HomeMy WebLinkAboutPermit Building 1995-6-29
~J
rJ COMMERCIAL/INDUSTRIAL.
~ PEF,lMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
~
'-OB NUMBER ~-'5"z::>2<;-/
INSPECTION LINE: 726.3769
. OFFICE: 726,3759
~~P"?~ C 7- ~ Y'53 ')
LOCATION OF PROPOSED WORK' ~.8 '!) /~4~/.h' 7"'
ASSESSORS MAP' J7-L':2.~~C;"'- -=5?:
OWNER:~..p' h3!;:H,!-.'7- . PHON~'
ADDRESS: -:J.~ Y7 / ~~~ y~ ~
CITY' 6Z~;Z::~~ STAT~' ~??_
r
TAX LOT' ~/~C:::,
~~?-"'7~~
ZIP;
9">~~
DESCRIPTION OF WORK: ~~-.;
. NEW ,,~REMODEL ADOITION
NAME
ARCHITECT'
CONTRACTOR'S NAME
GENERA' .~.H"" /"" ~k-~-:v"
PLUMBING'
MECHANICAl'
ELECTRleA' .
I PtHMl.ItNG
~~ Single Flxlure
I Relocated Bldg.
(new fix. addlll
Iz~ Waler Service
II.
/64G Sanitary Sewer
fl.
~12. Storm Sewer
fl.
:z. Backflow Device
I
I
I
I TOTAL PERMIT
aUAO AREA: 4.(' ~\=
. OF BLOGS'
OCCY GROUP:
. OF STORlE~'
\~?-
sa. FTG MAIN
sa. FTG ACCESP
rOCfj(o'
,
, sa. FTG OTHER. ~1Q~
z.......="'~-.~~)Q=.=-. ..:_-/~:;!.?/- f'5;-7.F.~):....
DEMOLISH OTHER VALUE:
ADORESS
PHONE
ADORESS
~~x.:;:>-~r
T-~ 9::>2.,",~.
CaNST.
CONTRACTOR'
PHONE
EXPIRES
77/96 ,
/'::>-.$'99, . .?..S!:<;/.-//~3
, ~ .
~
~'\\
.~, ~
. i I ME~H~L
'O&L CHARGE I I Nn
/P $/ Furnace/burner & vent
~_.. < 100.000 BTUs
I I Furnace/burner & vent
> 100,000 BTUs
??-. -I I Floor furnace and venl
5"~-1 1 Suspended wall or floor
mounted unit heater
/~.-I I Appliance Vent
separate
~---1 I Stallonary evap.
/tt::' cooler
I I 1 Vent Fan/Single
duct
. J Vent System apart
from AC or hlg.
I z Mechanical exhaust
hood and ducl
I II ~~$ ?9~
I Permit Issuance
, ~'-"I TOTAL PERMIT
1:'1:'1:' ('1-a6Dnt: I
b...... ~ y"t
J
3.-
~~
.1iJ>
j
?---.]
~.7~J
$10.00 j
7"/~j
- OFFIC~U'V.1
LANa USE: ....")~
HANOICAP ACCESS'
FLOOO PLAIN'
{\,~
. OF UNIT~'
20NING'
eONSTR. TYPF'
HEAT SOURC~'
LIGHTING POWER BUDGET:.
WATER HEATER:
$/sa. FT.
VALUE
-~~~f('-:"'-; - - ~/.s;.e2.C>.-'"
X
X
4~M4?~VE~>" >.
