HomeMy WebLinkAboutPermit Building 1992-5-27
/' .
.
COMMERCIAL/INDUSTRIAL. SPRINGFIELD
PERMIT APPLICATION L~
225 Fifth Street, Springfield, Oregon 97477 ~
LOCATION OF PROPOSED W9{li\ _.5"\2- '1 't\\~JC\.
ASSESSORS MAP: l/n~'",\,..lfH
~
.
JOB NUMBER
~'7 ()lCl~)
INSPECTION LINE: 726-3769
OFFICE: 726.3759
~-t
TAX LOT: ():," (Y)
~ . -
OWNER: \-\ ~~(\~- ~~~t\. "'J\~, ~Q..[yHONE: -.Lo 'K ~- ~\&+
ADDRESS'..!) ntv4J l c::Arru ~ nTa. , '0 '
CITY: T 1_ 'lct XI J ' STATE: l '-^ 0 1\tJ y\.J ZIP'
"'YJO" OC~" ~)Mh tNfI\.\G ;S \'"' ~ Q ./
NEW REMODEL A~~TION '" ~E~OLlSH- OTHER ~VALUE: .~4)~D( l~ )
NAME ADDRESS PHONE
ARCHITECT:
CONST.
CONTRACT~~N:M: _. . (\ t;\DRESS , \ AI (f ~ONTRA~R # EXPIRES PHONE
GENERA" U'i\ '<)'{\')\ \'~ \\'\)~ ~\ch,\ '\, \0 ~ ~.21.~ ,J,,,\4-~
PLUMBIN"'\\"\:~'~ '6. '0€..es., . \ ,\1\ 53. \\.00 \&?,3, ~'t\
MECHANICAL\~c;i>\ c::::..~\\~D\-:~~ (\, \t, . .
ELECTRICAI.~.- ~\\r\ff\ ~ .
I BUILDING PERMIT 1 -;z /<;". -I PLUMBING
15% State . //).".,...... 5% State
SurcharRe "",,/ ./~ - D -SurcharQe
I MECHANJ.CAL/~. I lP.'D FENCE
rA'~"7"l /'5'. $"'0 VALUE'
15% Stafe 1 SIDEWALK
Surcharoe . 7.e.
1 PAVING I 1 CURBCUT
PLUMBING
NO.
~. Single Fixture
Relocated Bldg.
(new lix. addU)
Water Service
s~njtary Sewer
I Storm Sewer
I Backflow Device
I
I
I
I
I.
TOTAL PERMIT
OUAD AREA: ~?f\ ~O-
# OF BLDG~'
OCCY GROUP:
~-2.
.,
# OF STORIES:
I
SO. FT.
SO. FTG MAl N
SO. FTG ACCESS
SO. FTG OTHER~'-P"'" ~r~
PLAN CHECK FEiO \4l ') ,~
,-. .
It.
I MECHANICAL I
FEE CHARGE I N(1 ~FF I r:~.o.Rr:1= I
~ .....1 I Furnacelburner & vent 6.=<> I
/~ < 100.000 BTUs
1 Furnace/burner & vent I
> 100.000 BTUs
1 Floor furnace and vent I
1 Suspended wall or floor 1
mounted unit heater
I Appliance Vent I
separate
1 Stationary evap. 1
cooler
I I Vent Fan/Single ~t><> 1
duct
I Vent System apart 1
from AC or htg.
1 I Mechanical exhaust ~~ol
hood and duct
I ~ ,?};Z:?~ 1 2..-::>1
I ( - , 1 1
Permit Issuance $10.00
I .r::.!). .- I TOTAL PERMIT I I
It.
It.
- OFFICE USE -
LANDUSE:~~
HANDICAP ACCESS'
FLOOD PLAIN'
ZONING:~~
LIGHTING POWER BUDGET:
WATER HEATER:~
# OF UNITS:
CONSTR. TYPE: ~-N
HEAT SOURCE:~,#~
$/SO. FT.
VALUE
x
X
c::.~~ --5'~:-<E
-:::? St. ~
,
RCPTH
L\S\ ~
TOTAL VALUE OF PROJE'eT
~
DATE ~. rs .q& BY 0\( LD... .J
~aoc
,?r/t')
, DEMOLITION
1
1
FT.
FT.
1 SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
~'i;,Af~
l1~tF
~.~
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
72~'l1!iF~
/'
'.
. REQUIRED INSPECTIONS
.
.,
It is the responsibility of the permit holder to see that all inspectlqns 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
pri or to setu p of forms.
y
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.
.X'
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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 foJ/owing work. A
copy of the special testing reports shall
be furnished to the Building Division.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
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.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
JI 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)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. 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.B.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,BC.
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
x-
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.
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
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
/ -
././. ,1 ~
PLANS REVIEWED BY ./ h/'.-2-.-1- '--<, - -
/' //. -./
::!!lAT" .e?'-.:?~-'7",--
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aJllnformatlon
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.
I further agree to ensure that all required inspections are requested at the proper tim-e,-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' ~emain on the site at all
times during ~~A h\ _, ----
Signat~re \.~_ v;.) Dat5- :tJ - CfJ.
VALIDATION:
AMOUNT RECEIVED:
RECEIPT ':
"7'2 tT. 78
?/770
DATE PAID:
RECEIVED BY'
-5"-27--92'
~~
-r
...-./
'\0
t
CITY OF
JOB rw. "720(",&5
~INGFIELD SYSTEMS DEVELOP~ CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAHEOR COHPANY: Pi'Z"t-A CHf:F - Rtc..I-/4fi!-D LE:.wIS
LOCATION: 577--7 MA-IN ~-r. /7o?-"??c+t - O?7tOO
DEVELOPMENT TYPE: L C . (I..,Mf//...-e-rE. L E4~ SPACe:
BUILDING SIZE:
1. ~TORM DRAINAG~
IMPERVIOUS SQ. FT. /J. A . X SO_186 PER SQ_ FT. b
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
LOT SIZE
SQ. FL
Is~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
N..4. X
X S388.61
Is
I
X'
X S388.61
s
X X $388.61 S
(See Attachment C To Determine .Trip Rates)
SUBTOTAL '(ADD ITEM.S 1,2, & 3) $... '?r.. 'f~
~LO ~~c. I, '7 ~ ~ 11 ?f, ,?o--t> ::;;. 7 , ,~
4. ADMINISTRATIVE FEES Q
'BASE. CHARGE. (SUBTOTAl ABOVE) X ;05
ls~
TOTAL-CITY SDC 's_~
5. SANITARY SEWER-MWMC
NO. OF PFU'S
7
x S13.25 PER PFU .+ S!!lMII~o\C ADMIN. FEE S /0'27.2
(Use PFU Total From Item 2 Above)
HWMC CREDIT IF APPLICABLE (SEE REVERSE)
~,~~
Q Kip Burdick
sac Coordinator
s Ir"2.-A1-
I (
S
TOTAL-MWMC SDC Is /07. 72 I .
TOTAL sac s ~
1I"Z-o~ ~
FIXTU R E UNIT CALCU LA ~ N T AS LE: Number of New Fj'1ureSX Unit EQu~'alel1t . Fi,1ure Units (I~OT{ '.
For remodelS. calculate only the NET .i;ion21 li'1ures) .. '---. .
NUMBEfl OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub................. ..............,........ .................--... ........
Drinking Fountain..:..,:..............................................
Floor Orain...,.......:.....,..:,.....-.....,...................... .........
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For-Sand/Auto Wash/Etc..........:.......
Laundry Tub/Ootheswasher......,............................
Ootheswasher - 3 Or More....,................................
Mobile Home Park Trap (1 Per Trailer)..,...............
Receptor For Refrigerator fWater Station/Etc..,.....
Receptor For Commercial Sink/Distr.Yasher /Etc.:
Shower, Single Stall._.....,:,..................'........'....'....
Shower, Gang............-.........................'.---.'.......
Sink. Bar, CommerciaL.-....-..-
Urinal. StallfWalL...............:.........,.-.
Wash BasinflaVatory, Single._____
Water Ooset, Public Installation.,..-..-.,.-............
Water Ooset, Prlva'o ...-....--""
Miscellaneous:.
t
J
2
1
2
3
6
.2
6
6
1
3
2
l/Head
2
2
1
6
4
/
(,
TOTAl FIXTURE UNITS
~
7
CREDIT CALCUU\.T10N TABLE:
calculate creal1S separates.
\
Based onasses<::erl value. If .Improvements occurred after annexation date in .table.
----
.1979 or before
1980
1981
1982
1983
1984'
Rate per $1,000
AsseSSed Value
$2.66
2.64
2.53
2.41
2.19
2.04'
Year
Annexed
Rate per $1,000.
Assessed Value
Year
Annexed
I
1985
1986
1987
1988
1989
1990
$1.69
1.35
1.15
0,92
0.59
0.23
Improvement (If after annexation date) .
x $_
(Rate X Assessed Value)
. X $_
(Rate X Assessed Value)
CREDIT TOTAL = $
Credit for Parcel or Land Only Ii Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
~ . '.
ResidentiaL,...............,.................... ...........-.... 0.4
COmmerci.=I....................-.............'.................. 0.9
Industrial......................................'...'................ 0.45
Government2I........................... ............,........... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT