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Home My WebLink AboutPermit Building 1992-11-30 COMM ERCIALlIN DUSTRIAL PERMIT APPLICATION . ~ ''(}'' tB NUMBER C1H r~' 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726,3769 OFFICE: 726,3759 LOCATION OF PROPtJSED WOR~' ~~ frtrft-Ii+ ASSESSORS MAP \fl{)?{~~~ $.1 OWNER' S flZl,v1e. p Il,.. LO ADDRESS' 2.. .ro tVC)('I... IH CITY- ,<){){li iVl",':-I<"1 ~ TAX LOT: ():-1 "lOr) PHON~ 7t/-(,-gljS'/ "'f}" ZIP: fJ7tf 77 DESCRIPTION OF WORK' &./1ID~ /?€!>rIlPl'w\S 'T7> NEW REMODELL ADDITION DEMOLISH OTHER ;(1a)IJ /(U:ih C wr", VALUE \ I. ClR? , - /7J~€. -r /1-P 19- NAME ADDRESS PHONE ARCHITECT CONST. CONTRAcrq,R'\, NAME "(\_ _~ ADDRESS '~A ~NTRAcrOR # EXPIRES PHONE GENERA' M~tiJl '-Dl'l\m BtrR\u.J?JV_\ r ~ 4;~5~ 'l-7.\.Q3 24~'ll4-~ PLUMBIN<xB~'S( ~l)'flD \q?J~l)\r1~,'f~ 53311 5':!J'l1~lo!f!'17/2 MECHANIC~fu 0rJ1'\\JY'\ _ ~ 455~ IJ. f"I,Q3 313.7111 ELECfRICAL.~<:4 '5 \'_ VO l~'1'f.\491[1 5 O~C(jfJ.. ct. \ ,q~ r\1'2.1.i~ PLUMBING NO. FEE CHARGE "'" Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backflow Device Z MECHANICAL I 1=1=1= I "'1-lil~r.::1= I 1 I 1 1 1 I I I 1 I $10.00 1 /.,.--1 Furnacel 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 FanfSingle duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit Issuance TOTAL PERMIT TOTAL PERMIT M/.N' QUAD AREA- 10 JUuJ - OFFICE USE'- LAND USE: ~'"'\0tYJ # OF UNITS' "- CONSTR. TYPF' "- HEAT SOURCE: HANDICAP ACCESS: FLOOD PLAIN' ZONING' # OF BLDG'" OCCY G ROU p. # OF STORIES' LIGHTING POWER BUDGET: WATER HEATER' SQ. FT. $/SQ. FT. VALUE SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER X X X TOTAL VALUE OF PROJECT 11/::JA7 PLAN CHECK FE<; ~ /";{"' RCPTH DAT~ BY I BUILDING PERMIT 5% State Surcharae MEC~';; 15% Sate Surcharae 1 PAVING 9'2~5o 0/. 6"'3 /P.- /-6:- PLUMBING I DEMOLITION . - ;?s-" 5% State Surcharoe FENCE VALUE $ SIDEWALK CURBCUT FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT I I I I -G- IB I FT. TOTAL PERMIT FEES I EXCLUDING ELECTRICA' /'2"2-BB . 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 until these inspections have been made and approved. PAVING: After gravel 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 Owner! 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 j 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 a~F me~ical a~#~D~ove,d~C"". /yEW ~ ~"'~"".r,;> INSULA ION & 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. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) 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) HIGH STRENGTH BOLTING: During all bolt Installation and tighteni ng operations. (306 a.6) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and d rai nage Ii nes. To be made prior to covering or filling trenches. SPRAYED ON FIREPROOFING: U.S.C. 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.G. 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 USC 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 coverl ng. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. FINAL PLUMBING 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. )( FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY ,~-1!:--' ,~ OAT" /7-:";) 3...... 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 remain on the site at all times during c'1~ructl1r:-.. ~. _ .,. , Signaturo ~ r"'-- Date -' I 30 'I Z-.. VAll Df-TlON: AMOUNT RECEIVED: - -;? /9. "7 6. RECEIPT N' l_oYlo'1 DATE PAID: ( f 10.. - r l fl. RECEIVED~':"Aj /YJ ) ~ r~l--. - . .B NO. 42-Ic....,.0 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: Sn~.I"'6-FIE: I.-D UTlLlT'( 13o.<l1Z-D I I LOCATION: "2.':>0 IJ.. A $,,' DEVELOPMENT TYPE: Gov: 'RE<;f'ROOM 17o?:>"?5?L..- ()'Z-700 REMODEL.. ., BUILDING SIZE: LOT SIZF SQ. Ft. 1. STORM ORAINAGE IMPERVIOUS SQ. FT. X $0.192 PER SQ. FT, c;-J --- --- 2. SANITARY SEWER-CITY NO. OF PFU' S !Jo ~ :p~() S X $39.78 PER PFU (See Reverse) C~) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x X $401.05 C:-J ----- X X $401.05 $ ,- X X $401.05 $ - SUBTOTAL (ADD ITEMS 1,2, & 3) $ -&-- 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X ,05 (("-B-) ..... --- TOTAL-CITY SDC $ ~ 5. SANITARY SEWER-MWMC NO, OF PFU'S x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) - JCA~LJ..- . V Kip Burdick SDC Coordinator 1?-/'1/91-- $ - TOTAL-MWMC SDC~~ ~ --- --- MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL SDC $ -6- FIXTURE UNIT CALCU~ION TABLE: Numbe~ of New Fixlur" Unit Equivalent; Fixture Units (NOTE: For remodels. calculate only the~NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS Bathtub.... .............. ..,..... ................. ... ... ........... .......... Drinking Fountain..... ............. ....... ............................ Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Clotheswasher..................... ... ...... ..... Clotheswasher - 3 Or More.................;~.................. Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator /Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL................................................ Shower, Gang.......................................................... Sink, Bar, CommerciaL............................................ Urinal, Stall/Wall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 TOTAL FIXTURE UNITS Based on assessed value. If improvements occurred after annexation date in table, , , CREDIT CALCULATION TABLE: calculate credits separates. I Rate per $1,000 Assessed Value Year Annexed Year Annexed 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 Rate per $1,000 Assessed Value $2.16 1.90 1.60 0.25 0.87 0.50 0.16 Credil 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 Commereial...................................................... 0.9 Industrial................. ........ ......... ......... .....,.......... 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT