HomeMy WebLinkAboutPermit Building 1994-7-12
COMMERCIAL/INDUSTRIAL ·
PERMIT APPLICATION
~
.
225 Fifth Street, Springfield, Oregon 97477
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726.3759
G\L\ \lY\b
LOCATION OF PROPOSED WORI" "5 ~ <Ji:.
ASSESSORS MAP' I '70~3<t~
&0 II. e:. j, AI'''' ~.
3755 Ernp,.-.a/2.
E. /'14/;, J,;;.r/ l~alJ P Id
On: Is 7o-"d{J.
TAX LOT: -..Cf) SI 0
C.A>7- 81t.. 7
OWNER'
PHONE'
ADDRESS'
CITY'
E",.J-'jP," 10
STAT'"
cDK:
ZIP:
97'/tJS
DESCRIPTION OF WORK' (;;~ ,",p~f .z oM;,.,. r.)....,'/5
.,.co Ho&f1o"""" SA n /7,
NEW
REMODEL
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ADDITION
DEMOLISH
OTHER
VA LU E::J. c:;.,rxfJ
ARCHITECT'
NAME
/'-0,.-,("",
ADDRESS
PHONE
CONTRACTOR'S NAME
GENERAl' GY"~~ra'" C,.,,~I
PLUMBING' rw.;' J?:'vrr-5
CONST.
ADDRESS CONTRACTOR # EXPIRES PHONE
R </ tU () 5r, arL.,,,, /IJ/b RI. ZO. P A9 t, 'l Z -/2-95 "185"-5<1?/
, ;
A
MECHANICA' .
4r:r_u""'r,-, "...,r/,t:?;,..",.
./?" /cl"..r s ?/PC!..
~I
~
\\0
ELECTRIC" I .
"
I
I NO,
I~
I
I
I
I
I
I
I
I
I
I
I TOTAL PERMIT
I
I "'0
I
I
] Floor"furnace and vent
I Suspended wall or floor
mounted unit heater
I Appliance Vent
separate
I I Stationary evap.
Backflow Device cooler
;:;1 I. ~ Vent Fan/Single
C"'J '..."r;~" 5.l1E f;';~~ / 'i. j;l",l-j /54",""'/"".'11 UtJli /.. duct
I, I I' ~A . Vent System apart
(i 1'1 i c, ("/00, I...., / Lad" i-a 5. ';' 1:. . ~ r.... from AC or htg.
r C. I Mechanical exhaust
", rl J ;J J'ft hood and duct
r 1 r . ~cEX'':~:I,,~cI
I I.
I I TOTAL PERMIT
PLUMBING
MECHANICAL
FEE
CHARGE
rrr
~\:IAR:n:1= I
I
I
I
I
I
I
I
I
I
/~I
$10.00 I
/~I
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
/b
-ze>
Furnace/burner & vent
< 100.000 STUs
Furnace/burner & vent
> 100.000 BTUs
ft.
SanItary Sewer
ft.
Storm Sewer
ft.
Au?/
Permit Issuance
:::?:::::>
aUAD AREA:..1~ Jl) f ./
- OFFICE USE,-
LAND USE: ~~
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
# OF BLDGo.
. OF UNIT~'
OCCY GROUP'
P-lJ __
CONSTR. TYP'"
# OF STORIEf'
HEAT SOURCr.
LIGHTING POWER BUDGET:
WATER HEATER'
sa FT.
$/ sa. FT.
VALUE
sa. FTG MAIN
X
sa. FTG ACCESS X
sa. FTG OTHER 6~eLL /~ I{J
:z~
,
TOTAL VALUE CF PRO~ECT
PLAN CHECK FEE \ \ \, ') ,q;~
RCPT# \'2, (tn \
DATE
" . \'cl'VA
BY 'fh \L}C>'-"
I BUILDING PERMIT
15% State , r~-
Surcharge 7" '"3fJ
MECHA~~
~7-
5% Statt -
Surcharae ~
I PAVING
5% State
Su rcharae
FENCE
VALUE $
SIDEWALK
~-
2~ -I DEMOLITION
/.-
.~
/7tt7. $l:>
~.11-
Ie. -
L~-
:~
PLUMBING
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
I
I
I
I ~/.~~ I
1-1:*' . ,,->>11110--
_ :- I ,1.7H/TfJ - ~~
p// Cd. 91
/:19~. 7r --
'.-'?4/'""> <!!:>/
l<;,I /'? ,(;.;.."--
CURBCUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAL
.
