The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1992-10-26,+ CO M M ERCIAL/ I N DUST RIAT- PERMIT APPLICATION 225 Fiftn Street, Springf ield, Oregon 97477 LOCATION OF PRO ASSESSORS MAP:, SPRINGFIELO JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: PHON E: ZIP:STATE: ADDR CITY: VALUERDON - DEMOLISH OT DESCRI PT NEW F WORK: REMODEL A PHONENAMEADDRESS EXPI RES PHONEADDRESS ELECTRICAL: CONTRACTOR'S NAME ARCHITECT: MECHANI CONST. CONTRACTOR # GENERAL: PLUMBING PLU MBIN G 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 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 $10.00 TOTAL PERMIT _ OFFICE USE _ LAND USE HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: * OF UNITS: OCCY GROUP: # OF STORIES OUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SO. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ X X RCPT#PLAN CHECK FEE DATE BY BUILDING PERMIT PLU M BI NG DEMOLITION 5% State Su rch arg e 5% State Surcharqe MECHANICAL I.<FENCE VALUE $ 5% State Su rcharoe 05 SIDEWALK FT, SUBTOIAL PERM ITS Tffir )anf!lD.oc)CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL )CY ZONING: WATER HEATER: SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER 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, call726'3769 (recorder), state your City designated job number, job address, type of inspection requested and when you wi1 be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:OO a.m. will be madethe following work day. SITE INSPECTION: To be ROUGH PLUMB|NG, pAVtNG: After gravet is inmade after excavation, but ELECTRICAL & place but prior"to placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLAB pLUMBING, inspections have been made SpEC;AL TNSpECTIONS: tn accordance ELECTRICAL & and approved. section 306 of the state Speciatty codeMECHANICAL: To be made a special inspector shall be employedbefore any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. A FOOTINGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be iurnished to the Buildiig Division. excavated and forms are facing materials and before erected, all steel in place, but framing inspection' STRUCTURAL CoNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1) coNcRETE SLAB: To be the roof, all framing, fire made arter an insrab buirdins 3i::5::.':fl 3l'3:I?,i,Hi:r" EII3,"J"'.-3"t,YitT',rrr, ,service equipment, conduit, and vents are complete anclpiping, accessories and other ancir-ary equipment items are :H'fl::Hlt"iffifl, jJ;[3::: 3l?,Xf],?:]?l,|",1o"11]?".in place but before any tighte-ning operations. (306concrete is placed' tNSULATtoN & vApoR a.6) BARRIER: To be made after allUNDERGROUND: 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 iovering isprior to covering or f illing applied.trenches. sHP"vv. spEctAL GRADING, ,NDERFL'.R: p,umbins [l?:,3o"f"fm-J3[Hf"' EffiiJ1'iiil#ii',5Jb'i],"- electrical, mechanical. To be according to plans. Chapter 29) made prior to installation of f loor insulation, decking or f loor sheathing. POST & BEAM: To be made prior to installation of floor insulation, 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 SHEATHING AND NAILING: Prior to installing any roof covering. LATH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board, interior and exterior, 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. cLU.LAM BEAMS: lnspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. sTDS. 25-1011). STRUCTURAL MASONRY: a.7) dition to the inspec. ti specified, the Building al may make or requireOf f ici other inspections of any construction work to ensure compliance with the Building, City or Development Code. 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 f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, 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 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 of the property, and the approved set of plans will remain on the site at all out" /D'Db'?Z street, that the rmit card is located at the times during stru cti on DATE PAID RECEIVED IDATION AMOUNT R RECEIPT *: FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT 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 striping, etc. must be completed before requesting this inspection. FINAL BUILDING: Requested after the final plumbing, 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. ADDITIONAL COMMENTS PLANS REVIEWED BY DATE 5t,r .'f % FIFTB STRBET JNGFTELD, oREGoN 97477 SPECTI0N REQUEST: 726-3769 'PICE: 726-3759 3 ELBCTRTCAL PERHTT APPLTCATTON Number PEB SCMDULE BELOV Nev Residential-Single or amily p Servi ce t. ';,,1< ;,j Si0neture er dr',elling uni t. ed:Items Cost Sum r JOB DESfi,fPTIONSlli ) tRar+ Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COIITRASTOR INSTALI,ATION ONLY Electrical Contractor Address Ci Phone b Supervisor Number Expiration Date t c .\,47- consrr contr. Number 11410- Expiration Date Signa of ing EIec I. Cl:rn ers Name Address Ci ty Phone OVNER ALI,ATION The install-atlon is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Hodular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less -L201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only $ 85.00 $ 1s.00 $ 40.00 $100.00 $130.00 $300.00 $ 40.00 s 35.00 $ 2.oo B $ s0.00 $ 60.00 s C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less S 40.00 201 amps ro 400 amps - g 55.00 0ver 600 amps or 1000 volts see "8" above D. Branch Circuits Nev, Alteratlon or Extension Per Panel One Circui t Each Additional Circuit or: with Servi or Feeder Permi t E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utline Lighting- Limi ted Energy/Res Limi ted Energy/Comm STETOTAL OP ABOVE 5Z State Surcharge TOTAL $ $ s s 40 40 20 .00 .00 .00 .00 oD5 RECEIVED 36 l8 /l(S r( t3 q/- fr l- CITY OF SPRINGFIELD SYSTEMS DEYELOPMTNT CHARGE WORKSHEET ,, (C0HHERCIAL & RESIDENTIAL) lxe*euY JoB N0. q'Loovo oF Gor>NAI'II OR COI'1I)ANY tlew L t?€ Ca,-\-\ € F-Fr r_0cAT I0N Zob o t.'t ' rq4 \102-;L 42-L) - ooloo DEVELOPI.IENT TYPE:LL - Aoo rr-r oN BUILDING SIZt zq'*b-9/ 1. STORM DRAINAGE Ir'TPERVI0US SQ. FT. (See Reverse For Runoff Coefficients I 2,. SANITARY SEWER-CITY LOT SIZE x $0.186 PER SQ. FT. f Actual Imperv. Are sQ. Ft. s ,+5s2 a I s Unknorvn) X 538.55 PER PFU s3 q9 NO. OF PFU'S q (See Reverse To Determine Tota'l PFU'S) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x x $388.61 x _ x s388.61 x x s388.61 (See Attachment C To Determine Trip Rates SUBTOTAL 4. ADMI ISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .os SANITARY SEWER-Mt.lMC sva JOTAL-CiTY SDC s bG5 x S13.25 PER PFU + S10 141'Jl'tC AD!':IN. Ftt s ) (ADD ITEI'IS 1,2, & 3)2s9 $- $- $- ++ 5 NO. OF PFU'S (Use PFU Total From Item 2 Above) tll,lt'tc cREDIT IF APPLICABLE (StE REVERSE) l*J.- Ki p Burd $ TOTAL-I'II.JI'IC SDC s -o- ck SDC Coordinator 7n q2 TOTAL SDC s+*+!t--4/27 <'{- s na! FIXTURE UNtT CALCUluI-- ON TABLE: Nurnber ol New Fixlures rrrit Equivalent = Fixlure Unils (NOTE For renrodcls, calculale only the NEI additional fixures) FIXTURE N'PE Bathtub...... Drinking Founlain................ Floor Drain.... lnterceptors For Grease/Oil/Solids/Etc............--- lnterceptors For Sand/Auto Wash/Elc................- Laund ry Tub/Clotheswaslter. Clotheswaslrer - 3 Or More... Mobile Home Park Trap (1 Per Trailer)........ Receptor For RefrigeratorAVater Station/E1c......-. Receptor For Commercial Sink/Dishwasher/Etc.. Sl-rower, Single Stall Sink, Bar, Commercial Urinal, StallflVall.... Wash Basin/Lavatory, Single. NUMBEC,OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS v 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 eadiH Water Closet, Public lnstallation. Water Closet, Private. Miscellaneous: TOTAL FD TURE UNITS CBEDIT CALCUI-AION TABLE: Based on assessd vatUe. lf improvemenls occurred after annexation date in table. calculate credits separates. Credit for Parcel or Land Only lf Applicatie lmprovement (if after annexation date) (Rate X Assessed Value) x s_ xs (Rate X Assessed Value) CREDIT TOTAL = $ Year Annexed Rate per 51.000 Assessed Value Year Annexed Rate per 51,000 Assessed Value 1979 or before 1 980 1 981 1992 1 993 1 984 s2.66 2-U 2.53 2.11 2.19 2.01 1985 1986 1987 1983 1 989 1 990 s1.69 1.35 1.15 0.92 0.59 0.23 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential Commercial... lndustrial...-.... 0.4 0.9 0.45 0.5 : IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT I ff34w I tzs- 4b ?lna K"tl,ya trt* COMMERCIAL/INDUSTRTAL - PERM!T APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPRINGFIELO ?zacso* JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 7 +_sLOCATION OF PROPOSED WORK: ASSESSORS MAP: 1L)L"- tzQtPHONE: DR 77vt>ZIPSTATE: *tDOWNERAir-,^l l-tEe ^)'if-- a FIRST L*o,cuV dF ( '2-o 80 ^I tqTH Ctat-DS.=,^, ADDRESS CITY: NEW - FIEMoDEL '/- ADDlrloN ''/ DEMoLtsH orHER VALUE 30reao DESCRIPTION OF WORK: GENERAL: rrE^u itt^Al. PHONENAME ?zto r 34s " ysAb PHONEEXPIRESADDRESS 'Go ?(,- 12 S ARCHITECT:Rrc,+,+9t) G. rvlARtS CONTRACTOR'S NAME PLUMBING: ELECTRICAL: ADDRESS 5/3 Pturc W*V. EubEuEDi? CONST. CONTRACTOR # PLUMBING NO FEE CHARGE 7 Single Fixture /o 7or" Relocated Bldg (new f ix. addtl) Water Service ft Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT 7a MECHANICAL NO FFF CHA RG F 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 2 Vent Fan/Single duct lao 6F Vent Sys from AC tem apart or htg.Z Mechanical exhaust hood and duct /,t 7 o o 6As PLt/.?4 t2@a.ZT Permit lssuance $10.00 TOTAL PERMIT Z/ao DuD A-3 ,e@4fi _ OFFICE USE - WATER HEATERHEAT SOURCE LIGHTING POWER BUDGET: # OF BLDGS QUAD AR CONSTR. TYPE: HANDICAP A,CCESS: FLOOD PLAI ZONING LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: SQ. FT,$/SQ. FT VALUE TOTAL VALUE OF PROJECT X X X SQ. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER /:E:q2-RCPT#PLAN CHECK a BYDATE @7o DEMOLITION/?3,o'PLUMBI NGBUILDING PEBMIT 3,s "q,a{5% State Su rc harge 5% State Surcharge /722MECHANICAL/dSr+hvcl FENCE VALUE $ 5% State Su rcharqe 9E SIDEWALK FT. SUBTOTAL PERM ITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT fi#K 66?,44TOTAL PERMIT FEES EXCLUDING ELECTRICAL _>_ 2-t> ?i N a Tt 9ttl,zz l7ag Zs *4 rAX Lor: e lda I Y- t r*<, I It is the responsibirity or the permit horder,. "11P"Y:ffi"iJI::::tJ:y:the proper time. ro request an inspection, ca,726'3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be readyfor inspection. Requests received before 7:0O a.m. will be made the same working day, requests made after 7:0O a.m. will be madethe following work day. slrE INSPECTION: To be ,X BoucH eLUMBING, pAVtNG: After gravet is inmade after excavation, but ELECTRICAL & place but prior*to placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these -)(*_ UNDERSLAB PLUMBING, inspections have been made SpEC1AL INSpECTIONS: ln accordance' ELECTBICAL & and approved. Section 306 0f the state speciatty codedIECHANtC@Irc be made a speciat inspector shail be emptbyedEElS@rk is covered ATTIC DRAFT STOPS & Oy ine Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. A -X- FooTINGS & FoUNDATIoNS: cooy of the special testing reports shaila' - To be made after trenches are FIREPLACE: Prior to placing be'iurnished io the Buildi-ng Division. excavated and forms are facing materials and before erected, all steel in place, but f raming inspection' - STRUCTURAL CoNCRETE: tnprior to placing concrete' X FRAMING: To be made after excess of 2500 P.s.l. (3oo a.1)1 coNcRETE SLAB: To be the roof, all framing, fire made arter ar insrab buirdins 3l::5 ::.":ff 3,8:::r";,;;:r" EIR3,Ty.-31,Y5t,30"',rrz oservice equipment, conduit, and vents are complete andpiping, accessories and other incinarv equipment items are :X? H::l,",lt"ji':,1'JJ;[3::: Bl?lf],i[]-"1*.?i*I]i".in place but before any concrete is placed. r '/ r. rrAD^D tightening operations' (306 )( TNSULATToN & vAPoR a.6)- BARRIER: To be made after all UNDERGROUN D: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling t re nc hes. +<- 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 r accord i ns to or ans. (577foe f ) LATH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board, interior and exterior, 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. SPRAYED ON FIREPROOFING: U.BC. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: 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.B.C. STDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7) UNDERFLOO electrical,an cal. 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 INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. X -* MASONRY: Steel location, bond beams grouting or verticals in accordance with uBc 2415. *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. x x x FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT 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. "x FINAL BUILDING: Requested after 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 oarc 2-7-9L 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 stru'cture without permission of the Building Safety Division. I 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 thet card is located at the front of the property, and the approved set of plans will remain on the site at all Signature Date s"/-? ruction street, that the times during cr 7/O y'VALIDATION AMOUNT RECEIVED RECEIPT #RECEIVED BY; DATE PAID x- x- x