The URL can be used to link to this page

Home My WebLink AboutPermit Building 1992-4-29 COMMERCIAL/INDUSTRIALW SPRINGFIELD PERMIT APPLICATION ~ 225 Fifth Street, Springfield, Oregon 97477 ~~ LOCATION OF PROPOSED WOt) ~ .,..~ll3 ffin.. 1.,(\ ) ASSESSORS MAP' \'1 d.. 3:)4 \ .~ ~ .' JOB NUMBER GfJlJfhS INSPECTION LINE: 726,3769 OFFICE: 726,3759 TAX LOT: ()~\r{) OWNER' ~ ('~\ \ \ \ (\(X ..)) PHONE: i:.l.lJL.ln ~rJ ~ ADDRESS', n~ l \ .\1\0 _ f 1\ ~ d\ n ' CITY 4) -U-'J.. J. ,.. STATE: CV..(C.J , ZIP: !i3Ll7~ DESCRIPTION OF WORK: 0f"){"f\J 1\ OrQ~Q_~'J~\{Y) ./ ,_~ NEW X REMODEL ADDITIO\ DEMOLISH OTHER VALUE: ~ '..AT NAME ADDRESS PHONE =., ARCHITECT' .. CONTRACT~ NAME (\ (' ~~~SS .-' GENERAL:~() f\ fJO ~ l.)U" ~) :~CMH::::,.~\t\ [~r\ ~ rtf""~ ELECTRICAL: t' >- )r1f- n9 ~ ~ [Q I"TJ I PLUMBING I NO, I 6 Single Fixture I I I I I / I I I I FEE I CHARGE I 6Qd>1 I I I I I I I I I 1 1 1'7P'. .d> I It:? Relocated Bldg, (new lix, addtl) Water Service 'ft. Sanitary Sewer It. Storm Sewer I lit? I I 1 It:) ft. Backflow Device TOTAL PERMIT CONST, 2,4~~R # qlz.dR7~S ~b-llR' 'kE:Dtc5 3(\2lJ3 &5 1'--\0 \'?Jt:~jqz.., r>A ocJ.() 410/QQ...1;: , . MECHANICAL I ,f'''~'1GI I Floor furnace and vent I Suspended wall or floor J mounted unit healer Appliance Vent I separate Stationary evap. I cooler Vent Fan/Single I duct I Vent System apart I from AC or hlg. I Mechanical exhaust I hood and duct I~~-;~~A'~~ f" 5~~_.,:0. r - . perm~l Issua~ce $10.00 I 1 TOTAL PERMIT I /~ "'''' 1 'If' ecc Furnacel burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs QUAD AREA:, \:)0 ~ - OFFICE U7~ LAND USE: <.. ~LA-J HANDICAP ACCESS: FLOOD PLAIN: ZONING' CLC./ # OF BLDG,~' # OF UNIT~' OCCY GROUP' 15-2- I , HEAT SOURce, CONSTR, TYPE: # OF STORIES: SQ, FT, $/SQ, FT, SQ, FTG MAIN SQ, FTG ACCES~ X X /9~ rP ~/??;q( E7"6 / ' - t: r;;"'5'.G' :5; 7!, -; ~ ~ SQ, FTG OTHER PLAN CHECK FEf 12""-: y,::;, RCPP I BUILDING PERMIT I 15% State SurcharQe I MECHANI~~ 1 15% State' 1 Surcharoe 1 PAVING I /9-?, &>&> I PLUMBING ,,,.-- 5% State '7'.6.;::z Surcharqe ;'~, Gr&> 1 FENCE ;,~. ~ VALUE $ _ 7.::>1 SIDEWALK I CURBCUT ~-/Y LIGHTING POWER BUDGET: WATER HEATER' / VALUE TOTAL VALUE OF PROJECT "sn.f'IY) . - I - DATF BY FT, FT, ?L?.<>t::> 'DEMOLITION ?-So ~K-~ 1 SUBTOTAL . PERMITS 1 SYSTEMS DEVELOPMENT j I /25". ~ 1 -gal,90 I ~ '74 2- ~ ~ I TOTAL PERMIT FEES I EXCLUDING ELECTRICAl /O)9.~ ,. . 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. x 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 accordance with UBC 2415, ROOF SHEATHING AND NAILING: Prior to installing any roof covering. x FINAL PLUMBING )( FINAL ELECTRICAL x y FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' x ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing Inspection. x 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. y INSULATION & VAPOR BARRIER: To be made after ali 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. LATH AND/OR GYPSUM BOARD: To be made after ali 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, 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. PAVING: After gravel is in place but prior to placing asphalt or concrete. 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. STRUCTURAL CONCRETE: In excess of 2500 P.S,1. (306' a,1) STRUCTURAL WELDS: Performed on the job, (2722 f) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a,6) SPRAYED ON FIREPROOFING: U,B,C, Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a,11 & Chapter 29) . GLU,LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed, (2501 UB,C, STDS, 25,10,11), STRUCTURAL MASONRY: (306 a,7) -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. 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 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 / ~..-'2-P / :." !:-"---J? DAT" c.//" // 7" 7"'-2'3', ~ By signature, 1 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~t card is located at the front of the property, and the approved set of plans will remain on the sIte at all times during co truc on. \ \\ t\ Signature ~\ \~ J ~'''~. ~ Date ~ / Cr - 0 z... '(', ' \ I" \"-\ Sk, ~AMOUNT RECEIVED: ''-...J \ , , RECEIPT N, 60L \ '\ \~ ~ VALIDATION: DATE PAl D: \,...\ - \2C.\ - '-\' L RECEiVED BY: ~~ JOB NO. <j:J.O'fTO_ --.--'. ~_.,) CITY OF S~NGFIELO SYSTEMS DEVELOPM~ CHARGE WORKSHEET ( ClOOl8l€+At--&-ltE-S+OOO-I-AL) ~~\OAAl..- orf'lre NAHE' OR C01'lPANY: t>e.. :\7:"l..-l..-I IJ CYS LOCATION: C,11,? M,o.-..) nn2.'J.,'J.,L.l-\ - O?'\OO .ftf<l~~IO~AL.. DEVELOPMENT TYPE: '~: QnMPl.-8--n:'::, U2A<;f:;. <?eA.dE.- BUILDING SIZE: 1, 5TORM DRAINAGE IMPERVIOUS SQ. FT. X $0.186 PER SQ. FT. h (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) LOT SIZE SQ. Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S X $38.55 PER PFU (See Reverse To Determine Total PFU'S) Is 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x X $388.61 Is X X $388.61 s x X $388.61 S (See Attachment C To Determine Trip Rates) SUBTOTAL '(ADO ITEKS 1,2, & 3) $ 4. ADMINISTRATIVE FEES 'BASE, CHARGE' (SUBTOTAl ABOVE) X ~05 ls TOTAL-CITY SDC 's 5. SANITARY SEWER-MWMC NO. OF PFU'S ID x $13.25 PER PFU ,+ $!() 'MWlK ADMIN; FEE S 14-'2.- ~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) f v'~~~ ~ Kip Burdick sac Coordinator tit 0 h').. / f S TOTAL-MWMC sac Is TOTAL SOc\s /I '" t.!ti>o ~ ..-- 1'-t2-~1 c;"f")..~ ~ 71>G 'fA.ft. tM~ ~ 7/1/1 (;;; ".;;0) ~DIO{)O .FIXTURE TYPE NUMBEjl OF . UNIT NEW FIXTURES EOUIVALENT Bathtub....,..,.,.....,.......,.....,..."..,",....,..,"',..,',.."....".. Drinking Fountain..:...:.........,.,..,....,..,',.., ,..,..""......,' Roor Orain.,.......":..,.....:...........,..""..",,..,',....,' ,....',.. Interceptors For Grease/Oil/Solids/Etc,..,............. Interceptors For-Sand/Auto Wash/Bc,...,..,.."....., Laundry Tub/Oolheswasher.................,',..,"',......,' Ootheswasher - 30r More..........,...............,.......... Mobile Home Park Trap (1 Per Trailer).......,....,..... Receptor For RefrigeratorjWater StationjEtc,....... Receptor For Commercial SinkjOistnvasher jEt c.: Shower, Single StaU.__..,....,.........."..'....'..'....'...." Shower, Gang.., ................-....,..-.............,' Sink. Bar, Commerci~t ' ....---' Urinal, StallfWalL..---.m'.:..........-......--........'.. Wash BasinfLavatory, Single,_-..-..................,..., Water Ooset. Public Installatioll....-.......-........,.... Water Ooset. Privato .........---........-.......' Miscellaneous:, 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2- 2 "2- 1 1- I 6 "" 4 TOTAL FIXTURE UNITS In Based on ,assessed value. If. improvements occurred alter annexation date in ,table, I' CREOIT CALCULAl10N TABlE: calculate cred'11S ~parates. \ Year Annexetf [ 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 1985 1986 1987 1988 1989 1990 Rate per $1,000, Assessed Value $1.69 1.35 1.15 0.92 0,59 0,23 :I Credit for Parcel or Land Only Ii Applicable Improvement (If after annexation date) , x $.. = (Rate X Assessed Value) X $ (Rale X Assessed Value) , CREDIT TOTAL = s RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL,....,...."..".....,...,",."....,....,....,....., 0,4 COmmerci2I.........."................,.............,........... 0,9 InduSlria1.....,...,..,.............,..,..,.......,..,.......,....... 0,45 Governmental...",....,',....."...,',.....,..,"",....,..".. 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE XRUNOFF COEFFICIENT