HomeMy WebLinkAboutPermit Building 1993-03-16COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Frtfi Street, Springfield, Oregon 97477
SPRINGFIELO
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK t85o, t85;-. I8s6, ,858 ?2
ASSESSORS MAP:t7 -03-26. t+TAX LOT:
1?-6 - ??"s-OWNER:PHON E
,noHrhdK 8Lv@.
Sf zutgP, rg6 gP.a,qoy'9 7 Y7''CITY:STATE:
ADDRESS:tz88
tJPtuwX coklTeuaT1ory. ;rlC.
NEW \./ REMoDEL ADDtloN VALUE
,><
DESCRIPTION OF WORK:uxrr2*cn p
DEMOLISH OTHER
MECHANICAL:
-
NAME ADDRESS PHONE
ADDRESS EXPIRES PHON E7+6- Joz.r
q?s - Sito
1LL-
.E
,t L17€'
c&ort .
ARCHITECT
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLU M BI NG
CONTRACTOR'S NAME
fAc"rF.c 1+owiZr
PLU MBING
NO.FEE CHARGE
42 Single Fixture ^/D 4za-*
Relocated Bld
(new fix. addtl s
)
/Fa'Water Service
ft.t/a.-'
25/Sanitary Sewer
ft.b-n
za/Storm Sewer
ft fF
Backf low Device /a.e
TOTAL PERMIT /45
MECHANICAL
NO trFF CHA RG F
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
q Appliance Vent
separate j ,/2.4
Stationary evap.
cooler
/Z Vent Fan/Single
duct v %,-c
Vent
f rom
System apart
AC or htg.
/Mechanical exhaust
hood and duct y'-*/8.*
Perm it lssuance $10.00
TOTAL PERMIT 4
c,/Eceqrlq?a
dR \)xJ
_ OFFI
* OF UNITS:
LAND USE:
WATER
HANDICAP ACCESS
FLOOD PLAIN
ZONING
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
\\
SQ. FT.
ttkx/,f
2<aa
4.-
C5
TOTAL VALUE OF PROJE
/?2.
X
VALUE$/SQ. FT,
,8yaSO. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN cHEcK rer 77/./? Rcpr# 791 DA]E?*?''3?.€= By
7{ry.%
BUILDING PERMIT ADl.?5 PLUMBING %4*DEIVOLITION
5% State
Su rcharge A.*4 5% State
Surcharoe 27.€
MECHANICAU,.2-ffi,-)-E,C6
-O
FENCE
VALUE $
5% Stafe
Su rcharqe 1-7a SIDEWALK4-{ rr.z4-26 SUBTOTAL
PERM ITS /z Tzfy
PAVI NG %.*CIJRBCUT%/t.l,*, ya SYSTEMS
DEVELOPMENT fius t +3
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
%az>-
ZIP:
Av^/,
OCCY GROUP:
* OF STORIES:
REOUIRED INSPECTIONS
It is the responsibitity of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
226.g769 (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:OO 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.
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.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
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 f loor
sheathi ng.
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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in Place, but
prior to placing concrete.
v RoucH PLUMB,NG,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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 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.
y LArH AND/.R 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.
Y cuRB AND APPR.A.H
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 furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722'f)
During all bolt installation and
ti ghteni ng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
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, furnished 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 specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with.the Building,
City or Development Code.
and vents are complete and
the rough electrical, plumbing HIGH STRENGTH BOLTING:
t
'/ '
By signature, I state and agree, that I have carefully 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 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 the front of the property, and the approved set of plans will remain on the site at all
times during construction.
2-zr- t11)Signatu re Date
AMOUNT R
RECEIPT *:
VALIDATION
RECEIVED BY:
DATE PAID:
-'v-
{
,,
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
X FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
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 inspection.
FINAL BUILOING: 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.
PLANS REVIEWED BY
l/
/
D^rE 7-/6-%
-L
225 North Fifth Street
Springfield, Oregon 97477
FENCE PBRHIT APPLICATION
CITY OF SPRINGFIELD
BUII.JING SAFETY DIVISION
SPFlINGFTELD
0ffice:
INSPECTION LINE:
726-3759
726-3769
CITY OF OREGON
rAJob Location:
Assessors Map *:
0vner:
Address:7 c)
Ci ty:
Value of Fence:
Con t rac t orl Ins taller :
Address:
o
State:
Tax Lot *:
Phone *:
Fence Permit is $5.00
Phone *:
ZiV: t/CrrZ 7 7
Zip:
Expi res :
Ci ty:State:
Constructlon Cont ors Registration +:
By si
fence
this
Devel
gning
has
appl i
this permit/application, I agree to call for an inspection once my
been clnstructed (126-3769). I also stated that all information on
cation/permit is correct and that I vas provided vith the Springfield
t code requirements for fence standards'
ture Da te
FOR OFFICE USE
Date of ApPlication:JOB *:
Receipt ft Issued By:
Total Amottnt CoIIected:
Checked for Delinqueneies:-Checked for Historieal Stattts:
izc - zZ 7)
AA cto
225 FIFTII STRJ|IiT
SPRINGFIELD, OREGON 97477
INSPECTION RBQUEST. 726_3769
oFFICE: 7?-6-3759
PERHTT APPLI ON
Ci ty Job Number
3.PLBTE T'BB SCIEDULE BELOU
tial-Single or
ti-FamiIy per dwelling unit.
