HomeMy WebLinkAboutPermit Building 1993-07-26COM MERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield' Oregon 97477
LOCATION OF PFIOPOSED
ASSESSORS MAP:
03 N ,D
,h,
il,
JCB NUMBER
INSPECTION LINE: 726'3769
OFFICE: 726-3759
TAX LOT:
SPRINGFIELO
PHONE:
ztP'.
r
bLSTATE:
.?-5q) t
rhOWNER:
ADDRESS
CITY:
VALUE
*DESCRIPTION OF WORK
NEW
--
REMODEL ADDITION DEMOLISH OTHER
PHONEADDRESSNAMEo,L -o7/3
ADDRESS-
rI/*L
t Zo.-1t
4
rtS
f,cs
ELECTRICAL:
PHONEEXPI
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
FEE I CHARGE.A)d)Single Fixture
Relocated Bldg.
(new f ix. addtl)
Water ce
fr.
ewerit ary ft
ft
Backf low Device
TOTAL PERMIT
NO -lfE --CHARGEFurnace/burner & vent
<100,000 BTUs
Furnacelburner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
SE
pp ance
Stationary evaP.
cooler
Vent Fan/Single
d uct
Vent em apart
f rom AC or ht
Methanical exhaust
hood and duct
$10.00Per!'nit lssuance
TOTAL PERMIT
FFIC U
R
ZONING
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
LAND USE:
CONSTR. TYPE:
HEAT SOURCE:
OUAD AREA:
* OF BLDGS:
VALUE$/sQ. FT.SO. FT,
TOTAL VALUE CF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHEB
RCPT#PLAN CHECK FEE BYDATE
BUILDING PERMIT 44 PLUMBING ;mcc)DEI'./OLITION
5% State
Su rch arg e
5% State
Surc
FENCE
LUE S
SIDEWALK
FT.
I OC
MECHANICAL
SUBTOTAL
PERI',4iTS5% State
Surch I*tY{K'nrLu-\ory CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL T]ERMIT FEES
EXCLUDI I'ii: :LEC] RICAL
I 7/a
NO.
n.L
- Storm Sewer
Vent
hrY
OCCY GROUP:
* OF STORIES:
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
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. wlll 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. ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UN DERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage Iines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor 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 floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
ROUGH 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 all
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
f inished.
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.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
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 following work. A
copy of the special testing reports shall
be f urnlshed to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 t)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRAOING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.l1 &
Chapter 29)
cLU.LAM BEAMS: tnspection
Certificate by an approved
agency, f urnished to the City's
Building Division before
beams are placed. (2501 U.B,C.
STDS. 25-10,11).
STRUCTURAL MASONRy: (306
a.7)
'ln addition to the inspec.
tions specif ied, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
DATE PAID
BECEIVED
VALIDAT N AMOUNT RECEIV
RECEIPT S:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as
landscaping, parking lot stri pi ng, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requested af ter the final plumbing, etectrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises.
ADDITIONAL COMM TS
PLANS BEVIEWED BY DATE
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 all required inspections are requested at the proper time, that project address is readable from the
street, that the permit card is located at t front of the property, and the approved set of plans will remain on the site at all
times during
DateSignature
nstruc
_g
-.t-\0n ttl
v
SPnTNGFTEL(,
IJGAL DESCN,IPTION
DESCRTPTION
Electrical Contractor he..rri 6l.J*,.
Address oo G,l[. l''
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COMRACTOR TNSTALI.,ATION ONLY
e-1 S
oq.liro specilic ta;'u
BLECTRICAL PERHIT APPLICATION
Ci ty Job Number 131611
SCBEDULE BBLOS
A. Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf,d Home or
-Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B. Services or Feedersfnstallation, Alterations or
Relocation:
0b
200 amps or less
-$ 50.
201 amps to 400 amps $ OO.
401 amps to 600 amps
-
S1OO.
:^.1 i
225 FIFTB STREET
SPRINGFIELD, ORBGON
INSPECTION RBQTIBST:
0FPICE: 726-3759
97477
726-376 D
I.. LOCATION
t1a1 il.
', ,, ..
INSTALI,.A.TIONOP
,clh
F.\
Sum
fa-+d rrl
Ci ty rt Q-Phone 6?8- 3o'to
Supervisor License Number
Expiration Date l0 ^l - ,16
8t1
601 amps to 1000 amps
0ver 1000 amps/volts
Reconnect 0n1y
D. Branch Circuits
$ 130.
$300.
$ ao.
00
00
00
00
00
00
Constr Contr. Number 911?1
Expiration Date -l?- 11
Signature of Supervising ElectricianLA
Ovners Name .ful
Temporary Services or Feedersfnstallation, Alteration or Relocation
200 amps or less S 40.00201 amps to 4oo amps
-
$ 55.00over 401 to 6oo amps
-
S go.oo
0ver 600 amps or IOO0EITs see uB" aETf
c
OOdr.""
.
citv Faqs#: phone Ai/Z-5yZ
OIINER TNSTALI..ATION
The installation. is being made on E.property f own vhich is not intendedfor sale, Iease or rent.
0vners Signature:
Nev, Alteration or Extension per panel
One Circuit $ 35.00Each Addi rionalCircuit or vith Serviceor Feeder permi t ? $ Z. OO 4
Miscellaneous (Service/feeder not included)-Each installation
Pump or irrigation S 4O.OO
flq1o:.line Lighting- S ao.ool]rit"q Energy/Res
-
S 20.OO
DATE:
RECEI
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
/.4 6A
FlJ ?2a
6- za
OREGO'UctfY
RECEIVBD BY:
5
^ =tz4_/1 ,- =
cITY 0F srRIt{GFIELD sysTEl,rs_l)EyEl0p}rrr{T CHARGEWORKSHEET
NAME OR COMPANY:
LOCATION:
DEYELOP}4ENT TYPE:
BUILDING SIZE:
I. STORM DRAINAGE
,b
To Dete rmine Tota
sIz F
X $39.78 PER PFU
PFU'S)
t )
sQ. Ft.
ru:5-H3:i,iai,I,*uffi,}I3il3fi5i.i$:[I;.,,
SANITARY SEI.JER-CITY2
3
NO. OF PFU'S
(See Reverse
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
\y
ADMINISTRATIVE FEES
BASE CHARGE (SUBToTAL ABoVE) X .os
5. CREDITS
x $401.0s $
x $401.05 $
$401 .05 srmjne Trip Rates)
SUBToTAL (ADD ITEMS 1,2, & 3)s
TOTAL-CITY SDC s
s
$13.62 PER PFU + $I0 M|'JMC ADMIN. FEE $
s
ToTAL-MIIMC SDC
x
x
See Atta(
4
5
IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL:
TOTAL-CITY SDC X (50%) = ADJUSTED CITY SDC
SAN ITARY SEI.IER-MI.IMC
NO. OF PFU'S
(Use PFU Total From Item 2 Above)
M[,1'1C CREDIT IF AppLICABLE (SEE REVERSE)
Kip Burdick
SDC Goordinator
s
ToTAL spc s \\ o\ 9tl
I
Unknown)
s
x
c
'Ig\e
FlxruRE uNtr cALcuLATloN TABLE: r'rumoer of New Fixtures-r Unit Equ)va)ent = Fixtuteun\ts (stoTE'
For remodels, calculate only the NEI additional fixtures)
NUMBER OF UNIT FI]IrURE
NEW FI)CTURES EQUIVALENT UNITS
FI)CTURE TYPE
Bathtub...
Drinking Fountain.""
/Head
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
LL
floor Drain.
i nt*"piot" For G rease/Oil /Solids/Etc" " " " " " " "'
i ni"t""'pt"tt For Sand/Auto Wash/Etc" " " " " " " " "
Laurdry Tub/Clotheswasher" " "
Clotheswasher - 3 Or More"""
frloOif" Home Park Trap (1 Per Trailer)""'-'
i"""ptot For Refri gerator//Vater Station /Etc" " " "'i"""Ftot
For Commercial Sink/Dishwasher/Etc"
7
Shower, Single Stall..'......""
Shower, Gang.....'.....
Sink, Bar, Commercial'
Urinal, StallflVall...
Wash Basin/kvatory,Single.
Water Closet, Public I nstallation...
Water Closet, Private........
Miscellaneous:
TOTAL FI}iTURE UNITS
cREDlr CALCUI-AT|oN TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits
Credit for Parcel or l-and Only lf Applicable X $
-
(Rate X Assessed Value)
lmprovement (if after annexation date)x$
(Rate X Assessed Value)
GREDIT TOTAL = g
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Bate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.M
2.33
1985
1986
1987
1988
1989
1990
1991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.0.4
0.9
0.45
0.5
Commercial.
lndustrial.........
Governmental.
lMPERVlous AREA = T.TAL Lor srzE x RUN.FF coEFFrcrENT