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Home My WebLink AboutPermit Building 1993-6-14 " .. --.'.'. " ~ J .. . " .. COM M ERCIALlI N DUSTRIAL PERMIT APPLICATION JOB NUMBER ~~y ~ LOCATION OF PROPOSED WORK' ..:;- ./6""3 ;::,"- ~/ / r k~~~ ASSESSORS MAP: /7-.a~ .~ ~ rz,// INSPECTION LINE: 726.376.9 OFFICE: 726-3759 225 Fifth Street, Springfield, Oregon 97477 ~r. TAX LOT: &1 ~"3"~ Z. ~7-"- ~ r'( -= -0 "J/ -.- ___ OWN'E~': ~ ........-://~c h~ '_"~~;"~~ ./....~.Y!"'t; PHONf=- ~ ~~~..c/" ~""?5';'/'-':l< -"y ADDRESS: ",.- A./ ._... - __ ,0 ""- or ;/' ,,.,, ,~...... ~~)1!j>EaA2 t'~/) Ys?S-'~..,:J/ CITY' STATF' ~. ZIP: ~/.,~/ DESCRIPTION OF WORK: 0-A'7~~r~ ~~~ 9#L~ NEW REMODEL -L ADDITION DEMOLISH OTHER VALUE: 2~_ _..... "r' NAME ADDRESS PHONE ARCHITECT: CONST. CONTRACTOR'S NAME ADDRES~S CONTRACTOR' EXPIRES PHONE L./ / ./" ~~. eo ~....,.~". !B b-- _ _ GENERAl ./T/~/.;"Wj"r>k /~~,. -- 4:;>.Y....,.., N!:',->->:;.=. -6~'5': ~aE'7"/ / / - - - 72~ . , - r / '" PLUMBING', ~--;...~ ~~ - MECHANICAL:~~4r:R~ ELECTRICAL'. /./C/ U~ I PLUMBING I MECHANICAL I I NO. FEE CHARGE ~ """ (;HARG.~ 1 ~ Single Fixture IP ~o:::lO Furnace/burner & vent b /2.- <100.000 BTUs I Relocated Bldg. 1 Furnace/burner & vent I (new fix. addtl) > 100.000 BTUs 1 Water Service I Floor furnace and vent I It. 1 Sanitary Sewer I Suspended wall or floor I It. mounted unit heater I Storm Sewer 1 Appliance Vent 1 ft. separate I I Stat ionary evap. 1 Backflow Device cooler I 1 ~ Vent Fan/Single ~ b.~1 duct ,I 1 Vent System apart I from AC or htg. I 1 Mechanical exhaust I hood and duct 1 I ~ ?7~~ ;;i!. . ....... 1 I - . I I Permit Issuance $10.00 I TOTAL PERMIT 6:>. - I TOTAL PERMIT ,2'O~..... I . OF BLDG'" - OFFICE U~ ""LANDUSE: .,,~U ) ;,. )'..... EtFr:J~?;'1I OF UNITS: ,~.,~~~ ~. .. '.CONSTR. TYP'" ?ir.;",If.t.<Y '{e':.'JHEAT SOURC~' .. :":~-. HANDICAP ACCESS' FLOOD PLAIN' OUAD AREA' 0~ ZONIN'" C\v OCCY GROUP' . OF STORIES: LIGHTING POWER BUDGET: WATER HEATER' SO. FT. $/SO. FT. VALUE SO. FTG MAIN x SO. FTG ACCES" X = SO. FTG OTHER /9~~qf ~q~ ~_4~-=,~--~ ::::<1j''-''-..... TOTAL VALUE OF PROJECT PLAN CHECK FE.E -I/c::;.~ RCPP ~9:::>~ DATE 6-/'7'::::;~ BY,~ I I I I I ~/::f~3 I 1158<1 I! f13'1 I BUILDING PERMIT 15% State SurcharQe 1 MECH~L/;>:> ~AI/r 15% State I Surcharae I PAVING I /;?~. ~ I PLUMBING _ ~"==> 5% State p. ~;:;> SurCharge /.u. - FENCE :2J!'. - VALUE $ / .t:)~ 1 SIDEWALK 1 CURBCUT ~e>e> 3:t:>O I DEMOLITION FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT FT. TOTAL PERMIT FEES I EXCLUDING ELECTRICA' 85"7.86 .. 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 wilt 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 atter excavation, but prior to setup of forms. "'n addition to the Inspec- tions specified, the Building Official may make or require CURB AND APPROACH other inspections 01 any ROOF SHEATHING AND APRONS: After forms are construction work to ensure NAILING: Prior to installing . erected but prior to placing compliance with the Building, any roof covering. concrete. City or Development Code. --J---------------------------------------------------- '" 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 UNDERSLAB PLUMBING, . ELECTRICAL & MECHANICAL: To be made before any work Is covered. 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. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor Insulation, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor Insulation, decking or floor sheathing. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accor"erance with UBC 2415. y FINAL ELECTRICAL x V FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' .. " '-, .. ---.:'. .y PAVING: After gravel Is In place but prior to placing asphalt or concrete. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work Is to be covered until these inspections have been made and approved. SPECIAL INSPECTIONS: In accordance Section 306 01 the State-8pecialty 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 FIREPLACE: Prior to placing facing materials and before framing Inspection. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.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. HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) STRUCTURAL WELDS: Performed on the job. (2722 f) y -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. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. FIRE & SEPARATION WALL: Located and constructed according to plans, y 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). LATH AND/OR GYPSUM BOARD: To be made alter 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, STRUCTURAL MASONRY: (306 a.7) 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, 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. PLANS REVIEWED BY , ~-...."/~_ ~.> DATF '7?-9"3 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 corr~ct, and I further certify that any and all work performed shall be done in accordance with the Ordinances 01 the City 01 Springlleld, and the Laws of the State 01 Oregon pertaining to the work described herein, and that NO OCCUPANCY wHI 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 OAS 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 tlmes~rlng construction. Signat I/J-L .~-;J;*-,;.4' -"- Date2/7hS . . ' /' - ,.-- VACiDATION: AMOUNT RECEIVE9'I DATE PAID:W~II' \ ~ ~ RECEIPT N' '-'\ 4 \ \ RECEIVED BVj\.00--.J -----' ../' ..... -- -.B NO. q?JoB,?'-/ 6..,4 . .1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: Sc.../-fOOl.- HOV5,t3:- 15oo~s LOCATION: '57(P'1.i 5771 MItIN 5r. DEVELOPMENT TYPE: Cc. ~ COMPIA;...,-/2. /....eM.E.. SPIKE. BUILDING SIZE: LOT SIZE SQ. Ft. I. STORM DRAINAGE .'"1; IMPERVIOUS SQ. FT. N.A X $0.192 PER SQ, FT. C;---e-- ) --- --- 2. SANITARY SEWER-CITY NO. OF PFU'S N X $39.78 PER PFU G55G. q?) (See Reverse) ......... --- 3. TRANSPORT A TI ON NO OF UNITS X TRIP RATE X COST PER TRIP X X X $401.05 X $401.05 G-&-) ---- -- N.A. X $ X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ 55" "IZ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ZI~~ ---- -- TOTAL-CITY SDC $ 58'11.1.. 5. SANITARY SEWER-MWMC NO. OF PFU'S AI.It.. x $13.62 PER PFU + $10 MWMC ADMIN, FEE $ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) !v!~~Jl ~/t5h; U' Kip Burdick SDC Coordinator $ TOTAL-MWMC SDC~ ~ ~ - - TOTAL SD( $ 58 t./ 72. FIXTURE 'UNIT' CALCUU\",,~ ABLE: Number of New Fixtures x. aivalent = Fixture Units (NaT~: .....:-. For remodels, calculate only the NET additional fixtures) NUMBER OF UNIT FIXTURE NEW FIXTURES EQUIVALENT UNiTS 2 1 2 3 6 2 .. , 6 6 1 3 . . 2 1/Head 2 2 2- 1 -z. '2. 6 12- 4 FIXTURE TYPE 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 Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower. Single Stall................................................. Shower, Gang.......................................................... Sink, Bar, CommerciaL........................................... Urinal, StallfWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation...........................:. Water Closet, Private............................................... Miscellaneous: TOTAL FIXTURE UNITS N CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. , " I Year . Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value II 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 Improvement (if after annexation 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 . ; , ResidentiaL..................................................... 0.4 CommerciaL................................................... 0.9 IndustriaL.... ............................... ....... .............. 0.45 GovernmentaL................................:................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT '-' ," 'i 225 I'IFTII ~TREET SPIUNGFlELIJ, OREGON INSPECTION REQUEST: OFFICE: 726-3759 InS!O"('''''''"1rl "-''''>0'''-' zoni;.t.... ,..l.+~ ..-~.._. approvw. 97/17: zor.'~_o ~o___ 7.26-::JI69_tJ-- Authorized Sigm;;urc ~ J. ~. ~P7tJ1~1'1iIti!1J/J2r . J!itlJ:/!J;dflON ()~-:OJ Jon DESCRII'TION Permits are non-transferable and eKpire if work is not started within 180 days of issuance or if work is suspended for 100 days. i ) 2. CONTRACTOR INS~A TION ONLY Elenrical Contrac or ~\~\r1 ~ Addl'eSS)) l\ ~ ~ o~.JiQ.- Ci ty t{ ~~ Phone f-f}3-1dCf 1 Supervisor License Number ;)~i)nS (D) \ .C{~ Constr Contr. Number \.~ ~~~ f) . S-q~~ EKpiration Date Expiration Date " , , ,j :J j I .1 I .! .1 1 :i q c, :1 ~! ~. " Signaa~f SUPg~~an ow~ am ~rfJb~~' Atldres TIlT> Cl tyWaIDPA I'hon,A4-fAM) OIlNF.n INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~ . . , f: '. r I t i I ! Owners Signature: ~~~;~--~-~-:-----?y~~~------- ~~~~~~~f) 8il \dJ JA~ 0-1\ ~.tl0~__."___n..__.____ t ELECTRICAL COMPLETE PEE SCnEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems Cos t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd 1I0me or Hodular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 40L amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only A- $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 JDfJ C. Temporary Services or Feeders Installation, Alteration 'or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits New, Alteration or EKtension Per Panel One Ci.rcui t Each Additional Circuit or with Servi,j or Feeder Permi t JJ..2.. E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Ou tline Ligh t inl!' Limited Energy/Res Limited Energy/Comm . : 5. , S'UBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 ?J?J not included) $ 40.00 $ 40.00 $ 20.00 $ 36;j) \~ .