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Home My WebLink AboutPermit Building 1997-5-22 COM M ERCIAL/lN DUSTRIAL* PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 9.7477 ,~ .,~ ..~_. JOB NUMBER "?~~~c;l . , INSPECTION LINE: 726.3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK: ~. :?F8)""--~~ /~ ~ - . I .. . .. ASSESSORS MAP' /r;J~:?-.::::?::7-~''''''; ....-- . :~/' . TAX LOT' /!:)2"7~ti::' OWNER:~#~..-<'...,g- H.~ ~~~~ 0;-?:> PHONF' ~~~-/~::U> ADDRESS: /~~? <- .>S"~....- ~~~ Ar~~~x ~, CITY: ~~e:-~C . STATF' 4~ 'ZIP' ~?C/'~ ~ ... ,- -. , , DESCRIPTION OF WORK: NEW V REMODEL , .h~~-4Z..N:41i! ~p ~'7,~ ~/.: ADDI~q ~D~or;s1i~ OTH R e:;e:, ~~p- ~L. .,7"";-. NAME ADDRESS PHONE ARCHITECT' CONTRACTOR'S NAME AODRESS GENERAL: .p~e,/3:~~ PLUMBING' MECHANICAl' ELECTRICA" ~ CO NST. CO NT RACTO R , EXPIRES PHONE I I 1 I I F!'!' r.HARGF I I I 1 -:;?5:-1 I I I I /~.4 I I I 1 I 1 I ~4'. """I M!'r.HAN.r.AL Nn I F~~ ""l-I4~n= Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent I > 100.000 BTUs Floor furnace and vent I Suspended wall or floor I mounted unit heater Appliance Vent I separate Stationary evap. I cooler Vent Fan/SIngle I duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit Issuance $10,00 TOTAL PERMIT PLUMBING NO Single Fixture Relocated Bldg. (new fix. addtll "" Water Service /h It. Sanitary Sewer ft. Storm Sewer It. I Backtlow Device TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN' ZONING' LIGHTING POWER BUDGET: WATER HEATER' aUAD AREA' LAND US~' . OF BLDGS' , OF UNIT'" OCCY GROUP' , OF STORIES' CONSTR. TYPF' HEAT SOURCE: So. FT. $/So. FT. VALUE sa. FTG MAIN sa. FTG ACCES" sa. FTG OTHER x x X TOTAL VALUE OF,PROJECT PLAN CHECK FEe I~.'Z.S" RCPT' DAT~ BY I BUILDING PERMIT Z-:5:-- PLUMBING I ~,- DEMOLITION 15% State ~ I.<~ 5% State ~. ~~~~ ~. Surcharge -"::> Surcharoe I MECHANICAL I FENCE '~~? , VALUE $ 15% State I SIDEWALK SUBTOTAL Surcharoe FT. PE RM ITS I PAVING I CURBCUT SYSTEMS FT. DEVELOPMENT ~~- :<'-::>? -..". TOTAL PERMIT FEES I EXCLUDING ELECTRICA' 'r~",,,~ . 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 made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING, , ELECTRICAL & MECHANICAL: To be made before any work Is covered, ROUGH PLUMBING;~ ELECTRICAL & . MECHANICAL: No work Is to be covered until these inspections have been made and approved. PAVING: Alter gravel Is In place but prior to placing asphalt or concrete. ATTIC DRAFT STOPS & CURTAIN WALLS 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. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concrete. CONCRETE SLAB: To be made alter all Inslab building service equipment, conduit, piping, accessories and other ancillary equipment Items are In place but before any concrete Is placed. FIREPLACE: Prior to placing facing materials and before framing Inspection. FRAMING: To be made alter 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.l) STRUCTURAL WELDS: Performed on the job. (2722 f) UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of floor Insulation, decking or floor sheathing. INSULATION & VAPOR BARRIER: To be made alter all Insulation and required vapor barriers are In place but before any lath or gypsum board Interior wall covering Is applied. FIRE & SEPARATION WALL: Located and constructed according to plans. HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations, (306 a,6) y ~ROUND: Plumbing, ~ctrlca.~as~ary sewer, storm sewerfYJater~nd drainage lines. 10 De made prior to covering or filling trenches. SPRAYED ON FIREPROOFING: UB,C. Standards 43-8, SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a.ll & Chapter 29) .Y 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. 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). POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing. 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 after all excavating complete and form work and sub-base material In place. "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. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. v y FINAL PLUMBING J FINAL MECHANICAL / 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 reqy#?~~lnm~~""'~Jr -::5~ ~AL BUILDING:~uested 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 tha Building Division and posted on the premises. FINAL ELECTRICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY /b~- // - DATE -5'-~~9";> By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that allin/ormation 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 amployees 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 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 construction. Signature ~d~ Date S~Xl.-r1 VALIDATION: AMOUNT RECEIVED: y?~, oS- -:.7 ';-"9/'2 RECEIPT N: DATE PAID: RECEIVED BY: .c,""'--::?:;? "9 7 ~~~~ . :, . \, ';'Y~r'i" JOB NO. ""/10 So ') . ATTACHMENT B . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: cp..rrc ()i#' (;fU>v'" I-"T 0 , LOCATION: '32-5"B GM~A'1 "1r72~f..--r ( n 03> -z-z.. "U) *~300 ) l . DEVELOPMENT TYPE: ~~P~~GSO BUILDING SIZE: 6\ I ~ I lOT SIZE' <:;Q. Ft. 1. STORM ORATNAGF IMPERVIOUS SQ. FT. 2. SANITARY SFWFR-r.ITY NO. OF PFU'S (See Reverse Side) 3. IBANSPORTATTON Coc::€ ~I'"l .-- X $0.216 PER SQ. FT. $ X $44.75 PER PFU $ -- NO OF UNITS X TRIP RATE X COST PER TRIP ;;{,' , 1(" e ~ 1000 '* X . ,/,Cj3 X $451.26 ,''' $ "2-6'1- X X $451. 26 $ X X $451.26 $ 4. S8NlIARY SFWFR-MWMr. NO. OF PFU'S x$2o.69 PER PFU+$10 MWMC/ADM FEE (Use PFU Total From Item 2 Above) $ - MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ " TOTAl -MWMr. SOt: $- SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ -z.8'l ~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 zL\ $ 1'-1- '17l0"l J/I'frLL\S~fZ... Troy McAllister SDC Coordinator' Date: 5"h--z../CfJ , TOTAl SOC / 00 Z. '1 '1 :--- $ FIXTURE UNIT CALCU~TION TABLE: Number of New Fi~ X Unit Equivalent = Fixture Units' (NOTE: For remodels, calculate o.e Nfl additional fixtures) ., NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub,.,. ,."."............"",....""."""...""..,.........,....... Drinking Fountain.,.....,."",."""..".". ,.",.,.,..,............ Floor Drain......................, ,.,... ,....,..."".,.........,.,........ Interceptors For Grease/Oil/Solids/Etc......,..........' Interceptors For Sand/Auto Wash/Etc....,............. Laundry Tub/Clotheswasher.......,.......,.... ,.,."""", ,. Clotheswasher - 3 Dr More.........................,..,........ Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorlWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall..,.......",.......,......",.,....... ,..",.... Shower. Gang.."".....",.....,.........""" ,..,..,..,..,.""..,.. Sink: Bar. Commercial, Residential Kitchen........................ Urinal. StalllWall,...,....................,..".......,.""",.,.,..... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation"...".,...,."""""",.."""..... Toilet, Private..".............."........".",..,.."."..,...,.... Miscellaneous: CREDIT CALCULATION TABLE: calculate credits separates, If Year Annexed 1979 or before 19BO 1981 1982 1983 1984 1985 1986 l 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value Year Annexed $3,72 3.64 3.58 3.45 3.30 3,15 2.96 2,68 1987 1988 1989 1990 1991 1992 1993 1994 1995 X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) = = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL.......................... 0.4 Commerical......................... 0.9 IndustriaL........................... 0 5 Governmental...................... 0.5 ,Rate per $1 ,000 Assessed Value $2,34 1.95 1.53 1.11 0,73 0,56 0.44 0.27 0,13 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT