HomeMy WebLinkAboutPermit Building 1992-7-10
COMMERCIAL/INDUSTRIAL. SP~'NGF'ELD
PERMIT APPLICATION ~
225 Fifth Street, Springfield, Oregon 97477 ~
LOCATION OF PROPOSED WORK: ::;;<aI!.L -5 7[; A ,Jd'1A.f
ASSESSORS MAP, n - 0 ;;< -;< 'S .', ~ C <) t- '-lO I
I
OWNER' 'V'v1 Clj!\^ [) & ~
ADDRESS 93.3 7r? 'A/~ 97'
CITY- ...J vi --n c--+,~,.J C,' t.7
I
.
JOB NUMBER 92Z/~"37
INSPECTION LINE: 726.3769
OFFICE: 726.3759
/0,4- J
saN
4~J (/
TAX LOT:
PHON'" 7'1"7-//2()
STATDe.; ,
, ,
ZIP: q;> 'Y~y'
DESCRIPTION OF WORK: ~&d 'il11; /0"':-..... c c; O/V.~ /"',.. A~^"
;;
NEW ,./ REMODEL ADDITiON DEMOLISH OTHER
NAME
ARCHITECT, '2?rA.vr.h /!:-/<J(; //1-" '"--./'. '^' c.
, I t
CONTRACTOR'S NAME ~DDRESS
GENERAL: /'l'q" '0,.... n <::.h.-c c:50?
PLUMBIN'"
MECHANICA" ~~ '
ELECTRICA' ,....j, 1::. (...
.s . Ko,.,
~/ ec~:.c
I
I NO,
1 ze Single Fixture
I I Relocated Bldg,
(new fix, addt Il
'i<'Ifir> Water Service
"',.. ,.; .I=/~ 5~v/~ It,
12S" 3.s I sanltary'sevier
!Z'''t.;;:S" Storm Sewer
I I
I
I
1
I
I
1 TOTAL PERMtT
PLUMBING
It.
It,
Backflow Device
OUAD AREA:
,-~I ^)~
. OF BLDG,~'
OCCY GROUP'
. OF STORIES:
SO, FT,
SO, FTG MAIN
/L/O.D~e;,
SO, FTG ACCES~
VALUE: /,.? /??''//-d.- I
ADDRESS
~/U{J.,C;f) P-J.
1 CONST,
CONTRACTOR'
t5:f-l ~./
, --V
PHONE
7
EX~RES PHONE
.7L/7-/ /07<....')
I MECHANICAL I
FEE CHARGE I Nn 000 ("HARr,~ I
1.0 -;z&:;luj Furnacel burner &. vent 1
< 100,000 BTUs
Furnace/burner & vent I
> 100,000 BTUs
,y'4C>~- --- - I
c;loV";:-- Floor furnace and vent
/.faa, .,.. 1 Suspended wall or floor I
mounted unit heater
4'~.-1 Appliance Vent I
separate
117.-1 Stationaryevap. -I
cooler
1 Vent Fan/Single I
duct
I Vent System apart I
from AC or htg.
1 MechanIcal exhaust I
hood and duct
I
I Permit Issuance $10,00
I /;9,1$5. ""'I . I
TOTAL PERMIT
- Oi114~
LANDUSE:~
HANDICAP ACCESS:
FLOOD PLAIN:
. OF UNITe, lONING:
CONSTR. TYPE: ~-N.<P.R. ~~~IGHTING POWER BUDGET:
, .. /...- .
HEAT SOURCF' WATER HEATER'
$/SO, FT,
X 2~_"'?a
VALUE
? . '::/'3.0. ,0":>"-'. .,. I>
X
~~ ~/ .:?J?.#/,X':';>----;-e- //9. ,,>&>O?P _
> -
17'9.:2 60. 0","
TOTAL VALUE OF PROJECT..? ~.oq.::ii' ~&, .....
. .
SO, FTG OTH ER
PLAN CHECK FE.E "2'(,:; 5~. 7'::; RCPTN L/ZI!:5"
I BUILDING PERMIT
15% State
Surcharoe
I MECHANICAL
15% State
Surcharae
1 PAVI NG
t/~ ~_ o.::s
-203, 7'c?
h./.'3.=
DATE &f-R-92..
BY /:.?-
'" '"
I PLUMBING
I DEMOLITION
I
I
I
~ U~3Jr;; l
r; {&.'18<1 e ,
1~5:-t>
99.25"
5% State
Surcharge
FENCE ..
VAlljF $'"3L>75:~ I
SIDEWALK- 1
FT,
FT, I
""5": -=-
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
CURBCUT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
'23; f/JI,'7.57
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.
X SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
. REQUIRED INSPECTIONS .
x
ROUGH PLUMBING.
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
)('
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
.before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
~
)<
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.
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.
)(
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.
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. '
Jf
,
y
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
)(
FIRE & SEPARATION WALL:
_" Located and constructed
. according to plans.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
A
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 and
finished,
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing.
FLOOR INSULATlON'&
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
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.
MASONRY: Steel iocalion,
bond beams grouting or
verticals In accordance with
UBC 2415,
ROOF SHEATHING AND
NAILING: Prior to Ins'alling
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
1
x'
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 Building Division.
x
STRUCTURAL CONCRETE: In
excess of 2500 P,S,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)
,
SPRAYED ON
FIREPROOFING: U,B,C,
Standards 43.8,
Y SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Ch~ter 29L
?Jvve- r C;:)-.~);~:-~ i-..
r G .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),
STRUCTURAL MASONRY: (306
a,7)
"In addition to the inspec-
lions 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~LU:~NG---------- ;(-SITE~~N~EVIEW;~~D:Mus~~requeste;~ay~~:::~
of the date you wish inspection. All project conditions such as
Y landscaping, parking lot striping, etc. must be completed before
FINAL ELECTRICAL requesting this inspection,
X 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
/' FINAL FIRE DEPARTMENT and posted on the premises,
ADDITIONAL COMMENTS: ~p~ ~~ /~4 ~<' .i 4>.- ~
~~We-~' ~?-~~~./~ ~~L-c.,,'Y~~
~. 4J:- ::J..()4. 'f 4 ~ t 1YI p ~ {U _. -
~ .
,{
FINAL MECHANICAL
~-'//.~
PLANS REVIEWED BY /'~>---...<:2._ 0';;- -:7 DAT~ ~ -/fi?~~
, P/'- I' P<(eY/5eZ;::>
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 afld 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 r c Is located at t ont of the property, and the approved set of plans will refDain on the site at all
times durin 0 tru ion
)
Signatu ,
t-I' #--r---e.
jI . /
AMOUNT REC~ED' 7_~ 32- 3.07
. c:; c::; / $?. r
VALIDATION,
RECEIPT #:
Date~//()/9~
DATE PAID:
RECEIVED BY'
~I::I;L
. . JOB NO. :12.0"73,_
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(PROFESSIONAL OFFICES & INDUSTRIAL)
NAME OR COMPANY: tV/A ~oR Dc. FoE: (BL- Uc. WA--n=-~ BOAi>
LOCATION: 52-80 i-I/c..-r1 BANKS RD. /102--;"''000 - <tol
DEVELOPMENT TYPE: Lf.J DuSifI!.JA 1..- MANIJFA-C--iIJr<:r'N6 rAU/... Ii"'; 1 WA~f:ffll/SC
BUILDING SIZE:
/00,000 sQ,.,:-r. LOT SI7F
SQ. Ft.
I. STORM DRAINAGE
, Pfl..!tIN/tC:>€;' HftNPI..f:.D OH S,-rf:.-
IMPERVIOUS SQ. FT. 0.5 x AI/A X 50.186 PER SQ. FT,S -e-
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is UnknO\-m)
2. SANITARY SEWER-CITY
NO. OF PFU'S 0.5 X <5~ X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
$ /D2/~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
u>Of; 1'70 0.5 X
'50
X .75
X .7'-1
X 5388.61
)$ ----.
7z..e,,,,ti
$ ll5q~
----- ---
$
CADe ,'-/0 0.5 X
';0
X $388.61
0.5 X X X $388.61
(See Attachment C To Determine Trip Rates)
?o
SUBTOTAL (ADD ITEI1S 1,2, & 3) 5 ISL../"'1l-
4. ADMINISTRATIVE FEES
~,:,SE CHhF:GE (SU31Cn;.L .~.30'::: " .;".:~
"
T/'-f ~
"
5 I &?- -71..-
TCT.!I,L - C ~ TY ~:..oi-,
5. SANITARY SEWER-MWMC
NO. OF PFU'S t:;"? x $1.3.25 PER PFU + S10 r1W~1C ADI-IIN. FEE
(Use' PFU Total From Item 2 Above)
TOTAL SDC
27
$ 7/2. -
$
$ 7 /2- ~
s I (, '1 f>'/- <11-__
I-IWHC CREDIT IF APPLICABLE (SEE REVERSE)
V'~~ '1 ~~//q'1-
\lKip Burdick / I
SDC Coordinator
TOTAL-11vJI-lC SDC
FIXTURE UNIT CALCU~ION TABLE: Number of New Fi>.1ureeunit Equivalent = Fixture Units (NOTE:
For remodels, calculate only the ~dditional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub."."."."."., __, __,.".,.,.,.,.,.",.,." --,.".".".".".".,,'
Drinking Fou ntai n".""",.,.,."".".,."""""""., --"."",.,
Floor Drain""."."., __"."., --., -- -- --"""""" --"."."." --,.",.
Interceptors For Grease/Oil/Solids/Etc...____........__
Interceptors For Sand/Auto Wash/Etc......______...__,
La undry Tub /Ciotheswasher. __.,.,.,.,.".".,." ..,.",."."
Clotheswasher - 3 Or More__....__.______..............____..__
Mobile Home Park Trap (1 Per Trailer)........__.......,
Receptor For Refrigerator fWater Station/Etc......__
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single Stall..,.......__________..__....,..,.......__..__..__
Shower, Gang.,.,,' ",." "." ".,.,."""'" ,--"".".", ":,,, "'"
Sink, Bar, CommerciaL.____________....____.......__....__.....,..
Urinal, StallfWaIL,__,__" ".,__.,.,." ,., ,.,.,--,--" "'."--,.,,.,,,.
Wash Basin/Lavatory, Single__....____.......................,
Water Closet, Public Installation____.__...........__....__...
Water Closet, Private__.....________________.............,..__......
Miscellaneous:
'-t
13
Co
2
1
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
F3
B
" "
TOTAL FiXTURE UNITS
'S:>;,
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calcuiate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Val ue
1979 or before
1980
1981
1982
1983
1984
52,66
2,64
2,53
2.41
2,19
2,04
1985
1986
1987
1988
1989
1990
51,69
1,35
1.15
0,92
0,59
0,23
-.J
Improvement (if after annexation date)
X 5
(Rate X Assessed Value)
X 5
(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
IndustriaL__..............__....__..__, ..__....__.... ....__......, 0.45
Governmental,.", '" ",.".".", "'," '" '" """" '" ","" 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT