HomeMy WebLinkAboutPermit Building 1995-07-31CO M M ERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fillh Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
SPR'NGFlELO JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726-3759
TAX LOT:
?*/s7
4
PHONE:
ZIPSTATE:a.CITY:
ADDRESS
OWNER:
VALUE: F//d? - gnANREMODELLISH
-
OTHER
DESCRIPTION OF WORK:
NEw K
PHON ENAMERESS{zl 5aza
EXPI RES PHONE
MECHANICAL:
ELECTBICAL:
CONTRACTOR'S NAME
ARCH ITECT:
CONST.
CONTRACTOR '
GENERAL:
PLUMBING
PLU MBING
NO.FEE CHARGE
%Single Fixture ,/a @
Relocated Bldg
(new f ix. addtl)
Water Service / 5D, tt /a
Sanitary ,"*ur/ 7b ,r.4o
Storm Sewer zr?J8 tt.7A
1 Backf low Device /O
TOTAL PERMIT ?@.*
MEC HAN ICAL
NO trFtr r:HAEIGtr
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
2 Appliance Vent
separate 3 ?
Stationary evap.
cooler
(Vent Fan/Single
duct 7 /Z
Vent
f rom
sys
AC
tem apart
or htg.
?Mechanical exhausl
hood and duct /-7 /7.5a
Permit lssuance $10.00
TOTAL PERMIT %P
CONSTR. "",
*ZJZ
HEAr sounct fuF.4.<c
- OFFICE USE _
.r/ry' .
7
HANDICAP ACCESS
LAND USE
LIGHTING POWER BUDGET:
WATER HEATER
* OF UNITS:
FLOOD PLAIN
ZONING:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
# OF BLDGS
$/SQ. FT.VALUE
/?/ aaq
?/.97- e?
TOTAL VALUE OF PROJ
X
X.6
SQ. FT.
.?a2/-SQ. FTG MAIN
SO FTG ACCESS
SO. FTG OTHER
UlejSbF EE 4#j*-lcPg4?3- o*u *b f u,
5EV.//
PLUMBING a.>DEMOLITIONBUILDING PERMIT ,e
,e 570 State *'e
5% State
Surcha
FENCEMECL
SIDEWALK
FT.P
SU BTOTAL 7ate
Su rch
5Yo
SYSTEMS
DEVELOPMENTta.5D CU UT
FT.
PAVING
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
e=rq.47F..n?qfa@
*//9
q?<- /?7,/
/W^2h.
VALIDATION &
2
AMOUNT RECEIVED:
RECEIPT #
RECEIVED BY:
DATE PAID
\V 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, call726'3769 (recorder), state your City designated job number, iob address, type of inspection requested and when you will be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be madethe following work day.
slrE lNSPEcrloN: To be )( !g_u-q1 eLUMBTNG, ' -4- pAVtNG: After sravet is inmade after excavation, but ELECTRICAL & place but priorlo placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete.be covered until these
.'/ uNDERSLAB PLUMB|NG, inspections have been made spEclAL tNSpEcrtoNS: tn accordanceELECTRICAL & and approved. Section 306 of the State Specjatty CodeMECHANICAL: To be made
berore any work is covered. X Arrrc DRAFI srops & f;r"ff""'3;l:i;3fi,:ff[,0;r?,T5'o'"0CURTAIN WALLS construction of the following work. AX FOOTINGS & FOUNDATIONS: E,hEhi copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished io the Building Division.
excavated and forms are facing materials and before
erected, all steel in place, but framing inspection' STRUCTURAL CONCRETE: lnprior to placing concrete' / FRAMING: To be made after excess of 2500 PS.t, (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after all inslab building blocking and bracing are ln STRUCTURAL WELDS:
service equipment, conduit, :lTi"1l: 3i!t3i";,3i"il:r" Perrormed on the iob (2722 r\
piping, accessories and other
ancilary equipment items are the rough electrical, plumbing HIGH STRENGTH BoLTING:
in place but before any and mechanical are approved. During all bolt installation and
concrete is piaceo. - '
,y TNSULATTON & VAPOR l.8ft"^'nn operations. (306
y y,Ip.:I:R9UND: prumbins, l*Hl',S l:"P:efr1?&1i:"J.?" spRAyED oNelectrical, gas, sanitary sewer, barriers are in place but FlREpRooFlNG: U.B.c.storm sewer, water and before any lath or gypsum standards 43-8.drainage lines. To be made board interior wall-Covering isprior to covering or f illing applied.trenches. SPECIAL GRAD|NG,
,NDERFL..R: p,umbins , --J- I:::,S'"'"rHJp[Hl"' EliilTdiil#il",5Jb'iT,"aelectrical, mechanical. T5'be according to plans. Chapter 29)
made prior to installation offloor insulation, decklng or 1- LATH AND/OR GypSUM GLU.LAM BEAMS: lnspection
floor sheathing. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agenc% furnished to the City's
POST & BEAM: To be made interior and exterior, is in Building Division before
prior to installatlon of floor place but before any lgams are placed. (2501 U.BC.
insulation, decking or floor plastering ls applied or before STDS. 25-10,11).
sheathing. gypsum board joints and
fasteners are taped and STRUCTURAL MASONRy: (306
FLOOR INSULATTON & finished. a.7)
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
NAILINGI Prior to instailing
any roof covering.
SIDEWALK & DRTVEWAY:
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
A,PRONS: After forms are
erected but prior to placing
concrete.
'ln addition to the inspec-tlons specified, the Building
Off icial may make or require
other inspections of any
construction work to ensurecompliance with the Building,
City or Development Code.
,(
/
V
"V
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
--J- strE PLAN REVTEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. Ail project conditions such aslandscaping, parking rot stri ping, etc. must be compreted beforerequesting this inspection.
/FINAL BUILDTNG: Requested af ter the finar prumbing, erectricar,mechanical and Fire Department inspections are made andapproved. No occupancy of the premises can be made until acertlficate of occupancy has been issued by the Building Divislonand posted on the premises.
ADDITIONAL COMMENTS:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informationhereln is true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinancesof the city of Springfield, and the Laws of the state of oregon pertaining to the work described herein, and that No occupANCyWil:.:,Iij""::"TIjj:T#,lit,j;?:?:Jgil;i:,1::.":l;ff.tr"il;-i; ;";l ;;,i;"";#tiry that on,y contractors and emp,oyees
PLANS REVIEWED BY DATE
all reQuired inspections are re quested at the proper time, that project address is readable from the
I further agree to ensure that
street, that the permit card itis during construct of plans will remain on the s
Signature
located at the t of the property, and the approved set
Date
,
ite at all
z
s
Willamalane
PHONE:
fob No.
Park & Recreation District
U
(
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
NAME:
LOCATION OF FROPOSED B NC
Street Address if Known:
1
STATE:W"haq
A-U
Platt Name:Tax Lot Number:
DEVELOPMENT TYPE (Check appropriate dwellingG). SDC Calculations and dwelling
definitions are on the bactc)
A. Sinsle Familv - Detached
Single Family home Manufactured home not in a Park
NO OF UNITS
B. Sinsle Familv - Attached
NO OF UNITS
C. Multi-Family Apartment
NO OF UNITS
D. Manufactured Home Park
NO OF UNITS
X $400 PER UNIT =
X $370 PER UNIT =
X $277 PER UNIT =
X $280 PER UNIT =
$
$
$
,E3LOO
WPRD SDC
2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WpRO Credit
approval. See SDC Credit Worksheet.
$
$
$
E oo
o
3. TOTAT WPRD NET SDC
Community
(lf SDC reduced for Credit)
2:J/J-2-C-
Date
f 2+., ae c^.:^^{;^1,{
sron
.i
Ttto
lB No. 'i5 o t gq
6L-DG'o D
CITY OF SPRINGFIELD SYSTEMS DEVEIJOPMENT CHARGE
WORKSHEET
(C0MI'IERCIAL & RESIDENTIAL)
NAME OR COMPANY:H k',rAkE- '/t lztssT x. L. P,
oAcg
LOCAT ION:t6 iL.
17 '; sT
DEVELOPMENT TYPE:?,
BUILDING SIZE:
;n, f, Goqe>
1. ST0RM DRAINAGE zltz s( + 6t1c s( +
eL'iL?,it oD
SIZ
EC 1"t', rrr)+ (2i',- (d, ,s)
Lrlab e+
x $o.zoe PER SQ. FT.
o/-t
X $43.26 PER PFU
o,;b/tr;f
$
a. Ft.
-/ ."",.Jy'!-
IMPERVI0US SQ. FT.*t trt'
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
3g
3. TRANSPORTATI0N GoE zZ. L*'*) &'sa' frryrlueut
NO OF UNITS X TRIP RATE X COST PER TRIP
3 x C.5B x $436. le
x _ x $436.19
X x $436.19
4. SANITARY SEI,IER-MltlMC
NO. OF PFU,S 3$ X $17.19 PER PFU + $10 Mt.lMC ADM FEE
(Use PFU Total From Item 2 Above)
Mt.lMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBToTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBToTAL AB0VE) X .0s
L
$
s 6b3'?'
z+59
$ 4.5%>
I Gq(l 2-z-
15g't7
sl1bL
?Lq (6
SDC Coordinator
Date:-7 t3 15
TOTAL SDC 4 8Z'b
.>
FIXTURE UNtT CALCULA;-lON TABLE: Number of New Fixtu
(NOTE: For rcmodels. calculatc onty . NET additional fixturcs)
FrxruRE rYPE il:,,X?:X'?,'-.'
* Bathtub..-i---...-.-......-..
,-3
Drinking Fountain....
Floor €rain.
lnterceptors For Grease/Oil/Solids/Etc.-.-------------.
lnterceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher. -....
Clotheswasher - 3 Or More-.--.
Mobile Home Park Trap (1 Per Trailer) .-.---
Receptor For Refrigerator/Water Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc-.
Shower, Singte Stall
* Wash Basin/Lavatory, Singte
Toilet, Public lnstallation..
3
1
I
TOTAL FIXTURE UNITS
r. Unit Equivalent :' Fixturc Units
UNIT FIXTURE -.
EQUIVALENT UNITS
b
tb
c
2
1
2
6
2
6
6
i
3
2
1/Head
2
2
1
6
4
I
- Toilet , Private
Miscellaneous:
3B
CREDTT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits separates
Credit for Parcel or Land Only lf Applicable
3 lz "9 X$7€,11o {',r1 L/
lmprovement (if after annexation date)
coo
(Rate X Assessed Valuelxs
(Rate X Assessed Value)
CREDIT TOTAL $_
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per S 1,OOO
Assessed Value
1 985
1 986
1 987
1 9BB
1 989
1990
1 991
1993
$2-46
2.14
1.77
1.37
o-97
0.61
o-44
o.15
1 979 or before
1 980
1 981
1 982
1 983
1984
1 985
$3-46
3-38
3.32
3.21
3.O6
2-92
2.73
u
S ,INGFIELE'
?fr,
225 FIFTE STREET
SPRINGFIEI,D, OREGON 97 477
INSPECf,ION REQUEST: 726-,37 69 ,,, . ,,OFPICE: 726-3759
ELE TRICAL PERHIT APPLICATION
Ci ty Job Number
a COHPI.,ETE FEE SCEEDTILE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service rncruded t ,au,n" cost Sum
1. LOCATION OF
)%b ffi rtleF l6LD ,ok A.
I.^EGAL DESCRIPTION
11-oA-A A4 aR* LoT 37 oD
JOB DESCRIPTION
"-3;1>-a-:9" .ara!PlEX
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. COI{]3ACf,OR INSTALI."ATION ONLY
Electrical Contractor*i R El'ectr,crfi\c
Address ,.lt_V)- r-9 . I lJtt A,re.
Ci fier.un-t {-*:ptrone l€a>- 755-91-53
Supervisor Licen se Number 28 37 5
Expi ra tion Date tD-t-11
Constr Contr. Num ber33/- a?'L-(-
Expiration Date
Signa of I t clan
Ovners Name
Address
ciryl;y'rcl1fr, Yno". ?/ g-,t ? "/./
OVNER INSTALI..ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0vners Signature:
DATE:
1000 sq.ft. or ]ess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular 'Dvel1ing
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amps
-40L amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect OnIY
5
.a-45
s 8s.00
$ 1s.00
$ 40.00
s s0.00
s 60.00
s100.00
s130. 00
s300.00s 40.00
B
+ t{r
c.
D.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps'"or less S
201 amps to 400 amps
-
$over 4b1 to 6oo amps
-
S
Over 600 amps or tCCC-vTrfs se
Branch Circuits
40
55
80
iC
.00
.oo
.00
rDil ^L^.,^! aYv rE
o
Nev, Alteration or Extension Per Pane1
one circuit $ 35'00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
--E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0u tline Light ing-
Limi ted EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
s 40.00
s 40.00
$ 20.00
$ 36.00
RECEIVED
5
Th-