The URL can be used to link to this page

Home My WebLink AboutPermit Building 1992-6-5 ~ .,/ COM M ERCIALlI N DUST RIAL. PERMIT APPLICATION .. 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' 306'0 ASSESSORS MAP' /7. 0). ~o . 0 . <;} .. JOB NUMBER ~ 9"2C><5!;>Oczl . INSPECTION LINE: 726.3769 ' OFFICE: 726,3759 JZA T'~ Ii. ,/;J / O<ll 0 I OWNER: Nfl ).,C,011'-1 -S ADDRF"'" IN... ~ It CAlF-/; If.. CITY- 5~~,rJc':-I/U I'> " 'B-'9R~ 5, 150SISLYO PHON'" DESCRIPTION OF WORK: --'li:LD oJ NEW REMODEL ADDITION btJao )( 5Q FT DEMOLISH NAME ARCHITECT: Si:.;./~'>I. 5('1<.''-11''1 ..1--f,.JJi.i'> CONTRACTOR'S NAME GENERA' . fl1A;'~/.I'1 No,..} 6. . ~ ADD RESS ISns,<:;;"o . PLUMBING' MECHANICAl' ELECTRICA' ' PLUMBING NO. I "EE Single Fixture Relocated Bldg. (new fix. addtl) Water Service It. Sanitary Sewer It. I~ I / Storm Sewer It. Backflow Device ( I l\jorv E. TOTAL PERMIT OUAD AREA ,-~L f\)Q..., # OF BLDG'" OCCY GROUP' # OF STORIES: sa. FTG MAIN sa. FT. ~:2.<:l<> sa. FTG ACCESS SO. FTG.. O,!,HER .;:" A"W ~ ':::l/'.~.-_-._" , I CHARGE I I I I I /,p,<=>=1 /t:J.col I I I I I I&:J.~I $PP-d,J{! r I 101 ;) . TAX LOT: 0:) / C! I STAT'" oR.. 6;: N F- Tilt.. e /../11\ OTHER ADDRESS 3~<6 IjICi/ ~""li.iJC. CONST. CONTRACTOR # MECHANICAL Nn / Furnace/burner & vent < 100.000 BTUs Fu"rnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wallar 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 TOTAL PERMIT - OF'/Cf ~E LAND USE: I L1 VI q # OF UNITS" CONSTR. TYP'" HEAT SOURC'" x X $/sa. FT. /6.....-.0 1.50 PLAN CHECK FEi:2~~_ 7~ RCPT# t:./~/q - , I BUI LDI NG PERM IT I 15% State I SurcharQe . I MECHANJii,~ 15% State I Surcharae I PAVING I 'YV'V -;zsl PLUMBING / 15% Slate ":2::Z. :2 SurcharQe /C> . _5 FENCE /_-"? .. o.e:> VALUE $ . 7--:> SIDEWALK -;:?e> 2 . ere I I I FT. I FT. I CURBCUT ZIP: 97'1-77 73ifir.. VALUE: {. '.>.... 000 PHONE a-Q,;;>' '3:3 S?.;; EXPIRES PHONE ~ """ I rl-lll.Rnl= I t?4i'-4. I I I I I I I I I $10.00 I I MI11. HANDICAP ACCESS: FLOOD PLAINi r ZONING' Hl LIGHTING POWER BUDGET: WATER HEATER' VALUE /-"'1 ~ o-a. ~I,-~~.- TOTAL VALUE OF PROJECT /~ ::zJ DATE it: - 5~2 BY ~~/ --- ~oo ,/,.~ , DEMOLITION SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT ,. I j I 77-'5'.2/ I 'IP ?S??~~ , TOTAL PERMIT FEES EXCLUDING ELECTRICAl tj3//.7~ . 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. witl 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. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. y FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but: prior to placing concrete. y 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 placed. x UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and d rai nage II 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. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Installing ~ny roof covering. y FINAL PLUMBING )( FINAL ELECTRICAL x FINAL MECHANICAL y FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' x' ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work Is to be covered until 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. .; 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. . , x FIRE & SEPARATION WALL: Located and constructed according to plans. >! LATH AND/OR GYPSUM BOARD: To be made after ail 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 a/l concrete paving within street right of way, to be made after all excavating complete and form work and sub-base material in place. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ;r y 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 Owner! Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the BuildingJ,nvision. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) )( STRUCTURAL WELDS: /~o#;;n,~ HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 ,a.6) .II SPRAYED ON FIREPROOFING: U.BC. 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 pI aced. (2501 U.B.c. STDS. 25,10,11). STRUCTURAL MASONRY: (306 a.7) *In addition to the Inspec- tions speclfled, 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. III 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. PLANS REVIEWED BY ~;v'~ ~~~DAT" 7-e:::.-9Z 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 ti~es durin~co c 0 ~ , Signature " '44~ Datft t:. ~-. <1,), . ~ VALIDATION: AMOUNT RECEIVED: ..i:! -=?/ /.---;>.6 55S'<. RECEIPT .. DATE PAID: -;J-..,? .,....,~-::L. RECEIVED BY: .~~ -: - / , ,. . . JOB NO. '72-0 go t.f CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (PROFESSIONAL OFFICES & INDUSTRIAL) NAME OR COMPANY: t'11tL.C-O/...{Y1 :r i 13It-IUbltR.A '8os 1 SIO ,."r' LOCATION: 3"'1 t? D' VIt-rHf{ 'IN /702"':>000 -02.101 DEVELOPMENT TYPE :_1i,)pu.:,.-rJ!:Jf:iL A:Dl>1 nON - f~.J.kJU<'~ : "[!lJP CaPE 150 BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 0.5 x '2-G,,'S'-/-'2.;> X $0.186 PER SQ. FT.~ Z4fo'6-?'::- (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S 0.5 X --- X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION $ --Ir NO OF UNITS X TRIP RATE X COST PER TRIP 0.5 X IP.1-":>7 X (') .'7'-1 X $388.61 $ ~"t~ I.! 0.5 X X X $388.61 $ $ 0.5 X X X $388.61 (See Attachment C To Determine Trip Rates) SUBTOTAL (ADD ITEMS 1,2, & 3) $ ,->'Z;.&-"S 7--'1 4. ADMINISTRATIVE FEES ~ASE CH~~S~ (S03TGI~~ AS0VE) X .05 s I (pg 1:!:... s 7;:.??~?2.. TOT,~ ~ ", ~..ITY SDC 5. SANITARY SEWER-MWMC NO. OF PFU'S x $13.25 PER PFU + $10 MWMC ADMIN. FEE $ ~ (\Joe PFU Total Fl'om Ite;n 2 .!;beve) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ -8 ~13-v~--"i~~ 0hh~ 'i<\ip Burdick . ' I SDC Coordinator TOTAL-MWMC SDC $ ~ TOTAL SDC $ ??~?~ , FIXTURE UNIT CALCUL4iiiiION TABLE: Number of New Fixture~nit Equivalent = Fixture Units (NOT~ ~ For remodels, calculate only the ~ditional fixtures) . . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain..................................................... Floor Drain................................................................ Interceptors For GreasefOil/SolidsfEtc................. Interceptors For SandfAuto WashfEtc.................. Laundry Tub fClotheswasher................................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator JWater StationfEtc........ Receptor For CO!llmercial SinkfDishwasher fEtc.. Shower, Single StalL............................................... Shower, Gang.......................................................... Sink, Bar, CommerciaL........................................... Urinal, StaIlJWall....................................................... Wash BasinfLavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1 fHead 2 2 1 6 4 TOTAL FIXTURE UNITS. CREDIT CALCULATION TABLE: Based on assessed value. calculate credits separates. I If improvements occurred after annexation date In table, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1962 1963 1984 $2.66 2.64 2.53 2.41 2.19 2.04 1985 1986 1987 1983 1989 1990 $1.69 1.35 1.15 0.92 0.59 I 0.23_ Improvement (rr after annexation date) X $ = (Rate X Assessed Value) ,X $ (Rate X Assessed Value) CREDIT TOTAL = $ Credit for Parcel or Land Only If Applicable 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