HomeMy WebLinkAboutPermit Building 1993-12-10
LOCATION OF PROPOSED WORK'
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CvMM ERCIALlI N DUSTRIAL
.' "'PERMIT APPLICATION
JOB NUMBER
q3/~ .5 7
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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ASSESSORS MAP:
) 70 '2,
?2..
07?
TAX LOT'
;Z :s: 6V
OWNER:G.t::""e.Jt'4-t c;,..R"W'H
ADDRESS: J ~ 30 :3 U?~ r Gt.J( A
CITY' rdLI('Mtf-rJ O~5
Ml4iV4.:I c.M,E.V r
.el~. Swrf
STAT'" r 1'/.
J:JoN:, .PHON'" 8/8-<:707 -:51100
J~z.o
ZIP' q / 4",3
NEW .><-
REMODEL
ADDITION
1=A-,t4/ 'r
DEMOLISH
0/46.0 oS ~I(c
DESCRIPTION OF WORI<'
.7~ >00 S. F:
OTHER
VALUE.JI 3'11, ~.:-o .
$Y~':fe>_ 0-
PHONE
S"~J -'-2'1 - !k!5
NAME
ARCHITECT' }l/tll.s A-I!t..tI-.
I! c..
ADDRESS
7370 S Lu ()t..<.<J!A7C.f It?4
~RESS
'p~,p,,x //77s:.
GENERAL:~ ~ ~~<~1C='~~'..,;>y';;"-~
PLUMBING: y/. L. fvf d_Le.R.
MECHANICAL: VlEr~IQrA) nie:1MJr..1.11",<;
ELECTRICAL: ~ ~L Et'Co'T'
CONST.
CONTRACTOR' EXPIRES
V......'" > 7. ~..,.,.,.
. r
PHONE
~~..... ~......
CONTRACTOR'S NAME
PLUMBING
MECHANICAL
NO.
FEE
CHARGE
Nn
eel'
I
('HARG1
I
I
1
I
I
I
1
--
rt7.""
~.IJ'."'P
/t7~,e>O
1 /0 ="
~77evY~C~..k;,~~/?,
~V/ ~EZ:> ~ .4, <:"?'?/AZ'i"_
~.-.~......~. I P
. 1
I
Single Fixture
Relocated Bldg.
Inew fix. addU)
Water Service
/y~ ft.
Sanitary Sewer
-:?.::>Y ft.
Storm Sewer
Lj 85' It.
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
TOTAL PERMIT
,'2c)5.~~ !
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.
I Mechanical exhaust
hood and duct . , .....
1Af.tJ?'7""~#" r~~>:; ~;'-'~....
'f?'~~,.,/b.en _
~/ 1-,--
Permit Issuance $10.00 I
I
Backflow Device
TOTAL PERMIT,
aUAD AREA:
. OF BLDGS:
\ ~)!\\ \}!
- OFFICE USE -
LAND USE: --D '?-t)\:\
HANDICAP ACCESS:
# OF UNIT~'
FLOOD PLAIN'
ZONING: C'cJ,
OCCY GROUP'
~A
CONSTR. TYPF'
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
. OF STORIES:
sa. FTG MAIN
sa. FT.
71!; 7S"
$/sa. FT.
VALUE
~""'d'D
X
sa. FTG ACCES~ X
sa. FTG OTHER ~ ./M~V€hJ'~7'S
-2- 2-0
P C E.E 2.Or
~/~'Y'"",,~ /1_.:&
RCPT'
///2. 7
Pr:~
TOTAL VALUE OF PROJECT ~~
DATE /2 -/0-'7 '? BY ~''-'--
1 BUILDING PERMIT
15% State
SurcharQe
1 MECHANICAL
15% State
Surcharae
I PAVING
'79!?~
1/9. ;$
PLUMBING
-:;?~~ -
/iP.2!>
I DEMOLITION
FT.
I
~/T~.R ~~A>""Y/e'i>.>l
~YS;>PJ~H? - n/z I
. SUBTOTAL ~
PERMITS I,~H. ~
SYSTEMS - ':>3
1 DEVELOPMENT 128 J <17'-1- -
~n~
5% State
Surcharoe
1 FENCE
VALUE $
I SIDEWALK
I CURBCUT
FT.
. I
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
3~03~. 0'1
.
REQUIRED INSPECTIONS ~~&c"
.,-
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 forrr:ts.
* In addition to the inspec-
tions specified, the Building
Official may make or require
CURB AND APPROACH other inspections of any
ROOF SH EATHING AN D APRONS: After forms are construction work to ensure
NAILING: Prior to Installing erected but prior to placing compliance with the Building,
any roof covering. concrete. City or Development Code.
---~--------------------------------------------------
// 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.
0....--- FINAL BUILDING: Requested after the final plumbing, eiectrlcal,
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""
UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
",...
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
{,/"
CONCRETE SLAB: To be
made after all Inslab building
service equi pment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete is placed.
~
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d ra! nage I I nes. 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.
V- MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
v- FINAL ELECTRICAL
~
FINAL MECHANICAL
--
FINAL FIRE DEPARTMENT
v
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered untll these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
/,/' 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.
v-'" 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.
~ATH 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.
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.
ADDITIONAL COM~NTS'
D~~ '\; -\\- \80
-PICl'{\\\l?_C ~~\A\(~\ ~'-'-f'O_
~'0.\f\-i\J " \C\'o~ ~-. \'-Y\~\~
\ PLA~S REV~EWED BY ~~ _.... - -'
~/
.......-
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
be furnished to the Building Division.
~STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
----
STRUCTURAL WELDS:
Performed on the job. (2722 f)
~
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U,B.C,
Standards 43-8.,
,SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a,11 &
Chapter 29)
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).
--
STRUCTURAL MASONRY: (306
a.7)
=
7~~~
. /
~ DATE...L=."r- 5l ~
By signature, I state and agree, that I hav/? 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. /)
Signaturo ~ oJ 'v7m~ Date ...s/JJ /q4
.-~"""'.,.- ....,..-.... . :-..~ ~';--
-#'. '-. -..-, 7" I' '4ID '";;>
AMOUNT RECEIVED: /L1hC:>. ~/
RECEIPT': /,$</,
"S'~ //JS3l;;
VAll DATION:
DATE PAID:--3-);1J9<./
RECEIVED BY:-'l7~-:C-
,<.-' .
.
. NO. 93/ 'if 37
,1 : _
-Y
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: Gei-J13-f?Al- G!?ow-rl-l
LOCATION: -7.-/7 0 bA-re.INAY 5,.
DEVELOPMENT TYPE: Cc.: 7. 'StJo 5, PO.
NlAAlA-6E.My../o.{ T fAiG.
/,0'3'2-7.-00 - 2-500
{//013o S-rP~c
BUILDING SIZE: "1 '500 Sa. 1=,_ LOT SIZE SQ. Ft.
L STORM DRAINAGF,
IMPERVIOUS SQ. FT. 35585 X $0.203 PER SQ. FT. (j'l8tf ~
2. SANITARY SEWER-CITY
NO. OF PFU'S 7 X $42.08 PER PFU ~ 1H'f ~~
(See Reverse) '-- .-/
3, TRANSPORTATION .
G"/JE. WS: fIlmE.. 1#EA-Ta-!Y1t>eP RbrTPt/_ -7p.JP /A--re ~ C..N I"r.:f;r
NO OF UNITS X TRIP RATE X COST PER TRIP
7.5
X &.i4 X $424.31
X X $424.31
~,?3t?3
$
,X
4. SANITARY SEWER-MWM(
NO. OF PFU'S Ai.A. x $15.125 PER PFU + $10 MWMC ADM FEE $
(Use PFU Total From Item 2 Above)
X $424.31
$
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
..' $
TOTAL-MWMC 'soc ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ '2-',/I~
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
V~ o~ -L{~_ Iz/zoh3
1J Ki P Burd-i ck "
SDC Coordinator
r0 ~55~
............1 ../
TOTAL SOC $ 2-'O,414~
?p '3'- r'"?r
?#f~ 1757 1l~fflf'lla?b
~.
FIXTURE UNIT,CALCU.ION TABLE: Number 01 New Fixtu.unit Equivalent = Fixture Units (NOTt
For remodels, calcul1ite only the NET additional fIXtures) . ; ';.
. NUMBER OF UNIT FIXTURE-
"-
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub..................................................................... .
Drinking Fountain....... ..............................................
Floor Drain................................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub /Ootheswasher........... ................ ........
Ootheswa~her - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor F9r RelrigeratorjWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single' Stall................ ...... .... ........ ........ .......
Shower, Gang..........................................................
Sink, Bar, COmmercial.............................................
Urinal, StalljWall.......................................................
Wash Basin/Lavatory, Single..................................
Water Ooset, Public Instaliation.............................
Water Ooset, Private...............................................
Miscelianeous:
I
2
1
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
/
&
TOTAL FIXTURE UNITS
7
CREDIT CALCULATION TABLE:
calculate credns separates.
~ Year
I Annexed
1979 or belore
1980
1981
1982
1983
1984
'1985
Based on assessed value. II improvements occurred alter annexation date in table,
Rate per $1,000
Assessed Value
Year
Annexed
---'1
Rate per $1,000
Assessed Value
$3.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1987
1988
1989
1990'
1991
1992
S 2.24
1.93
1.57
1.18
0.79
0.44
0.28
I
Improvement (If after annexation date)
X $
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Credn for Parcel or Land Only If Applicable
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
"'.... - .... \\ ","'" ".~- ..~" . . ........
J' :.... - - " .~. ..> \'. .... t "" \. '. '
~ .. " ,', ... '-, .~" ~ "'~"'..~:."
1:;;:,,,,,,,,.,
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