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Home My WebLink AboutPermit Building 1993-7-13 .,;;." . COMM ERCIALlI N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 . ~ JOB NUMBER ~ $? ~ '- .- INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK' '7'9 70 n?'/~ ::iT ASSESSORS MAP: r?-/>'2 '~2-.y/ , - OWNER: ,2,;?L:>73!1~/ #.#~/':'~.A:--' ADDRESS' '7..L:? ~ -5-'2 t;'~..iQ. _ r- ~'/ DESCRIPTION OF WORK: ,f'--lfT:> ?~~/26 /~L~~ ~ _~""''S-~ ~<~ CITY: NEW Y REMODEL ADDITION NAME ARCHITECT: CONTRACTOR'S NAME GENERAl' a-:_",:.a:~" PLUMBIN'" MECHANICA" ELECTRICA' ' PLUMBING NO, FEE Single Fixture Relocated Bldg, (new lix, addtl) Water Service It. Sanitary Sewer It. ...".,. Storm Sewer 6D t../.~6 r It. Backflow Device TOTAL PERMIT QUAO AREA: # OF BLOGS: ").,C,Me- I ~~ OCCY GROUP: # OF STORIES: SQ, FTG MAl N SQ, FT, y,,?- SQ, FTG ACCESS SQ, FTG OTHER QJi'/% x ~S-x DEMOLISH ADDRESS I CHARGE I 1 1 1 1 ~a '-1 1 1 1 1 TAX LOT' ~~C> PHONF' ~6 -~S""'YY STATE: _~~ ZIP: -7 -/ ~7 -::> OTHER VALUE: ADDRESS PHONE CONST, CONTRACTOR # EXPIRES PHONE ~- MECHANICAL Nn ... ('~.o.Rn~ Furnace/burner & vent <100,000 BTUs Furnace/burner & vent > 100,000 BTUs Floor furnace and vent Suspended wall or floor 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 Permit Issuance $10,00 TOTAL PERMIT LAND USE: - OFFICE USE - FLOOD PLAIN: # OF UNIT~' CONSTR, TYPE: HEAT SOURCE: HANDICAP ACCESS' c:; '6DO I '\/N lONING' LIGHTING POWER BUDGET: WATER HEATER' X $/SQ, FT, AI - - h/ 0 ~',...,3/~/, :c VALUE ~_221:> -- 1.5'0 PLAN CHECK FEE ~"3. Y:;;- RCPT' q /:z~ - . . I BUILDING PERMIT 3/3: coz,o. I PLUMBING 15% Slate /S.h:S 5% State Surcharge Surchar~e 1 MECHANICAL F~NCE VALUE $ 15% State SIDEWALK Surcharae FT, 1 PAVING 68.5'6 CURBCUT FT, ?</ 7/_ ~J!> TOTAL VALUE OF PROJECT~ .t:, 9::2 t; ~ DATE -.6-;:;?/-""3'"3fi' BY .- ~~ r ,/ ~ c-" ' DEMOLITION :2.- ~ SUBTOTAL PERMITS SYSTEMS DEVELOPMENT I I 1 &/39./s1 III Z 2.0 7 'E: ffl:. TOTAL PERMIT FEES EXCLUDING ELECTRICAl :7~7'b. 8? I . 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 inspectlon. 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. UNDERSLAB PLUMBING, , ELECTRICAL & MECHANICAL: To be made before any work is covered. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. x PAVING: After gravel is in place but prior to placing asphalt or concrete. x FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. FIREPLACE: Prior to piaclng facing materials and before framing Inspection. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special Inspector shall be employed by the Ownerl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. ATTIC DRAFT STOPS & CURTAIN WALLS x 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. 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) y UNDERGROUND: Piumbing, electrical, gas, sanitary sewer, storm sewer, water and f' Uldllldge Ilne~.o be made prlur to covering or filling trenches. 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, HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a,6) SPRAYED ON FIREPROOFING: U.Be. Standards 43-8. Y- FIRE & SEPARATION WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) UNDERFLOOR: Plumbing. electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. Jy 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 finished, GLU-LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed, (2501 U.BG, STDS, 25-10,11), POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing, STRUCTURAL MASONRY: (306 a,7) FLOOR INSULATION & VAPOR BARRIERS: To be made prIor to Installation of decking or floor sheathing. 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. *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. MASONRY: Sleel location, bond beams grouting or verticals In accordance with UBC 2415, ROOF SHEATHING AND NAILING: Prior to installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. .Y 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. FINAL ELECTRICAL y 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. FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' .......-7 PLANS REVIEWED BY /' ~ .. ......,/' ~ -a--:::;., / 7' DATE '/-,/2 ~9" . By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aI/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 street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all times dUrlng~Onst ction. # ~ Signature ~ -.e.-h v.-"oe;;:;;;::- Date 7 /;3/9:S 0/- t/ O'/" VALIDATION: AMOUNT RECEIVED' ?b'Sl6. ~ RECEIPT" '? c/B/ DATE PAID: --.2.~ '93 RECEIVED BY' ./?"....."..-, ,-; ,~ -'ij .' . .B NO. q?o87~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: f(OP.J1E-f?- -r J-/1'fM'1L- -rON LOCATION: L/-If'-l-o /YIAIN 5-r. /702..32";'/- ()()(POO DEVELOPMENT TYPE: Cc,: S7o,(A6f3. BL-06-//Yl/lv/ /N~/htJ$E BUILDING SIZE: ?~ 'I/'].-b :: ,.17.00 $q,,cr.LOT SIZF SQ. Ft. 1. STORM DRAINAGE /70 ~ '5/ IMPERV IOUS SQ. FT. 8~ 70 X $0.192 PER SQ. FT. C;;~,,~~ ........ -- 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) -e- X $39.78 PER PFU G-s-) ........ ---- 3. TRANSPORTATION c.oPE.I<S,: MINr.w,,~toU~E. :: o,-z.r,lr6'SI'" NO OF UNITS X TRIP RATE X COST PER TRIP 'f.'].. X 0,1-(, X $401.05 C '-I37!?-) ........ --- X X X $401.05 $ - X $401. 05 $ -- SUBTOTAL (ADD ITEMS 1,2, & 3) $ '2./ oZ is,! 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 G/oS/~) ~ TOTAL-CITY SDC $ 2:1.-<)7'J: 5. SANITARY SEWER-MWMC NO. OF PFU'S -e- x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ~ (Use PFU Total From Item 2 Above) k!:"A~L..'vl. . --0' Kip Burdick SDC Coordinator C, A5/<j ~ $- TOTAL-MWMC SDC~~ ~ ........ -- TOTAL SDC $ 2.'2.07"'!2:. MWMC CREDIT IF APPLICABLE (SEE REVERSE) , ,J-.lf \j)