HomeMy WebLinkAboutPermit Building 1994-02-07!iPR]NGFIELO
D9
JOB NUMBER
INSPECTION LINE: 726'3769
OFFICE: 726-3759
COMM ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
tl\tr-r- d \) *t-,,-% \r.I^fftufLOCATION OF PROPOSED WORK:
ASSESSORS MAP:n-oR -7s -zZ "<bo\TAX LOT:b,*
REMODEL ADDITION DEMOLISH OTHER
PHONE:
y'l aw,r
Q.l4oz-ZIP:STATE:
VALUE:
?os
€)L
246, c'oo
J ru.rp,^c t€-€2-
DESCRIPTION OF WORK:
NEW
OWNER:
ADDRESS
CITY:
EXPI RES PHONE
Do*
(,
ra-r4(L+r t7-,.%
t^^*. *t D
s- ?*r.+r- \
T1r->l.na,a-"= Q-.-e-
ARCHITECT:
PHONENAME
ELECTRICAL:
CONTRACTOR'S NAME
G EN ERAL:
MECHANICAL:
PLUMBING:
ADDRESS
31tO E^nV_z*,;>
CONST.
CONTRACTOR #ADDRESS
At-ru-€.t- \)
PLUMBI t\l n
FEE i CHARGENO.
,u?e.-Single Fixture /6aa
Relocated Bldg.
(new f ix. addtl)
lo.nq7Water Service
ft.
?f.-/"Sanitary Sewer
ft.
/a--J74 Storm Sewer
f r.
Backflow Device
MECHANiCAL
NO trFF
-CHABGEI
I
I
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & veni
>100,000 BTUs
Floor furnace and vent
I
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
/2 Vent Fan/Single
duct 7_
, Vent SysI from AC
ter;l apart
or htg.
Z Mechanical exhaust
hood and duct /e 7 a
?2z*z*)-/be,
Permit lssuance $10.00
TOTAL PERMIT f/.*TOTAL PERMIT
- OFFICE USE _
\\34ID
HEAT SOURC E, E/CZ7 /4<'
GU-
QUAD AREA
42e..CONSTR. TYPE:
WATER HEATER:
* OF UNITS:
LAND USE
LlGHTING POWER EUDGEI
,c OF BLDGS:
HANDICAP ACCESS:
FLOO'J PLA
ZONING
OCCY GROUP:
I OF STORIES:
$/so. FT.VALUE
7 zi:zq { y
TCTAL VALUE OF PROJ
X
)
lSo.0oo
SO. FTG ACCESS
SO. FTG OTHER ,
SQ. FT.
SO.FTGMAIN M
RCPT#
-
PLAN CHECK FEE DATE B'z
BUILDING PERMIT PLUMB! NG JG DEMOLITION
5% State
Surcharqe \r\1,5 I
5% State
Surcharo
FENCE
\ALUE $
SID:"^,'ALK
t.T,
??.2€t(6.'\e\.\l =>z U
l,,lecHexrcaL /ra | /a-a
-Eqrrr €2.?
z-55 SUBTO-TA,L
PERh4:TS
I #gor\a KCURBCUT
PME
ID
FT
lr")
_G.@
Su rcha
%2qIOTAI- PEPMIT FEES
EXC LiJD I t.,ICi E LECT HiCALtot \31Q\1Q_eer
YSTEMS
DEVE
59,; State
PAVING
-
(a-e--k -
%.n
r.tT
V REQUIRED INSPECTIONS
It ls 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 macle
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.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor during
construction of the followrng work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCBETE: In
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 tl
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnspeclion
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.c.
sTDS. 25-1011).
STRUCTURAL MASONRY: (306
a.7l
'ln 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.
ROUGIi PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
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.
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND/OR GYPSUM
BOARD: To be made after al!
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
fi ni shed.
SIOEWALK & 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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
V/ \ PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
/'
x_
\X
Y
]e
X
_L
j_
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
anciilary 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 f illing
trenches.
UNDERFLOOR: PIumbing,
electrical, mechanical. To be
made prior to installation of
f loor insulation, decking or
floor sheathing.
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 f loor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SI-IEATHING AND
NAILING: Prior to installing
any roof covering.
Ntic,lf1 .
-q
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information
herein is true and correct, and I f urther 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 ali 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
-blq+DateSignature
times during c nstruction
VALIDATION
BECEIVED BY:
DATE PAIDAMOUNT RECEIVED:
RECEIPT #
lCxx
FINAL MECHANICAL
.A\ FINAL FIRE DEPARTMENT
FINAL PLUMBING
FINAL ELECTRICAL
IONAL COMME
Certificate of Occupancy has
and posted .",n$;;?E:ia
'{
X
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.
PLANS REVIEWED BY-
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
he tsron
*-trO
/ -f-'=DATE
x
)
nt
ld ing
5r'rilNGFrELt)
Permits are non-tr"lr"ferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,ATION ONLY
Electrical Contrac
tolto.{irg
u9€
ELECTRICAL PERHIT APPLICATION
City Job Nunber
3. COHPIJTE SCHEDULE BELOS
A Nev Residential-Single or
MuIti-FamiIy per dwelling unit.
Service fncluded:Items Cost
looo sq.f t. or less lO $ 8s.oo
Each additlonal 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
-Modular Dvelling
Service or Feeder $ 40.00
s see rrB[ above
D
One Ci rcui t
Each Addi tional
Circuit or vith Service
or Feeder Permi t s 2.00
Services or Feeders
Installation, Alterations or
Relocation:
c. Temporary Services ortFeeders
Installation, Alteration or Relocation
200 amps or less I
201 amps to 400 amps _0ver 401 to 600 amps _0ver 600 amps or 1000 volt
Branch Circuits
Nev, Alteratlon or Extension Per Panel
$ 3s.00
0h
225 FIFTE SlBBEf,
SPRINGPIEU', OREGON 97
INSPECIION REQTIBST: 7
OPFICE: 726-3759
1
iCIi?"#ff5-tbu.
Sum
8oD
B
Addr )$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ ss.00
$ 80.00
1Ci ty Phone
Supervisor L c ense Numb.t A? 7C - S
Expiration Date lc.c-t
Constr Contr. Number
Expiration Date
Signa tu of Supervi Blectrician
Ovners Name
Address
Ci ty Phone
O9NER
The installation is being made on
property I own vhich is not intendedfor sale, lease or rent.
Ovners Signature:
E. Miscellaneous (Service/feeder
-Each installation
Pr.rmp or irrigation $Sign/0utline Lighting S
Limi ted Energy/Res
-
S
Limi ted Energy/Comm $
STETOTAL OF ABOVE
5tr State Surcharge
TOTAL
s
not included)
40.00
40. oo
20. o0
36. OO
5
DATE:
RECEI PT
OFEGON'
RECEIVED BY
Tha
rnff53€ftS"tFt oOr-tdflI
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
CId-
108 N0.aryHta
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
I.IORKSHEET
(col'IMERcIAL & RESIDENTIAL)
NAI'IE OR COMPANY:>r TDE ?x.sv\/ tN
LoCATIoN : *bb l.t\rvv 3t . 11 oZZ+zZ - 16oo - \Lo*l
DEVELOPMENT TYPE:t-\p 3- MU uri FA vt (z AUTNT Ur<r r>)
BUILDING SIZE:OT SiZ sQ. Ft.
1: STORM DRAINAGE
IMPERVIOUS SQ. FT.tq.{3 x $0.203 PER SQ. FT.
2 SANIT ARY SEI,IER -C ITY
NO. OF PFU'S
(See Reverse)
bz-X $42.08 PER PFU
3. TRANSPORTATION
Cove ?ao G?ortr *oostuc' = .l? r?V* P.v .
NO OF UNITS X TRIP RATE X COST PER TRIP
lo x ,tb x$424.31
x $424.31
x $424.31
5
SANITARY SEWER-MWMC
NO. OF PFU'S AZ X $15.125 PER PFU + $IO Ml'lMC ADM FEE
(Use PFU TotalJrom Item 2 Above)
MUMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL.MWMC SDC
.' suBTorAL (ADD ITEMS 1,2,3 & 4)
ADMINISTRATIVE FEES
BASE CHARGE (SUBToTAL ABoVE) X -05
LJ- a
$x
x
4 z5$l ?-50
11
$bzn 5
Tip Burdick
SDC Coordinator
t 9
ToTAL SpC s aott4
$
FTXTURE UNiT,CALCUL.A- JN TABLE: Number of New Fixtures )'
For remodels, calculAie onty the tl-ErEdditional fixtures)
NU.\,'BER oF
FIXTURE TYPE NEW FIXTURES
ir Equivalent = Fixlure Units (NOTE:
g
UNIT
EOUIVALENT
$*c.n g
FIXTURE
UNITS
tG
---4-
2
1
2
J
6
2
6
6
1
3
2
1
2
2
1
--q-
-a
lo
=
8'?,-
/Head
6
4
I nterceptors For G rease/Oil /S ol ld s/-Etc" " " " " " " "'
tnterceptors For Sand/Auto Wash/Etc" " " " " " "" "
taundry Tub/Ootheswasher-...--.""'
Clothesrasher - 3 Or More.-.---.--.
Mobile Hdriie Pirk Trap (1 Per Trailer)"""""""""
Receptor For Refriger:atorAVater Station/Etc -.:"' -
Receptor For Commerclat Sihk/Dlshwasher/Etc"
Bathtub.......
Drinking Fountain--..-.
Floor Drain.-
Shower. Single'Stall-
Shower, Gang...-..-....
Sink, Bar. Commercial.------
Urinal, Stall^Vall....
Wash Basin/l-avatory. Single-
Water Closet' Public lnstallation
Water Closet. Private..-..-----..- --- --
Miscellaneous:
CREDIT CALCUIATION TABLE:
calculate credits
lo
to
TOTAL FIXTURE UNITS
x$.Gt-t 'tcq1r+
(Rate X Assessed Val ue)
eiation'dite in table'Based on assessed vaiue. it irirproveinents oi:curred after ann
Credit for Parcd or land Onty tf Applicable ?.2l
lrpprwement (rf after annexation date)x s-
(Rate X Assessed Value)
CREDIT TOTAL
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
s.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1 987
1988
1989
1990
1991
1992
$ 2.24
1.93
1.57
1.18
0.79
o.44
0.28
! '.:
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
lndustrial....
Governmental........... -. - -..
0.45
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
--vq-
'ia1l-
Willamalane
Park & Recreation District
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
NAME:PHONE:
ADDRESS:STATE:
LOCATION OF PROPOSED BUI NCS
Street Address if Known:
Platt Name:Tax Lot Number:
DEVETOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back.)
A. Single Family - Detached
Single Family home Manufactured home not in a park
1
NO OF UNITS
B. Single Family - Attached
NO OF UNITS
C. Multi-Family Apartment
NO OF UNITS
D. Manufactured Home Park
3. TOTAT WPRD NET SDC
Community
X $400 PER UNIT =
X $370 PER UNIT =
lDx $277 PER UNIT =
rcu*o.Q3\46
d)
$
$
NO OF UNITS X $280 PER UNIT =
WPRD SDC
2. SDC CREDIT (tf applicable) SDC-payer must furnish proof of WpRD Credit
approval. See SDC Credit Worksheet.
$
$
$
$
City of Springfield
on
(lf SDC reduced for Credit)
,.Q'lqD"p
This DEVELOPMENT
dav ot%-, 1994 (the "E
SITE PLAN REVIEW DEVELOPMENT AGREEMENT
4$sa;( st
hereafter "Agreement", is entered into tnis "J&
by and between the CITY OF SPRINGFIELD,
AGREEMENT,
fi
hereinafter "City", and t.{(.Ei1T hereinafter
"Applicant", in accordance with Section 31.090,
3.090(3) and 3.100(3).
Section 3.070(3), 3.080(3),
RECITALS
WHEREAS, on the 2oth day of January,1994, the City approved the Final Site Plan
Application submitted by the Applicant for the purpose of the following:
CITY JOURNAL NUMBER 93-12-185. Type ll Site Plan Review Application requesting
approval to construct a efficiency apartment complex on a vacant parcel of land. The
property is located at the corner of "D" Street and Mill Street, (Assessor's Map 17-03-35-
23:.Tax Lots 8601,8600). The property is zoned Medium Density Residential and is also
designated for Medium Density Residential use in the Metropolitan Plan.
WHEREAS, in consideration for a Type ll Site Plan Beview Application approval, the
issuance of a Building Permit, and the issuance of an Occupancy Permit, as specified in the
Springfield Development Code Section 31.090, Applicant agreesto comply with all of the
standards in the Springfield Development Code and the Springfield Municipal Code which
may be applicable to this development project unless modified or excepted by the Site Plan
Review Development Agreement, Development Services Director, Planning Commission,
Building Official or their agents, or the Fire Marshall, which modifications or exceptions
shall be reduced to writing.
WHEREAS, in consideration for Site Plan approval, the issuance of a Building
Permit, and the issuance of an Occupancy Permit, as specified in the Springfield
Development Code Section 31.090, Applicant agrees to comply with the following specific
conditions imposed by the City as part of the Site Plan approval:
1. All improvements must be constructed/ installed as shown on the Final Site Plan prior to
the final building inspection.
THEREFORE IN CONSIDERATION OF THE FOREGOING RECITALS WHICH ARE
EXPRESSLY MADE A PART OF THIS AGREEMENT, CITY AND APPLICANT AGREE AS
FOLLOWS:
1. FINAL SITE PLAN. The Applicant has submitted a Final Site Plan in accordance
with Section 31.080 of the Springfield Development Code.
2. STANDABDS. The applicant agrees to fulfitl all applicable standards specified in
the Springfield Development Code and the specific standards listed in the RECITALS prior
to the occupancy, unless certain conditions have been deferred to a later date in
accordance with Section 31.1 1O of the Springfield Development Code.
3. CONDITIONS. The applicant agrees to fulfill all specific conditions of approval
required by the City listed in the RECITALS prior to occupancy, unless certain conditions
have been deferred to a later date in accordance with Section 31.110 of the Springfield
Development Code.
4. MODIFICATIONS. The Applicant agrees not to modify the approved Final Site
Plan without first notifying the City. Modifications to the Final Site Plan shall be reviewed
in accordance with Section 31.100 of the Springfield Development Code.
5. MAINTAINING THE USE. The Applicant agrees to the following:
(a) The building and site shall be maintained in accordance with the
provisions of the Springfield Development Code in order to continue the use.
(b) lt shall be the continuing obligation of the property owner to maintain
the planting required by Section 31.140 of the Springfield Development Code in an
attractive manner free of weeds and other invading vegetation. ln addition, plantings in
the vision clearance area shall be trimmed to meet the 2 112 f oot height standard in
accordance with Section 32.07O of the Springfield Development Code.
(c) Parking lots shall be maintained by the property owner or tenant in a
condition free of litter or dust, and deteriorated pavement conditions shall be improved to
maintain conformance with these standards.
(d) Undeveloped land within the development area shall be maintained free
of trash and stored materials in a mowed and attractive manner. Undeveloped land shall
not be used for parking.
6. ln addition to all other remedies which may be provided by law or equity
(including but not limited to penalties provided by applicable State Law or City
Ordinances), Applicant agrees the City may enforce Applicant's responsibilities by
withholding Applicant's Final Occupancy Permit, and terminating any Temporary
Occupancy Permit which may have been granted.
7. Any Final Site Plan approves becomes null and void if construction does not
commence within one year of the date of the agreement.
IN WITNESS WHEREOF, the Applicant and City have executed this Agreement as of the
date first hereinabove written.
APPLICANT
Date
STATE
4i t-
'z-1.1o*t ts-k g iJ uuuL !" ?J
OF OREGON, County of
'1 1994. Personally appeared the above named
who acknowledged the foregoing instrument to be their
voluntary act. Before me:
BY
BY
i
lJt-.tL-t-
Ir-c,l,l tHi hr,
'?1\1. .:i /t',)OFFICIAL SEAL
JAT{ICE L JAiIIISON Public for
NOTARY PUBLIC .OREGON
coturrilsst oN NO.019958lry coMMrSStoN EXPIiES oEC. 18. 1996 My Commission expires j
CITYv-J(il
Date
OF OREGON, County of
1994. Persona
voluntary act. Before me:
OFFICIAL SEAL
JANICE L. JAMISON
NOTABY PUA LIC. OREGON
COtYlhllSSlOlt No.019958
w cclvttatsstoN ExPIRES DEC 1{i. 1996
i Lt,
i"l , (rl,i +BY
lly appeared the above named
who acknowledged the foregoing instrument to be their
Public for on
My Commission expires \/
kro