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Home My WebLink AboutPermit Building 1995-08-17COM M ERCTAL/ IN DUSTRIAL PERMIT APPLICATION 225 Fifin Street, Springfield, Oregon 97477 SPFlNGFIELO tr h, JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK:tb1 U (V1o\rla_r,rg( Bl Ud, ASSESSORS MAP: PHON E: ()c,ytont r ))ar ( Da*STATE:ZIP:q8660Oo5 Z. ttb L)auu-o,r-oetr ()a-- CITY: ADDRESS OWNEFI: VALUE4-t-| *t'( ,'* u 3t4</L DEMOLISH OTHER DESCRIPTION OF WORK: NEW REMODEL ADDITIO NAME ADDRESS PHONE EXPI RES PHONE ELECTRICAL: CONTRACTOR'S NAME ARCH ITECT: CONST. CONTRACTOR # GENEBAL: PLUMBING PLI.JMBING NO.FEE CHARGE Single Fixture Relocated Bld (new fix. addtl s ) Water Service fr Sanitary Sewer ft L/-Storm Sewer1b tt 2S* Backflow Device TOTAL PERMIT MECHANICAL NO FFF CHA FIGF Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Stat io nary evap. cooler Vent Fan/Single duct Vent sys AC tem apart or htg.lrom Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT SQ. FT.$/SQ. FT.VALUE -f::>//o TOTAL VALUE OF PROJ X X X SQ. FTG MAIN SQ, FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE oArE 7-/17_4- By3RCPT* ,/8.?/q12_ BUILDING PERMIT Q.:;e PLU M BI NG 2r,*_DEMOLITION 570 State Su rc harq e n 7 au 5% State Su rcharge ,:5* MECHANICAL FENCE VALUE $ 5% State Surcharge SIDEWALK FT. SUBTOTAL PERMITS O/ssPAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT 6?.+G / 5/.o /TOTAL PERMIT FEES EXCLUOING ELECTRICAL TAX LOT:7e -o U E-HANDICAP ACCESS FLOOD PLAIN ZONING LIGHTING POWER BUDGEI WATER HEATER QUAD ABEA: * OF BLDGS: LAND USE: # OF UNITS OCCY GROUP: # OF STORIES CONSTR. TYPE HEAT SOURCE: t /7-a3^25^/= MECHANICAL: ffi d(. 4't ' 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, call726'3769 (recorder), state your City designated job number, Job address, type of inspection requested and when you will be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:OO a.m. will be madethe following work day. SITE INSPECTION: To be ROUGH PLUMBING, PA,V|NG: After gravet is inmade after excavation, but ELECTRICAL & place but priorlo ptacingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLAB PLUMBING, inspections have been made SpEC;AL INSpECT,ONS: tn accordance ELECTRTCAL & and approved. Section 306 of the State Speciatty CodeMECHANICAL: To be made a special inspector shall be empltyedbefore any work is covered. ATTIC DRAFT STOPS & Oy ifre Ownei/ Contractor duringCURTAIN WALLS construction of the following w6rk. A FOOTINGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished io the Buildiig Division. excavated and forms are facing materials and before erected, all steel in place, but framing inspection' STRUCTURAL CoNCRETE: lnprior to placing concrete' ^ FRAMING: To be made after excess of 2500 PS.l. (306 a.1) coNcRETE SLAB: To be the roof, all framing' fire made after ail insrab buirdins 3i::5::."1fl 3,8:I?f,Hl:r" il,y,T"'f3^t,Y"=tT'.,rrz oservice equipment, conduit, and vents are complete and-piping, accessories and other incir-ary equipment items are lx?';::lili":i':,X'jJ;[i:i: Bl?lf],ffi],?ll"gi"tlH:".ln place but before any tightening operations. (306concrete is placed. INSULATIoN & vApoR a.6) /UN DERGROUND: Plumbing, electrical, gas, sanitary sewer, 6(fm s-e-Dwarer ano - c,raina-fe lines. To be made prior to covering or f illing trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. POST & BEAM: To be made prlor to installation of floor lnsulation, decking or f Ioor sheathing. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to lnstallation 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. BARRIER: To be made after all insulation and required vapor barriers are in place but before any lath or gypsum board lnterior wall covering is applied. 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 exterlot is in place but before any plastering is applied or before gypsum board Jolnts and fasteners are taped and finished. SPRAYEO ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AN D FILLING: During earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: lnspection Certificate by an approved agency, f urnished to the City's Building Division before beams are placed. (2501 U.BC. STDS. 25-10,11). STRUCTURAL MASONRY: (306 a,7) -ln addition to the inspec. tions specif ied, the Building Officlal may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. v SIDEWALK & 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. By signature, I state and agree, that I have caref ully examlned the completed application and do hereby certify th.at all information herein is true and correct, and lfurther 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 pertalning to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Bullding Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. lfurtheragree toensure that all reQuired inspections are requested at the propertime, that project address is readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remain on the site at all Signatu re Date a-/2 times during conslru€tior\ lZ,ezVALIDATI RECEIVED BY:RECEIPT # AM RECEIVED DATE PAID: A?- '-' ?-- FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All proiect conditions such as landscaping, parking lot striping, etc. must be completed before requesting thls inspection. 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. ADDITIONAL COMMENTS PLANS REVIEWED BY DATE .g'/€€9 '€-?? v JOB NO. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY QCAtvLbl- ct?? LOCATION:!(31{,1c{fitrj Y f1,LU0 DEVELOPMENT TYPE:L} T\ LIT\ .H6-r\ BUILDING SIZE SI 1. STORM DRAINAGE IMPTRVIOUS SQ. FT 3i5 X $0.21 PER SQ. FT 2. SANITARY SEI^'ER-CITY NO. OF PFU'S X $43.43 PER PFU (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x - x $437.93 x - x $437.93 x _ x $437.93 4. SANITARY SEWER-MI^/MC N0'0FPFU,S-x$1B.75PERPFU+$10MWMCADMIN.FEE (Use PFU Total Fnom Item 2 Above) l',lt^Jl'lc CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-Ml^Jl4C SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4)5. ADl'4INISTATiVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 fi2ry n.ALLi5fER_t f,af+r Ft ( $ $ $ (A-tf t/'Troy McAllister SDC Coordi nator '7 -- Date: TOTAL SDC $,:fi'9' FIXTURE UNIT CALCUT -'1N TABLE: NUMbET Of NCW FiXt (NOTE: For remodels, calculate onlrtheo[E'l additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Drinking Fountain......... Floor Drain. lnterceptors For Grease/Oil/Solids/Etc lnterceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher.... Unit Equivalent = Fixture Units UNIT EOUIVALENT FIXTURE UNITS Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 Per Trailer)""" Receptor For Befrigerator/Water Station/Etc"''"" Receptor For Commercial Sink/Dishwasher/Etc" 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 Shower, Single Sta11......... Shower, Gang......... Sink: Bar, Commercial, Residential Kitchen' Urinal, Stall/Wall... Wash Basin lLavatorY, Single Toilet, Public lnstallation Toilet , Private Miscellaneous: TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Base lf improvements occurred after annexationd on assessed value date in table, calculate credits se s. Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) X$ (Rate X Assessed Value)x$ (Rate X Assessed Value) Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1 980 1 981 1 982 1 983 1 984 1 985 1 986 $3.47 3.39 3.33 3.21 3.06 2.92 2.74 2.46 1 987 1 988 1 989 1 990 1 991 1 992 1 993 1 994 s2.13 1.76 1.35 o.95 o.58 o.41 o.29 o.14 CREDIT TOTAL - $