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Home My WebLink AboutPermit Mechanical 1993-07-01COM M ERCIAL/ IN DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP: SPRIitGFIELO JOB NUMBER 7 INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: a 74 PHONE ZIP:STATE: 9424:- %/> OWNER: ADDRESS: CITY: VALUE{ADDITION DEMOLISH OTHER DESCRIPTION OF WORK: NEW- REMODEL ARCHITECT: GENERAL: NAME ADDRESS PHONE ADDRESS EXPIRES PHONECONTRACTOR'S NAME PLUMBING: MECHANLCAL.: ELECTBICAL: CONST. CONTRACTOR # PLU MBING NO.FEE CHARGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backf low Device TOTAL PERMIT MECHANICAL NO FFF CHA 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 aI Vent Fan / Single duct Vent sys AC tem apart or htg.f rom Mechanical exhaust hood and duct 'kzm ?'o)E Permit lssuance $10.00 TOTAL PERMIT Ztst.,/.;- - OFFICE USE - ZONING LIGHTING POWER BUDGET: WATER HEATEB CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STOBIES: QUAD AREA: r OF BLDGS: HANDICAP ACCESS: -FLOOD PLAIN: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ X X x SQ. FTG MAIN I SQ. FTG ACCESS SQ. FTG OTHER PLAN CHECK FEE RCPT#DATE BY BUILDING PERMIT PLUMBING DEMOLITION 5% State Surcharqe 5% State Surcharoe MECH L /2'n./5--.FENCE VALUE $ 5% State Surcharoe -5 SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL z?%;a= ?-7. 2:r>f REOU!RED 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 inspectionr. 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 X ROUGH PLUMBING, PAVING: After grave| iS in un til these UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. FOOT]NGS & 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. UNDERGROUND: 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 prlor to lnstallatlon of floor lnsulation, decking or floor sheathing. FLOOR INSULATION & 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 :Hffi^il?fi''t::f""X," NAILING: Prior to installing erected but prior to placing any roof coverlng. concrete. made after excavation, but prior to setup of forms. & o work is to inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACEI Prior to placing facing materials and before framing inspection. FRAMING: To be made after the roof, all f raming, 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 AND'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. 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. place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: ln accordance Section 306 of the State Specialty Code a spebial inspector shall be employed by the Owner/ Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 P.S.l. (306 a.1) STRUCTURAL WELDS: Performed on the iob. (2722 l) HIGH STRENGTH BOLTING: During all bolt installation and ti ghtening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU-LAM BEAMS: lnspectlon Certif icate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.c. srDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7) "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. HANI By slgnature, I state and agree, that I have caref ully examined the completed application and do hereby certif y that all inf ormation herein is true and correct, and lfurthercertify that any and all work performed shall be done in accordance with the Ordinances of the Clty of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Bullding Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I further agree to ensure that all required inspections are requested at the proper time, that proiect address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times durlng constructlon. Slgnature Date VALIDATION: RECEIVED BY: DATE PAIDAMOUNT RECEIVED RECEIPT # FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FlRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. AII proiect conditions such as landscaping, parking lot striping, etc. must be completed before requesting this inspection. FINAL BUILDING: Requested af ter 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 REVIEWED BY DATE --r4_* ( 2*?r{ JoB No . ??o78 g CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (C0I'II'IERCIAL & RESIDENTIAL) NAME OR COMPANY:,DB. t\4tcunpt. TBrep LOCATION:-L DEVELOPMENT TYPE:Cteuc,e oF DrE ' R"*A*-l ?b - O4ao BUILDING SIZE: I. STORM DRAINAGE IMPERVT0US SQ. FT. 2. SANITARY SEt,lER-CITY NO. OF PFU'S (See Reverse) 3 T SIZ F x $0.192 PER SQ. FT. X $39.78 PER PFU $ $ SUBToTAL (ADD ITEMS 1,2, & 3)$ sQ. Ft. TRANS PORTAT I ON NO OF UNITS X TRiP RATE X COST PER TRIP X x X x $401.05 x $401.0s x $401.0s 4 5 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .05 SANITARY SEWER-MI^IMC NO. OF PFU'S (Use PFU Total From Item 2 Above) MI,JMC CREDIT IF APPLICABLI (SEE REVERSE) TOTAL.C ITY SDC $ + $13.62 PER PFU + $IO MI,{MC ADMIN. FEE $ L lo /qg TOTAL-Mt^lI,,lC SDC TOTAL SDC $+U Kip Burdick SDC Coordinator M AprrtTloNfrt- SDc's 6r. KenuPeL oF EttrT. o?nq (- Bathtub....... FIXTURE UNIT CALCULATION TABLE: ruumoer of New Fi;xtures X Lxlit Equivalent = Fixture Units (NOTE: For remodels, calculate only theNEI additional fixtures) NUMBER OF UNIT FI)CTURE FI)CTURE TYPE NEW FI)CTURES EQUIVALENT UNITS Drinking Fountain... Floor Drain.... I nterceptors For Grease/Oil/Solids/Etc.,............... I nterceptors For Sand/Auto Wash/Etc.................. La u nd ry Tub/Clotheswasher................................... Clotheswasher - 3 Or More............ Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorAVater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta|l............. Shower, Gang... Sink, Bar, Commercial. Urinal, Stallfffall.... Wash Basin f l-avalory, Single.......... Water Closet, Public lnstallation.. Water Closet, Private..... l,/iscellaneous: TOTAL FIKTURE UNITS CREDIT CALCULATION TABLE: Based on assessed valUe. lf imprOvements oCCurred after annexation date in table, calculate credits Credit for Parcel or Land Only lf Applicable X $ (Rate x lssessld vatfl lmprovement (if after annexation date)x$ (Rate X Assessed Value) CREDIT TOTAL = $- 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 ead/H Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 o.25 0.87'0.50 0.16 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.. Commercial lndustrial..... Governmental..... 0.4 0.9 0.45 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT -