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Home My WebLink AboutPermit Miscellaneous 1992-6-1 #,"0 2.04> COM M ERCIALlI N DUST RIA" PERMIT APPLICATION ~ 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' 2. 59 r; 3~ d / '/34A-fA,} ASSESSORS MAP: / '7 /J~ OWNER' (JiJO, ~' DutYl(l();::' ADDRFC:C:' .p . () , d<,(') >< 757 '3 ~LJt'FtJt=- '::PM'~, CITY: STATF' DESCRIPTION OF WORK: NEW X REMODEL rAiZK/ r0 C ADDITION DEMOLISH NAME ADDRESS ARCHITECT' CONTRACTOR'S NAME ADDRESS GENERAl' E'0~Nf. ~D ('f.f:.A.V~ PLUMBING' lbkJl..I Db '7 MECHANICA' ' 1 ELECTRICA' . PLUMBING NO. FEE CHARGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service It. Sanitary Sewer ft. Storm Sewer g'7 It. 4&~C> Backflow Device TOTAL PERMIT #.-- - OFFICE USE - OUAD AREA' # OF BLDGS: LAN D USE: # OF UNITS: CONSTR. TYpo, OCCY GROUP' # OF STORIES: HEAT SOURCo, SO. FT. $/SO. FT, SO. FTG MAIN x SO. FTG ACCESS x SO. FTG OTHER x PLAN CHECK FEr RCPT' DATF 1 B.UILDING PERMIT 15% State Surcharge 1 MECHANICAL 15% Slate Surcharoe 1 PAVING ~2,S',o' 3.13 1 PLUMBING 15% State Surcharae 1 FENCE VALUE $ SIDEWALK CURBCUT FT. FT. - , JOB NUMBER ~?'73' INSPECTION LINE: 726.3769 OFFICE: 726.3759 ,"') I. TAX LOT: /&LQn PHONE: 7Z/"- 002 ?1 OR. wI. q7~/) J ZIP' OTHER VALUE: ~<;lL,<:7.~ PHONE CONST, CONTRACTOR # EXPIRES r::-UC;Ul< 44524 ~3A? CJ c174-4-0 ' , PHONE b't.3-579&- .~ ';j MECHANICAL Nn "'''' rl-to,Dn= Furnacel burner & vent < 100.000 BTUs Furnacel 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 HANDICAP ACCESS' FLOOD PLAIN: ZONING' LIGHTING POWER BUDGET: WATER HEATER' VALUE TOTAL VALUE OF PROJECT BY I DEMOLITION 1 I I I I, SUBTOTAL PERMITS SYSTEMS DEVELOPMENT 553,09 TOTAL PERMIT FEES EXCLUDING ELECTRICAl //_07;2-~ '-~ CPt? , r;. ~ , 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 made after excavation, but " prior to setup of forms. DERSLAB PLUMBING, EL TRICAL & MEC ANICAL: To be made before ny work is covered. , FOOTINGS,& FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing, concrete. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. ~ PAVING: After gravel is in e.. ..... place but prior to placing asphalt or concrete. FIREPLACE: Prior to placing 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 Owner! 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 CONCRETE SLAB: To be made after all Inslab building service equipment, c nduit, piping, accessorie and other ancillary equip nt items are In place but fore any concrete ~'aced. V UNDERci'ROUND: Plumbing, /' ~ ~ gas, sanitary sewer, <=S-!orm se~ water and . drainage lines. To be made 'jprlOr to covering or filling / trenches. UNDERFLOOR: Plumbing, ,. electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. 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.L (306 a,1) STRUCTURAL WELDS: Performed on the job, (2722 f) 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: UB.G. Standards 43-8. FIRE & SEPARATION WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a,11 & Chapter 29) POST & BEAM: To be made prior to installation of floor Insulation, decking or floor sheathing. 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 UB.G. STDS. 25.10,11). FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of decking or floor sheathing. STRUCTURAL MASONRY: (306 a.7) MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. SIDEWALK & DRIVEWAY: Requ I red 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. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB ANa APPROACH APRONS: After forms are erected but prior to placing concrete. -~-FINAL~UM;NG----------~-SITE~LAN~EVIEW~OA~D:Mus~~reques~~~~~~::nc~ ....... of the date you wish Inspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before FINAL ELECTRICAL requesting this inspection. FINAL MECHANICAL x 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 Bulldtng Division and posted on the premises. FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY //~. DAT'" c" - 1- 'l' 2-- ,-' 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 certjfy 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 during construcllon/ 2 ~urp ~...-~/_y Vl--j Date 6'-,/-- ;?e- VALIDATION: AMOUNT RECEIVED: ~(? 72 RECEIPT" -17',/4 DATE PAID: (", - r - 7' 2- RECEiVED BY:-./~ \, . , JOB NO, CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (PROFESSIONAL OFFICES & INDUSTRIAL) NAME OR COMPANY: rANt-I '5f2-rL-E:-'( 'LOCATION: 2&:."'10 MAIN 5-r, DEVELOPMENT TYPE: :LI-IO - 'PA-tu::.IA/& ur f/AVIN& BUILDING SIZE: LOT SIZE SO, F t. 1. STORM DRAINAGE 7? IMPERVIOUS SO, FT, 0,5 x S("'fPo.f X $0,]86 PER SO, FT,S 52-"-- (See Reverse For Runoff Coefficients If Actual Imperv, Area Is Unknown) 2, SANITARY SEWER-CITY NO, OF PFU'S 0,5 X X S38,55 PER PFU (See Reverse To Determine Total PFU'S) s - 3, TRANSPORTATIO~ NO OF UNITS X TRIP RATE X COST PER TRIP 0,5 X X 'X $388,61 S 0,5 X X X 5388,61 5 0,5 X X X 5388,61 (See Attachment C To Determine Trip Rates) S SUBTOTAL (ADD IW1S 1,2, & 3) S 52,,-?E- 4, ADMINISTRATIVE FEES T~;T;:,L-CIT:' SJC 'Z(..~j. ocr ~. 6?? - ~~~~ r~~~~= (~'.~T~~~L ::r,.'\!r~ v ,n~ ..........J_ o,.."r,...._ ._......1..;..""1 ..,J_ _, I. ......, 5, SANITARY SEWER-MWMC NO, OF PFU'S x $13,25 PER PFU + $10 MWMC ADMIN, FEE S (Use PFU Tot a 1 From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) S ~~L..k c.fA"2-- TOT AL -I'nmc SDC s St;,? 01- U Ki P Burdi clc TOTAL SDC S SDC Coordinator