The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 1993-10-12 225 Fifth Street, Springfield, Oregon 97477 ~ - JOB NUMBER ~~~/ INSPECTION LINE: 726.3769 OFFICE: 726.3759 . . - '. ~CONl M ERCIALlI N DUST RIAL PERMIT APPLICATION LOCATION OF PROPOSED WORK: ~ ~ .#"e::;;~~.4f/It:.,,;lJp. ASSESSORS MAP' /)-rt::>2.;zg~ TAX LOT:~ y~ OWNER: ,~~ _..o~ ADDRESS: ~ ~ f A9 .~ &7-'5 CITY: h.....hL ,.,~- C/?-'t;;r- '" - . _.- , ,../ PHONF' 7cy:, -//~ STAT'" &--......-'1" . ZIP' "7/~ DESCRIPTION OF WORK' ,.;t1 VA'7'~/~ .~.-7{ ~c:=- NEW REMODEL ADDITION DEMOLISH OTHER VALUE: NAME ADDRESS PHONE ARCHITECT' CONTRACTOR'S NAME GENERAl' PLUMBING: T~~/V'~ ADDRESS CONST, CO NT RACTO R . EXPI RES PHONE . ~ ~~fr9t ( JJ~(),14~ MECHANICAl' ELECTRICA' ' 2e>~PR /17111:{f:=) PLUMBING NO. FEE CHARGE Z Single Fixture /P ~- Relocated Bldg. (new fix, addt!) Water Service ft, Sanitary Sewer It. Storm Sewer It. MECHANICAL Permit Issuance $10,00 I I I I I I I I I I 1 I I I Nn ".. "'~.o.Qr=:c Furnacel burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs Backflow Device 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. Mechanical exhaust hood and duct TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: QUAD AREA' LAND USE: FLOOD PLAIN: . OF BLDGS: . OF UNITS' . OF STORIES: HEAT SOURCF' lONING: LIGHTING POWER BUDGET: WATER HEATER' OCCY GROUP' CONSTR. TYP.' SQ, FT, $/SQ, FT, VALUE SQ, FTG MAIN SQ, FTG ACCESS X X SQ, FTG OTH ER X TOTAL VALUE OF PROJECT PLAN CHECK FEf RCPT' DAT. BY 1 BUILDING PERMIT 15% Stat,e Surcharae 1 MECHANICAL 15% State Surcharae 1 PAVING I PLUMBING 5% State Surcharae FENCE VALUE $ SIDEWALK 2~~ /.-- I DEMOLITION FT, SUBTOTAL PERMITS SYSTEMS DEVELOPMENT /7.&_ ~ CURBCUT FT, TOTAL PERMIT FEES I EXCLUDING ELECTRICAl ~-/9?7~ -REQUIRED INSPECTIONS . '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), slate 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. UNDERSLAB PLUMBING, , ELECTRICAL & MECHANICAL: To be made before any work is covered. . ROUGH ~LUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these Inspections have been made and approved. PAVING: After gravel is in place but prior to placing asphalt or concrete. FOOTINGS & 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 Slate Specialty Code a special Inspector shall be employed by the Owner I Contractor during construction of the following work. A copy of the special testing repor.ts shall be furnished to the Building Division. 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 RS,I. (306 a,1) STRUCTURAL WELDS: Performed on the job, (2722 I) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. 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, . HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a,6) SPRAYED ON FIREPROOFING: U,B,C, Standards 43-8. 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 floor sheathing, 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 joints and fasteners are taped ana finished, GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.BC, STDS, 25.10.11), FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. STRUCTURAL MASONRY: (306 a,7) MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415, 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. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. .In addition to the inspec- tions specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, 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. FINAL ELECTRICAL FINAL MECHANICAL FINAL BUILDING: Requested after the final plumbing, elec\rical. 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. FINAL. FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY DAT~ By signature, I state and agree, that I have carefully examined the completed appllcatlon 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 inspecti s re requested at the proper time, tt)at project address is readable from the street, that the permit card is located at the fr t Zhe proper and the approved set of plans will remain on the site at all times during c~s'ructlo ~ Signature ~ ~..... . ~./1/ Date / t:?-/?,- <7:;> ./" - / /'----7?J'y ---,-- & ^-J VALIDATION: AMOU~EIVE{/iq1. '7.3 DATE PAID, fiE i;J- ()t!,r9~ RECEIPT ': ~ r\)~~) RECEIVED BY: /LLU/f.f it. \ ~, . ..-' "-.. - JOB NO. ATTACHMENT Bl CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: LOCATION: DEVELOPMENT TYPE: BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S <y (See Reverse) . 3. TRANSPORTATION - LOT SIZE SQ. Ft. X SO.203 PER SQ. FT. S X S42.08 PER PFU $ J69~3<... NO OF UNITS X TRIP RATE X COST PER TRIP X X X 4. SANITARY SEWER-MWMC X $424.31 X $424.31 X $424.31 $ $ $ NO. OF PFU'S x $15:125 PER PFU + S10 MWMC ADM FEE $ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) s TOTAl-MWMC SDC $ SUBTOTAL (ADD ITEMS 1,2,3 & 4) S 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 Kip Burdick SDC Coordi nato'r 9."-11 S TOTAL SDC $ J /6. ;>~ 1,~ , ", .. " ,. (.~ ,. FIXTURE UNIT CALCULlftON TABLE: Number of New Fixtures X Unit Equivalent = Fixlure Umts,(NOTE: . ' For remodels. calculate only the 1:!!fl additional fixtures) FIXTURE TYPE Bathtub"..,..,..,.,.".,.,.,.,.,.,.,...,.,.,..",.,.,.,.".",."".,."", . Drinking Founta in",.,.,.,..",.,.,.,.,.""""",.,.,."."""."., Floor Drain....,..,...,.,...,.,.,.,.,.....,.".,.,.,.,.,.".,.".,.,.".". Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Clotheswasher........,...,..",...,."......,... Clotheswa~~er . 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor FiJr RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single 'Stall..............,.....,..,...".",.,......".,..,. Shower, Gang,..................,.........,..., ".....,.., ,.....,.,..'. Sink. Bar, COmmercial........,.,...,..",.,......,.,..,....,.,.." Urinal, SlalljWall.............,..............,.,.,.....,....,..,.,..,.., Wash Basin/Lavatory, Single....,...........,........,..,.".. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: '. ., NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = Based on assessed value. If improvements occurred after annexation date in lable. CREDIT CALCULATION TABLE: calculate credtts separates. 'I Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 Year Annexed 1986 1987 1988 1989 1990 1991 1992 Credtt for Parcel or Land Only If Applicable Improvement ('If after annexation date) ,";,.' ., X $ (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ 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 Rate per $1,000 Assessed Value $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28