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Home My WebLink AboutPermit Building 1993-7-14 . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION . JOB NUMBER 9~?B5'"' ~ INSPECTION LINE: 726.3769 OFFICE: 726-3759 225 Fifth Street, Springfield, Oregon 97477 'ijJ'p,~<iq ':;'''~LJ 6~ ~ , TAX LOT: .::::>=?{')CJ ( ;;J "6'C 0 PHONE: ~ i/t<:;O'l3? /7::)1.-37,;71 LOCATiON OF PROPOSED WORK' S? 10 1>14,'# ...,-;- ASSESSORS MAP' / ") ,- ~).:2 - 3.? -- 411 OWNER' DrwAL,/ I) Rt'JA/r-/ . ;)ut../ A/ 'A", S'/ ADDRESS' crry. .,,;) ~L/ , STAT'" r;~ ZiP: 97<'/'77 DESCRIPTION OF WORK: ~dcl A 'i f /" X "~<I' IJuiiJ;;</Ci I~.e. - -J NEW REMODEL ADDITiON ---X- DEMOLISH OTHER ARCHITECT' NAME /\1;:;r:.?A{) M,.''/)e- ADDiJfSS /tJ?d f/';:I4Rl.s,- E"" CONST. CONTRACTOR # 97'1{J! PHONE () <?7-9 bOD CONTRACTOR'n NAME ADDRESS GENERAl' /c'/f;t;4k1 A 77/,'c../rZ"V ,',vI . , PLUMBING' ,ju / h-,R., /5,'C/ MECHANICAL: eAm/J{',{) e 14~ aJff..5 Ct -';..Ie... gOO;) /\Ie /h.dj/ CJ9'>>f- t::r'~VO:x:Ilf!! ~ ELECTRICAl' /\/,.;"aJ 014l/ /:'LcL- fJo J30x ,;)/503 6'--1 If'7<10:J. 6'fJ'G;;36~ NO. PLUMBING i FEE CHARGE I Single Fixture /~ ~-I Relocated Bldg. I (new fix. addU) Water Service I It. Sa.nltary Sewer I It. Storm Sewer ""'C? ,pI:> I/JI ft. Backflow Device ~ -- I I I I I I I ,6a,,2>1 TOTAL PERMIT ~t/idl/}"1,,417 L ,'Ac2. iJ.4 50 ~, 5 eo ""'" VALUE~-"': ~_ .r; :::23d 0 EXPIRES u ~.iI( PHONE 7~6 3058' MECHANICAL I Mn I:'C'L_Cl:tp.ot':!;~ I Furnace/burner & vent I < 100.000 BTUs Furnace/burner & vent I > 100,000 BTUs A. Floor furnace and vent ~~LL I Suspended wall or floor .iV- I mounted unit heater Appliance Vent J separate Stationary evap. I cooler Vent Fan/Single I duct Vent System apart I I from AC or htg. Mechanical exhaust I I I hood and duct --- ~/..Lt~#~ ~Q'I h5:-1 Permit Issuance I $10.00 I TOTAL PERMIT I I QUAD AREA: 4amr ) - OFFICE US~ LAND USE: .~?Jj) HANDICAP ACCESS' FLOOD PLAIN' # OF BLDG~' # OF UNITS: CONSTR. TYP'" OCCY GROUP' # OF STORIES: \ ; HEAT SOURC'" SQ. FT. SQ. FTG MAIN AfIZ' <4JtG: ~ X SQ. FTG ACCESS X SQ, FT~ OT,H_ER/.lJiv/M;;; / ~('=~~ $/SQ. FT. PLAN CHECK FEi: /~ 9~ RCPP &?F5r< I BUILDING PERMIT 15% Slate Surcharae I MECH~.h- 15% StAte Surcharoe I PAVING I -;Z~ _ _ I PLUMBING /~ ..,r- 5% State r -,. . &t;;;:;> SurcharQe _ S9) /P ~ -- FENCE . V .u~,...; ~--- VALUE $ (\J/'" 4") S- SiDEWALK........ - -,;? ....~ Fe 17"3. .""/> CURB CUT "",/ ~FT. ZONiNG: C'C LIGHTING POWER BUDGET: WATER HEATER' VALUE ~"""'-~~ ~~ IF . TOTAL VALUE OF PROJECT ~, - 7 ~ DATE ~-.'T-~? ~-- r- BY -',.". 6c:>, _t> 3'.- 6-: -=- /5:~ .?L;> 'Y.:::> , DEMOLITION I I I ~'T-~ 1-v,_O,c;,_ ff ....{o. =' . R'=S; .... _10.,,--.,:)- SUBTOTAL PERMITS SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAl tf?~ 2S . 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. I ' ., . y UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. x PAVING: After gravel is in place but prior to placing asphalt or concrete. x ATTIC DRAFT STOPS & CURTAIN WALLS SPECIAL INSPECTIONS: In accordance Section 306 of the)?l?fe,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 tl:le Building Division. 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 placing facing materials and before framing Inspection. '. STRUCTURAL CONCRETE: In excess of 2500 PS.1. (306 a.1) , , v 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 electric"'al, plumbing '.,~ \.. \. and mechanical are approved. STRUCTURAL WELDS: Performed on the job. (2722 f) 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. .\ .\ 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 \ )\~\ ~;6~\~" \:. \ . SPRAYED.ON ." -FIREP.ROOFING: u.Be. Standards 43-8. v ~ 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. 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.BG. STDS. 25.10,11). FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. STRUCTURAL MASONRY: (306 a.7) y 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. y MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. x CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ROOF SHEATHING AND NAILING: Pflor to installing any roof coverl ng. y FINAL PLUMBING 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. ~ .x FINAL ELECTRICAL v 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 MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' ..-? PLANS REVIEWED BY /~......" ///-_.:. . --"'> /...h;:"---- DATE . 7-.'" ?-/-:z~9'"7 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 durlt ..........)tructlon. Signature ~ ~_, J2 n ~ A=--- 0 Date 147 I Lt <\ 3. VALIDATION: AMOUNT RECEIVED: 1"3~2> RECEIPT': C;Z~-r DATE PAID: RECEIVED BY: 7-/'1-S'3 /2~ -;?- . . .OB NO. q~o7g5 CITY OF SPRINGFIELD .SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: DONALD P BOAlD LOCATION: 5810 MAIN 5-r _ ' /70 'l ? 3'-1 ( - 7.. ?OO' 'J,~(J() DEVELOPMENT TYPE: CG- AVTDMfTT/G &(l. WM>I-/ '8U)6- ,NEW f}:,.VIUb- , BUILDING SIZE: 1'- -!. 3'1- ~ 5'1-4 Fr 2 LOT SIZE. SQ. Ft. 1. ~TORM DRAINAGE, IMPERVIOUS SQ. FT. (pQS'-/ 2. SANITARY SEWER-CITY NO. OF PFU'S (., (See Reverse) 3. TRANSPORTATION X $0.192 PER SQ. FT. G7??5'2) --- .... X $39.78 PER PFU C:;~BG.i) --- ~ NO OF UNITS X TRIP RATE X COST PER TRIP / X <I. Y; 0 X $401.05 X X X $401.05 C;qZ? o?) ~ $ X $401.05 $- SUBTOTAL (ADD ITEMS 1,2, & 3) $ 34"1 B eA 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~17t./"If) ...... ~ TOTAL-CITY SDC $ ~lP(?~ 5. SANITARY SEWER-MWMC NO. OF PFU'S c;" x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ q I'.!: (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) Y.~~Lc.-L U Kip Burdick SDC Coordinator G, /1'5/93 . I $ AI.A . TOTAL-MWMC SDC~ TOTAL SDC $ 'O7~5~ FIXTURE UNIT CALCUu\ ~ TABLE: Number of New Fixtures X . Equivalent = Fixture Units (NOTE;. For remodels, calculate only the NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS Bathtub.................... ........... ........ ....... ........................ Drinking Fountain.. ................. .................................. Floor Drain.................................. ......... ......... ............ Interceptors For GreaseIO'il/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 fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single StalL............................................... Shower, Ga!ig...,...:................................................... Sink, Bar, CommerciaL............................................ Urinal, StallfWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation.............................. Water Closet,. Private................................................ Miscellaneous: 2 1 2 3 6 (0 2 6 6 1 3 2 l/Head 2 2 1 6 4 TOTAL FIXTURE UNITS (, CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits ~eparat:.~. -. II Year Rate per $1,000 Year Rate per $1,000 I, 1 Annexed Assessed Value Annexed Assessed Value 1979 or before $2.83 1985 $2.16 1980 2.76 1986 1.90 1981 2.71 1987 1.60 L .1982 2.60 1988 0.25 '1983 2.46 1989 0.87 J ,1984 2.33 1990 0.50 1991 0.16 Croo.it for Parcel or Land Only If Applicable N.A. X $ = (Rate X Assessed Value) Improvement (If after annexation date) X $ = (Rate X Assessed Value) " CREDIT TOTAL = $ --G- 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