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Home My WebLink AboutPermit Building 1992-8-31 t. ,. COMMERCIAL/lNDU5TRIAL. PERMIT APPLICATION 225 Fifth Slree!, Springfield, Oregon 97477 .JOB NUMBER 7:2.//0S' INSPECTION LINE: 726,3769 OFFICE: 726.3759 ~ HA/lV Sv ASSESSORS MAP: /70 ;7-. 7t:J <7 S o 5' --t, "I LOCATION OF PROPOSED WORK' OWNER' ~'P5 11 KI"v /HV?i>>:> ADDRESS: 2-::z. I G 'S c;- 0/1' (< /l-,.S jJ,' e (d (/ I DESCRIPTION OF WORK' ~ Nor;fJ--f:7>(I ,-vJ CITY: NEW REMODEL ><- ADDITION NAME ARCHITECT' ~ ,,--.,&-atJ cr- ') ~ TAX LOT: t?J~3// PHONF' 7oV./ -.2-7-" d..-S STATE: _/7,,~ ZIP' '7>oV7::> DEMOLISH I CHARGE I /dl, 6D 1 1 1 1 1 1 I I I I I /;5:-1 . OF UNIT~' CONSTR. TYPO' HEAT SOURCo. $ISQ, FT. X I PLUMBING 5% State Surcharae FENCE VALUE $ SIDEWALK 1 CURB CUT FT. FT. o f' C ?/1-5$ ~~<' "-1 .,'""~ \j OTHER ADDRESS PHONE CONST. CONTRACTOR' CONTRACTOR'S NAME . . "!BW,;...- ~ GENERAL:6..,~, .. ,..~~,..i. ..r:-9~ -po ~ , PLUMBING: MECHANICA' . ELECTRICAl' PLUMBING NO. / Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backflow Device FEE TOTAL PERMIT 1 1 I I ~~ /"Y EXPI RES PHONE ??/g.o~ /<-Y"'~_ "3~-~Y.?# , ,. i MECHANICAL NO I=~~ r'I-IAl:lnC- Furnacel 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 Stationaryevap. cooler Vent Fan/Single ducl Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit Issuance $10,UO TOTAL PERMIT QUAD AREA: 4f' Sf. - OFFICE USE - LAND USE: ,~~rY) FLOOD PLAIN' X ~~z;:>~ , U TOTAL VALUE OF PROJEC;L~T. /t:}~t7ti n RCPP '-~ R ~0 DATE R. l~ ,l{ Z-- BY 0') li'lO '- . OF BLDG~' OCCY GROUP' ,.s-3 I . OF STORIES' SQ. FT. SQ, FTG MAIN SQ. FTG ACCESS SO. FTG OTH ER h~iZf7#A" PLAN CHECK FFo 5'2..' :3 1 BUILDING PERMIT 15% State Surcharge I MECHANICAL 15% State Surcharae I PAVING ~, S-cP -7.~3 HANDICAP ACCESS: ZONING' ~// LIGHTING POWER BUDGET: WATER HEATER' VALUE /5 t:!f:> -75" , DEMOLITION I I I I SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT IcJ?>.::?8 t ~~~ MS. TOTAL PERMIT FEES I EXCLUDING ELECTRICAl /K/3. &.2. . , , . 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 setup of forms. UNDERSLAB PLUMBING. ELECTRICAL & MECHANICAL: To be made before any work is covered. Y' t,:;;;':'; ;:f,WMBlNG;) ELECTRlvAc .. 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. 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 shall be furnished to the Building Division, ATTIC DRAFT STOPS & CURTAIN WALLS y 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,S.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) x 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) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and d rai nage Ii nes. To be made prior to covering or filling trenches. 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: Locate'd and construc,ted according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a,11 & Chapter 29) K .~" - '"':'fl.' ~" . -, 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). 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. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. y FINAL PLUMBING 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. FINAL ELECTRICAL FINAL MECHANICAL l' 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 FIRE DEPARTMENT ADDITIONAL COMMENT'" ,. '7 =-- PLANS REVIEWED BY /L~_"""L/"';:~~ OAT" :;g.:::?/.9:2. . /' / G' ~-'- 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 who are In compliance with ORS 701.055 will be used on this project, SignaturE" 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 tlmes during constructlon. At4J. ~;r~ AMOUNT RECEIVED: \Ifi1,yjr fJ.CM- ~ Date ;5(?:,t!crL . . RECEIPT ': ~"'^,, ~'1;J- 1_ RECEIVED SY: .JL/ VALIDATION: :l . .OB NO. '1'1--IID 5- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) .. NAME OR COMPANY: klD~ ~ K'1l"'\ LOCATION: "7oCfS MAIN S,: 17oZ-?~'?'-/-- CH::,31/ DEVELOPMENT TYPE: CL,' k'eMo~~L- BUILDING SIZE: LOT SI7F SQ. Ft. 1. ~TORM DRAINAGF:, IMPERVIOUS SQ. FT. D X $0.192 PER SQ, FT, c: +) ----------- 2, SANITARY SEWER-CITY NO, OF PFU'S 2- X $39.78 PER PFU Gi<1 :;,;Y (See Reverse) ....... ---- 3, TRANSPORT A TI ON NO OF UNITS X TRIP RATE X COST PER TRIP x X $401.05 X $401.05 X $401. 05 G -.,21- ) --- --- X X $ $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ 1'1 is io 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 G:<;'~) --- -- TOTAL-CITY SDC $ f'J'? '5-+ 5. SANITARY SEWER-MWMC NO. OF PFU'S x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) - ~ V'~-'~LJ.. V Ki P Burdi ck SDC Coordinator 'r, It "6 (<1 'V $ TOTAL-MWMC SDC~ ~ ~ --- -- TOT AL SDC $ '){ ~ '?:i MWMC CREDIT IF APPLICABLE (SEE REVERSE) A FIXTURE UNIT CALCULA TIN TABLE: Number of New Fixlures X I Equivalent = Fixture Units (NOTE: For remodels. calculate only the NET additional fixtures) .. FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS Bathlub.................. .................. .................................. Drinking Fountain.,........., ..........,..................."....,.... Floor Drain.,......,........,..."...............................,........, Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Lau nd ry Tub /CI otheswasher.....,.......,..........,.....,.... Clotheswasher - 3 Or More...................................., Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator /Waler Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall................................................. Shower. Gang.,.....,.,.............................. .................. Sink, Bar. Commercial............................................. Urinal, Stall/WaIL..."........,.......... .......... ...........,.....'. Wash Basin/Lavatory, Single................................,. Water Closet, Public Installation............................. Water Closet. Private................. ............................. Miscellaneous: i 2 1 2 3 6 2 6 6 1 3 2 , /Head 2 2 1 6 2- <1 TOTAL FIXTURE UNITS 2- CREDIT CALCUlATION TABLE: icalCUlale cred~eparates. Year Annexed Based on assessed value. If'improvements occurred alter annexation date in table, Rate per $1,000 Assessed Value Year Annexecl Rate per $1,000 Assessed Value I, 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 _-.J Improvement (if alter annexalion date) X $ = (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ Credit for Parcel or Land Only If Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidenliaL............ ,.....,................................... 0.4 CommerciaL..................,.......................,....,.... 0.9 I nd ustriaL........................ ..................,...,......... 0.45 Governmental.....,............................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT