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HomeMy WebLinkAboutPermit Building 1999-04-16SPF!lrlGFIELD 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work:. 179 14TH ST Assessors Map #: 1-'7033532 Page 1 COI$TERCIAL/ INDUSTRIAI, PERMIT APPLICATION CITY OF SPRINGFIELD ilob Number: 981491 COMMI'NITY SERVICES DIVISION BUILDING SAFETY office Inspection Line 726 -37 59 726 -37 69 Tax Lot #: 04400 SPruNGFIELD Owner: SR YETT Address: PO BOX 261-25 Description Of Work: REMODEL Phone #: 344-6781- city/state/zip: SPRTNGFIELD, OREGON 9747 NEW VaIue 1, 000 . 00 General: Plumbing: Mechanical: Electrical-: ConEractor GATE CREEK CONS 0074777 621- F Street Springfield OR 9747700 DICK BATLEY 0107255 92830 COBI]RG RD EUGENE OR 9740894L2 GARIBAY 0043251. 4207 W 5th Eugene OR 974020000 C S ELECTR]C OO541O5 1024 NE DAVIS PORTLAND OR 97232OOOO Const. Contractor #Expires 01,/L1,/e8 06 /2e / e8 L2/O!/eO o8/03/eB Phone 844-7 A66 344-6996 344-248]. 234-661,7 --- PLIIMBING --- No 1 Fee Charge 15.00 15.00 Sj-ng1e Fj-xture TOTAT PERMIT QUAD AREA: 1CSE -- OFFICE USE -- LAND USE: 5300 Item MINOR ADDITION TOTAL VALUE OF PRO.'ECT Square Feet 84 x $/Square Feet VaIue 4 ,20O . O0 4 ,200 .00 BUILDING Surcharge/Admin MECHANTCAL Surcharge/Admin PLUMBING Surcharge/Admin CITY SDC FEES SUBTOTAL PERMTTS 50 4 0 0 15 1 108 .50 .05 .00 .00 .00 .20 .58 L1 9.33 TOTAL PERMIT FEES EXCLUDING ELECTRICAL L7 9 .33 SPlr!NGFIELD rfob Number: 981-491 Page 2 REQUTRED TNSPECTTONS It is the responsibility of the permit holder to see that afl j-nspections are made at the proper time. To reguest an inspection, cal-l 726-3769(recorder), state your City designated job number, job address, type of inspection requested and when you wj-11 be ready for inspection. Requests received before 7:00 a.m. wi-l1 be made the same working day, requests made after 7:00 a.m will be made the following work day. Special Inspections: In accordance with Section 305 of the State Specialty Codea speciar inspector shal1 be employed by the owner/contractor during construction of any following "*" work. A copy of t.he special testing reportsshall be furnished to Building Safety. In addition to the inspections specified, the Building Official may make orrequire other inspections of any construction work to ensure compliance withthe Building, City or Development Code. ROUGH PLITMBING - Prior to cover. ROUGH ELECTRfCAL - Prior to cover. FRAITING - Prior to cover. INSUL-V,B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING fNSPECT DRYITIALL - prior to taping. FrNAL FrRE - when aIl- Fire Department requirements have been met. been met. FrNAL srrE PLAT.I - After all requirements hawe been met for Minimum Development standards or from the Deveropment Agreement. FrNAL BUTLDTNG - when all required inspections have been approved andthe buil_ding is complete. MDS REVIEW BY JULTE SCOTT Plans Building Site Reviewed By ADDITTONAL COMMENTS Reviewed By: LORNE PLEGER Date: 02/a2/99 By signature, I application and state and agree, that r have carefully examined the completeddo hereby certify that all information hereon is t.rue andcorrect, and f further certify that any and all work performed sha1l be d.onein accordance with the ord.inances of the city of springfield, and the Lawsof the state of oregon pertai-ning to the work d.escribed herein, and thatNo OCCUPANCY will be made of any structure without permission of the Communi-ty Services Division, Building Safety. I further certify that onlycontractors and employees who are in compliance with ORS 701.055 wi1l beused on thls project. r further agree to ensure that al-I required. inspections are requested at theproper time, thaE projecE address is readable from the street, that thepermit card is located at the front of t.he property, and the approved setof plans will remain on the site at alr times during construction. 4-lU+1QitureDate SPRINGFIELD Job Number: 98149l- OF SPilNGFIELT', Page 3 Receipt Number: Date Pai-d: Amount Received: Received By: --- VALIDATION --- ^7fl= L)n .QQ a 1-he followrng project as submitted haszonrng and does not require specificapproval Zoning Date the following land use Multi-Family Service Inclu SPFTINGFIELE, BLECIRICAL PERHIT APPLICATION225 FIFTE STREET spRrNGFrELD, OREGOf grP4?9o signature INSPECTION REQUEST: 726-3769 OFFICE z 726-3759 INSTALLATIq^y 0N-Ar*1. LOCATI OFON 5 Ci ty Job Nurber 3. COHPLETE FEE SCBEDTILE BELO\{ A. Nev Residential-Single or ?il,/1r er dvelling uni t. ed: I tems Cos t p dLEGAI DESCRIPTIONb 7z o /{o o JOB Perif of 2. Electrical Contractor Expiration Date lO - | -QB Constr contr. Number 3*,49 Expiration Date q -l -lpc>O Signature of Supervising Electrician Ovners Name 5.K.b Address /.0 lh v Lf,r z{ Ci ty Phone 3v,{- L7 t / OVNER INSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Owners Signature: DATE 1000 sq.ft. or less E ional 500 portion E ANY 180B. Service Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps --- 401 amps to 600 amps _601 amps to 1000 amps_ 0ver L000 amps/vo1ts Reconnect Only C One Circuit Each Additional Circuit or vith Servic or Feeder Permit Temporary Services or Feeders Installation, Alteration or Relocation Sum s 8s.00 eaaress P. O. ft4 ltlgl-, ci,vQ+i1rq[*\d* vhone 141- l.LZ b Superviso. Lro&nse Number lb f bS 50.00 60.00 100.00 40 130.00 300.00 00 00 s 1s. WORK s s s s s $ s s s s 200 amps''or less $ 201 amps to 400 amps - $ over 4()L to 6oo amps - $ Over 600 amps or l,OOOTdITs se 00 .00 .00 .00rrgtt uffir!- D. Branch Circuits Nev, Alteration or Extension Per Panel t $ 3s'oo 9J-- 3 g2.oo b 40 55 BO e 40.00 40.00 20.00 36.00 ,00 E. MiscelLaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3% Administrative Fee TOTAL 5 RECEIVED \ /7a 180 daygfllling the numberforthe Md6trb '^'TRNAL oR JoB No . 7D//? / ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE l^lORKSHEET NAME OR COMPANY: LOCATION /77 e. /r &_ DEVELOPMENT TYPE , I /J" lJJ,^/,b/. AJJ,'{ri,n BU.IIDfNG SIZt: v/ltuao LOT SIZE SQ. Fto/;F 1 XJ N ac, IMPERV]CUS SQ. FT l'4I^Jl.4C CREDIT iF APPLICABLE (SEE REVERSI) MI,,/MC ADMINISTRATiVE FEE /424.r' 6-r€a ! ,lr,C,// of az,u*,anntnJ 6r*eZce^:yr/tz 2. SANITARY STWER-CITY - rIZ Aa..u ,F,Vr'r,r"-s NO. OF PFU'S X S47. 14 PER PFU (See Reverse Side) 3. TRANSPOR IAIION NO OF UNITS X TRIP RATE X COST PER TRIP "ogy' x ,.p. f,?x L1L/\ 1/ x $475.32 X $0.227 PER SQ FT. S@ TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1.2,3 & 4) s.+ tr/ $ ,/o 3 X $ 4. SANITARY SEI,JER-MI^/['4C A. REIMT|JP.STMENT COST: NO. OF FEU 'S .O2? r AUA%'R FEU B. II\4PROVTMENT COST: No. oF FEU',S .0g/ X EpER FEU $ /7 q'b €. $ ,4G $ 10.00 7-i-c- c 5 ADMINISTRAT IVI] FEES BASE CHARGE (SUBTOTAL ABQVE) X .05 S ATTACH 'A. WPD i nator Date TOTAL SDC $ /oa ^-D9L-- s /,-f7 $,5-z ?,i FIXTURE UNIT CALCUL'-loN TABLET Number or New Fix. (NOTE: For remodels. calculate only -e NET additional fixtures) FrxruRE rYPE ily,X?iXrffirt ' X Unit Equivalent = Fixture Units UNIT EOUIVALENT FIXTURE UNITS Bathtub...... Drinking Fountain.... Floor Drain. lnierceptors For Grease/OiliSolids/Etc lnterceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher... Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 Per Trailer)............ Receptor For Refrigerator/Water StationiEtc.... Receptor For Cornmercial Sink/Dishwasher/Etc Shower, Single Sta11.......... Shower, Gan9........ Sink: Bar, Commercial. Residential Kitchen...... Urinai, Stall/Wall... Wash Basinilavatory, Single. Toiler, Public lnstallation. Toilet, Private...... Miscellaneous: TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits se a rate s 2 1 2 3 6 2 b 6 1 3 2 l lHead 2 2 1 b 4 Year Annexed Rate per $1,O00 Assessed Vaiue 9s- €:{ ^ - Q-,=$ i(.G- a Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) 1;z x$/L (Rate X Assessed Value) ..7a><> X$ (Rate X Assessed Value) CREDIT TOTAL 1 981 1982 1 983 1 984 1 985 1 986 1987 1 988 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 1 979 or befo $4.27 Rate per S1,000 Assessed Value Year Annexed 1000 '1 00n 1 001 'l 992 1002 1 994 1 00q 1 004 1 001 $1.98 1.55 1.15 0.96 0.83 0.67 o.52 0.38 o.21 d/./t lll/.- ty'7i$zao RUNoFF coEFFrcrENTS FoR sroRM DRATNAGEq- ,,jcn/, 6-,-aL -- C5'r/28-f, (For Estimating Purposes onlyl > /, $1il^€a Residential.. = ( ge Zoo /), *Eomme,ical.......'..... 7ir-e s-/ - sv - )L' c rtldustri a l' "''' -'/ / '-bovernmental...,...... droui/,-/u n o.4 0.9 05 o.5 FIXUNIT.WPD IMPEBVIOUS AREA = TOTAL LoT SIZE X RUNOFF COEFFTCIENT C'TY OF OREGON SPT'INGFIELC' % eporcval 97 477 126-37 Autnorlzeo Signature 1.LOCATION OF LEGAL DESCRTPTION JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 1B0 days. 2. CONTRACTOR INSTALI.,ATTON ONLY Electrical- Contractor Address P.O. Box 21 009 The lotlowing Proiect as submitted has the zoning. and does not specilic land use Date BIJ TRICAL PERHIT APPLICATION ci Job Number SCHEDTII,E BELOIi A. Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included:ftems Cost L000 sq.ft. or fess Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder s 8s.00 $ 1s.00 $ 40.00 ATEE NTgANtQrogondawEeqdhes you to nls forth oAR 952-001-0010 h oAR 952-001-s s0.00 s 60.00 $100.00 s130.00 s300.00 s 40.00 You EfiHfr the ru l€s-by- f,IEP 2,25 FTFiTB STREBT SPRINGFIELD, OREGON INSPECTTON REOTIEST: oFFICE: 726-3759 City Eu ene calling Phone 461 -5678 number C Sum Supervisor License Number \LOaAFerI Expiration Date Constr Contr. Number 65149 Expiration Date 6-28-00 Signatu of ising Electrician .ZrOvners Namel)i\rR-n 'q P++ Address Ilq \r*tb -st Temporary Services or Feeders fnslallation, Alteration or Relocation 200 amps or fess $ 40.00 over 4bi. to 6oo amps - S 80.00 Over 600 amps or fbOO voTts see uB' a666 Branch Circuits Nev, Alteration or Extension Per Panel r tS Reconnect 0n One Cireuit Each Additional Circuit or vith Service D $35.00 2.00 not in cluded ) @ Ci ty Ph.ftift#&-r6L OVNER INSTAILATION or Feeder Permi t rhe ins talrat ion is beintulHoeiffiD TJNDER rift pCsliffihnt::li"Ii:ilt"e/reeder property I ovn vhich is pgtrr.{fSended " -' -:! ior'sarl, rease or-i"nt;,',"-' ltl' ,';1,.,,,r,1:tA;'JU0ffifffi.il;:rilifltrrr_ 8 Ovners Signatures Limited Energy/Res - $ Limited Energy/Comm --I- S DATE: SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL 40.00 40.00 20.00 36.00 5 RECEIVED 11/- l r)1Y tl() follow t COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 SPRINGFIELEl t7? 5 /q 4?tzJOB NUMBER I NSPECTION LINE: 726-3769 OFFICE: 726-3759 a LOCATION OF PBOPOSED WOR ASSESSORS MAP:/ttst )LK; /TAX LOT:o 1{oo PHONE: o^ z STATE: 77v-c 7?/ ZIP:?7 y7 2 OWNER: ADDRESS: CITY: lz /a- NEW - REMODEL ADDITION DEMOLISH OTHEB rK VALUE: DESCRIPTION OF WORK: ELECTRICAL: NAME ADDRESS PHONE coNsr. '7\))) CONTRACTOR #EXPIRES PHONEADD >gT ?{+ dn 6 n ?t3o o ARCHITECT CONTRACTOR'S NAME ESS MECHANICAL: GENERAL: PLUMBING PLUMBING NO.FFF CHARGEtl-Single Fixture '?. o Relocated Bldg (new fix. addtl) Water Service ft Sanitary Sewer ft ?-y 2r Storm Sewer ft. I Backflow Device tf N ATTENTION:Oregon law rt rquires r I 'ou to ir follow rules adopted by the@ OAR 952-001 -001 0 througl Oregon leffire{ rOAR9 Utility ,e+{edtr- i2.001- 0 190. You may obtain copier of the yh*v* umberforthe O uri :y Notifi ,Ii;* ra rorAL pERMl1 Center is 1-800-332-2344)0,/,t? 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 VentseSfffi'1s'.s. Statibfa[/E(]p: coqfEtC llEtrr rr:. ^. . . . Vent Fa"h it SII\UIET DTTALTEI duA[iTunprTrr.^ , rr .-.- f,IBE IF rHE WOBK Vent System apart from AC or htg. lIS PEH t4tT,s NOT Mechanical exhaust hood and duct I'YUUNI D FOR Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE - LAND USE: ZONING HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTB. TYPE: HEAT SOURCE: * OF UNITS: SO. FT.$/SQ. FT,VALUE TOTAL VALUE OF PROJ x X X SQ. FTG MAIN SQ. FTG ACCESS SQ, FTG OTHER PLAN CHECK FEE RCPT#DATE BY f )- 7a BUILDING PERMIT /7 s1,PLUMBI NG DEMOLITION 5% State Surcharge / .'(o 5% State Surcharge MECHANICAL FENCE VALUE $ 5% State Surcharge SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT I C'Qo TOTAL PEBMIT FEES EXCLUOING ELECTRICAL t/ ^^ll!-- ^L- ^--r^-- ,rr-^- ^ will be R -REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all lnspectlons are made at the proper time. To request an inspection, call 726-3769 (recorder), state your City designated j ob address, type of inspection requested and when you will be ready for inspection. Requests received before 7:00 the same working day, requests made after 7:00 a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prior to setup of forms. H PLUMBING, be covered until these UNDERSLAB PLUMBING, ELECTRICAL & MECHANICALT To be made before any work is 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 after all inslab building service equi pment, conduit, piping, accessories and other ancillary equipment items are in place but before any rete is placed DERGROUND: Plumbing, ectrical, gas, sanitarY sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. 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 sheathlng. FLOOR INSULATION & VAPOR BARRIERST To be rnade Prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. ROOF SHEATHTNG AND ections have been made approved. i nsp and RICAL & ECHANICAL: No work is to PAVING: After gravel is in place but prior to placing asphalt or concrete. SPECIAL INSPECTTONS: ln accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Owner/ Contractor during 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 P.S.l. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 t) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.BC. Standard$ 43-8. SPECIAL GBADING, 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. 