HomeMy WebLinkAboutPermit Building 1995-09-29CO M M ERCIAL/ I N D USTRIAL
PERMIT APPLICATION
225 Filth Street, Springfield, Otegon 97477
SPRTNGFIELO q ,s//z-r
JD
JOB NUMBER
INSPECTION LINE: 726's769
OFFICE: 726-3759
TAX LOT:
E K oTOCATION OF PROPO
ASSESSORS MAP:
PHON E:
a++q*ZIP
J2
STATE:
Borzo-J C*c-*,.,, a..-?+LAb50OWNER
ADDRESS
CITY
DESCRIPTION OF WORK:
NEW
-
REMODEL
i2e mosa- Lelb 5?+<.e.. roe- B,c - unu z-a.rr oJ
ver-u#ltlaJrrl=jADDITION DEMOLISH OTHER
NAME ADDRESS PHONE
EXPI RES PHON E
a2-
6--
U
3.>
2
Pn?ELECTRICAL
CONTRACTOR'S NAME
ARCH ITECT:
MECI]ANICAL
PLUMBING:
GENEsAL
CONST.
CONTRACTOR #
AA€,J
\\e,-r
CHA RG E
B Single Fixture /4 *--a
Relocated Bldg
(new f ix. addtl)
Water Service
Sanitary Sewer
ft
Stoiln Sewer
ft
Backf low Device
TOTAL PERMIT fu."'
M EC HAN ICAL
N r'l FFF CHARGF
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
sys tem apart
or htg,
6 Mechanical exhausl
hood ar4l duct /,P a41.t
'4/n f/74G4zz, Zsp)zA ./ al@.rffi{u(K^.futr/'6
$10.00
TOTAL PERMIT 7V-e
- OFFICE USE _
ZONING
FLOOD PLAIN
LIGHTING POWEB BUDGET:
WATER HEATER
OCCY GROUP:
I OF STORIES:
QUAD AREA
# OF BLDGS
CONSTH. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
HANDICAP ACCESS:
SQ, FT.$/sQ. Fr.VALUE
TOTAL VALUE OF PROJECT.
X
X
X
SQ, FIG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
nat<,/S Rcpr, ,/B b 74 DATE BYPLAN CHECK FEE
/53/./;
BUILDING PERMIT /V."o PLUMBI NG th aDO DEMOLITION
5% State
Su rc h arge R <?-/7.n 5% State
Su rc haroe
^1
{_ zaz
=.4aMECHA/2.
77_
an,?-6 FENCE
VALUE $
5% Sr ate
Surch
/.5'.q9 SIDEWALK
FT.
SU BTOTA L
PERM ITS 6n..aPAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT ?rz.a3
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
NN FFF
fr.
REOUIRED INSPECTIONS
It is the responsibility of the permit noFer to see that all inspections are made at the proper time. To request an inspection, calt726'3769 (recorder), state your city designated job number, Job address, type of inspection requested and when you wi1 be readyfor inspectlon. Requests received before 7:00 a.m. will be made the same working day, requests made af ter 7:OO a.m. wi1 be madethe following work day.
SITE INSPECTIoN: To be X !gU-GH PLUMBING, PAVING: Af ter grave| is jn
made after excavation, but ELECTRICAL & place but priorlo placingprlor to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB PLUMBING, lnspections have been made SpEC1AL tNSpECT,ONS: tn accordanceELECTRICAL & and approved. Section 306 of the State Speciatty CodeMECHANICAL: To be made A??,A AhaFr - , a special inspector shall be employedbefore any work ls covered. ATTIC DRAFI 9IOPS & gy the owner/ Contractor duringCURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: F,hF^i ^^F. , copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prlor to placing be iurrrished io the Buitding Division.
excavated and forms are facing materials and before ,
erected, all steel ln place, but framlng lnspectlon' STRUCTURAL CONCRETE: lnprior to placlng concrete' ,,,( FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after ail insrab buirdins 3l::5::.":fl 3lE:I?.iHl:r" BIR3,."J"',Jlnt,Yntf3ol',rrr, ,,lervice equlpment, conduit, and vents are complete andpiplng, accessories and other
ancirr"Jrv equipment items are :X? H:3l"",ligi:,X'JJ;[3:i: Bl?lrT?i]?Tx.,?fl"t1]:".ln place but before any tightening operations. (306concrete is placed. INSULATIoN & vApoR a.6)
BARRIER: To be made after atlUNDERGROUND: Plumbing, insulaflon and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are ln place but FIREPROOFING: U.B.C.storm sewer, water and before any lath or gypsum Standards 43-8.dralnage llnes. To be made board lnterlor walllovering isprior to covering or f illing applied.trenches. qrp,!ve. SPECIAL GRADING,
,NDERFL..R: prumbins,
-
[[:,S'"'"'fmi3[Hl"' il;llfiiidlL',5Jb']],";
electrlcal, mechanlcal. To be accordlng to plans. Chapter 29)
made prior to installatlon of
floor insulatlon, decking or , T LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathlng. - BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the City's
posT & BEAM: To be made lnterlol and 6xierior, ls in Building Division before
prtor to tnstailatton of ftoor place but before any :?fl:t*t:flaced. (2501 U.B.C.
