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Home My WebLink AboutPermit Building 1993-11-18 . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION ~ . ' JOB NUMBER _9 3/5-7"'7' ! 225 Fifth Street, Springfield, Oregon 97477 INSPECTION liNE: 726-3769 OFFICE: 726,3759 ASSESSORS MAP: /7(!) 2- ~<f S- 7 /9 0 ;-I74efl>CA.J r-, ~. ,~. LOCATION OF PROPOSED WORK: TAX LOT' .2, "' rr-n STAT~' PHONE 34/- /B../4.- .-ea.o ~r C-S"dJc.} ~ ZIP: 97~t<")/ OWNER: ADDRESS: CITY' Fill .J E:7<. , <~ &. ~"'i Ai7!zAv/:' NEW REMODEL LA?".. A?a.-4At? / ~ ADDITION DEMOliSH OTHER C5r. VALUE: ~tt>O 1'1/ n 4' PHONE DESCRIPTION OF WORK: NAME tOy~),-......... D_'., / J.L ARCHITECT: &&J^/.-N.n ~/,,~~ CONTRACTOR'S NAME GENERAL:,~R~ A/GZrs,.- PLUMBING' T~p,?i'/\;,~- .. MECHANICAL:~''''~ /'" ~C:;:"r ELECTRICAL: ~/G4-~::' ADDRESS ~ 2F~,~e~ CONST, ADDRESS CONTRACTOR' EXPIRES PHONE I PLUMBING I MECHANICAL I I NO. FEE CHARGE I NO ~~~ (':1-I,4Rn1= I I Single Fixture ~.....-I I Furnace/burner & vent t:,-- ''2, /#11> <100,000 BTUs I Relocated Bldg, I Furnace/burner & vent I lnew Ilx, addU) > 100,000 BTUs I Water Service I Floor furnace and vent I It. I Sanitary Sewer I Suspended wall or floor I It. mounted unit heater I Storm Sewer I Appliance Vent I It. separate I I Stationary evap. I Backflow Device cooler I I I Vent Fan/Single I duct I I I Vent System apart I from AC or htg. I, I I L/ Mechanical exhaust <;I. oS.:> I hood and duct I I I I I 1 1 Permit Issuance $10,00 I I TOTAL PERMIT I ::?&'.- I TOTAL PERMIT M/'#, , ~ I . OF B LDG!" - OFFICE USE - LAND USE: 5?f'{) . OF UNITS' CONSTR. TYP~' HANDICAP ACCESS: FLOOD PL~: ZONING: V \ aUADAREA:'-~~ J OCCY GROUP' LIGHTING POWER BUDGET: . OF STORIES: HEAT SOURCF' WATER HEATER' sa, FT, $/sa, FT, VALUE sa, FTG MAiN X sa, FTG ACCESS X L.HJ~ t.// ~~ sa, FTG OTHER TOTAL VALUE OF PROJECT P~~}..F~ ~ ~: -.Jf.PlA/CJ 5" 7/ I BUILDING PERMIT '::l f7. ~ I PLUMBING 15% State /"'? ~ 5% State SurcharQe , .--- /v Surcharqe I MECHANJJ:d\.L L/",..::'>,_ "..,. ~ 1 FENCE ~ , /....;-:~ VALUE $ 15% Stat~ SIDEWALK Surcharoe . ;S"'" I PAVING DATE~~J By~;;r~ --::;>&:>. - - /. , DEMOLITION FT, I .cne:v,~ iA-"'A>~_~~' ,~~Pf:J"",".JAT - ':Z!'_1<"4> I 1 SUBTOTAL 1 ~"..,/ ,"'0 I PERMITS /......~l". I SYSTEMS l.a C--C'. ~7 Mt. DEVELOPMENT W ~~ -- l~ CURBCUT FT, TOTAL PERMIT FEES' I EXCLUDING ELECTRICAl $' 7/. &;:> 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 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 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 covered. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. . 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. 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. / II POST & BEAM: To be made prior to installation of floor Insulation, decking or floor 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 covering. y FINAL PLUMBING .( FINAL ELECTRICAL y FINAL MECHANICAL y FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' REQUIRED INSPECTIONS . y ", ROUGH PLUMBING, ELECTRICAL & 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 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 FIREPLACE: Prior to placing facing materials and before framing Inspection. STRUCTURAL CONCRETE: In excess 01 2500 P.S,1. (306 a,1) y 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 operations. (306 a,6) STRUCTURAL WELDS: Performed on the Job, (2722 I) y 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, Standards 43.8, FIRE & SEPARATION WALL: Located and constructed according to plans. 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 IInished, 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), STRUCTURAL MASONRY: (306 a,7) SIDEWALK & DRIVEWAY: Requ i red 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. 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. ....I' 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. PLANS REVIEWED BY /" ~ .___-,~ '/T ---. ~--, DATE /r-V-"'3'3- < ,/ 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 proiect. 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 ~:::i:;;c7;/R UAL Date /','/,lp/JJ~""5 \ I\, v . ~ '/:. 7 VAliDATION: AMOUNT RECEIVED: f r;<~ '52... DATE PAID: ~(I' 1r:r'-1 ~ RECEIPT': I ()~tC{ q RECEIVED ByJ _ ,\\~j . . &B NO. ~1.!2.J '51'-1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: EwE3.B LOCATION: '?"I? 7 !-IAV'OelJ. t3!ltO&fE.!f::D DEVELOPMENT TYPE: C (.: 'ReNlO()G L- /707-IQoc - ?~OO BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. X $0.203 PER SQ. FT. ~ ) .......... .-./ 2. SANITARY SEWER-CITY NO. OF PFU'S 1.- X $42.08 PER PFU ~ (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X X 4. SANITARY SEWER-MWMC ~ X $424.31 X $424.31 X $424.31 ~-) ~ $ $ NO. OF PFU'S x $15.125 PER PFU + $10 MWMC ADM FEE $ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC ~ '-- ../ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ <&4 ~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 V~-/' 13.J-..'Jc.. 10/2./ /<;3 II Kip 8urdick I SDC Coordinator ~.,t~') ~. ?-7 TOTAL SDC $ 8B- FIXTURE UNIT:CALCUtAoN TABLE: Numb~r of New Fixtures.nit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYpE Bathtub.. ,....".."..,.."""".,..,.,"',.,'" ..".", ,.,.."..',.. ,.,.., Drinking Fountain..,..,..""""""."", ..."..,.....".,..".,.., Floor Drain, ..,...,..,..,..,..,..,..,..,.."".,",..,.."......,..".,',.. Interceptors For Grease/Oil/Solids/Etc................, Interceptors For Sand/Auto Wash/Etc..............,.., Laundry Tub /Clotheswasher....,.."....,.."......,.... ,..,.. Clotheswa~her - 3 Or More....,........,................,..,.., Mobile Hdme Park Trap (1 Per Trailer)..,............,.. Receptor FiJr Refrigerator jWater Station/Etc......., Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single'Stal!.......",.....,..".."..,...."....,......"... Shower, Gang..........."...."....,......"..,..,..,..".."..'..'.... Sink, Bar, Commercial",.,.."..".."""....".."..,...."..", Urinal, StalljWall............."",..,..""".., '" ..'"...."..,...... Wash Basin/Lavatory, Single....,....................,........ Water Closet, Public Installation....,.........,.............. Water Closet, Private",..,.."......""",....,..,.............." Miscellaneous: NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS I 2 1 2 3 6 2 6 6 1 3 2 1 /H ead 2 Z. 2 1 6 4 TOTAL FIXTURE UNITS -z Based on assessed value, If improvements occurred alter annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates. [ L Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 Rate per $1,000 Assessed Value $3,21 3,13 3.08 2,96 2.82 2.68 2.51 Credit for Parcel or Land Only If Applicable Improvement Cd alter annexation date) II Year Annexed Rate per $1,000 Assessed Value 1986 1987 1988 1989 1990 1991 1992 $ 2,24 1,93 1.57 1.18 0,79 OA4 0,28 X $ (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.........................,...,.....,:........,.......:.. OA CommerciaL...,................................................ 0,9 Industria!..................,........................................ 0.45 Governmenta!.....,....,.........,.............................. 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT