HomeMy WebLinkAboutPermit Building 1992-01-28COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fillh Street, Springfield, Oregon 97477
SPNINGFIELD JOB NUMBER aZe</
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED K
ASSESSORS MAP:TAX LOT: cz-8%
ZIP:STATE:*CITY:
ADDRESS:
OWNER:
DESCRIPTION OF WORK
NEW- REMODEL VALIJE: ?O-4zee'-r ADDITION DEMOLISH OTHER
NAME ADDRESS PHON E
ADDRESS EXPI RES PHONE
ae
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
PLUMBING
NO.FEE CHARGEqSingle Fixture /o 4a
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PEBMIT {a
MECHANICALNol FFtr EHA RGtr
Furnace/burner & vent
< 100,000 BTUs
/@b.
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 Fan/Single
duct -
a:2t-
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct 4*,-- e/-2-
Permit lssuance $10.00
TOTAL PERMIT 254
_ OFFICE USE _
4:il
z_
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWEB BUDGETI
WATER HEATER:
* OF UNITS:
OCCY GROUP:
Y OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SO. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
XSQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
?/.v=RCPT#BYPLAN CHECK FEE DATE
7//.32
BUILDING PERMIT //2.tu PLU M BI NG 4P-*DEMOLITION
5% State
Su rch arg e ?-az 5% State
Su rc harqe -
Z:-D4-
MECHANICAL ,/P-,qa7{_*e FENCE
VALUE $4t,*.v Zrytgo qL3=
5% State
Su rch arq e
v .?{SIDEWALK
FT.
SU6TOIAL
PERM ITS 2/,ZB
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
13?gz.Agt v&
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
PHoNE: 3 Yf- ??A7
Bnn.
ZONING:
/t,.^,ffari^a_
REQUIRED INSPECTIONS V
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
726-3769 (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. VSITE INSPECTION: To be /\ 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 SpEC;AL INSpECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 0f the State Specialty Code
MECHANICALT To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATIONS: cooy 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, ail steel in place, but framing inspection'
-
srRUcruRAL CoNCRETE: ln
prior to placing concrete.' X FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after al insrab buirdins 3i::5 ::.']fl 3ffi:It"f,';l:r" EIXN,"J"',X3"t H5tT',rrr, ,service equipment, conduit, and vents are complete andpiping, accessories and other
incittiry equipment items are :X?';::[jii":ji:,1'J#[3:l: Bl?Xf],ffi],?l*.?,o,.tI}:^oIn place but before any -, tighteiing operations. (306concrete is praced. x TNSULATTON & VAPOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, 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
lrtJ::;:":*"rins or fillins applied. SpEctAL GRAD,NG,
,NDERFL..R: prumbins Il?5,S'"="? m'Jfl[H]"' ifiUt'iiilJli.',5Jh'i],"1
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of | /
ftoor insutation, decking or X LATH AND/oR GYPSUM GLU'LAM BEAMS: lnspection
f loor sheathing. ' BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the city's
posr & BEAMr 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'BC'
insulation, decking or f 1oor plastering is applied or before STDS' 25-10'11)'
sheathino. - Sypsum board joints and" tasteners are taped and STRUCTURAL MASONRY: (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
verticals in accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
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.
CURB AND APPROACH
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.
it
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 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 OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project.
all required inspections are requested at the proper time, that project address is readable from theof the property, and the approved set of plans will remain on the site at all
sig Date
times ring c
is located at the
I further agree to e
street, that the
VALI toN EI
RECEIPT +:
AMOUNT
RECEIVED BY:
DATE PAID:
,X
/
v
Y
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
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 BUILDING: Requested after the final ptumbing, etectrical,
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 DATE /-=-22.
l
JoB No . Az"_ez:+
CITY OF SPRINGFIELD SYSTET'IS DEVELOPMLNT CHARGE
WORKSHEET ,,
(cor,rMERcIAL & RESIDENTIAL)
NAME OR COMPANY:Ob>euu Co*t>r .
LOCATION:Tuo gaeuuet +T \1-o=-2n-10-o?8oo
DEVELOP},IENT TYPE : C,c - A-pp t {r oul
BUILDING SIZE:LOT SIZ F
i. STORH DRAINAGE
IMPERVIoUS SQ. FT. - X $0.186 PER SQ. FT.
(See Reverse For Runoff Coefficients If Actual Imperv. Are
2. SANITARY SEWER-CiTY
r#8,
SQ. Ft
$-
a Is Unknown)
NO. OF PFU'S
(See Reverse
o
To Det ine Total
ag2-a (V
s*X 538.55 PER PFU
PFU'S)
3 TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x $388.6r
x $388.5r
x s388.61
s
$
$
(See Attachment C To Determine Trip Rates) -_ .za<-1 - -=SUBT0TAL (ADD ITEMS t,z, & 3) sea€/+ss?
x
x
x :
4 ADMINISTRATIVE FEES
BASE CHARGE (SUBToTAL AB0VE) X .0s
5. SANITARY SEI'IER-MI^,MC
N0. 0F PFU'S x 513.25 PER PFU + Sl0 l'ltJ!'tC AD!':IN
(Use PFU Total From Item 2 Above)
MI.JMC CREDTT rF APPLTCABLE (SEE REVERSE)
S U.en z-1
)
ip Burdick
trtrtr c
s
TOTAL-I'II.II',IC SDC s€-
sz+zY'[r+9
sz+# 4"f11-
SDC Coordinator
2--
TOTAL SDC
zr0
TOTAL.CiTY SDC
FIXTURE UNIT CALCUIT-lON TABLE: Number ot New Fir:tures-Jnit Equivalerrt = Fixlure Units (NOTE
For remodels, calculate only the NlEf additional firrures)NUMBECOF UNIT FIXTURE
FIXTURE TYPE NEW FITTURES EOUIVALENT UNITS
Drinking Fountain-..--.
Floor Drain..
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 Traller)........
Receptor For B ef rigeratorAVater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc.._+T-
Shower, Single Stall.
Shower, Gang...
Sink, Bar. Commercia!...................
Urinal, StallflVall---.
Wash Basin/tavatory, Sin91e..........
Water Closet. Public lnstallation..
D
Water Closet, Private.
Miscellaneous:
TOTAL FI)CrURE UNITS IE
CREDIT CALCULAION TABLE: Based on assessed nalue. tf improvements occured after annexation date in table,
calculate credits
2
1
2
J
6
2
b
6
1
3
2
1
2
2
1
6
4
2-
L.
ead/H
z
\
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x s-
(Rate X Assessed Value)
CREDIT TOTAL = s--
Year
Annexed
Rate per 51,000
Assessed Value
Year
Annexed
Rate per 51,000
Assessed Value
1985
1986
1987
1983
198.Q
1990
sl-69
1-35
1.15
0.-o2
n<c
0.23
1979 or before
1980
1981
1982
10Q',1
r984
s2.66
2.U
2.53
2.41
2.i9
2.04
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
Residential.......
Commercial.....
lndustrial...--....-
Governmental..
0.4
0.9
0.45
0.5
IMPERVIOUS AREA : TOfAL LOT SIZE X RUNOFF COEFFICIENT