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Home My WebLink AboutPermit Plumbing 1999-03-03OF SPRINGFIELD, stPFINGFIELD 225 North Fifth street Springfield, OR 97477 Location of Proposed Workz r.22 35TH ST Assessors Map #: 1-'7023L42 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIETD ilob Nurnber: COMMI'NITY SERVICES DIVISION BUILDTNG SAFETY Office Inspection Line Page 1 9 8117 1 725 -37 59 726 -37 69 Tax Lot #: 04100 Owner: MONROE HUGHES Address: 298L4 KELSO STREET Description of work: GRAVEL/ASPHALT LOT Phone #: 6BB-5084 ciry/state/zip: EUGENE, OREGON 974O2 NEW VaIue 0.00 General: Contractor RTCK WHITE 0050586 29805 KELSO ST EUGENE OR 974029557 ConsE. ConEractor #Expires o6/16/ee Phone 6BB-6043 No --- PLI]MBING --- fr Fee Charge 2s.00 25.00 Storm Sewer TOTAL PERMIT 5 QUAD AREA: 3CNC -- oFFrcE usE -- LAND USE: 5300 Item TOTAL VALUE OF PRO,JECT square Feet x $/Square Feet Val-ue 0.00 Surcharge/adm j-n MECHANICAL Surcharge/admin PAVING VALUE PLUMBING Surcharge/admin CITY SDC FEES SUBTOTAL PERMITS TOTAL PERMIT FEES EXCLUDING ELECTRICAL 5, 000.00 0.00 0.00 0.00 55.50 25.00 2.00 1, 855 . 32 L,938.82 1,938.82 SP]IINGF!ELD ,.fob Number: 9BLt71, SPruNGFIEII', Page 2 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 725-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for inspection. Requests receiwed before 7:00 a.m. wil-I be made the same working day, requests made after 7:00 a.m w111 be made the following work day. Special Inspections: In accordance with Section 305 of the State Specialty Code a special inspector shall- be employed by the Owner/Contractor during consLruction of any followingt "*" work. A copy of the special testing reports shal-l- be furnished to Building Safety. In addltion to the inspections specified, t.he Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. ROUGH GRADING - After gravel is 1n place but prior to placing concrete STORITI SEWER IJINE - Prior to filling trench. FINAL SITE PLA.I{ - After all requirements have been met for Minimum Dewelopment Standards or from the Development Agreement. FINAL PAVING - AfLer paving is complete. --- ADDITIONAL COMMENTS --- REFERRED TO JULIE SCOTT FOR MINIMUM DEVELOPMENT STANDARD REQUIREMENTS MINIMT]IVI DEVELOPMENT STANDARDS REVIEW, ..]OURNAL #98-09_203,.fULIE SCOTT, TECHNIICI Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 1,0/20/98 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correcL, and f further certify that any and a1l- work performed shalI 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 wil-l be made of any structure without permission of the Community Services Division, Buildi-ng Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 wilf be used on this project. I further agree to ensure that al-I required inspections are requested at the proper time, that project address is readabfe from the street, that the permit card is focated at the front of the property, and the approved set of plans wil-l- remain on the site at afl times during construction. 5--= Signa Date Receipt Number Date Paid: Amount Received VALIDATION Received By oP 2 JoURNA' oR JoB no. TPlZt ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY /(o,t7vs ,&b+b-s '^ H. /4^*,2 Z,.-rb 9-z,Z<- LOCATION 122- ,iJ";ru DEVELOPMENT TYPE e /a '/o*/.s BUILDING SIZE OT SIZ a. Ft i. STORM DRAINAGE IMPERVIOUS SQ. FT 2. SANITARY SEWER-CITY - /U, S rrlrrn s NO. OF PFU'S & X $47.i4 PER PFU (See Reverse Side) 3. TRANSPORTATION NO OF UNiTS X TRIP RATE X COST PER TRIP x _ x $475.32 X x $475.32 4. SANiTARY SEWER_MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X PER FEU B. II.4PROVEMENT COST NO. OF FEU'S X PER FEU Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE) Mt^lMC ADMINISTRATIVE FEE ,l< SUBTOTAL (ADD ITEMS 1,2,3 & 4) ?7') t6Ydke)/778? X $0.227 PER SQ FT $ /,7(6 u $&- s* q $* $ <$ $ 10.00 TOTAL_MhIMC SDC $+ /"- /Z^ - (z c q7 s /, zc(- $ o^g5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 ATTACH'A.IdPD i nator Date ,?(t TOTAL SDC z3 s /.9.f,5--_-.7- h^bor--- FIXTURE TYPE FlxruRE uNlr cALcuLATloN TABLE: ruumoer or New Fixr.-,s X Unit Equivalent = Fixture Units(NOTE: For remodels, calculate onl e NET additional fixtures) NUMBER OF NEW FIXTURES Bathtub..... 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 Trailer)...... Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta11.......... Shower, Gang Sink: Bar, Commercial, Residential Kitchen......... Urinal, Stall/Wall... Wash Basin/Lavatory, Single........ Toilet, Public lnstallation. Toilet , Private Miscellaneous: TOTAL FIXTURE UNITS UNIT EOUIVALENT FIXTURE UNITS ead 2 1 2 3 6 2 6 6 1 3 2 1tH 2 2 1 6 4 CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table, calculate credits rates Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) x$ (Rate X Assessed Value) X$ (Rate X Assessed Value) CREDIT TOTAL :$ Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed Value 1979 or before 1 980 1 981 1982 1 983 1 984 1 985 1 986 1 987 1 988 $4.27 4.1 8 4.12 3.99 3.83 3.68 3.48 3.1 I 2.82 2.42 1 989 1 990 1 991 1 992 1 993 1 994 1 995 1 996 1 997 $1.98 1.55 1.15 o.96 o.83 o.67 o.52 o.38 o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential.... Commerical... lndustrial....... Governmental o.4 0.9 o5 o.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFTCTENT SIGN PERMIT APPLICATIOII' 225 Fifth Street Springf ield, OR 97 477 SrrE ADDRESS: I ZZ SPEINGF!ELO qstSt JOP ''UMBER lnspection Line: 726-3769 Office: 726-3759 A bc t F E -----FIINGFIELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Services or Feeders Installation, Alterations or Relocation: rcui ts oN 174r ASSESSORS MAP: The following project as submitted has the following land usezoning, and does not re approval A Date 225 INSPECTION OFFICE: 7 1 LEGAI lTrt 7 3tr 4 L( 6rtl o o JOB DESCRIPTION -7.2-A"^-, Permits are non-transferable and expi if vork is not started vithin 180 days of issuance oL- if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATTON ONLY Electrical Contractor Address o Phone 7 Z?-t'E oo Items Cost Sum $ 8s.00 $ 1s.00 Signature of Supervising Electriciand Nil* 200 amps or less 20L amps to 400 amps __401 amps to 600 amPs _ 601 amps to 1000 amps- Over 1000 amps/volts Reconnect 0n1Y 200 amps'"or less 201 amps to 400 amps - Over 401 to 600 amps _0ver 600 amps or 1000 volt -L $ 4o.oo tL ee rrBr aE66 Ci ty Ovners Add cit B C E $ s0.00 s 60.00 s100.00 s130.00 $300.00s 40.00I SuPervi sor License Number lls -s Expiration Date Consrr Conrr. Number 6Zf=Z B F Temporary Services or Feeders Installation, Alteration or Relocation $ $ $ss s s $ $ 40.00 5s.00 80.00 SHALL ration or Extension Per Pane1 The installatio property I ovn for sale, Iea or rent. Ovners Si ure: is being made on ich is not intended Ea i rcui t Addi tional -Each installation Pump or irrigation - Sign/0ut1ine Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.s trative Fee TOTAL s 3s.00 40.00 40.00 20.00 36.00c, e Circuit or vith Service --) or Feeder Permit f S 2.00 L'- MiscelIan"5ri (Se/vice/feeder not included 5 DATE: TAX LOT: Feede Validation: RECEIVED Receipt Number: gz Amount Received:Date Paid: Received I OF .,, 7 4Z 7{o4^,r_ Expiration Da rc /4 ff I SIGN PERMIT APPLICATION The application on the reverse side needs to be completed entirely. lf you are the sign contractor/installer, or if you are hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the Registration Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration date of each. lf the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed by either a supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in which you are occupying, and you will be performing the electrical installation yourself, you may sign the electrical application. lf there are existing wall and/or freestanding signs, a photograph(s) of each existing sign needs to be attached to the application. The size of each existing sign also needs to be listed on the application. PLANS To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and a plot plan indicating where the proposed sign will be located. lf you are installing a freestanding sign which exceeds 2O feet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect. After the plan review process is completed, and, if your sign(s) is approved, one set of plans will be returned to you. The approved set of drawings need to be at the site when an inspection is requested for the inspectors reference. INSPECTIONS Depending on your sign(s), you may be required to request one or all of the following inspections during the installation of your sign: Site To be requested after indicating on the lot where the proposed sign will be located but prior to any work being performed for the installation of the sign. This inspection is required if there is a question on the location of the proposed sign. Footing:To be requested after excavation and the forms are installed, but prior to pouring concrete. lf there will be electrical conduit placed in the footing, it must also be in place prior to requesting this inspection. Attachment: To be requested when all fasteners are installed but prior to cover Electrical: To be requested after the electrical connection to the sign is made, but prior to energizing. Final: Afier all required inspections are conducted and approved and the sign installation is complete. The inspections that are required for your sign installation will be indicated on the application during the plan review process. Failure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the required intervals of work. To request an inspection, phone 7 26-37 69. This is a 24 hour recording. On the recording you will need to leave your City Designated Job Number, location of where the sign is being installed, the type of inspection you are requesting, and when you will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the same working day, all inspections phoned in after 7:00 a.m. will be made the following work day. lf you have any questions regarding the application, required plans or inspections, please feel free to f,hone the Building Safety Division at 726-3759 City of Springfield Building Safety Division 225 Fifth Stt'eet Springfield, OR 97477