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Home My WebLink AboutPermit Building 1992-7-30 COMMERCIAL/INDUSTRIAL o~ PERMIT APPLICATION , " JOB NUMBER <7 'Z/~.:5~ INSPECTION LINE:, 7.26-3769 OFFICE: 726-3759 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: 52 <7- ASSESSORS MAP: J 7-<:) ":5.....;;? ?- Y'3 W~7 ~~-~ '/ ~,;;&-./.#c: _ ~ r ~ TAX LOT: e::P ,S-8~ O~NE,R: ,m7'/)'~/C; 4~~/~/j ADDRESS: CITY: ~-~ /1/q-#/",p ~~ .. ~ 7~"'Y- PHONE: -.~/-. ~"""__ .." --.' -/ '/ r ,. , , .......-" ~ STATE: ZIP: J DESCRIPTION OF WORK: .~~z?-":'~.7- LC--~ ~~7 -- ;:;; ,~~./ /:::J~~~-{:.~~_--r NEW REMODEL V ADDITION DEMOLISH OTH~ '//Y'K 'VALUE:~~~ c:>-O -- NAME ADDRESS PHONE ARCHITECT: CONTRAcTOR'S NAME ADDRESS GENERAL:L$/,?3 ~~.::: ~~r~?~~~ PLUMBING' CONST, CONTRACTOR # ~X~I S PHONE {~ '3 7".t-7~7? ' "'57/3/" /t!>- ? / ?/??"-_":?'3.~ MECHANICAL: ELECTRICAL: 1 1 1 I MECHANICAL CHARGE I NO I FFF r.HARr.F ~- 1 Furnace/burner & vent I <100,000 BTUs I Furnace/burner & vent 1 >100,000 BTUs 1 Floor furnace and vent I 1 Suspended wallar floor mounted unit heater 1 Appliance Vent separate I Stationaryevap, cooler 1 / Vent Fan/Single ~. /-5:. ~ duct 'I ~~ I I Vent System apart I from AC or htg, 1 I Mechanical exhaust I 1 hood and duct 1 I 1 1 Permit Issuance I, $10,00 I TOTAL PERMIT I I PLUMBING I NO, FEE I '5 Single Fixture /~ I Relocated Bldg, I (new fix, addtl) I Water Service 1 ft. I Sanitary Sewer ft. Storm Sewer ft. Backflow Device . I TOTAL PERMIT QUAD AREA: \~~LU - <:Ffl~ ~~ LAND USE: \.~L...l.J # OF UNITS: HANDICAP ACCESS: # OF BLOGS- FLOOD PLA.i!':J.' ,. -101 ' ZONING: ~_ ~ ~ OCCY GROUP' CONSTR. TYPF' LIGHTING POWER BUDGET: # OF STORIES' HEAT SOURCF' WATER HEATER: SQ, FT. $/SQ, FT. VALUE SQ, FTG MAl N x SQ, FTG ACCESS X SQ, FTG OTHER ~~ '5P~E $~:?~c ~~- -- TOTAL VALUE OF PROJECT PLAN CHECK FEi: 2$7 "::5 RCPT# ~? /-=5 DATE 7->.28:."52- BY ~~~ ~~ _~I BUILDING PERMIT 15% State I ' Surcharge 1 MECHAN~_ L ~:>__ 15% Stat~ Surcharqe I PAVING I t.../t(. 5"0 I PLUMBING '2 ';;?"";;? 15% State <...; Surcharge /~ ..? 11? FENCE /5- ~ __ VALUE $ .. ?/S" SIDEWALK 1 CURBCUT ?b_~ /.,0 I DEMOLITION I I I SUBTOTAL PERMITS I SYSTEMS ' DEVELOPMENT I I I I I t:1'3'. ~~ I 1375.-:72 ,I FT. , FT. TOTAL PERMIT FEES EXCLUDING ELECTRICAL 7"7;9.7C;> 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, UNDE,RSL.A~ 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 an9. approve~, 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 sh'all be employed by the Owner/ Contractor during construction of the followi ng 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 inslab building service equipment, conduit, pi pi ng, accessories and other ancillary equipment items are in place but before any ..g,(;>ncrete is placed, ,. , . 'UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches, 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, STRUCTURAL CONCRETE: In excess of 2500 P.S,1. (306 a,1) STRUCTURAL WELDS: Performed on the job. (2722 f) 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 ti ghteni ng 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) 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,C, 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. 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, 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' ',.requesyn.g this inspection. \, .' ..;:.;:~ FINAL PLUMBING FINAL MECHANICAL 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 FIRE DEPARTMENT ADDITIONAL COMMENTS' PLANS REVIEWED BY DATE 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 c:orr~ct, 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 th per ' card is located at the front of the property, and the approved set of plans will remain on the site at all times during tructio..p, X.Signatur. ( ~ / ' I ~~ Date RECEI PT #: 4'7/,,)'0 S-?~ S DATE PAID: RECEIVED' BY: 7/JdA?z /~ VALIDATION: AMOUNT RECEIVED: , JOB NO., q.z/~?2, CITY OF~SPRINGFIELD ~VSTEMS,DEVELOPMENT CHARGE ,. r WORKSHEET (PROFESSION~L OFFICES &'INDUSTRIAL) NAME OR COMPANY: 6/7/.3 ~~7, 'LOCATION: C2~',//V/' 7c-~~~~/_~ DEVELOPMENT TYPE: .1P.7/ ;;:?:.?/~,~ ~~ .~ BUILDING SIZE: 1. STORM DRAINAGE LOT SIZE SQ. Ft; IMPERVIOUS SQ. FT. 0:5x X $0.186 PER SQ. FT.$ (See Reverse For Runoff C~efficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY \ . ~..?&' NO. OF PFU'S 0.5X " <:J'X ~ PER PFU (See Re~erseTo Deter~ine Total PFU'S) 3. TRANSPORTATION " ' NO OF UNITS ;X TRIP RATE X COST PER TRIP $ ":? S-~..C..;2. '. " 0.5 X 0.5 X X X X $388.61 X $388.61 ' $ $ $ 0.5 X X . X $388~61 . '(SeeAttachment C To Determine Trip Rates) SUBTOTAL (ADD ITEMS 1,2, & 3) $ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 $ / ?:;?o TOTP1-ClTY SOC. S 375:#J:z.' ~. SANITARY:SEWE~~~WMC r'- ' NO. OF PFU'S x $13.25 PERPFU + $10 MWMC ADMIN. FEE $ (Use PFU total From Item 2 Abbve) , MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4/7~~' / ~$p Burdick . sf5c Coordinator $ TOTAL-MWMC SDC $ TOTAL SDC $ FIXTURE UNIT CALCUl 'ION TABLE: Number of New FixturE For remodels, calculate only the NET additional fixtures) ., Unit Equivalent = Fixture Units (NOTE: 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: I 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 ~ 2 1 I 6 6 4 I I TOTAL FIXTURE UNITS "9 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 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.66 2,64 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 Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ 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