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Home My WebLink AboutPermit Building 1992-7-24 COMMERCIAL/INDUSTRIAL. PERMIT APPLICATION 225 Fifth Street. Springfield, Oregon 97477 LOCATION OF PROP10SED WORK' ~l 0 ASSESSORS MAP' {()~~'Am . JOB NUMBER q~()CL"Jr) ~ ~~\[)l IJ ~['{'Loi ~ INSPECTION LINE: 726.3769 OFFiCE: 726.3759 - rn<p{y) TAX LOT: PHONE: -,4-f-.;.) \ nK OWNER:,\P>DJ\ ~~\lj\O f\ W\OOU\ ADDRES~ - 4-q \0 t\DJi.. ~h '--') \< ~ ,\ ._} qITY'~::>\,)~ 0. - STATE: C~ DESCRIPTION OF WOPtt<cA~ 1:;)0 f> ~ ffiffi ~ \JQ \D(\ lyt 0 " NEW REMODEL ADDITION ZIP: c{14'li -, \ \.Urul ~ VALUE: 4riYJ ~ DEMOLISH. OTHER ARCHITECT: NAME ADDRESS PHONE CONST. C.ONTRACTill'S NAME f\. (\ ADDRESS qet.::~CT9R # EXPIRES n PHONE GENERAL: . 005\ l )9J\l0'Y*\~J1 j\ M:<) (\ro SU\G~\t'1_, t ,"lqQ.!J3 ~(),,-\~~- PLUMBINn. . lS ~ CBl L~1.6l4 .q:2... . 5le;:{) MECHANICAl' \': \(lJ . - - .... " , ELECTRICAl' (\4~ . Q::.P,4Cf q.(.Cf1- aUAD AREA' \ (\ fI ') lJ...) I I NO. 1 I 1 1 1 1 1 1 I I I 1 PLUMBING MECHANICAL ""ARG~ 1 1 1 1 1 I I I I $10.00 1 I FEE I CHARGE 1\10 1=1=1= Single Fixture Relocated Bldg. (new fix. add!l) . Water Service Furnace/ burner & vent <100,000 BTUs Furnacel burner & vent > 100.000 BTUs Floor furnace an'd vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct It. Sanitary Sewer It. It. Storm Sewer Backflow Device Permit Issuance TOTAL PERMIT TOTAL PERMIT - OFFICE USE LAND USE: ~ P')?f'?) HANDICAP ACCESS: FLOOD PLAIN' () (1 ./ # OF BLDG:'" # OF UNIT~' ZONING' OCCY GROUP: # OF STORiES: CONSTR. TYP~' LIGHTING POWER BUDGET: WATER HEATER: HEAT SOURCE: SO. FT. $Isa. FT. VALUE sa. FTG MAIN sa. FTG ACCESS sa. FTG'OTHER X X X TOTAL VALUE OF PROJECT PLAN CHECK FEEL '-3,Q .83 RCPP .lJ~ DATE -.!J . R. q..6l BY ~ (.f)(} ) I BUILDING. PERMIT, 15% State . 'Surcharoe' 1 MECHANICAL 15% State' .Surcharae I PAVING 160. '(;0 ;;Z ,5".3 PLUMBING ;2L) <n> I ~;:) DEMOLITION 1 I I 1 /2-5.3( I /1;,3 f 5% State Surcharoe FENCE VALUE $ 1 SIDEWALK 1 CURBCUT FT. FT. SUBTOTAL . PERMITS SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICAl . REQUIRED INSPECTIONS . It Is the responsibility of the permit holder to see that all inspections are made atthe prope"r 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. witl be made the same working day, requests made after 7:00 a.m. will be made Ihe 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 covere"d. y ROUGH ~UMBINV -a.Lt:.l,;rfllG~ IIi'IECHANicAL: 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. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. FIREPLACE: Prior to placing facing materials and before framing inspection. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code ,a special inspector shall be employed by the Ownerl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. ATTIC DRAFT STOPS & CURTAIN WALLS v 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. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) ., , CONCRETE SLAB: To be made after all inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are In place but before any concrete is placed. STRUCTURAL WELDS: Performed on the job. (2722 f) UNDERGROUND: Piumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. 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. - HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.S.C. Standards 43.8. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. FIRE & SEPARATION WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork: (306 a.11 & Chapter 29) -x 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). r 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- tions 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 inslalling any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ------------------------------------------------------- 'X FINAL PLUMBING SITE PLAN REVIEW BOARD: Must be requesled 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. , 'X' FINAL ELECTRICAL , FINAL MECHANICAL X r " 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. ><. FINAL FIRE DEPARTMENT ADDITIONAL COMMENT'" PLANS REVIEWED BY -f<<P-rA-~_ DATE Yb(;7 2- 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 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 p 'omit card Is loc t d at the front of the property, and the approved set of plans will remain on the site at all times durin c: tructlc '1. ,r ( ~gn.aturp ~ Date 124.1'2- VALIDATION: I AMOUNT RECEIVED: RECEIPT .. J 01. 3f . --" ......' . .~ &" '-11') DATE PAID: RECEIVED SY. 'r-/,/J~'2 /~~ . . JOB NO. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL &. RESIDENTIAL) NAME OR COMPANY: ___L9H M ~ :sus~) ,))e~ if LOCATION: .d9~ 1-IM/./JuJ.AIJ. , . . - DEVELOPMENT TYPE: 7JA~/ ~ ;(!5?/?JJJeL I BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. X $0.186 PER SQ. FT. ~. 0 (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU' S ~ (See Reverse To Determine Total 3'1.7& X $-38. SS PER PFU PFU'S) $ 1/Cj'.3{ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X X $388.61 X $388.61 $ 0 X X $388.61 (See Attachment C To Determine Trip Rates) SUBTOTAL (ADD ITEMS 1,2, $ $ & 3) L.1/ q, .34> 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 s 5.77 TOTAL-CITY sac ij.25'.3/ 5. SANITARY SEWER-MWMC NO. OF PFU'S x $13.25 PER PFU + SID MWMC ADMIN. FEE S (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) /H>>'/Jf ~ Kip Burdick ' ~ SDC Coordinator $ TOTAL-MWMC SDC $ TOTAL SDC $ FIXTURE UNIT CALCU.ION TABLE: Number of New Fixtu. Unit Equivalent = Fixture Units (NOTE For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT 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 (1 Per Trailer).................. Receptor For Refrigerator /Water Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stail.......:...:..................................... Shower, Gang................... ....... .......... ....... ...,.... ... .... Sink, Bar, Commercial............................................. Urinal, Stail/Wall........................... ............................ Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet. Private............................................... Misceilaileous: _2~ 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 I TOTAL FIXTURE UNiTS = CREDIT CALCULATION TABLE: rcul~t~ cred::~~~e:ates. 1979 or before 1980 1981 1982 1983 1984 FIXTURE UNITS -2 I 4. .3 Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value Year Annexed $2.66 2.64 2.53 2.41 2.19 2.04 1985 1986 1987 1988 1989 1990 Rate per $1 ,000 Assessed Value $1.69 1.35 1.15 0.92 0.59 0.23 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = S RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential...................................................:.. '. 0.4 CommerciaL........ .......... ... ...... ..: ...................... 0.9 I nd ustrial........................................................... 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT