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Home My WebLink AboutPermit Building 1998-06-01CO]I/I M ERCIAL/I N D USTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon g7477 SPFIiIGFTELO JOB NUMBER J INSPECTTON LtNE: 726_3769 OFFICE: 726-3759 LOCATION OF PROPOSED WOBK:/vzu *l7o ASSESSORS MAP: rAX Lor D0Z0 / PHONE:<2 tLr// STATE:ZIP:/)IZE /-,, OWNER CITY: VALUE:DEMOLISH OTHER DESCRIPTION OF WORK: NEW - REMODEL ADDITION NAME ADDRESS PHONE EXPIRESlo rJn,s /U li'Ba,t7 t (c t2l l- ov PLUM BI NG: GENERAL: ADDRESS PHONE CONTRACTOR'S NAME ARCHITECT: MECHANICAL ELECTBICAL: CONST. CONTRACTOR # Single Fixture Relocated B ew fix ce ft. ewerary ft erorm ft. Backflow Device I THE WORK NOT TOTAL P NO FFF F urnacei burner & vent BT UTF'nac e burne &r ntVE 1 BTU Floor furnace and vent oormounted unit heater pen or an evary p. Icoo er Vent Fan/Single duct Mechanical exhaust hood and duct Permit Issuance $10.00 TOTAL PERMIT - OFFICE USE _ ZONING LIGHTING POWER BUDGET: LAND USE: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: HANDICAP ACCESS: -FLOOD PLAIN: WATER HEATER: SQ. FT.$/SQ. FT.VALUE X X X TOTAL VALUE OF PROJ SQ. FTG MAIN SQ. FTG ACCESS SO. FTG OTHER z8,q 3 RCPT#PLAN CHECK FEE DATE BY bz6. fil BUILDING PERMIT PLU M BI NG tf u.o,t DEMOLITION 5% State Surcharoe 5% State Surcharqe 7.o.t J 1-r MECHANICAL FENCE VALUE $ 5% State Surcharge SIDEWALK FT, SUBTOTAL PERMITS $t. *a PAVI NG Lf q.n CURBCUT FT. SYSTEMS DEVELOPMENT 510.b TOTAL PERMIT FEES EXCLUDING ELECTRICAL ADDRESS: c EHA tr':E Appllance vent separate Vent System apart - from AC or htg. g OF UNITS: I REOUIRED INSPECTIONS It ls the responsiblllty of the permit holder to see that all lnspectlons are made at the proper time' To request an inspection' call 726-g76g(recorder), state your city designat.Jrou nu-uer, job aooress, iype ot inspection requested and when you will be ready for inspection. ReqLrests ieceivedbefor. 7,OO a.m. wi, be made the same working day, requests made after 7:00 a'm' wirl be made the following work Jay' 6^,r^u Dr rrn, (- pAvrNG: After gravel is in SITE INSF'ECTION: To be ROUGH PLUM-BING' -l made after excavation, but gieCrntcal a ' \ place but prior to placing prior to srrtup of forms. rraEcnAr'rrcnL: No work is to asphalt or concrete be covered until these UNDERSLAB pLuMBtNG, inspections have been made sPEclAL INSPECTioNS: ln accordance ELEcTRtcAL & .nTipbio'eo' Section 306 of the State Specialtv Code MECHANICAL: To be made :';," ;""tt a special inspector shall be emploved berore an1' *oin is covered' tl,'J?^?^?t[J.sroPs & :liiffi.;f ii,?:'1ff1;;,0,.'n''X'3'n' o ,, "opy of the special testing reports shall FOOTINGS & FOUNDATIONS: FtREpLACE: Prior to placing be'furnished to the Building Division' To be macle after trenches are facing materials and before excavated and forms are frami-ng inspectlon. STRUCTURAL CONCRETE: ln erected, all steel in place, but excess of 2500 P.S.l. (306 a.1) Prior to Placlng concrete' CONCRE]'E SLAB: To be made after all inslab building service ec uiPment, conduit' PiPing, accessories and other incillarY €'quiPment items are ln Place but before any concrete ls Placed' UNDERGROUN D: Plumbing' electri , sanitarY sewer, water and es. To be m ade prior to covering or filling FRAMING: To be made after the roof, all framing, fire blocking and bracing are in Place and all PiPes, chimneYs and vents are complete and the rough electrical, Plumbing ind me-cnanical 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' LATH AND/OR GYPSUM BOARD: To be made after all lathing and gYPsum board' Interior and exterior, is in Place but before anY irlastering is aPPlied or before gYPSum board loints 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. STRUCTURAL WELDS: Performed on the iob' (2722 l') HIGH STRENGTH BOLTING: Durlng all bolt installation and tightenlng operations' (306 a.6) SPRAYED ON FIREPROOFING: U'BC' Standards 43-8. SPECIAL GRADING' EXCAVATION AN D 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'BC' srDs. 25-10J1). STRUCTURAL MASONRY: (306 a.7\ trenches. UNDERFLOOR: Plumbing, electrical, mechanical' To be made Prior to installation of floor insu atlon, decking or floor sheathing' POST & BEAM: To be made Prior to lnstallatlon of floor insulation' decking or floor sheathing. FLOOR ]NSULATION & VAPOR B/\RRIERS: To be made Prior to installation of decking or floor sheathing' MASONR'!/: Steel location, bond bearns grouting or verticals ir accordance with uBc 2415. ROOF SHEATHING AND NAILING: Prlor to installing anY roof coverlng. 'ln addition to the insPec- tions specified, the Building Official may make or reguire other inspections of anY constructlon work to ensure compliance with the Building, City or Development Code. By signature, I state irnd agree, that I have caref ully examined the completed appllcation 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 structure without permission of the Bullding 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 street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during constrL ction. Signature Date4*:a;*- d, 6o-zr *1zo s 7VALIDATION g do AMOUNT RECEIVED: RECEIPT *:RECEIVED BY: DATE PAID: )<. FrNAL PLITMBtNG FINAL ELI:CTRICAL FINAL MECHANICAL FINAL FIFE OEPARTMENT SITEPLANREVIEwBoARD:MUstberequested2daysinadvance ofthedateyouwishinSpection.Allprojectconditionssuchas landscaping,parkinglotstriping,etc.mustbecompletedbefore requestlng this insPection. 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 iertificate of Occupancy has been issued by the Building Division and posted on the Premises. ADDITIONAL COMI\I ENTSi PLANS REVIEWED BY DATE ,08 NO. ?,o*f-ol ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NA}4E OR COMPANY ,L LOCATION DEVELOPMENT TYPE 4JJ /r-irr,t /^ ^oz b t " rLt / BUILDING SIZE Ft t) sroRM DRAINAGE - ,.t/eo /H,^1 ' ,2/{O 5F IMPERVIOUS SQ FT. ,9 /f,o X $0.226 PER SQ. FT 2. SANITARY SEI^IER-CITY NO. OF PFU'S X $46.86 PER PFU (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x x $412.49 x $472.49 x $472.49 1 4. NO. OF FEU'S . X 5. ADiIINIST,,RATIVE.FFES BASE CHARGE (SUBTOTAL ABOVE) X .05. OT SIZ $ ( $ $ PER FEU + $10 MWMC/ADM FEE $- $ TOTAL-MWMC SDC $ s-?952 X X MI^IMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2.3 & 4) $/"4 i naton Date -r'7 i TOTAL SDC 9o$47d- /4-- b,4*"sd'1 FTXTURE Ul\llT CALCUL "--lON TABLE: Number or New rir," -" X Unit Equivarent =(NorE: For remodels, calculate only tne NET additional fixtures) vrrrr Lr{urv"rent = Fixture Ucts FIXTURE TYPE Bathtub..... Drinking Fountain. ........ Floor Drain................... lnterceptors For Grease/Oil/Solids/Etc lnterceptors For Se nd/Auto Laundry Tub/Clothr:swasher Wash/Etc Clotheswasher - 3 Or More... Mobile Home Park frap (1 per Trailer)...... Receptor Fcir Refrigerator/Water Station/Etc Receptor For Comnrercial Sink/Dishwasher/Etc.. Shower, Single Stall... Shower, Gang......... Sink: Bar, Commerr:ial, Residential Kitchen........... Urinal, Stall/Wall... ............;... Wash Basin/Lavator,y, Single........ Toilet, Public lnstallation. , Toilet , Private.... NUMBER OF NEW FIXTURES TOTAL FIXTURE UNITS lf improvements occurred Year Annexed x$ . (Rate X Assessed Value)x $_ (Rate X Assessed Valuel UNIT EOUIVALENT FIXTURE UNITS /Head 2 1 2 3 6 2 ,6 6 1 3 2 1 2 2 1 6 4Miscellaneous: CREDIT CALCULATION TABLE Based on assessed value calculate credits rates Credit for Parcel or Land Only lf Applicable lmprovemen': (if after annexation date) after annexation date in table, Rate per $1,OOO Assessed Value CREDIT TOTAL $ Year Annexed Rate per $1.OOO Assessed Value 1979 or before 't9BO 1 981 1 982 1 983 1 984 1 985 1 986 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 1 987 1 988 1 989 1 990 1 991 1 992 1 993 1 994 1 995 1 996 $2.56 2.17 1.73 1.31 o.92 o.v4 o.61 o.45 o.31 o.17 RUNOFF COEFFTCTENTS FOR STORM DRAINAGE (For Estimating purposes Onlyl Residential...;............ Commerica|............... ,...,,. o.4 lndustrial....... Governmental o.9 o5 o.5 IMTIERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT ll---