insulatlon, decking or f loor plasterlng ls applled or before D I u-' ^23- ru'r r)'
sheathlng. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & flnlshed' a'7)
VAPOR BARRIERS: To be
made prlor to lnstallation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prior to lnstalllng
any roof coverlng.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
pavlng wlthin street right of
way, to be made after all
excavating complete and form
work and sub-base material in
p I ace.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'ln addition to the inspec-
tions specified, the Building
Of f lcial may make or require
other inspections of any
confitruction work to ensure
compliance with the Building,
City or Development Code.
By signature, I state arrd agree, that I have caref ully examlned the completed application and cio 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 pertainlng to the work described herein, and that NO OCCUpANCy
will be made of any structure without permission of the Bulldlng Safety Divlslon. I further certify that only contractors and employees
who are in compllance with ORS 701.055 will be used on thls 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 permlt card ls located at the front of the property, and the approved set of plans will remai n on the site at alltimes during construction.
Signature Date2/*
la(
VALIDATION AMOUNT RECEIVED
RECEIPT *:RECEIVED BY:
DATE PAID
/ FINAL PLUMBTNG
^
F,NAL ELE.TRT.AL
Y FrNAL MEcHANTcAL
* ,-y' FINAL F|RE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish lnspection. All project conditions such as
landscaplng, parking lot stri ping, etc. must be completed before
requeStlng thls inspection.
FINAL BUILDING: Requested af ter the f inat plumbing, electricat,
mechanlcal and Flre Department inspections are made and
approved. No occupancy of the premises can be made until a
Certiflcate of Occupancy has been issued by the Buitding Division
and posted on the premises,
ADDITIONAL COMMENTS;
-
PLANS REVIEWED BY DAIE ?*--Z-
75 s€r1t
JOB NO.?5/42 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
[^/ORKSHEET
NAME OR COMPANY:fua€rr ctthtcAL
LOCATiON:Gto 5,,-+ srpfit
. DEVELOPMENT TYPE:?,tny,lol $trt,re ..,.-[fs
BUiLDiNG SIZE:SIZE SQ
1. STORM DRAINAGE
IMPERVIOUS SQ. FT X $0.2i PER SQ. FT.
2. SANITARY SEI^JER.CITY
2ro X $43.43 PER PFU
3. TRANSPORIATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
-
x s437.93
x _ x s437.93
x _ x $437.93
4. SANITARY SEI^JER-Mt^Jl'{C
NO. OF PFU'S $18.75 PER PFU + $iO l\,lt^ll\4c ADMIN.FEE s
(Use PFU Total From item 2 Above)
MI^JMC CREDII IF APPLICABLE (SEE REVERSE)
TOTAL-MI^JMC SDC
SUBTOTAL (ADD ITEMS 1,2.3 & 4)$ ts(,85. ADMINISTATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
{ru1 rvt 94u,rsrgz 1{
Ft
NO. OF PFU'S'(See Reverse)
*
o
Troy McAllister
SDC Coordinator
%g*
Date:c,I
TOTAL SDC s 1t?;"L
a
FIXTURE UNIT CALCULATION T,ABLE: Number of New Fixtures X Unit Equivatent : Fixture Units
(NOTE: For remodels, calculate / the @ additional fixtures)
NUMBEB OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
t
Bathtub.
Drinking Fountain....
Floor Drain.
lnterceptors For GreaselOillSolids/Etc.
lnterceptors For Sand/Auto Wash/Etc.
I
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More.....
Mobile Home Park Trap ('1 Per Trailer).
Receptor For Refrigeratbr/Vvater Station/Etc..'.;...:. l
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall
Shower, G
Sink: Bar Residential Kitchen......to
Urinal,
Wash Basin lLavatory, Single.......
Toilet, Public lnstallation,
Miscellaneous:
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits arates.
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x s_
(Rate X Assessed Value)x$
(Rate X Assessed Value)
i
CREDIT TOTAL = g
zoeadIH
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
o
4
t.
zo
ommercr
Year
Annexed
Hate per S1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1 979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
$3.47
3.39
3.33
3.21
3.06
2.92
2.74
2.46
1987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
$2.1 3
1.76
1.35
0.95
o.58
0.41
o.29
o.14
i ir