HomeMy WebLinkAboutPermit Building 1994-11-10
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
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LOCATION OF PROR9SED WORK" ~~( Q ( 9=\ffi l 6""n U Qoo._~
ASSESSORS MAP: \{'()~~ . TAX LOT: t'fJ.illlo
OWNER' ~ 1 i'nD ~~ \ \ fW ~ ~n_ PHONE: I~~~
ADDRE~~~\r)~ \ \.~C1..u) \. ) ~ Ou ) 11 O~ ?Yc . '2~;oo
CITY: '- '\" 1.1l%-Qj1 fO (\ STATE: Ji 1 0 ~ ZIP: ~7
DESCR~!,TI?N OF wo;V~ [\UJ I 1(~' ~ J\j-J~O n:t~
'NEW)( REMODEL ADDITION \ JTHER VALUE:
((}. NANFJ." _ I _ ADDRESS PHONE
ARCHITEdR.J.:::J\ leo (\ l~JI..ojl OPrnr---
CONTRACTqE\r. ~AME f\.. ADDRESS
GENER\"1 'IJ) I'(.1. ~ \. ;M \ ['1 J.J/" (- )
PLUMBING: J
JOB NUMBER
C/41~;:LJ
"\
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.37S9
CONST.
CONTRACTOR'
EXPIRESd~~~?ft)1~
MECHANICAl'
ELECTRICA' .
I PLUMBING J MECHANICAl
I NO FEE CHARGE ) Nfl I 000 ~I:!ARGE-i
I Single Fixture I Furnace/burner & vent
< 100.000 BTUs
I Relocaled Bldg. Furnace/burner & vent I
(new Ilx. addUl > 100.000 BTUs
I Water Service Floor furnace and vent I I
II.
I Sanitary Sewer I Suspended wall or floor I I ..I .
II. mounted unit heater
I Storm Sewer I I Appliance Vent ~ I I :?-I
II. separate ~
I I I Stationary evAp. I I
Backflow Device cooler
~4/k:> I r Vent Fan/Single I I '":1'.-
duel
I Vent System apart I I I
Irom AC or hlg.
I I I Mechanical exhaust I I y. $"~ I
hood and duct
I I I I I
I I Permit Issuance I $10.00
TOTAL PERMIT 19/. "2&> TOTAL PERMIT 4.1//,1/. I ,/$'.--
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN: )
ZONING:~(
LIGHTING POWER BUDGET:
WATER HEATER"
QUAD AREA:lliH )flJ
- I .
OCCY GROUP' ~.J
I
· OF BLDGS:
LAND US"'
. OF UNITS:_!
CONSTil. TYPE: \J f\.J
. OF STORIES"
HEAT SOURCE:
/b~/...?', :1.-, ,S9:'::LL'--:~"'"
SQ~FTG MAIN ~"'Tr' ./ X
s~gss /6~~ X
~~~lV~ ~ #1'J'rF? 9 X
$ISQ. FT.
5'6..::a:::>
W. "2P
/L>./O
VALUE
q/. ":3.::>/.1/;s"
1&, ,,~. 5'.0
2.jE /"?~
TOTAL VALUE OF PROJECT
5~~~.':2>
;
PLAN CHECK F&_/4':7.~ RCPP
DAT"
BY
I BUILDING PERMIT. I
15% State ~
Surcharoe
I MECHANI~~-6
f"""',A#.Tl
15% Stale "~J.:..
Surcharae 1"~
I PAVING, - I
"?<=' ~'_I PLUMBING _
/ ~'~-15% Slate "":z::zP
4 .I:Z Surcharae 1'-~
/h. . - I FENCE
~"7 . -e> VALUE $
.~ ~I SIDEWALK
---.J CURBCUT
.., /. :20
~.>&
~-~
OEMOLlTlON
FT.
I. SUBTOTAL I /~
PERMITS 7'5'5. cf)2,
~STEMS I f
DEVELOPMENT I () 'if' /. ~O
7q',qA'>.1"~A""'~ :.<: 77 ,c=-c:::>
FT.
/,V.c:.
TOTAL PERMIT FEES
EXCLUOING ELECTRICAL
-.;"~9, D z.
. REQUIRED INSPECTIONS ·
It Is the respanslblllty af the permit halder to see that all Inspections are made at the pr"per time. Ta 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 wark day.
SITE INSPECTION: To be
made after excavation, but
prior to setu p of forms.
x
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any wark Is cavered.
.%
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms afe
erected, all steel In place, but
prior to placIng concrete.
CONCRETE SLAB: Ta be
made after alllnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment Items afe
In place but before any
concrete Is placed.
K"
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. Ta be made
prlar to covering ar filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prlar ta Installation of
flaar Insulatlan, decking ar
floor sheathing.
I"~
POST & BEAM: To be made
prlar to Installatlan af flaor
Insulatlan, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: Ta be
made prior to Installation of
decking or flaor sheathing.
MASONRY: Steel locatlan,
bond beams grouting ar
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverIng.
/-
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete: ,.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is la
be covered until these
inspections have been made
and appraved.
SPECIAL INSPECTIONS: In accardance
Section 306 af the State Specialty Code
a special Inspector shall be employed
by the Ownerl Cantractor during
constructlan of the fallawlng work. A
copy of the special testing reparts shall
be furnished to the Building Dlvlslan.
ATTIC DRAFT STOPS &
CURTAIN WALLS
11
FIREPLACE: Prlar to placing
facing materials and before
framing Inspection.
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.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening aperatlons. (306
a.6)
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.l)
STRUCTURAL WELDS:
Performed an the Job. (2722 f)
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INSULATION & VAPOR
BARRIER: Ta 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.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
Chapter 29)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.6.
.x
J(
GLU.LAM BEAMS: Inspectlan
Certificate by an appraved
agency, furnished ta the City's
Building Division befare
beams are placed. (2501 U.B.C.
STDS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
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 baard Joints and
fasteners are taped and
finished.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made alter all
excavating complete and form
work and sub-base material in
place.
Oln 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.
CURB AND APPROACH
APRONS: After farms are
erected but prior to placing
concrete.
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FINAL PLUMBING
-------------------------------------------------------
A'
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 befare
requesting this Inspection.
x
y
FINAL ELECTRICAL
FINAL MECHANICAL
-4-
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 af Occupancy has been Issued by the Building Division
and posted on Ihe premises.
.I FINAL FIRE DEPARTMENT
A~~n?NAL COMM6NTS' ~ "
\J\'\Q ~ ~.~Qf lJ:'\tiUu1P (l t;/;JAtf 01
\ ~4l, rll+-J04H ) st\<r\i\HlrJl()to)~ ,\C\l~
_. -
PLANS REVIEWED BY / ~ -- ~'--'
I 'l' '~n~ .
DATE
/r2~-...r
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 tho.' Orstlnances
af the City af Springfield, and the Laws of the State of Oregon pertaining ta the work described herein, and that NO OCCUPANCY
will be made af any structure wlthaut permission of the Building Safety Division. I further certify that only contractors and employees
wha are In compliance wllh 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 appraved set of plans will remain on the site at all
times dur g c~nstructlon.
cAVa v1ab Cr/tit(
AMOUNT RECEIVED: -dJO(F ,b 'L--
RECEIPT ': \ ~ l'J:x \
~ ,J\.\'
VALIDATION:
Date
((.!f) -q4
I
DATE PAID: --r-P \ I .1 ~. .Y4~
RECEIVED BY: ~lfy\;J
. ATTACHMENT BI
__ .?~ NO. 99/-S'?2
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
SHEET
RESlDENTlAL)
NA'1E OR COMPANY: 5A1~ /.S
LOC:\TION: Ii? ~ /1 ~ K~.
DEVELOPHENT TYPE: ~ i~ .~ ~
BUILDING SIZE: lOT SIzE
1. STnRM nRATNAGF
5Q. Ft.
?E-'?/d/T
fWO ~99-13 S~
IHPERVIOUS SQ. FT.
..... _.-........
X SO.209 PER SQ. FT.
$ I ,oL"" ...., - ..
