prlor to Placlng
asphalt or concreto.
SPRAYED ON
FIBEPROOFING: U.BC.
Standards 43'8.
SPECIAL GRADING, E'
EXCAVATION AND FILLING:
Durlng earthwork, (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnsPectlon
Certlflcate bY an approved
agency, furnlshed to the CltY's
Bulldlng Dlvlslon belore
beams are Placed. (2501 U.BC.
srDS. 25.10J1).
STRUCTURAL MASONBY: (306
a.7l
'ln addltlon to the lnsPec.
tlons specllled, the Bulldlng
Offlclal may make or requlre
other lnspectlons of 3nY
constructlon work to 6nsure
compllance wlth the Bulldlng,
Clty or Development Code.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
anY roof coverlnO.
LATH AND'OR GYPSUM
BOARD: To be mado after all
lathlng and gypsum board,
lnterlor and exterlor, ls ln
place but before anY
plasterlng ls apPlled or before
gypsum board lolnts and
fasteners are taPed and
f lnlshed.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
pavlng wlthln street rlght of
way, to be made after all
excavatlng comPlete and form
work and sub.base materlal ln
place.
CURB AND APPROACH
APRONS: After forms are
erected but prlor to Placlng
concrete.
t/
I (t r\io N),-
t \
' t, FTNAL PLUMBTNG
FINAL ELECTRICAL
-
X F,NAL MEcHANtcAL
Y FINAL FIRE DEPARTMENT
Slgnature
SITE PLAN REVIEW BOARD: Must bs requested 2 days ln advance
ol the date you wlsh lnspectlon. All proJect condltlons such as
landscaplng, parklng lot strlplng, etc' must be completed before
requestlng thls lnsPectlon.
,{FINAL BUtLDING: Requested af ter the flnal plumblng, electrlcal,
mechanlcal and Flre Department lnspectlons are made and
approved. No occupancy of the premlses can be made untll a
Certlflcate ol Occupancy has been lssued by the Bulldlng Dlvlslon
and posted on the premlses.
DATE
By slgnature, I state and agree, that I have caref ully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon
hereln ls true and correct, and I further certlfy that any and all work performed shall be done ln accordance wlth the Ordlnances
of the Clty of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work described heroln, and that NO OCCUPANCY
wlll be made ol any structure wlthout permlssion of the Bulldlng Safety Dlvlslon. I further certlfy that only contractors and employees
who are ln compllance wlth ORS 701.055 will be used on thls project.
I further agreo to ensure that all requlred lnspectlons are requested at the proper tlme, that proJect address ls readable from the
street, that tho pormlt card ls located at the front of the property, and the approved set of plans wlll remaln on the slte at alltlmes durlng construct
AMOUNT RECEIV
Date
DATE PAID:VALIDATION:
RECEIPT T:RECEIVED BY:
5 lzs
(
PLANS REVIEWED BY
/rY?,
1 INSTALI,ATION
I,EGAL DESCRIPIION
JOB
Electrical Contractor &it^/5
Addres s 2/e A)frLlts * c-
Ci ty Phone bg7 -/3Gz
Supervisor License Number Vo 5
lollo\^'ing
u9e
SPflIG|GFIELf,'
EIA TRTCAL PERITIT APPIJCATION
City Job Nurnber
Service Included:
Cos t
$ 8s.00
I tems
L000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
$ 1s.00
COHPI,ETE TEE SCEEDUI,E BELOS
Nev Residential-Single or
ii"iti-r"ri1Y Per dvelling unit'
225 ?TYTE Slts'EEf,
iinrxcruuo' oREGoN 97 477
frlSPgCTrON nrOUgstz 726-3769
OFPICE: 726-3759 3.
A
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/vo1ts
-
Reconnect OnlY
c.Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date /o/t /?,e
Constr Contr. Number 77 7az-
Expiratio " oate G/aft€
Signa ure of Electrician
0vners Name
Sum
-
$ s0.00
$ 60.00
$100.00
$130. 00
$300.00
$ 40.00
200 amps or less t'
201 amps to 400 amps
-
0ver 401 to 600 amPs
-
Over 600 amps or 1000 volts
/a-o
ee ftBr aE6:6
$
$
$
s
40.00
55.00
80.00
eaaress ,/32V 6*ffiz4ta-
Ci tZU?qau>\
OVNER
The installation is being made on
property I orfn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE,: :
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
sign/Outline Lightine $
l,imited Energy/Res
-
$
Limi.ted Ener[y/Comm $
40.00
40.00
20.00
36.00
*
5 SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTALEIDD^rrrmn
G.'TtrGC#CITY OF SPR INGFIEK
I
6
SI"IINGFTELO
I
-------:
225 FIFTE STREET
SPRINGFIEI,J, OREGON 97477
INSPECTION REQIIEST.. 726-3769
0FFICE: 726-3759
5'L >4,
s.,'Hffif,,iJP"!:i
PERXTT APPLICATION
ab
9se zQs
p6zu0uinY
ON 1oz-3o otro tQgz
BELOg
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
Items Cost
eEn
''ylo4g%:i A.
JOB DESC&IPTION%l'qrT,ull tt,ttrtQ,
Permits are no"n-tif vork is not stof issuance or if
180 days.
ransferable andr expire
arted vithin 180 days
vork is suspended for
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Hodular DveIling
Service or Feeder
Services or Feeders
Installation, Alterations or
Relocation:
One Circui t
each Addi tional
Circuit or vith Service
or Feeder Permi t
s 8s.00
$ 1s.00
s 40.00
s 2.00
$ 40.00
s 40.00
s 20.00
s 36.00
oo
Sum
-/\
.1o.O{--)
2. COIWRA TOR TNSTALI,ATION OM,Y
Electrical Contracto
B
Address 200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/voLts
Reconnect 0n1y
Ci ty Phone
Supervisor License Number f70 - {t{
Exp iration Date
c
constr contr. Number Zt:2UlAG,
ExP irationDate Sltllqb
s ture of Supervising Electrician
a,\
" r",*SCi=T T&eft D. Branch Circuits
Addressl I 73 Ga-et*P G,oe Nev, Alteration or Extension Per Pane1
$ 3s.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 anps to 400 amps _ $ 55.00
Over 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see "B'r above
tDl s s0.00
$ 60.00
$100.00
$130. 00
$300.00
$ 40.00
Ci ne
OIINER INSTALI..ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Onners Signature:
DATE
RECEI *:
fr'prl"11 <',12-
E. Hiscell.aneous (Service/feeder not included)
-Ea
Prrm
Sigr
Lim
ch inspori
n/0ut1
ited E
ited ELim
tallation
rrigation
ine Lighting_
nergy/Res
SIJBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
RECEIVED B
5
3/o
fi 39.g{
tucteno
CFtttoZt<%-f(-
SPR"VGFIELD, OFEGO'VCITY OF
SPFTNGFIELED
zr:ning, and -does
appro.;al.
Zonin
Autl-rci'izod
not require ope,rfic lanci us
/-(r
N
225 ETYTE SjrREET
SPRINGFTELD, oREGoN 974
INSPECITION REQUBST: 7
OBfICE: 726-3759
1 LOCATION OF
J
JOB 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.
2. COI.ITRACTOR INSTALI,ATION ONLI
Electrical Contrac to, &NNS E@
Address 2/(9 ut*Llts * c
city 44<art PhoneG?7-/3Gz
Supervisor License Number Toit 5
iration Date 7 s
/u TNSTALI,ATION
BZa:J_n A
B. Services or Feeders
Ins tallation, Alterations
or Relocation:
ELECTRTCAL PERHIT APPLICATION
City Job Nunber ?
SCEEDTII.E BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Incl-uded:
I tems Cos t
$ 8s.001000 sq.ft. or less
gach additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Modular Dvelling
Service or Feeder
$ 1s.00
$ 40.00
243
$s0
$60
$100
$130
$300
$40
Sum
@oo
Constr Contr. Number 77 7aZ-
Temporary Services or Feeders
Installation, Alteration or Relocation
ExP
Exp
200 amps or less
201 amps to 400 amps _401 amps to 600 amps ,
601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect only
200 amps or less
201 arnps to 400 amps _0ver 401 to 600 amps
Over 600 amps or 1000l6fts
.00
.00
.00
.00
.00
.00
40.00
5s.00
80.00
$
$
$
s
iration Date
c.
E
Signa of Electrician
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
ee rBr aEffi
?o
Address .
city_Phone /g/- 5/72
OVNER INSTALLATION
The installation is being made on
property I o*rn vhich is not intended
for saIe, lease or rent.
Orners Signature:
DATE:/ 7f,a -4tz--
D. Branch Circui ts - .-
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit b7 $ 2.00 /jL
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting_
Limi ted Energy/Res
Limi ted Energy/Comm
g.P
$ 40.00
$ 40.00
$ 20.00
$ 36.00
rrr,rrrl:lTlrEln EY.@q
5 Z3
/
LEGAL. DESCRTPTION/- z3aoo 6l?3z ,
/
r-,/a/r€
owners Nane ffi 2M
!-
IB NO.n 5o 2bZ
ATTACHMENT 82
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(PROFESSIONAL OFFICES & INDUSTRIAL)
NA},{E OR COMPANY 5o FT TZcu but t-PI xtG 5 M9
L65
^J
42t!9 -7ozv oo o - o l17z
DEVELOPMENI fYPL: t4A - lVl*xtur*r-rorz-tNG
b2-T OT SIZ . Ft.
BUILDING SIZE:
/
LOCATION
1 STORM NRAINAGF
IMPERVIOUS SQ. FT. X 0.5 X 5o .414 X $0.209 PtR SQ-
2 SANITARY SFI,IER-CITY
N0. 0F PFU'S x 0.5 X
(See Reverse)
3. TRANSPORTATTilI'I
C-ooe \4-c> - MAl.lDtrA(.TI.lBJt.{(.:
NO OF UNITS X TRIP RATE X COST PER TRIP
t1 X $43.26 PER PFU
0.5 x
0.5 x
0.5 x
6.x'zr.Gzt x $436.19
X
X
x $436.i9
x $436.19
$
NO. OF PFU'S t1
(Use PFU Total From Item 2 Above)
MI^II.IC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAI -1.4l^ll'4c SDC
SUBTOTAL (ADD ITEMS 1.2.3 & 4)$?rgoy
ANMINTSTRATIVE FFIS
BASE CHARGE (SUBTOTAL AEOVE) X .05
4/L /qs
4tryba
fJ
.bz(o-
--+-
82.SDC
St)C Coordinator
L,L Date
TOTAL St)C s qbbl n5
4. SANITARY SFI{ER-I'1I^IMC
$17.19 PER PFU + $10 MI^I|4C ADMIN. FEE $ ^ozz2
FlxruREt UNIT OALCULA*'oN TABLE: Nurnber or New Fixtu ( Unit Equivarent :. Fixture Unirs(NOTE: For remodels. calculate only tr,_ NET additionat fixtures)
FIXTURE TYPE
Eathtub
Drinking Fountain....
Floor Drain..-....
lnterceptors For Grease/Oil/Sotids/Etc.
lnterceptors For Sand/Auto Wash/Etc.
Laundry Tub/Clotheswasher..
Clotheswasher . 3jOr More..-........-..,..........
Mobite Home Park Trap ('l per Trailer)......
Receptor For Refrigerator/Water Station/Etc....:...' . .: .
Roceptor For Commercial Sink/Dishwasber/Etc..
Shower, Single Sta|!..........
Shower, Gang.........
Sink: Bar, Commercial. Residential Kitchen........................
Urinal, StallArV"a!1...
Toilet, Public lnstallation.
Toilet , Private.....
Miscellaneous:
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTURE -.
UNITS
Z
z
l?-
/Head
2
1
2
.7
6
2
6
6
.-t
l'
1
3
2
1
2
2
1
6
4
.Z
Z
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE
calculate credits separates.
Based on assessed value. lf improvements occurred after annexation date in table,
Year
Annexed
Rate per $1.OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1979 or before
't9BO
1 981
1 982
1 983
1 984
1 985
$3.46
3.38
3.32
3.21
3.O6
2.92
2-73
1 985
1 986
1 987
-I9BB
1 989
1 990
1991
1 993
$2.46
2.14
1.77
1.37
o.97
o.61
o-44
o-15
Credit for Parcelor Land Only lf Applicable
lmprovement (if after annexation datel
b,+t 17u.1
(Rate X Assessed Valuel
X$
(Rate X Assessed Value)
+'7 -b1)-
CREDIT TOTAL = g +7"6f
I
l1
X$
I
SP'IINGFiELO
h,
JoB NUMBE a ?frbfitfltZ,
INSPECTTON LtNE: 726-3769
OFFICE: 226.3159
LOCATION OF PROPOSED WORK .<y2
ASSESSORS MAP:/)^a ^=6 -ao TAX LOT:2 /9?z
PHON E:
ztPSTATE:7
I6ut
Ao/46F/
o
t-oh!G J t/yOWNER:
CITY;
ADDRESS:s. 5t
REMODEL ADDITION DEMOLISH OTHER VALUE=Y-27aa.
DESCRIPTION OF WORK:
NEW
-Qh?
NAME ADDRESS PHON E
EXPI RES PHON E
fTPu /8 /- 5*7
"-
ARCH ITECT:
MECHANICAL:
ELECTRICAL:
CONTRACTOR'S NAME ADDRESS
D€&,.Qil5o€fGENERAL:
CONST.
CONTHACTOR,
(1&r+.ott*e
Ptt +d€H+e
NO.FEE CHARG E
Single Fixture
dg.
t l)
Relocated Bl
(new fix. add
Water Service
ft
Sanitary Sewei
ft.
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
NO rpr I cgancpurnace/burner & ventFt
BTU
Furnacei burner & vent
> 100,000 BTUs
Floor furnace and vent
oor
mounted unit heater
Suspended wall or
Appliance Vent
separate
n a ry p.
Icoo r
Vent Fan/Single
duct
t sys
ACf rom
tem apart
or ht
St
hood and duct
ca
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE -
ZONING
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWEH BUDGET:OCCY GROUP:
Y OF STORIES:
QUAD AREA:
S OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
WATER HEATER:
SQ. FT.$/SQ. FT.VALUE
X
TOTAL VALUE OF P
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
PLAN CHECK FEE /O,,?oArE 7a:iz>-BYRCPTt 7z/lrQ
BUILDING PERMIT PLUMBI NG DEMOLITION
5% State
Surcharqe
5% State
Su rcharge 6n43rrt/8,,6to
MECHANICAL FENCE
VALUE $
(
5% State
Su rch aro e
SIDEWALK
FT,
SUBTOTAL
PERM ITS
PAVI NG
FT.
CURBCUT SYSTEMS
DEVELOPMENT
Zar?.-oTOTAL PERMIT FEES
EXCLUDING ELECTRICAL
CO M M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfietd, Oregon 97477
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REQU!RED INSPECTIONS
It is ilre responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
726.g76g(recorder), state your city designated job number, lob address, type of inspection requested and when you will be ready
for inspection, Requests ieceived 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
made after excavation, but
prior to setuP of forms'
UNDERSLAB PLUMBING'
ELECTRICAL &
MECHANICAL: To be made
before anY work is covered'
FOOTINGS & FOUNOATIONS:
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 af ter all inslab building
service equiPment, conduit,
piPing, accessories and other
ancillarY equiPment items are
in place but before anY
concrete is Placed.
UN DERGROUN D: Plumbing,
electrical, gas, sanitarY sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
t re nc hes.
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 &
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.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel is in
place but prior to Placing
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Speclalty Code
a special inspector shall be employed
by the Owner/ Contractor duri ng
construction of the following work. A
copy of the special testing reports shall
be f urnished to the Building Division.
STRUCTURAL CONCRETE: IN
excess of 2500 P'S'1. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 t)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
cLU-LAM BEAMS; lnspection
Certif icate by an approved
agency, f urnished to the CitY's
Building Division before
beams are placed. (2501 U.BC.
STDS. 25-10,11).
STRUCTUBAL MASONRY: (306
a.7\
Ftz--> a/c 2('ffip""-
tions specif ied, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FTREPLACE: Prior to Placing
facing materials and before
framing insPection'
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 al I
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 ls applied or before
gypsum board joints and
fasteners are taped and
fi ni shed.
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 ln
place.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
FINAL ELECTRICAL
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 thls inspection.
FINAL MECHANICAL
FINAL 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
Certlficate of Occupancy has been issued by the Building Division
and posted on the premises.FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
<*
2
PLANS REVIEWED BY DATE
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th.at all information
herein is true and correct, 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 structure without permission of the Bullding Safety Division. I further certify that only contractors and employees
who are in compliance with OBS 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 wlll remain on the site at all
times duri
Signature
ng construction.tu Date 3 /5,75
abVALIDATIONAMOUNT RECEIVED
RECEIPT #FIECEIVED BY;
DATE PAID
v
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sPllttrrGFrELO
OFEGO'UCITY OF SPR
BACKFLOIJ PREVENTION DEVICE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 FIFTH STREET
SPRINGFIELD OR 97477
OFFTCE:
INSPBCTION LINE:
726-3759
726-3769
^AJOB LOCATION:
ASSESSORS MAP *:&TAx LOT *: /i7j>
O1INER:
ADDRESS:
CITY:
PHONE #:(/eT-<r)z
ZTP z 4277GSTATB:
BACI(FLoU PERMIT IS $15.00 + $.75 (STATB SURCHARGE) + $.45 (ADMIN. FBE) = $16.20
CONTRACTOR:
ADDRESS:PHoNE *: 1q \-/q ro
CITY: Ft t lrz+r*(-srATE. OA ' zrPz ??7c>;
CONSTRUCTION CONTRACTORS REGISTRATION *:3 EXPIRES:
BY SIGNING THIS PERMIT/APPLICATION, I AGREB TO CALL FOR AN INSPECTION ONCE THE
BACKFLOU PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE TOR INSPECTION
(726-3769). I ALSO STATE THAT ALL INF0RMATIoN 0N THIS PERMTT/APPLTCATIoN IS
CORRECT.
FOR OFFICE USE
71-
TOTAL AI{OI'NT COLLECTED:,/2.?a
JoB + | q:>1\DATE 0F APPLICATIDNz 7-frq:
RECEIPT +: /3 3A--A ISSUED BY:
CITY OF SPRINGFIELD
DEVELOPMBNT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGTIELD, OREGON 97477
PHONE: (503) 726-3759
TYPE II SITE PLJIN REVIEII APPLICATION
LOCATION OF PROPERTY thern Pacific Industrial Park No 2 Lot 4
& O1ympic.
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EXISTING USE 0P PROPERTY Vacant
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DESCRIPTION OT PROPOSAL
manufactured steel building to use for the manufacturing of wal1 panel N
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assemblies. (0ccu pancy Group H2,, type II-N construction)A.j oined 1,600 S.F.l/\
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office, with u pper level office storage .(Occupancy Group B2, type II-N
construction) Sitp dpve'lofments to meet SDC reqrrirements as shown on nrolosed
site plan.
APPLICANT NAME
ADDRESS
Soft Tech Buil di no Svst'ems
1873 Garden Avenue
Eusene. 0R 97403 PHONE:484-5472
OI{NER NAME
ADDRDSS
Curt Markus, Howard Thom DSON
1873 Garden A n ri
Eupene. 0R 974O3 PIIoNE /+84-5472
THE UNDERSIGNED ACKNOI'LEDGES
CORRECT AND ACCURATE.
THAT THE INPORMATION IN THIS APPLICATION IS
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h,rf fuloJr*-, APPLICANT SIGNATURE
IT THE APPLICANT IS OTHER THAN THE OVNER, THB OVNER HEREBY GRANTS PERMISSION
FOR THE APPLICANT TO ACT IN THEIR BEHALF.
U-l'OIJNER SIGNATURE
PLEASE ATTACH THE NAMB, ADDRESS, PHONE NUMBER AND SIGNATURE OF ANY ADDITIONAL
PROPERTY OlIINBR.
OVER