HomeMy WebLinkAboutPermit Building 1993-10-5
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
"95/1/,6 9'
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: 765 North A St., Springfield. OR 97477
ASSESSORS MAP: 17 01 15 4 2
TAX LOT:
4600
OWNER: Willamalane Park & Recreation District
ADDRESS: 151 North 4th St.
PHONF' nfi-4115
CITY: Springfield
STATE: Oregon
ZIP: 97477
DESCRIPTION OF WORt'. Construction of exterior ramp and new rest room.
NEW
REMODEL X
ADDITION
DEMOLISH
OTHER
VALUE: S4~ ElQfl_Jest )
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PHONE 342-8077
Snite 540. Eugene. OR 97401
NAME
ADDRESS
ARCHITECT: Rohertson/Sherwooil ~u;l1i tf'rts or. 13Ua.s.> R~"'O~!,T~V
CONST,
CONTRACTOR'S NAME ADDRESS 7"'/ CONTRACTOR #
GENERAL: /.:rtI/~ Nf.71'~~/ > /"....>, ~~~~, Y~.<13" ~
PLUMBIN'"
EXPIRES
PHON E
~-~ <I~~5~.
MECHANICA' '
ELECTRICA' '
,. PLUMBINa I MECHANICAL
, NO I F.. , CHARGE , .".,
I 2 Single Fixture 20.-1 Furnace/ burner & vent
.I~ < 100,000 BTUs
I Relocated Bldg, 1 Furnace/burner & vent
(new fix, addtll >100,000 BTUs
1 Water Service I Floor furnace and vent
ft.
1--- Sanitary Sewer I Suspended wall or floor
ft. mounted unit heater
I Storm Sewer I Appliance Vent
It. separate
I I Stationary evap.
Backflow Device cooler
I I ...-- Vent Fan/Single
duct
I I Vent System apart
from AC or hlg.
I I Mechanical exhaust
hood and duct
I I
I I Permit Issuance
I TOTAL PERMIT '2'0. ..... I TOTAL PERMIT
,
~F:F: r.~b.Rn~ I
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1
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""//)7 , /5: """'1
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1
$10.00 I
/S-:"""I
aUADAREA:~0 ~)lJ
- OFFICE US~
LAND USE: 5:Yj()
HANDICAP ACCESS:
# OF STORIES:
HEAT SOURCE:
FLOOD PLAIN'
ZONING: --21))
LIGHTING POWER BUDGET:
WATER HEATER'
# OF BLDGS'
OCCY GROUP:
# OF UNITf"
CONSTA. TYpo,
sa, FT,
$1 sa, FT.
VALUE
sa. FTG MAl N
sa, FTG ACCES"
sa, FTG OTHER
X
X
X
TOTAL VALUE OF PROJECT =<~ .J!i'9-:)
P~~'jp.J:fi'/J':"'4~ ",,:c.. RCPT#
1 BUILDING PERMIT -z ;;?r:s_ ':;0
15% Stat,e /A. -_
Surcharoe v-r .,,--
1 MEC~~.
15% State
Surcharae
1 PAVING
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DATE 9-:.:<7-93' BY
....--J .........
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FT,
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,~;rJl1,pt'4"~ ~ I
&w~ A V~'ffl
SUBTOTAL ' -,.,..".. .
PERMITS ~........
SYSTEMS - 'f:
_ DEVELOPMENT L~O"l ~
. " ?p,b'/Y.'73 r; --
.- 'I "'2,. "7~ ' '" 5 -
TOTAL PERMIT FEES /" <-I'-~ ~r"::J
EXCLUDING ELECTRICAl .....- . tV.&:' .
/--.s
PLUMBING
-::::?&'....' ~
DEMOLITION
--~
5% State
Surcharp8
FENCE
VALUE $
SIDEWALK
IP.". p;--
/~--
CURBCUT
FT,
~EaUIR~D INSPECTIONS .
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It is the responsibility of the permit holder to see that alllnspectlons 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 8.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.
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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 ths Building Division,
UNDERSlAB PLUMBING.
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WAllS
.x'
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)
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 15 placed.
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" _
BARRIEI'l:.To be mad.eafterall .
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.
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SPRAYED ON
FIREPROOFING: U.B.C,
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FilliNG:
During earthwork. (306 8.11 &
Chapter 29)
v
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),
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,
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.
tlons specified, the Building
OfficIal may make or requIre
other Inspections of any
construction work to ensure
compliance with the Building,
CIty or Development Code.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverIng.
CURB AND APPROACH
APRONS: After forms are
erected but prior \0 placing
concrete.
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FINAL PLUMBING
SITE PLAN REVIEW ilOARD: Must be requested 2 days In advance
of the date you wish Inspection, All project conditions such ss
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.
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FINAL ELECTRICAL
y
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
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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
w1l1 be made of any structu're without permission of th~ 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.
PLANS REVIEWED BY
.,
_~ DAT~ /6-"5"-"5!I ~
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 durln'g constructIon.
Signature
Date
VALIDATION:
AMOU-NT RECEIVEr>'
/d:> "/<5"
:5:>3. :o.~ ( u:x:,- r--;lf .)
/P-" '7 - ":I' ;5
RECEIPT ':
DATE PAID'
RECEIVED BY'
,,,, ..~ or
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.OB NO. 9?J' y.G:."'"
CITY' OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: l/I!ILLAIVlAU"rNIE: ~/Z.JC. ~ K€C, DI57"'~/Ci
LOCATION: 7'-6 NPl2..iH I If I s-r. /703:7'517- - tI~OCJ
DEVELOPMENT TYPE: CC: t<:cMO Pc. L
BUILDING SIZE:
LOT SIZE
SQ. Ft.
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
AI. A- .
X $0.203 PER SQ. FT.
(
-)
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2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
7
X $42.08 PER PFU
(!q<f5i)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $424.31
X $424.31
X $424.31
c-~
N.A. X
X
$
$
4. SANITARY SEWER-MWMC
NO. OF PFU'S AI.A. x $15.125 PER PFU + $10 MWMC ADM FEE $
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAL-MWMC SDf, r:-- - -,
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SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ '?"I'-f_
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~7J' 11. cL.. ""'- q /~ /.,?J
Kip Burdick
SDC Coordinator
~/';'7~
............ -"
'20"1
TOTAL SDC $ ~oq-
FIXTURE'UNIT,CALCU LA.N TABLE: Number 01 New Fixtures eit Equivalent = Fixture Units (NOTE.:,
For remodels, calculate only the NET additionallixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYpE NEW FIXTURES EOUIVALENT UNITS
Bathtub...................... ............. ..................................
Drinking Fountain.............. ...... ...... ..... ... ......... ..... .....
Roor Drain........................................ ..... ...................
Interceptors For Grease/Oil/Sollds/Etc.................
Interceptors For Sand/Auto Wash/Etc...................
Laundry Tub/Ootheswasher.:................. ....:.......:...
Ootheswa~er . 3 Or. More.....................................
Mobile Hdme Park Trap (1 Per Trailer)..................
Receptor F9r RefrigeratorjWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single.Stall......,................,.........................
Shower. Gang.............................. ..................... .......
Sink, Bar, COmmercial.............................................
Urinal. StalljWall................................ ... ............ ........
Wash Basin/Lavatory. Single..................................
Water Ooset. Public Installation.............................
Water Ooset. Private........................... ...................
Miscellaneous;
/
/
2
1
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
I
c:..
TOTAL FIXTURE UNITS
7
CREDIT CALCULATION TABLE:
fCUlate crooas ;~:s.
1979 or before
1980
1981
1982
1983
1984
'1985
Based on assessed value. If improvements occurred alter annexation date in table.
$3.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
S 2.24
1.93
1.57
1.18
0.79
0.44
0.28
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Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
.- -
.- .
Credit for Parcel or Land Only If Applicable
Improvement fd alter 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