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Home My WebLink AboutPermit Building 1992-8-21 C~rJf&eRCIALlI N DUSTRIALa PERMIT APPLICATION · JOB NUMBER L18{)IJt}.L INSPECTION LINE: 726.3769 pFFICE: 726,3759 MJ )(011) SPRINGFIELD 1/) J TAX LOT' OWNER' '\'\. ~0 ['L Q\, }: 1 I\ 01'\( \ ./ ADDRF"",d)c<) I i ~ \. ~ 0 0 1- CITY' ,,~'J L J .rv. . J\} DESC~IPTJPN OF WORK\. Xi\ ()111 In ~ NEW \.11 REMODEL ADDITION DEMOLISH I rYJ \c,\ PHONE: 14\ -A40l5 STATE: {0J[';;zIP:-.9.(41t (I V f) f)[Y l~ '" OTHER - =fbLt ;VtJt'JZld.2L, VALUE: ARCHITECT: CONTRACTOR'S ,NAI4.E GENERAL: ~ jll ) &Rt;~(101~ ;~~~A.q9'l' tlf~ tZl/' / 'ft'('):j / /0' . ~ 'IJ-7/1~ /J Dj PLUMBING: MECHANICAl' Qi ~iV' ' ffiO~~, ~f' ' ELECTRICA' ' PLUMBING MECHANICAL I I I I I I I I I I I NO, NO FEE CHARGE Single Fixture Relocated Bldg, (new fix. addtl) Water Service Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs ft. Floor furnace and venl Suspended wall or floor mounted unit heater Appliance Vent separate Stat ionary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Sanitary Sewer. Storm Sewer It. It. Backflow Device TOTAL PERMIT I I I I I TOTAL PERMIT Permit Issuance QUAD AREA\ ~J\ 1~ - OFFICs"UP-tr--,. LAND US.' O~ ... I "HARGi I I I I I I I I I $10,00 I I FLOOD PLAIN' HANDICAP ACCESS: . OF BLDGS' . OF UNITS' ZONIN'" OCCY GROUP' CONSTR. TYP.' . OF STORIES: , HEAT SOURC.' LIGHTING POWER BUDGET: WATER HEATER' SO, FTG MAIN ~ Ney\t:~(\Lx ff)~rN) $/SQ, FT, SO, FTG ACCESS x SO, F~G OTHER x ,z;,~ ___ OC) TOTAL VALUE OF PROJECT _~,!~.r /. PLAN CHECK F~ 2g. 93 RCPT' OAT. BY I BUILDING PERMIT 5% State SurcharQe MECHANICAL I PLUMBING I DEMOLITION -V7(S~ ~_ Z 3' 5% State Surcharoe FENCE VALUE $_ SIDEWALK ~~ I SUBTOTAL PE RM ITS I SYSTEMS DEVELOPMENT I' 5% State Surcharae I PAVING FT, CURBCUT FT, TOTAL PERMIT FEES I EXCLUDING ELECTRICA' 9..,:7.~O /~b. ?3 ~?O /~/b5:% \, <I' . REQUIRED INSPECTIONS . ,..,~~ , ,\ , . . '-) it'ls 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 ~~ 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. \ \ UNDERSLAB 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 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 insp~ctlon. ;)~\ ~; _ 1'. ..,' SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special i~spector shall be employed by the Owner! Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. ATTIC DRAFT STOPS & CURTAIN WALLS , " 'STRUCTURAL CONCRETE: In excess of 2500 F'S,I, (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 is placed. 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 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 reQui"red 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'se, Standards 43.8, UNDERFLOOR: Piumbing, 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'S,C, STDS, 25.10,11), 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. X' STRUCTURAL MASONRY: (306 a,7) '~~''LP;'''0,Q'~~~ r lL>.~".,,:'~ MASONRY: Steel location, bond beams grouting or verticals in accordance with USC 2415, 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 constructlon work to ensure compliance with the Building, City or Development Code. FINAL PLUMBING X 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 ELECTRICAL FINAL MECHANICAL x 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 Bui/ding Division and posted on the premises. Y FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: W~~0\'d 'DD.II R. -( J)\[)J\0\tt.. Jill1J ~t , PLANS REVIEWED BY ~~'- ~- / DAF "R~-51=< "// . /, - . By signature, I state and agree, that I have carefully examined the complet~d appli~ation 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 u~ed 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 thfP mlt c~rd i located at the front of the property, and the a~p'roved set of plans wltl remain on the site at all times during c tructlon. '. ~ Signaturp ~ ~ Dat.. &'1 If'/-> 1\'1- I _' J VALIDATION: ' v AMOUNT RECEIVED: (-5w,' /..:) DATE PAID: C::5 t)( .C.fW RECEIPT ': ,~"Lf 8!..).. RECEIVED B~II ~ WG Pd p, ,9-D.qr--#,-~71 ",,' . .OB NO. qZ.O'" I. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: \<'11:>'7.!;- K, t-l l~c.. , ....', LOCATION: ~t")o \1.,,', ~A-\~,I\~~....I \-'0=-'2.1 '+1 - 0010 I DEVELOPMENT TYPE: Q.c..., t-.lEJIJ MODU L-~IL 0-t..A4he.oO "^~ "" '-t> (, Va l>-G+\ BUILDING SIZE: (.,0.,(4"2- 1?11"Z. LOT SIZE 1. STORM DRAINAG~ IMPERVIOUS SQ. FT. . -z.<.o \ C:. X $0.192 PER SQ. FT. :SQ. Ft. c-"50'L 1-J) '''-- - 2. ~ANITARY SEWER-CITY NO. OF PFU' S ~ '2- X $39.78 PER PFU (See Reverse) ~'b1'2-q;; "-- --- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X $401. 05 ~1<tf>~ "-. .- $ \ ."i'!>'1- X Ib X X $401.05 X X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ q ?Z:~ ~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 c:;- '41(" I!) ----- TOTAL-CITY SDC $ Cj9<=19~ 5. SANITARY SEWER-MWMC NO. OF PFU'S \J,A. x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~~LvL G Ki P Burdi ck SDC Coordinator 9:, I, '0 /4'/..- I $ TOTAL-MWMC SDC~~ ~ , --- TOTAL SDC $ 9~qq1~ FIXTURE UNIT CALCULATI! TABLE: Number of New Fixtures X u.qUivalent = Fixture Units (NPTE; For remodels. calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS ? 4- 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 :.z" Bathtub.. ...... ............... .............. ..........,.......... ,........... 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 jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall.,....,....,.",..,..,..,.""",.,..".",,",., Shower, Gang.."....,.".,..,...,....",..,..,',..,..,.,",..,',..".. Sink, Bar, CommerciaL,.,.",..".",.""""""..,.."..,.."" Urinal, StalljWall"".,..,..,.."....."" "".." "."", ",."..""" Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private........................... .................., Miscellaneous: ? 2..'-\ TOTAL FIXTURE UNITS ::>:>7. CREDIT CALCULATION TABLE: calculate credits separates, I A~~:ed 1 Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value I " 1979 or before 1980 1981 1982 1983 1984 S2,83 2,76 2,71 2,60 2.46 2,33 1985 1986 1987 1988 1989 1990 1991 $2,16 1.90 1.60Lj 0,25 0.87 0.50 \I 0,16 d Improvement (if alter annexation date) X $ (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Credit for Parcel or Land Only If Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL,.."..,...",...,....,....".. ......,.,....,..,..,.... 0.4 CommerciaL.."..................,...,..,....,...,......"...,.. 0,9 I nd ustrial..."..,."..,..,......,."..",..,..,.".,..,.....,..".., 0,45 Governmental......"......,..,....,..,.."".."....,.,.,""" 0 ,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT