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Home My WebLink AboutPermit Building 1992-12-04CO MM ERCIAL/IN DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPFINGFTELO 2/sJOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK:Zr+-> -ire/ / &z S fi, ASSESSORS MAP:lrzn 7 'z z ,/t)TAX LOT: PHONE: ZIP: ') STATE:4.<2 7r'27CITY: ADDRESS: OWNER EMODEL VALUADDITION DEMOLISH OTHER DESCRIPTION OF WORK NEW -NAME ADDRESS PHONE CONST. R#ADDRESS EXPI RES PHONE?2f32 a CONTHACTOR'S NAME ARCHITECT: MECHANICAL: ELECTRICAL: GENERAL: PLUMBING PLUMBING NO.FEE CHARGE C Single Fixture /2 % Relocated Bldg. (new f ix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT 2A NO FFF CHA RNtr Furnace/burner & vent <100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent FaniSingle duct Vent Sys from AC tem apart or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT H;a A? USEn CO ZONING HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER LAND USE: OCCY GROUP; * OF STORIES: QUAD AREA: g OF BLDGS: CONSTR. TYPE: HEAT SOURCE: * OF UNITS: SQ. FT,$/SQ. FT.VALUE TOTAL VALUE OF PROJ X x X yo-eo SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE DATE BY 6340 acw, (ugzt BUILDING PERMIT 63-fa PLUMBI NG 2a.4>DEMOLITION 5% State Su rc harge 7/7 5% State Su rc harge /.a6 MEC L -1> FENCE VALUE $ 5"k 6ta7e Surcharge 7 -7f,SIDEWALK FT. SUBTOTAL PERM ITS /fr,7*PAVING CURBCUT FT. SYSTEMS DEVELOPMENT fib,jB /?f %_TOTAL PERMIT FEES EXCLUDING ELECTRICAL OFFICE53 < - 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, call 726.9769 (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 7:0O a.m. will be made the following work daY. V stTE |NSPECTION: To be 4 ROUGH PLUMBING, PAVING: After gravel is in made after excavation, but - ELECTRICAL & place but prior to placing prior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance ELECTRICAL & and approved. section 306 0f the State specialty code MECHANICAL: To be made a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during CURTAIN WALLS construction of the following work. A FOOTINGS & FOUNDATIONS: E'DED| ^E. c copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division. excavated and forms are facing materials and before erected, all steel in place, but . framing inspection' srRUcruRAL CoNCRETE: ln prior to pracing concrete. y FRAMTNG: To be made after excess of 2500 P's l' (306 a'1) coNcRErE sLAB: ro be f!:#:l:lJ'3['Jlflbt],"" ," srRUcruRAL wELDS: made after all inslab building place and a1 pipes, chimneys Performed on the iob. (2722t\ service equipment, conduit, and vents are complete andpiping, accessories and other the rough electrical, ptumbing HIGH STRENGTH BOLTING: ancillary equipment items are and melhanical are approved. During all bolt installation and in place but before any ,, tightening operations. (306 concrete is piaced. t TNSULATTON & VAeOR a.6)/ BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC. storm sewer, water and before any lath or gypsum Standards 43-8. drainage lines. To be made board interior wall covering is prior to covering or filling applied. SpEC1AL GRAD;NG,trenches. ,NDERFLo.R: p,umbins [:::,S',="? m'J3[[]"' il;iU!!iil-tii"'5Jb'i]'"1 electrical, mechanical. To be according to plans. chapter 29) f#'" H';,:l':.1:".EJf,t;:""?t y LArH AND/oR GYPSUTVT GLU'LAM BEAMS: rnspection ftoor sheathing. --l- ;ali;l;;;'6e made after all Certificate bv an approved lathing and gypsum board, agency' furnished to the City's poST & BEAM: To be made interior and exierior, is in Building Division before prior to installation of floor place but before any beams are placed (2501 u'B.c' insulation, decking or ftoor plastering is ippfleO or before STDS' 25-1011)' sheathing. gypsum board ioints and fasteners are tiped and STRUCTURAL MASONRYT (306 FLooR TNSULATToN & finished' a'7) VAPOR BARRIERS: To be made Prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or SIDEWALK & DRIVEWAY: Flequired for all concrete paving within street right of way, to be made a{ter all excavating comPlete and form work and sub-base material in APRONS: After forms are erected but Prior to Placing concrete. *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. verticals in accordance with place. UBC 2415. CURB AND APPROACH ROOF SHEATHING AND NAILING: Prior to installing any roof covering. 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 f urther 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' re that all required inspections are requested at the propertime, that project address is readable from the card is located at the front of the property, and the approved set of plans will remain on the site at all DateSignatu re 2 I further agree to ensu street, that the Permit tructimes durin VALIDATION 2 ZQ:5bAMOUNT RECEIVED RECEIPT *:RECEIVED BY: DATE PAID: X / x V FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT 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.I FINAL BUILDING: 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. ADDITIONAL COMMENTS: PLANS BEVIEWED BY ,/z-742- /Qftez ? L?/t)L/gZ 13:00 t}503 716 3689 SPFD DE\I. ,,. .,\ ,1,, JJ i. -.',.it,i @ oor 225 FTr?$ STRSI|T StRIHGFIELD, 0ItEcoN g7477 INSPEGIION R-BOUEST = 126_3769 ' t ,^Af ci,FFIGE: 726-3159 l,a tr t-r 1. IOCATION 0F IHSTALI,IITI0N "'lI}-lv-?a COHIILSTE Nunber A. Neu Resld tI -SingIe 1., llr'tL;lrJriLt, PERHIT APPLICATIOI{ dueII BELOU or ing unl t. ed: Items Cost o ]ess $ ss.oo ,...''. E)T f:.;';; t l.'";'' ;/' IJGAL DESCRTPTION JOB DESCNIPTION Address 27O I sE lllr .Alt(- Ci ry Phone- ?"EB- 3G5 \ Supervisor Ltcense Ntimber ) g(1 S Expiration Date Constr Contr. Nurnber .l t z'1 Expiration Date Slgnature of Supervising Electrician 0uners Name Ad d ress bT HUI t1-Iy Se rvi ce 1000 sq' f addiEach t I 500srl. f t t ion thereof Each Hanu ,d or Hodular ng Servicc F er ltocttuJ Sum Permits arc non*trarrsferable and explreIf vork ls nor starred vlthin 180 diysof lsstrance or if vork ls suspended 'for 180 davs.Scb*f er{ a2\ 2. CO}ITN,ICTOR INSTALT,ATION ONLY ,> (.,.-,\.. Lr.ct-lre-* lbtZZu{'":lt'lL*i[lK+,- $ 40.00 ers Eeratlons or s l- amps --amps mp I 4 1 amps_ Itsvo erv ces or Feeders n,teration or Relocation s 15,00 B. Services Ins ta]la Reloca ti t 200 amps 201 amps 401, amps 601 amps 0ver 1000 Reconnect C. Temporary Installatl One Cl rcui Each Addi t Circr-ri t o or Feeder -Each inst Pump or ir Slgn/0u tli Llni ted Limi ted SIIBTOTAL 5f Sta te 200 amps o 201 amps t 0ver 401 t 0ver 600 Ie s 5o.'" $ 40.00 amps - $ 55.00 ,rps - $ 80.00 1000-/ol-ts see rrgrr ,ffif,- t s 50,00 $ 60.00 $r00.00 $130.00 $300.00 $ 40.00 D, Braneh Cl ir Nev, AIter ti or Extension Per Pane1 ci tv SR-r^tQ-rr.$,-nhone J \[3\\$ OIINBR INSTALIJ\UON The installatlon Is being made onproperty f ovn vhich ls not lntendedfor sa]e, Iease or Eent. Ouners Slgnature: i nnru $ 3s.00 h Servicerir ll $ ?.00 2\:' Service/feeder not included) ion oha vi Pe E, Hiscellan US lIa rga ion e ghti rgy Comm ng:$ s $ $ 00 00 00 00 40. 40. 20. 36 '? q .o"._-21C -- , ei'' - RIiCIIIVEO I} 5 TOTAL Egy rge *?-l Jo f - i - .. , " 6 kr, ,FP raa , JOB NO . qLl515 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (cot{MERcIAL & RESIDENTIAL) NAME OR COMPANY:Sqce,xt*Y Tuc LOCAT ION :fuz gHeuuef 9a.110771 to '11oo BUILDING SIZE:SIZ F 1. STORM DRAINAGE IMPERVIOUS SQ. FT.A/x $0.192 PER SQ. FT ?. SANITARY SEWER-CITY NO. OF PFU'S Z X $39.78 PER PFU (See Reverse) TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP sQ. Ft. 3 X X X x $401.05 x $401.05 x $401.05 $ $ 4 ADMINISTRATiVE FEES BASE CHARGE (SUBT0TAL ABoVE) X .os 5. SANITARY SEWER-MWMC NO. OF PFU'S (Use PFU Total From item 2 Above) MhlMC CREDIT IF APPLICABLE (SEE REVERSE) ,.!.- SUBTOTAL (ADD ITEMS 1,2, & 3)s 1qb9 s 8a2TOTAL-C ITY SDC x $13.62 PER PFU + $IO MI,JMC ADMIN. FEE $ ( TOTAL-SDC Kip Burdick SDC Coordinator tb L TOTAL SDC b DEVELOPMENT TYPE: CL : REUOPCU N ,4. -a- $8 FIXTURE UNIT CALCUI..IA]JN TABLE: Number of New Fixtures X - rt Equivalent = Fixture Units (NorE: For remodels, calculate only thel$EJ additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub. Drinking Fountain...... Floor Drain.. I nterceptors For Grease/Oil/Solids/Etc............-.... I nterceptors For Sand/Auto Wash/Etc-- -....--.-....... Laund ry Tub/Clotheswasher Clotheswasher - 3 Or More.................,i.--......--....... Mobile Home Park Trap (1 Per Trailer)-.--.... Receptor For RefrigeratorAVater Station/Etc-....... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall Shower, Gang... Sink, Bar, Commercial. Urinal, StallAvall.... Wash Basin/Lavatory, Sin91e.......... Water Closet, Public lnstallation.. Water Closet, Private......... Miscellaneous TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 /Head CRED]T CALCUI-ATION TABLE calculate credits separates. Based on assessed value. lf improvements occurred after annexation date in table, Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value) (Rate X Assessed Value) CREDIT TOTAL $ Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 't979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1 985 1 986 1987 1988 1989 1990 1991 $2.1 6 1.90 1.60 0.25 0.87 0.50 0.16 RUNOFF COEFFTCIENTS FOR STORM DRAINAGE lndustrial..0.45 IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT L Z t