. ,
~,~'Y":~
TOTAL VALUE OF .PROJECT 2'9~ ~ sr. C>-co
,
OATE "7-2~-'9:'>BY
V A...::..:~ -
~~~!;I~~_EJ.,3~~r>, ."..<:;85P~., /6~
~ ..- -
1 BUILOING PERMIT ' 6?P, '2?
15% Stale -:;I y..!f>/
Su'char~e "26>.1l?9
I MECHANlCAL'''';o I'P.--
~Au7' "..../ ~
15% Slale "'5 :z .CS
Su,charoe ... " /. -'2 il;"'
I PAVING . "3!74. "'.0
~t?.::. P.!./~ /.)'.:9J.-Y /~
-:5P ~ pZ"r65'/? c-7..> /;;
i ,,/
. PLUMBING I '1~.'-- OEMOLITION 'J
5% Stale r~ -::(/. ':)t:> ~?'~<:.~W
Su,charoe ~ .i2. 1!F4!> ~>>E__r-e:: /d>z. <57 I
e~~tfEE f~..t; A!>~'" . -1f'. -- ]
SIOE'~ FT. ?~. /~ ~~~~~L /712. '7'7 J
CURBCUT I '6S SYSTEMS ..II. . 'b"l ~
,1'~7 /~3'V FT. ~. I DEVELOPMENT ,'f".?1 ,~\'l- -: N-f
~~~~~~~-" IPVG #~Joy I:s, r:?7./iJ2~'
. 'TOTAL PERMIT FEES '17L'....E/"-=< ~p.,..... ~~ .,
EXCLUDING ELECTRICAl Ycr' ..-,/. '" -... ".--. ~
A
REQUIRED INSPECTIONS . '~
It Is the responsibility of the permit holder to see that ail Inspections ere made at the proper time. To requeat an Inspection, cail
726.3769 (recorder), state your City designated lob number, Job address, type of Inspection requested and when you will be reedy
for Inspection. Requests received before 7:00 a.m. wlil be made the same working day, requests made after 7:00 a.m. wlil be made
the foilowlng work day.
SITE INSPECTION: To be
made alter excavation, but
prior to setup of forms,
.
.x
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
~
FOOTINGS & FOlfNDATIONS:
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 alter ail Ins'ab building
service equipment, conduit,
piping, accessories and other
anclilary equipment Items are
In place but before any
concrete Is placed,
;<
UNDERGROUND: Plumbing,
electrlcel, gas, sanitary sewer,
storm sewer, water and
drainage i1nes. To be made
prior to covering or filling
trenchea.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Instailatlon of
floor Insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to Instailatlon of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Instailatlon of
decking or floor sheathing.
MASONRY: Stee' location,
bond beams grouting or
verticals In accordance wi th
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Instaillng
any roof covering.
.. .
,K
v
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
Inspections have boen made
and approved.
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 foilowlng work. A
copy of the special testing reports shail
be furnished to the Building Division.
/(
ATTI()(ftflAFT STO~&
CURTAIN WALLS
.J(
FIREPLACE: Prior to p'aclng
facing materials and before
framing Inspection.
FRAMING: To be made after
the roof, ail framing, fire
b'ocklng and bracing are In
place and all pipes, chimneys
and vents are complete and
the rough electrical, p'umblng
and mechanlca' are approved.
HIGH STRENGTH BOLTING:
During ail bolt Instailatlon and
tightening operations. (306
a.6)
STRUCTURAL CONCRETE: In
excess. of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the lob. (2722 f)
A'
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wail covering Is
appiled.
FIRE & SEPARATION WALL:
Located and constructed
according to p'ans.
SPECIAL GRADING, "
EXCAVATION AND FILLING:
During earthwork. (306 e.11 &
Chapter 29)
SPRAYED ON
FIREPROOFING: U.B.c.
Standards 43,S.
A'
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 appiled or,before
gypsum board Joints and
fasteners are taped ana
fln'shed.
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).
STRUCTURAL MASONRY: (306
a.7)
A'
SIDEWALK' & DRIVEWAY:
Required for ail concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub,base materia' In
p'ace.
'In addition to the Inspec'
tlons specified, the Building
Official may make or require
other Inspections oi any
construction work to 'ensure
compilance with the BUilding,
City or Development Code.
x
CURB ANO APPROACH
APRONS: After forms are
erected but prior to placing
concreto.
v
FINAL PLUMBING
-------------------------------------------------------
y
x
FINAL ELECTRICAL
y
FINAL MECHANICAL
)(
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARO: Must be requested 2 days In advance
of the date you wish Inspection. All project conditions such as
'andscaplng, parking lot striping, etc. must be comp'eted before
requesting this Inspection,
X'
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.
t~r;~~c~S~4Cn, \~\\O}[ort: \C\l(f)
~)X<..t'.~ (Ac.,.()'lA\o '. i H,1)ltlrt 1\ \oiL\:-
(\ - -' -:>
'PLANS REVIEWED BY/' k-~.,..."""~ v~ DATE 4/./$1''7'::>
L // --,.--
By slgnature,l state and agree, that I have carefully examined the comp'eted 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
01 the City of Springfield, and the Laws of the State of Oregon pertaining to th'e work described herein, and thai NO OCCUPANCY
will be made of any atructure without permission of the Building Safety Division. I further certify that on'y contractors and emp'oyees
who are In compliance with ORS 701.055 will be used on this project.
. .
I further agree to ansure that all required Inspectlo~s are requested at the proper time, that project address Is readable from the
slreet, that the per .I card Is located at the front of the properly, and the approved se't. of .p'sns will remain on the site at all
times during structlon. . .
Slli~a!Urf'
--'
~ "'.
AMOUNT RECEIVED:
RECEIPT ..
" .
~
Oat.,
~-2.S-1:s
/::?_ <;/-=< 7 ~
, '
/~<..": .
~-::;;?7',"i?5
~-~
e-r-
DATE PAlO:
RECEIVED BY'
.
.B NO.9 SO'2- S I
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: 001-l-.i-4 Se>C:.~L-Y
LOCATION: "=>'OS\ MA:\N. S"I.
CHARGE
",
I( b'2-~4~? - 00 (DC>
DEVELOPMENT TYPE: Qc...: ~,- YOOD l<E:.S-rA,uR-At-l-r
BUILDING SIZE: -z.,q I'? SGl.. T-\ .
1. STORM DRAINAGE
LOT SIZE
IMPERVIOUS SQ. FT.
~C;90?
X $0.209 PER SQ. FT.
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
4("
X $43.26 PER PFU
3. TRANSPORTATION ,
Coo\;!. e-.,,, 'rA<'''- f=>D RP<;;rAU1UH,J,-'
NO OF UNITS X TRIP RATE X COST PER TRIP
'l .a, \ S
X "2..0.0 X $436.19
X X $436.19
X
X $436. 19
4. SANITARY SEWER-MWMC
NO. OF PFU'S 4-<.. x $17 .19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SOC
SUBTOTAL (ADO ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE)
V. 1:-s;:-. _~.Je
\.J Ki P -Burdi cl<
SDC Coordinator
X .05
Date: 4 /14 /4~
, I TOTAL SDC
SQ. Ft.
~ SO?''?) ',u,w
"--------
GI"" ~PI~ A/dW
'---.. ...-/
~S.42."\~P~
~
$
$
$ Boo ,4
$ IBB'Z-2:,
~I/~
---- ---
$ ?"1?~Co ~
~ - ~ ~~. "'fJ A'w
($ \ '1 '1 r.. 'is~ )1':170. f9
'-- ...-/ lJ~/J~
$?J?\2-8'\
. /0 6/~.P";;?, "7':" . ' .
::ItS 7~. ~? $$~
FIXTURE UN.I~ .CA-i,.CULA ~N TABLE: Number of New Fixture_nil Equivalent =. Fixture Units
(NOTE: For remodels. calculate only th~ addilional fixturesl
NUMBER OF UNIT FIXTURE "
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
:z.
\
".;>
~
2
1
2
3
6
2
6
6
1
3
.2
1/Head
2
2
1
6
4
lfa
Bathtub..,....."".,..,...."".....""...,.,..".""..,..,....,..,"",. .
Orin king Fountain. ......................................-.............
Floor Drain/' f.),!~!>,~, ,~!~,l',.. ,..,....",.",..".",..",.....,"',.,
Interceptors For Grease/OiI/Solids/Elc..,....,....,....
Interceptors 'For Sand/Auto Wash/Etc....,..........,..
Laundry T ub/Clotheswasher...,...,..,."""""",....,..",
Clotheswasher, 3 Or More...........................,...,.....
Mobile Home Park Trap (1 Pe(Trailerl,........,..,..,:,
Receptor For Refrigerator/Waler Station/Elc..,...... .
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single StalL.....,.....,..............,.,..................,
Shower, Gang................. ,.....".. ....' .., ... ... ..".,.... ;',' .,..
Sink: Bar, Commercial, Residential Kitchen.........................
Urinal, Stall/Wall.............",...."......,...",............. ........
Wash..Ba'sin/Lavatory,. Single",. ..,..",.".....,...,..........
Toilet, Public Installation.....,....,..".",....,...,............
Toilet. Private..........,..,............"........,.............:.,..
Miscellaneous:
p,
":>
4-
'l..
~
\1",
.~. :."..:",
TOTAL FIXTUflE UNITS
410
CREDIT CALCULATION TABLE: Based on assessed value. If improvemenls' occu;red aller annex~ti(;'n date in table,
calculate c:edils separates.
I:' .~. .
1979 or before
1980
1981
1982
1983
1984
1985
$3.46
3.38
3,32
3,21
3.06
2.92
2,73
19B5
1986
1987
1988
1989
1990
1991
1993
$2.46
2.14
1.77
1.37
0,97
0,61
0.44
0,15
I
1
II
Year'
Annexed
Rate per $1.000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
Improvement H,f after annexation date)
? .+l.. X $ '54-.4-
- (Rale X Assessed Value)
X $
(Rate X Assessed Valuel
1'"6"l, '2-~
.f 't ~".<,:redit for. P,arcel or Land Only If Applicable
=
., ,;",: . '.. ... . . ~.. .. . r
CREDIT TOTAL = $ l '59> 2-~
~. ...
II ," .i-....
.. "
.. . '.
'.;..... ..;,i ".. .
. '.
'OJ"'..
.. "", .w'
.
_DB NO.-=' <;'0'1-17 I
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: '3"0~~ (:,~'t::..~LY
LOCATION: '? 'OS\ MAIN S'"T.
CHARGE
\lO'1-~4~? - OD \00
DEVELOPMENT TYPE: Qc-: ~-r ~OOD ~S-r.....vR-A",..l:\
BUILDING SIZE: 7-QIC) SGl.. .f',.
LOT SIZF
. ,
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
SQ, Ft.
.~S90?
X $0.209 PER SQ. FT. E~ ~W
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse) .
-4-0
X $43.26 PER PFU
3. TRANSPORTATION
COtle, e-:o,"!> - I"AS-r FOOD 1<f,o;>-TAlJ1U'IN,
NO OF UNITS X TRIP RATE X COST PER TRIP
'l .q \ '?
X 20.0 X $436.19
X
X
X $436.19
X $436.19
4. SANITARY SEWER.MWMC
NO. OF PFU'S 4<0 x $17.19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total' From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBTOTAL (ADO ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE)
~t5. .L.k
, \,JKip"Burdick
SDC Coordinator
X .05
Date: 4- /14 /4~
, ( TOTAL SDC
~9 ~'p,~AI"'W
G?.4-2-"l~P~
______ ,r'
$
$
$ Bco ,4-
$ IBB'Z--z...
~ ~4I>W'
--.... -----
$ ?c, 0~Co ~ .
/"' - ~ ~At.. "'tJ Mo,
\$ \/,~"6~)i-:z?o.f9
------ ------ pQ7:;?~J:"
$?/?\2-89.
. ,
. /it) tt./~.p-::i? -'Y~
;;l67~t? ~7;Z$~
G/0~
'. (l
a}flJ
\.
FIXTURE UN.IT .CA,.LCULA ~N TABLE: Number of New FixtureaUnil Equivalent = Fixlure Units
(NOTE: For remoaels, calculale only th~ additional fixturesl .
. NUMBER OF UNIT FIXTURE '
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS .
2-
I
?
?,
2
1
2
3
6
2
6
6
1
3
.2
l/Head
2
2
1
6
4
I~
Bathtub....,.......... no.,..."""....,..",.."."."..".,....,..,...,'"
Drinking Fountain. ................0............... .......... ..........
Floor Drain/. f.),~~,~, ,~! .":','!;-....",..,...""..."..".."..,.",.",
Interceptors For Grease/OiI/Solids/Elc,....,..........,
Interceptors 'For Sand/Aulo Wash/Elc..................
Laundry Tub/Clotheswasher......,..,."...,."".,......."..
Clo~heswasher - 3 Or More....,................................
Mobile Home Park Trap (1 PerTrailerl......,..,....;,:,
Receptor For RefrigeratoriWaler Stalion/Elc..,...." .
Receptor For Commercial Sink/Dishwasher/Elc~.
Shower, Single Stall..........................................,......
Shower, Gang.................,.........,.. ..,.,. .......,.. .... .;,. ...,
Sink: Bar, Commercial, Residential Kitchen.........................
Urinal, Stall/Wall...............".. ...., ,.......,..... ......... ..;....,
Wash.Basin/Lavatory ,. Single.",..,...... ,.... ..... ..... ...,.'
Toilet, Public Installation..,............,.."....,....,..........
Toilet. Private.........,...",...,....,..."."",. ,.....,.....,:...,
Miscellaneous:
p,
":>
4-
'2.
~
If>,
.,' ~:...~ .
TOTAL FIXTURE UNITS
=
410
CREDIT CALCULATION TABLE: Based on assessed value. If improvements' occurred aller annexation date In table,
calculate credils separates,
r
Year'
Annexed
Rate per $1.000
Assessed Value
Year
Annexed
Rale per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
$3.46
3.38
3,32
3,21
3.06
2,92
2,73
1985
1986
1987
1988
1989
1990
1991
1993
$2.46
2,14
1.77
1.37
0,97
0.61
0.44
0,15
I
I
~ ,
Improvement H.f after annexation datel
?> .+(,. X $ '54-,4-
(Rate X Assessed Valuel
X $
(Rate X Assessed Value)
1'is"i,'2-~
:,', :<;redit foi- Parcel or Land Only If Applicable
=
,.....,
,
. ..~ "
CREDIT TOTAL
= $ 1'i)9, 2-~
, .
.' . 1 ..... ~
", : -'-"'. - ...'::'. .....
",':',
. .~.