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HomeMy WebLinkAboutPermit Building 1994-2-22 ) I! "'_.,;.. i..: , , "Q'~U" (.ilHj. "tHSU ~uu~ '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