HomeMy WebLinkAboutPermit Building 1994-4-20
.
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' ]),.,4'1
ASSESSORS MAP: 1-:] D?;J 7..-7- 4~3
.
~
5 r rmJ<<\l d l;p
~ .
r--. 1m N\rlf\ 7i:.
OWNER' ~~.eA- ~Iu..lr I.
ADDRESS: i-Wb7- --r€;\~:cl~.e- \.il..h1--
CITY' ~ 1 J rt~
DESCRIPTION OF WORK'
NEW \/ REMODEL
~dOJdf1J
ADDITION
NAME.
ARCHITECT:
JOB NUMBER
. -:,P 1f'I()
q40~~7
INSPECTION LINE: 726.3769
OFFICE: 726-3759
TAX LOT: OICCO'tOllCC)
.<VI -+ fJ.,f"-i..
pHONE:_/a.f't -'7'67<0
STATE: -fj!l--
ZIP: Q7Yo7.--
~ (1,flt Uc7 li ~/ ( <;Q..i)
DEMOLISH OTHER
ADDRESS
....,.....,.......
CONST,
CONTRACrOR .
CONTRACTOfji NAME ,(l,c,. c..,sf.'DDRESS
GENERAL:..J5t2_bU-f l3Wr tff'02 wake
pLUMBING.c (,($6 f.J~~.
MECHANICAL:4dM:JJo/1s oIl
~LECTRICAL: 4- fer- S:~fJ(JaM" it? hy"'.flt!'
I
I NO.
I Z8
I
I
1
1
1
I
1
1
I
PLUMBING
FEE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
/0
~It.
Sanitary Sewer
, S~ft.
Storm Sewer
~/~ It,
Backflow Device
TOTAL PERMIT
I
CHARGE i
~~.4
I
"2-5":. -I
i./&:?~
7&'.-1
1
1
1
1
1
I
7' /...,- 1
$I Co '.
VALUE: Z.ZJ< (J{JO
PHONE
I
- ,I
EXPIIIES PHONE
Z':'f5"g! "-_ -2:2..~:.?.i__c..~-:5"Z7~
t-j !9l) _'(~Z2:...,r.;'f.._~~-:l.C(~_,
" 2 ,190 /2 -23:.7'1 7':!,?.::.Z"f'I J
. "
2.kk Z.~ t;-/o.:J.,,<t ~~?Zz.C?-
, I __~ ____
MECHANICAL
;1
1
I
I I
I 1?"
I
11' I
.1 1
1 /1
I 81~,?0.,~::::.
I
1 TOTAL PERMIT
Furnace/ burner & vent
<100.000 BTUs
Furnacel burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
~UAD AREA: \ 'Q \\ "i ")
. OF BLDGS:--! (tlJ Wll1Y\S
- OFFICE USE -
LAND USE: I (iln
OCCY GROUP:
. OF UNIT!':'
000 r:I:IARGE-
~ /2,-
I
I
"3' I ~t5.
'3 9:-
'7(g~
.~ ~.".."..
$10.00
, ~~ 52',
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING:_l-vl0'? .-J
LIGHTING POWER BUDGET:
WATER HEATER: G
. OF STORIES:
1'1'"
,
CONSTR. TYpo.
HEAT SOURCE: ~C"l
SO, FTG MAIN
SO. FT.
~
$/SO. FT,
X
SO. FTG ACCESS X
SO.FTGOTHER ~~?~r-c~
VALUE
=~~.~
,
~,L!:JbO
,
TOTAL VALUE OF PROJECT..........:-, - ~,..."
-"
PLAN CHECK FE.E tffp ~ ' 'l1o RCPP o Q'51 DATE 3-/I,-Qtj BY Ii AI. Ar. 0
I BUILDING PERMIT u,q 2~ PLUMBING Y/'5:-=' DEMOLITION I
5% State 5% State ~_'75" 1
Surchar~e ~~ ~ Surcharoe
MECH~~ Go'. - I FENCE r:tf\ of I -S-~ 1
~...?- ~~.;-o:::> VALUE $ t, -
5% State :2 .2. -;;11 SIDEWALK 1 7.$. -" 1 SUBTOTAL /~8:;>.8? I
Surcharqe . 1.-:26 FT. PERMITS
I PAVING I '?I?:;O 1 CURBCUT::('~ FT. 1 /rz'.2.~ I SYSTEMS '$$ t.f(p'-f B !3- ti81
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
6t:>':l~ 99
. 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 Inspectlon. 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 atter excavation, but
prior to setup of forms.
'JI
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
,
x
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steer in place, but
prior to placing concrete.
,<
CONCRETE SLAB: To be
made after all lnslab building
service equipment, conduit,
piping, accessories and other
............,ancfl\lary equipment items are
in place but before any
concrete is placed.
x
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 BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
-I-
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
)'
k
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.
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
b~ furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
STRUCTURAL CONCRETE: In
excess of 2500 PS.L (306 a,1)
~
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.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
l'
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. .
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
SPRAYED ON
FIREPROOFING: U.B.c.
Standards 43-8.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
.r
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).
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.
STRUCTURAL MASONRY: (306
a,7)
)(
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-
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.
A.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
Y FINAL PLUMBING
-------------------------------------------------------
)(
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. .
., .' \. '
- I . \
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. .
X FINAL ELECTRICAL
)' FINAL MECHA!'lICAL
fI FINAL FIRE DEPARTMENT
ADplTlONAL CO,MMENTS'
U7\-t"T :_~1.c:5 \OCO: \ \ l'lOO " tcl:.> \ Ie("") : \\ ,'lc() -:.-7,.Q ?J~(1(J
,cJ\{\~ <D '. \ ~ t 0 <p-,
, f'\P0 ~ '.()\. \Q VIr'\! f'\l\Q n'D (-1~~~
./ - ~....... t' '. ,.,""'" c...P
' PLANS REVIEWED BY ..,..-./ ~ ./? -./ DATE _ - ;."?,,"
r~//,' - ,
,.
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.
Slgnatur~ ./k~ #~
.{
Date
t/-2D-?&(
VALIDATION:
AMOUNT RECEIVED: ~9". '7 Y
RECEIPT ': /Z- "'3~"'7
r
DATE PAID:
RECEIVED BY:
t/-?c:::?..9o/'
~~
/// -
v
.
.JOB ND. 't'-lo~2.:>7
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: ROI3f..1?.. T 13LAIIZ
LOCATION: -z.tpy<;, ~. CL.ovEoRLteAr- Lp, 17o-z.,2~'-/~ - OfOIXJl'/OI!(]()
DEVELOPMENT TYPE:.MOR - ~ R€:~/t>&-J7'{A'L &/lE; 1=A<-ILITV
BUILDING SIZE: LOT SjZE SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. i'?\'? X $0.203 PER SQ. FT. ~BLt '?~
'-- ,....-/
2. SANITARY SEWER-CITY
NO. OF PFU'S '-11 X $42.08 PER PFU (7""2-? 2.!)
(See Reverse) ............. ~
3. TRANSPORTATION
Co!>€. '2-00 - E:.<.bE:.(2..l..'1' (G.P-fivf' ~U"lo-1(" -: O. \~ II? u,
NO OF UNITS X TRIP RATE X COST PER TRIP
1'2..
X
.\'? X $424.31
X $424.31
X $424.31
~ 0<o(g~
'--. ---'"
$
X
X
$
4. SANITARY SEWER-MWMC
NO. OF PFU'S 41 x $15.125 PER PFU + SIO MWMC ADM FEE $ &''?ol~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ lS ~
TOTAL-MWMC SDC ~
'-- ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 44"2-('~
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
V. ~1":"l,._ ? II~ Iq'f
G Kip Burd'lck I /
SDC Coordinator
C21-1 ~~)
TOTAL SOr: $ Lf(,t.f ~ !!.
FIxTuRE UNIT,CALCU'-8N TABLE: Numb~r 01 New Fixlure.t Equivalent = Fixlure Units (NOTE:
For remodels, calcul~te only the NET additional fixlures)
Bathtub................................ ............ .............
Drinking Fountain......................... ............. .............
Roor Drain................................. ...................
Interceptors For Grease/Oil/Sollds/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
U1undry Tub /Clotheswasher......................,............
Clotheswa~er . 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer).....:.....:......
Receptor F9r RefrigeratorfWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc;.
Shower, Single.Stall.......,.........................................
Shower, Gang............................... ...........................
Sink, Bar, Commercial.............................................
Urinal, StallfWall......................., ,....... .......................
Wash Basin/U1vatory, Single..................................
Water Closet, Public Installation... .........................
Water Closet, Private.................... ..........................
Miscellaneous:
FIXTURE TYPE
NU~16ER OF
NEW FI.XTURES
7.
~
2-
15
;.
TOTAL FIXTURE UNITS
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
t/Head
2
2
1
6
4
FIXTURE
UNITS
...,
t..
<f
IS
12-
l.ff
CREDIT CALCUUl.TION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
1985
Rate per $1,000
Assessed Value
'1
Rate per $1,000
Assessed Value
Year
Annexed
S 2.24
1.93
1.57
1.18
0.79
0.44
0.28
$3,21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
Credit for Parcel or Land Only If Applicable :, .1.. I X S 1- ~ ' <J- "1 ? ~
(Rate X Assessed Value)
Improvement (if after annexation date) X S =
(Rate X Assessed Value)
= $ l.:::. \_1
CREDIT TOTAL--
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
.
o Y..'!ill!!.!!!!~.!!~
.
Job No. !Jj{YA37
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME:~\i]Xt~~cLuu PHONE: 1oe8-c~2nl 0
ADDRESS: ~ lO~._. J S)O~f\(L; STATE:.tg.ZIP q~
LOCATION OF PROPOSED BUILD}N9 SITE:. rn ^ 1
Street Address if Known: rDt 6t~ C'\. ~, u()( 10 JI. Q
Platt Name: r1vn f\r\r1 () }L _ Tax Lot Number:
cLD
I
~ ()((fO
0\ lCO
1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type
definitions are on the back'>
A. SinQle Familv - Detached
~ Single Family home
NO OF UNITS
_ Manufactured hom'e not in a park
/ X $400 PER UNIT = $ ~
B. SinQle Familv - Attached
NO OF UNITS
X $370 PER UNIT =
$
C. Multi-Familv Aoartment
NO OF UNITS
X $277 PER UNIT =
$
D. Manufactured Home Park
NO OF UNITS
X $280 PER UNIT =
$
WPRD SDC
$.4ill:cb
$.0
$ 4ffi.CO
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approval. See sac Credit Worksheet.
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit)
~~m~~\P;)
City of Springfield
L\- / Q{\ /C\~
Date