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HomeMy WebLinkAboutPermit Building 1995-11-15 . COM M ERCIALIIN DUSTRIAL PERMIT APPLICATION ~ . JOB NUMBER q S\l r)(O 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726.3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK' /'5 <? Jt'lA"..j, ASSESSORS MAP' \1\ h.~b?JL- '5T. TAX LOT: CAra.r ') OWNER: ~--r- }..) IGI-foL$ ADDRESS: i ~8' IJI/\A-r I\J ~ 7 CITY' c:..l"lC.ll\llf.-r,,t;;,L{', PHONF' DESCRIPTION OF WORK'\ V\td'{\X)\\\f\) NEW REMODEL ADDITION C'J STATF' C!:>I?-e -A... \'N,thAon oo.ou\0 m"," ZIP' Q7,+77 VALUE: NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME NA GENERAl' PLUMBING:(~/I':~=~ ') .......... ./ MECHANICAL: ADDRESS CONST. CONTRACTOR' EXPIRES PHONE '(V..J ( N- ,e, V~ P~oJ(yI Co!, 17bc;.~ (JC;~ ~ ~-( tp.P.f ELECTRICAl' I PLlIMBINn I NO. ILt Single Fixture I Relocated Bldg. Inew fix. addtll I Water Service ft. I Sanitary Sewer ft. I Storm Sewer ft. I Backflow Device MECHANICAL Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs m[ I _ ~HAaGI I I I I -j j I I I $10.00 I J FEE I ~HARr.<: 4\ ') .CO I I ..." Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationaryevap. cooler Vent Fan/Single duel Vent System apart from AC or hlg. Mechanical exhaust hood and duel Permit Issuance TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN' QUAD AREA- LAND USF' . OF BLDG~' . OF UNIT~' ZONING' OCCY GROUP: . OF STORIES: CONSTR. TYPF' HEAT SOURCE: L1G HTING POWER BUDGET: WATER HEATER' SQ. FT. $/SQ, FT. VALUE SQ. FTG MAIN SQ. FTG ACCES~ SQ. FTG OTHER X X X *' '. . .:-..... TOTAL VALUE OF PROJECT PLAN CHECK FEr RCPP DAT. - I BUILDING PERMIT ' PLUMBING "\\ ) lJ{ 15% State 5% State 'L flJ_ Surcha~qe SurcharQe I MECHANICAL ~~, 3J!tJ \.' ?,.V 5% Slale I SIDEWALK- Surcharae FT. PAVING I CURBCUT FT. BY DEMOLITION 'I SUBTOTAL _ PERMITS 1 SYSTEMS DEVELOPMENT I ~j,~ I ~~",.Zl . TOTAL PERMITFEES I ~~. C/I EXCLUDING ELECTRICA' ~j . REQUIRED INSPECT,IONS . \ I \ I 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 Jnspection requested and when you will be ready for InspectIon. Requests received before 7;00 a.m. wlll~ade the same working day, requests made after 7:00 a.m. wilt be made the following work day. V SITE INSPECTION: To be ROUGH PLUMBING, ," - PAVING: After gravel is In made after excavation, but ELECTRICAL & . . place but prior to placing prior to setup of forms. MECHANICAL: No work is to asphall or concrete. be covered until these inspections have been made and approved. ~ FOO'T1NGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concrete. FIREPLACE: Prior to placing facing materials and before framing Inspection. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special Inspector shall be employed by the OwnerJ,Contractor curing construction of the following work. A copy of the special-testing reports shalt be furnished to the Building Division. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. ATTIC DRAFT STOPS & CURTAIN WALLS 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. 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. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) STRUCTURAL WELDS: Performed on the job, (2722 f) UNDERGROUND: Piumblng, electrical, gas, sanitary sewer,.'. I \, storm sewer, water and . _ 'drainage lines. To be made prior to covering or filling trenches. INSULATION & VAPOR BARRIER: To be made alter all Insulation and required vapor ~. \ barriers are.ln place but. " ' before any lath or gypsum board Interior wall covering Is applied, HIGH STRENGTH BOLTING: During all bolt Installatlon and tlghtenl~g operations, (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43.8. \~\'Y UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing, FIRE & SEPARATION WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a,11 & Chapter 29) POST & BEAM: To be made prior to Installation of floor Insulation, decking or tloor sheathIng. .LATH AND/OR GYPSUM BOARD: To be made after. all iathlng 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, GLU.LAM BEAMS: Inspecllon Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.G. STDS. 25-10,11), FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of decking or floor sheathing. STRUCTURAL MASONRY: (306 a.7) *In addition to the inspec. tlons specified, the Building Official may make or require CURB AND APPROACH other inspections of any ROOF SHEATHING AND APRONS: Alter 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. -~NAL~UM;NG-------------SITE~~N~EVIEW~OA~D:MUs~~requ:te~~~~~::nc~ of the date you wish Inspection. All project condItIons such as landscaping, parking lot striping, etc. must be completed before requesting this Inspection. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. SIDEWALK & DRIVEWAY: Aequlred 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. FINAL ELECTRICAL FINAL MECHANICAL 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 untll a Certificate of Occupancy has been Issued by the Building Division and posted on the premises. FINAL FIRE DEPARTMENT ,1\6Tmfr1M:NPilln tJ.QJ f;'lliJLrlJrLfYL(71) ,.Jj;\((;y -f-D ~ rj\~f .( r) 1i\['f)Jl';h't11\yJ '\ " / \ J(rTV10/\ i/') m----"o9,_ol.(fPy.oe--\. 't (j \t ';y'-' - 1'') () - ~. ~ . PLANS REViEWED BV DATF By sl gnature, t state and agree, that 1 have carefully examined the completed application and do hereby certl fy 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 OAS 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 constructlon. ~6~ VALIDATION: AMOUNT RECEI\I"n'~ \ 1'\/00'L4. '-' \R,E9.EI~l:': ~ \ ""\.\OL-U DateJ_!{/I_~/7.S~ . DATE PAID: _! .,,-1 L\~:~ r RECEIVED B~ \.1 C~ ~~ <i -I-0-~ Sign~!urf' . . . JOB NO. "15' 178Co CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR CaMPA 'NY : Aj2c, '" I"-H O<.S LOCATIDN: . r3B MAli< sT; DEVELOPMENT TYPE: ADDITI.N' JJJLL' fo-fBi/o/(, ~I )(TL'R€s TC <=~n"'"D2c:./ftL 13LOG, BUILDING SIZE: LOT SIZI~ SQ. Ft. I. STORM DRATNAGF IMPERVIOUS SQ. FT. X $0.21 PER SQ. FT. G'- ') '------"" .2. SANTTARY SFWFR-rTTY NO. OF PFU'S (See Reverse) ""\ X $43.43 PER PFU (3040 i) "- .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $437.93 G~ ') --- .--' X X $437.93 $ X X $437.93 $ 4. SANTTARY SFWFR-MWMr NO. OF PFU'S x $18.75 PER PFU + $10 MWMC ADMIN.FEE $ (Use PFU Total From Item 2 Above) - MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAl -MWMr sor SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ ~.- ) '---" i $ 3(''i-- 5. ADMINTSTATTVF FFFS. 8ASE CHARGE (SUBTOTAL ABOVE) X ,05 # . ;'/15 ~ -:t/C'c'j. ;Y1- 0LL/SrOZ Date: - Troy McAllister SDC Coordinator TOTAl sor G1S?e. ") '- .--' Zl $ 31'/- FIXTUR!= U.NIT CALCULATION T ~BLE:. Number of Ne~ Files X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate .O.he tlfI additional fIxtures) .. NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..........".......,.................,....,...... .:................... Drinking Fountain...................................................., Floor Drain.,......."".., '_' .;,........:.,...........,.................... Interceptors For Grease/OiI/Solids/Etc................. Interceptors For Sand/-:-uto WasI:t/Etc......oo....oo..... Laundry Tub/Clotheswasher................................... Clotheswasher - 3 Or More.......................:..........,.. Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall..............................:.................. Shower, Gang.......................................................... Sink: Bar, Commercial, Residential Kitch~n...........,............ Urinal, Stall/Wall.......,....,........................................,. Wash Basin/Lavatory, Single.............................,.... Toilet, Public Installation.... .................................... Toilet, Private..,...................:................................ Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: calculate credits separates. Ir I -z - 4/ ., Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed I [I 1979 or before 1980 1981 1982. 1983 1984 1985 1986 $3.47 3.39 3.33 3.21 3.06 2.92 2.74 2.46 1987 , 1988 1989 1990 1991 1992 1993 1994 Credit for Parcel or Land Only'lf Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Improvement (if after annexation date) = CREDIT TOTAL = $ Rate per $1,000 Assessed Value $2.13 1.76 1.35 0.95 0.58 0.41 0.29 0.14