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HomeMy WebLinkAboutPermit Building 1994-7-12 COMMERCIAL/lNDUSTRIAL. PERMIT APPLICATION ~ 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' 5" 8 92 ASSESSORS MAP: ,(1 rA.?<\-?-.':4.. OWNER' SO 1/. J:: j, ~n _<; ADDRESS: $755 Eh?pr"alrl, CITY' ,::::; v C;Pn (? ~ /'1c; , ';7 STAT'" . q41rft r; JOB NUMBER INSPECTION LINE: 726.3769 OFFICE: 726.3759 S;;ru1Qf)el-! (/-"1;:) 3. TAX LOT: ffi.c::.,\ 0 PHON'" C;87- 8/67 C)~ ZIP' 97'/' 05 DESCRIPT~N OF WORK: \ 12 a N\ nr\ olL ~ W ~ tv NEW V REMODEL ADDITION D~OLlS: \)J OTHER ARCHITECT: NAME /1/0",<",. ADDRESS VALUEJJ5,rYn I PHONE CONST. ADDRESS CONTRACTOR' c:::;~ ",I. 8'/~/() .s;,/),J....d,.",,)/;!/...E'<i ~G I ' CONTRACTOR'S NAME GENERAl. r:::-~r"on,....u'C; , . PLUMBINC" '7 u..>,~ e:.JPr 5 MECHANICA' . !-Ia r 11''' lA t::;:;", r "f" ELECTRICA" 8::.7,'/r/,.;..'5 F/.-('70'. PLUMBING NO, FEE CHARGE :5e p 6-,~ low I l I I Backflow Device / \Y t~....,n,n~'7 a~>.. /5 ~:";i- s /;"'?rY/ .PrCJhf <7",( ~t# o (/ d // ~ "P u...1 ,f"'i, i).r,~'1 f /' ~DDflll(~ 1 Sf;' ~K . 1-'''- I I Tt).t.~T iw.#'. I ~ I 4' Single Fixture Relocated Bldg. (new fix. addU) Water Service It. Sanitary Sewer It. Storm Sewer It. .. TOTAL PERMIT , I I "'" I I 'I I I I I I / I I I . PermIt Issuance 1 TOTAL PERMIT aUAD AREA: 4;Q1\.")l( ~ - O~E US~ LAND USE: ('J..?(f'>y. . OF UNITS: . OF BLDGS: OCCY GROUP' \~ CONSTR. TYP'" . OF STORIE~' HEAT SOURCE: sa. FT. $fsa. FT. sa. FTG MAIN sa. FTG ACCESS sa. FTG OTHER x ~ x (/B/.S~ PLAN CHECK FEf \\(). 6-~ RCPTN \'?,~")() I BUILDING PER~ /7.t::'.S'e> PLUMBING J 15% State . ~ ~.~~ 5% State ~r~ SurcharQe Surcharoe I MECHA~~ /0 '4-- FENCE /.~- VALUE $ 5% State ~ -~~ SIDEWALK Surcharoe ~ ~ ., FT. PAVING I CU RSCUT FT. EXPIRES PHONE 8R 9(-.v 2-)2-95 "7'85-5 '3'Z/ ~) ~V'" / ./ ti\;--:;-. ~\\n " MECHANICAL . I I I I ~~~ I r.~Al::In~ Furnace/burner & vent < 100.000 STUs Furnace/burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent FanfSingle duct Vent System apart L' ..J.... from AC or hlg. ex /.. }/-.:"o (J n: OJ . Mechanical exhaust . hood and duct rl"'dL/ -of- 1"7 n 1'1 ~/#, I I I $10.00 I /5'.-1 HANDICAP ACCESS: FLOOD PLAIN: ZONING' LIGHTING POWER BUDGET: WATER HEATER' VALUE TOTAL VALUE OF PROJECT L'? ~ DATE -1JA, .<1 LI BY ~{j\,oJ ^ - DEMOLITION I I 1 :2 St'2. 7'S" I I'j/H .f1/" I - 7.t:'_ . /.::>0" .~P SUBTOTAL PERMITS SYSTEMS DEVELOPMENT I 'Y/2 . ~9 TOTAL PERMIT FEES EXCLUDING ELECTRICAl - 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. y ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work Is to be covered unt1l these Inspections. have been made and approved. PAVING: After gravel Is In place but prior to placing asphalt or concrete. , - 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. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special Inspector shall be employed by the Owner/ Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. ATTIC DRAFT STOPS & CURTAIN WALLS /' 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. STRUCTURAL CONCRETE: In excess of 2500 PS.1. (306 a.l) 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. STRUCTURAL WELDS: Performed on the job. (2722 f) ,K , 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. ~.,~ ""'ll1ec & SEPARATION WALL: Located and constructed according to plans. HIGH STRENGTH BOLTING: During 'all bolt Installation and tightening operations. (306 a.6) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer. storm sewer, water and drainage lines. To be made prIor to covering or filling trenches. SPRAYED ON FIREPROOFING: UB.C. Standards 43.8. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of floor insulation, decking or floor sheathing. