HomeMy WebLinkAboutPermit Building 1994-12-09COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 974
SPR]NGFIELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759,4 sv
U 0
rAx Lor: ArGr#* C6Oa
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:2-o
@gA#ttR:PHONE:
STATE:ztP
ADDRE
CITY:
. NEW REMODEL ADDITION DEMOLISH OTHER VALUE
CetDESCBIPTION OF WORK:
MECHANICAL:
Et EfrrolfrA I
NAME ADDR
EXPIRESRESS PHONE
S N
CONTRACTOR'S N
ARCHITECT:
PLUMBING:
GENERAL:
coNsT.
CONTRACTOR #
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trFF r:I{A 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
Stationary evap.
cooler
Vent Fan/Single
duct
Vent
lrom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
,u-/2^lY
ZONING PLO
- OFFICE USE -HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUOGET:
WATER HEATER:
LAND USE:
* OF UNITS:
OCCY GROUP:
g OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.
SQ. FTG MAIN
SQ. FTG OTHER
TOTAL VALUE OF PROJECT-
VALUE
X
so. Frc AccESS = ^* fuer,r,ea
nLANcHEcK FEE /2A.OA, Rcpr, ,qf?? DxeS^V-?r' By
,ffi
BUILDING PERMIT ?/f.9a PLUMBING DEMOLITION
5% State
Surcharge
,?B /a.b reU?5% State
Surcharge bx>d.*2 tD A/s).ac
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS zz,7u
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT f/o o.o 7
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
?7/3>>.
REQUIRED INSPECTIONS
It ls the responsibillty of the permit holder to see that all inspectlons are made at the proper time. To request an inspection, call
226.3769 (recorder), state your City designated job number,.lob address, type of inspection requested and when you will be ready
for lnspeclon. 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 (ollowing work daY.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prlor to placing
prlor to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
uNDER5LAB pLUMBING, inspections have been made spEclAL lNSPEcrtoNS: ln accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
before any work ls covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
y FoorlNGS & FouNDATIoNS: trrErFpr acF. r copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prlor to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, all steel ln place, but framing lnspection' x STRUCTU-RAL^CONCRETE: ln
prior to placlng concrete. FRAMING: To be made after excess of 2500 P.S.l. (3OG a.1)
x coNcRErE sLAB: ro be LT:J-::L i'lJ'3['Jlfl;tXi ," srRUcruRAL wELDS:
made after all inslab building place aid all pipes,ihimneys Performed on the iob. (2722 tl
service equipment, conduit, and vents are'complete and
piping, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and melhanical are approved. During all bolt installation and
ln place but before any tightening operations. (306
concrete is placed. INSULATION & VApOR a.6)
BARRIER: To be made after all
X UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON
electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC.
storm sewer, water and before any lath or gypsum Standards 43-8.
dralnage llnes. To be made board lnterior wall covering is
prlor to covering or filling applied. SpECIAL GRAD3NG,trenches,
,NDERFL.'R: p,umbins [l:"=,S"i""f;m'J3[H3"' El:i.X1'iilltll:'5lb'j]'"1
electrical, mechanlcal. To be according to plans' Ghapter 29)
made prlor to installation of r A?u Arrhrn D ^vDerri^
-
GLU.LAM BEAMS: lnspectionfloor insulatlon, decking or LATH AND'OR GYPSUM
lloor sheathlng. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency' furnished to the City's
posr & BEAM: To be made lnterlol and exierlor, is in Building Division before
prlor to lnstallatlon of floor place but before any beams are placed' (2501 u'Bc'
lnsulailon, decklng or floor plasterlng ls appliei or before STDS' 25-10'11)'
sheathlng.gvvlrtltvgypsumboardlointsandGsteners are taped and STRUCTURAL MASONRY: (306
FLooR rNsuLATroN & finished' a'7)
VAPOR BARRIERS: To be
made Prlor to lnstallation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalling
any roof coverlng.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, lo 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.
'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,
Clty or Development Code.
By slgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatlon
hereln is true and correct, and I further certify that any and all work performed shall be done in accordance wlth the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY
wlll be made of any structure without permission of the Building Safety Divlsion. I further certify that only contractors and employees
who are ln compllance with ORS 701.055 will be used on this project.
o ensure that all required inspections are requested at the proper time, that proiect address is readable f rom the
t card ls located at the front of the property, and the approved set o{ plans will remain on the slte at all
slgnature Date
I further agree t
street, that the
on.times durlng
AMOUNT RECEIVED: V 7Z .A?VALIDATION:
RECEIPT T:
DATE PAID:
FTNAL PLUMBING
X FINAL ELEcTRTcAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions $uch.as
landscaplngL, parking lot striping, etc. must be completed b6fore
requesting thl.s lnsPection.
FINAL BUtLDING: Requested after the final plumbing, electrical,
mechanlcal and Flre Department inspections are made and
approved. No occupancy of the premises can be made until a
Certiflcate of Occupancy has been issued by the Building Division
and posted on the premises.
v
ADDITIONAL COMMENTS:
PLANS REVIEWED DATE ,/a-/^2y
RECEIVED BY:
,nroF
5t.tItr'tGl:Ir:r-u
225 FIFTII STRI|UT
SPRINGFIILD, oREGoN 97477
INSPECTION REQUBSTt 726-3769
oFPICE: 726-3759
'oning' an
rpProval'
has the toliowt
iiic tand use
ing Proiec
Zoning-
l-r
2it,
ILECTNICAL PBRHIT APPLICATION
City Job Number q4l 2-
HuIti-FamiIy per dwelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additlonal 500
sq. ft or portlon
t lre reo f
Each Hanuf 'd tlome or
$ Bs.oo
$ 1s.00
Hodular Dvellirig
Service or Feeder $ 40.00
B.Services or Feeders
Installatlon, Alteratlons or
Relocation:
200 amps or less I
201 anrps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect 0nly
1. LOCATION OI' INSTALI.NTION
.^' . I . .!O!NT.UIV..YEB.SCIIEDULB
BELOV
- q$!-'\A;ffifn/, 1QP ^. Nev Residential-Singre or
LEGAL PTION
,JOB UESCNIPTION
CIen)ro-e-2
Sum
a[6,e
,5D.@
Permits are non-transferable and expireif vork is not started slthln 180 days
of lssuancc or lf vork ls suspended for
180 days.
2. CONTRACTOR INSTALINTION ONLY
lilcc t rical Con t rac,"-l\tc
ID
Add r:ess
Ci ty Phone
Supervisor License Ntimber
Expiration Date \D.\ 1a
Constr Contr. Number L
Expiration Date +e4q3
Signaturc of Supervising Blectrician
Ouners Name
Temporary Services or Feeders
Installatlon, Alteration or Relocation
s s0.00
s 60.00
$100.00
s130.00
$300.00
$ 40.00
c
D
200 amps or less $ 40.00
201 amps to /r00 amps _ $ 55.00
over /r01 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see rrBrl
Add rc s
cit Phone
OUNNR INSTALLATION
Tlre installatlon is being made on
property I own vhich is not interrded
for sale, Iease or rent.
Ovners Slgnature:
DATE:
Branch Circui ts
Nev, Alteratlon or Extenslon Per Panel
One Ci rcui t
Eaclr Ad<litional
Circui t or vi th Service
or Feeder Permi t
s 3s.00
E. l'liscellaneous (Service/feeder not included)
$ 2.00
-Each installation
Pump or irrigation $
sign/outline Ligtrting- S
Limi ted Energy/Res _ $
Limi ted Energy/Comrn S
40.00
40.00
20.00
36.00
SWTOTAL OP ABOVB
5f State Surcharge
lTmL @/o
rui(:tiIVII) ltY:
5
b1
@
-Ihe tollotti
14b4l.5b
it43s
ATTACHMENT BI
JOB NO.? 4r 3s2
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
\^IORKSHEET
(COHHERCIAL & RESIDENIIAL)
0--r-NAI{E 0R C0HP/tl'lY:
737
LOCATION 4%.
EEVELOPMENT TYPE:
BUILDING SIZE:F
1. STORM DRAINAGF
iHPERVIOUS SQ. FT.fsa
2. SANITARY SEWFR-CiTY
OT SI
X $0.209 PER SQ. FT
X $43.25 PER PFU
3
,. Ft.
S 4/NO. OF PFU'S
(See Reverse)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
7
S 4x
-
x s436.19
x
-
x s436.19
x
-
x $436.i9 s
SUBTOTAL (ADD ITEMS i,2. & 3)s Tizo
4. SANTTARY SEIIJFR-MI^JMC
$17.19 PER PFU + $10 [4lttHc POMiN.FEE $
(Use PFU Total From tem 2 Above)
I"II^II,IC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAI -MWHC SDC
SUBTOTAL (AOD ITEMS 1.2.3 & 4)s q5.30
5. ADMINTSTATIVF FTES
BAS E (SUBTOflA\ ABOVE) X .05
/
$
Ha is,
ina
.3o
82. SDC
Date:
TOTAI SDC
NO. OF PFU'S
s..
SlU
d,
s 4.7 a
s 07
FIXTURE UNIT CALCUL*r ION TABLE: ruumuer or New rirtr-,", x Unir Equivatent = Fixrure Units
INOTE: For remodels, calculate only the NET additional fixturesl
XTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTUBE
EOUIVALENT UNITS
Fountain
Floor
Laundry
Clot - 3 Or More
Mobile Home k Trap (1 Per Trailer)......
2
1
2
3
6
Beceptor For Re
Receptor For Co
r/lVater Station/Etc
I Sink/Dishwasher/Etc..
erato
6
6
1
3
2
1
2
2
1
6
m
Shower, Single Stall.
Shower, Gan9.............
Sink: Bar, Commercial,al Kitchen..
eIH
2
4
ad
Urinal, StaltftVall
Wash BasinAavatory, Single.
Toilet, Public lnstallation
Toilet , Private
Miscellaneous:3
CREDIT CALCULATION TABLE: Based on
calculate credits separates,
or Parcel or Land Only lf Applicable
rovernent (if after annexation date)
TOTAL FIXTURE UNITS
lue. lf improvements occurred after annexation date in table,
x$
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL - $
Year
Annexed /:*per $1,ooo \/ Assessed Value
Year
Annexed
Rate per $ l,OOO
Assessed Value
1 980
1 981
1 982
1 983
1 984
1 985
$3.46
3.38
3.32
3.21
3.06
2.92
2.73
1979 or before s2.46
2.14
1.77
1.37
o.97
o.61
o.44
o.15
BB
19
1
1 985
1 986
1 987
1 991
1 993
For Grease/Oil/Solids/Etc.................
For Sand/Auto Wash/Etc..................
x $_