25-1011). STRUCTURAL MASONRY: (306 a.7) '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. -F ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before I fram)yrg inspection. I ING: To be made after roof, all framing, fire ocking and bracing are in place and all pipes, chimneys and vents are complete and the rough electrical, plumblng and mechanical are apProved. INSULATION & VAPOR BARRIER: To be made after all 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 according to plans. /--> CO N : Prior to installing coveri ng. LATH AND'OR GYPSUM BOARD: To be made after all lathing and gYPsum board, interior and exterlor, 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.any FI By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify th.at 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 struciure 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 proiect address is readable from the street, that the permlt card is located at the front of the property, and the approved set of plans will remain on the site at all Signature Date times during VALIDATION:Lsf 8 3. 7/ft].aLRECEIVED BY: DATE PAIDAMOUNT RECEIVED RECEIPT *: PLUMBING - FINA L ELECTRICAL FINAL MECHANICAL FlNAL 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 -.- FIN ting this inspection. BUILDING: Requested after the final plumbing, electrical, cal and Fire DePart ment inspections are made and roved. No occuPancY of the premises can be made until a rtificate of OccuPancY has been issued by the Building Division and posted on the Premises ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE tf(,f -ocot construction. I,I SPRTNGFIELD QA "l i t lollowing proFsf ao arbrn[ilsd hs Up bllofie 225 FIFTE STREET r ^.ng and doco not reqube epocfic r,r,DrqvAl. zon'rE--4-q<.-- 7,(&77 D-772GiT69--- BLECTRICAL PERHIT APPLICATION land rr80 SPRINGFIELD, OREGON 9 INSPECTION REQTIEST: 0FFICE: 7 26_3759 Aurhortzcd 1. LOCATION OF INSTALT.ATTON l,"lg J. l+,U\ -\,rt . City Job Number FEE SCMDULE BELOV A. Nev Residential-Single or Multi-Family qY)Ll1 I JOB DESCRIPTION I r *{ i.l) r . \li c(Y\ Service Incl" SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL per dvelling uni r. uded: s 300 I tems Cos t Sum 1-000 sq )rRfv,lT s LL - s XP'BE,FIffi '80tspEach add IS NOTsq. ft or por tion $ 1s. oothereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 40.00 Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance oL- if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATTON ONLY 0f S 8ttnntrurl.,{nu B. Services or FeedersInstallation, Alterationsor Relocation:Electrical Contractor Address P, o.s s0.00 8133:33 r^orco 601 amps to 1000 amps- S130.OOOver 1000 amps/vo1ts Reconnect 0n1y C. Temporary Serv alle set fns talla b.J 0 the 200 20L am Over 401,r-rtQ Over 600 " aET?E- \s1D. Branch Circ 200 amps or less 20L amps to 400 amps -l_ 401 amps to 600 ampsCiPhone ,l4l-3to Superv i sor icense Number b Expiration Dare t0 -l-q I Constr Contr. ltumber 58rf,9 Expiration Date q -l-Dn Signature of S upervising Electrician Ovners Name Address Ci ty Phone - b1s The installation is being made onproperty r ovn vhich is not intendedfor sa1e, Iease or rent. Owners Signature: DATE: Nev, Alteration or Extension per panel One Circuit S 35.00Each AdditionalCircuit or vith Serviceor Feeder Permit l0 $ 2.OO LOgO Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation g 40.00Sign/Outline Lighting- S 40.00Limited Energy/Res - $ 20.00Limited Energy/Comm S 36.00 E 5 3o. ootl. oo 2, +oRECEIVED B R t2. +o 0- OVNER INSTALI^ATION s