HomeMy WebLinkAboutPermit Building 1994-7-29
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LOCATION OF PROPOSED WORK: ~?/~" C'::).r\~ I ""()
ASSESSORS MAP: 117 ()~ ';\(~ n( )
'.
CO M M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477.
.
L14\\~<1
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726.3759
.1 )
~ TAX'LOT:
n9S.l'D
OWNER: \ ~ co. ru 'l\ <::., ~ l \l\ () !1l'ir\ PHON~' .
~ '~ t \~ ) - ~" \ "\ '
ADDR~ 4\), :s _ __ i \. I, 2' _}").:l!L- / j2tv C:;/f/l!:'t<;~ L~, /ft//8
CIT~: (\!-, \JJl n? /::\) ,Yt0- STATE:~' 4 A ')(\ ~IP: -m \ Q..,\ ?7-{17; 7
DESCRIPTION OF WORK: \. t;o 1"\\(\ I \ M"Ln-t - ~ ~ {\ Yt \.(rnlLCS, ~\Of'S_ _
NEW)f REMODEL ADDITiON DEMOLISH ~THER ~ VALUE:~!!:
~_ e:::>
~D':0 ~9fo.a.i'J8
. NAMr-." r. ' ADDRESS
ARCHITEC~ ml~, \... ~Ql\\Cffi C1\CJuIJ
-~- - r CONST.
CONTRA~O~S NA~ ...J ,~ ' ADDRESj\n D._I \f\~, PI ONTR~?R'
GENERAL 0_ ,V.m\.UIl)(\t-:,rY'\ \J ~" \001 \n:J~~
PLUMBING'
MECHANICA' '
ELECTRICAl'
.-,
-h_
,~
NO
PLUMBING I
FEE CHARGE ~'
Single Fixture /D o/"~. 0:-
Relocated Bldg, I
Inew fix. addtl)
Water Service I
I/?" It. SIb
Sanitary Sewer -5'-'7 I
Z",!:"oft.
Storm Sewer .0 // 5"" I
~PH,
Backflow Device /" I
7'~
I
TOTAL PERMIT
1
I
-.i(Qj?a -+
EXPIR~ I ~rj~HONE
1.\Io.t.fSu/60 '.~d1J
---------
I MeCHANICAL
I Nn FFF
I ~ FurnaceJ burner & vent ~-:'"
< 100.000 BTUs
I J Furnace/burner~ent 7.-
>100.000 BTUs ~..#u
I Floor furnace and vent
I Suspended wall or floor
mounted unIt heater
I Appliance Vent
separate
I Stationary evap.
cooler
I I Vent FanlSlngle <{ ~...
due.
I Z Vent System apart r.~
Irom AC or h.g,
I Lf Mechanical exhaust o/.~
hood and duct /. ':n~ t-?
I /0 6~ ~~~
I Permit Issuan"ce
I TOTAL PERMIT
I
('1-16 Dr.; I: I
/B-I
?-
~.-
",-
/iJ..C>~
S"--
$10,00
60 . ...t>
aUAD AREA:
- OFFICE USE -
LAND USE:-.f!:.::?J)()
l(-J~h~J<~. .,. g~. y~ \'2- ~
I BUILDING PERMIT ' 8B~.-o 'PLUMBING
15% State ~)':. />
Sureharpe 2,i!; . t:r
I MECHA~L .t~? 72>.
_ 'AU?' {ff;c:>, "'-6
15% State. r ~. . '. "._0
Surcharael. 1"7 ~ / .~
I PAVING ~7. .".. CURBCUT FT. I
~2'.' &4::> I~~.:? J&-~4~t5 ~-"7...::2"/-5'Y
~r~Q=> ~#/~ .7;-LL ;bTALP~RMITFEES I
, ~?Lv~.-7'CY EXCLUDING ELECTRICAl
I (' 1) Jl..c )
[~Q-l
. OF BLDGS:
, . OF UNIT""
OCCY GROUP'
CONSTR. TypF.
HEAT SOURCE:_
. OF STORIES'
sa, FTG MAIN
sa, FT.
~~
x
$/SQ FT, '
sa, FTG i'lCCES'" X
'~. ,-
sa, FTG OTHER ~",""" l.[:^"3---:-.N'~
~ ;&;J.1I)'6 yy, ~"'#P..'J7'?'"&"~ "?-~-"9'r
.'
5% State
Surchan:Je
FENCE
VALIIF. ~
SIDEWAiK'
:~
I
FT. I
HANDICAP ACCESS'
FLOOD PLAIN'
ZONING:"-(1 1'_ ) ,
LIGHTING POWER BUOGET:
WATER HEATER'
VALUE
~,-
~~-
TOTAL VALUE OF,PROJECT
0/' t:!>&> _
- -..
