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HomeMy WebLinkAboutPermit Building 1996-7-30 , , JOB NUMBER '1GtJ ~&O COMMERCIALIINDUSTRfAL. PERMIT APPLICATION SPRINGFIELD ~ . 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE 7263769 OFFICE 7263759 LOCATION OF PROPOSED WORK .t;oo 5' me,,^ 5-1-....+ ASSESSORS MAP 11-0;;>-1J-1d. TAX LOT .1./5"00 OWNER ADDRESS Lew~ a~-l 5../1.. l;d"'d"J, I D~~h,,~ l<<oA PHONE gq6 - sg7~: CITY 41yf;O <f""': h..jeJ STATE OR. ZIP 0/7'-17R DESCRIPTION OF WORK NEW V REMODEL d./'/ <_t::Lr ~ Q.'-vc + ,,_ ADDITION DEMOLISH OTH ER VALUE NAME ADDRESS PHONE ARCHITECT CONTRACTOR S NAME GENERAL _{)~^.. PLUMBING FO'A k.', (,,1.. p/u~h..~ v AODRESS Po (3N "tJ2.\:LY I. 6,<,~, ~;JOWl (~k 6:>A Ald. CONST co NT RACTO R # ,Y030;37 O'wJLt! ::. EXPIRES 11/;;,-/'16' PHONE ,({:!q.600q Q1, .J;;}6 3 1;;>1 ao/ql, MECHANICAL ELECTRICAL CrOw U<lU.y '171:) I-.~,,,~ Eu",,_". '17"1J~ Q,9 10 11,'/> -il1'7J PLUMBING I MECHANICAL FEE "HARGE j "n FFF f"J-l^Qf::1= Furnace/burner & vent < 100.000 BTUs Furnace/burner & vent I > 100.000 BTUs <(/.> I Floor furnace and vent 25 J Suspended wall or floor mounted unll heater , ApplIance Vent 7.a> separate I Statlonaryevap /e:> cooler I Vent Fan/Single duct J Vent System apart from AC or htg MeChanical exhaust I hood and ducl I j Permit Issuance $10 00 I%' J TOTAL PERMIT NO SIngle Fixture Relocaled Bldg (new fiX addtl) Water ServIce lIt! It Sanitary Sewer /L> It Storm Sewer Z7&> It I Backflow DeVice TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS FLOOD PLAIN ZONING aUAD AREA LAND USF . OF BLOGS . OF UNITS OCCY GROUP CONSTR TYPE HEAT SOURCE LIGHTING POWER BUDGET . OF STORIES WATER HEATER sa FT $/50 FT VALUE (16'0,,,,,",,, c) S- L:lbo <==> ~.""'_C> , TOTAL VALUE OF PROJECT. Y;t(....c~ -r ~. <;;T""/'~r ""'I""'r '>/~ sa FTG MAIN ~7/~ ~z:>>~.<.At~ X sa FTG ACCESS FD/V_ ~A ~8"~~ . sa FTG OTHER ~7"" /.~'14~~'; ~~.l'v.f-'--:~ ~/"?5. PLAN CHECK FEj; );;clJlit< h) tfJ~6fT. --:;a. -::.. ~ -,.-- DATE BY 1'15: .... 5% State '7 'O\~" Surcharoe 41 "'?~ FENCE VALUE $ ~....e:> ~- 5% State SIDEWALK SUBTOTAL Surcharoe . . ., -;>6 FT / $". 'lIP PERMITS PAJ'NG,.;1 ;;>/~' --0>4 -;;,...~ I" CURBCUT . . / ~ ~/. SYSTEMS ;:/77;..-7- ~""'-" --<.e>;;> -3?: FT v? 7(:> DEVELOPMENT ~? .'~ dk- W/L.L 23~ ~<:::...~/~ I~ZY.-y?-, 'G74. ~?/&4"C7r /Y/y#,L r~C/..n ,Z/~~ I' /&:?-Ct'J."''''' TOTAL PERMIT FEES /G/ ~ 7 <-'<.. EXCLUDING ELECTRICAl I BUILDING PERMIT 5% Slate ~' Surcharge r.,. MECHANICAL PLUMBING ~OLlTION YN/4'''~/., ~"p-6" ~ft.~ J //~ -&> I J ~W..,~ J /a;. Y3'?~7 I A)2:>. 5'0 ~.S-3 I . -f'>2. "'" , 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 7263769 (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 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 y FOOTINGS & FOUNDATIONS To be made after trenches are excavated and forms are erected, all steel In place, but prror to placing concrete FIREPLACE Pnor 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 Owner! Contractor durrng construction of the follow\ng work A copy of the special testIng reports shall be furnished to the BUilding Division ATTIC DRAFT STOPS & CURTAIN WALLS CONCRETE SLAB To be made aner alllnslab bUIldIng service equipment, condUit, piping, accessorres and other ancillary equipment Items are In place but before any concrete Is placed FRAMING To be made after the roof, all framing, fire blocking and bracing are In place and all pi pes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved STRUCTURAL CONCRETE In excess of 2500 PS I (306 a 1) STRUCTURAL WELDS Performed on the Job (2722 f) { UNDERGROUND Plumbing, 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 bamers are In place but before any lath or gypsum board interlor wall covering IS applied HIGH STRENGTH BOLTING Dunng all bolt Installation and tightenIng operations (306 a 6) - SPRAYED ON FIREPROOFING Standards 438 UBC 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 Dunng earthwork (306 a 11 & Chapter 29) FLOOR INSULATION & VAPOR BARRIERS To be made prior to Installatfon of decking or floor sheathing 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 (olnts 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 BC STDS 25 10,11) x POST & BEAM To be made prior to Installation of floor Insulation, decking or floor sheathing y SIDEWALK & DRIVEWAY ReqUired for all concrete paving within street right of way, to be made after all excavatlng complete and form work and sub base matenal In place .:Y STRUCTURAL MASONRY (306 a 7) ~.?~~~ ~V~, MASONRY Steel locatIon, bond beams grouting or verticals In accordance With UBC 2415 ROOF SHEATHING AND NAILING Prior to installing any roof coverIng -t- CURB AND APPROACH APRONS After forms are erected but prior to plaCing concrete .In 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 --i-~NAL ~LUM~NG----------- / ( SI~-;:LAN -;EV~W ~~R; MUS;-b~ requ:ted-2~ay~,~:;::~ of the date you Wish Inspection All project conditions such as ~ landscaping, parking lot striping, etc must be completed before /) A FINAL ELECTRICAL requesting this Inspection J' 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 MECHANICAL )( FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS Df([> q(.,- 6,-/0/ PLANS REVIEWED BY , /' /. - //:::'l~_ '/7 . DATE '7~ ~-~ , 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 701055 Will be used on this project I further agree to ensure that all requmbd'lnspections 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 sHe at all tlm:s,dUr~ng constru~n , ~ 7/JI/'?6' Slgnature- . ,~~ #~ - Date VALIDATION _--..".':'-,~.~/ -?_~~-~,"<::::,)~~ -,';:> "o.",-,~ - -=..--, AMOUNT RECEIVED. CL>_'l. 7~ 2)<, - DATEWAID'-" -<,r ~ - . - -''''''''--' " --'", ~~, -'\ ,,,~'-,,,,,,,, ~~ -," ,\ 2,~" - RECEIPT # -:z -:2.,{;:;;S"-:? RECEIVED BY /' /-" "..---,.~ -," I "/;;:r J /J r , .. , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (COMMERCIAL / I~USTRIAL) Name or Company LEWIS/SALLY EDMONDS Locat1on 5005 MAIN ST Developement Type C Bu~ld1ng 81ze 1. STORM DRAINAGE Imperv10us Sq Ft 1 0 2. SANITARY SEWER Number Of PFUs (see Page 2)' 3. TRANSPORTATION Number Of Un1ts lOX 70 X Transportatlon Total '- X 8552 X - CITY lOX 34 X Job No 960980 Lot Slze o 216 Per Sq Ft Page 1 Sq Ft $1,847 23 $1,521 50 . !"Ie Gc.lt"" &MEO I"/~/q~ ) $'(00-) ej }...l.l('~ Cost Per Tr1p 451 26 $4,390 76 $4,390 76 ~~~ 114\f'(IL X ( ';:;;p Rate X o 139 X 4 SANITARY SEWER - MWMC Number Of PFUs 34 X X Per PFU + 20 690 + MWMC Admln Fee 10 00 MWMC CREDIT If App11cable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 & 4) 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) X " TOTAL SDC o 50 Rev1ewed By TROY MCALLISTER 44 75 Per PFU Date 07/25/96 $713 46 $104 10 $609 36 $8,368 85 $418 44 $8,787.29 " . .. Job Number 960980 , FIXTURE UUIT CALCULATION TABLE Flxture Type Bathtub Drlnklng Fountaln Floor Draln Interceptors For Grease/O~l/Sol~ds/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Receptor For Refr~gerator/Water Stat~on/Etc Receptor for Commerc~al S~nk/D~shwasher/Etc Shower, Slngle Stall Shower, Gang Slnk, Bar, Commerclal, ReSldentlal Kltchen Ur~nal, Stall/Wall Wash Bas~n/Lavatory, S~ngle Water Closet, Publlc Installatlon Water Closet, Prlvate Mlscellaneous TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE Based on assessed value after annexatlon date, credlts (calculat~ons are by $1000) Year Annexed 1969 Cred~t For Parcel Or Land Only If Appl~cable Improvement {If after annexatlon date} Number of New Flxture o 1 o o o 1 o o o o o 2 o 7 o 5 o Page 2 Unlt Equ~valent Flxture Unlts 2 1 2 3 6 2 6 1 3 2 o 1 o o o 2 o o o o o 4 o 7 o 20 o 2 2 1 6 4 34 If lmprovements occured are calculated separately 30,000 o CREDIT TOTAL = X 3 47 104 10 x 3 47 o 00 $104.10 (If land value ~s mult~pl~ed by 1 then the parcel/land cred~t ~s not accurate ) ".. Fax Note 7671 r~ 7/ 3<-"/-7 '= Ip~,8~s'" :.: /,oC.AI<LA "'GluILLAN/" / T/~o~ ColDepl Co u~ 0;:: '5(J?\J-lG~(r;.LO PhonoN Phone# Tlk~ s'-oe Fa,' 7Z(.,-C&88'1 fFad , rAY CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (COMMERCIAL / INDUSTRIAL) Name or Company LEWIS/SALLY EDMONDS Locat1on 5005 MAIN ST Developement Type C BU1ld1ng S1ze 1. STORM"DRAINAGE "- Imperv10us Sq Ft 1 0 X 8552 x 2 SANITARY SEWER Number Of PFUs (see Page 2) ~o&<r TOTr\(."":. '0 x X Per PF'U\. + 20 690 " SUBTOTAL - (Add Items 1, 2, 3 & 4) 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) X o 50 TOTAL SDC Rev~ewed By TROY MCALLISTER Job No 960980 Lot Sue - / -' Page 1 Sq Ft ~D r~ ,;j ~( ---~()}Y ~\ C(O;:~".3~;l~ <:lei /ST~~ C~rcn. $157 94 $13.424 98 MWMC Adm1n Fee 10 00 Date 07/25/96 \o~ ~OaJ0?~ f' :LZ ", fJ~ I STVt?EHr r"J?- 0DZI.~ 93~"""'''~ :., $13',582 ... .; ~\...(l. / o "'7'" . 34 X 44,~75 Per PFU = Coo!O: 5Zo ~Lt\.e I- -'0'::' ;Z ~D~ cA12€- 3. TRANSPORTATION ~ ~~ Number Of Un1ts Tr1 Rate X Cost Per Tr~p lOX 35 X 0 0101" X 451 26 ,; 1 0 35 X 0 !t50 451 26 <1",,~~ / eMU-A ~<.. a. L/jLl.A-1'4 Transportat~on Tota 4. SANITARY S,/ ~C Number Of PFUs )~ MWMC CREDIT If App11cable (see Page 2) TOT~~ MWMC SDC = $713 46 $104 10 55 .:<'" '~ $17,561.02 $878 05..- 0 , , ~" 'fco&~~p\