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Home My WebLink AboutPermit Building 1997-02-28SPFINGFIELD 225 North Fifth Street Springfield, OR 97477 LocaEion of Proposed Work: 1344 3OTH ST Assessors Map #: 1-7023034 a COMMERCIAI,/INDUSTRIAI. PERMIT APPLICATION CITY OF SPRINGFIELD ilob Number: COMMT'NITY SERVICES DIVISION BUILDING SAFETY Office Inspection Line Page 1 97 0222 726 -37 59 125 -37 69 Tax Lot #: 00500 SPilNGFIELD, Owner: SCOTT CARPENIER Address: PO BOX 10134 Phone #: 342-8033 ciry/state/zip: EUGENE, OREGON 9740L Value:Description of work: PHASE 1-PAVING/FENCE/UTIL NEW 0.00 ArchitecL: Name .fIM GRIFFITH Address Phone --- PLIIMBING --- No Fee Charge 40.00 40.00 55.00 10.00 14s.00 Sanitary Sewer water Service Storm Sewer BACKFLOW DEVICE TOTAL PERMIT l.25 100 240 ft fr fr QUAD AREA: 3INC -- oFFrcE usE -- LAND USE: 3999 Item TOTAL VATUE OF PRO'JECT Square Feet x $,/Square Feet 0.00 Surcharge/eamin MECHANICAL Surcharge/admin PAVING VALUE PLUMBING Surcharge/admin FENCE VALIIE PLAN REVIEW FEE SEWER CONNECTIONS SUBTOTAL PERM]TS SYSTEMS DEVELOPMENT TOTAI. PERMIT FEES EXCLI'DING ELECTRICAL 8, 870.08 r_, 600 . 00 0.00 0.00 0.00 74.50 145.00 11.50 5.00 48 .43 10.00 294 L,758 53 83 2,053 .36 Value SPFINGFIELD h, .fob Number: 970222 a Page 2 --. REQUIRED INSPECTIONS -.- It is the responsibility of the permit holder to see that all inspections are made at the proper time. To reguest an inspection, caLl 726-3769 (recorder), state your City designated job number, job address, type of inspection 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 will be made the following work day. Special InspecLions: In accordance with Section 305 of the State SpecialLy Code a special inspector shall be employed by the Owner/Contractor during construction of any following "*" work. A copy of the special testing reports shall be furnished to Building Safety. In addition to the inspections specified, the Build,ing Official may make or require other inspections of any construction work to ensure compliance with the Building, City or DevelopmenE Code. WATER LINE - Prior to filling trench. SAIiIITARY SEWER LINE - Prior Lo fil-ling trench. STORM SEWER LINE - Prior to filling trench. tNDERGROITND ELECTRICAL - Prior to Cover. ROUGH GRADING - After gravel is in place but prior to placing concrete FINAL PAVING - After paving is complete. FENCE - After fence is constructed. --- A.DDITIONAL COMMENTS --- DRC #95 -LO-204, PLANNER IS ,JULIA POWELL-H.] PHASE #1: WATER, SEWER, STORM, PAVING AND FENCING ONLY, BUILDING IS PIASE #2 Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 02/26/97 By signature, I sUaUe and agree, EhaE I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further cerEify that any and a]I work performed shal1 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 sLructure wiLhout permission of the Community Services Division, Building Safety. I furt,her certify Ehat only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I furt,her agree to ensure thaE 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 wil-I remain on the site at al-l- Eimes during construct,ion. 6e-,18 - 77 Date --- VALIDATTON --- Receipt Number: Date Paid:2 -zes-?> Amount, Received. . 2A fr. Received By =e./b*-v/v ,' \-/ SPFI'{GFIELI, BACKFLOV PREVENTION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION qfi, 225 FIFTH STREET SPRING!'IELD OR 97477 OIlFICE: INSPECTION LINE: 726-3759 726-3769 THJOB LOCATION: ASSESSORS MAP II:0 TAX LOT *:Uoc O1JNER: ADDRESS: CITY: ADDRESS: CITY: PHONE *: STATE: AR BACKFLOV PERMTT rS $15.00 + $.75 (STATE SURCHARGB) + $.45 (ADMIN. FEE) = $16.20 CONTR/TCTOR: zrP I q14L-l (Z 242 {o 3? ? PHONB * STATE: Oe_ZlPz c1'7 -ltld CoNSTRUCTION CONTRACTORS REGISTRATIoN * z -'A ^ 217 TB EXPIRES:io - / -1.7 BY SIGNING THIS PERMIT/APPLICATION, I AGRBB TO CALL FOR AN INSPECTION ONCE TTIE BACKFLOV PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLB TOR INSPECTION (726-3769). r ALSO STATE TrrAT ALL TNFoRMATIoN 0N TIIIS PBRMIT/APPLICATIoN IS CORRECT. rOR OFFICE USB DATE OF APPLICATION:JoB lt, ?10 RECEIPT I}: TOTAL AHOUNT COLLECTED: ISSUED BY: ) aaCITY a4= 2d-q7 DNIE T ,a I D ,a DI I 225 FIFTH STREET SPRINGFIELD, OREGON 97 477 ENGINEERING DIVISION oFFtcE TELEPHONE (503) 726-3753 ffi ozzz ^{eaO ?QRH.T €'L Ne.., tA*tffnq,, ecux&ttop ', Dl* fuec,eENCROACHMENT PERMIT NUMBER: *^tO OPA iAt T INSPECTION LINE SEE INSPECTIONS ON BACK SIDE APPLICATION DATE: 'LOCATION OF WORK APPLICANT SITE ADDRESS CITY:STATE PERMIT NUMBER: A 7dZ=2 DATE ISSUED: PH}NE v?2 -%ry */zz rAX MAP: f€2,7A^?: TAX LoT: Oe@ZIP:rrr,u[t*. / OWNER: ADDRESS CONTRACTOR CONTRACTOR BEGISTRATION NO PROJECT SUPERVISOR: CITY &a*sa SrArE: 2)Z - ADDRESS: EXPIRATION DATE PHONE: ztP PHONE: ?^/ar PHONE REOUESTED PERMITS f ervcnoncHMrENT PERMIT No:D VALIO FOR SIXTY (60} DAYS FROM DATE OF ISSUANCE I cur srnrer I eonr O orHEB D Q ousr coNTRoL (TypE oF coNTRoL) I corusrnucloN, sroRAGE, srAGrNG I orHen Q aseHnlr 0Epostr........... TYPE OF SECURITY DEPOSIT I auNxer suREry BoND Q sunrlrv eoNo E cASH / cHECK f, cune cur PERMIT No INSPECTIONS REOUIREO: APPLICATION FEE / DEPOSIT ACCOUNT NO: E S20.00 / E$ tr tr tr tr tr $ $ $ E$ INSPECTION: CURB / APPROACH AFTER FORMS ARE ERECTED BUr pRtOR TO POUR|NG VALID FOR 180 OAYS FROM DATE OF ISSUANCE, I secoruo DBTvEWAv (sEE sEeARATE AppLtcATtoN) tr-- CONCRETE. E $ 10,00 + $.1 s/FT tr E $10.00+$.1s/FT E $5.00 / E' $5.00 / TOTAL DUE: $ TOTAL DUE WITH PERMIT S tr't-,,....,,... I I I sroewalK PERMtT No:..,.,..... VALID FOR 180 OAYS FROM OATE OF ISSUANCE. PERIOD OF USE OR TIME OF CONSTRUCTION C PLANS (TWo SETS) ATTACHED AREA: LENGTH WIDTH TYPE OF WORK: CUT OTHER: EXISTING SURFACE MATERIAL: BACKFILL MATEBIAL TO BE UTILIZED: FT Q New E REMovE / REpAtR I Rnve PLANT srRtp Q sereacx ll cURBSIDE I LENGTH INSPF'TION. SIOEWALK / DRIVEWAY FOR ALL CONCRETE PAVING WITHIN THE STREET RIGHT OF WAY, TO BE MADE AFTER ALL EXCAVATING IS COMPLETE, AND FORM WORK AND SUB.BASE MATERIAL IS IN PLACE. f, sarurrnRy sEWER coNNECTtoN pERMtr: ..,tr_ VALID FOR SIXTY (60) DAYS FROM DATE OF ISSUANCE Q ro srua f) MA|N LINE {EASEMENT-R/W) E orHER fl sronvr sEWER coNNEcloN pERMtr: VALIO FOR SIXTY (60I DAYS FROM DATE OF ISSUANCE Q crrcn BASTN / BUBBLER E STUB E MAtNLtNE PROOF OF INSURANCE: $500,000 MINIMUM Q arrecHro E REoUtRED AMoUNT 6u1V8,€ * r.a ar?, FROM DATE: TO DATE: TIME TIME DEPTH BORE: BACKFILL MATERIAL: HEIGHT SURFACE REPLACEIVTTNT MATERIALS TO BE UTILIZED TYPE OF DUST CONTROL TO BE UTILIZED: NAME OF OTHEB UTILITIES IF THIS IS A JOINT PROJECT WARNING DEVICES TO BE UTILIZED: DESCRIPTION Advance signing and work zone protection to bo i n compliance with the Manual on Uniform Traffic Control Devices (MUTCD) WORK SHALL COMPLY WITH CHAPTER X ARTICLE 5 OF THE CITY BEVTSTONS 8t24t95 FOBM ' 1,I 6 CODE. CONTRACTOR TO COMPLY WITH MUTCD DESCRIPT]ON OF PROJECT: PLAN REVIEW COMMENTS / SPF'\AL !NSTRUCTIONS: 001 Backfill with %" minus rock. OO2 Compact every 1 8" loose depth. O03 Requires compaction with a steel roiller. 004 A.C. to match the greater of existing depth or 4,,. 0O5 All cuts sealed for final inspection. 006 Temporary patch may be used at the end of the day Minumum 4' clearance at any point, swing-away. Concrete minimum 4" depth, 3,OOOpsi. Trench to be "T" cut. Needs State / County permit. No above ground enclosings in sidewalk or handicap ramps. Diamond cut A.C./Concrete value boxes to grade. Fresh Oil signs / Graded. Comply with Americans with Disabiliries Act. Concrete slabs, 72hrs. curing time, 4SoOpsi. Concrete slabs require joint seal material. Driveway requires dowels every 18". Submit traffic control plan prior to excavation, Notily Traf f ic Division bef ore excavatiprr. Core drill main line, insert tee, 2% min. grrade. Must comply with the provisions of ORS 757.541 to 757.571 6" Circular hole/H2O-Vac. BEET9_BAT_IO_|V woBK SHALL BE tN CG".roRMANcESTANDARD SPECIFICATIONS, EXCEPf AS NOTEO E i_w-!TF_t ExtsTtNG ctTy coDEs ANe tN cOwrpLraruCE wtTH CURRENTELOW. 007 008 009 010 011 012 UIJ 014 015 016 017 018 Signing and Zone protection to comply with MUTCD Cut concrete only on score Iines or cold joints. Sidewalks and driveways min. 3,OOOpsi. Curbing min 3,500psi / No patchwork less than 3'. Me€t min. requirements on curb cuts, Spfd. code. Restore planted areas, Spfd. code 206.3.05 Spec. to Bore / Jack / No A.C. cuts. Mechanical compacting required. No patchwork allowed. Lateral cuts to have control density fill. Cuts to be polymerized crack sealed for f inal inspection Mininum 2" crushed rock ,/." minus. 019 o20 021 ult o23 024 o25 026 o27 029 030 031 032 033 J+J Comments rH E LA N E u rr Ll +i86"'ib"6'HbiRrth N G c o u N c I L' s"ONE CALL NUMBER" 1-800.332-2344 48 HOURS BEFORE DIGGING INSPECTIONS: tr cuRB curAND SIDEWALK tNspEcroNs cALL 726-3769 (RECoRDER) srATE youR DESTGTNATED ctry JoB NUMBEB/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE BEADY FOB INSPECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00 A,M, WILL BE MADE THE SAI/E DAY, REOUESTS AFTER 7:OO A.M. WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WOBK IS IN PLACE BUT PRIOB TO POURING CONCRETE. tr SANITABY SEWER, STORM SEWER, ENCROAcHMENT PERMIT AND oTHER INSPECTIoNS CALL CITY MAINTENANCE AT726-3761. SIGNATURE: Fy s!gQature, lstate and agree, that lhave carefully examined the completed application and do herebv certifv that all informationherern rs true and correct, and l.further certify that.any and all work peiformed shall be done in accordance with tlre Ordinances of the Qitv ql Springfield, -erpplicable City Standard dpecifications and Drawin.ss. and the lawi oitne state-oibreqon-peitJintnq i; ih;w;*'-descrtbed hereln. I tUrther certity that only contractors and employees who are in compliance with ORS 70-1 .055 will bd used on thisproject. The City may inspect the work site described in this permit at any time durinq a one vear period followinq the receiot bv the Citv ofnotice of co.mpletior of the described work and specify, at the City's sole dedcression, anv additional resioration wbrk reouirea-io-return the site to a standard.acceptable to the City, Tl'id permittee'will be notified in writinlq of anv work iequlreO r;d wrlTh;;; ihirtv lgfl-t_S9LJr-oA1f,_" llqie.9t 1[9p.otige to complete'the work. Work not completed at the ent ot1h6 tf,irtv Oa-vs witiUe peiiormeOU-v'ineLrry ano rne costs wtil De Dtiled to tne permtttee. I !u,rt^l9r agree to,ensure that all required inspections are requested at the proper time, that project address is readable from the street,ano Ine approveo SeI oI plans wlll remaln on the srte at all trmes during construction. AMOUNT RECEIVED RECE1pTlls,_ -b=/ Date e?9 RECEIVED BY: VALIDATION: Signature /ryza,b V'ruvza DArE PA|D: ZQgr. FOR SIDEWALK AND CURB CUT PERMITS PLACE A COPY (COMPLETED) IN PERMIT DRAWER INSPECTION: DATE: f, rnnrrrc REVTEWED BY: DATE DEPOSIT RETURNED:DATE: ELEVENTH MONTH DATE: AT TIME OF COMPI.-ETION:DATE WORK IN PROGRESS DATE DATE: DATE: DATE: DATE:f, eenvrr rssuE:D BY I rrucrrurEnrNc REVTEWED BY i INSPECTION: f, varnreNANCE : SPRINGFIELD Page 1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIIARGE (COMMERCIAT / INDUSTRIAL) SPRINGFIEI-O, Name or company: scoTT CARPENTER Location: ]344 3oTH ST Developement Type: C Building Size rTob No . : 97 0222 Lot Size: 12732 Sq Ft 1. STORM DR.AINAGE Impervious Sq Ft 1.0 x 7755 2. SAIiIITARY SEWER - CITY Number of PFUS 1.0 x o (see Page 2) 3. TP-LNSPORTATION Number Of Units 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) X 44.75 Per PFU = x Trip Rate x Cost Per Trip X 0.216 Per Sq Ft = Per PFU + MWMC Admin Fee 20 -590 TransportaLion Total 4. SAIIITARY SEWER - M$IMC Number Of PFUs 0 MIdMC CREDIT If Applicable (see eage 2) TOTAL - MWMC SDC SITBTOTAL - (Add lteme 1, 2, 3 & 4) x x $1, 575 . 08 $o. oo $0.00 $o. oo $o. oo $0.00 $1,575.08 $83.7sx 0.50 TOTAI, SDC Reviewed By: TROY MCALLISTER Date : 02 /1,0 / 97 $1,758.83 SPRIl{GFIELD Job Number: 970222 Page 2 FIXTURE I'NIT CAI.CUI.ATION TABLE SPruNGFIELD, Fixture Tlpe Number of New Fixture Unit Equivalent Fixture Units Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oi1/Solids/Utc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/Water Station/etc Receptor for Commercial Sink/Dishwasher/Etc Shower, Single StaLl- Shower, Gang Sink, Bar, Commercial, Residential Kitchen Urinal , Stal-l-/wa11 Wash Basin/Lavatory, Single Water Closet, Publj-c Installation Water Closet, Private Miscellaneous TOTAL FIXTURE I'NITS CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculaLed separately. (calcuLations are by $l-000) Year Annexed: Credit For Parcel Or Land OnIy If Applicable: 0 X 0.00 = 0.00 Improvement (if after annexation date): 0 X 0.00 = 0.00 CREDIT TOTAL = $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 0 2 1 a 3 6 5 1 3 a a 1 6 4 0 0 0 0 0 0 0 0 0 0 0 0 U 0 0 0 0