.
REQUIRED INSPECTIONS
It Is the responslblllty 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
made after excavation, but
prior to setup of forms.
x
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.
y
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
SPECIAL INSPECTIONS: In 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 shell
be furnished to the Building Division.
UNDERSlAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
bef~re any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WAllS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.I. (306 a.1)
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFlOOR: Plumbing,
electrical, mechanical. To be
made prIor to Installation of
floor Insulation, decking or
floor sheathing.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and requIred vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering Is
applied.
,.,~
't'1~ec & SEPARATION WAll:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During 'all bolt Instatlatlon and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
draInage lines. To be made
prior to covering or flIl1ng
trenches.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FilliNG:
During earthwork. (306 a.11 &
Chapter 29)
x
lATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is In
piece but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished.
GlU.lAM BEAMS: Inspection
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
a.7)
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.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
exc~vatlng complete and form
work and sub-base material in
place.
'In 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.
ROOF SHEATHING AND
NAiliNG: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
..\'
FINAL PLUMBING
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
requesting this Inspection.
.Y
FINAL ELECTRICAL
,
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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 unt1l a
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTf"
PLANS REVIEWED BY,/ /_~1'L? /"" ~ DATE$-?"~Y
/p". 7r - ,
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information
herefn Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ord'lnances
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
street, that the permit rd Is locyted at ont of the property. and the approved set of plans will remain on the site at all
times during const~ on.
Signature h HU ,_ ,-~o~r,",'s G"'5/' Date 7-/2-9'-/
, / '
AMOUNT RECEIVED: ---1'Z. 9S". S,t:.
/ Y'2""'3"/
1
VALIDATION:
RECEIPT N'
DATE PAID' iE-5-9/'"
RECEIVED BY: _d~
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/
ATTACHMENT B1
. . NO. qflo1-l?
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE ~ k 1~/0"11
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
-'
NAME OR COMPANY: )',,&t/- /4,....:...,
LOCATION: S'iq2 .E. Jff~ tk<L =1# ~
DEVELOPMENT TYPE: ~..t. 4.bz. k I~ ~
BUILDING SIZE: leOT SI7F
1. ~TnRM ORAINAGE
IMPERVIOUS SQ. FT.
d kj),D~
/
X $0.209 PER SQ. FT.
SQ. Ft.
$ ~
/
$ ,
I
2. .' SANTT~Y SFWFR-r.TT'(
NO. OF PFU'S 0/> t:.eEf)/T X $43.26 PER PFU
(See Reverse) A-rrAMsT Q1/017
3. TRANSpnRT~
NO OF UNITS X TRIP RATE X COST PER TRIP ~)/I'
G$.N. tJFF'ICE .
.< /.13 X :2.z-r- X $436.19> AI-L JIfl <$ 13'1"1.;;0 '>
~~~A~~t R~r~~ I~ i..ilr
/ .17, X 4.<13 X $436.19~' $ 3075./0
X X $436. 19 $
~ T~..4 ~ ~ = SUBTOTAL (ADD ITEMS 1.2. '& 3) $4",: r. (J ? /liJll','f'9
4. S8MlIARY SFWFR-MWM(
NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADMIN.FEE
(Use PFU Total From Item 2 Above)
. \,
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
IQIAI -MWMr. snr.
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. AOMTNTSTATTVF FFF\
B~ CHARGE (SUBT~L ABOVE) X .05
~\ //,:iv' Date:
/ Ha y Hornig. P.E
SD oordinato
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1-.2.5""- '10-
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B2.SDC
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