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HomeMy WebLinkAboutPermit Board of Appeals 1992-10-20CO M M ERCIAL/ IN DUSTRIAL PERMIT APPLICATION 225 Fiflh Street, Springfield, Oregon 97477 SPNINGFIELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK:/A.re/ J [yQ, Ut? 3r^, ,o,, ,n^'.* ou u lr pL er+ ) ASSESSORS *O'. /Vd7 -? G- H TAX LOT aTto> cfiYi *crl+FteuD srATE: 7zL - 1-tiePHON E ?'7Y77ztPo? r-JFot^rN co rSTR0c;7lo .l, lI{( lz88 lv\ailAurE IBL\/P.ADDRESS: OWNER *r* J REM.DEL ADDrroN >+LE-^ VALUE -7 c>ooo !DEMOLISH OTHER DESCRIPTION OF WORK: ARCHITECT NAME ADDRESS PHONE 9gg-6zz- 126-7nf G EN ERA L: CONTRACTOR'S NAME PLU M BI NG MECHANICAL: ELECTBICAL: ADDRESS 8^ yAatFtL p-\orvr€- CONST. CONTRACTOR #*7726o EXPIRES5- 97 PHONEa26- 777f 7'1 L -jozfUI2ToLl Al c oNETEuc-Tro^l azog, , -ToN/ L.rNN't ELecaRtL PLU MBIN G NO.FEE CHARGE Single Fixture Relocated Bldg (new f ix. addtl) Water Service ft Sanitary Sewer ft Storm Sewera/&. fu ft./5@ Backflow Device Ailfu-z&?i%3brAa* TOTAL PERMIT 745F MECHANICAI NO trFF CHA RGF Furnace/burner & vent <1 0Q000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap. coo I er d Vent Fan/Single duct /9,* Vent System apart from AC or htg. Z Mechanical exhaust hood and duct l(1ag{91)2@ Permit lssuance $10.00 TOTAL PERMIT 27,@ WAT HEATER: LIGHTING POWER BUDGET: -o * OF UNITS: LAND USE: * OF BLDGS: QUAD AR HANDICAP ACCESS: FLOOD PLA ZONING CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STORIES: SQ. FT.VALUE /O a /25 b6A tu /o X X X TOTAL VALUE OF PROJ 5o $/so. FT. 5a 2oSQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE RCPT# arl' DATE BY,/a-?z?P s7 BUILDING PERMIT y'4500 PLUM BI NG DEMOLITION 5% State Surcharqe w 5% State Sqrcharge po /o.7sMECHANICAL)ssbE FENCE VALUE $P4*n*,q7@ 5% State Surcharge /,3 g SIDEWALK ?/ n./ 3,G€SUBTOTAL PERMITSPAVINGr*\3 fr,50 CUBBCUT FT. SYSTEMS DEVELOPMENT 7:2 \ TOTAL PERMIT FEES EXCLUDING ELECTRICAL 2240 /a/4ra.-*1rt '7 zrZ'.% ?=t+./ V REQUIRED INSPECTIONS It is the responsibility of the permit holderto 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. until these x x- X >( x x x UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. 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. ><UNDERGROUND: PI Plectri dra nage lines be made * TNSULATToN & 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 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 urnished to the Building Division. STRUCTURAL CONCRETE: IN excess of 2500 P.S.l. (306 a.1) STRUCTURAL WELDS: Performed on the iob. (2722 t) HIGH STRENGTH BOLTING: During all bolt installation and ti ghtening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. GLU.LAM BEAMS: lnspection Certif icate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. srDS. 25-10,11). STRUCTU RAL MASONRY: (306 a.7) tln 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 PAVTNG: After gravel is in ' place but prior to placing asphalt or concrete.work is to 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 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. 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 & AF., .'I"#AY; 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. prior to covering or f illing applied. SpEC;AL GRAD;NG,trenches. \ ./ EXCAVATION AND FILL'NG: uNDERFLooR: Prumbins , ->- I:::tL"'=^tf;l*tJfl[H]tt' Durins earthwork' (306 all & electrical, mechanical. To be according to plans. Chapter 29) 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 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. CURB AND APPROACH APRONST After forms are erected but Prior to Placing concrete. By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all inforniation 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 Springf ield, and the Laws of theState of oregon pertaining to the work described herein, and that No oCCUPANCY will be made of any struciure 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, tn.t tn" permit card is located at the front of the property, and the approved set of plans will remain on the site at all mes during construction. .at_ 2_o -gnature L Date lo- Z-o- Qy. -?a VALIDATION:ZAMOUNT RECEIVED: RECEIPT #RECEIVED BY: DATE PAID: Y FINAL PLUMBING -X F'NAL ELEcTRtcAL ,u FINAL ME.HANtcAL Y SITE PLAN REVIEw BoARD: Must be requested 2 days in advance- of the date you wish inspection. AII project conditions such as landscaping, parking lot striping, etc. must be completed before requesting this insPection. FINAL FIRE DEPARTMENT A COMM 3 o FINAL BUtLDING: 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. DATEPLANS REVIEWED BY roB No - 4zl32l CITY 0F SPRINGFIELD -SI!-TI$1S DEVELoPMENT CHARGE WORKSHEET (C0MHERCIAL & RESIDENTIAL) NAME OR COMPANY: r!!032b|- ob$o LOCATION: MPRwDEVELOPMENT TYPE: 1. STORM DRAINAGE IMPERVIoUS SQ- FT.x $0.192 PER SQ- FT X $39.78 PER PFU Q. Ft. 4 2 SAN ITARY EI.IER-CIT Y NO. OF PFU'S (See Reverse) 3 T SPO RTATI ON NO OF UNITS X TRIP RATE X COST PER TRIP L /,oo5 x $401.05 x $401.05 x $401.05 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL ABovE) X '05 5. SANITARY SEWER-MWMC $13.62 PER P Above) SUBTOTAL (ADD ITEMS I,2' & 3) $ZtoZgb! -91lo- X X X ) $ 4 $?:7 5 NO. OF PFU'S (Use PFU Tot MhlMC CREDIT IF APPLICABLE (SEE REVERSE) K"ip Burdi ck SDC Coordinator FU + $10 Mt,lMC ADMIN. FEE $ 8,4 TOTAL-MWMC SDC L al From Item 2 +3t G2- 3 ?- TOTAL SDC S Z.I7 U73 l$t 4;I ,J tl TOTAL-CITY SDC FIXTURE UNIT CALGUIATION TABLE: For remodels, calculate only the NET additional lixtures) Number of New Fixtures X Ui-rt Equivalent = Fixture Units (NOTE Bathtub....... Drinking Fountain--.-- Floor Drain. I nterceptors For G rease/Oil/Solids/Etc""""""""' Interceptors For Sand/Auto Wash/Etc""""""""" FTXTURE ryPE Laundry Tub/Clotheswasher' Shower, Single Stall-.-------"" Shower, Gang...-.---.-. Sink, Bar, Commercial. Urinal, StallflVall- Wash Basin/Lavatory, Single""""" Water Closet, Public lnstallation' Water Closet, Private-.--."' Miscellaneous: NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS --a-- --q- ---q-- lu 7L L 2 Z + TOTAL FIXTURE UNITS 2 1 2 J 6 2 6 6 1 3 2 1/ 2 2 1 6 4 Clotheswasher - 3 Or More"""""" Mobile Home Park Trap (1 Per Trailer)"""-""""" Receptor For RefrigeratorAVater Station/Etc"""" n"""b,ot For Commercial Sink/Dishwasher/Etc" eadH cREDlr cALcuLATtoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate credits seParates. 2 .97 x $ q.^b .-Lq2b'.-> Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value)x$ (Rate X Assessed CREDIT RUNOFF GOEFFICTENTS FOR STORM DRAINAGE 0.4 0.9 0.45 0.5 +HL. = $ /&?('41 lndustrial...-- Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,000 Assessed Value 1985 1 986 1987 19BB 1989 1990 1991 $2.16 1.90 1.60 o.25 0.87 0.50 0.16 '1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT + C'TY OF sl'rarN(;FtGL(, 225 FIFTB STREET SPRINGFIELD, oREGON 97477 INSPE(f,ION REQIIEST. 726-3769 0FPICE: 726-3759 PERHIT APPLICATION City Job Number 3.)COHPLBTB PBE SCHBDULE BELOII A. Nev Residential-Single or HuIti-PamiIy per dvelling unit. Service Included:Items Cost dtu & L €D fhe f(,,,u,rrnittad has the I /{uthorized ON1 Sum r JOB DESCfiIPTION A./Outr)\ov AIq+n- Permits Are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2 CONTRACTOR INSTALT^ATION ONLY IElectrical Contractor Address tbt fr fit] Q**rlc $ 8s.00 $ 1s.00 $ 40.00 B Services or Feeders Installation, Alterations or Relocation: 200 amps or I 201 amps to 4 401 amps to 6 601 amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps _Over 600 amps or 1000 volt Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/outIine Lighting- $ Limited Energy/Res _ $ Limited Energy/Comm S SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL Supervisor License Number ?zb-? 87{ 1.b54-.5 ---'l- Ci ty Phone Expiration Date constr contr. Number ?3/O / Expiration Date 2/ Signature of Supervislng Electrician $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ess 00 amps 00 amps $ $ $ss 40.00 55.00 80.00 ee nBtr a6ove not included) 40.00 40.00 20.00 0vne Addr Ci ty Name ess D. Branch Circuits Nev, Alteratlon or Extension Per Panel one Circuit $ 35-00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 Phone TION The installation is being made on property I ovn which is not intended for sale, Iease or rent. Ovners Signature: DATE: RECEIPT E 5 RECEIVED B Ir\ C)O\ \_-/ A\D OO