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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-