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Home My WebLink AboutPermit Miscellaneous 1993-7-2 . ,::,; Q:Y)C(c5 CO'MMERCIALlINDUSTRIA~ SP~RINGF'ELO JOB NUMBER 8t-, -Q(... -D_~ PERMIT APPLICATION ~ ~~ INSPECTION LINE: 726.3769 225 Fifth Street, Springfield, Oregon 97477 ~ OFFICE: 726.3759 LOCATION OF PROPOSED WORi'" ~\C\ '\ \\.l\l'f'f\DL(,) ,~t ASSESSORS MAP' I, - () 3 - 2F:- - 4 J \\ \ TAX l.OT: ! 2. 0 J d-/3CO 7Yb-hQb5' IIlI11 I "n - {" Bt-,3 _ ZIP' c(71..(i7 OWNER' [. ADORES!'" L A V't" \J I S 10 !A,\!4 Vo...l ~ VC,e.1 D <, t7 If- I (') , CITY: ,DESCRIPTION OF WORK' NEW V REMODEL fA-,ll'::,\,-, S ADDITION ARCHITECT' NAME PI' (. ~ I" Sill I\.! () v CONTRACTOR'S NAME Po lE N ~+-- DEMOLISH (\" ~r'lh'l2.l ADDRESS GENERAl' PLUMBING' Y ~ ~ b1\f\~ ~ - MECHANICA' ' ELECTRICAl' PLUMBING NO. FEE SIngle Fixture Relocaled Bldg, lnew fix, addll) Water Service It, Sanitary Sewer It, -5" II. Storm Sewer Backflow Device TOTAL PERMIT OUAD AREA: . OF BLDGS' OCCY GROUP' . OF STORIE!'" Sa. FT. SO, FTG MAIN SO, FTG ACCESS X SO, FTG OTHER 1#W#h h~=>;1' X I CHARGE I I I I I ~~-I I I I I I I I PHONF' STATE: Dv1- OTHER VALUE: K. 000 ADDRESS fOH=>J<. (Db 1 PHONE <U&;~ Dot. 683-57<../1 ~. CONST, CONTRACTOR' EXPIRES PHONE I -'In MI'CHANICAL i ~F.EE_ _CHARGE~ I I I I I I I I I $10,00 I I 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 Stallonary evap. cooler Vent Fan/Single duct Vent System apart Irom AC or htg, Mechanical exhc:ust hood and duel. Permit Issuance TOTAL PERMIT LAN 0 USE' - OFFICE USE - FLOOD PLAIN' . OF UNIT!'" CONSTR. TYPF' HEAT SOURCF' $/SO. FT, X HANDICAP ACCESS: ZO NING' LIGHTING POWER BUDGET: WATER HEATER' VALUE /.::;:~:). arD , TOTAL VALUE OF PROJECT BY -:::?'5: .-:> /:2'> I DEMOLITION C-6~icr FEE -Y'-a C- RCPT' OAT" I BUILDING PERMIT I PLUMBING 15% Stale 5% State Surcharge Surcharae I MECHANICAL FENCE VALUE $ 15% State SIDEWALK Surcharoe /"oItJ FT. I PAVING / /p. 5'C> CURBCUT 6". . ~FT, I I TC4?'" ~ /G" SUBTOTAL ' PERMIT:, SYSTEMS DEVELOPMENT f/t!>~~ /7"7. -:5:5' "2 ~-- /7.$0 ~....~.,. --L...! ""._- ,,-- - ~ :Z~2'5. "7'~ TOTAL PERMIT FEES I EXCLUDING ELECTRtCA' - .c ~ ~- .~~ ~ ,- .....,.~~/,-- ...... 4 ~"' , --" ~ -, · 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 setu P of ,forms. UNDERSLAB PLUMBING, ELECTRICAL & ' MECHANICAL: To be made before any work Is covered. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is 10 be covered until these inspections have been made and approved, y PAVING: After gravel Is in place but prior to placing asphalt or concrete. , 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. SPECIAL INSPECTIONS: In accordance Section 306 of Ihe State Specialty Code a special Inspector shall be employed by the Ownerl Contractor during construction of the following work. A copy 01 the special tesllng reports shall be furnished to the Building Division. 'ATTIC DRAFT STOPS & CURTAIN WALLS CONCRETE SLI\B: 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. 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 PS,I. (306 a,1) STRUCTURAL WELDS: Performed on the Job, (2722 f) UNDERFLOOR: Plumbing, electrical, mech'anlcal. 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 applted, FIRE & SEPARATION WALL: Located and constructed according to plans. HIGH STRENGTH BOLTING: During all bolt installation and tightening operations, (306 a.6) v UNDERGROUND: Plumbing, electrlc~r as, sanitary sewer, storm sewer ater and ra nes. To be made prior to covering or filling trenches. SPRAYED ON FIREPROOFING: U.BC, Standards 43.8, 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 U,BC, 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 U BC 2415, SIDEWALK & DRIVEWAY: Required for all concrete paving within slreet right of way, to be made after all excavating complete and form work and sub-base material in place. ROOF SHEATHING AND NAILING: Prior to installing any roof coverl ng. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. * In addition to the inspec- tIons speclfled, the Building Official may make or require other Inspections of any construction work to ensure compliance with the Building, City or Development Code. ------------------------------------------------------- :x FINAL ELECTRICAL 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 complcted 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 Certificate of Occupancy has been issued by the Building Division and posted on the premises. FINAL PLUMBING FINAL MECHANICAL FINAL FIRE DEPARTMENT ,ADDITIONAL COMMENT!'" PLANS REVIEWED BY /Z";.c..oIo" " L..//~,p ~ ( ./........,.;y ~>~~~DATE .7-2-93. 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 c mpllance with ORS 701,055 will be used on this project. ensure th~a"1eqUlred Inspections are requested at the proper time, that project address Is readable from the ermlt ~ar I Ie ated at the front of the property, and the approved set of plans will remain on the site at all ~ \" &4j "fr'1 p - /rfJ v Slgnaturp VALIDATION: AMOUNT RECEIVED: RECEIPT ': 2'5S/S_6 / ~5?'Y , OATE PAID' 7<-9 =5 RECEIVED BY:~.7 -. ~ . . JOB NO. 930"l35 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: LAI<I<:Y E. ~L.€:N lOCATION: 2/17 ()L-'TMPJC S-rI<U-r 17o'?Z54-,2 -J2021/~ DEVELOPMENT TYPE: &: "fJrVJIJ& BUILDING SIZE: lOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. II ?P7 1/g5~ ~~ c;- ~ 'Z.Z ILl'!! ----------- " X $0.192 PER SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) -- X $39.78 PER PFU c;--) "'- .-- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $401. 05 G~) - --- X X X $401.05 X $401.05 $ ~ SUBTOTAL (ADD ITEMS 1,2, $ ~_~ 7Z- 8,3) $ ~.~ ZZI'-t - 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 c( ~ /I (J 7.i. ..... --- TOTAL-CITY SDC $Y;1D~ ~'?7.!?~ 5. SANITARY SEWER-MWMC NO. OF PFU'S ~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) - K:" ~L&. , U Kip Burdick SDC Coordinator o /~h-3 ( / . $ ~ 1Mq; TOTAl-MWMC SDC~1.~ --- - <fG, TOTAL SDC $ ;Z'Y1o=z!- 'Z"?-z,S':'-- MWMC CREDIT IF APPLICABLE (SEE REVERSE)