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Home My WebLink AboutPermit Plumbing 1996-3-26 v COMMERCIAL/INDUSTR(:" PERMIT APPLICATION' ~~ W(~~ .-", ;, ~J , l- I ~! JOB NUMBER fJ6Cf1Cf2.. , -- 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726-3769 OFFICE: 726.3759 i d~:; ASSESSORS MAP: J 7 rJ '3 2- 7 , f- aWNER -j}-Muif f!i!~J ' ADD ~ ESS: -1tz[,p r:; ,L.J ~:iljuJl/ /YL{- CITY: SPFID LOCATION OF PROPOSED WORK: STATE: TAX LOT: CJ S e, <::rD PHONE: ~ 81!3'cJ..g<i"7 WfY>f 7l/h-IIZ 7(/7 01:.. z,P:Q7'177 &~~~~. ~~ '~ lJ1u,t/ Itv~ fill/f) DESCRIPTIO~F WORK: NEW vi REMODEL ( , e1 J ~.A/Lri~l?thL ADDITION / DEMOLISH OTHER, VALUE: NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR II EXPIRES PHONE GENERAl' ~ PW~ dl'f2- /lJlrl+KMuR. t;fS~2:lJ., PLUMBING: MECHANICAL' ELECTRICAL: I PLUMBING MECHANICAL I NO, I FEE CHARGE NO ~I CHARGE 10<. I Si ngle Fixture Furnace/burner & vent < 100,000 BTUs I Relocated Bldg, Furnace/burner & ve,nt (new fix, addtl) >100,OOOBTUs I Water Service Floor furnace and vent ft. , Sanitary Sewer Suspended wall or floor ft. mounted unit heater I Storm Sewer Appliance Vent ft. separate I I I Stationary evap, Backflow Device cooler I I I .Vent Fan/Single duct I I I Vent System apart from AC or htg, I I I Mechanical exhaust hood and duct I I I I , , Permit Issuance $10,00 TOTAL PERMIT I TOTAL PERMIT QUAD AREA: - OFFICE USE - LAND USE: II OF BLDGS: II OF UNITS' HANDICAP ACCESS: FLOOD PLAIN: ZONING: liGHTING POWER BUDGET: WATER HEATER: OCCY GROUP: CONSTR, TYPE: HEAT SOURCE: II OF STORIES: SQ, FT. $/SQ, FT, VALUE SQ, FTG MAIN x SQ, FTG ACCESS SQ, FTG OTHER x X PLAN CHECK FE!; TOTAL VALUE OF PROJECT RCPTII_ DATF BY jBUILDING PERMIT /5% State - Surcharae I MECHANICAL /5% State - Surcharae -4- I PAVING PLUMBING DEMOliTION J I I , 1 , I L~.} <i. 7~l ~7.3<( 5% State Surcharge :J" FENC&-" :71/i 5ti I , VA'tGE $ '7, ~ 11\ ,~ 5'li~! CURBCUT 32;, (lO SUBTOTAL ',PERMITS, '. 'j,SYSTEMS: DEVELOPMENT FT, ,L ': ~: " . TOTAL PERMIT FEES EXCLUDING ELECTRICAL ;' REQUIRED INSPECTIONS -I 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_excqvatlon, but _prior to setup o'f forms, ~~~'=~~PLUM~I~ r -t:.LECTHICAL & ' ' MECHANICAL:: To be made before any work Is covered, ~G'H PLUM.B.1N.~ r 'l:LECTRICAL &' MECHANICAL: No work is to be covered until these inspections have been made and approved, PAVING: After grp.vel is In place but prior to placing asphalt or concrete, 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 rep'orts shall be furnished to the Building Division, 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, CONCRETE SLAB: To be made after all Inslab building service equi pment, 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 frami ng, fl re blocking and bracing are In place and all pipes; 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) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines, To be made prior to covering or filling trenches. 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, HIGH STRENGTH BOLTING: During all bolt installation and tightening operations, (306 a,6) ,', SPRAYED ON FIREPROOFING: U,B,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), . FLOOR INSULATION & VAPOR BARRIERS: To be made prior to I nstallatlon of 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 qgency, 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. STRUCTURAL MASONRY: (306 a,7) . MASONRY: Steer location, bond beams grouting or verticals In accordance with UBC 2415. SIDEWALK & DRIVEWAY: Requl red 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, ROOF SHEATHING AND NAILING: Prior to Installing any roof covering, CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. "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, ------------------------------------------------------- Y FINAL PLUMBING F ... FINAL ELECTRICAL 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 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 COMMENTS: PLANS REVIEWED ~y DATF By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thf-t all information herein Is true and correct, and I further certify that any and alrwork 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 certi fy that only contractors and employees who are'ln 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, an9:the approved set of plans will remain on the site at all ti~-=xu"ng cof41ctlon, /J j/'" ' ' Sl~~~tu'e U"",al!- ~~ Date :. .., , , ,.,)..: ,RECEIPT II: , DATE PAID' 9.-;&~.6 ,-( ,r/~ RECEIVED BY: ~~~, L-( -l VALIDATION: AMOUNT RECEIVED: Z~ 17. .3 f , - 227' b )' ~ , " JOB NO. '7~D"7':S . ,ti:~~,>.. ATTACHMENT B. ' CITY OF S'p"~INGFIELD SVSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY:" ~~ &iL~dS LOCATION: ?~ 5 ~~A,..)/rl-L. DEVELOPMENT TYPE: ~/?/~~f.- - h22rf- I~# BUILDING SIZE: LOT SIZE SQ, Ft, 1. STORM DRAINAGE ',," IMPERVIOUS SO, FT. X $0.216 PER SO, FT. $ 2, SANITARY SEWER-CITY NO. OF PFU'S ~, (See Reverse Side) X $44.75 PER PFU $'2. 2.:$,7.r ", 3, TRANSPORTATio~ NO OF UNITS X TRIP RATE X COST PER TRIP X X $451.26 $ X X $451. 26 $ X X $451. 26 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S x$20.69 PER PFU+$10 MWMC/ADM FEE (Use PFU Total From ,Item 2 Above) $ c..Y . MWMC CREDIT IF'APPLICABLE (SEE REVERSE) $ .., - TOTAL-MWMCSDC $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 L/l,rr ~'J"'J<-: '"(Troy MeA 11 i ster SDC Coordinator Date: ~hvy?~ TOTAL SDC 1..2..3.( ,4 t-jX I UKt: UNit (';AL~ULA IIUI'.I . j-\ljL1::: Number of New Fixtures X Unit Equivalent = Fixture Units . / ~ "IiJ (NOTE: For remodels. calculate on :e NET additional fixtures) , NUMBER OF ~ UNIT FIXTURE FIXTURE TYPE NEW FIXTURES 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, Residential Kitchen....A'2~..:1.~ .~.....',' Urinal. Stall/Wall....................................................... Wash Basin/Lavatory, Single............ ...................... Toilet. Public Installation........................................ Toilet, Private... .........:.......................................... Miscellaneous: .",1 ,; J~#~ TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 , 1/Head 2 2 1 6 4 = ~ "2. ~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 1986 $3.72 3.64 3.58 3.45 ' 3.30 3.15 2.96 2.68 1987 1988 1989 1990 1991 1992 1993 1994 1995 Rate per $1,000 Assessed Value $2.34 1.95 1.53 1-.11 0.73 0.56 0.44 0.27 0.13 Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) Improvement (if after annexation date) = CREDIT TOTAL $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 Commerical......................... 0.9 Indus,trial.... .~:;....... ............. 0 5 Governmental. ..................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT