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Home My WebLink AboutPermit Building 1992-08-06COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fifln Street, Springfield, Oregon 97477 SPRINGFIELO JOB NUMBER afr, INSPECTION LINE: 726-3769 OFFICE: 726-3759 /E /A?Z/A5/4/gS7 /Y'BcI-- tnAR' 1u;P''trri-/\ 1//3 7+*.a9lQtxt$TGo.o, \j il +6 PrAe.-:-5*LOCATION OF PROPOSED WORK:LOT ASSESSORS MAP:TAX LOT:3aa.? OWNER Yel* g te;oxq PHONE: -726 - -71-7 f ADDRESS:3 oo g ArTl L?Y LooY CITY:CLtq€Ne STATE:OR ztP DESCRIPTION OF WORK:7 NEW \/REMODEL ADDITION DEMOLISH OTHER VALUE NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME ADDRESSl.z-oa ro-ll*r*V- CONST. CONTRACTOR #-77860 EXPIRESe /'93 PHONE-f 26- 127+U -7ot4d Cfl9EU'TtoLJ G EN ERAL:o2: PLUM BI NG c ?o9,198-(rs- MECHANICAL: ELECTRICAL:N't z(* PLU M BI NG NO FEE CHARGE %Single Fixture /a vz?e Relocated Bl (new fix. add dg. t t) /€o Water Service ft /2,* ?4/Sanitary Sewer ft /a4 fu2/Storm Sewer ft ?,O.4 Backf low Device TOTAL PERMIT /7a.* MECHANICAL NO FFF CHA RGF Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or f loor mounted unit heater t/Appliance Vent separate 6 ,- a.e Statlonary evap. coo I er 12 Vent Fan/Single duct v nz.no Vent System apart from AC or htg. /Mechanical exhaust hood and duct {.7 /a.o-e Permit lssuance $10.00 TOTAL PERMIT ZA.O' frrr QUAD AREA /apl)t)_ OFFICE HANDICAP ACCESS: LAND USE:FLOOD PLAIN * OF BLDGS:* OF UNITS:/ZONING: OCCY GROUP CONSTR. TYPE: HEAT SOURCE: 5'N LIGHTING POWER BUDGET: # OF STORIES 2 Atq lq'fZ, wArER HEATER 6z-a<n SQ. FT,$/so. FT.VALUE SQ. FTG MAIN SQ. FTG ACCESS SO. FTG OTHER 4t9o I x 34, zaa*w { / 4-ta 3,V27 rorAL VALUE or eao,ti(x /24 / ?7.n> I PLAN CHECK FEE vzu - 5r)o I DATEvRCPT BY TOTAL PERMIT FEES EXCLUDING ELECTRICAL 6? 72 / ?o. -"DEMOLITIONa/.F PLUMBI NGBUILDING PERMIT 5% State Su rcharoe 27-525% State Su rcharoe 7.n iA,/e. "eZ,.e FENCE VALUE $ MECHryHff n,f za->. SUBTOTAL PERM ITS /zeA#5% Stafe-- - Surcharqe V-Va SI FT. DEWALK/oD //-*FT. CURBCUT<P /(.€e SYSTEMS DEVELOPMENT d aa+.{e3 t{PAVI NG / 7.d V -a e-,/ </ 9z?os 2 *-a >ut?LH ( 4 <-lN,T9 Aparrr.zrrrs ) v REOUTRED TNSPECTTONS J 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. 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. I\TTIC DRAFT STOPS & CURTAIN WALLS FOOTINGS & FOUN DATIONS: 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 DERGROUN D: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbi ng, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. A POST & BEAM: prior to installat x RoucH PLUMBTNG, 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 f raming, 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. ^ PAVTNG: After gravet 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 furnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 PS.l. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 t) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.'11 & Chapter 29) cLU.LAM BEAMS: tnspection Certificate by an approved agency, furnished 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 specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. x --4 / To be made ion 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 verticals in accordance with uBc 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. / / ( x FINAL PLUMBING FINAL ELECTR]CAL FINAL MECHANICAL FINAL FIRE DEPARTM T 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 stri ping, etc. must be completed before requesting this i nspection. F]NAL BUILDING: Requested after the final ptumbing, 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 Buildin g Divisionand posted on premises. ADDITIONAL PLANS REVIEWED BY DArE €_t--= 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 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 employeeswho 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 thestreet, 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 8:- 6-?'ugnatureDate times durin g construction DATION AMOUNT RECEIVED RECEIPT # DATE PAID RECEIVE ,J*- 4 Y X t t JoB No . nz tozb CITY OF SPRINGFIELD SYSTEIS DEVELOPMENT CHARGE WORKSHEET (G0MMERCIAL & RESIDENTIAL) F.LEUNGNAME OR COMPANY: +t LOCATION: t 9DEVELOPMENT TYPE: BUILDING SIZE: i. STORM DRAINAGE IMPERVioUS SQ. FT.+64t x $o-1e2 PER sQ- FT' x $401.05 x s401 .05 $ $ TOTAL-MI^,MC SDC TOTAL SDC a. Ft. a8t 6B T SIZ 2 SANiT ARY SEI^JER -CITY No. oF PFU's L4 x $39.78 PER PFU (See Reverse) TRANSPORTAT I ON NO OF UNITS X TRIP RATE X COST PER TRIP J x X x ,b1b x $401.05 4 " ADMIN I STRAT I V rtrLI EES BASE CHARGE (SUBT0TAL ABoVE) X .05 5 SANIT ARY SEWER -M[,.JMC suBToTAL (ADD ITEMS 1,2, & 3) s4baz19 NO. OF PFU'S (Use PFU Tot c al From Item 2 MI^IMC CREDIT IF APPLICABLE (SEE REVERSE) Kip Burdick SDC Coordinator $13.62 PER PFU + $10 MI^IMC ADMIN. FEE Above ) +1 q 6 L 6uq*ou{ 'rt v "{ .A AprMne- -EW TOTAL-CITY SDC S L{-1qOE ' CALCUUfbnf TABLE: Number of New Fixtures x uri'rt Equivalent = Fixture Units (NorE For remodels, calculate only the lr!!l additional fixtures) NUMBER OF UNIT FIKTURE FIXTURE ryPE NEW FIXTURES EQUIVALENT UNITS +b Bathtub....... Drinking Fountain.--.- 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 o a ac) a\4 (?+ Floor Drain..........-.--':-.-... lnterceptors For Grilase/Oil /Solids/81c""""""".'' I nterceptors For Sand/Auto wash/Etc""""""""" Clotheswasher - 3 Or More.."" Mobile Home Park Trap (1 Per Trailer)""""""""" Receptor For RefrigeratorANater Station/Etc"""" Receptor For Commercial Sink/Dishwasher/Etc" Laundry Tub/Clotheswasher' Shower, Single Stalt....-.----..-.-""' Shower, Gang.... Sink, Bar, Commercial.........""' Urinal, StallflVall- Wash Basin/Lavatory, Single- Water Closet, Public lnstallation" Water Closet, Private.-....--... Miscellaneous: CREDTT CALCULATION TABLE calculate credits 4 + b TOTAL FIKTURE UNITS 2.$7 x$O.OCa (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL = $ Based on assessed valUe. lf improvements occurred after annexation date in table' \20 q1 Credit fot Parcel or Land Only lf Applicable lmprovement (if after annexation date) 2b41 Year Anneied Bate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1S8'l 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1 985 1986 1987 .I9BB 1989 1990 1991 $2.1 6 1.90 1.60 0.25 0.87 0.50 0.16 BUNOFF COEFFTCTENTS FOR STOBM DRAINAGE Residential.. """"""" 0'4 Commercial lndustrial..... """"""" 0-45 Governmental--------.-.....-. """"""" o'5 IMPERVIOUS ABEA = TOTAL LOT SIZE X RUNOFF COEFFICIENT b C'TV OF STD'IINGFTCLT'J^ fi6pffifrlr*:.ELECTRICAL PBRHIT APPLICATION Ci ty Job Number q lt)&5 COHPI.JTE TEE SCEEDULE BELOV Service Included: Items Cost Sum ab La tuo 225 FIFTII STREET SPRTNGFTELD, oREGoN 97477 INSPECTION P&QUBST z 726-3769 OFFICE: 726-3759 Zc (- 't1 OP AuihofleeC Signatur \1fr5H1ffi4*D3EO3 Permits are non-transferable and expire if vork is not started within 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI^ATION ONLY Electrical Contractor T '> . 1,-.-,1 \A. -Neu-*€si.d.enlial.-Single or MuIti-FamiIy per dvelling unit. B L000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps _ Over 600 amps or 1000 volts $ 8s.00 s 1s.00 $ 40.00 ee rrBrr aUoF s 2.00 Address 7a Y ciry f+ ll(-' , L- mo^" ?Zb-1 g ?{ Supervisor License Ndmber ?-39' 200 amps or less $ 50.00 401 amps to 600 amps -l $100.00 0ver 1000 amps/volts $300.00 Reconnect 0nly $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date constr Contr. Number 23t o / Exp iration Date /O nlT Signature of Supervising Electrician 0vner Address Ci ty Phone OgNER STALI,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: RECEIPT Branch Circuits Nev, Alteratlon or Extension Per Panel One Circui t Each Additional Circuit or vith Service or Feeder Permit $ 3s.00 Hisce]laneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Lighting- Limi ted EnergY/Res - Limited EnergY/Comm ST,BTOTAL OF ABOVB 5Z State Surcharge TOTAL c. E $ $ $ s 40.00 s5.00 80.00 o0 00 00 00 OC $40 $40 s20 $36 D 75 RECEIVED BY: 5 S!''IIN(;FII:Lr) s.l ss 5 qe ?-?.5 FIFTII :;TRIIIiT SPRINGFIELD, OI(IGON 9747 I INSPT,CTION REQUT?,ST: 7?.6 oFPICli: 7?.6-375') Ci ty Job Number COHI'LETE I'88 SCIEDULE DELOV A. Nev Resi n iaI-Sing1e or HuIti-FamiIy per dvelling unit. Service Included: I tems I JOB Pernri ts non- t rans ferable and e if vork is not started vithin 180 days of issuance or if work is suspended for 180 days. 2. CONTRAC:TOR INSTALT.I\TION ONLY Electrical Contractor Add ress ci ty- Phone Supervisor License Ndmber Exniration Date Constr Contr. Number Expiration Date Signature of Supervising Blectrician 0wners Name L PERHIT APPLICATION 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps - 401 amps to 600 amPs - 601 amps to 1.000 amPs- Over 1000 amps/volts - Reconnect OnIY V) 1 B C Cos t $ 8s.00 $ 1s.00 s 40.00 Sum uSoF s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 TemporarY Services or Feeders rnsiallailon, Alteration or Relocation 200 amps or less -I- q 19'00 201 amps to 400 amPs - I 15'00 over 4bt to 6oo amps - $ Bo'oo 0ver 600 amPs or 1000 volts see I'Brl Branch Circuits Addres Ci ty Phone D. O)^ Nev t Alteratlon or Extension Per Pane1 One Circui t Each Additional Circuit or vith Service or Feeder Permi t - s 3s.00 $ 2.00 E Hiscellaneous (Service/feeder not included) -Each installation Ptrmp or i rriga t ion Sign/0utIine Light ing- Limi ted EnergY/Res - Limi ted EnergY/Comm STIBTOTAL OP ABOVE 5Z State Surcharge TOTAL The installation is being made on property f ovn vhich is not intended for sale, lease or rent' OVNER 0vners Signatur:c: s 40.00 $ 40.00 $ 20.00 s 36.00 DATE: RECEIPT ORECO'U o I'l RIiCEIVIiD IIY: 5 gur).e s r (D