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.ll & Chapter 29) -L 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 UB.C. STDS.25-10,ll). POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing. STRUCTURAL MASONRY: (306 a.7) 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, 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. Oln 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. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACli APRONS: After forms are erected but prior to placing concrete. y 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. I-Y FINAL ELECTRICAL FINAL MECHANICAL 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. y V FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: ~ PLANS REVIEWED BY / -!...-~ -,V'p. ' ~ ~' ./ DATE_~-7'-7"" By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information heretn 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 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 al.1 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 during construct/on. Slgnat~Jrf' Datf' VALIDATION: AMOUNT RECEIVED: / ~7. 2'9 / Y2 "3' "3 RECEIPT N' DATE PAID' RECEIVED BY: g- $-~ y /'2~....,_.. '/~ / / ,/ . ATTACHMENT B1 . JOB NO. '1 fI/"-? r CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE ~,.t- '1i'/of-"ii- WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: s..c.rtI;( ~ LOCATION: S-f'l2 r--. /;,l~, dJ l'T :3 DEVELOPMENT TYPE: ~ ~L ~ ~ + BUILDING SIZE: I.OT SIZf 1. ~TORM nRAINAGE SQ. Ft. IMPERVIOUS SQ. FT. '~Y X $0.209 PER SQ. FT. $ /1M / 2. SANTTARY SFWFR-r.TTY NO. OF PFU'S 5,Ce &/CK (See Reverse) 3. TRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP ('~II. ~ F ;: Ie-r. I. U X 2.,).1 X $436,19 X $43.26 PER PFU $~ / $ 111:5,8"5 X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1.2. & 3) $1113, 1f~- 4. SAtilIARY SFWFR-MWMr. NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ ~ (Use PFU Total From Item 2 Above) RPMol>4:L... MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ~ TOTAl -MWMC SDC $ tVA / SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 11I.5.'ii'r 5. AnMTNTsTATTVF FFFS BASr CHARGE (SU .T AL ABOVE) X .05 ~~~ Date: "-~5"-9fL ~ Ha ornig P E. SDC, oordin r $ S-S:(;'l . 'TOTAl' sac ' . $ 1/1;.'1->'7: B2.SDC '. FIXTURE UNIT CALCULA Tiel TABLE: Number of Ncw Fixturcs "'it Equivalcnt = Fixture Units (NOTE: For remodels, calculate only the Nfl additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.....................................,.............................., . Drinking Fountain............,........................................ Floor Drain................................................................ Interceptors For Grease/Oil/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/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.......,....................................,.... Shower, Gang..........................,............................ ,.. Sink: Bar, Commercial, Residential Kitchen........................ Uri nal, Stall/Wall..:...... .......................,....................... Wash Basin/Lavatory, Single.......,.......................... Toilet, Public Installation...........,............... ............. Toilet, Private.........,...... ....................................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 1 1 6 4 4 TOTAL FIXTURE UNITS = s-,If CREDIT CALCULATION TABLE: calculate credits sep'arates. 'I Based on assessed value, If improvements occurred after annexation date in table, Year Annexed Rate per $1 ,000 Assessed Value Year Annexed Rate 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 .' n_._ _. ... ---. Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Credit for' Parcel or land Only If Applicable = CREDIT TOTAL = $ 7? /J;JrJ1"110f'if ~A Wpf)IT~ II/'FVl ~ u.,.,h ~ o/~ ~(~ ~).:, '~~//<-' ..:~ C?~~). fS--q/): ,?/.E-j)/T t1;.1u.$~/) .::-<c..~ r/lgU ;:o.ee IIYE-T ?F?I FoR r/f/.s pG.e.m/T.