HomeMy WebLinkAboutPermit Building 1994-7-21
COMMERCIAL/lNDUSTRIAL ·
PERMIT APPLICATION
225 Fifth Street; Springfield, Oregon 97477
~
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JOB NUMBER
9~e~ 7 C,
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK'
ASSESSORS MAP: J 7 /? ~
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TAX LOT:
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OWNER'
ADDRESS'
CITY' '
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STAT'"
PHON'" ~~
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ZIP:
DESCRIPTION OF WORK'
A?PJ>>zL.)'7Jh"JC
,-
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
ADD RESS
CO NST.
CONTRACTOR #
EXPIRES
PHONE
GENER!' '__
PLUMBING'
MECHANIC! ' '
ELECTRICA' '
. '
I PLUMBING 1 MECHANICAL
I NO. FEE CHARGE I toln I ""I' (,,~llRnc:
I ;: Single Flxlure ~.O~ Furnace/burner & vent I
< 100.000 BTUs
I Relocated Bldg, I Furnace/burner & vent I
(new fix, addtl) > 100,000 BTUs
I Water Service L5"c:> '2.S.~ Floor furnace and vent I
It.
I Sanitary seweL:: ~l) 2..5; #fI I Suspended wall or floor
'-4 t ft. mounted unit heater
I Storm Sewer ~ .... ~I Appliance Vent
rft. separate
I 201. _;tfj~1 Stationary evap.
Backflow Device cooler
I P/Ab L.Nt:'- ..(5::/ 2. 5,.,.c I Vent Fan/Single
duct
I I Vent System apart
from AC or hlg,
I I Mechanical exhaust
hood and duct
I I
I :z 70 ~ Permit Issuance $10.00
I TOTAL PERMIT ~~-i~ 1U1 I TOTAL PERMIT
QUAD AREA'
LAND US".
- OFFICE USE,-
~
~:..~
HANDICAP ACCESS:
FLOOD PLAIN'
# OF BLDGS'
# OF UNITS:
ZONING'
OCCY GROUP'
# OF STORIE,~'
CONSTR. TYP'"
HEAT SOURCF'
LIGHTING POWER BUDGET:
WATER HEATER'
So. FT,
$/SO. FT.
VALUE
SO, FTG MAIN
SO. FTG ACC"cC
x
X
SO, FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEF
RCPT>
DATI'
BY
I BUILDING PERMIT
15% State
Surcharoe
I MECHANICAL
15% State
Surcharae
I PAVING
PLUMBING
., -- -?-0J"7o' co..- -')L1TION
c .~/ '''"'D "
'_ v' __1-;]. ~',.~ - w
,.p" ,H.~,d, 4,10 __ '
- --- 1#'
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
"
CURBCUT
FT.
FT.
I SUBTOTAL
, PERMITS
I"SYSTEMS
DEVELOPMENT
...... to,
. ~'..
"
I
I
'. ,',
, ' '
, 'I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
, .
1...eri, ~O
?~qlqtl
.
.
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. 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, ~~~UGH PLUMBING~ PAVING: After gravel Is In
made after excavation, but E[ECTRICAL & place but prior to placing
,', prior to setup of forms, MECHANICAL: No work Is to asphalt or 'concrete,
be covered until these
Inspections have been made
and' approved,
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 State Specialty Code
a speCial Inspector shall be employed
by the Ow'nerl Contractor during
construction of the following work. A
copy of the special testing reports shall
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.
~NDERGROUND:P ~In '
~Ie tr1ca.l....gas. .anitary sewer
storm sewe.r ater n
. ral nage lines. 0 be made
prior to covering or fllUng
trenches. I r/,of,& u....:;i;
UNDERFLOOR: Plumbing,
electrical. mechanical. To be
made prior to Installation of
floor Insulation. decking or
floor sheathing,
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)
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, e
~~,~
~Iite' & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
Durlng'all bolt Installation and
tightening operations, (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43,8.
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 an"y
plastering Is applied or before
gypsum board joints and
fasteners are taped and
finished, - 7, "..".
, .
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 placed, (2501 U.B,C,
STDS:25-10,11).
STRUCTURAL MASONRY: (306
'a.7)
FLOOR INSULATION &
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 atter all
excavating complete and form
work and sub.base materIal In
place.
,
MASONRY: Steel location,
bond beams grolltlng or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to .placlng
concrete. '
'In addition to the Inspec,
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
~AL PLUMBING
FINAL ELECTRICAL
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 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.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DATF
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information
heretn 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 per.mlsslon of the Building Safety DIvision. I further certify that only contractors and employees
who are in compliance' with ORS 791.055 will be,used on this project.
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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, arid- the approved set of plans will remain on the site at all
times during construction,
Slgnatu~~
C:::~J:15 A-, ~NY/7J.I
Date
...,... 2~'f
7/::Z//5'-f
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VALIDATION:
AMOUNT RECEIVED: 2,.'5' /. <:;;0
14t:;;c;.
RECEIPT .'
DATE PAID:
RECEIVED BY'
.
. JOB NO. .:1..40(" 1("
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL ~ RESIOENTIAL)
NAME OR COMPANY: ~ ~: v:L " . r.a.-.n;d. ~., S ~
LOCATION: 1/9:< G~ .'7...,
j' v
DEVELOPMENT TYPE: ...i~ ~ d . - - /.'. L,.-I /",..~ 7:_.k-
, I .~
BUILDING SIZE: &Pl/B 1/C., PAWdr.-:/Q8So LOT SiZE - SQ. Ft.
, .
':1. STORM DRAINAGE
IMPERVIOUS SQ, FT. s~j' /.Vor..
X 50.203 PER SQ. FT, ~~
')
......
2, SANITARY SEWER-CITY
NO, OF PFU'S
(See R.everse)
,21-
X 542,08 PER PFU
0009. ~
'--- ----
3, TRANSPORT A T ION
NO OF UfHTS X TRIP RATE X COST PER TRIP
x
X 5424,31
Gl0'l4~
'-- .....-
S
S
/1.7
x (),J9 X 5424,31
X X 5424,31
4, SANITARY SEWER-r'lWI1C
NO, OF PFU'S .2-1 x 515,125 PER PFU + 510 MWMC ADM FEE 5 S ~3. "0
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) S C,I-!." Z
TOTAL-MWMC SDC ~
- <...........' .-/
SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5 4/c>"I.~1
5, ADMINISTRATIVE FEES
~HAR~~(S~OTAL ABOVE) X ,05
:"/"\) /!~ '1-/F'1~
/ s~~; C~;~'~~t~r
(20~.~
TOTAL SDC S 430'1. "3
VUo,:TIrTe D
/'IOTF: A.I.L MAINA6-& IS . DISPDs&l> OF" "N 5/TE V'/A : I)(PEIta>.t.A-TltI;V I'''/>,O J 2) oVEIlJ.ANO
1IISIOF/I-T.tA-7~;V" SIUAI-$ uy'F/(P:;Yt:./'ll>~A/N(PDWN'II/'-'-) c.~r-,,~P AND 3) /)"ey kJF.t.I., JI!&TifD~$
If.2 A,('S Pt>'< /,A'(,J://V(,. .t.t>r A.t.&f.$.J #$ IS Sr~/';TI-'" ;=t>~ ~""P IJ.RA/A/S.
'"
.,~ .... ~ ,,".0:_
FIXTURE UNIT,CALCULATION TABLE: Numl'l'1 oINl'wFi,I"'l'~X Unit Equi\'~Il'nt c Fi.1ure Units (NOTE
For remodl.'ls, c.~lcul~le only Ihe. ;tddi:ion,,1 1i\ll11l':') .
' Nl'l,mm OF L':,lr FIXTURE .
FIXTURE TYPE NEW Fl.X1UfiE5 COUI\'/.LEIH UNITS
Bathtub..........,............................." ..,.,.............. .......,
Drinking Founl~in........."...,."....., ,'........,................,
Floor Drain..." ..,.........,..,.".."..'.',..,",......,.".,.,.,., ,....,
Interceptors For Greasl.'/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc.........,........ .
Laundry Tub/Ootheswasher.....,...,........"....,..........
Ootheswa~er . 3 Or More.......................,............,
Mobne Hdme Park Trap (1 Per Trarrer),..,..............
Recep)or F9r RerrigeratorfWater Station/Etc........
Receptor For Commerclal Sink/Dishwasher/Etc..
Shower, Single :Stall.......,...................,..,.....,............
Shower, Gang,..............................,....,......,.............,
S!nk, Bar, CommerciaL..........."...............,......,:......
, Urinal, Stall{lVall.......,...,....,............,........,.............,..
Wash Basin/Lavatory, Single..,.....,.....,...................
Water Ooser. Public Installation................,........,..,
Water Ooset, Frivate......................"..,..,......,.....,....
Miscellaneous:
.,
~
J
G
2
6
6
1
J
2
l/Head
I 2 Z.
I 2 :z..
:l. 1 ~
.3 6 I~
4
TOT;.L FIXTURE UNITS
=
Z-T
CREDIT CALCULATION TABLE: 6as~j on assessed value, If improvements occurred af1er annexation date in table,
calculate credtts separates,
r = -1'
Year Rate per S 1,000 Year Rate per $1,000 I
Annexed Assesse-j Value Annexed Assessed Value
1979 or before $3,21 1985 S 2.24 I
I
1980 3,13 1937 1.93 I
I
1931 3,03 1988 1.57 I
.1932 2,503 1S3.9 1.18
i
1983 2.82 1m 0,79 i
1934 2.63 1991 0.44 ,
~ I
'1985 2.51 1992 0,28 1
Ii
.. ~.2/ $ /7/. -?1~ (.,/-1. C; Z
Credit for Parcel or land Only If Applicable X =
(Rate X Assessed Value) ---
Improvement [If after annexation date) X $ =
(Rate X Assessed Value) = $ c./~. (;, z..
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Resident iaL..... .....,...............'..,....,.. ..,............. 0,4
CommerciaL,..,....,......,..........,........................ 0,9
I ndustri?L,.,........, ..........,... ......,...........,..,....,.... 0,45
GovernmentaL....,.............,.............................. 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT