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Home My WebLink AboutPermit Building 1992-9-2 ; ".i COMMERCIAL/lNDUSTRIAL . PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 ~ ~OB NUMBER 7'2/2.a.9 INSPECTION LINE: 726,3769 OFFICE: 726,3759 LOCATION OF PROPOSED WORK' 3'::;;'5"'7-' d"P/~/ 57 ASSESSORS MAP' /7'-':::>2 -...., r-'"3/ TAX LOT' ~;..'S.~"">-;:::::> OWNER LE5 _,c::;..ch"~/6~ /~7-?<F ADDRESS' r...a ~ X-- <::::;;b:'":::> .P2.. CITY' ~/A'/eJqL~ - / ./ -,' L E"~"-'-~ PHONF' 4)25D:;;,{,"~4" ;'/'7 STATF' -<==A ZIP' DESCRIPTION OF WORK:~;?? /H~r=, ;,--~- J~ ~ -A' /" /~~/?7~/YT" 2;> '.0- S NEW REMOOEL ADDITION V OEMOLlSH OTHER VALUE: /50.,;s~ /' ~/' c:-crr 1'./ NAME / I~ ARCHITECT: ~~~r-V~h' /~/V~ CONTRACTOR'S NAME ADDRESS GENERAl' ~ PLU~BING' MECHANICAl' ELECTRICAl' ADDRESS l:c:>. Sax, G6~ 'PR/A~VrLLr b?< . CON~;'T. CO NT RACTO R # PHONE ~~7~?162- EXPIRES PHONE ~ ~~ PLUMBING MECHANICAL NO, FEE CHARGE Nn ... I (",~.6R(.n: I ~.ee> I I I I I I j 1 I ~.D&> I 2. ,.;.s- c::> , I $10.00 I 16-1 Single Fixture Relocated Bldg. Inew lix. addtl) Water Service / 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 Stationaryevap. cooler Vent Fan/Single duel Vent System apart from AC or htg. Mechanical exhaust hood,and duct ~..2..nr'~ /H,7'l JPn'"~ 1 .5""d It. Sanitary Sewer It. Storm Sewer It. Backflow Device k- Permit Issuance TOTAL PERMIT TOTAL PERMIT h?_ QUAD AREA: <~0 XI ':D ./ LAND USE: - OFFICE USE - .t:::)':J{YJ = HANDICAP ACCESS' # OF BLOG'" # OF UNITS: CONSTR. TYp., ZONIN"" FLOOD PLAIN: (1P.l OCCY GROUP' LIGHTING POWER BUDGET: # OF STORIES: HEAT SOURC.' WATER HEATER' SQ., FT, $/SQ. FT. VALUE SO. FTG MAIN SQ. FTG ACCESS x x sa. FTG, OTHER x TOTAL VALUE OF PROJECT PLAN CHECK FEE ~ s;g" RCPP 6017 DATE 9./2,/5'2. BY /U d:.~ I BUILDING PERMIT 15% State Su rcharQe I MECHA~_L ~?? ~.",.,,,r 15 % State - . Surcharae I PAVING 1 5~S: ~ I PLUMBING .." 5% State ::z 7. Z-=s SurcharQe /&>. ~ FENCE /~~ - VALUE $ . n SIDEWALK CURBCUT , OEMOLlTION FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT I 1 I 778 spL t 2&t~.\ ~ fP FT. ',.' " . ,- I TOTAL PERMIT FEES EXCLUDING ELECTRICAl ~tt;7~.$Z 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 made after excavation, but prior to setup of forms. 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 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 V Certificate of Occupancy has been issued by the Building Division FINAL FIRE DEPARTMENT and posted on the premises..,.J . ADDITIONAL COMMENTS:~~(\ ., S2ffi" J\ or~ \~ l? C'\1(,rt 1, I'i J \I ~ '~H . q!JfiZ '71::& ~CM'V/5/h'~ cc~~).~/..".;;;;.. ~#LL- ~.J9'TAL'A/ 5"~R#-T~ ~...??/;r ~/P?3' ~ k"577:!'//_ 't'Y? C-L:.~_ -5~~~.47 _ ' , ~ . ~~DATE 9--'Z"""--92 J'l\ \ . REQUIRED INSPECTIONS . . , , \ ~ UNDERSLAB PLUMBING. ELECTRICAL & MECHANICAL: To be made before any work Is covered. )( ROUGH Il.l..__..~...~. ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. 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. PAVING: After gravel is In place but prior to placing asphalt or concrete. ATTIC DRAFT STOPS & CURTAIN WALLS )( FOOTINGS & FOUNOATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. FIREPLACE: Prior to placing facing materials and before framing inspection. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.l) 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. HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) x STRUCTURAL WElOS: Performed on the job. (2722 f) 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. 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. ' SPECIAL GRAOING, EXCAVATION ANO FILLING: During earthwork. (306 a.ll & Chapter 29) LX y UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and d rai nage II nes. To be made prior to covering or filling trenii!#fr' UNDERFLOOR: Plumbing. electrical, mechanical. To be made prior to installation of floor Insulation, decking or floor sheathing. SPRAYEO ON FIREPROOFING: U.B.C. Standards 43-8. x FIRE & SEPARATION WALL: Located and constructed according to plans. )" 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). 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. 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. 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. x MASONRY: Steel 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. FINAL PLUMBING Y FINAL ELECTRICAL x FINAL MECHANICAL PLANS REVIEWED BY ~-~ /// By signature, I state and agree, that I have carefully 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 street, that the per card is located ~e front of the property, and the approved set of plans will remain on the site at all times during con r lion. / J7 ' . . _ ~ / Signature' I 2--1 Date?> - ~ p ,P ~ l' / \ VALlDATIO (, "\ AMOUNT~D: ~.o 79. g2 ~ RECEIPT" b:B C/L./ DATE PAID: 7-:Z/-<72 RECEIVED BY: ,~~~- . I :../ ,i , . .OBNO.4Z.tZ.O'i CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: Lp-~ Sc.I-\WA.~ \\~ CE:t-I.iE:?- LOCATION: ~-z.'1Y M,Io...IIJ Si'. \lo'2..~\?I-'-f.("OC> DEVELOPMENT TYPE: ~c. - A.t>D Wp.,l2..fO.#DO~E ;, QF>-e... D~'<> W~ , , ~'(~ BUILDING SIZE: \?'l.o I r 900 LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. -z.~'2-0 X $0.192 PER SQ, FT. , c: yeA '-1) --- ---- 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) X $39.78 PER PFU G' -e- ) "---------- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP W~~'7E. \.'?"Z. X ",l~ X $401.05 $ftC..ltE.TML. O.~D X '-f.e I X $401.05 c;- y.,::.\'0 c;~<{l~ X X $401.05 $ ~ SUBTOTAL (ADD ITEMS 1,2, & 3) $ '2- '?!o? I~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 G\\"6~) --- ~ TOTAL-CITY SDC $ ZL.!"6 \ 2'1 5. SANITARY SEWER-MWMC NO. OF PFU'S --- x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) V >~.Lt--L (\ Ki P Burdi ck sac Coordinator o,.I'-J-/~2- , $ TOTAL-MWMC SDC~ ~~ ~ ..-- TOTAL SDC $ 1-.""~' 1..1. MWMC CREDIT IF APPLICABLE (SEE REVERSE)