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Home My WebLink AboutPermit Building 1995-3-3 COMM ERCIAL/I N DUSTRIAL PEBMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 .. ,~ fffi</-m,u A "B NUMBE.'R ~, 'l'5b/~ INSPECTION LINE: 726.3769 OFFICE: 726.3759 LOCATION OF PROPOSED WQBt;. _ ~~(J 2-CJ ASSESSORS MAP' \\ D .:5l.L1-..J.:.) TAX LOT' O'd-~ OWNER' ADDRESS' v....JJ..,n::. ~ lc....-,c:.\ ) S..",\r=LOWuf... ~l.C,,-1 . I 1 D?o l-\t...(2LOw I2on,- \ PHON~' b'?:,.s-:~sOr3 CITY' t:=::; I ,-, """,..,p , I STATF' (J!l- ZIP' 97<-\.0 \ DESCRIPTION OF WORK: i"eHoOe.\ / exOA-l-.) SIn,,) 'NEW REMODEL ADDITION DEMOLISH OTHER dJ '-J1. VALUE: q1.W'l --~- - NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME GENERAl' 'I'), J..J>-.leR... PLUMBIN"" MECHANICAl' ELECTRICAl' ADDRESS CONST. CONTRACTOR' EXPIRES PHONE I P~UMB'NG I I MECHANICAl I NO, FEE I CHARGE 1 I ...n F~F rU(l.Or:u:: I I Single Fixture /?1 /V I Furnace/burner & vent < 100.000 BTUs I Relocated Bldg. I I Furnace/burner & vent !new fix. addUl > 100,000 BTUs I Water Service I I Floor furnace and vent II. I SanUary Sewer J I Suspended wall or floor II. mounted unit heater I Storm Sewer I I Appliance Vent I fl. separate I I I Statlonaryevap. I Backflow Device cooler I I I Vent Fan/Single I duct , I I I Vent System apart I Irom AC or htg. I I Mechanical exhaust I hood and duel I I I I I Permit Issuance I $10.00 I TOTAL PERMIT /S".OC I TOTAL PERMIT I aUAD AREA: ---1t.ll2f 1 ) - OFFICE,USE - LAND USE: ~ ~ HANDICAP ACCESS' FLOOD PLAIN' . . OF STORIES: (~~ , . OF UNITI" ZONING: (Ie' ./ · OF BLDGS: OCCY GROUP' CONSTR. TYP~' HEAT SOURC~' LIGHTING POWER BUDGET: " WATER HEATER' SQ FT. $/sa. FT. VALUE sa. FTG MAIN sa. FTG ACCESS , sa. FTG OTHER X X X " TOTAL VALUE OF ,PROJECT PLAN CHECK FEE S2- "3 ') RCPP /0 ?1J2- DATE 2../( 1;" /'JIr , - f BY, .cP~ I BUILDING PERMIT 15'10 State .do]-/-2- 4.. SurcharQeT. . ,- I MECHANICAL 15% State Surcharae I PAVING ~,S"o t;:,.1-S, , PLUMBING ~~~c~~r~e' 7S"r,4S"' FENCE VALlIF. $ SIDEWALK CURBCUT /5.1XJ /,20 DEMOLITION FT.- _ _ SUBTOTAL ---------- - 'PERMITS SYSTEMS I OEVELOPMENT $ 90. '8S I I J I I , FT. TOTAL PERMIT FEES I EXCLUDING ELECTRICAl r19~ ao if~~:, -. I , '- . REQUIRED INSPECTIONS. ,..- . It Is the responsibility of the permit holder to see that ell Inspections are made at the proper time. To requestsn Inspection, csll 726.3769 (recorder), state your City designated lob number, Job address, type of Inspection requested and when you will be ready lor Inspection. Requests received before 7:00 a.m, wlll'be made the same working day, requests made after 7:00 a.m. will be made the following work day. . /' SITE INSPECTION: To be X~IIGtf-.."''''IN(,.) PAVING: After gravel Is In made after excavation, but / ECTRICJtt-:I< place but prior to placing prior to setup of forms. 'CHAffll;A~: No work Is to asphalt or concrete. be covered until these Inspections have been made a!,d ep~roved. . -)(--~~~;W;;~-------------SI~~~~REV~W.~OA;D:M:~~~u::;~;~~:::~ , 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 BUILDING: Requested alter 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 FINAL FIRE DEPARTMENT and posted on the premises. .... ADDITIONAL COMMENTS: S~..mr:i?~' .$'/~~j~ 4.Jl:A~~/.r /.(' / , .~- . p~~ ~Sr1'C!nj'7i.t)f1 );>;1t/(/ 4?,A ~i'! -'?,Y A- ~~~ C&~ J4t'7r'f'v? , By slgnature,l state and agree, that I have carelully examined the completed application aod do hereby certify that all Information herein Is tru!J and corre~t, and I further certify t~a~ any and all work per~ormed shall be done In accordance with the Ordinances of the City of Sprln'gfleldiand 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 cootractors aod employees who are In compliance with ORS 701.055 will be used' on this project. I further agree to ensure that all required inspectloos are requested at the proper time, that project address Is readable from the street, that the permit car Is located at the front of th.e properlY; and the approved set of plaos will remain on the site at all times during constr tI ' SI~" UNDERSLABPLUMBING, , ELECTRICAL &.: MECHANICAL: To be made before any work Is covered. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but- prior to placing concrete. " .\ "CONCRETE S~B: To be 'made after alllnslab bulldlog service equipment, conduit, piping, accessories and other ancillary equl pmeot Items are In place but before any concrete Is placed. 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 01 floor Insulation, decking or floor sheathing. POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing. FLOOR INSU~TION & 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 covering. v FINAL ELECTRICAL / " FINAL MECHANICAL 'X ATTIC DRAFT STOPS & " CURTAIN WALLS 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 01 the special testlog reports shall be furnished to the Building Dlvlsloo. x- --- FIREP~CE: Prior to placing facing materials and before framing I~spectloo., , . ,STRUCTURAL CONCRETE: In excess of 2500 P.S.I. (306 a.1) , ' FRAMING: To be made after the roof, all framl ng, II re blocking aod braCing are 10 place and all pipes, Chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. STRUCTURAL WELDS: Performed 00 the lob. (2722 f) HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a.6) INSU~TlON & VAPOR BARRIER: To 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. V LATH AND/OR GYPSUM r ~ BOARD: To be made alter 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. . I' " SPRAYED ON FIREPROOFING: U.B.G. Standards 43.S. SPECIAL GRADING, " EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU-~M BEAMS: Inspection Certificate by an approved 'agency, furnished to the City's Building Division belore beams are placed. (2501 U.B.C. STDS. 25.10,11). STRUCTURAL MASONRY: (306 a.7) SIDEWALK & DRIVEWAY: Required for all coocrete 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 epecltled, the Building Official may make or require other Inspections oi 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. '41~hf'.::S'l) ~ . J.4.L:!.i:.t tv""1 PLANS REVIEWED BY p~~ DATE ,?h?AC 7/ Datfl:' VALIDATION: AMOUNT RECEIVED: / '74. tJ [} / (0 5' D "1 DATE PAID: ~l/A. J.e RECEIVED BY: . < 'RECEIPT N: JOB NO. 9'S<'I8'~ CITY OF SP~FIELD SYSTEMS DEVELOPME~HARGE -, ' WORKSHEET (COMMERCIAL & RESIDENTIAL) NAHEORCOMPANY: I~ tud.kJ/4~)h LOCATION: /0:1-0 //~ "f,/ DEVELOPMENT TYPE:.L'~ ~ I-IJ~~ ~ ~ "i:-k BUILDING SIZE: 9SSQ/ tOT SPF' SQ. Ft. 1. STORM DRAINAGF IMPERVIOUS SQ. FT. ~ X $0.209 PER SQ. FT. Ct~. / 2. S8NlIARY SFWFR-r.TTY NO. OF PFU'S . .z. X $43.26 PER PFU ....~ (See Reverse) 3. TRANSPORTATION ,,,..., r NO OF UNITS X TRIP RATE X COST PER TRIP 1\"''''" ",STAre C-OOL> 1/" 0.155 X .2..2-1 X $436.19 E,KISTIH6- tlS~ (,GIJ, ",r.p It.r _ ' 7( ~ /$$1>5 X 0.33 X $436.19 P~"1'4S$l> {,($E ~ q 3 3./i!J '> c.L'#./)/,r . , SUBTOTAL (ADD ITEMS 1,2. & 3) $ 8" 3. ~c. V 15 ') B4A/'I~c \.... -- ~R T,,(AN's' $ J>~TATI"t'{ X X $436.19 4. S8NlIARY SFWFR-HWHr. NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADMIN.FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) IQIAI -MWHC SOC SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ ~E/It()Pck $ ------- V ~ ') l _/____ $ ~c..s < 5. AnHTNTsTATIVF FFFS BASf-CHARGE (SU~T~Al.-ABOVE) X .05 ~ ~~. Date: ../' Mar'y Hotnig. P.E.l..-) ,-/ SDC toOrdi nator c~.v 3~/-95- IQIAI SOr. $ <jo. ~s B2 . SDC . II I . TtlP RATE; f CC.C.UI'AN&.i j;?q;e//V'- f'.<!'A.t" TIfAFF/&. 1',6~/~D (.f-~) /' fiXTURE UNIT CALCULATION TABLE: Number of New FiX1ls X Unit Equivalent = Fixture Units (NOTE: For remodels" calculate onlV.W additional fixtures) , " , ' 'NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS 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 Stall.................................. ........ ....... Shower, Gang......... ................................................. Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall..:.................................................... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........................................ Toilet, Private.................. ..................................... Miscellaneous: tv."" n:>R~ ~"'IC 2/M,JHl'dt> 8~.t. / 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ..z .l. 2. TOTAL FIXTURE UNITS = ..z CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in, table, calculate credits separates. = Rate per $1,000 1 Assessed Value ~ . Year' Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 .1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 J Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Credit for' Parcel or land Only If Applicable = CREDIT TOTAL = $ "'"f ~ " ~ . ~f .~ , j