HomeMy WebLinkAboutPermit Building 1993-10-11
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LOC!,\TION OF PROPOSED WORK:77D
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JOB NUMBER q 3/~03
COM MERCIALlIN DUSTRIAL
PERMIT APPLICATION
INSPECTION LINE: V26.3769
OFFICE: 726.37S9 .
225 Fifth Streel, Springfield, Oregon 97477
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TAX LOT:
/7
OWNER' $-..l,^ Re 't-;r-E.> MPiAt- (' t>. r {). .
ADDRESS: 71,,,:;- ('0 <'VI ~('(' it: \ 5:T
CITY" <'Cl \~UV\. .
PHONF'
DESCRIPTION OF WORK:
It)
1\J6-
STATE: _~R.
tJ '" ; t AJ~L tr''''- i1:, p~t;--;y
ADDiTION 'X DEMOLISH OTHER
ZIP' q/<-=? D I
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-./
VALUE:
,
:
NEW
REMODEL
NAME \ ADDRESS
ARCHITECL-CIIs-t::/meG.J'S {~l"o~c'.c.,\sJ /'~>..-~.
r '1. CONST.
CONTRACTOR'S NAME.....^ .'h . ADDRESS CONTRACTOR'
GENERAL: ~^ 00 '\t!)>.rf\PII\t (\~J"? ~f-"''5(')
y
PHONE
<_' L' ",,':' 1
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EXPIRES
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,.
~R-"'777,
PHONE
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I
PLUMBING:
l!,
MECHANICA' .
ELECTRICAl'
I PLUMBING I MECHANICAL i
I NO. FEE CI-lARGE II~ ~~E- _CHAR~
I 7"~ Single Fixture /.t? ~a? Furnace/burn!H & vent 6 ".00
<100.000 BTUs
I Relocated Bldg. I Furnace/burner & vent
(new lix. addtll > 100.000 BTUs
I Water Service I Floor turn,ace and vent
II.
\, Sanitary Sewer I Suspended wall or floor
ft. mounted unit heater
I Storm Sewer SS- Appliance Vent
~II. separate
I Stationary evap.
Backflo~ Device cooler
I /P Vent Fan/Single "3 ~t?"'...f
I duct
I Vent System apart I
Irorn AC or hlg.
I Mechanical exho.ust I
hood and duct
I I
I Permit Issuance $10.00 I
I TOTAL PERMIT 7"$S' I TOTAL PERMIT ,%001:>1
OUAD AREA:
\ \Z.\\ 'i..U
- OFFICE USE -
\ \:?-A.
\(""
CONSTR. TYPE: 'S",^:/ ~
HANDICAP ACCESS:
LAND USE:
'~
FLOOD PLAIN'
ZONING: ~ r\Q J
. OF BLDGS'
OCCY GROUP: ~R - 2-
. OF STORIES: ,/
. OF UNITS:
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
SO. FTG MAIN
,
SO. FT.
S'3'5'S
S/SO. FT.
VAcUE
'7"""" ~c>
,
SO. FTG ACCESS
SO. FTG OTHE~ '7
~ . "'-'
X
X
X
-
~)- .
TOTAL VALUE OF .PROJECT
~- --
PLAN CHECK FEE
<tJz?-'1'
RCPT' ./.&2. '1 ;1
DATE 1'~:J /.,.?
Byd~
I BUILDING PERMIT
15% Slate
Surcharoe
I MEC~;~A.~ 7;?
15% State
Surcharoe
I PAViNG
7;?;? ?f"
3'$.6,/
/~ . ~e>
.96'---
~. :?C>
PLUMBII~G
Y$S: oC>
-Z Yo '2 :s-
DEMOLITION
5% Slate
Surchar(::C"
FENCE
VALUE S
SIDEWALK
CURBCUT
FT.
FT.
SUBTOTAL
PER~lITS
SYSTEMS
DEVELOPMENT
/0'3/. 'Y'f/
I * CoB~ Co ~~ t{!>
~
)
TOTAL P=RMIT FEES I zi; ::5L.7.8 ~
EXCLUDING cLECTHIC/,L1___
,
. 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 win 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 follawing work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
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UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: Ta be made
before any work is covered.
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y
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
x
CONCRETE SLAB: To be
made after all lnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
.A'
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
draInage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
J
POST & BEAM: To be made
priar to Installation af floor
Insulatlan, decking ar f1aor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof coverl ng.
'.
A
ROUGH PLUMBING,
El.ECTR!CAL &
MECHANICAL: No work is to
be covered until these
inspections have been made~
and approved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner I Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division,
ATTIC DRAFT STOPS &
CURTAIi~ WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a,1)
/
FRAMING: Ta 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 mechanlcai arc approved.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operatians. (306
a.6)
STRUCTURAL WELDS:
Performed on the job. (2722 I)
.%
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.
SPECIAL GRADING.
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
SPRAYED ON
FIREPROOFING: U.B.C.
Standard~ 43.8.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
,.v
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).
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 Jalnts and
fasteners are taped and
finished.
STRUCTURAL MASONRY: (306
a.7)
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street ,right of
way, to be made after all
excavating complete al1d form
work and sub.base material in
place.
.In addition to the inspec-
tions specifled, 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 forms are
erected but prior to placing
concrete.
-------------------------------------------------------
/ FINAL PLUMBING
)( FINAL ELECTRICAL
.',. .....r' Y
FINAL MECHANICAL
Y FINAL FIRE DEPARTMENT
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 Iinal plumbing, electrical,
mechanical and Fire Department inspections arc made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by :he Building Division
and posted on the premises.
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" ~~\: :;}qQ_if\Q') )'~f\Q..J( {)on): \L\\oF- - (\ -
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PLANS REVIEWED BY./ /~ '/~~ DATE q,,~5'...
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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 accordancQ 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 employees
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 jJfltructlon. () -1l..
Slgnatur~ '( -I'~ 12m 77tJL" Date jJ ()c. f 4-.5
','
VALIDATION:
AMOUNT RECEIVED: j) 'X~'J.I . ~~
RECEIPT N: ID<.:>,'}
DATE PAID: /b ./I-C)~
RECEIVED BY' ,"(:>-,>
1\ '1 i",....
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.. JOB'NO. q~IL\,O:'
CITY OF SPRINGF~~LD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: _Su\.liR..e-rU~.~E.>>" Co~.
LOCATION: '10 ~p<eL-oW ~ . Ilo?-z,~oo - o'%-'Z.-\ i
DEVELOPMENT TYPE: Mt>~ ~ \.0 UM\ T AoDI-rlOI.1.-rO N.U~Il.lC:r ~OfV\e
BUILDING SIZE: OS'!>"''? .(:t..~ Aoprnolo\.
.LOT SIZE
.SQ. Ft.
I. STORM DRAINAG~
IMPERVIOUS SQ. FT.
"
(0 \ 'O~
X $0.203 PER SQ. FT. G-Z?S~
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
3. TRANSPORTATION
Cooe (0'2.-0" t-llll'-",,>JC, ~ME." c.'?'" /,.."'~
NO OF UNITS X TRIP RATE X COST PER TRIP
~o
X $42.08 PER PFU
(;~~~
'-- .-/
.1
X
4. SANITARY SEWER-MWMC
X $424.31
~Bol~
<........... ---
$
$
'5.'?'I.'? X o.?? X $424.31
X X $424.31
.
NO. OF PFU'S eo x $15.125 PER PFU + $10 MWMC ADM FEE $ '''2..:Z.o ~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)' $ lc.f ~
.. , TOTA~..MWMC SDC~
SUBTOTAL (ADD ITEMS' 1,2,3 & 4) $ ~~Co~
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
V' A ~Lc...L "l /11 l'i~
(j Kip Burdick ,.
SDC Coordinator
G?>'2..e,~
'- .-/
TOTAL SDC $ ,",'09 c.. ~
~
FIXTURE UNIT,CALCU LA Tla. TABLE: Number of New Fixlures X .QUivalent = Fixlure Units (N0TE:~.
For remodels, calculate only the NET ad'Znal fIXtures) .
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
. "
2
1
2
3
6
2
6
6:
1
3
2
l/Head
2
2
I
6
4
20
Bathtub..... ................................................................. .
Drinking Fountain.___.....................................___.........
Roor Drain............___...........____....................__.__...__....
Interceptors For Grease/Oil/Sollds/Etc--------.--..---.
Interceptors For Sand/Auto Wash/Etc..______..___..__.
Wlundry Tub /Clotheswasher............--.. ....... ...--.....:.'
Clotheswa~er . 3 Or More.....__........__.....__.....,........
Mobile Hdnie Park Trap (I Per Trailer):.........__.::....
Receptor F9r Refrigerator jWate.~ Station/Etc........
Receptor For Commercial SinkjOishwasher /Etc..' . "
Shower, Single' Stall....__.....__.. ........ ----..--.......... ...--...
Shower, Gang................__....____...__..........___......__.__..:.
Sink, Bar, COmmerciaL......----..............----.........--..--
Urinal, StalljWaIL__............__..__...........__....._____..........
Wash Basin/Wlvatory, Single..............................__..
Water Closet, Public Installation____......__...............__
Water Closet, Private.....__.......__............__...__............
Miscellaneous:
. .":
... " '
I.b
.: ,
'2.0
2C>
10
40
TOTAL FIXTURE UNITS
90
. '.' .
CREDIT CALCULATION TABLE: Based on assessed value. If improvements 6~curreid'after 'ai1Oe~ii6n date in table,
calculate credns separates.
"Rate per $1,000 l
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before $3.21
1980 3.13
1981 3.08
1982 2.96
1983 2.82
1984 2.68
'1985 q_~_ '" I 2.51
. __ 2-"12 ,00 - I"Z:1-,'''o ::: ICJ'\,"\\O
Credn for ParCel or WInd Only If Applicable
1986
1987
1988
1989
1990
1991 .
1992
$ 2.24
1.93
157
1.18
0.79
<@:)
0.28
Improvement fd after annexation date)
. '44- X $ lla"! ."11
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
l<-l~
=
...,..~
= $ ,.....
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential....................:...................:..;. ....;...... 0.4
COmmercial..................................--.................. 0.9
I nduslrial.......................................---...........--.... 0.45
Governmental...........................--..............--...... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT