HomeMy WebLinkAboutPermit Building 1997-01-22COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fillh Street, Springfield, Oregon 91477
SPFIINGFIELO
JOB NUMBER
INSPECTION LtNE: 726.3769
OFFICE: 726-3759
LOCATION OF PROPOSED WOBK:,r(),T4 Bro SJ",/
ASSESSORS MAP:-o -t TAX LOT:oa
STATE:ZIP:
/
5 PHONE:7/{+-e37sOWNER
ADDRESS:
CITY:
VALUEADDITION DEMOLISH OTHEFI
DESCRIPTION OF WORK:Ca*
NEW X REMODEL
NAME ADDRESS PHONE
ADDBESS PHON Ee/Orrn
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
coNsr.
CONTRACTOR ,
G EN ERA L:
PLUMBING
PLUTUBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl s
)
Water Service
fr
Sarritary Sewer
ft.
Slorm Sewer
ft.
Bacl<flow Device
TOTAL PERMIT
MECHANICAL
NO FEE CHA RGF
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wrll otlloor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooier
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permlt lssuance $10.00
_ OFFICE USE _
SO. FT.
TOTAL VALUE OF PROJ
x
X
Y
ZONING
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWEB BUDGET:
I OF UNITS:
$/sQ. FT.VALUE
SQ. FTG MAIN
SO- FTG ACCESS
SQ. FTG OTHER
OCCY GROUP:
+ OF STORIES:
QUAD AREA:
* OF BLDGST
CONSTR. TYPE:
HEAT SOUBCE:
RCPT#B,V>PLAN CHECK FEE DATE BY
BUILDING PERMIT 22, f,a PLUMBING DEMOLITION
5% State
Surcharqe
aGt
?z 5% State
Surcharoe
MECHANICAL FENCE
VALUE $
570 State
Surcharqe
SIDEWALK
FT,
SUBTOTAL
PERMITS ?2-/5
PAVII.IG CURBCUT
FT,
SYSTEMS
DEVELOPMENT 65=>-
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
/3o,8:a
EXPI RES
TOTAL PERMIT
WATER HEATER:
-
//
REOUIRED INSPECTIONS
It ls the responsibility of the permlt holder to see that all inspecilons are made at the proper time. To request an inspection, call
726.9769 (recorder), state your City deslgnated Job number, Job address, type of lnspection requested and when you will be ready
for lnspection. Requests recelved before 7:00 a.m. wlll be made the same working day, requests made af ter 7:o0 a.m. will be made
the following work daY.
SITE INSPECTION: To be
made after excavation, but
prior to setuP of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before anY work ls covered.
FOOTINGS & 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 atter all lnslab buildlng
service equlpment, conduit,
plplng, accessories and other
ancillary equlpment items are
in place but before anY
concrete ls placed.
UN DERGROUN D: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
dralnage llnes. To be made
prlor to covering or tilling
t re nc hes.
UNDERFLOOB: Plumbing,
electrical, mochanical. To be
made prior to installation of
floor insulation, decking or
lloor sheathlng.
POST & BEAM: To be made
prior to lnstallation of floor
insulation, decklng or floor
sheathlng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
rnade prior to lnstallatlon of
,.leckirig or lloor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals ln accordance wlth
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to installing
any root covering.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered untll these
lnspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to Placing
faclng materlals and belore
framlng lnspection.
FRAMING: To be made after
the roof, all framlng, fire
blocking and braclng are ln
place and all plPes, chlmneYs
and vents are comPlete and
the rough electrlcal, Plumblng
and mechanlcal are approved.
INSULATION & VAPOR
BARRIEB: To be made after all
lnsulatlon and required vaPor
barrlers are ln place but
before any lath or gYPSum
board lnterlor wall coverlng is
applled.
FIRE & SEPARATION WALL:
Located and constructed
accordlng to plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathlng and gypsum board,
lnterlor and exterlor, ls ln
place but before any
plastering ls applied or before
gypsum board loints and
fasteners are taped and
f lnlshed.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving wlthln street right of
way, to be made after all
excavatlng complete and form
work and sub-base material in
place.
CURB AND APPROACH
APRONS: After forms are
erected but prlor to placing
concrete.
PAVING: After gravel is in
place but prior to Placing
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor durlng
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 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 t)
HIGH STRENGTH BOLTING:
Durlng all bolt installation and
tightenlng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a,11 &
Clrapter 29)
GLU.LAM BEAMS: lnspection
Certificate by an approved
agency, furnlshed to the City's
Building Division before
beams are placed. (2501 U.B.C.
sTDS. 25.10,11).
STRUCTUBAL MASONRY: (306
a.7)
"ln addition to the inspec-
tions specified, the Building
Officlal may make or requlre
other lnspections of any
constrrrctlon work to ensure
compliance wlth the Building,
City or Development Code.
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 lnspection. All project conditions such as
landscaplng, parklng lot stri plng, etc. must be completed before
requesting thls lnspectlon.
FINAL BUILDING: Requested aFter the final plumbing, electrical,
mechanlcal and Fire Department Inspections are made and
approved. No occupancy of the premises can be made untii a
Certlflcate of Occupancy has been issued by the Building Division
and posted on the premises.
ADDITIONAL COMMENTS
PLANS REVIEWED BY D^rE /'76-2>
By slgnature, I state and agree, that I have carefully examlned the completed appllcation and do hereby certify that all intormation
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 Sprlngfleld, and the Laws ot the State of Oregon pertainlng to the work described herein, and that NO OCCUpANCy
wlll be made of any structure without permission of the Bulldlng Safety Dlvlsion. I further certify that only contractors and employees
who are In compliance wlth ORS 701.055 will be used on thls proJect.
I further agree to ensure that all required inspectlons are requested at the proper time, that prolect address is reactabte irom the
street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all
Signature Date
times during constructlon
VALIDATION AMOUNT RECEIVED
RECEIPT T:RECEIVED BY:
DATE PAII-J:t22. t|a
Page 1
CITY OF SPRINGFIELD SYSTEUS DEVELOPMEIIT CIIARGE
(CoMMERCIAL / TNDUSTRTAIJ)
Name or Company: SPFLD SCHOOL DISTRIC
Location: 425 1OTH ST
Developement T)pe: C Building Size:
.fob No.: 970L54
Lot Size Sq Ft
1. STORTI DRAINAGE
Impervious Sq Ft 1.0 X 288
2. SAI{ITARY SEWER - CITY
Number Of PFUs 1.0 X 0
(see Page 2)
3. TRA}ISPORTATTON
Number Of Units
X 44.75 Per PFU =
X Trip Rate X Cost Per Trip
X 0,2L6 Per Sq Ft =
Per PFU + MIiMC Admin Fee
20.690
x
x
$52.2L
$0.00
$o. oo
$0. 00
$0. oo
$0. oo
i62.2L
$3 . r-r-
Transportation Total
4. SAIiIITARY SEWER - MT{MC
Number Of PFUs
0
MIIMC CREDIT If Applicable
TOTAL - Mi^MC SDC
(see Page 2)
SITBTOTAL - (Add Item6 1, 2, 3 & 4)
5. ADIIINISTRATIVE FEES
Base Charge (Subtotal Above) X 0.50
TOTAL SDC
Reviewed By: TROY MCAILISTER Date:0L/27/97
$6s.32
Job Number: 9701,54 Page 2
FIXTI'RE I'NIT CAI.CUI,ATION TABLE
Fixture Type
Number of
New Fixture
unit
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For crease/Oi1/SoIids/Etc
Inteceptors For Sand/Auto wash/EUc
Laundry Tub/Clotheswasher
Clot,heswasher - 3 Or More
Receptor For Refrigerator/water St.ation/uUc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stal1
Shower, Gang
Sink, Bar, Commercial, Resident,ial Kitchen
Urinal, Sta1l/wa11
Wash Basin/Lavatory, Single
Water Closet, Public Instal-lation
Water Closet, Private
Miscellaneous
TOTAI FIXTTIRE I,]NITS =
CREDIT CALCTLATION TABLE: Based on assessed value. If improvements occured
after annexation date, credit,s are calculated separately.(calculations are by gr-000)
Year Annexed:
Credit For Parcel Or Land OnIy If Applicable: O X O.0O = O.OO
Improvement (if after annexation date): 0 X 0.00 = O.OO
CREDIT TOTAIT = $0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
l_
2
3
6
2
6
l_
3
2
2
2
1
6
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0