HomeMy WebLinkAboutPermit Building 1993-11-8
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COM M ERCIAlIl N DUSTRIAL
PERMIT APPLICATION
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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JOB NUMBER 93"/~<~
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LOCATION OF PROPOSED WORK: L:.~/ #2
ASSESSORS MAP' /.7-&>;:-22-4'2
225 Filth Street, Springfield, Oregon 97477
6i!>V~L~A'~/~P.
TAX LOT' ~/6>O
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PHONE: ~<-4?<'::>
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OWNER: /"l/.If,,&' /~,ljp~r~ .
ADDRESS:~ $I,1/. bA>.Y,i!:?fLL5?,?==.~Z> .
CITY' ~/"='L2> , STATF' r.::>;r?,
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DESCRIPTION OF WORK: ~;..~, -.~ /~ ,R~?7?/'~-'>' q~ r~ /..::..//'r,
NEW REMODEL ADDITION DEMOLISH OTHER VALUE:
ZIP'
9 :/7'??
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERAL: ~.~-
PLUMBING'
(-.-~,jII~
... or
CONST,
r trrr~ ~ct'r\4I~ CONiJJ~G;
,\E'~'~4
PHONE (
4;9-,c;.N1o
MECHANICA' '
ELECTRICAl'
I PLUMBING I I MECHANICAL ,
I NO I FEE CHARGE I I "In 000 "HARG4
127 ~7..o -f I Furnace! burner & vent 6,- /~--
Single Fixture /t::;) 2- < 100.000 BTUs
I Relocated Bldg, I I Furnace/burner & vent I
(new fix. addU) > tOO.OOO BTUs
I l,/" Water Service :;;;.?~-1 I Floor furnace and vent I
It.
I c.-/ Sanitary Sewer ~ ;i!",~-I I Suspended wall or floor I
' <: .,:>ft. mounted unit heater
I -- Storm Sewer ~a-I I Appliance Vent I
/5t!!:::> ft. separate
I '-- ' /eP. - I I I Stationary evap. I
Backflow Device cooler
I I I ~I Vent Fan/Single 3':'" /6:"- I
duct
I I I Vent System apart I
Irom AC or htg,
I I I I Mechanical exhaust I ~~I
hood and duct
I I Ic9?~ h~..../_ I ;;? .... I
I I Permit Issuance I $10,00 I
I TOTAL PERMIT q7~. -~I TOTAL PERMIT 1~5'~1
\~S\ ~ 0 - OFFICE 4 - HANOI CAP ACCESS'
OUAD AREA: LAND USF' \\3 . FLOOO PLAIN'
. OF BLOGS: \ . OF UNIT'" ZONING' IVS)\2-..-
OCCY GROUP: sR... CONSTR. TYpo. LIGHTING POWER BUDGET:
. OF STORIES: \ HEAT SOURCE:~ ,/:..4 . WATER HEATER'
sa. FTG MAIN
sa. FT,
c/ge>-g~
$/sa. FT,
X ~.~
VALUE
2~~_9.28 ~C>
.
SO. FTG ACCESS X
sa, FTG OTHER .&~h''--:;'' ::::iiftP/~Fx /-,~
- ,
PLAN CHECK FE.E ~3::>e>~ RCPP 1CfE?~ \
~e>~.~
TOTAL VALUE OF PROJECT :Z7.:?,,~S?/e:>
1_'
OATE1!'p.s.CJ5 B~ )
I BUILOING PERMIT
5% State
SurcharQe
MECH~CAL/?::>
~....r
15% State I
Surcharoe
I PAVING I
.i?~ ~~
o/"P. ?5F.
~
/.6$
~ y: 5'.c:>
PLUMBING
"S7c::>, -=-
/..8~S&:>
I
I
~1~~t,,u.J- V'~.-I
?~~ I ~E~~T~L' 'I l~ Ol.2t I
~~~ 16m~~~MENT 1#<f7-Zq~$
OEMOLlTlON
5% State
Surcharoe
FENCE
VALUE $_.
SIDEWALK
I?:Z FT.
CURBCUU-Z9...;.
I ~.~t"T. I
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
65'~~~~
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, REQUIRED INSPECTIONS
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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.
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UNOERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
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FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
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ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
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PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
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.
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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UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing,
ATTIC DRAFT STOPS &
CURTAIN WALLS ,-
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
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FRAMING: To be made alter
the roof, all Iramlng, 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 01 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 the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a,l)
STRUCTURAL WELOS:
Performed on the job, 12722 I)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U,BC,
Standards 43.8.
SPECIAL GRADING,
EXCAVATION ANO FILLING:
During earthwork, (306 a,t1 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (250t U.BC,
STDS. 25.10,t1),
STRUCTURAL MASONRY: (306
a.7)
.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.
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.
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X FINAL ELECTRICAL
f FINAL MECHANICAL
V Certificate of Occupancy has been issued by the Building Oivlslon
A FINAL FIRE OEPARTME~ 'and posted on the prem~' es. ,
~O' TIONAL COMMENTS: '-^ )? (\ /#- C\ ~~, \ \ Q, \ \0 XI 'fI 0 Y" \ f\ I
\ r--..^-- - - ') - -.. '
\ + T: \ l'lJ A )
n1\VL,f\(\1' 0): \0.1 tP.,
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POST & BEAM: To be made
prior to Installation of "floor
Insulation, decking or floor
sheathing.
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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, '
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
FINAL BUILOING: Requested alter the Ilnal plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
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,AMOUNT RECEIVEr:$~(~7.{).?1u2-
RECEIPT ': I 1 (7
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LATH ANOIOR 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,
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FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
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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.
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PLANS REVIEWEO BY /'/,,-.-4_ t~. e-- DATE .I/'~5'':?
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CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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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
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 cons.tructlo'1'-
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MASONRY: Steei location,
bond beams grouting or
verticals in accordance with
UBC 2415,
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Signature
VALIDATION:
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
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FINAL PLUMBING
Date
DATE PAID: I /J/-IC(-Cf7-
RECEIVEcG1/,<:) (J_ Y
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.JOB NO. G:f~{"2~
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: Mile€. I-IUf?N1AN
LOCATION: &/1 AI, CLoVef!..~M LooP /7()?>2'Z-..f'Z- - tJ&I()O
u,"e,....7 E.c"e ',.lH /G/l.CUP H"~c,..._
DEVELOPMENT TYPE: cc.: f(eslJ>lEfJt ('AU:. FAGlLltY .I'? /PINIGU-'o.Jc.. WI'
WILDING SIZE: LOT SiZE SQ, Ft.
l. STORM DRAINAGE
~ 0~25])
" IMPERV IOUS SQ. FT. _ ,">'2-1'> X $0.203 PER SQ, FT,
2, SANITARY SEWER-CITY
NO, OF PFU'S '?"1 X $42.08 PER PFU (/C.o./-I ~
(See Reverse) ~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
1'-1
X .I?;J
X $424,31
X $424.31
X $424.31
(""-Z~)
'-.. ./
$
$
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X
X
4. SANITARY SEWER-MWMC
NO. OF PFU'S ~q x $15.125 PER PFU + SIO MWMC ADM FEE $ 5'".,~'il
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ~7 ~
TOTAL-MWMC SDC ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ L/50?~
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
c3.._ f3.v.-.. L'c.L /I!q /'1'7
,-- cr K;p Burd;ck I I
SDC Coord;nator
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TOTAL SDC $ 772" -
FIXTURE UNIT:CALCULA.N TABLE: Numb~r of New Fixtures .it Equivalent = Fixture Units (NOT!=.:.
For remodels. calculate only the NET additional ftxlures) ,
. NUMBER OF UNIT FIXTURE
FIXTURE TYpE NEW FIXTURES . EQUIVALENT UNITS
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2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
&J.
Bathtub........,.....................,.".........,......".....".......". .
Drinking Fountain..........",.,.........",.,......,................,
Floor Drain,........".......,.."...........................,.............
Interceptors For Grease/Oil/Sollds/Etc....,............
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub /Ootheswasher........."................. .......
Ootheswa~~er . 3 Or More........."..........................,
'. ,MobPe Hdme Par!< Trap (1 Per Trailer)..................
, Receptor F9rRelrigeiator fWater Station/Etc........
Receptor For'CQmmeiclal Sink/Dishwasher/Etc...' '
Shower, Single' Stall. ......................,..,........ ..............
Shower, Gang....,........................,.......................-,....
Sink, Bar, COmmercial................,...................,..,....,
Urinal, StallfWall.......................................................
Wash Basin(Lavatory, Single..................................
Water Ooset, Public Installation....................,........
Water Ooset, Private..,......,......,.............,................
Miscellaneous:
'2.
2-
. ~ .
?-
I./.
/1
/1
~#>
1'2..
TOTAL FIXTURE UNiTS
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CREDIT CALCULATION TABLE:
~tt~ ::rates,
I Annexed
Based on assessed value, II improvements occurred after annexation date in table,
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000 I
Assessed Value 11
$ 2,24
1.93
1.57
1,lB
0.79
0.44
0.28
= ?l~
=
= $ ?I '54
L
1979 or belore
1980
1981
1982
,1983,
1984
1985
$3.21
3.13
3,08
2.96
2,82
2.68
2.51
1986
19B7
1988
1989
1990
1991
1992
Credit for Parcel or Land Only II Applicable
In.:'provement flf after annexation date)
~.'Z.-l X $ 11./
(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
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Job No.
C\'2J\\ o?5
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NAME:
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
\\\ \'( ~ ~\. ~\. rtffio f\ ,
PHONE:
ADDRESS: \0\)\ \ ^". ~\\\)~Y\.n.a...bSsTATE:EI2..ZIP Qf)4rVl
LOCATION OF PROPOSED BUILDING SITE:
Street Address if Known: l 0 \ \ \_1"\ . C'\()\loV'\..OOb
Plan Name: f\ (LJ Tax Lot Number: \'\()~~ f'lA\c."D
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back.)
A. ~im!le Familv - Detached C~'
I Single Family home --=
NO OF UNITS \
B, Sin~le Familv . Attached
NO OF UNITS
X $370 PER UNIT =
$
C. Multi-Familv Aoartment
NO OF UNITS
X $277 PER UNIT =
$
0, Manufactured Home Park
NO OF UNITS
X $280 PER UNIT =
$
$ ~Cf) <<J
$ f2:f
$4tO (V
W~RD SDC
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet.
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit)
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Date