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Home My WebLink AboutPermit Plumbing 1992-6-25 ~ , C~MMERCIALlINDUSTRIAL. PERMIT APPLICATION , 225 Fifth Street, Springfield, Oregon 97477 ~ JOB NUMBER 9-?"""':C~ INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORI<'- / .c;;'7CJ /7-d5 -3-:::;'- -=3':z L-? C 7l.E;7;r~. 5 e::_ _ =- :>""', ""...--.- .j ""--f2 /7 .~'><<. ::.' '/ - / ~ ~ ASSESSORS MAP- TAX LOT: /:l< .i ~ .,;~ OWNER: PHONE'. "?~-A;S' ..c/ ADDRt::CC:::. CITY. ..::;:/-~ o~. 4/;,/./ ~. ~~ - ~-=-" ~ ~..6-7:' //1 /- ~., ~~~ /' ;'--T...r~_ ADDITION DEMOLISH OTHER VALUE: STATF. ZIp. DESCRIPTION OF WORI<'. ~C"'> NEW REMODEL NAME ADDRESS PHONE ARCHITECT CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR # EXPIRES PHONE GENERAl. PLUMBING. ~LEr ~ . MECHANICA' - ELECTRICAl. NO. / Single Fixture , Relocated Bldg. (new fix. addtl) Water Service It. Sanitary Sewer ft. Storm Sewer ft. Backflow Device FEE CHARGE NO ~~~ I l'>1ARi 1 1 1 1 1 1 1 1 1 $10.00 1 I PLUMBING MECHANICAL 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 Stationaryevap. cpoler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit Issuance TOTAL PERMIT /;7////', ~?:4 TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN: OUAD AREA LAND US~. # OF BLDG". # OF UNITS. ZONING. HEAT SOURC~. LIGHTING POWER BUDGET: WATER HEATER: OCCY GROUp. # OF STORIES. CONSTR. TYP~- so. FT. $/SO. FT. VALUE so. FTG MAIN SO. FTG ACCES" SO. FTG OTHER X X X TOTAL VALUE OF PROJECT PLA.N CHECK FE~ RCPP DATF BY 1 BUILDING PERMIT 15% State Surcharoe 1 MECHANICAL 15% State Surcharae 1 PAVING PLUMBING ./,::r: => _75' DEMOLITION 5% State Surcharge FENCE VALUE $. SIDEWALK FT. SUBTOTAL PERMITS SYSTEMS DEVELDPMENT /S7S' $0. ~ FT. CURB CUT TOTAL PERMIT FEES I EXCLUDING ELECTRICAl '?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. I' SITE INSPECTION: To be Y ROUG~ME'ING ::> made after excavation, but ELECTRICAL & prior to setup of forms. 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. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated arid 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 lnslab building service equipment, conduit, pi pi ng, 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 pi pes, 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 f) UNDERFLOOR: Plumbing, electrical, mechanical. 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 applied. FIRE & SEPARATION WALL: Located and constructed according to plans. HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) 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.G. 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 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 CURB AND APPROACH other inspections of any ROOF SHEATHING AND APRONS: After forms are construction work to ensure NAILING: Prior to installing erected but prior to placing compliance with the Building, any roof covering. concrete. City or Development Code. --X-FINAL~UM~NG-------------SITE~LAN~EVIEW;OA~D:Mus~~requeste;~ay~~::nc~ / 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 FINAL FIRE DEPARTMENT 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 MECHANICAL ADDITIONAL COMMENT'" PLANS REVIEWED BY .---? //~-"",_..--.. r //-- U ~ OAT" 4C ~2<;:::~ 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 GRS 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 remain on the site at all times during construction. Signaturo l)/lAh',..} A i.! ---rPo Date (;'75' q 7_ VALIDATION: AMOUNT RECEIVED, 9L -::>0 , . RECEIPT N. 5'2. /""'1 DATE PAID: ?:-<?5-'7<? RECEIVED BY' c:;~ .. ... 'C. ..,... CITY OF SPRINGFIELD SYSTEMS DEVELO,NT CHARGE ... .. WORKSHEET _ . / .~ NAME OR COMPANY: C 4'c- ,??~~..cc::;; LOCATION: /~ ;:>0 .c;;C<. h' -.::b./ , - DEVELOPMENT TYPE: 4ZJTJ ~?/'ce ~/l -?/A/~. BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. X $0.186 PER SQ. FT. S (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) LOT SIZE SQ. Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S ~ X $38.55 PER PFU (See Reverse To Determine Total PFU'S) $ 7"7. L::::> 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X X $388.61 X $388.61 S S X X $388.61 S (See Attachment C To Determine Trip Rates) SUBTOTAL (ADD ITEMS 1,2, & 3) S 4. ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) X .05 S :2j_ $' 5"""' TOTAL-CITY SDC (1 ~ 9~ 5. CREDITS IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: TOTAL-CITY SDC X (50%) = ADJUSTED CITY SDC S 6. SANITARY SEWER-MWMC NO. OF PFU'S x $13.25 PER PFU + $10 MWMC ADMIN. FEE S (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ //~ ~---~ /j/ Kip Burd(cK - %: . r SOC Coordinator ~~.~~ TOTAL-f1WMC SDC $ TOTAL SDC $ .., FIXTURE UNIT CALCUuaON TABLE: Number of New Fixtures.....Unit Equivalent = Fixture Units (NOT~',.'. . For remodels, calculate only the ~dhlonal fixtures) .... NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub....................................................,................ . Drinking Fountain.. ................................................... Aoor Drain...........................,................:.................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub jClotheswasher................................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator JWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang.......................................................... Sink, Bar, Commercial............................................. Urinal, SlaIlJWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: { 2 1 2 3 6 2 6 6 1 3 2 1 {Head 2 2 1 6 4 ~ TOTAL FIXTURE UNiTS CREDIT CALCULATION TABLE: Based on assessed value.. If Improvements occurred after annexation date In table, calculate credits separates. I Year Annexed . 1979 or before 1980 1981 1982 1983 1984 Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value $2.66 2.84 2.53 2.41 2.19 2.04. 1985 1986 1987 1988 1989 1990 $1.69 1.35 1.15 0.92 0.59 0.23 Credit for Parcel or Land Only If Applicable x $ = (Rate X Assessed Value) X. $ (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL...... ... ..... ................. ..... .................. 0.4 Commercial...................................................... 0.9 Industrial........................................................ ." 0.45 GovernmentaL................................... ........... ." 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT