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HomeMy WebLinkAboutPermit Building 1996-04-02SPFINGFIELE' 225 North Fifth Street Springfield, OR 97477 IJocation of Proposed Work: 1305 sTH ST Assessors l"tap #: L7032634 h, o COMMERCIAL/TNDUSTRIAL PER}TIT APPLICATTON CITY OF SPRINGFIEIJD ilob NumbeT: COMMT'NITY SERVICES DTVISTON BUILDING SAFETY Office Inspection Line Page 1 950950 726 -37 59 726 -37 69 Tax Lot #: 01000 SPruNGFIEIT', Owner: NO.SPFLD CHRISTIAIV Address: 1305 sTH STREET Description Of Work: PAVE PARKING LOT phone #: citylstate/zip: SpRTNGFIELD, OREGON 97477 NEW Value:0.00 --- PLI'MBING --- No Fee Charge 40.00 40.00 Storm Sewer TOTAL PERMIT 140 ft QUAD AREA: 2CNW -- OFFICE USE LAND USE: 5300 ILem TOTAL VAIJUE OF PROJECT Square Feet x $/Square Feet Value 0.00 Surcharge/admin MEC}IANICAL Surcharge/admin PLUMBING Surcharge/Admin SIDEWALK CURBCUT PAVING PERMIT PLAN REVIEW FEE ENCROACHMENT PERMIT SIIBTOTAL PERMITS SYSTEMS DEVELOPMENT TOTAT PERMIT FEES EXCLI'DING ELECTRICAL 0 0 0 40 3 00 00 00 00 20 1_4 .20 1-4.20 251.50 L53 .40 5.00 49l. 2 ,732 50 94 3,224.44 SPF!NGFIELE, a h, Job Number: 960950 a Page 2 --- REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all inspections are made aL the proper time. To request an inspection, cal-l- 725-3769(recorder), state your City designated job number, job address, Llpe ofinspection 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 wil-l- be made t,he foltowing work day. Special Inspections: In accordance with Section 305 of the State Specialty Codea speci-ar inspector shalL be emproyed by the owner/contractor during construction of any following "*t' work. A copy of the special testing reports shall- be furnished to Building Safety. In addition to the inspections speci-fied, Ehe Building Official- may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. STORM SEWER LINE - Prior to filling trench. ROUGH GRADTNG - After gravel is in place but prior to placing concrete FINAL PAVING - After paving is complete. SIDEWAIJK - After excavation is complete, forms and sub-base material- in place. FINAL PLITMBING - When all plumbing work is complete. FINAL BUITDING - When all required inspections have been approved and the buildi-ng is complete. FfNAL SITE PLAI{ - After a1} reguirements have been met for Minimum Development Standards or from the Development Agreement. --- ADDITIONAL COMMENTS --- OWNER WILL CALL WILL CONTRACTOR AND BID AMOUNT CALL C]TY MAINTENANCE DIV. AT 726-3761. (RON MASON) PRIOR TO STARTTNG WORK ON CURB INLET CONNECTION IN RIGHT-OF-WAY. Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER DaLe: O4/02/97 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 I further certify that any and al1 work performed shal-l- be done in accordance wj-th the ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herej-n, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORs 701.055 will be used on this project. I furt,her agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street,, Lhat the permit card is located at the front of the properEy, and the approved set of lans will- remain on the site at all t,imes during construction O l-feq /V1,4-fu- ?1 s ture Date SPFINGFIELD Job Number: 960950 a Page 3 SPruNGFIEID, --- VALIDATION --- 2;r v?Receipt Number: Date Paid: Amount Received: Received By: -q7 SPFINGF!ELD o CITY OF SPRINGFIEIJD SYSTEMS DEVEIJOPMENT CIIARGE (EOMMEREIAL / TNDUSTRIAL) Page 1 SPTNGFIELO, Name or Company: NO.SPFLD CHRISTfAN Location: 1305 5TH ST Developement T)pe: C Building Size .fob No. : 950950 Lot Size Sq Ft 1. STORM DRAINAGE Impervious Sq Ft 1.0 X 12050 2. SAI{ITARY SEWER - CITY Number Of PFUs 1.0 X 0 (see Page 2) 3. TRAI{SPORTATION Number Of Units 5. AD}{INISTRJA,TIVE FEES Base Charge (Subtota1 above) x 44.75 Per PFU = X Trip Rate X Cost Per Trip X 0.2L6 Per Sq Ft = Per PFU + MWMC Admin Fee 20.690 Transportation Total- 4. SA}iIITARY SEWER - UWUC Number Of PFUs II MWMC CREDIT If applicable (see Page 2) TOTAL - MI,I}IC SDC SUBTOTAL (Add Iteme 1, 2, 3 & 4) x x s2,602.80 $o. oo $o. oo $0.00 $o. oo $0.00 i2 ,602.80 $r-30.14x 0.50 TOTAL SDC Reviewed By: TROY MCALLISTER Date: o7 /L6 /96 i2,732.94 SPFINGFIELE' rTob Number: 960950 a FIXTI'RE I'NIT CAI,CULATION TABI.E Page 2 SPruNGFTEI-D, Fixture Tlpe Number of New Fixture Unit Equivalent Fixture Units Bathtub Drinking Fountain Fl-oor Drain Interceptors For Grease/Oi1/Solids/rtc Inteceptors For Sand/Auto Wash/ntc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator,/Water Statj-on/fEc Receptor for Commercial Sink/Dishwasher/Etc Shower, Single Sta1l Shower, Gang Sink, Bar, Commercial, Residential Kitchen Urinal, StaLI/WalI Wash Basin/Lavatory, Single Water Closet, PubIic Installation Water Closet, Private Miscellaneous TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calcul-ated separately. (calculations are by $1000) Year Annexed: Credit For Parcel Or Land OnIy If Applicable: 0 X 0.00 = O.0O Improvement (if after annexation date): 0 X 0.00 = 0.00 CREDIT TOTAT = $0.00 (If land value is multiplied by l- then the parcel/land credit is noL accurate.) 0 0 U 0 0 0 0 0 n n 0 0 0 0 0 0 1 a 3 5) 5 1 3 2 .) 2 1 6 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 n I I DATE ISSUED: 3PFtNOFIELtr PERMIT NUMBER: 22s FTFTH srneef INSPECTION LINE SEE TNSPECTTONS ON BACK SIDE APPLICATION DATE:7 ENCROACHMENT PERMIT NUMBER: SPRINGFIELD, OREGON 9747? ENGINEERING DIVISION oFFtcE TELEPHONE (sO3) 726_3753 'LOCATION OF WORK ZIP: PHONE: STATE: EXPIRATION DATE PHONE: PHONE ?- z_ ADDRESS: CITY: CITY: SUBDIVISION: CONTRACTOR: PHONE: ZIP: SITE ADDRESS: APPLICANT ADDRESS OWNER: TAX MAP: TAX LOT: CONTRACTOR REGISTRATION NO: PROJECT SUPERVISOR: REOUESTED PERMITS:INSPECTIONS REOU|REOT APPLICATION FEE / DEPOSIT ACCOUNT NOrQ erucnoAcHMENT pERMtr No tr- El $2o.oo t - VALIO FOR SIXTY (60I OAYS FROM DATE OF ISSUANCEI cur srneer E BoRE E oTHEB Q ousr coNrRoL (TypE oF coNTRoL) E$ I coNsrnucloN, sroRAGE, srAGtNG tr tr tr n $ $ $ I ornen Q asnHalr DEpostr........... TYPE OF SECURITY DEPOSITp auruxsr suRETy BoND ffi^rcur pERMrr No I sunrrrv aoruo I casx / cHEcK E$_ .FT I_ PRIOR TO POURING CONCRETE. OF ISSUANCE. E $ 10.00 + $.1 s/FT. _lNSPFCrtoN, CURB / APPROACH AFIER FORMS ARE ERECTEO BUT VALIO FOR 180 OAYS FROM OATE! secor.r'o ffsoewaw DRIVEWAY (SEE SEPARATE APPLICA' PERMIT NO:.................... FT Q $10.00+$.1s/FTVALIO FOR 180 DAYS FROM OATE OF ISSUANCE. I r.rew E REMovE / REpAtR E PAVE PLANT srRtp Q serencx ll cunasroe E LENGTH INSPFaTION- StoEwALK /ORIVEWAY FOR ALL CONCRETE PAVING WITHIN THE STREET RIGHT OF WAY TO BEMADE AFTER ALL EXCAVATING IS COMPLETE , ANO FORM WORK ANO SUB.BASE MATERIAL IS IN PLACE.tr SANITARY SEWER CONNECTION PERMIT:E $5.0o /VALID FOR SIXTY 160) OAYS FROM DATE OF ISSUANCEtrTo STUB E MAIN LINE (EASEMENT.R/W}tr OTHERffsroRM SEWER CONNECTION E $5.oo /VALIO FOR SIXTY 160I DAYS FROM OATE OF ISSUANCEI carcx BAstN / BUBBLER e srua I uRtrultrue PROOF OF INSURANCE: $5OO,OOO MINIMUM fl arrncxeo E REoUIRED AMouNT TOTAL DUE;",'$ TOTAL DUE WITH PERMIT $ DESCRIPTION OF PROJECT: Advance signing and work zone protBction to bo in compliance with tho Manual on Uniform Tralfic Control Devices (MUTCD) WORK SHALL COMPLY WITH CHAPTER X ARTICLE 5 OF THE CITY CODE. CONTRACTOR TO COMPLY WITH MUTCD DESCRIPTION TYPE OF DUST CONTROL TO BE UT|L|ZEDT BORE: EXISTING SURFACE MATERIAL:BACKFILL MATERIAL: AREA: LENGTH; HEIGHTTDEPTH: TO BE UTILIZED: NAME OF OTHER UTILITIES IF THIS IS A JOINT PROJECT: WARNING DEVICES TO BE UTILIZED: TYPE OF WORK: CUT: OTHER: FROM DATE: TO DATE: PERIOD OF USE OR TIME OF CONSTRUCTION: tr PLANS (TWo sETS)ATTAcHED }NIDTH: TIME: TIME: BACKFILL MATERIAL TO BE UTILIZED: SURFACE REPLACEN4TNT MATERIALS GITYOFSPRIN Onulr AppLtcATtoN BEVTSTONS 8t24t95 FoRM ' 116 STATE: % PLAN REVIEW COMM ENTS /sPECt^L TNSTRUCTIONS: giffiBm'd$#P'ffo!fdt'5,"'*'8#[Mt^*"8[dlfl ' EXISTING CITY CO 019 020 021 o22 o23 024 025 o26 o27 o28 o29 030 031 032 033 343 DES AND ,* OMPLIANCE W]TH CURRENT Minumum 4' clearance at any point, swing-away' Concrete minimum 4" depth, 3,000psi. Trench to be "T" cut. Needs Statg / County Permit. No abovs ground enclosings in sidewalk or handicap ramps' Diamond cut A,C'/Concrete value boxes to grade' Fresh Oil signs / Graded. Comply with Americans with 0isabilities Act' Concrste slabs, 72hrs. curing time, 450Opsi' Concrete slabs require ioint seal material. Driveway requiros dowels every 18"' Submit traffic control plan prior to excavation' Notify Traffic Division before excavatign. Core drill main line, insert tee, 2% min. grade' Must comply with the provisions of ORS 757'541 to 757 '571 6" Circular hole/H2O-Vac. OO1 Backfill with %" minus rock' OO2 Compact every 1 8" loose depth. OO3 Requires compaction with I stael rolller' OO4 A,C' to mstch the greator of existing depth or 4"' OO5 All cuts saaled lor final inspection. 006 Temporary patch may be usEd at the end of tho day' OO7 Signlng and Zone' protection to comply with MUTCD OO8 Cut concrete only. on scoro linos or cold joints' OO9 Sidewalks and driveways min. 3,OoOpsi' 01O Curbing min 3,50Opsi / No patchwork less than 3" 011 Meet min' requiroments on curb cuts, Spfd' code' 012 Rsstore planted areas, Spfd' code 206'3'05 013 Spec. to Bore / Jack / No A.C' cuts' 014 Mechanicalcompactingrequired' 015 No Patchwork allowed. 01 6 Lateral cuts to havo control density fill' 017 Cuts to bB polymerized crack sealed for final inspection 018 Mininum 2" crushed rock %" minus' Comments: - THE LANE UTI "ONE CA YOU ARE REOUIRED TO CALL LrriES COOnolruATlNG couNqlL's [t- luUwtBER" 1 -800-332-2344 48 HOUBS BEFORE DIGGING INSPECTIONS: ORM SEWER, ENCROACHMENT PERMIT AND OTHER INSPECTIONS CALL CITY MAINTENANCE AT tr AY CITYTED JOBTAYOUDRGESIAINoRECRDT,ES7LL6926-37 (ER)CANSPECTIONSSIALKDEWRBCUANDCUT R DYEA oF RENWHUYOILLBEWDUESTEDANINECTISPNoREOFADTYoPENUoJBDRESSNER/PERM MBER,ITUM BEWILLA.MED7EFORE:00ERESTSOURECEIVDEPHONUNMBERSER'MENA ANOWNOR SloN RA TOE BENSPECTKRGINDTHEDEEXNWOTMABELLWIA.MERAFT700STSREOUE co CRETENNGRPRIOoTURIPORKINSEPLACBUTANFODWRMoNSMADEAREATtoFTAERDLLE ITSAN SEWER,ARY 7 1.26-376 M tn*x SIGNATURE: RL:ifl'ts\il? H5":8,?Sst:gffi llfo|Li3}?,fii'?il![%fi.)1Xf:fl [3,f "#l''s,tf,t{38[t'[3tili ifl"":3!?Bxj""J'il,Y*iiit:81i,'fift11"1111" iitffrj*:pin:ialrl.t,"3t"*fiui;1..,b*iltiffi*#";nugiilvl'$a".1JHgnn*[: fi,i?4"."J8,"d,18tt'l'?ir'88l:J5?,Ys{'[ project. The Citv mav inspect the work site described in this permit at any time during a one year.period followins the receipt,by the City of davs (3ol from the oui',i"5i"trtu*i6ii"Ji"tiiliriii'ir,b'i&i(.'w;;k;"t;;#;t"i;,Jii ir,ii-ij""o ot th6 irr-irtv daVs will be performed bv the CitV and the costs will be billed to the permittee. lfurthor aoree to ensure that all required inspections are requested a.tthe proper time, that proiect address is readable from the street, bn0- tfre ap'proved set of plans will remain on the site at all tlmes durlng consrrucrlon. 4-/-^ q7DateSignature AMOUNT RECEIVED: RECEIPT NO:RECEIVED BY: VALIDAT!ON: f, vntrurrNANcE r - I eenutr tssuED BYi FOR SIDEWALK AND CTTRB CUT PERMITS PLACE A COPY (COMPLETED) IN PERMIT DRAWER INSPECTION: DATE WORK IN PROGRESS NT TIVTE OF COMPLETION: ELEVENTH MONTH: f, eructrueERlNc REVTEWED BY: I rnnrrtc REVTEWED BY: INSPECTION DATE: DATE: DATE: DEPOSIT BETURNED:DATE: DATE: DATE: DATE: DATE: DATE: