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Home My WebLink AboutPermit Miscellaneous 1994-10-13 \ #-. '.. . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION ~ . JOB NUMBER 97" /? c;--y 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726.3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK: B!iii? 7 ASSESSORS MAP' 17-t::rJT -~ ~ c,I a4A'~c~ TAX LOT: -:Z:>~ .~7??It:::>C> < y~~.~ 71 ~7> ADDRESS: '"3~ "p~!,"r Jtf/F"e:-_, ~]"J~ 2> --- -r DESCRIPTION OF WORK: ~~'.-~ ~/;>- PHONF' 7Y6-.$:vY'v OWNER' CITY' STATE: ZIP: q;:> 'Y';>";> ~~ 2~o~. 'NEW REMODEL ADDITION DEMOLISH OTHER VALUE: NAME ADDRESS PHONE ARCHITECT' CONST. CONTRACTO~R'S NAME~ ~..~g.~~""?"4Ye CONTRACTOR I GENERAL' ~A .~...c:x .~~~S' b"'t/-="~ /-9,:>. , ~ -. f / - , , r PLUMBING' MECHANICA' . ELECTRICA' . EXPIRES PHONE 2:l::r-.2~$ .~??-z. PLUMBING NO. FEE I CHAROiE I I-i MECHANICAL , EEiI:!ARG.i I I I I I I I I I $10.00 I I Sanitary Sewer II. fl. Furnace/burner & vent <100.000 BTUs Furnace/burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit healer Appliance Vent separate Stationary evap. cooler Vent Fan/SIngle duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Single Flxlure Relocated Bldg. (new fix. addtl) Water Service Storm Sewer II. I Back flow Oevlce I , I I I I I TOTAL PERMIT Permit Issuance TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN: ZONING: OUAD AREA- I OF BLDGS: LAND USF' I OF UNITS' OCCY GROUP: I OF STORIES: CONSTR. TYPF' HEAT SOURCE: LIGHTING POWER BUDGET: WATER HEATER' SO. FT. $/SO. FT. VALUE SO. FTG MAIN SO. FTG ACCES~ SO. FTG OTHER x x X TOTAL VALUE OF PROJECT-.J4/YY)t.. PLAN CHECK FE.E --5f!?, - RC PT' DATF BY I BUILDING PERMIT 15% State Surcharoe I MECHANICAL 15% State Surcharoe I PAVING, DEMOLITION I PLUMBING I 5% Slate SurcharQe I FENCE VAlLIE $ I SIDEWALK- FT. I CURBCUT ~~ . . /hB. - FT. SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICAl ;?~. - . REQUIRED INSPECTIONS . j ~ It Is the responsibility of the permit holder to see that all Inspections are made at the pr0per 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. 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. 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. 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 pi pes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. 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. FIRE & SEPARATION WALL: Located and constructed according to plans. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. 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 lolnts and fasteners are taped and finished. 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. 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. PAVING: Alter gravel Is in place but prior to p.laclng asphalt or concrete. .." 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. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: u'B.C. Standards 43.8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 e.ll & Chapter 29) )( GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.BC. STDS. 25.10,11). STRUCTURAL MASONRY: (306 a.7) 7-/1L.e'"7~~ /~.1P ~/-;:..."' ~ Oln 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. 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 slrlplng, etc. must be completed before requesting this Inspection. FINAL BUILDING: Requested alter 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. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that alllnformatlon herein Is true and correct, and I further certify that any and all work performed shall be done in accordance with tho.OrSllnances 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 prole . I further agree to ensure that all required Inspections he proper time, that project address Is readable from the street, that the permit card Is located at the f on nd the approved set of plans will remain on the site at all times durin: c(n~truct~~ #~~ Signature . #' 10 - 0 Date Wc...-V..f/r , -~ . / " DATE PAID: /LJ~i!A:~ RECEIVED BY: <~.. FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' PLANS REVIEWED BY VALIDATION: AMOUNT RECEIVED: ? ~ q-<' /5fi) 5"A RECEIPT N' DATF . . fi !!'y"i!I'!!'T.:!!l!,!!~ Job No. Q4\3Si SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~\ ~~ ~ ~~. PHONE: f\4lo1A4f ADDRESS ~ , ~~l ~)~ STATtt1LZIP Q1B;2 LOCATION OF Ii'ROPOSED BU~N~IJli\ - ~ ('I... ^' _I..... n - . Street Address if Known: nM') LA.~ ~ Tax Lot Number: --L2lr1~~,~.J2Q 1CiJ 09{)l)(P 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the backJ Platt Name: If\' I Cl ) I A. Sim!le Familv - Detacheq ~ Single Family home Manufactured home not in a park NO OF UNITS X $400 PER UNIT _= $ . B. Single Familv - Attached NO OF UNITS X $370 PER UNIT = . $ \q ~O~ $~~;~Q C. Multi-Familv Aoartment NO OF UNITS '1 ~ X $277 PER UNIT = D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $ ~"~~~\~,~f _~L. _~ r_~:~....(:......I..t 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit t?I approval. See sac Credit Worksheet. $ K../ 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) $ -.:~~ \D ,2/) ,!it- \~ ;6C\.(jD Date )