-b-~ ......... - ..;.. I} ~
-.z.",v..:;
2. SANTTARY SFWFR-CTTY
NO. OF PFU' S .
r S~:o '~-"\':or<-")
\ t:'.... 1'\.... '- ___
II
X 543.26 PER FFU
C f 7S. 0
~. 1~~J~';':~~'T:::.TTr)i'J
NO OF u:ms X TRIP RATE X COST PER TRIP
;it-
j X j,() I X S436.19
(4-10-5'2)
v
^
X~4~6.1S'
s
X
XSI2,6.~S
S
SU3TOT.AL (6,DD ITEMS 1.2. & 3) $ 9/t,.-tJ..
4. S.L.NiT.:::.RY Sf:"WFR-~1~.:r..t
"1'0 Orc:; "'S /1 x q7 jQ c.c~. DCILI + c,c. 'hil.'f' 6"~lTI" ~~E S ) 60.00
I. r U _ _ . _ -' r....1'\ . I _ _ iJ II.., I\". ,.;.).,. ~ . r t. I 1, I
(Use PFU To al From Item 2 !'Dove)
SUBTOTAL (ADO ITEMS 1.2.3 & 4)
$ ?s. <<>0
s C!!3~ +'0
$ I 0 2 f. f' 0
KwMC CREDIT IF APPLICABLE (SEE REVERSE)
TniAI -MWMC snc
5. AnMTN1STATTVF FFFS
BASil CHARGE ;S;~Jn9~ ABOVE)
K~~
/ Ha\-y\ Horn; g. P.il)
SDflCoordi nator
X .05
~J,5'{))
( ~ '-v~
Date: /0 -...v- 79-
TnT AI snc
$ 10 '8/.1'0
B2 . SDC .
~ BASE./) 0/'1 [)ISCuS S/Crl
""/11l0IlE7 10.;<1- 'to? .
"
FIXTURE UNIT CALCUL.N TABLE: Number of New FiXI.X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only the ill additional fixturesl
NUMBER OF
NEW FIXTURES
FIXTURE TYPE
Bathtub.......................................................... -...........
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 11 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single StalL...........................:....................
Shower, Gang................ ...... ....... ........ ......... .... .... ....
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StaIlNvall..:................................... .................
Wash Basin/Lavatory, Single..................................
Toilet, Public Installation........................................
Toilet, Private.......................................................
Miscellaneous: ,T),;o.// TCRS S1"'J:'
/
/
TOTAL FIXTUP.E UNITS
UNIT
EOUIV ALENT
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
..z
=
FIXTURE
UNITS
z
L
z..
4
II
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table.
calculate credits separates.
I
I
Year
Annexed
Rate per $1,000
Assessed Value
P.ate 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
Credit for Parcel ar Land Only If Applicable
Improvement (if after annexation datel
Year
Annexed
1985
1986
1987
i988
i989
1990
1991
1993
. 5..f~ X $ 24. 7-9'0
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
=
=
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
,;
J
ifs-.(;,-(j
~
CREDIT TOTAL = $ ?S-.CdJ
.
o !!.'!i!I~';!!!!!,\!!~
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Job No. ~~ /'782-
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME:
<"~.cA'"'..v"'8 C~P.
PHONE: ?~6-J2 y~
ADDRESS: ~'T'~ ~.t:~~ ~ c;.,.y.
STATE~' ZIP -0...."7/'
lOCATION OF JilROPOSED BUILDING SITE:
Street Address if Known: 81T6 ~~~ ~.z>.
- , .
Platt Name:
Tax lot Number: ~2 ';?-ce:>_C:>2-~t"Ii6,
.
,.
1. DEVelOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the backJ
A. Sinl!le Familv - Detached
Single Family home
NO OF UNITS
B. Sinl!le Familv - Attached
NO OF UNITS
C. Multi-Familv Aoartment
NO OF UNITS /
D. Manufactured Home Park
NO OF UNITS
WPRD SDC
Manufactured home not in a park
X $400 PER UNIT _=
$
.
X $370 PER UNIT =
'$
X $277 PER UNIT =
$ 'Z 77
X $280 PER UNIT =
$
$
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet. $
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit! $
Ca~c~e~~--j
..... . r..... _ .-r~ _ I ..J
// I 2. I '7'V
Date