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Home My WebLink AboutPermit Building 1991-12-11 ~. '" CP { /4-'4, CO M M ERCIAL/I N DUST RIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 JOB NUMBER qJ:-~ --;'-:"5;."-;- INSPECTION LINE: 726.3769 OFFICE: -726-3759 LOCATION OF PROPOSED WORK: J"2 C/ I AS~SSORS MAP: /7-0-:r---'2 t6 -/4. r~~EC A'~.;c- M-p. .~~ OWNER:. I (4-.d::.K (~- td#J.V,l'7?/;zut= ADDRESS:~",:?q ~~MJ?8LP~t:E -::;?.r;. CiTY: ~~/~r/EZ:Z>/ -. STATE: &~. ZIP: 9/'7'7~::> DESCRIPTION OF WORK' r- 7t-EX" .:/ L~A/2)~ 7'#/~~~.~~ "::R #1' 5,/~.E~77 Vl#~/,":)- ~~/~?S TAX LOT: ~ ;?~cs. PHONE: ---:-/.-('(t; '5?~~' NEW v-- REMODEL ADDITION DEMOLISH OTHER _20./~.p/~ . ,./' VALUE: NAME ADDRESS PHONE ARCH IT EeT: CONTRACTOR'S NAME ADDRESS - CONST. CONTRACTOR # EXPIRES PHONE GENERAL' PLUMBING' MECHANICAL: ELECTRICAL: I PLUMBING MECHANICAL I NO. I FEE CHARGE Nn ~FF r.HARnF Iz.:~'-' Single Fixture ':2~c:>.~ Furnace/burner & vent It? < 100,000 BTUs I Relocated Bldg. Furnace/ burner & vent (new fix. addtl) >100,000 BTUs b-~/~ Water Service q~ .e> Floor furnace and vent ft. I ~-s-d Sanitary Sewer ~~ olle Suspended wall or floor ft. mounted unit heater 1 7tP' Storm Sewer ~p',~1 Appliance Vent ft. separate 1 / /p,~1 Stationaryevap. Backflow Device cooler I I Vent Fan/Single duct I I Vent System apart' from AC or htg. I I Mechanical exhaust hood and duct I I I I Permit Issuance $10.00 I TOTAL PERMIT I-;??~"'~ TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN:' #.4. . - , ZONING: . M D~ , , QUAD AREA: "2;Z< P/ I~ / /?,.;.../ '2 1/32 '-7' CONSTR. TYPE: ~// HEAT SOURCE: ~ ~cr ~,::-L # OF UNITS' LAND USE: # OF BLOGS: OCCYGROUP; # OF STORIES: LIGHTING POWER BUDGET: WATER HEATER: eL~ ~ SQ. FTG MAl N SQ. FT. --3.":37.L $""7'0 P#V/~ X $/SQ. FT. '3fS.o/'?> 17< /t:::) VALUE J~2~2. ~ 7-h/~.~ _~~2:::? ~c::. TOTAL VALUE OF PROJECT !L/""3f,.--=<~~"3C:> _ SQ. FTG ACCESS X SQ. FTG OTH ER X PLAN CH ECK FEj: t./e? t:>C> . RCPT# DATF BY I BUILDING PERMIT 15% State I Surcharge I MECHANICAL/~5V~ 15% State 1 Surcharqe I PAVING I 5"/lB. ~?> ~ 9'"3 ;' ~ .,,- "J~. tt>Z> '-/-$.6' _56.~?> PLUMBING "'3 7:5-: ~ I~. 7~ s:-a:=> DEMOLITION J I Y?>-~I /p~Z 9'$-' "21'1~.~. Sf I 5% State Surcharge I FENCE ~ VALUE $ ~ A./ I SIDEWALK I CURBCUT .. . FT. FT. .I~A/,I -- SlJBTOTAL PERMITS SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL ? 2 ,2'~"f.'2'Iif/ It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, cail 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. REQUIRED INSPECTIONS )<. x ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. PAVING: After gravel is in place but prior to placing asphalt or concrete. '/ UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. ATTIC DRAFT STOPS & CURTAIN WALLS 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. 'I 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. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) .x 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) 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. STRUCTURAL WELDS: Performed on the job. (2722 f) x 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. ^ SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) x UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. SPRAYED ON FIREPROOFING: U.B.c. Standards 43.8. y FIRE & SEPARATION WALL: Located and constructed according to plans. y . 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 joints and fasteners are taped and fi nished. STRUCTURAL MASONRY: (306 a.7) 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). " POST & BEAM: To be made prior to installation of floor insulation, decking or floor sheathing. ,x.. 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. -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. 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 placi ng concrete. 'X FINAL PLUMBING L 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. A' 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. . r FINAL ELECTRICAL 'I FINAL MECHANICAL ADDITIONAL COMMENTS: X FINAL FIRE DEPARTMENT 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 plans will rem'ain on the site at all times during construction. Si9' nature .2?)J~ f~ (\ '--' VALIDATION: --.. PLANS REVIEWED BY / 2r.e;P-~d~ ~. ~ DATE ? //~ ~ . . ('~~ 7-8-51'/ '\. J 2. --It - ~ / Date AMOUNT RECEIVED: -=3g.0L:J _ a ~ .o?>3.2 :5-':> J2--c/"'5/ RECEIVED BY: . /2"p.. DATE PAID: RECEIPT #: " , .. 1 . , Metropolitan Wastewater Management Commission COlvlMISSION MEMBERS Rob Bennett-Eugene Councilperson Steve Ouffy-Eugene Lay Representative . Scott Engstrom-Springfield Lay Representative Chris Larson-Springfield Councilperson Chris Matson-Lane County Lay Representative Jerry Rust-Lane County Commissioner Mark Westling-Eugene Lay Representative FIFTH AND A STREETS SPRINGFIELD CITY HALL SPRINGFIELD; OREGON 97477 TELEPHONE (503) 747-4551 MWMC CONNECTION CHARGE .,', . , Building Address; /20/ :12 ?T86::':c5-/ Reference. Number: /?0'5-"':<t,;;;-/o/' Tax Lot Number: ~?6~ Owner: j~L~ t4 !~~/JI?/ftE' Address: ;:) '37' 4./?/jiJ.fl'/p4-6 Phone Number: 7.:?~.,9l::=>t6.6' City: e:5?rt..-D State: ~7? Zip: 7':/7'77 / Residential Fee ($222.00) $ ~mmercial Fee (new non-residential development/ remodel) Tot~l fixture unit charge (see reverse of this form) . $ 5" BY: ..--b SUBTOTAL $ Credit Due (see reverse of this form) <$ /~- ~ > TOTAL MWMC CHARGE $ 572.22 Da te Recei ved: 1:;:><-//"'9/ Recei pt. Number: ~":<.8 /> Received By: ~~. r Building Job Number: 9/~ 7?~ .. Fixture Unit Calculation Table: Number of new fixtures multiplied by unit equiValents. NOTE: For remodels, calculate only the NET additional fixtures. Total Units: 4f~ Total Charge: $ ~8"3r ~~ Fixture Type # of Fixtures Bathtub.:..................... ~........... Drinking fountain...................:..... Floor drain............................... Interceptors for grease/oil/solid~/et~. ... . .Interceptors f6r sand/auto wash/etc......~.. . Laundry tub/clothes washer........ ...~..~. Clothes "rasher (3 or. more) ......... '.' .....:. Mobile home park trap (1 per M.~.j. :..~ ..~ Re.ceptor for refrig/water station/etc. '," .. Receptor for Commer sink/dishwshr/etc. .... Shower, single stal~..... ....... ...... .... Sh~wer~ gang (per head)..... ....... ....... Sink, bar, commercial............ ......... Sink, commercial/industrial/etc........... Urnial, stall/wall........................ Vash basin/lavatory, single............... Vater closet, public installation......... Vater closet, priv~te:.. .................. Miscellaneous: ....... ... L./ / ~ - 0/ .r,z Lj Total fixture units L/~ x $13.25 each Unit Equivalents Fixture Units 2 1 2 3 6 2 6 6 1 3 2 1 2 3 2 1 6 4 ..,g -:2 ~ ~ Sf' /6 Credit Calculation Table: Based on total value of property at time of permit applica t ion. Year Annexed to the city Credit per $1,000 assessed value ,... ~ . u.o . 1979 1980 1981 1982 1983 1984 1985 1986 19.87 1988 1989 1990 $2.66 $2.64 $2.53 $2.41 $2.19 . .' $ 2 . 04 $1.69 $1. 35 $1. 15 $0.92 $0.59 $0.23 Credit ':7 .66- Rate x $ t./ .~ 'S2 SC:> Assessed Value $ /?>.~ To tal Cred it