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Home My WebLink AboutPermit Building 1991-9-20 .. . 1 . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 ~ INSPECTION LINE: 726.3769 OFFICE: 726.3759 JOB NUMBER 9/L/C9~ LOCATION OF PROPOSED WORK' "21"17 ASSESSORS MAP: / 7-c>~-'2.'5'-<'/ 2 rI~Y"A??/'::::::' ~~:..::-;r TAX LOT' a:::>/<~ OWNER' UA'.R Y ~L~h-- AODRESL,.&9'3/Y7..::::>~~~ ~ I//'::>. .6 P F'-Z:::> r PHONE: _ 7~t::.~e::;?"32 CITY' STATE: ~~. , ZIP: 9?V;?? DESCRIPTION OF WORK: ~ ~2 :5~J{I,7;?C?1<!P;;;/-IIY~ .U/~R<~.c..rs~ /~~~ NEW )( REMODEL ADOITION DEMOLISH OTHER VALUE: _~~ NAME ADORESS ARCHITECT:, ":;/~~bTl' 5~><-?.-..~ /d4//.o~ ~,~- If~~o~r. CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR # /' 2. -:v_ ;~, ,. ','" ..~,. /' GENERAL:_~~L<' /~. .N. K;~~..,,_ _'3~ EXPIRES /- =<,~:::z... PLUMBING' MECHANICAl. ELECTRICA" PLUMBING MfCHANICAL NO. Nn FEE CHARGE Single Fixture Relocated Bldg, (new fix. addtl) Water Service Furnace/burner l~ vent < 100,000 BTUs Furnace/burner ~~ vent > 100,000 BTUs It, 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 hlg, Mechanical eXhalJst hood and duct Sanitary Sewer It, Storm Sewer It. Backflow Device Permit Issuance TOTAL PERMIT TOTAL PERMIT PHONE Y$i:<-B'3B~ PHONE :::wS"'~? I ~~~ I t'I:IARGi I I I I $10,00 QUAD AREA: '? C:NU./ I 'J?-"'2. HAI<DICAP ACCESS: ~' FLOOD PLAIN: -d~. ZONING' ~R'::::::' L1G HTING POWER BUDGET: WATER HEATER' .-..,_~. _____ e>oO TOTAL VALU E OF PROJECT ././.' - - . DATE <:::?-:Z'=-,,?/ BY /2'.0 ~ /// y- - OFFICE USE - LAND USF' L:3DI? # OF BLDG~' # OF UNITS' OCCY GROUP' CONSTR. TYPE: HEAT SOURCE: 4=-# # OF STORIES: / SQ, FTG MAIN SQ, FTG ACCES" SQ, FT. ~2 52::' x $/SQ, FT, VALUE x SQ, FTG OTHER X tY<:>n!!: Me>P//'o/tE":S a~/.::~y/'y.-:"~ PdET-J/>?"T ~ !f,4;7.f7'.,;:on- j)/rrc,-;'::>:'~dr/*, 7"~~' PLAN CHECK F~~,t;<? RCPTH --2/'3-::>e> I BUILDING PERMIT 15% State SurcharQe I MECHANICAL 15% State Su rcharae I PAVING I PLUMBING 15% State Surcharge I FENCE VALUE $ I SIDEWALK I CURBCUT /hR. '7S- S. '1'-1 DEMOLITION FT, SUBTOTP.L PERMlni SYSTEM:, DEVELOPMENT FT, /77/9 '227Y.S8 . TOTAL PERMIT FEES EXCLUDING ELECTRICAl 356//n:G. ' . . 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. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. ROUGH PLUMBING. ELECTRICAL & MECHANICAL: No work is to be covered u ntH these inspections have been made and approved. PAVING: After graver 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 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 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. 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,1. (306 a.1) STRUCTURAL WELDS: Performed on the job, (2722 fl UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior 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. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. 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 U,B,C, 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: 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. 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 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 ADOITIONAL COMMENT"" ~/-/~~ 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 FINAL FIRE DEPARTMENT and posted on the premises, tfi,/5?~r/IS;-_"'" ;?~?->~e:2:> _-;,--;7_~.4L~"::' ~~7" .t Y'.........~...;=:r- /5t,? 5j/7h'=-. (7/--' rr{?7'" T FINAL MECHANICAL PLANS REVIEWEO BY ~ - ~.? 7'---? r , / ~~ . DATF 7-~-'7/ 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 permit card is located at the front of the property, and the approved set of plaris will remain on the site at all times during construction. ~d/~ Signat! /// ~ , VALlOA~: Date' -?/~/9/ AMOUNT RECEIVED: ~:$"&:.frC/~ RECEIPT ': -:z.,/-.:>;?tZ> OATE PAID' 7-;;::;:'><> ~/ ~~ -y RECEIVED BY' ,/ . . JOB NO. C7/eP,4"93 .. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: J:;t'f;1?~Y.~~'-:y PC~/? -:::::;'~/-ic;:S LOCATION: 7/&77 0/ y~~/c:::: ~T' DEVELOPMENT TYPE: :~p /-</~~ ~#', ~,?i"&"'..f- ;7;; ~,d:;?~,/::.c,fZ~- BUILDING SIZE: #,m 62s-o LOT SIZE/~~~:::>.~.n:::;; .SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ~/.<;,o X SO.186 PER SQ. FT. $. IhOB 90 (See Reverse For Runoff Coefficients If Actual Imperv. I\rea Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION s NO OF UNITS X TRIP RATE X COST PER TRIP -5': '2:5 X .7Y' X $388.61 S /509, 7$' X X $388.61 $ X X S388.61 S (See Attachment C To Determine,Trip Rates) SU8TOTAL (ADD ITEMS l,:~, & 3) $ "7/1 B. t:.6i 4. ADMINISTRATIVE FEES EASE CHARGE (SUBTOTAL ABOVE) X:.05 iJ -5"5: 'l..~ TOTAL-CITY SDC S:;Z7"($B 5. SANITARY SEWER-MWMC NO. OF PFU'S x $13.25 PER PFU + S10 I~WI.;c ADI1IN. FEE S (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~ ~L~ L~ '1J'Yojq I o Kip Burdick SDC Coordinator S TOTAL-11WMC SDC L#--# ~ TOTAL SDC S 327Y-s;8