HomeMy WebLinkAboutPermit Building 1994-12-15 (2)
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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~B NUMBER 2.!j/ .., 2 cP
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK' /Cf;'/
11,O?;,?,1.2.J;
,
O~N 4--r.
~~Il-.lGR\ eLD I C)p.~i-J
TAX LOT: --11.JJl()
ASSESSORS MAP:
OWNER' ~AM t?~MANSTT
ADDRESS' B:?/~:2- v(....oVE:tA-OAL-S
CITY' 6~1Ne..1.-l--
j2(::.1At:>
PHONE: t;;o~- ~_C;- 4Mo~
STATF'
~pz.
ZIP' 4'74-Z(P
DESCRIPTION OF WORK'
NEW V REMODEL
hh:::.y.,J \ Wp v\~.j2.IAL.- e.\A I L-D1NoG-
ADDITION
OTHER
VALUE*800. DOO
AOORESS PHONE
ICOi'?O Ft''-'L <;;.-r Et-IG-eJ.J.E: .0/2. "'I,e{-O/ (<31l}{P{)7-'f'-<<.1
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERAL~AIo4e.e~ otAt>N<?TtZ.w:.1"lo,J ~'l{L~, O()/.Q3n
PLUMBING: V~ PIl. ~O, 4-lPJ()10
MECHANICAL, ~ fIt.l>t&<' ~..,o",", ~~I":l w."J tt . ~.e~Y: ~O
ELECTRICAL: c:..-l S PD,~1/ '~I~lrI 1M4c,
I
I
Floor furnace and vent I
Suspended walt or floor I
mounted unit heater
Appliance Vent I
separate
Stationary evap. I
cooler
Vent Fan/Single I
duct
Vent System apart I
Irom AC or hlg.
I Mechanical exhaust I I
hood and duct . _
I~~~ 1/~"'7r'~J~
I Permit Issuance [ $10.00
I TOTAL PERMIT I
DEMOLISH
NAME
ARCHITECT, j<::.t:;;l-..1I..\l;""~ T. \oJAf.'::/AO
EXPI RES
fi~"">
4-4,ql')
/~P)
11LL9~
I
I NO.
1
1
I/V?
I~sz>
17?o
12
V.{~
MEf:HANICAl
PLUMBING
Nn
r ~I=I=
FEE I CHARGE
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Single Fixture
Relocated Bldg.
lnew lix. addll)
Water Service
I~O
II -5"
/'?-5
/p ;:::;:e> 1
~I
I
I
It.
Sanitary Sewer
It.
Storm Sewer
Ii.
Backllow Device
;::~ ~HYt5
I
I
, I TOTAL PERMIT
q", ~5"
aUAD ARE'"
\\~10
HANDICAP ACCESS,
FLOOD PLAIN:
ZONING, \.I'<\ \
- OFFICE USE -
LAND USE,~()G\q
. OF BLDG~'
. OF UNITS'
OCCY GROUP,
. OF STORIES,
CONSTR. TYpo,
HEAT SOURCF'
LIGHTING POWER BUDGET:
WATER HEATER'
sa. FTG MAIN
sa. FT.
3~~'2-.
,
x
$/sa. FT.
VALUE
:;'6l::!>_ ~. _' -'
~
sa. FTG ACCES~ X
sa. FTG OTHER ~.?'c..c::..- P~~,K/~
iO!:~, 17? I ";i
.
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
117~,'1S'
RCPP /5'71" 7
DATE I z//P-t.- BY
/p' /i::::-,
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I BUilDING PERMIT
15% State
Surcharoe
1 MECHANICAL
15% State
Surcharoe
I PAVING
;y,rtB_'~~G
PHONE
~
48/:) .Ol)~l
~
1i1,213f1J
"'~lU:tt:l;1= I
I
i
I
I 7~ ' PLUMBING t,l6~ e::-e> DEMOLITION I
B ~.,~ - 5% State ~2 ;E-'2'.:<-;' 1<<. ~_~"-ClI'"
<:;1, y~ Surcharaa oJ-? IfIf, q4;'" ~F'5'S'_lr..,j ~/I. ~-:J 5': /7 I
1 FENCE j
VALUE $ 7~.o 5:-
I SIDEWA~I FT. 17.&~, m~~i~L 2~~.I'11
-=~~ I CURBCUT -, "r S,YSTEMS 1.0/0.<>0 ...v~
?s:::> ~/ FT. I "/ ".~ I DEVELOPMENT '.l I
~A'r""'#6;t"~ ~t<? #/c1'}",:-,- ~;q~o //~dl';:"'~'l~~;......t.
, '." -::Z"',?BS.~~ #PW8i')I.M;~"~<9
. TOTAL PERMIT FEES :1P.c I If ~/~ ~ ~C~ ~ ~
EXCLUDING ELECTRICA' , .
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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 lob number,lob 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.
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UNDERSLAB PLUMBING,
'ELECTRICAl: &, . .
MECHANICAL: To 'be made
before any work Is covered.
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v
FOOTINGS &. FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
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REQUIRED INSPECTIONS
..x
y
ROUGH.PLUMBING, .
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
Inspections have been made
and approved.
PAVING: Alter gravel Is in
place but prior to placing
asphalt or concrete.
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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.
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j .UNDERG'ROUND: Plumbing:
. electrlcai; gas, sanitary. sewer,
s iorm sewer, water and ~
,dralnage:.I,Ine~s. .TC? be made
prior to covering or filling
I . t,renches:'; ... ,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
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.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
SPECIAL INSPECTIONS: In accordance
: Section ,306, ol.the State Specially Code
a special Inspector shalt be employed
by tlie Ownerl Contractor curing
construction of the following work, A
copy of the special 'testing .reports shall
be furnished to the Building Division.
ATTIC DRAF.T"STOPS &
CURTAIN WALLS
r
FIREPLACE: Prior to placing
facing matarlals and belore
,,framlng,lnspectlon: .
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 CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
y
STRUCTURAL WELDS:
Performed on the job. (2722 f)
;<
y
INSULATION & VAPOR
BARRIER: To be made' after all
Insulation and'niqulred vapor
barriers are 'In. place,but ' .
before aJ]Y lB:th or gypsum ,
board' Interior' wall covering Is
applied.
. I.', '. "',., I.
'FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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SPRAYED ON
FIREPROOFING: U.B.C.
, Standards 43.8.
LATH AND/OR GYPSUM
BOARD: To ba made after all
lathing and gypsum board,
Interior and exterior, Is In
place but before any
plastering la 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.
STOS. 25-10.11). '\" '.
STRUCTURAL MASONRY: (306.
a.7)
l(
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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 specllied, the Building
Ottlclal may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
-11 .
CURB' AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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ADOITIONAL COMMENTS'
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I~T: q <(2.,,; 4.. \0 '" Af\f\o \( t\()Tn ,-, \0.,," n4 '
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PLANS REVIEWED BY ~~4- -- -U;~ DATE/-/A4S-
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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 c~rrect, and..1 further certify tliat 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 thai 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 u~ed 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 construction.
Signaturo ('f
'.' VALIDATION:
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AMOlJNTRECElitEt~Yfg ~", -
RECEIPT ': -- _ q 4h
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FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
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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.
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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,
ALp.-
\'2--15-9'1'
Date
DATE PAI6.~ '_'- \;-\'2),-({S
RECEIVED BY~
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. ATTACHMENT Bl .
B NO. 91/r.2C
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
, RKSHEET
COMMERCIAL RESIDENTIAL)
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NAME OR COMPANY: ~ j)~
LOCATION: /'15"1 fb, 5hJ'
DEVELOPMENT TYPE: 'I~ A~" ~;
,)
BUILDING SIZE: lOT SIZ(
. / __ -"__ J_, ;L
,"," "'-"'/ ,,:z,
SQ. Ft.
1. STORM DRATNAr::F
. IMPERVIOUS SQ. FT. '1.5. Jd""O
2. ~ANTTARY SFWFR-CITY
NO. OF PFU'S
(See Reverse)
3, TRANSPORTATION
X $0,209 PER SQ, FT.
$ J'7. 91'9. .>0
X $43,26 PER PFU
$ To .8& l>.€TIiRM'/Nf/J
,AA-T&/?
~ - NO OF UNITS X TRIP RATE X COST PER TRIP
x
X
X
X $436,19
X $436.19
X $436.19
$ To 8& l)ETL.e-
hf/NSO ~A TflR
$
$
SUBTOTAL (ADD ITEMS 1.2. & 3) $
4. . SANITARY SFWFR-MWM(
NO, OF PFU'S x $17,19 PER PFU + $10 MWMC ADMIN.FEE $
(Use PFU Total From Item 2 Above) TO S,E O&T.e.eh"'/'I~O
.A)l TE,l?
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
IQIAI -MWMr, c;;n.c s
SUBTOTAL (ADD ITEMS 1,2,3 & 4) s
5. ADMTNTST~F FFFS
~~l?
B~E CHARGE (SUB/{lT;A.l ABOVE) X ,05 Of' STORM DRA/#-'lG-G $ 9?7-??
~~~'" . Date: J'/.2_?SONt..-r
/ Mary)Hornig. ,E
SDt="Coordi nato
IDlAI ,;or
$ .20, '7 S 7.?F
S7tUh'1 J)~A INA G- 4
,. .. AIUrl. FLf
OIYL. '-I <? TlftS T/_~.
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