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Home My WebLink AboutPermit Building 1993-2-1 . .- COMMERCIAL/INDUSTRIAL SP~'NGFIELD~OB NUMBER q~Dld) PERMIT APPLICATION ~ INSPECTION LINE: 726-3769 225 Fifth Street, Springfield, Oregon 97477 ~ OFFICE: 726.3759 LOCATION OF PROPOSED WOR"'- 0J ()q,~ P. hr\ffiQ ~ J\,'N"\ ~,[Xl1i _> ~II~. ASSESSORS MAP' 17 ()~ TAX LOT: ~. -, :=--. -\ \ \ \.---,_ <.2- ~ OWNER: '- lq}.+C\ ~ ~lLQ C)fj - ~HpNE, liAlo-~C)~ ADDRE~~' 14{~ h~ ....IJ [AJ ['.9\/.1 () n J I i~~ l~ _ C1TY\ -\~o 01 ~\ 01('( rJ/' STATE: (\LJLJ..~DY\ ZIP: L1lCX'~ DESC~IP}\ON OF WORK \)C)QI) -t\()'f\O V ,( \r{i 0 ~ NEW \j) REMODEL ADDITION DEMOLISH OTH~ I VALUE:~ f':[() ~- J NAM7> /.,J ~ ADDRESS PHOI}l ARCHITECT$\l~nyt tJ~\J\YCHIf1, \S3~8...UdJ~ d44-1Sn OON~ - CONTRACT9R NA~E ADDRESS CONTRACTO DJ EXPIRES PHONE GENERAl' l~ ~V PLUMBIN'" MECHANICA" ELECTRICA' . ~-5t1. I I MECHANICAL FEE CHARGE-l I Nn I /.:S /~~. 1 Furnace/burner & vent ? <100,000 BTUs I I Furnace/burner & vent > 100.000 BTUs 2s:--1 I Floor furnace and vent 1 ~ ....1 1 Suspended wall or floor mounted unit heater I /?s:--I I Appliance Vent separate 1 /tP,-1 I Stationaryevap. cooler 1 I I '7 Vent Fan/Single duct 1 1 1 Vent System apart from AC or htg. 1 I Mechanical exhaust hood and duct 1 I I I Permit Issuance $1ft'- ....1 1 TOTAL PERMIT ..0 PLUMBING NO, /9 Single Fixture Relocated Bldg. Inew fix. addtl) '-"'" .- Water Service ~ J "'~6[)GY ~ ..." I I I I 1 1 "7 -.::> 1 I 1 1 $10,00 1 3~ -"'I ........- '~ Sanitary Sewer /~ft. Storm Sewer /"'~&Ht. / Backflow Device ~ TOTAL PERMIT QUAD AREA: ,j :0 ,~'JQ) - OFFICE USE - LAND USF ...:3?J'C[) HANDICAP ACCESS' . OF BLDG"" . OF UNIT"" FLOOD PLAIN: ZONING: .::.-sLL OCCY GROUP' . OF STORIE"" CONSTR. TYpo. HEAT SOURC.' LIGHTING POWER BUDGET: WATER HEATER' SQ, FTG MAIN SQ, FT. /J? ~~ X $/SQ, FT, ~~ 05'$ VALUE o/".8~.6""P SQ, FTG ACCES'" X SQ, FTG OTHER i9'1v~ 2>V'9~x , /,~ ~.?_ 0/'/6 TOTAL VALUE OF PROJECT :522. ~A6 PLAN CHECK FEE fi\4.<3\ RCPP 113-'\\ DAnd). f. q,--Cj BY~/:f'O_') y'~. __ I DEMOLITION I 1 BUILDING PERMIT I 15% State I Surchar(1e [ MECHANIC~; 15% State Surcharae . I~~~ I /z'9'9. ~~ PLUMBI~9-,,.. d L:J 5% State' 67 - 7''' Surcha'Qe IP.p", I FENCE "1"'J.""" VAUJ~ $ SIDEWALK /.9~ :2 ~9: C>4 CURB CUT j , ,- I // . # 1 /#:>~~~T SUBTOTAL '7"",,",, "" 1 FT. ~~G~.H'7'PERMITS ,#o'vl&'>"", FT ?~""'c!'io::r ~mt~~MENT I fJ/6;;?.i'r1-1 /I, /i'6r.;i.~ '- ..' I ~~-.~. ;?-~7~. ~ --' - TOTALP~RMIT FEES :/.5 '7,Q~ 5~ EXCLUDING ELECTRICAl -.... C? /, ( ::Z;;Z. ot> ~A:. /, ~. . ,. .. . 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), stale 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. v UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. V ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. x ATTIC DRAFT STOPS,.a-- ox PAVING: After gravel is in place but prior to placing asphalt or concrete. 'i FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. t3ttft=fi:-..;;~ .....;.....~ FIREPLACE: Prior to placing facing materials and before framing inspection. 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. 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. STRUCTURAL CONCRETE: In excess of 2500 P.S,1. (306 a,1) STRUCTURAL WELDS:, , Performed on the job, (2722 I) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a,6) SPRAYED ON FIREPROOFING: U.BG, Standards 43.8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a,11 & Chapter 29) GLU-LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed, (2501 U,BG, STDS, 25-10,11), STRUCTURAL MASONRY: (306 a,7) ~p~"", W,r..v Eh""""~ y~ P/V, #;5' .'~r- _.t ":->----" h,.,,/~,V~,/~/ ~~ t. . . "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 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. 0/ 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 V Certificate of Occupancy has been issued by the Building Division /" FINAL FIRE DEPARTMENT and posted on the premises, AD1JONALcq\~:EN!S: -~ ~/T 7/L~ _-5:------ /~~V2F""AI';8_J -' /'!2..,~:;: \0 )R~--, q,Q ,01' IZ\- 7€Y~JS!:> ~ h-.-~~ V U[)}\1I0 ~ - 6 \\~D~ 'd..} t SL..- "~~" ~~ :?~~~=-- , PLANS REVIEWED BY / z...~~~~-"""7 DATE ?~~ , /' /' ' . .,'/ - A I 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. .x INSULATION & VAPOR 8ARRIER: To be made alter all Insulation and required vapor barriers are in place but before any lath or gypsum board interior wall covering Is applied, 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 construction. fr UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. POST & BEAM: To be made prior to Installation of floor insulation, decking or floor sheathing, FLOOR INSULATION & VAPOR 8ARRIERS: To be made prior to installation of decking or floor sheathing. ROOF SHEATHING AND NAiliNG: Prior to Installing any roof coverl ng. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415, A J< j( FINAL PLUMBING FINAL ELECTRICAL , FINAL MECHANICAL Signature ~ -,- .J"-.--< x FIRE & SEPARATION WALL: Located and constructed according to plans. ;( 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 ~;o"o~ ,,-, SIDEWALK & DRIVEWA . Required for all concrete paving within street right 0 way, to be made after all excavating complete and for work and sub.base material i place. CUR8 AND APPROACH APRONS: After forms are erected but prior to placing concrete. VALIDATION:' RECEIPT #, AMOUNT RECEIVED: ~b~~~SY ,.~ .... -- _...,- -'- --". Date r-- '-'r -97 DATE PAID: RECEIVED BY: 05'- ::? Zr? 3- d--~,. 7' . .. _JOB NO. Cj?OI2-D , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL &. RESIDENTIAL) -NAME OR COMPANY: l/eL--rA. c.oL-L-EhEo LOCATION: ""?(,"I':7 6. &AME:. FAfl:.M 12i:>. IIO~Ic;,oO - I\I~ i tll~ DEVELOPf1ENT TYP!::: a: NeYJ Vor A-rll?t.JPd~ (O/JI..I.P..{"e:. BUILDING SIZE: /o'tJV slt 1. STORM DRAINAG~ LOT S IZf SQ. Ft. IMPERVIOUS SQ. FT. 4'? ,t)OO , X $0.192 PER SQ. FT. c: ~2.S~ "2kc;,?-;~ ---- --- 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 4'1 X $39.78 PER PFU c;/"ItH~ ltfLf-'(t];. ~ 3. TRANSPORTATION CDPe. o;.+D J"1f.(f4IHM. Co~ : l.ol;o.I(,&S1< NO OF UNITS X TRIP RATE X COST PER TRIP 10, ll''6 X /. Db'!- X $401. 05 Co.f(P'fZ~ t./b:-t"lo~ -- -- X X X $401.05 $ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ---------- TOTAL.CITY SDC $1'5?tto~E 40 1'fZ.- 5. SANITARY SEWER-MWMC NO. OF PFU'S 4'\ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ("11~ (Use PFU Total From Item 2 Above) , I $ }./.A. It r-:~_ ~ 61,1- TOTAL-MWMC SDC~!>.!__) (Pe- TOTAL SDC $ 1f4'2-f., 1,- MWMC CREDIT IF APPLICABLE (SEE REVERSE) 0_ ~L'Jc. . -(] Kip Burdick SDC Coordinator ~ \\))\0'\'),'2:5 G~ 5t~qD,3<B 2/'-1/1'; 5'25'~ -------- FIXTURE UNIT CAttLA TION TABLE: Numbe~ of Ne.es X Unit Equivalent = Fixture ~~is'(NO For remodels, calculate only the NET additional fixtures) , FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS Balhtub........ ....... ....... ...... .............. .............. .... .......... Drinking Fountain. ..:. .... ..... .... ....... .....:... ..... ..... ......... Floor Drain... ........ ....:....... ::........ ............................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub /Clotheswasher..... ... ....... ....... ..... ........ Clotheswasher - 3. Or More.................,;.................. Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Elc.. Shower, Single Stall................................................. Shower, Gang.......................................................... Sink, Bar, CommerciaL............................................ Urinal, StallfWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: \ 1- Ca r.. 2 1 \ 2 3' 6 2 6 6 1 3 2 1/Head 2 ~ 2 '"" 1 (, 6 "Jf.. 4 TOTAL FIXTURE UNITS = I.\-q CREDIT CALCULATION TABLE: calculate credits separates. II A:ne::ed- I Based on assessed value. If improvements occurred after annexation date in t Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 19B1 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 19B7 19B8 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 Improvement (if after annexation date) X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ - Credit for Parcel or Land Only If Applicable - tJ.A RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL...... ..... ..... ......... ............................ 0.4 Commerci'~L......,............................................. 0.9 Industrial................... ..... ....... ....... ......... ............ 0.45 GovernmentaL................................................. 0.5 IMPERVIOUS AREA ,: TOTAL LOT SIZE X RUNOFF COEFFICIENT