..
DATE~? J q . Y4 BY ~ f f'f\.,)
,
660,-
'1IV.-
~, V"o
, DEMOLITION
1
/'.~'7 "'~w~ ~
~,I:z.
'~~~r/I
: - >d.t y C}J;t..J I
,S1~. &J..,' I
/t!!-P~p_ -,
~ ~'Li.vr.v'<
. ;%::';!f-~
, SUBTOTAL
, PERMITS ,- ,
SYSTEMS
. DEVELOPMENT
/~ 3"/<. /~
.. .REQUIRED INSPECTIONS .
It Is the responsibility 01 the permit holder to see that all Inspections are made at the proper time. To requeat en Inspection, call
726.3769 (recorder), state your City designated job number, job address, type 01 Inspection requested and when you will be ready
lor Inspection. Requests received belore 7:00 a.m, will be made the same working day, requests made after 7:00 a,m. will be made
the lollowlng work day.
SITE INSPECTION: To be
made after excavation, but
prior to setu p 01 lorms.
)<
UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
belore any work Is covered.
J(
FOOTINGS & 'FOUNDATIONS:
To be made alter trenches are
excavated and lorms are
erected, all steel In place, but
prior to placing concrete.
.-t
CONCRETE SLAB: To be
mede alter all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment Items are
In place but belore any
concrete Is placed.
-+
"
x
.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer.
storm sewer, water and
drainage lines. To be made
prior to covering or IIIl1ng
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
IIoor Insulation, decking or
, IIoor sheathing.
POST & BEAM: To be made
prior to Installation of Iloor
Insulation, decking or Iloor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation 01
decking or IIoor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415. ,
ROOF SHEATHING AND
NAILING: Prior to Installing
eny rool covering.
y
FINAL PLUMBING
A
FINAL ELECTRICAL
.x
FINAL MECHANICAL
x
)(
PAVING: After gravel Is In
placa but prior '0 placing
asphalt or concrete.
ROUGH PLUMBING,
ELECTRICAL &
MECHANI,CAL: No work Is to
be covered until these
Inspections have been made
and approved.
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 reporls shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
x'
FIREPLACE: Prior to"Placlng
lacing materials and before
Iramlng Inspection.
FRAMING: To be made after
the rool, 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.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
STRUCTURAL CONCRETE: In
excess of 2500 P,S,I. (306 a,1)
STRUCTURAL WELDS:
Performed on the Job, (2722 f)
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,
SPRAYED ON
FIREPROOFING: U.B.c,
Standards 43,8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a,11 &
Chapter 29)
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
x
GLU.LAM BEAMS: Inspection
CertifIcate by an approved
agency, furnished '0 the City's
Building Division before
beams are placed. (2501 U,B,C,
STDS, 25.10,11),
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is In
place but belore any
plastering Is spplled or before
gypsum board Joints and
lasteners are taped and
Ilnlshed. '
STRUCTURAL MASONRY: (306
a.7)
SIDEWALK & DRIVEWAY:
Required lor all concrete
paving within street right of
way, to be made after all
excavating complete and lorm
work and sub.base material In
place.
.In addition to the Inspec.
tlons specified, the Building
Olllclal may make or rsqulre
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
CURB AND APPROACH
APRONS: After lorms are
erected but prior to placing
concrete. .
A'
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date yoll wish Inspection. All project conditions such as
landacaplng\ parking lot striping, etc. must be completed before
requesting ",1s.lAspectlon,
'I"#~
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and
approved. No occupancy of .he premises can be made until a
Certlllcate 01 Occupancy has been Issued by the Building Division
and posted on the premises.
x
J FINAL FIRE DEPARTMENT
:D(\~~~e~r~rm . \ ~=/-\ 1 V\Cl"WL'< \ \\ C'i\)\L\? \\C\llV
\a+-r:~q~?-;nooll 9\\\{\~Jl:I')(i(O.l' /qlof< _~ \ \
/? ~-'
PLANS REVIEWED BY,~~ , ~~~,
",. /~
""30-? - ~ y-
By slgnature,l 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 perlormed shall be done In accordance with the Ordlna~~es
01 the City 01 Sprlnglleld, and the Laws of the State 01 Oregon pertaining to the work d~~i:rlbe,d herein, and th'!t NO OCCUPANC;Y:
will be made 01 any structure without permission of the Building Salety Division. I further certify thaI only contrac.ors and employees
who are In compliance with ORS 701.055 will be used on this project.
I further ag(ee to ..nsure, that all.requlred Inspections are requested at the proper time, that, proJ~c! address Is readable from the
street,tha~.tne permit card ISl01ated at thxnt 0 the property"and the approved set of. plans will remain on the site at all
::::,:~O:"."~:. . v<-- . b... 3 . ",. ,,)
VALIDATION:.'.. "::, AMOUNT RECEIVED:.2.....L?/;V:?: /h: : ,-C2ATE PAin.' ,.,9~:::>?,~~ y, "
"0 RECEIPT N' /C/ ~::>9 , , '\ ~ECEIVED,.BY:." '4/27.-' /-
-...... ... ..... ""
i'
. ATTACHMENT B1 '
eND. ,91-1/5"1
CITY OF SPRINGFIELD SYSTEMS' DEVELOPMENT CHARGE
WORKSHEET
(COMHERCIAL & RESIDENTIAL)
'..,
NAME OR COMPANY: R ~ <f"1 O~
/~V' j/
LOCATION: 30J2 LT__ .. )
DEVELOPMENT TYPF' n,~
BUILDING SIZE:
LOT SI7F'
SQ. Ft.
NO OF UNITS X TRIP RATE X COST PER TRIP
co P E
'iJ 3.2 3. ,"S'G. X 1(., ,.?c. X $436.19
.. X X $436.19 M/O
.
x X $436.19
/)oc /5;. 9"30
~-;;~
$ ,~- L?oO "l~7/ 9;'
$
SUBTOTAL (ADD ITEMS 1.2. & 3) $ --:l~. S7F.3~
4. SAMlIARY SFWFR-MWMC
NO. OF PFU'S lf3 x $17.19 PER PFU + $10 MWMC ADMIN.FEE $/13",11
(Use PFU Total From Item 2 Above)
"
MWMC CREDIT IF APPLJCABLE (SEE REVERSE)
IQIAI -MWMr. sill:
SUBTOTAl (ADD ITEMS 1.2,3 & 4)
$. 3s7.1'2
~/67'1~
$~S. c.,S$'.1-3
5. ~nMTNTSTATTVF FFFS
BASE CW\RGE TAL """VEl X ..5
~ ~_ Date:
/~'tJHornig. ~.
SDC Coordinator'
'..
,$ II?..}. '19
r-/5'- 9-/
IQIAI snr.
$~13?'S-1
"
B2.SDC .
llcP7,y6Y~~/ '9'<?tJi'~,4j:; 'c'
. ."
FIXTURE UNIT .cALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only the MfI additional fixtures)
. NUMBER OF
FIXTURE TYPE NEW FIXTURES
...... ~.., ,."-"
"
Ba thtub......................................................................
Drinking Fountain.....................................................
Floor Drain........................................... .....................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
laundry Tub/Clotheswasher.................. ....... ..........
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer):.................
Receptor For Refrigerator/Water St'ation/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gang. ................ ...... ...................................
Sink: Bar, C,ommercial, Residential Kitchen........................
Urinal, Stall/Wall'.. :....................................................
Wash Basin/lavatory, Single..................................
Toilet, Public Installation........................................
Toilet , Private.......................................................
Miscellaneous: ,TANI TOR'.s S,lRk
UNIT
EQUIVALENT
IJr>
2
1
2
3
6
2,
6
6
1
3
2
l/Head
2
2
1
6
4
~
FIXTURE
UNITS
:rc.
3
3
"
10
Z
3
.2.-1
2
.
?3
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980,
1981
1982
1983
1984 ,
1985
$3.46
3.38
3.32
3.21
3.06
2.92
2.73
:?
I
s-
f
3
4-
TOTAL FIXTURE UNITS =
Year
Annexed
, .
Rate per $1,000
Assessed Value
1985
1986
1987
1988
1989
1990
1991
1993
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
3,.1" X $~C>3.Ucr = t3.s-9.~~
(Rate X Assessed Value) ____
X$ =____
(Rate X Assessed Value)
Credit for Parcel or land Only If Applicable
Improvement (~f after annexation date)
CREDIT TOTAL = $ ! 3S9.~.2.
;;r G-.I'I-rEWAY~ ..(AND ASSE~S6',D @ 11 57') 3""-
, ,
" "A.<eA .: 30.J" a.vu-. ,,~ 3 .22, ~ al. " -'1./1.
!?oASre.e'5 AAtVD AI? 5A " 30,000 "f':II.
A sS'et_,/V6- "'" .P;(tJ'ptJ/? T/Dh'ATF- A.u.tJ<=.Ar....."y ",e: VA.J.tlE:
'f S'7'l ItJa. ~ :t
13.2.2.~lJ/." 30000
.=f:> 1 ~ '1/038'80 IIA.LUE 01= )"ANO ,ctJ/( ;f~A$rEe's
)