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Home My WebLink AboutPermit Building 1995-6-27 ~. ~g~b K~ STATE: -Dr elq (,~ (MJIY2~ COMMERCIAL/IN DUSTRIAL. PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP: J7--a2~2tt::1~ OWNER: ADORESS' CITY: -rip r k:\ A. C.,^,k r '],qq(' JMr.drl'\lc..~ ~t ~p~\A DESCRIPTION OF WORK: -~~"'1~) NEW +- REMODEL ADDITION NAME ARCHITECT: CONTRACTOR'S NAME II \,' ADDRESS GENERAL: 1{J r}lPVl1rl.~ rl'lV\~ll",,-- PLUMBING: ('~{f' uf/ ?IvUlh,'YLY MECHANICAl' ELECTRICAL LrnlA. .lK: ,('~d- PLUMBINCl NO, FEE CHARGE v- Single Fixture Relocated Bldg. lnew fix. addtl! Water Service I '5"~ "/~ sanrtfu' ~ewer' ;- " ~ -/'52> Storm Sewer <?~' It. t/t:::> It. '1".0 ft. ~ /5" """-1 ----I I Backflow Device 1V"NZ>6'?.F<::~""'.?5 I . . TOTAL PERMIT j::2c> DEMOLISH ADDRESS . 9~~ JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726.3759 ~\lc.U t11 TAX LOT: QQ :::>00 PHONE: 7:J~-JlI6~ ZIP: ~lo.N dV\:t-(M':::vc~~9~) OTHER ~~ VALUE:~~ ~ PHONE CONST. CONTRACTOR # ?O,?ol/ ~~~P.tJ;JI 7N-2b ~~~$5" _filM 7f6-/~6P f',fY- 7f'1fJ 7~-lf7-~ EXPIRES '\ ~I I I I I I 1 I I 1 I I TOTAL PERMIT aUAO AREA- ~w& - OFFICE USE - LAN D USF' C:?~t/l) # OF BLOG'" OCCY GROUP: t!%-( f # OF UNIT'" CONSTR. TYPE: 5~N HEAT SOURCE: E~g-~/ r..4. # OF STORIES' sa. FT. $/sa. FT. sa. FTG MAIN X _ sa. FTG ACCEss;C;;m</1::>ttT/'~~~"~/___7->. = sa. FTG OTHER -"5'~;??-/L ,_,( ~~..,.p/-?~;Z> = - - / - - . " PLAN CHECK FEE &=:1 c:;-> ~ RCPTN -L2...-~:':;; ...> I BUILOING PERMIT [5% State Surcharoe 1 MECHANICAL 15% State Surcharae I PAVING 7f?;-:5Z>' ; PLUMBING -::(' -'is'3i '". 5% State ..1 . 70 Surcharoe I FENCE VAtllF $ I SIO-EWALK I CURBCUT ""'5' "'7 I FT. I FT. I MECHANICAL I f'~ARG) I I I I I I I 1 1 $10.00 I I ccc Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit Issuance HANOICAP ACCESS: FLOOO PLAIN' tt-r.. ZONING: LIGHTING POWER BUDGET: WATER HEATER: VALUE b/OC>O . - /~~~_r TOTAL VALUE OF PROJECT /8 -. '--1 , DATF 5'7'8-9 -S- BY ~ .~/- ~ /2:P. -- ",~ ""3'.6= ~ ~ DEMOLITION , I 65. oe> I ~-:i(:> /.?-5" I -:2'6::?~~ I if. e:,~/~-$ ndZ:;>~~ "7E7/Jr ' I ~ SUBTOTAL PERM ITS SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICAl 9Y::? ,/.B .... . 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 after 7:00 a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prior to setu p of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is ,covered. 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. J( FOOTINGS & FOUNDATIONS: To be made after trenches Bfe excavated and forms are erected, all steel in place, but prior to placing concrete. . FIREPLACE: Prior to placing facing materials and before framln'g Inspection. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special Inspector shall be employed by the Owner/ Contractor during construction of rhe following work. A copy of the special testing reports shall be furnished to the Building Division. ATTIC DRAFT STOPS & CURTAIN WALLS CONCRETE SLAB: To' be made after all inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are I n pI ace but before any concrete Is placed, 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 P.SJ. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) UNDERFLOORCF'Tumblng, :) electrical, mechanical. IU ue made prior to installation of floor Insulation, decking or floor sheathing. 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, HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a.6) it UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage tines. To be made prior to covering or filling trenches. SPRAYED ON FIREPROOFING: U.B.C. Standards 43.8. X' SPECIAL GRADING, ~EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing. 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.B.C. STDS. 25.10,11). FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing, STRUCTURAL MASONRY: (306 a.7) MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. 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. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. 'In addition to the Inspec. tlons specified, the Building Official may make or require other Inspections of any construction work to ensure compliance with the Building, City or Oevelopment Code. FINAL MECHANICAL X 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. X 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 and posted on the premises. )( FINAL PLUMBING x FINAL ELECTRICAL FINAL FIRE DEPARTMENT AOOITIONAL COMMENTS' x ...-, '-- PLANS REVIEWED BY /' L~ ~~. DATE ~-;:-.r.::: -9 <" ~ / / - /~ -:;; - . - , 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 Building Safety Division. I further certify that only contractors and employees lhO are In compliance with ORS 701,055 will be used on this project. further agr~e t nsure that all required Inspections are requested at the proper time, that project address is readable from the treet, that t p rm~ar~ locatpd aJ;t front of the property, and the approved set of plans will remain on the site at all k times durin co tr_u ~Ion \ \ ~ure . ,I'M ft){v\~ _ Oate . VALIDATION: AMOUNT RECEIVf[)" ,'1' 4'L. \'7< DATE PAlO: ~t1'fJI ~~ RECEIPT N' \~\)IJ(;-.., - RECEIVED BY: ~ _ ~ --' lit. . eB NO. "l6o G.~q CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: II-\- Eo (' j-L I I _ r:> (' .,::0. c..I"T E': 12:_ LOCATION: ?9 "\ '? !J\Afe...C-o LA 'R.D. \/0'2."2.001':> - 01':>100 DEVELOPMENT TYPE: ('C.: f,..PD (LA""S~oMS. BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. r-.l. . A. . X $0.209 PER SQ. FT. ~ 2. SANITARY SEWER-CITY NO. OF PFU'S 16 . X $43.26 PER PFU (See Reverse) c; G:>4B9~ '---- ---' 3. TRANSPORTATION NO A-ppu> ~PflC.-r NO OF UNITS X TRIP RATE X COST PER TRIP X N.A. X $436.19 G ~) '---- ---' X X $436. 19 $ X X $436.19 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S AJ.A. x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ -G- TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ -e-- ~) '- ---- $ c,4-f':> "fa MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. .ADMItHSTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~..:1:S' ., ,P-;"..1..- Da te: ? /z:~ /'1 '7 \J Ki P Burdi cl< I I TOTAL SDC SOC Coordinator GV $ 6>'6/ ~$ ,_:_ ...., '._,.. ." ..'w"""-' FIXTURE U~~T .,Si\I"S;ULA T~ T A.BLE: Number of New Fixtures X Unit Equivalent =. Fixture Units (NOTE: For remodels, 'calculate only the. additional fixtures! . , NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain..................................................... Floor Orain.........................--............. - -....-................. Interceptors For Grease/Oil/Solids/Etc................. Interceptors 'For Sand/Auto Wash/Etc.................. laundry Tub/Clotheswasher. ......... ... ...."'" ............. Clothes washer - 3 Or Marc.................,........,.....,..... Mobile Home Park Trap (1 Per Trailer).........:........ . Receptor For Refrigerator/Water Station/Etc........ Receptor. For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang........... ................................... ............. Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall.......... .............................................. Wash Basin/lavatory::Single.... ...... ........ ................ Toilet, Public Installation........... .... ......................... Toilet, Private.................... ............ ..... ......... ......... Miscellaneous: ." . 2 1 2 3 6 2 6 '6 1 3' 2 llHead 2 2 "2- 1 "2- 1- 6 1"7. 4 TOTAL FIXTUflE Ui')ITS I"'> ~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occu'rred after annexation date in table, calculate credits separates. X $ (Rate X Assessed Value) X $ (Rate X Assessed Value! Year Annexed flate per $1,000 Assessed Value 1979 or before 19BO 1981 1982 19B3 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 -- -"-- Credit for Parcel or land Only If Applicable Improvement.(if alter annexation date! --- --.---'-' .\ Yc~r flote per $1,000 Annexed Assessed Value 1985 $2.46 1986 2.14 1987 1.77 1988 1.37 1989 0.97 1990 0.61 1991 0.44 1993 0.15 =.J = CREDIT TOTAL = $ tV.A.