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HomeMy WebLinkAboutPermit Building 1993-9-16 - . CON1M B1CIAL/lN DUSTRIAL PERMIT APPLICATION . ~ ~/AI ~~cc/ 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ..r; 78/ ASSESSORS MAP' /7-L/::i-"3':s-~/ JOB NUMBER 9~?6'.2 INSPECTION LINE: 726-3769 OFFICE: 726.3759 TAX LOT: c:::;~~~ 7'7;ee~~-'R'S~ ~.l_er~E"c<.~~' PHONE r7~:::>) ~~~-~.c>L ADDRESS: ~4'~S< .# 'Zr~~ CITY' r-:=::-U~~~ STATF' c:;;;r. ZIP: '9."..-:>~/ 4/KA" .,/ ~~AI?EZ:> ..;;V~ ~,_' '_ . . . r - - - - 'rgz:~ ::i"B~ DEMOLISH OTHER VALUE: ~ ~~. PHON~~ ~ 4"V -40- .:..-....<::". DESCRIPTION OF WORK: $<w~,... NEW X' REMODEL ADDITION NAME . AD~).~ ARCHITECT:.Qtr -f" .~/...vh.C~ ~~'1?:i....~q~~ CONST. CONTRACTOR'S NAME 1.:1 ADDRESS CONTRACTOR' EXPIRES PHONE GENERAL: L:..E!:~~_ ,~~~~O .6"5">//'. /f,,"5~ _.7~:;>.6::S? , ~ / , , PLUMBING' WL.j'Y?/u,1Fft? MECHANICAL: l?k..1?""'.7.v~...","~~ 5 ELECTRICA" '5<:.~;!R:.;:::> I I;~ I I I I 1::2 I I I I I I TOTAL PERMIT PLUMBING Single Fixture Relocaled Bldg. (new fix. addU) ___ ~ Water Service . "9 'I It .,..... - Sanitary Sewer ?h It ~ - Storm Sewer /7t!>f1. Backflow Device QUAD AREA:. 3f-"sr ./ I 15 - -z.. . OF BLDG~' OCCY GROUP- . OF STORIES: I SQ. FTG MAIN SQ. FT. ~41 /<:7 SQ. FTG ACCES" SQ. FTG OTHER fj-5:z:f I FEE CHARGE I /t? ~.-4 S"b. - 7~-1 ~~-f /t? 20. ....1 I I I I I ~.-I I I; I I I I I Iz. I I I I I I I TOTAL PERMIT \~:ftl ~'1r ~) MECHANICAL r I_EEE_!_CHARGE-,-- Furnace/burner & vent /" , ~.""" < 100.000 BTUs ~ f ..c;. Furnace/burner & vent I > 100.000 BTUs Floor furnace and venl Suspended wall or rloor mounted unit heater Appliance Vent separate Stat ionary evap. cooler Vent FanfSingle duct Vent System apart from AC or hlg. Mechanical exhaust hood and duct ~ r:;,~~ PermIt Issuance - OFFICE USE - 7'\ LAND USE: ,t::)8 Dr ) . OF UNITS' CONSTR. TYPE: HEAT SOURO" $/5Q. FT. X X ~-A/ I I~ I I I I I I I b.~1 ~s-ol I ::z ~....,.. I $10.00 I 12 'T. 5'01 HANDICAP ACCESS: , DEMOLITION -=3"b~.-- /$.- ZONING' FLOOD PLAIN: (1[' ../ LIGHTING POWER BUDGET: WATER HEATER: VALUE = 2~ D<1>C> - - '/ -- ----- ~..../~ X /.S-C>,.~~ = ~ (')~ ~/re ~~;.... .;....,,;;'5. '/I --' TOTAL VALUE OF PROJEC~~~ O~ _ D / ~~f~E~K~ ~~:a..~~ ...J1~1tJ DATEO. 17~ BV'tJ')f/)C( I BUILDING PERMIT , $Y2.?,o I PLUMBING 15%1 State ~2 j;? "'% State Surcharge ....urcharae I MECHANI~ /.-t> ."""" FENCE '7 v. ~&> VALUE $ 15% State' /. -2~ SIDEWALK Surcharoe FT. I PAVING -:z Y7' D 0 CURBCUT FT. ~/~)~.N"~~' ~"3?7!~--r - I/.:?~ I m~~i~L / ~9~-:% ~m~~~MENT # 577-3 I'i I{f> TOTAL PERMIT FEES I EXCLUDING ELECTRIC/' 7';?~6-7S "- F -_ It ,; the r~5ponsjbillty of the permit holder to see that"alllnspectlons 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 prlo~-to set,up of forms. :.~:">:' . '~~.' I . REQUIRED INSPECTIONS K. ROUGH PLUMBING, ELECTRICAL &. . MECHANICAL: No work is to be covered until these . inspections have been made and approved. ~ . -tt- PAVING: After gravel Is in place but prior to placing asphalt or concrete. x UNDERSLAB PLUMBING, ELECCRICAL'&. . MECHANICAL: To be made before any work Is covered. ATTIC DRAFT STOPS.&' ..~ CURTAIN WALLS . FIREPLACE: Prior to placing facing materials and before . fra,!,lng InspectloQ. ... '-." ~;" 4 IX' - FRAMING: To be m~de after the roof, all framing, fire blocking and bracing are in place and all pipes, chimneys ,... . ~and vents.are complete and .,,~'.. . the rougti-electrical,:plurnbing and mechanical are approved. ;X INSULATION & YAPOR 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. SPECIAL INSPECTIONS: In accordance Section 306 of the St'!te Specialty Code a special Inspector shall be employed . . ':by the 'OV!nerl Contractor dunng construction of Hie following work. A copy of the.special testing reports shall be furnished to the Building Division. '. STRUCTURAL CONCRETE: In excess of 2500 P.S.I. (306 a.1) y FOOTINGS & FOUNDATIONS: To he made after trenches are excavated and forms are .:,,::er~q.t~dj all steel.ln_ place, but ~rl<;>r.1o. placing concrete. " x LATH AND/OR GYPSUM BOARD: To b,f 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. ' STRUCTURAL WELDS: Performed on the job. (2722 f) .-.' HIGH STRENGTH BOLTING: . ........- During all bolt installation and lightening operations. (306 a.6) CONCRETE SLAB: To be made after all Inslab building . service equipment, CO!,dult,.\ piping, acce~sorles and ottier ancillary equipment items are In place but before any concrete is placed. 'x , . . UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. ....... 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. SPRAYED ON FIREPROOFING: U.BC Standards 43-8. .' - , SPECIAL GRADING, 'EXCAVATlON 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 U.BC. STDS, 25.10,11). STRUCTURAL MASONRY: (306 a.7r' -In addition to the Inspec- tions specltled, the Buliding Official may make or require other inspections of any construction work to ensure compliance with the Bulldln!;, 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. ,. / -r 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 y' Certificate of Occupancy has been issued by the Building Division ',:~~:~:i~~~~oC\0~~~"C8;'J)lon~or. (;1l1~r[;~ (, ~~\ ~(~ "'II \tV.~ ,\(;p ~ fr.r--. ~~7 ,~~:,..,.~- ~ ,..~\J\'/'\;~V 0...\ . .':\ . 'PLANS'REVIEWED BY . /L_ -...-z%: ::'" , DA~~'?-2~":? , . . . r// ''? - . UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of floor Insulation, decking or floor sheathtng. 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. f 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 lri.acco'rdance 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 GAS 701.055 will be usedJon this project. "', .~~..~. 1 further agree to ensure that all required Inspections are requested at the proper ttme, 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 pla";s will remain on the site at all times ~In~ construction. 1 n L . . I ',. ,.~,__ 1\ ~' . _/?_I=~ Signature _ ~- Go-. Date --L <-<> I ., ~ I .-' AMO~NT REC'1IVED: ~ 7~: ~O\.o ,r Q( RECEIPT': -\ O:l,~ 1'1:1'_1 O?::J.+:; x. 'FINAL PLUMBING A' ~ FINAL ELECTRICAL FINAL MECHANICAL VALIDATION: :- DATE PAID: -d / f'\C;:~ RECEIVED Bt~A ) .~ ",,..,/,, -,~ . .JOB NO. Q?OQtp2 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (PROFESSIONAL OFFICES & INDUSTRIAL) NAME OR COMPANY: 7iiURS/O/J FAN1IL-Y PRAL -rIG€; CLINIC LOCATION: 5n { mAIN Sr. /7a2?34/ -()??Soo DEVELOPMENT TYPE: Cc: 1Y1601CAL. CLINIC BUILDING SIZE: 3'-1 (q S09-. PI. LOT SIZE SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT. 0.5 x /??q~ X $0.203 PER SQ. FT4I?5"17l) ~ 2. SANITARY SEWER-CITY NO. OF PFU'S 0.5 X (See Reverse) 3.' . TRANSPORTATION DJpt:. 7'2D fYlE;PICAL oFFIC-E ::. -!-.Dfs!r6Sf NO OF UNITS X TRIP RATE X COST PER TRIP If> 7'5~7 X $42.08 PER PFU ( T78~ x X $424.31 ~'Zq5'i ~ '--- ----- $ $ 0.5 X 0.5 X X '-1.08 X $424.31 X X $424.31 0.5 X 3.<t{Q 4. SANITARY SEWER-MWMC ~ NO. OF PFU'S ?1!J"?7x $15.125 PER PFU + $10 MWMC ADMIN. FEE $ 5",q~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) Llf2~ ,,!i . TOTAL-MWMC SDC Go ~ , I 1..1 SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 5..,'1 & - 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ( 1-7-+~ ~~L~ . ~p Burdick SDC Coordinator 7 /")./~i'~ I I TOTAL SDC $ 57''?!:!:.. FIXTURE UNIT,CALCULAaN TABLE: Numbcr of Ncw Fixtures.t Equivalcnt = Fix1ure Units (NOTE: For remodels, calculate only the NETWitional fix1ures) .--:: . . . NUMBER OF UNIT FIXTURE" -. FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub.............................. ................. ... ........... ........ Drinking Fountain..................................................... Roor Drain........................................ .......... .... .......... Interceptors For Grease/Oil/Sollds/Etc...........:..... Interceptors For Sand/Auto Wash/Etc.................. Uiundry TubjOotheswasher................................... . Ootheswa~~er - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F9r RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single.Stall................................................. Shower, Gang............................................. .............. Sink, Bar, COmmerciaL..m...................................... Urinal, StalljWaIL..........m..m.................................. Wash BasinjUivatory, Single.................................. Water Ooset, Public Installation............................. Water Ooset, Private............................................... Miscellaneous: 1. 2 1 2 3 6 .2 . 6 6 1 3 2 I/Head 2 2 1 6 4 /4- ." TOTAL FIXTURE UNITS 1l ,...,. /9. /13 ;5?:>7 Based on assessed value. If improvements occurred after. annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed CREDIT' CALCULAT10N TABLE: calculate credits separates. I ,I 1979 or before 1980 1981 1982 1983 1984 1985 $3.21 3.13 3.08 2.96 2-82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 Rate per $1,000 ~ Assessed Value $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 I. 3.1-1 X $ 52.54 -Lt,8~ (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ j b f( ~ Credit for Parcel or Land Only If Applicable Improvement (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 '.. SP~'ELO The following projocl as subm.mc~;r"'!~~~ ~c zoninG, and .joes- not (squIrt: ",Pc..'V1 ~c 225 FIFTH STREET approv,!. ELECTRICAL PERMIT APPLICATION SPRINGFIELD. OREGON 97477 Zoning ~. r, INSPECTION REQUEST: 726-3769 Ci ty Job Number '1 3()q 10 7 " OFFICE: 726-3759 Date Ci, 1.-L:.q'.2.. ~^",,-_, ' . . d S' natur. ~V" cunPLETE VF.F. o::r.nEDULE BELOII 1; LOCATION OF INSTALLATIONAuthonze 19 . h r'J'X I 1!'VvJ tin Sf- A. New Residential-Single or -- Hulti-Family per dwelling unit. LEGAL DESCRIPTION Service Included: 170 7"::>;-::>.,d \ n?'AYJ Supervisin ~_J1. r::,,....' t1 . 11 N9:me T v~<, /t(;yyJ 1'I!f/--nM fn /"1 LJ ,,--Y' ~ut Ie- 0--" Ph:ne 7717 L/l/ c;.. ?&tJ / JOB DESCRIPTION +€'AM? Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. '2.' CONTRACTOR INSTALLATION ONLY Elee'trieal Contraetor..:::J KG, E (,N'r- Address '2\67 City '-.~ Vh V\ S+- Phone (L\ 6 ~l-/b& (3)48s IO~/.q6 Supervisor License Number Expiration Date Constr Contr. Number i{~IZ-'1 Expiration Date '-I - ZJ.f -q J 'iI Owners Address City 011NER INSTALLATION The installation is being made on property I ovn vhieh is not intended for sale, lease or rent. OVnersSignature: " DATE: ~~-i~~1~-~---------------- ~"r..ln I:' I DdP&J RECEIvED BY: 1\ ,\~ Items Cost 1000 sq,ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 ,401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 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 S 40.00 $ 55.00 $ 80.00 see "Dn volts '-- D. Branch Cireui ts Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 M,"., ~ Stim LfOl5(j above E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40,00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 40. 0lJ 5% State Surcharge L'{)D. TOTAL L) 7 .60