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HomeMy WebLinkAboutPermit Building 1995-3-23 -. COMMERCIAL/INDUSTRIAL PERMIT APPLICATION ~ _OB NUMBER qr;:{)?-"'](fl 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726.3769 OFFICE: 726,3759 LOCATION OF PROPOSED ~ORK' rD f) {{ [) (;C\""[O J...L ~LL.\) ASSESSORS MAP' If)OJ~'rl..rr) , ~ TAX LOT: n~?'(\'~ OWNER:\..~\Q S ~~ \-\~f\ J6,G,l~E:B\?>.u..D\.M.IT'J ADDRESS: \ ~ ~~ ~\ U\\ I.. &!L.,\. ~~ . CITL~f'\ {\JhXJ::l.-, STATE:~ ZIP' L\\~~ (~~ S~_ DESCRIPTION OF WORK: ~ \\0. NEW V REMODEL ADDITION..,j DEMOLISH OTHER <"'~r' ,~ VALUE:~- 1t~ ~,.".'~~ NAME ' ADDRESS - PHONE . ARCHITECT' 1hnA-rtfu.,c\~__ \'K~3 \J\(l~~~t-r\ r.'oar\d>OofA ~18..14lulm, -- -, '() NST.' I CONTRACTOR'S NAME ADDR~FSS , ~ NTRACTOR' EXPIRES PHONE ~ ?'3:/~ . GENERAL: ~~~-"" <~,,:i::;' ~ i:$8dl g~-~5': ~9'~.: r -d 11'_ ,. r r ;- , PLUMBING:~~ /~a:: ~. MECHANICAL:tf};;., ~ f~&? "//~ - ~- , ELECTRICAI'.~"1/<...,-~' - 1 PLUMBING , I M~CHANICAL , NO, F~~ CHARG~ I i Nn FFF I f':1-lb.1:lr.=!: I 1 Single Fixture /ts 7?'. ---I I / Furnace/burner & vent 1 6.-e:> 1 7 < 100.000 BTUs I Relocated Bldg. 1 I ~ Furnace/burner & vent 7. ~~ =r~-sc9 (new fix. addtll > 100,000 BTUs I .... Water Service ~ -:25:--1 I Floor furnace and vent I I' < ;Oft. I Sanitary Sewer 7'~.o"'l I Suspended wall or floor I , ,.., , /~b ft. mounted unit heater ,I - Storm Sewer 7'Z~t. 85-1 I Appliance Vent I separate 1 /~,-I- 1 Stationary evap. I / Backflow Device cooter I <~' n?JC U/VeF -A";?' ~I -I '7 Vent Fan/Single '3.......1 ~-I duct I 1 I I Vent System apart 1 1 from AC or htg. I 1 1 I Mechanical exhaust 1 1 hood and duct I 1 1 ~ 4"#5 /7/7/;':"-:;; 1-:2,- 1 I I I 1 Permit Issuance I $10,00 I 1 ,TOTAL PERMIT I~?~-t TOTAL PERMIT 1:5~ 5&>1 - OFFICE USE - HANDICAP ACCESS: aUAD AREA: Jt' ~11) LAND USo. ,r:, ~r:n FLOOD PLAIN' . OF BLDG~' \ . OF UNIT~' lONING: (\ ~--- OCCY GROUP' ~Q.... CONSTR. TYpo. LIGHTING POWER BUDGET: .. OF STORIEF' \ HEAT SOURCF' WATER HEATER' sa, FTG MAIN Sa. FT. \ ':\. cx-:xJ . $/sa. FT. " 'VALUE ' m -2J::D,OCC}:fc)-- ~7~r~ '\ "CCloc.D nob ~ l, ) ~. ~9o .~().D~ TOTAL VALUE OF,PROJECT ~~_ ~ sa. FTG ACCESS sa FTG OTHER ~T~4,P'5. X X X ~.-~tt-~ ~l.~~... ~<;lT~Ufll' I BUILDING PERMIT r I 'I~. 50 PLUMBING I 15% Slate , &.. ~ 5% State 1'21 Surcharge ~. 1'''9 Surcharae '7"~ I MEC~AL/:>:? /~. - FENCE 1 ;V'l!?l,../7 :39.:Sle> VALUE $ ~ 5% State 7::"/ I . 7~ SID!;lCJALK Surcharae.r3 "/ . /~ i:fO' FT. PAVING I ~g3,6ZJ J.f?.p~k ~. DATF '?l.2.3.C(~ Bvd~ "2':5'5: -' DEMOLITION f "2'. 7~ ~'*YA'c. ~ "?' ~~.., '7 ..f>~ kw~ ~ 7bJ'. -r:5 -:$"':-'" /'/5?=> ~/...""o SUBTOTAL PERMITS SYSTEMS , DEVELOPMENT ~-;;:'7 .. 41 ,~'11 ~~ " TOTAL PERMIT FEES I EXCLUDING ELECTRICAl 1/'I,,97i9..~ ~ . , , . 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 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. x. UNDERSLAB PLUMBING, , ELECTRICAL &. ' MECHANICAL: To be made before any work Is covered, It FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prlor!o placing concrete. x 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 pla,ced. -4- '" ... . 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 & ilEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing. Jt' 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. tf'," ,ROOF SHEATHING AND NAILING: Prior to Instelllng any roof covering. y R'OUGH PLUMBING; ELECTRICAL & MECHANICAL: No work is to be covered until these Inspections have been made and approved. k PAVING: After gravel Is In place but prior to placing asphalt or concrete. ATTIC DRAFT STOPS & CURTAIN WALLS 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 PS.I. (306 a,1) )" STRUCTURAL WELDS: Performed on the job, (2722 f) HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a,6) f .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. %' 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 jolnts.and fasteners are taped and' finished, ", " .. X . 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. y CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. SPRAYED ON FIREPROOFING': U,B.c. ',Standards 43,6. K SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a,11 & Chapter 29) y GLU.LAM BEAMS: Inspection Certificate by an approved, agency, furnished to the Clty's Building Division before beams are placed. (2501 U.B.c, STDS. 25,10,11). ' STRUCTURAL MASONRY: (306 , a.7) . . I , .1 )< I...JIT~ ALl- Ch~Pl "'" Dfu6LOPir€MT . (2.(;\l'l"j,J COl"\MEH-rS."" '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. ------------------------------------------------------- y- 'FINAL PLUMBING )' A FINAL ELECTRICAL )' )( FINAL'MECHANICAL SITE PLAN REVIEV...,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 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. . V FINAL FIRE DEPARTMENT ~DITIONAL COMMENTS' \ !:\ \\9 ~ ' :) <?- \ 0 S~:\ ~-\- T: Bt::f6f\.Cf) _ . . t'1. f\t\O~Lt\~~ .~l\l ~L \ ,\,)Q.~~C\~.D~ '5\ ~ ' P~A~S'REVIEWED BY /,Z~ .~~ '-?DATE ""'5'- '3'-9~' . A, , ',' i By signature, I state and agree, that'l have carefully ex~mlned the completed application and do hereby certify th?t alllntormatlon herein is true and correct, and I further certify that any and all work performed shall. be done In.accordance.wlth the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described he'reln: and itiat NO OCCUPANCY' will be made of any structure without permission of the.Bulldlng Safety Division. I further certify that only contractors and employees who are In compliance with ORS will be used on this project. . ... ~. . '" ..,.., . \. ... . . .. . a.to ensure that all r qulfed'r spectlo-ris are requested at the proper time, ttlat project address Is readable from the street, at'tti ermlt card Is I" ta'd at t e.frorltof the property, and the approved set of plans will remain on the site at all times urlng co tructlon. ~ . ~ ~ , r \ '--..J AMOUNT RECEIVED: RECEI PT .' VALIDATION: ~,' ~.. .. . , , . .........'..... ," " 4-1- '5 1'7. ~ .3 Datp L~'\~ 6/pJ,' rJ ~~, ~ , - ( DATE PAID: RECEIVED BY: . tit NO. q?o~7'" CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: l?/& 15 ?f'O'i<-IIN& GoODS I GE.NE.~L- ~w,1-\ LOCATION: -z.1"Z-0 GNTE..WAY \(03'2-"'2-00 - O'2:~o'; DEVELOPMENT TYPE: c.L: ?PO~\II-l& &OOD':> <S,o~E:.. 'I , BUILDING SIZE: loo,cl"!>o ~ \~ooo 11. LOT SIZE SQ. Ft. :tt-lC-UJI>e.~ '/'2- 01' wE;.~ SIO!:.. f><u.e.~<", Ro...o ~p I. STORM DRAINAGE ~ Au.. "lMf'e.f"-vloU5 A~':> 10 eM>-r OF' ~M:> IMPERVIOUS SQ. FT. ??'?7-Co X $0.209 PER SQ. FT. ~ I ~b ~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 3. TRANSPORTATION II X $43.26 PER PFU ~~?4-i") '---- ---- NO OF UNITS X TRIP RATE X COST PER TRIP X X $436. 19 X $436.19 ~9?S~ '- .- $ I? x 4."'''' X $436.19 CDp,," 81+, S~AL~Y" RE--r....IL X 4. SANITARY SEWER-MWMC NO. OF PFU'S t-.1.A. x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ $ -4- TOTAL-MWMC SDC $ ~ ---- ...... $ ~ e-l1'i MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) k:! _ ~ .D '. ,c..k . ----1' Kip Burdick SDC Coordinator X .05 Date: ~ /24/4S " ( TOTAL SDC G \ "'\,,?~ '---- ..-/ $ 4\ 6, \ 1010 r' . . . FIXTURE UNIT CALCUL.aONi~BLE: Number of New Fixt& Unit Equivalent =, Rxture Units (NOTE: For remodels, calculate onl~~ tlEI addItional fixtures) , NUMBER OF UNIT FIXTURE __ FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub'"'"'..,.""',.'.''....."'.''"",..'.'.......'''..." , Drinking Fount.Jin......................... _................. .......... Floor Drain,.,......,....,....,........".""".".,......",.... ,..."." Interceptors For Grease/Oil/Solids/Etc................. Interceptors 'For Sand/Auto Wash/Etc................., Laundry T ub/Clotheswasher..................,..... .......,.., Clotheswasher - 3 Or More................................,.... Mobile Home Park Trap (1 Per Trailer)..,............... Receptor For Refrig'erator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL...,..,."...,....,."...,....................., Shower, Gang..............., ............,.. .... ................:~..... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/W aIL.,......,......,:.......,.....,................ .:..... Wash Basin/Lavatory, Single.....'............................ Toilet, Public Installation..................,................._.. Toilet, Private...............................,..................:.... Miscellaneous: I \ 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 1 2. 2- 'L 'Z \'2.. TOTAL FIXTURE UNITS ~ \I CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. I I Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1 ,000 Assessed Value 1979 or before 19BO 1981 1982 1983 1984 1985 $3.46 3.38 3,32 3,21 3,06 2,92 2,73 1985 1986 1987 1988 1989 1990 1991 1993 $ 2.46 2,14 1.77 1.37 0.97 0.61 0.44 0.15 Improvement (if after annexation date) e..4{, X $ 'bo~."l (Rate X Assessed Value) X $ (Rate X Assessed Value) 27'1'61! Credit for Parcel or Land Only If Applicable ~ CREDIT TOTAL ~ $ i7'l~-'~