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HomeMy WebLinkAboutPermit Plumbing 1998-10-27COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fifin Street, Springfield, Oregon 97477 SPRINGFIELE,JoB NUMBEa 72o f* INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP;2 TAX LOT:4224q NEW - REMODEL ADDITION DEMOLISH OTHER zlP VALUE STATE: oNE ??A./aaa A71 . OWNER DESCRIPTION OF WORK: ADDRESS: CITY: ADDRESS PHONENAME EXPIRESADDRESS PHONE ELECTRICAL: ARCHITECT: CONTRACTOR'S NAME MECHANICAL: GENERAL: PLUMBI CONST. CONTRACTOR # PLU MBING NO.FEE CHARGE I Single Fixture ,/z *r,4 Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT fu^t- MECHANICAL NN FFF EHA RGF 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 Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE _ ZONING: LAND USE HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER * OF UNITS: OCCY GROUP: # OF STORIES QUAD ABEA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: VALUESQ. FT.$/SQ. FT. TOTAL VALUE OF PROJ X x X SO. FTG MAIN SCi. FTG ACCESS SO. FTG OTHER RCPT#PLAN CHECK FEE DATE BY ?7,2a BUILDING PERMIT PLUMBI NG 9a -e DEMOLITION 5% State Su rcharge 5% State Su rc h aroe R ' tJ.5>9.'>o MECHANICAL FENCE VALUE $ 5% State Su rcharq e SIDEWALK FT. SU BTOTAL PERM ITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL 9>V-\ REOUTRED 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 726-3769 (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. SITE INSPECTION: To be made after excavation, but ROUG 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 sHEATHTNG AND iHlS^il?tr'T:f""1,. NAILING: Prior to installing erected but prior to placing any roof coverlng. concrete. prior to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. CONCRETE SLAB: To be made after all inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are in place but before any concrete is placed. UN DERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or floor sheathing. FLOOR TNSULATION & ELECT MECHANICAL: No WorK iS to be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing inspection. FRAMING: To be made after the roof, all framing, fire blocking and bracing are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. INSULATION & VAPOR BARRIER: To be made after all insulation and required vapor barriers are in place but before any lath or gypsum board interior wall covering is applied. FIRE & SEPARATION WALL: Located and constructed according to plans. LATH ANO/OR GYPSUM BOARD: To be made after all lathing and gypsum board, interior and exterlor, is in place but before any plastering is applied or before gypsum board joints and fasteners are taped and f inished. S]DEWALK & 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. PAVING: After gravel is ln place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: ln accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Owner/ Contractor during construction of the following work. A copy of the special testing reports shatl be furnished to the Building Division. STRUCTURAL CONCRETE: tn excess of 2500 P.S.l. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 t) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLINGT During earthwork. (306 a.'11 & Chapter 29) GLU.LAM BEAMS: lnspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.BC. STDS. 2s-10J1). STRUCTURAL MASONRY: (306 a.7) 'ln addition to the inspec- tions specified, the Building Official may make or require other inspections of any constructlon work to ensure compliance with the Building, City or Development Code. MBI 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 OCCUpANCy will 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. I further agree to ensure that all required inspections are requested at the proper time, that street, that the permit card is located at the front of the property, and the a Signature Date /o-a 13P project address is readable from the pproved set of plans will remain on the site at alltimes during co ction. VALIDATION ?o RECEIVED BY: AMOUNT RECEIVED RECEIPT # DATE PAID: 2 '2^.% FINAL PLUMBING FINAL ELECTRICAL SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof 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 plumbing, electrical, FINAL MECHANICAL 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 DivisionFINAL FIRE DEPARTMENT and posted on the premises. ADDITIONAL COMMENTS: -PLANS REVIEWED BY oere r/2.22-28 ? ---= --)L our" t i-F 1y Service Included: SI IGFIELI, FEE SCHEDTILE BELOV den tial-Sing1e or per dvelling un 225 FIFTE STREET $RrireiiElD, oREGoN e7477 ---^iiiHaiof nrouest z 726-376e orrrCrt 726-3759 1. LOCATION OF INSTALLATION,>? JOB DE I,EGAL DESCRIPTION 3 A Nev MuI I tems it. Cos t $ 8s.00 $ 1s.oo $ 40.00 Sum Permits are non-transferabi: '11 expire if vork is not "iii't'a vi thin l'80 davs of issuance oni-"otft is suspended for 180 daYs. 2. CONTRACTOR INSTALI.'ATION ONLY t0O0 sq.ft. or less ni"n adaitional 500 sq. ft or Portion thereof Each Manuf'd Home' or l,lodular Dvelling Service or Feeder Services or Feeders ins tjf f"tlon, Alterations or Relocation: 200 amps or less / 201 amPs to 400 amPs - 401 amPs to 600 amPs - 601 ambs to 1000 amPs- over 1b00 amPs/volts - Reconnect OnlY i ElectricaL Contractor &ba* Address /o # Ci ty Phone 7Zf - 4€oa Supervisor License Num ber 7f 5-s Expiration Date Constr Contr. Number 3l>7 BE Expiration Date ?g Signature f Superv lSr Electrician 0vners DATE: Address-Z /2? ,r?t* if ,T^ ' ci ry 6m+--&P\one "?do /a& ovNER TNSTALATKT The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent' 0vners Signature: H*.*, Alteration or Extension Per Panel one circuit $ 35'oo Each Additional Circuit or vith Service or Feeder P.r,niao='"'i ' $ 2 'oo 4a Miscellaneous (Service/feeder not included) Temporary Services or Feeders -i#Uii;iion, ert"ration or Rerocation 200 amps"or less q 19'99;oi ;;; io +oo amPs - i ::'99o;;t151 io ooo amps -- $ 8o'oo over 600 .,np" o"i65oTfft iee I'B. a5ffi Branch Circuits ; " -Each installation Pump or irrigation - Sign/Out1ine Lighting- Limi ted EnergY/Res - Linited EnergY/Conn B. c D E 0050 60 00 s $ $1 00 00 $i30.00 $300.00 s 40.00 # (A,e $ 40.00 s 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Adnini.strativ6 Fee TOTAL ?8, RECEIVED B CITY OF Oneeox J.cz PBRHIT APPLICATTON CitY Job aC'TY OFSPR 225 FIFTE STREET SPRTNGFTELD, oREGoN 974 INSPECTION REQI,EST,Z 72 OFPICE: 726-3759 The toltowing proloct s submitted has ths iJning, and-dirce'not requlre epecitc hnd approval. zoninsjQU i{s;a=r* ,FIINGFIELD ELEGTRICAL PERHTT APPLICATION Ci ty Job Nurnber v&-D{fo COHPLETE FEE SCBEDTILE BELOV u0(' 1. LOCATION OF INSTALLATTON ON New Residential-Single orMulti-Family per dvelling unit. Service Included: Items Cost ht{rr}*S:. *138, :f;lfp*Hf-hF rFrHEwon$( 8s'00 sq., tt o'',i6Eltti&8Bioo''n u *o' . _thereof _,,.,, .,ri:,irii.!ilN[:D FOE $ 15.00 Each Manuf'd Home. or - Modular ;Dvelling Service or Feeder $ 40.00 3 A t703 )-s P*/-Su Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. JOB DESCRIPTION 2. CONTRACTOR INSTALI..ATTON ONLY ELectrical Contractor T Supervi.sor License Number Address /A/ Z ,4r*#** ciw {-j-q,z-,<- Phone 73 f - /Soc: ervices or Feedersnstallation,r Relo 0v Re $40 c Temporary Services or FeedersInstallation, Alteration or Relocation 2oo amps"or ress rt{l $ 4o.oo Ll\nO 201 amps to 400 amps -- $ 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 10008-ITs see "Bu a6o=iE Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Serviceor Feeder Permit $ 2.00 E. MisceLlaneous (Service/feeder not includec -Each installation Pump or irrigation $Sign/Outline Lighting- $ Limi ted Energy/Res - $Limited Energy/Comm S SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL B. {2"il;- S I o It lt ?f5-s 00 00 00Expiration Date o Consrr Conrr. Number 6 Zt >Z B- @ Expiration Da t. /L117--_--7- Signaturg of Supervising Electrician D Owners Name Address 2L{3 3 ciry<fnru /,i a (fl ,non"Llb - L/0b o {f,rfrr*r** The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent. Ovners Signature: DATE: _T OIINER 40 40 20 36 .00 .00 .00 .00 oo5 RECEIVED B /QI? J2 n* i i I SFRTNGFIELD 225 North Fifth Street Springfield, OR 97477 LocaEion of Proposed Work: 1919 22ND ST Assessors Map #: 17032500 COMMERCIAL/TNDUSTRIAL PERMTT APPLICATTON CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY age 1 ilob Number: 980480 Office: Inspection Line: 7 26 -31 59 725 -37 59 Tax Lot #: 00204 Owner: IIIAIA PROT ECT Address: 2433 MARCOLA ROAD Description Of Work: RECREATION BUfLDING Phone #: 745-4060 citylstate/zip: SpRINGFTELD, OREGON 9747'7 NEW Val-ue:0.00 Architect Name WTLLTAM BRACKMA Address Phone General: Plumbing: Mechanical: ElectricaL: Contract,or BARNES CONSTRUC OO54B19 2335 NORTH 31ST STREET SPRTNGFTELD FRTDLUND 0051835 85370 DILLEY LN EUGENE OR 974O5OOOO MARSHALLS oo2579o 4110 OLYMPIC ST SPRINGFIELD OR 9747 ARC ELECTR]C 0115113 85783 HWY 99 SOUTH EUGENE OR 974?80 Const. Cont,ractor #Expires 08/21/eB L2/1,4/s8 t2 /23 / e8 o7 /to / e8 Phone 7 45 -1129 7 45 - 9433 7 47 -7 445 7 41,- 0494 No - - - MECIIANICAL Furnace/burner & vent < 1OO0,OOO BTUs Mechanical exhaust hood and duct Vent Fan/Single Duct AC CONDENSOR I]NIT 5 GAS OUTLETS Permit Issuance TOTAL PERMIT Fee Charge 5.00 2 4 6 5 2 10 .50 .00 .00 .50 .00 50.00 HANDICAP ACCESS: Y # OF BLDGS: 1 CONSTR. TYPE: VN -- OFFTCE USE QUAD AREA: 2CNW ZONING CODE: LDR LAND USE: 1150 OCCY GROUP: R3 Item Sq. Ftg Main TOTAL VALUE OF PRO.'ECT Square Feet 2400 $,/Square Feet Value 108, 000.00 L08, 000 . 00 NOFICE: yf .I:TMTSHALL ExPtRE rFTHE woRKAUTHORIZEb UTVOEN THIS PERMIT IS NO;COMMENCED OR IS ABANDOG;;;;'"' ANY 180 DAY PERIOO. ; .' SPrl'N:FIEL[: L .Tob Number : 98 04 8 0 Page 2 Plan Check Fee:293.1,5 Rec #: 29528 Date: 04/24/98 Rec By: LORNE PLEGER BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin CITY SDC FEES SUBTOTAL PERMTTS TOTAT PERMIT FEES EXCLUDTNG ELECTRICAIJ 451.00. 35.08 s0.00 3..20 0.00 0.00 3 ,450 .94 3 , 991- .22 3 ,99L.22 REQUTRED TNSPECTTONS rt is the responsibility of the permit holder to see that all inspect.ions aremade at the proper time. To request an inspectj-on, cal]- 726-3769(recorder), state your City designated job number, job address, type ofinspection requested and when you will be ready for inspection. Requestsreceived before 7:OO a.m. wil-1 be made the same working day, requests made after7:00 a.m will_ be made the foll_owing work day. Special rnspections: rn accordance with section 305 of the state specialty codea special inspector shal1 be employed by the owner/Contractor duringconstruction of any following'',*,,work. A copy of the special testing reportsshal1 be furnished to Building Safety. rn addition to the inspecti-ons specified., the Building offj-cial may make orrequire other inspections of any construction work to ensure compliance withthe Building, City or Development Code. ROUGH PLITMBING - prior !o cover. I,NDERGROI,ND EIJECTRICAL - Prior Io Cover. FOOTING - After trenches are excavated. SLAB - To be made after arl inslab building service equipment, conduitpiping, and other equipment items are in place but prior to concreteMASONRY - steel ]ocation, bond beams grouting or verLicar_s inaccordance with uBc 2415. ROUGH PIJITITIBING - prior to cover. RoucH cAs - after line is instarred and cappea ir not attached. Lo anappliance ROUGH MECHANfCAL - pri_or to cover. ROUGH ELECTRfCAL - prior to cover. ELECTRTCAL sERvrcE - Must be approved to obtain permanent power.FRAMING - prior to cover. rNsurrATroN - Floor; prior to d.ecking waI1/ceiling; prior to coverINSUL-V.8./SUB: TO BE CALLED FOR AT SAME TTME AS St,B FRAMING INSPECTDRYWALL - prior to taping CETI.TNG GRID FINAI./SUB FINAL PLITMBING - When all plumbing work is iomplete.FINAL GAS - When aIJ gas work is complete. .FrNAL uEclrAr'IrcAt - when ar-r- mechanicar work is complete.GAs sERvrcE - After l-ine is install-ed and line has been connected to ami-nirnum of one'apqliance. pressure test done aE tshis point. i>fil rTob Number: 980480 Page 3 FINAL ELECTRICAL - When aff electrica1 work is complete. FINAL FIRE - When all Fj-re Department requirements have been met. been met. FINAT SfTE PLAI{ - After all requi-rements have been met for Minimum Development Standards or from t.he Development Agreement. FrNAL BUTLDTNG - when all required inspections have been approved and the buil-ding is complete. --- ADDITIONAL COMMENTS --- DRC #96-07-T41., PLANNER IS GARY KARP SITE PLAN REVIEW JOIIRNAL #96.07_141,, GARY KARP, PLANNER Pl-ans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date:06/oa/98 By signaLure, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all- work performed sha11 be done in accordance wit.h the Ordinances of the Clty of Springfield, and the Laws of the State of Oregon pertai-ning to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. f further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all- required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set. of plans l-l- remain on the site at al-I times during construction hrl 7-C - ?9 Signa Date --- VALIDATION --- Receipt Number Date Paid Amount Received Received By (af z 4? SPRIN(:FTELD JOB NO . aat) /Jaa- ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAI'IE OR COMPANY y'{*,>^- 2*"* LOCATION:/2 A % DEVELOPMENT TYPE BUILDING SIZE SiZ FT i 2. SANITARY SEI^JER-CITY No. oF PFU'S 3 /'X $46.86 PER PFU (See Reverse Side) 3. TRANSPoRTATI0N nf - Req*.r,Vn /ea*a = /, J7/fdsf NO OF UNITS X IRIP RATE X COST PER TRIP J K( P C) ,? STORM DRAINAGE Bh n/ /ur,,'^-/er 5,",/< ,-// i /6 fC? = J:e Z IMPERVIOUS SQ. FT. X $0.226 PER SQ . FT $fi)* ,l- ro X x $472.49 Vf/,L{ X x $472.49 x x $472.49 TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ $ 4. SRNttRRy STWER-NWNC ,!.,2a x rua'*R FEU + $10 MIIMC/ADM rer s-{oqZNO. OF FEU'S ,.-7CML{MC CREDIT IF APPLiCABLE (SEE REVERSE) $ -/3,C q + $r/2* BASE CHARGE (SUBIOTAL ABOVE) X .05 $,/6/g $4$aZSDCrdj Date 4t r TOTAL SDC s 7g"9 FIXTURE UNIT CALCULATION TABLE: Number or New Fixt(NOTE: For remodels, calculate onl e NET additional fixtures) NUMBER OF NEW FIXTURESFIXTURE TYPE 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 (l per Trailer). Receptor For Refrigerator/Water Station/Etc.... Receptor For Commercial Sink/Dishwasher/Etc Shower, Single Sta11.......... Shower, Gan9......... Sink: Bar, Commercial, Residential Kitchen...... Urinal, StallMall... Wash Basin/Lavatory, Single Toilet, Public lnstallation...... Toilet , Private...... Miscellaneous: TOTAL FIXTURE UNITS ; X Unit Equivalent = Fixture Units I FIXTURE UNITS --, - - - --- T -T- -T -7- 4..-77- 4t ead 2 1 2 3 6 2 ,6 6 1 3 2 1tH 2 2 1 6 4 CREDIT CALCULATION TABLE: Ba calculate credits separates. sed on assessed value. lf improvements occurred after annexation date in table, Year Annexed Rate per $1,OOO Assessed Value ,< Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) q7 x$/frr'-z (Rate X Assessed Value) (Rate X Assessed Value) J.a33 CREDIT TOTAL = $77, Year Annexed Rate per $1,000 Assessed Value 1 987 1 988 1 989 1 990 1 991 1992 1 993 1 994 1 995 1 996 $ 2.56 2.17 1.73 1.31 o.92 o,v4 o.61 0.45 o.31 o.17 1 980 1 981 1 982 1 983 1 984 1 985 1 986 39 83 70 3 3 3 3 55 3.20 2.91 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential... :....................... 0.4 Commerica1......................... O.9 lndustrial... 0 5 Governmenta1...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT UNIT EOUIVALENT I RSL4A REAL PROP -COUNT SUMMARY ACCT: 202430 1998 T..,SESSMENT YEAR INDEX: F MAP EQ 1103250000204 ACCT x ACCT STAT: LONLY, SEG PROP DESCR: 17 03 25 00-00204 LEGAL: _-4. COUNTY T,ANE YRA X NAME ADDR: MAIA LLC 2433 MARCOLA RD SPRINGFIELD OR RES NEIGH 4O5SO COM NEIGH 05-12_98 CONTROL GROUP 2L LEVY CODE 19-OO TAX CERTIEIED: 6/L9/98 L6:49:13 91 417 1900 PROP ADDR: YRIA YRLA 96 PROP CLASS I9O STAT CLASS 13.93 ACRES CYCLE SAV LAND 184,700 IMPS TIMBER LAST ACTIVITY 4 ZONE REAL MARKET (RMV) 184,700 184,700 184,700 1998 YEAR TAX: TAX DUE 1998 YEAR: TAX DUE PR]OR YEARS: INTEREST AS OE O6-i9-98 TOTAL BALANCE DUE: OLDEST DELINQUENT YEAR GROSS: EXMPTS: NET: L 184,700 184,700 #