HomeMy WebLinkAboutPermit Building 1994-2-22
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'I COMMERCIAL/INDUSTRIAL BPRINQPIBLQ
PERMIT APPLICATION ~ JOB NUMBER "7=3/9.::::>-;>
INSPECTION LINE: 726.3769
225 Fifth Street, Springfield, Oregon 97477 fi'i OFFICE: 726-3759
~6GO ~/~~,.. ">/ CJtJ Mtf1e FAflI1 trtJ40 /VC(Qf.# ~ md1 /~ Y11r
LOCATION OF PROPOSED WORK~ N::IQ17I- ff 'fiI:;' ,<;7l'f11!::=- 1l:tIce.' !2!t;;;!H:JY'. " ;/
ASSESSORS MAP: 17- L7P- /13' ~OtJ . TAX LO-r. .7/1)/1- f,?/t:J1-.
OWNER: ~171l'7 ~ l-IM{lftrP llffW:./~p PHONEf 1JtYJJ) '7:Z//....-7V?13>
ADDRESS:~Jt;t;U} 1f{{)~.' /)./0, .1tJll..lZ- .7.t!i,.~U:1qJ ~rrt? 'fI7"b ___.__
CITY: (tf<.1ZMtJ STATE: _~ ZIP: _ 'T!1'h:J9'
DESCRIPTION OF WORK: ffJt&lJ$.~ .t, ~ Off1t~Jjf=~ f1JRiI/7lIf<e-ItIl(l(://f./f?~ ~
NEW V REMODEL ADDITION DEMOLISH OTHER VALUE:,i:!lt~Otl?bU
.U::tU.i::/t:f,)
.10):10)
, (
,-
:)t'.t''J.) Ut;v. ::thl<.
.
.
NAME ADDRESS PHONE
ARCHITECT: /1?J1 !ft:1fIffiC{S:- fl?- /f/U.-~CllE/.J.[H? ~~ c1( ~(~ )VZ/l-t?757
. CONST, ' r~ (,S'D~1;;Z,(N~~
CONTRACTOR'S NAME ~~~~ .Afi!!7'U!? CONTRACTOR - EXPIRES ~ONE
GENERAL:~lCltRl/al IJJt. bW~'4'{,,- q-n/I ftJo/OO9' lit -Ie, -1LJ'itfJ;)IJjf-"I/1j?,
PLUMBING:~ ~f::i:'tb 'B.~'~~itJ.iY2- 1/171).... 1'/;~""'-'7,! ~!tt1;y'fI'Zl-"
MECHANICAL:~cAf.J '*;/IJU, _ q ~.~ 4~ ~o/lo/t3' /.vIP;~t'fif ~)m-tb{)t)
ELECTRICA" 17/ et;? ~f!:C)
NO,
DI \lMlIING
/ ~ Single Fixture
Relocated Bldg.
(new fix. addlll ,
Weter Service "I T//7'
he>tl.
Sanitary Sewer __
'7>,;)11.
Storm Sewer ,.
la~Tft.
2 Backtlow Device
TOTAL PERMIT
QUAD AREA: Ji!JJ)/J.J
- OF BLDGS'
OCCY GROUP:
- OF STORIES:
b~
/
SQ, FTG MAIN
sa FT,
-<~/-r.o
I OIECHANICAL \
1'1'1' rl"'ARGI' I I ~~~ ri
/a? ., Furnace/burner & vent
/~ < 100.000 STUs
I I S- Furnace/burner & vent 7.5'~ I
>100,000 BTUs '37.S-0j
?lP. -l I Floor lurnace and vent I
~~-1 I z Suspended wall or 1I00r 6,-1 1.2_ ~.:>I
mounted unit heater
/9 ,!)', e>bj I Appliance Venl I I
separate
7o.~1 I Stationary evap, 1 I
/.::> cooler
I I If vent Fan/Slngls :.? .co /.:0::.-" j
duct
I I Vent System apart I
lrom AC or htg,
I I Mecnanlcal exnaust I
hood and duct
I I I
I I Permit Issuance $10,00 I
~7~-J I TOTAL PERMIT I 6/.S0 I
- OFFICE USE - HANDICAP ACCESS:
LAND USE: "t).~(y) FLOOD PLAIN:
- OF UNIT~' ZONING: _n (7 /
CONSTR. TYPE: ~~/I{...<::;.;z>/t.. LIGHTING POWER BUDGET:
HEAT SOURCE: 4.crs ~A. WATER HEATER'
$/SO. FT, VALUE
X '38; flII.~k..I:";) -:::: '2If: D IO~'''':69.9. ..,,~
. ' .
SQ, FTG ACCES~ X
SO, FTG OTHER '?R\//N/_ 7:.??~ X
.
I,~t?
.
/~91-:?">
;
TOTAL VALUE OF PROJECT--=?:41Z,:e:rIC.. .".~
DATE /Z.;;-......22 BY, r2.. -...._
-
.JML N CHECK ~~?~ ~~ --"CPT_ I~o
-?: "/'~u~>> 7-,.,ovt!..;.... - 7~,or' h-_ ~.....,.. ~-'!)
." r.. ".., n"."'_.
, PLUMBING
I BUILDING PERMIT
15% State
Surcharp,e
I MEC~':;':>
15% State
Surchsrae
I PAVING ~
7:2"~~
~
-:?7$ e>t>
/ i!3. 75"
I i
~-;y%~~""" ;.. ,i"Y...il:.S' I
I . I
I ~628; ~8 I
Itt \???1 ~ {f5
DEMOLITION
2'539........
5% State
/71l, '7 ~ Surchsroe
I", .. "" FENCE
6/ . ...,.:::> VAl III' .
?tt)~SiDEWAL~~ FT,
"~,,.,... I CURBCUT
"7 J -:>. .,tt> t:+ I FT,
1->- 2~
2'?h~ '
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
H" _. c-..-
17, l't'l... "'7
Ills the responsibility 01 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 eddress, lype 01 Inspection requested and when you will be ready
for Inspection, Requests received before 7:00 a,m, will be made the aame working day, requests made alter 7:00 a,m, will be made
the lotlowlng work day.
SITE INSPECTION: To be
made alter excavation, but
prior to setup of forms,
'In addition to the Inspec.
tlons specified, the Building
X Official may make or require
CURB AND APPROACH other Inspections of any
ROOF SHEATHING AND APRONS: After lorms are construction work to ensure
NAILING: Prior to Installing erected but prior to placing compliance with the Building,
any rool covering. concrete, City or Development Code,
-------------------------------------------------------
12/02193
15:16
ti'503 726 3689
.
If'
. ,SPFD. ,DEV., SER.
.
REQUIRED INSPECTIONS
v
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
Inspections have been made
and approved.
v
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
belore any work Is coverad.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
f,amlng Inspection,
i'
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and (orms are
erected, all steel In place, but
prior to placing concrete,
FRAMING: To be made after
the rool, all Iramlng, flie
blocking and bracing are In
place and all pipes, chimneys
and vents are complete snd
, the rough electrical, plumbing
and mechanical are approved.
,
v
x
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
anCillary aqulpmentltems are
In place but belore any
concrete Is placed.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation end required vapor
barriers sre In place but
belore sny lath or gypsum
bosrd Interior wall cove,lng IS
applied. '
FIRE & SEPARATION WALL:
Located and constructed
according to plans,
V LATH ANDIOR GYPSUM
BOARD: To be mede after all
Isthlng and gypeum board,
Interior and exterior, Is In
piece but before any
plastering Ie applied or before
gypsum board Joints and
lasteners are taped and
finished.
y
)'
UNDERGROUND: Plumbing,
electrlca', gas, sanItary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or IIIlIng
trenchee.
UNDERFLOOR: PlumbIng,
electrical, mechanical. To be
made prior to Installation of
Iloor Insulation, decking or
floor Sheathing.
POST & BEAM: To be made
prior to Installation 01 Iloor
Insulation, decking or floor
sheathing,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation 01
decking or floor sheathing,
---L
SIDEWALK & DRIVEWAY:
Required lor all concrete
paVing within street right 01
way, to be made alter all
excavating complete and lorm
work and sub-base material In
place.
MASONRY: Steel location,
bond beams grouting or
verticals In sccordance with
UBC 2415.
y FINAL PLUMBING X
l' FINAL ELECTRICAL
{ FINAL MECHANICAL .~
V FINAL FIRE DEPARTMENT
~003
. ,
\
,
A'
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 01 the Stale Specialty COde
a epeclal Inspector ehall be employed
by the Ownerl Contractor during
conetructlon 01 the loll owing work. A
copy of the special testing reporls shall
be lurnlshed to the Butldlng Division,
Y STRUCTURAL CONCRETE: In
exceaa of 2500 P'S,1. (306 a,l)
x
.
STRUCTURAL WELDS:
Perlormed on the job. (2722 f)
1
HIGH STRENGTH BOLTING:
During all bolt Inatallatlon and
tightening operations, (306
a,6)
SPRAYED ON
! FIREPROOFING: U.B,C.
Standards 43-8.
y
SPECIAL GRADING,
EXCAVATlON,AND FILLING:
During earthwork, (306 a.ll &
Chapter 29)
uk'
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, lurnlshed to the Clty's
Building Division before
beams are placed, (2501 UB.C,
STDS. 25.10,11),
STRUCTURAL MASONRY: (306
a.7)
~ ~/-:h'~..':;"':';'
~-:q~ .~/ ,"
/ ,., -
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 belore
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,
~ITIONAL COMMENTS:
r no If . \'n.tQ ) ; ICjrJ rJ.. ' ',. .)
, + -,--; c!) J '1/3'7 () 1- /).::iJ), f). ';l 0,: L\nq lye ,
c.J)QC'# Y-&J(), 11125J i tJlflmlor IJ), C-;~~[lJl--P _
, PLANSREVIEWEDBYt'~--(": ~-"'-'<"'DATE "2-g.J7~
,
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 and all work performed shall be done In accordance with the OrdInances
of the City 01 Springfield, and the .Laws 01 the State 01 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 certlly that only contractors and employees
who are In compliance with ORS 701.055 will be used on this project.
I further agree t ensure that all required Inspections are requested at the proper time, that project address Is readable from the
street, that t p mit c ~~ jj07l/-ated t the front 01 the property, and the approved set 01 plans will remain on the site st all
times durin con truc 0'4. .. d 0 IJtiJge" f/bt,f""':.
Signature . - l~-r~(/J~I/r t?f ~ Date 12rU--#!/~
V ' I
AMOUNT RECEIVED: /7. / '//. 09-
, .
N?:Z7
VALIDATION:
RECEIPT #.
DATE PAID: ~.-::? '2. ..". Y'
RECEIVED BY: 4~~~ _ .
. 'pY
i .
.
'\
. NO. '1~J&fo7
.'~ ..
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: 'SMITH ~ fcJG/3:.t-1c LIMITeD at..Tt-1E.~SHIP
LOCATION: 3"'....0 GItTE:-WAY ST. l"7b3/'SOO - 5(D/4 5/()7-
DEVELOPMENT TYPE: Cc: New rur-NIT'vr-E:. SrOJeE!..
BUILDING SIZE: "='0, DOO S. ~ . LOT SIZE SQ. Ft.
12.4,000 -11,UlO'- ~"'~oo
1. STORM DRAINAGE loTAI.. !....~\I\ou~A~e."= 4b,'OOO(I.O-O.f<>1-~:.11""""
IMPERVIOUS SQ. FT. IT,(.,(a"? X $0.203 PER SQ. FT. 01?e,s"~
'-- ------
2. SANITARY SEWER,CITY
NO. OF PFU'S
(See Reverse)
-z.'7
X $42.08 PER PFU
~O?~:V
3. TRANSPORTATION
c..ol'i- ~o. 'F'UJ-lo-ll"TI.lft.E. 5"\"011.10. =- 0:'7"\ (\~SF
NO OF UNITS X TRIP RATE X COST PER TRIP
&;.0
X 0."79 X $424.31
X X $424.3l
G2(4~
$
X
X $424.31
$
4. SANITARY SEWER,MWMC
NO. OF PFU'S 20;; x $15.125 PER PFU + $10 MWMC ADM FEE $ 3~BI~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ /5 II 2<1-
TOTAL,MWMC SDC ~ C>- ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ \/'."'l\ \ c..e,
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
V '~ -p:.. '=~ ,I,? /"l't
\j Kip Burdick I
SDC Coordinator
6(.,~'? "'1)
.......... ../
TOTAL SDC $ \???I z.~
FIXTURE UNIT,CALC.ION TABLE: Numb~r of N~w Fixt. Unit Equivalent; Fixture unlls ~N~l'~: .
For remodels, calculate only the NET additional fixtures) ,- ' .
NUMBER OF UNIT FIXTURE .
FIXTURE TYpE NEW FIXTURES EQUIVALENT UNITS
Bathtub.........., .......,......,..,.. ....,....,........,......,....,.,..,...
Drinking Fountain..,..,.".,.",.,.,.,.,..",."",.,.,., ,.....".,..'
Floor Drain,....".........,.,.,.".,...,...,..,.,.,.,.,......,.,.,....,...
Interceptors For Grease/Oil/Sollds/Etc.................
Interceptors For Sa!1d/Auto Wash/Etc............,..:..
Laundry Tub/Clotheswash'er...::...::..:..:...........,:::.,... '
Clotheswa~er ' 3.or More...........:.........................
Mobile Hdme Park Trap (1 Per Trailer).:..........,.:.:. '
Receptor F9r Refrigerator jWater Station/Etc........ ,
Receptor For Commercial Sink/Dishwaslie'r /Etc..
Shower, Single'Stall.................................................
Shower, Gang..............................,............,...............
Sink, Bar, CommerciaL.........................................:. "
Urinal, StalljWal1...:.....~....:..............:.:..:,.....:..........:.:> .. '
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation..,..........................
Water Closet, Private.....................,.......................,.
Miscellaneous:
, ;;.
\
;,\.
1-
?
2
1
2
3
6
2
6
,6
1
3
2
1/Head
2
2
1
6
4
'Z
-z.
z..
\~
TOTAL FIXTURE UNITS
Z'7
CREDIT CALCULATION TABLE:
rcalCUlate credits separates.
Year
Annexed
1979 or before
1980
1981
1982
..1983
1984
'1985
Based on assessed value, If improvements occurred ilfieraiu;exation date in table.
$3.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
1
Rate per $1.000
Assessed Value
Year
Annexed
Rate per $ 1,000
Assessed Value
'-
II
j
Credit for Parcel or Land Only If Applicable 0 ."Z-/ X $ 'f707"f /5/1 -2;j
(Rate X Assessed Value)
Irnprovement ('rt after annexation date) X $ ;
(Rate X Assessed Value) , 2.)
CREDIT TOTAL = $ /5/1 -
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential...............................,.:...............:....... 0.4
Commercial...................................................... 0.9
Industrial..................................... ...................... 0.45
Govemmenta1................................................... 0.5
IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT
. The,/ol/owing project es submitted hee' .
225 FIFTH STREET ~;'r~~~~nd does not require specnlc le~~ ~~~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97411
INSPEctION REQUEST: 726-37690ni09 Ce.
OFFICE: 726-3759 Oete~
y 3.
1. LOCATION OF INST~ Signature @
3660 GATEWAY ;..
'1'_' -
, LEGAL DESCRIPTION '
n"""9-/'C\,&,&>_ ..;;-/~/.,; ';;-/~.2....
. -._ - I I.
JOB DESCRIPTION
SET TEMPORARY POWERlsHELL ELECTRI€AL
(NO. INTERIOR ,ELECTRICAL)
Permi ts are non-transferable and, expire
if work is not started within 180 days
of ,issuance or if work is suspended for
180 days.
!
2. CONTRACTOR INSTALLATION ONLY B.
,
Electrical Contractor BeaCOn F.lpr~..i c
Address 2585 Roosevplt Rlvrl
City ---E.i UP n P
Phone_4Iil-0291
Supervisor Licen~e Number ~~S
Expiration Date
10/1/9'>
..
Constr Contr. Number
"
':..':'"
, 38497
Expiration Date 1/10/94
Signature,of SU~.i~g ~lectrician
lhm.<~. S,.{TH' S 00" FURN,sO,.GS
Address 1022 SW SALMON #450
City PORTLAND Phone (503) 222-7258
OR 97205
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE: ::2_/4' ~~
RECEIPT ,: ;/~"77
RECEIvED BY: .# ~ 'L#....
. 'l '
'City Job Number 93-1907
COMPLETE FEE SCHEDULE BELOV
:Iev P9~i .!pM ial-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40,00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
'Over 1000 amps/volts 1
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00 300.00
$ 40,00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less 1 $ 40.00 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "BII above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t 14
$ 35.00
$ 2.00
28.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res ----- $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
368.00
18.40
....J..B.P.40