Service Included:Items Cost
$ 8s.00
4e.qz
:f !.t I t r.r (; I't r: LU
I
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf 'd llome or
Modular Dvellirig
Service or Feeder
2ft,
4 $ 15.00
$ 40.00
s s0.00
$ 60.00
$100. 0o
$130. 00
$300.00
$ 40.00
55.00
80.00
tUbr
or1 c
Sum
JOB
Permi ts arc non-trans ferable a expl re
1f vork is not started vlthin 180 days
of issuance or if vork is suspended for
180 days.
2. CO}ITR/\CTOR INST ON ONLY
Iilcctrical t cto
Add r:cs
Services or Feeders
Installatlon, Alterations or
Relocation:
200 amps or less
201 anrps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts _
Reconnect 0nIy
200 amps o.r less
201 amps to 400 amps _
B
30
H)
Supcrvisor License Ndmber
nonu f)
\D\9s
Ci ty
0uners
Add rcss
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Blectrician
C. Temporary Services or Feeders
Installatlon, Alteration or Relocation
40.00
Ci ty Phone
OgNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
RNCEIPT
0ver /r0L to 600 amps
0ver 600 amps or 1000,-6ITs see "8" a 6ive
D. Dranch Circuits
Nev, Alteratlon or Extension Per Panel
one circuit $ 35'00
Each Addi t ional
Circui t or vi th Service
or Feeder Permit $ 2.00
E. l'liscellaneous (Service/feeder not included)
-Each installation
Ptrmp or irrigation
Sign/Outline Lighting_
Limi ted Energy/Res
SI,BTOTAL OF ABOVE
5f State Surcharge
TOTAI.
$
$
$
s
$
s
s
e
\
20
40.00
40.00
.00
.00
00
OREGO'U
f
IIIiCIiIVIiD II
5
36
L
!D
.loB No . 4boz-zz-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(C0MMERCIAL & RESIDENTIAL)
tl prowxr CoN*r-e,)cjT \o frtcNAME OR COMPANY:
L0CATION: \S6o 5z 4t,r-t!
DEVELOPMENT TYPE:|.vltYze.-" Lletltt 9-tXrl"t b+eu(X *z-
o o?AoV
BUILDING SIZE:
1.STORM DRAINAGE
IMPERVIOUS SQ. FT.4t" t 4
2. SANITARY Et,lER-CITY
x $0.192 PER SQ. FT.
( + x $3e.78 PER PFU
T SIZ E sQ. Ft.
NO. OF PFU'S
(See Reverse)
4
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
4 X/. d-o9 x $401.05
x $401.05
x $401 .05
X
ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL AB0VE) X .05
5. SANITARY SEWER-MWMC
NO. OF PFU'S
(Use PFU Total From Item 2 Above)
MI,IMC CREDIT IF APPLICABLE (SEE REVERSE)
Kip Burdick
SDC Coordinator
$
(a
SUBT0TAL (ADD ITEMS 1,2, & 3) SSo142
TOTAL-CITY SDC $52 1u22
$13.62 PER PFU + $I0 Mt^lMC ADMIN. FtE $ Sglo:
TOTAL-MWMC SDC
TOTAL SDC
zu*L
2-q5'7-5+
a7
59t1
s ctSt
FIXTURE UNlr CALCUIATI -{ TABLE:
For remodels, calculate only the NEJ additional fixtures)
FIXTURE ryPE
Bathtub.......
Drinking Fountain.....'
Floor Drain..
I nterceptors For Grease/Oil/Solids/Etc" """""" "'
I nterceptors For Sand/Auto Wash/Etc" " """""""
Number of New Fixtures X U
-
:quivalent = Fixture Units (NOTE:
NUMBER OF UNIT FIXTURE
NEW FIKTURES EQUIVALENT UNITS
4
(Rate X Assessed Value)x$
g
--n-
---T-
--q--
1a
b+
+1
/Head
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
Clotheswasher - 3 Or More"""""'
Mobile Home Park Trap (1 Per Trailer)"""""""""
R eceptor For Ref ri geratorAVater Station/Etc" " " "
neceptor For Commercial Sink/Dishwasher/Etc"
Shower, Single Stall...-..--..."
Shower, Gang-..........
Sink, Bar, Commercial
Urinal, Stall/YVall-.-.
Wash Basin/Lavatory, Single"""""
Water Closet, Public lnstallation"
Water Closet, Private....-.
Miscellaneous:
Laundry Tub/Cl
TOTAL FD TURE UNITS
cREDrr cALcuLATloN TABLE: Based on assessed value. rf improvements occurred after annexation date in table'
calculate credits separates.
2.Ab x $1.b (-Au .{r
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed
CREDIT
Value)
TOTAL =$2l-
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
0.4
0.9
Residential..
Commercial..
lndustrial......................... 0.45
0.5
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate per $1,000
Assessed Value
1985
1986
1987
1988
1989
1990
1991
$2.16
'1.90
1.60
0.25
o.B7
0.50
0.16
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
tMPERVlous AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
t
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I
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