HomeMy WebLinkAboutPermit Building 1996-7-30
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JOB NUMBER
'1GtJ ~&O
COMMERCIALIINDUSTRfAL.
PERMIT APPLICATION
SPRINGFIELD
~
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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.
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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
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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
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//:::'l~_
'/7
. DATE
'7~ ~-~
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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 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
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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
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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
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Job Number
960980
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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
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