HomeMy WebLinkAboutPermit Building 1993-4-30
COM M ERCIAL/I N DUST RIA~
PERMIT APPLICATION
· JOB NUMBER 4, Q{)Lt01 "l
SP~INGFIELD
~ INSPECTION LINE: 726.3769
225 Fifth Street, Springfield, Oregon 97477 ...-.... ~ OFFICE: 726.3759
LOCATION OF PROPOSED W)J.(lK '-- S5 '5 ~ \. m() )\0 fJ\ft. _ \ Rm rt
ASSESSORS MAP: \ f\ LJ/-)C:J:)l'D TAX LOT fJ \ G{ 69
PHONE:(.&.~ ~\\\\1':))l?h- ?lloSt
(OAo~ > ZIP: CVJ4f}7
(It \ J~\J! ~ _-\.~(Yf'i V l:.yl I? rC
DEMOLISH ,) OTHER\) ~Emloro.
OWNER' .\-,,\ QX~ n ~ J, o. CL. \D~
ADDRESFA ~ \d1 +h" ji) 0 of
CITY: \\. ,1)\ 1 .) STATE:
DESCRIPTION OF WORK: A< <2rtJ\.~
NEW
REMODEL
ADDITION
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACT~'S NAME J..~ tv-..^_I
GENERAL. 9 r\ _, 1'1 Y7Yl
PLUMBING' .) - .
MECHANICA' .
ELECTRICAl'
CONST.
.ADDRESS . C\ 1\ CONTRACTOR #
J~\'it-) (~~ \\Ii u,3rOOt-
EXPIRES
~L
r~
PLUMBING
MECHANICAL
NO.
-5"
NO
~~~
FEE
I&>. ..,
CHARGE
~, .-..
Furnace/burner & vent
<100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
(' 9ft.
Sanitary SewerJ .r:
... ~t::' ft.
Storm Sewer
...---
:2:S:"P
:25: .-
c..---
It.
Backflow Device
.r-
/~//.
Permit Issuance
TOTAL PERMIT
/c:::'.s:'. -
TOTAL PERMIT
aUAD AREA:
~]]\.)0 "'
- O,^It~~U~-
LAND USE: dY'-1Q
FLOOD PLAIN'
ZONING' \-tI.
HANDICAP ACCESS:
# OF BLDGS'
# OF UNITS'
OCCY GROUP'
CONSTR. TYP~'
LIGHTING POWER BUDGET:
# OF STORIES:
HEAT SOURCE:
WATER HEATER:
sa. FT.
$/sa. FT.
VALUE
sa. FTG MAIN
X
X
sa. FTG ACCESS
sa. FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE --.5".2. ~ ;!I
6'4!0 ~ - c;.rrr /'~=....,
RCPT# DATF
BY
I BUILDING PERMIT
[5% State
Surcharge
I ME.Cl;IANICAL I;;~
;YF;t:1.-.?/ :r
15% State .
Surcharae
I PAVING
, PLUMBING
$P _71
$:-
, DEMOLITION
PHONE
I
('1",L6I:l!n~ I
I
I
I
I
I
I
I
I
I
/~-I
$;000 I
/.'7-:-~p I
5% State
Su rcharge
I FENCE
VALUE $
I SIDEWALK
I CURBCUT
I
I
I I
I SUBTOTAlIYDJQS 6 -?'r"''''' I
PERMIT~~"'" /;J ....."'"
SYSTEMS
I DEVELOPMENT ~ 'Z-'?(.. t;.,_ #
Ae:;;", St:f)
~ "3'
/~-
/,-, . --
...71>
FT.
. FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
~.6?
.
REQUIRED INSPECTIONS
.
It is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request 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 atter 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
K
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
y
II
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shaH
be furnished to the Building,Division.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
>t
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
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete Is placed.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
yo
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d rai nage Ii nes. To be made
prior to covering or filling
trenches.
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.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
. a.6)
SPRAYED ON
FIREPROOFING: U.S.C.
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
y
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, is in
place but before any
plastering Is applied or before
gypsum board joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.S.C.
STDS. 25.10,11).
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
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.
*In 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.
y
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
USC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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 striping, etc. must be completed before
requesting this Inspection.
Y 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
Certificate of Occupancy has been issued by the Building Division
K;o~::~::::::mn..NTfi..D ~(\~',l 0 ;;'W'~:"_~h()~:I~n'o ~)J 1 n O~ \1 r'LlOlLA)
\~_~ U:.\J,,,-J\%\\UllQ(il,,J ~() ~rA ii)Q+i.DJJ[t .1J)QfJ(oJiJ (['I)
. 1LUlliV l~fpr. (J{,C:;~ 4.1~.q,Sjt1J
PLANS REVIEWED B /"./~ ~I" ~~.-. DAT" Y-Z"?-97
r,;, "". ~- ~
)<
X
;X"
FINAL ELECTRICAL
FINAL PLUMBING
FINAL MECHANICAL
By signature, I state and agree, that I have carefully examined the completed application 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 Bul/ding 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 r~d is located at the front of the property, and the approved set of plans will remain on the site at all
times during atruf;~?:
srgnaturW;5"t'0 ~/J Datp 'U. 5d~ 9' ~
, ~ ~ /'
VALIDATION:
,
AMOUNT RECEIVED: 0
RECEIPT #. ~~
DATE PAiD: ' 0 'T, tl J~<)
RECEIVED svCl) \ IT ,} ~,
.
.
JOB NO. q~o'-lqS
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
, WORKSHEET
(PROFESSIONAL OFFICES & INDUSTRIAL)
NAME OR COMPANY: Metf<o FUeL PE:.POT
LOCATION: ~?8S tYlAAc.oLA- ROA-p 1702-?ooo - orQ3CJ
DEVELOPMENT TYPE: 1-1 r:- Re:..Si/<,MM F~r/.-l rr E5
BUILDING SIZE: ((.7 ft'Z. LOT SIZE
SQ. Ft.
1. STORM DRAINAG~
IMPERVIOUS SQ. FT. 0.5 x Lftq
2. SANITARY SEWER-CITY
NO. OF PFU'S 0.5 X q
(See Reverse)
3. TRANSPORTATION
X $0.192 PER SQ.
FTG 0../0 ~
~
X $39.78 PER PFU
(11'100
NO OF UNITS X TRIP RATE X COST PER TRIP
0.5 X .r"-, X .Iq X $401.05 ~
'- ----
0.5 X X X $401.05 $
0.5 X X X $401. 05 $
SUBTOTAL (ADD ITEMS 1,2, & 3) $ ~~~ ~~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
(' /I z0 '
- ~
TOTAL-CITY SDC $ Z-~G:, 87
5. SANITARY SEWER-MWMC
'. ,
l::" ^~_L &- .; /it-I '17
V Kip Burdick
SDC Coordinator
TOTAL-MWMC SDC,
TOTAL SDC
$ /"$2. S5
r7Z~
$ -#-
c;-~)
""-. -- -
$ Z?;o&8.2
NO. OF' PFU'S "I :,($13.62 PER PFU + $10 MWMC ADMIN. FEE
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
... ..
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit livalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
FIXTURE
UNITS
Bathtub......... .... ........................ ............................ .....
Drinking Fountain............................ ...... ........... ........
Floor Drain.. ..... ................ ........ ....... .............. ... .........
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc.................. .
Laund ry Tub /Clotheswasher..... ......... ...... ....... ........
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For RefrigeratorjWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower. Single Stall.................................................
Shower, Gang..........................................................
Sink, Bar, Commercial....,_.....................................
Urinal, StalljWall...:...................................................
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation.............................
Water Closet. Private................................................
Miscellaneous:
4-
I
I
I
2
1
2.
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
Z
I
r..
TOTAL FIXTURE UNITS
q
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
.calculate credits separates.
II
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1985
1986
1987
1988
1989
1990
1991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
_.___---l
Improvement (if after annexation date)
lX~ X $ /("'7
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
=
w.r,~
Credit for Parcel or Land Only If Applicable
=
= $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.... ..................... ............................... 0.4
CommerciaL................................................... 0.9
Industrial. ........ ...:.. ...... ........................ .............. 0.45
. GovernmentaL................... ............................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT