HomeMy WebLinkAboutPermit Building 1996-04-02SPFINGFIELE'
225 North Fifth Street
Springfield, OR 97477
IJocation of Proposed Work: 1305 sTH ST
Assessors l"tap #: L7032634
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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,
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Job Number: 960950
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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
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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: