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Home My WebLink AboutPermit Building 1994-11-16 JOB NUMBER 91/7r;;/D CO M M ERCIAL/I N 0 UST RIAL PERMIT APPLICATION INSPECTION LINE: 726-3769 OFFICE: 726-3759 225 Fifth Street, Springfield, Oregon 9747-7 LOCATION OF PROPO~ED WO'RK: loG( ASSESSORS MAP: /1()3r:J. n~ v~ (' ,.x:; ~<'=-,1-JlJ\A ( TAX LOT: ADDRESS: OWNER: ~~~,<:,. CS<-~:-TLA , ( CITY' ~V\- ~ ()~?-a.) , PHONE: STATE: o ,A- 'ZIP: NEW DESCRIPTION OF WORK: -:.-:r ~~-~( ':L^-*tLL_ ARCHITECT: REMODEL ADDITION DEMOLISH OTHER VALUE: ~c.; e9 PHONE NAME ADDRESS CO NST. CONTRACTOR'S NAME ADDR"ESS J)/__..--~ n CONTRAC, TOR,# , "'^ S.;$~7C r...".c:--. ')., )~ ..-""" GENERAL: \ .. '--L::f\~(<-trz.- Cj~~ ?7Y6~ '--S~"5 ~ / PLUMBING:AQ<'~L:J-Z~ (9'1Z-- MECHANICAL' ELECTRICAl' I I I l. I r, "" I I I I I' TOTAL PERMIT QUAD AREA: # OF BLDGS: OCCY GROUP' , # OF STORIES: SQ. FTG MAIN {2-.'E=Y j~eLf':) <:, 'l- PLUMBING I CHARGE I ~~I I I I I I I /tC). ere> I '--I I I NO, -:1 FEE Single Fixture /P Relocated Bldg, (new lix, addtl) Water Service I It. Sanitary Sewer I It. Storm Sewer I It. Backllow Device I/p ~.oOl \0 J0W EXPIRES PHONE IP'S~9S/ (~~/-2~! gis - :s C).5..;(' ~D--'I <;-5; c-, .:2 t/? ~ 7'Z~')' MECHANICAL Nn I FFF I r.HARc.:E' Furnace/burner & vent < 100,000 BTUs I Furnace/burner & vent >100.000 BTUs I Floor lurnace and vent I I Suspended wall or Iloor I mounted unit heater ?/ I Appliance Vent ~ ~ separate t//"?yo' wr I Stationary evap, cooler I Vent Fan/Single duct I Vent System apart Irom AC or htg, I Mechanical exhaust I hood and duct t/"l~~~/"r 2?~~?7'~~ Permit Issuance " $10,00 TOTAL PERMIT ~h: I /.::;'. -... LAND USE: - OFFICE USE - ---~ '-~ FLOOD PLAIN: 0[ ~ ((--/2_ # OF UNITS: CONSTR. TYPE: HEAT SOURCE: SQ, FT, $/SQ, FT. x SQ, FTG ACCESS X SQ,FTGOTHER ~~~~~F" PLAN CHECK FE.E __#.5".3 RCPT#' (-C;S 75' DATE I BUILDING PERMIT I be. Sa I PLUMBING I 15% State r5 I 3'. y.;$' 15% State ~ I Surcharge 7'- ? 'Z.' t:> 6 Surcharge r-gJ MECHANlC[IL_/;5) ~I /&1 . -t:::::" FENCE I ~, /&;'. 4"'?P VALUE $ 5% State -, rr?; ,'~ . 7~ - SIDEWALK j Surcharge 7" "'? . ~ FT. I PAVING CURBCUT I FT, HANDICAP ACCESS: ZONING: ' LIGHTING POWER BUDGET: WATER HEATER: VALUE TOTAL VALUE OF PROJECT '/ J- cf-CJ d-o 11/7/)1: y~ 6Z> =< ~.-..p /. :2C> BY I DEMOLITION I .I , I SUBTOTAL , PERMITS I SYSTEMS ' DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL, -::??Cf. ~ y . .. ~ . REQUIRED INSPECTIONS It is the responsibility of the pe~mit 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, wiil be made the following work day, " SITE INSPECTION: To be X ROUGH PLUMBING, made after excavation, but ELECTRICAL & '", prior to setup of forms, MECHANICAL: No work is to be covered until these inspectlo'ns, have been, made and approved. ' , PAVING: After gravel is in place but prior to placing , asphalt or concrete, x UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before a'ny 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 Ownerl Contractor during construction of the following work. A copy of the special testing reports 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 Inspectl<;>n. ' 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: INSuLATION '& VAPOR BARRIER: To be made after all Insulation and required vapor parriers 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 equi pment 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 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,C, Standards 43-8, UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. FIRE &,SEPARATlON WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a,11 & Chapter 29) x 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 UB,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) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. 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. ; ROOF SHEATHING AND NAILING: Prior to Installing any roof covering, ' CURB AND APPROACH APRONS: After forms are erec'ted 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 FIRE DEPARTMENT 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, Y 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 PLUMBING >I / FINAL ELECTRICAL FINAL MECHANICAL ADDITIONAL COMMENTS: , PLANS REVIEWED BY / 2~~.:"'..--, DATE L/"Y'S' <J?Y '// ~r ..- By signature, I state and agree, that I ha~e carefully examined the completed application and do hereby certify th?-t all information herein is true and correct, andl 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 rd Is locate~at ft. front of the property, and the approved set of plans will remain on the site at all time' dU'~~~ c~~st~ tI n':~-{f!lt~ Sign~/~J., _~'l""o/i/ k, \ V .A /-- Date VALI~TION: AMOUNT RECEIVED: 282;.S71 DATE PAID: ~(J'LI:f- 1) \c:::..A. 0--1 RECEIVED BY, L ~^ ) , RECEIPT #: ~ . _' \ _ V-I...."---'" 'y, " , .,~. , ~1:;~;~I}";:'''iS ((1'.,1 ~;.:...:~ :.\.~'.. ;';;-~'4'~1'iUjfrtt';-i:r.:r! 'It ATT.A:CHHENT1 B:r,J'f;Hi~l "! .-:, ' " " ' < tQB NO. 9-1/ '70<:'; ~ . ' - CITY OF SPRINGFIELD SYST~MS DEVELOPMENTtHARGE WORKSHEET (COMMERCIA.L & RESIDENTIAL) \' "',', .\,,'! N/lJ1E OR COMPANY: F~;f~ "LOCATION: ~~/ ~ DEVELOPMENT :TYPE:~' ,~d BUILDING SIZE: 1. STORM ~RAT~ IMPE~VIOUS SQ. FT. ~ ~~' LOT SIZE SQ. Ft. X $0.209 PER SQ. FT. '., $" ,Ad ,/ 2, ~ANTTARY SFWFR-r.TTY NO. OF PFU'S (See Reverse) 3. TRANSPORTATION 2 X $43.26 PER PFU Qc..s- 0 NO OF,UNITS X TRIP RATE X COST PER TRIP fIM!.T tJ~ i/-ltJPPINr $436.19 (;6/1r;;-K. X X $436.19 /OA(1 p/?eVIDl-tSLi ~r/T X X $436.19 () CC- ?t f'1 {S.. D ' $,,~ / $ . "'\','!;' r ",~t' ,I' ,:tl; $ SUBTOTAL (ADD ITEMS 1.2. &3) $ ~6..s- 2 4. SANTTARY SFWFR-M\>JMr. NO. OF PFU'S x '$17.19 PER PFU + $10 MWMC ADMIN,FEE $ (Use PFU Total From Item 2 Above) MWMC ,CREDIT IF APPLICABLE (SEE REVERSE) , ' TOTAL - MWMC sdc SUBTOTAL (ADD ITEMS 1.2.3 & 4) ,e p,!/?6 /)p~ $ $ d , $ ''i!(;..S"2 5. ADMTNTSTATTVF FFFS BASE CHARGE (SUBT~ABOVE) X .05 ~~/ """" ' J i ~ /r/ g-T' L', " Date: / Mary)'1ornig, P .f. ) ,/ SOc/toord; nator '\:J 0~0 //~/?'-~ TOT!jJ SDC $ '}tJ. '?~ , B2.SDC .' FIXTUREUNITCALCULd\"rION TABLE: Number of New FixtLJ...:s X Unit 'Equivalent = Fixture Units (NOTE: For remodels, calculate only the tiEI additional fixtures) NUMBER OF NEW FIXTURES UNIT EOUIV ALENT FIXTURE UNITS FIXTURE TYPE Bathtub..................................................................... . Drinking Fountain..................................................... Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher................................... Clothes washer - 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........................ Urinal, Stall/Wall.~:.,.'...... ...... ... ... ..... .... ....... ................ Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........ ............... ................. Toilet, Private.. ......... ............................................ Miscellaneous: ,TANI TORS 's'/r1k 2 ,\ 1 2 2 3 6 , .0: . ,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. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Asse'ssed Value 1979 or before 1980 1981 , 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 , $2.46 , ..,~.14 1.77 1.37 0.97 0.61 0.44 0.15 -~. '-"'-'- -~.' --~'. , .-- ,...- ...-- .." Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) ,. Credit for, Parcel or land Only If Applicable = = ~ CREDIT TOTAL = $