The URL can be used to link to this page

Home My WebLink AboutPermit Building 1992-1-27 '\ COM M ERCIALlI N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 6 ~ ~OB NUMBER <9/.6-=?:=:>/ INSPECTION LINE: 726.3769 OFFICE: 726,3759 LOCATION OF PROPOSED WORK: 57.e::;-_~ h'i'A'-//C? :S~ ASSESSORS MAP: /7~-:.zr3'3~~ ~~~;~-z,/~-/3-..y~ OWNER' &'7?~~Ar"5 /tVC. '/ ( .., - ,; ADDRESS' -?~ ;::~4(r/~" ~.~ CITY: ~--. ~~ DESCRIPTION OF WORK' NEW REMODEL ~7) - -.. NAME ARCHITECT:~;z;;J #"< ~ CONTRACTOR'S NAME GENERAL: ~LErL/ _____~~".. PLUMBINt'::" MECHANICA' ' ELECTRICA' ' PLUMBING '~ NO, 7' Single Fixture Relocated Bldg, (new fix. addtl) Water Service It. Sanitary Sewer It. Storm Sewer It. Backffow Device TOTAL PERMIT OUAD AREA- # OF BLDGS' OCCY GROUP' 'J? -Z # OF STORIES: ft;'".?e- 2.2... SO, FT. SO, FTG MAIN PHON E: 2tP$i:-::;;.- " -tC...;:;?:.6 ~ 73/ ,/..7? STATE: / O. . . ZIP:~~ .. , .Je;.~-7 ~.P/7T":=>/V r ?-<=-/ ,~~~~ OTHER VALUE: ADDITION DEMOLISH ADDRESS PHONE ADDRESS CONST, CO NT RACTO R # EXPIRES PHONE A L ~ ..... ~ I MECHANICAL I FEE CHARGE I NO ~.~ r.~lI.Qnl= I ~csbl Furnace/burner & vent I /P < 100,000 BTUs I Furnace/burner & vent I > 100,000 BTUs I Floor furnace and vent I 1 Suspended wall or floor I mounted unit heater 1 Appliance Vent I separate 1 Stationaryevap. I cooler I I Vent Fan/Single MM/. /~.-1 duct I Vent System apart 1 from AC or hlg. 1 Mechanical exhaust 1 hood and duct 1 ) I Permit Issuance $10,00 I l3>o.~1 TOTAL PERMIT 75 -I - OFFICE USE - HANDICAP ACCESS' FLOOD PLAIN' LAND US.' # OF UNITS' CONSTR. TYPE: ~-#, ~~. , lONING' ......-.....-:: LIGHTING POWER BUDGET: WATER HEATER' HEAT SOURCE: $(SO, FT. VALUE X SO, FTG ACCES~ X SO, FTG OTHER "f...-~ ~~. ;71~~ . -~ PLAN CHECK FEE L:? "9"3 I BUILDING PERMIT 15% State Surcharoe 1 MECHANICAL 15% State Surcharoe , PAVING /LP~. ~ ~ -:<"3 -V5: -- I.....?~'L. 1 /~ ,. -"-" c:...- TOTAL VALUE OF PROJECT RCPP DATF BY I PLUMBING , DEMOLITION I I C7. "7'3 I I /&7.7"8 I I 7~..c::.7l ?~~ /. S--~ 5% State Surcharoe FENCE VALUE $ _ SIDEWALK I CURBCUT ':?s~ ~/7. PERMITS SYSTEMS DEVELOPMENT FT, FT, ,\ I TOTAL PERMIT FEES EXCLUDING ELECTRICAl ?L-;:$,~ '-&;;=/-J f r ,- . ~I!!"' ~ .I! >=-- --- / . 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 in"spection 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. v ROUGH PLUMBING, ' ELECTRICAL & MECHANICAL: No work isto be covered until these inspections have been made and approved. PAVING: After gravel is in place but prior to placing . asphalt or concrete. )<' UNDERSlA6LUMBIN9 ELECTRICAL & MECHANICAL: To be made' before any work is covered. ATTIC DRAFT STOPS & CURTAIN WAllS 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 piacing 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 Owner I Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Diyision. \1 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,l) 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) 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. r . HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a,6) SPRAYED ON FIREPROOFING: U,BC, 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) 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 groutlng or verticals in accordance with UBC 2415, SIDEWALK & DRIVEWAY: Required for all concrete paving within street right of way, to be made after al I 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. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. x 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. )( y FINAL ELECTRICAL FINAL MECHANICAL 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 and posted on the premises. )' FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' PLANS REVIEWED BY , / /.._-= - ~~ DATE _/ ~ :::Z?- "j1~ .. // -~~1'~?- 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. 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 times during construction, ~ ' ~ ' \, Signatur,[""<)'" =- oJ __,~~ Date /, ,:2 :> ,.... ?.:?_ VAll DATION: AMOUNT RECEIVED: a:) I? 5~ 3_.f),B? RECEIPT #: DATE PAID' /.:;? ;> - 5'2- RECEIVED~.----?~ - ~ -7 '/ ~--:;;, ~. ;' J . JOB NO. 9/L>"3?/ CITY OF SPRINGFIELD SYSTEMS DEVELOP~T CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: . fL (. Z" ~r- ~-------.. f /~c LOCA TJ ON : -?:7 Se::;- .J7:rA'7"".y y7 . - ~ - " DEVELOPMENT TYPE: fPD _~~7.) r ~~ _ ~~ BUILDING SIZE: LOT SIZE SQ. F t. I, STORM DRAINAGE IMPERVIOUS SQ. FT, X $0,186 PER SQ, FT. ~,,(/# . (See Reverse For Runoff Coefficients If Actual Imperv, Area Is Un~nown1 2~ SANITARY SEWER-CITY NO, OF PFU'S ~ X $38,55 PER PFU (See Reverse To Determine Total PFU'S) $ /9:? 75 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X X $388.61 X $388,61 $ $ X X $388,61 $ (See Attachment C To Determine Trip Rates) SUBTOTAL (ADD ITEMS 1,2, & 3) $ /97- ~ 4, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 s "1' .~ Y TOTAL-CITY SDC $-::(,~2, 39' 5, SANITARY SEWER-MWMC '. NO, OF PFU'S ~ x $13.25 PER PFU + SIO f1vlMC ADI'llN. FEE S 7C-.2"'5" (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~_ -~=-o> ~/j~~ tYtY ~~:r;,;c(______ C '- <- SDC Coordinator $ TOTAL-MWMC SDC ~.~ TOTAL SDC $-:Z7~6~ 1 FIXTURE UNIT CALCU.TION TABLE: Number of New Fixtu. Unit Equivalent = Fixture Units (NOT1. For remodels, calculate only the Ni:T additional fixtures) . 'I NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.................................................................... .. Drinking Fountain".,.,..,.,....,...,.,.,.,....,.,..,.,..,.,..".,..,. Floor Drain".",.,..,.,.....,.,....,.,...,.,.,.,....,."......,..,..,.,,.. Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc..,.........,..,.. Laundry Tub /Clotheswasher...........,.".,....,..,.".,..". Clotheswasher -'3 Or More...........:...............~........ 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,.,........,.....,..,.,.,..,.,..,....,..,..,. Urinal, Stall/Wall.,......".,.,........,.,.,....,.,..,....,.".,..,..". Wash Basin/Lavatory, Single.......,.,.,..,.,..,.".,..,..,." Water Closet, Public Installation............................. . Water Closet, Private............................................... Miscellaneous: ' / 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 / / TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: calculate credits separates. 'I -:2 '2. I ...c;- Based on assessed value. If improvements occurred after annexation date in table, Year , Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 . 1983 1984 $2.66 2.64 2,53 2.41 2,19 2,04 1985 1986 1987 1988 1989 1990 $1,69 1.35 1,15 0,92 0,59 0,23 Credit for Parcel or Land Only If Applicable x $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL =~ ~~ _-~c ~ t' ''- ~ =$ ~ I~pro.vement (if after annexation date) 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