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Home My WebLink AboutPermit Electrical 1995-2-15 ~ . CO M M ERCIAL/I N DUSTRIAL PERMIT APPLICATION ~. , " ~ . 95003(') JOB NUMBER 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726.3769 OFFICE: 726,3759 )7/7,;:: ~r,:; 7' '( /5 CJO 6 /fy;J? -"":~..?7 ~ LOCATION OF PROPOSED WORK' ASSESSORS MAP: OWNER' ADDRESS: CITY' TAX LOT: r> ///9? U/mD P~t/CT..e0 CJ<."YJ//' / A//&#H)'N'" .::;f 2 j ,1.,9.--/.(;34 5+- Lt\ ~ \ f_ !JtJrIXJI .sP..k?/A/f-5P/fi/J STAT'" r7.L< "'"744- -q4<'2!;) / ZIP' ?' 7477 ,- /":J.RZ?eBr' ~ ~h;rfi , DESCRIPTION OF WORK: CClf.Jt/&?T ?,0 NEW REMODEL ~ADDITION CONTRACTOR'S NAME ADDRESS ""GENERAl MC;<PNZIE ({/MMJ="Rr./AL. MA- NA AI FKT/7FC~ ARCHITECT' PLUMBING: CA'(9J// L/,(JA)() , 'C:, ~ VALUE' ;1') t')&fD , / PHONE DEMOLISH OTHER NAME ADDRESS l /r2/N.IVl AMUN~N /"'7?/;;q'OAL' Ft/'c? - - CONST CONTRACTOR' 4~~9l\ ~44 -)?7A3' PHONE, ~0.1l4.~ JIM, EXPI RES 'l:AI,q(p MECHANICA" j. '"7 ELECTRICAL: I NO I I I I I I I I I I I I t~'10Q ,P)'8.R/1~ ~41':J{J1") PLUMBING MECHANICAL FEE Nn ~~~ f':l-ItdH:::1= CHAR!;!; Single Fixture Relocated Bldg, (new fix, addtl) Water Service Furnace/burner & vent <100,000 BTUs Furnace/burner & vent >100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg, Mechanical exhaust hood and duct ft. Sanitary Sewer It. It. Storm Sewer Backflow Device Permit Issuance $10,00 TOTAL PERMIT \0f1:xJ - OFFICE USE - QUAD AREA: LAND USE: 5?{'{) . OF BLDGS: , OF UNIT~' OCCY GROUP' ~ CONSTR. TYPE: a;'-A? - . OF STORIES: I HEAT SOURCF' SO. FT, $/50, FT, SO, FTG MAIN X TOTAL PERMIT HANDICAP ACCESS: FLOOD PLAIN: ZONING: -L1Yl ,"[ LIGHTING POWER BUDGET: WATER HEATER' VALUE SO, FTG ACCESS X SO, FTG OTHER . ~h ,.=;-,.-- ~/......='- /.. -; , -7 ~> ,. 52 33 TOTAL VALUE OF,PROJECT .~_- '-> DATE 4/0/5' ., BY /~ .- PLAN CHECK FEE RCPT' /C:;7'c:. 3 I BUILDING PERMIT 5% State Surcharpe MECHANICAL 15% State Surcharae I PAVING ]I '/~';'3j,Or- TIfIS I"E.i'M'7 d ~ 5''70,}'' f>~,f"'17 '130/20 Zb.;Sp 7'..053 "7. V-::> I PLUMBING 5% State Surcharoe FENCE VAIIJF. $ sib-EWALK ~UBTOTAL PERMITS SYSTEMS , DEVELOPMENT DEMOLITION I I I I ~(;. 9?: J ,/ &"0.<3.)..5--1' I ~.I CURB CUT FT, I /2. 5"~O. - #G>..:;ly-' J' TOTAL PERMIT FEES E1SCLUDING ELECTRICAl ~'?7V. '30 2f?<:t".-rr ./"b t!!:).c.-Cd1&Jrl'-...v ~....... , , . 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. .x 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 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. !?-tU~€' ~6. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. y ~""'''' PlUMBING, ECTRICA!)& 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, bul 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 pipes, 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 equi pment 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, elec"trlcal, gas, sanitary sewer, storm sewer, water and d ral nage II nes. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of floor Insulatlon, 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. POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing, FLOOR INSULATION & VAPOR BARRIERS: To be made prior 10 Inslallatlon of decking or floor sheathing, SIDEWALK & DRIVEWAY: Required for all concrete paving within street right of way, to be made after all excavatlng complete and form work and sub.base material In place. MASONRY: Sleel 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. FINAL PLUMBING x FINAL ELECTRICAL x FINAL MECHANICAL Y FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: ~"?'~ ~i7' OV,,~ rQ,vmJ.J-jit9QO//Jnj PAVING: After gravel is in place but prior 10 placing 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 a,11 & Chapter 29) GLU,LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed, (2501 UB,C, STDS: 25.10,11), STRUCTURAL MASONRY: (306 a,7) V (Jdr}1hmlJ ~...W's rlLlD ()Arix+,{) .-... . 'In addltlo to the insp tlons spec fled, the Bull Ing Official may make or require other Inspectlons of any construction work to ensure compliance with the Building, City or Development Code. ~ PLANS REVIEWED BY //.....,~~--:-""? DATE.:.:6...-Y3~S-- / /:/' <--' '" . '-- By signature, I slate and agree, that I have carefully examined the completed appljcatlon and do hereby certify th~t ali 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 Cily 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 wlli 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 remain on the sIte at all tImes during construction. slgnaiu,~l\d J ~[CWl"J_ Date_~-J~-q~ VALIDATION: AMOUNT RECEIVED: /7 ~26 RECEIPT" /6 ~ SI' ""~ DATE PAID' :.,-2Y.)'~ RECEIVED BY' . "or - -"-.c r/ \ t:..6,,~ 111 t:,.." p, "1/0 c.,ol! ~+f) i; ,. . ATIACHHENT B1 , .8 NO. 9<;00]0 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE .-WOBKSHEET ~ERCI~ RESIDENTIAL) NAJ.lE OR COHPANY: I.d~ /' ~ ;;'",..k/ ~ LOCATION: ~C.'l3 4 f.r~AJA- ,f~ , DEVELOPI1ENT TYPE: ~ J,rwr dnf~ ~L (J1&,),t ~ ~ ) " BUILDING SIZE: lOT SIZE' SQ. Ft. 1. STORM ORAINAGE IHPERVIOUS SQ. FT. , Nt) A.ob J. A.l&f $ dt 'I.S~9o.ro / &-t/>. ?$~17 '13"/.).0 ~JI $ , ...fA / X $0.209 PER SQ. FT. 2. S8HlIARY SFWFR-CTTY NO. OF PFU' S 'No AP.o ~ F/ITUtt!S X $43.26 PER PFU (See Reverse) - 3. TRANSPORTATTON NO OF UNITS X TRIP RAtE X COST PER TRIP 1.25"'11 X /1.$5' X $436.19 - . ------.... . '\. ,$ 7s,.?o.f!/ "", \ I $,5"'" "'..:t.? 2. S./U. X "?:z.~ X $436.19 1;;..1 os;:" X j.6c."1 jX $ (19) ~7.:>2,-jj> TOTAL ARJ!A or BUIJ-P/A/&. . It> ~ 'il> .tl!. ,.4,('M 01" T..y/s i'$~/1f"r '" C. ?SO" I " SUBTOTAL (ADD ITEMS 1,2, & 3) < (".1-"- $ /i 8'4/.0-0--'" . , 4. SANTTARY SFWFR-MWMC . NO. OF PFU'S #0 A"'.o~ X $17.19 PER PFU + $10 MWMC ADMIN.FEE $ ..v.:4 , (Use PFU Total From Item 2 Above) / HWMC CREDIT IF APPLICABLE (SEE REVERSE) $ IQIAf -M\JHC SDC 'S ~ " SUBTOTAL (ADD ITEMS 1,2.3 & 4) $ 1/ Y'~1. tHJ 5. AOMTNTSTATTVF FFFS B~E CHARGE .(~U~ ABOVE) X .05 ~ ~~ Date: /-;2.)-;7.s / Ha'r,y \itJ~ f\U SDC~oordtnator $ 5'12.05- rillS $ 1:1.133.0> 1',!,l!/ll/r - ---- ,/1f* $ 5'~90.JO s~,I'M"'li 9301.2.0 TOTAl SDC 82. SOC. }f .eArp:. /,01 E PI"IZe-T tuHGN ,M'/W"M ~ fG.eHtlr WA,S,.t:AJ-t:.U,I!.<ir&IJ., (I"P$. ''13)