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Home My WebLink AboutPermit Building 1992-10-9 ~::....... . COMM ERCIAL/I N DUSTRIAL PERMIT APPLICATION ~ 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' S39S mft/fJ ;;, /1023342 SPli. I "1-!1€L..l> ASSESSORS MAP: ~ . ' JOB NUMBER~l4l~ INSPECTION LINE: 726.3769 OFFICE: 726.3759 OK TAX LOT: 33DI OWNER:J.V~I\lI)Ft a...t.J\:. . ADDRESS: 7. D.6V)( J / CITY: "1HtA'i<5IDN, ()Tl N\; L-tn 10 ~~'l L ('r~p~ PHONE:--2).b b :reCl STAT~' Ol< ZIP: 914R? DESCRIPTION OF WORK' 4~177Jw"d).J 0-1- ~6T"f"77"lI.QAAJr "'z5" I '-Do",,,- 1 NEW \( REMODEL ADDITION DEMOLISH NAME ADDRESS ARCHITECT: CONTRACTOR'S NAME GENERA' ,Ol2E6nv~,n1)V C:;Vr,; PLUMBIN'" In'"''' C'!?oS"" 1 MECHANICA' . ELECTRICA' ' /(Eui 0) 5c..HFt(€O ADDRESS 893 II) O/.7'dOlJt'iK.? KD 18/ W. 97k Jupc,T""C7" I 532. l../,Jco..." 51 t:./.t9UE. PLUMBING OTHER 0.;;;" /5ptUJ PHONE CONST. CONTRACTOR' ii' PHONE MJ-Qj,/'1 ~98 -(.3M ?'4DCJ"5 ') 088'( .,j<1'f-J8ol ~" t:'cc MECHANICAL I "UOD,Gi I I I I I I I I I $10.00 I I NO, 8> Single Fixture Relocated Bldg, Inew fix. addtl) ~ rWater Service It. FEE- CHARGE /0 ~ ~ 2-:> /~ I~ "'., ';Iv" Sanitary Sewer I Storm Sewer I;: Backflow Device I I I I I I TOTAL PERMIT ft. It. /~C> TOTAL PERMIT Permit Issuance QUAD AREA' ~ ~ . OF BLDG~' - \ - OfJI9E USE - LAND USE: .... >...Yn . OF UNITS' {/5- CONSTR, TYP~' OCCY GROUP' \ HEAT SOURC~' . OF STORIES: SQ, FTG MAl N SQ. FT, .t../-&'I-?625X $/SQ, FT. SQ, FTG ACCESS X SQ, FTG OTHER p~.r- p-;,:~~ ~C~ PLAN CHECK FEE ~ I . ~ ~ RCPTK I ~ Furnace/ burner & vent <100,000 BTUs Furnace/burner & vent > 100,000 BTUs Floor.furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationaryevap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct HANDICAP ACCESS: FLOOD PLAIN' ('r.! _ ZONINC"" V'_ LIGHTING POWER BUDGET: WATER HEATER' VALUE / <;",<-_ c..- ;; p~&> TOTAL VALUE OF PROJECT /?, f~ = "" DATE f.'().q~BY ":f)ff){)-- I BUILDING PERMIT 15%' State Surcharge 1 MECHANICAL 15% State Surcharoe 1 PAVING . PLUMBING 1d~50 oS'.'~ 3 5% State SurcharQe I FENCE VALUE $ 1 SIDEWALK 1 CURBCUT FT. FT. , 'DEMOLITION I I I . jp973 j' .*-Z~I~~,~ .... . SUBTOTAL PERMITS SYSTEM S , DEVELOPMENT -Z 7' 2.< . 't '7 ~ .. -.'. ~~--.--~- I J 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 8.rn. 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 setu p of forms. x UNOERSLAB 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 steer 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. x 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. x.. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work Is to be covered until these inspections have been 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 OwnerJ 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.S.G. 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 U.B.G, STDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7) "In addition to the inspec- tions specified, the Building Official may make or require CURB AND APPROACH other Inspections of any ROOF SHEATHING AND APRONS: After forms are construction work to ensure NAILING: Prior to Installing erected but prior to placing compliance with the Building, any roof covering. concrete. City or Development Code. --Y-FINAL~LUMBING-----------~-SITE~LAN~EVIE~;OA~O:Mus~~requeste~~~~~:::; 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 Y FINAL MECHANICAL ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing Inspection. -( FRAMING: To be made alter 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. 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. RECEIPT N' AMOUNT RECEIVED:' .:?~.z::.>, 99 /t'?J'70:2... ,( 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. - x FIRE & SEPARATION WALL: Located and constructed accordi~ to plans. n\-/";>- / r .( ;.('" '/Cf:> L/w ~ 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, i FINAL FIRE DEPARTMENT ADDiTi)~\,~M~TS~A ,[)~, \q~ \cIJ\t'\I\JW f \J\cjUrtuLL\~~J.O ~ V4L /'1, "if5fJ ~ . (\ 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. x PLANS REVIEWED BY // ~---~ DATEk/2.:J'~ .4--- - ----;- - -c/ By slgnature,l 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 Ordlnance~s 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 proje;::t 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-an-"" times during construction. Slgna;Ure ?77;,/~ r; ~ VALIDATION: Date q~ 27- 97 DATE PAID: RECEIVED SY: 9- Z?S93- ~-~---,~.. .,/ I ,~ __ .B NO.qz..\c..\-IS CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: \A1A~DA J M \ lo:i 0'" A~~L-L LOCATION: s?-,<'\S r-A~\N 6-'1. II o "2."?'?Lf "1.- -7;:>"?O\ DEVELOPMENT TYPE: c.c.. - ~,..t.M..1U'<t..1"1" BUILDING SIZE: '2-'2--(-'2-"2- I. STORM DRAINAGE IMPERVIOUS SQ. FT. ).../plolE. AC>?E:.b X $0.192 PER SQ. FT. .LOT SIZF ,SQ. Ft. G-e-) ....... --- 2. 5ANITARY SEWER-CITY NO. OF PFU'S IS (See Reverse) . X $39.78 PER PFU C "?'\ (,.0 ......... ---- 3. TRANSPORTATION ~u.~,..et> \'\'..\1' ~ie ~ '\ . C, NO OF UNITS X TRIP RATE X COST PER TRIP X X $401.05 X $401.05 X $401. 05 ~?sl'>\') ~ ---' ,L{B'f xl,S $ X $ SUBTOTAL (ADO ITEMS 1,2, & 3) $ '2.0 '?"2. Sj 4. ADMINISTRATIVE FEE~ ~ ". BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ --- TOTAL - C ITY SDC $ "Z.\SS'j:. 5. 'SANITARY SEWER-MWM( NO. OF PFU'S IS x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 'Z.lY-"!.!'" (Use PFU Total From Item 2 Above) $ '?l.o l~ TOTAL-MWMC SDC~ TOTAL SDC $ ~~\~'2-~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~. ~~L~ \O}'t-/'12c \--~\\ Kip Burdick I SDC Coordinator ,~ . r~ FIXTURE UNIT CALCULATION TABLE: Number 01 New Fixtures X Uni~uivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE TYPE 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, Commercia1..,....."..,......",...."..,.".,....,.... Urinal, Stall/Wal1.......,..."...........,..,..,...,....,.....,.....,... Wash Basin/Lavatory, Single...,."...,..,.,...."...."....., Water Closet, Public Installation......,.....,......,........, Water Closet. Private,......,.....,."..".....".....,..,....,...., Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 \ -z. \ TOTAL FIXTURE UNITS . FIXTURE UNITS '2 '? '2 -z. c... \S Based on assessed value. If improvements occurred alter annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates. Ir - 'I Year Annexed -.- ~ .- ~- Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 $2,83 2,76 2.71 2,60 2.46 2,33 1985 1986 1987 1988 1989 1990 1991 L c; lit G,~ -Z,t>? X $ \q'i/c, (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL r'il = $ C;(.. - = Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) ~ Rate per $1,000 Assessed Value $2,16 1.90 1.60 0,25 0.87 0.50 0,16 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residentia1..............,.....,.....,.........,..,..,............. 0,4 CommerciaL..........,....................,......,......,..".. 0.9 I nd ustria1. ,...."......,... .......,...,. .........,.,................ 0,45 G overnmenta1....,........., .....,.....,...............,."...., 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT