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~-'~