HomeMy WebLinkAboutPermit Building 1994-8-12
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LOCATION OF PROPOSED WORt'.
ASSESSORS MAP: 17 - D 2... -
OWNER' Ye~r? J1 1< YL ~
ADDRESS: ..2/ <f' r We.s J. 024 i-4? ~,
CIT~' &,-t.., <;-e1.-(" STAT~V OJe{;-ZIP: 9;:)(7'O~
DESCRIPTION 0: wORK\.cID!\ r\'An<\ k> \ ~:.:\i\ SL L~~-) ..
, /' ./!.CS-0000"
NEW REMODEL ADDITION V DEMOLISH OTHER UE: .' '-
CONTRACTOR'S NAME
GENERA' . 0 c..z. VI.e V'
PLUMBING' E 1.01..-1'. v-c..i..of /I Q. /I-e.... ffJ lA.t..... ~ ~ Spn~'Id. 7,U. 095:;
MECHANICA" R'fd hle v-~ h eduf. ~v.eI q ill"c..:&<d,t;",.,/';" :Jou fl.'1A.v ~Ii-...,..,cftf'. ~iJ'f 1-
ELECTRICA" Hd-r, r-k's f?kd.--.~ rkw 2/ 2../ ('''''-'<id,~ or.- v ~ ~ :Jc, 3"7H.2
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CO M M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
225 Filth Street, Springfield, Oregon 97477
G"" 7 '''''tl'lr
ARCHITECT:
NAME
R.., ), H,'/i
E...'J I.,t'f';.-r",c..:.-
~
ADDRESS
PLUMBING
NO FEE
7 Single Fixture /t7
Relocaled Bldg,
, Inew fix, addul
Water Service
It.
<-",' Sanitary Sewer L.)U It.
......... Storm Sewer t... '5' l) It,
Back/low Device
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CHARGE I
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~5:"""1
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TOTAL PERMIT
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JOB NUMBER
q~/2-3~
INSPECTION LINE: 726-3769
OFFICE: 726.3759
S'pn'1<JLtf"/~ O~~
03001 <<-(
(;) 3 00 c)
TAX LOT'
..
PHON~'
6rPI> .;26 6.r-'"
c...,
ADDRESS
~ :n 3 5re s4- Lh
CONST,
co NT RACTO R ,
PHONE
PHONE
.1)<Y' '1116
EXPIRES
MeCHANICAL
f"':a.l6ar.1= I
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3'. -=-d> I
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$10.00 I
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Nn
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--
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
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or hlg,
Mechanical exhaust
hood and duct
!-~p
/
Permit Issuance
TOTAL PERMIT
~//Y
QUAD AREA' '..~~ 1\)(\ ~
- OgE UJ.!:. -
LAND U"~' 3uO
I BUILDING PERMIT I '""5:2$.- ' PLUMBING .f?/'l ...- . DEMOLITION
[5% State ;~ 16 . e.~ 5% State ~~ ~:~ ~~~,....
Surcharpe ..". ~ Surcharae p~~~
I MECHAN~? I t'P.~ FENCE
/.<;":- VALlt~ ~
15%Slale " ~ ...~ I SIDEWALK SUBTOTAL
Surcharoe ~ .0 FT, PERMITS
I PAVING I I CURBCUT SYSTEMS
FT, , DEVELOPMENT
. OF BLDG'"
. OCCY GROUp:n9--
. OF.STORIES'
, OF UNITS'
CONSTR. TYPF'
HEAT SOURCE:_
"
Sa. Ft
::Z";j'~
X
X
$/SQ,FT, .
SQ, FTG MAIN
SQ, FTG ACCES"
SQ, FTG OTHER
X
.'
PLAN CHECK FEE
-:2-/ ~. 10
/4,<,/n
RCPT'
.
HANDICAP ACCESS:
FLOOD PLA~' ^
ZONING': \:.G
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
-c-5'" ~, ~
;.
.-
TOTAL VALUE OF.PROJEI'"T
DATE. <g/I2;/rf BY
~~.
~
~/d?. 72-
J
9"".Ao/
, 1:bO 1'1/8+
;rJ
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TOTAL PERMIT FEES I
EXCLUDING ELECTRICA' ,
,~~ ~~. '7'<:> .
. _REQUIRED INSPECTIONS . . "
It Is the responsibility of the permit holde~ee that all Inspections are made et the proper time, To request an Inspection, call
726.3769 (recorder), state your City designated lob 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,
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UNDERSLAB PLUMBING.
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered,
J.
FOOTINGS & 'FOUNDATIONS:
To be made after trenches are
excayated and forms are
erected, all steel In place, but
prior to placing concrate,
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
anclllsry equipment Items sre
In place but befora any
concrete Is placed,
-L
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UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage IInas, 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,
POST & BEAM: To be made
prior to Installation of floor
Insulatlo.ll. 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 coyerlng,
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FINAL PLUMBING
%
FINAL ELECTRICAL
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FINAL MECHANICAL
Y FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT'" q~ ~
--f ~~/V' ~~~-:",-r
/h /~~<!?'"h.
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ROUGH PLUMBING,
ELECTRICAL &
MECHANI,CAL: No work Is to
be covered until these
Inspections hsve been msde
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 Owner/ Contractor during
construction of the followl ng work. A
copy of the special testing reports shall
be furnished to the Building Diylsion,
ATTIC DRAFT STOPS &
CURTAIN WALLS
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FIREPLACE: Prior to placing
facing materials and before
framing Inspection,
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 WELDS:
Performed. on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a,6)
STRUCTURAL CONCRETE: In
excess of 2500 P.S,I, (306 a,l)
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required yapor
barriers are In place but
before any lath or gypsum
board Interlor,wall coyerlng Is,
, applied. .- '. " , ._I~
SPRAYED ON
FIREPROOFING: U.B.C,
Standards 43.8.
';, ".
s'PIi'ciAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a,11 &
Chapter 29)
FIRE & SEPARATION WALL:
Located and constructed
according to plans,
x
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).
LATH 'AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
I nterlor and exterior, Is In
place but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished,
STRUCTURAL MASONRY: (306
a,7)
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SIDEWALK & DRIVEWAY:
Required for all concrete
paying 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.
,..~,
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete. .
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SITE PLAN REVIEW BOARD: Must be re '. :" .0'0"0"
of the date you wish In ,project conditions such as
landsca I g ot striping, etc, must be completed before
I ~/d/~>~ect~$YFC'.A""'~~.?; :v~...".;~p,,;:
X. FINAL BUILDING: Requested after the 'final 'plumbing, electrical,
mechanical and Fire Department inspections are made and
approyed, No occupancy of. the premises can be made until a
Certlflcste of Occupancy has been Issued by the.Bulldlng Division
and posted on the premises, .
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PLANS REVIEWED BY / /. ~ -1/~ -
. //r ,,/
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By signature, I stste and agree, that I haye carefUlly examined the completed application and do hereby certify that all Information
hereIn Is true and correct, and 1 further certify that any and all work performeq shall be done In accordance with the Ordlna~t;:es
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 sny structure without permission of the Building Safety Dlylslon. 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 requl,ed I.nspectlons are requested at the proper time, that project address is readable from the
street that the Rermlt card Is-located at the front of. the property,sndcthe approved set of plans will remain on the site at all
., .' .. .
times during construction,
~rl~ Date~197
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RECEIPT .'
AMOUNT RECEIVED: / d> tt: c:;- c,..'
/V?2~
RECEIVED BY'
VALIDATION:
,
DATE PAID'
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.B NO. 9-1/23?
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
.
ATTACHMENT Bl
NAME OR COMPANY: fpL .J!rt-<;L( ','1'-2,,(.$: tJ-9-9f1/U..l~,l'..:G.;fl~
LOCATION: 5" f;./o Pl~ 51 (r~ 7~ tt..)
DEVELOPMENT TYPE: ~ t. A/~ it/.
.I/'} 01 .
BUILDING SIZE: tJ4f.t(. "ts4J ~-l LOT SI7F
,
~Q. Ft.
1. STORM ORATNAGE FIG4{1/is)
r$Si1,~ )
IMPERVIOUS SQ, FT. .J..s-11 X $0.209 PER SQ, FT.
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2. SANiTARY SFWFR-CITY
NO. OF PFU'S . '1 X $43,26 PER PFU .~.~)
(See Reverse)
3. TRANSPORTATiON
r/o NO OF UNITS X TRIP RATE X COST PER TRIP
_ 2,3'" \
~1>A/e.~AJ. .~ ::-.~. X <;,"lo X $436.19
/He~('IIAHPISE
_:rNTB.(/I1~ X X $436.19
~899.2V
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$
X X $436.19
$
SUBTOTAL (ADD ITEMS 1.2. & 3)
$~.;,. /..:H'-
5' r;H./'i?
4. S8MlIARY SFWFR-MWMC
NO. OF PFU'S "1 x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ /30.S ~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ RE,Mot:>GL
.. IQIAI -MWMC SOr. $ ~
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
$ 4; _ .- _ J
S1:U,I6"
5. AOMTNTSTATTVF FFF~
BASE CHARGE (SUBTO
Ii
9 -,I" - 94-
Date: ~- yr'
~-:' ~
~-?G;~
ABOVE) X .05
TOTAl SDC
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<P 0 I '!: 8'f
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B2.SDC J'~P?# IY9~5'"""'
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FIXTURE UNIT CALCULAa>N TABLE: Nu'mber of New FixtU. Unit Equivalent = Fixture Units,~
(NOTE: For remodels, calculate only tar additional fixtures I .
. NUMBER OF lJNIT . FIXTIjRE
FIXTURE TYPE NEW FIXTURES EQUI.VALENT UNITS
:;..
Bathtub:......,..............:.......,:...::..........................:..,.;... .
D' k' F' " .
nn 109 ,ountam.........:.;.;......~.,;;:'.............................. .
Floor Dram.. ..... ........;........ ....; ,... .,''', ..,.......................
Interceptors For GreaselOiIlSolidsll;ic..........;.;..:.
Interceptors For SandlAuto WashlEtc...:......,.......
Laundry TublClotheswasher.. ...:.,....... .... ,.,..... ....; ;;... ....
Clothes washer - 3 Or N1ore......~;....:........................;..
Mobile Home Park Tr'}P (1 Per Trailer)..................
Receptor For Refrigjlfa.torlWater Si,tationlEtc,....,....
Receptor For COll}mercial SinklDishwasherlEtc..
Shower. Single .5'tall...............,........:.........................
Shower. Gang..........................:.:..................I'.......;.... .
Sink: Bar. Commercial, Residential Kitchen....:.:............:..:. .
Urinal, StalllW all..:...................................,....:...........:...
Wash BasinlLavatory. Single.....:.;..............:....:......:.
Toilet, Public Installaticln....... .":.: .,.........,.......;. ;;. ,;'.,.
Toilet, Private.......: :..:.. .....,. ;:..;.~ ;:;;:.., ..;~...................,:..
Miscellaneous: , yj;"j/TCR'S'S)(-k . .
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I
.: 2
'1
2
. 3,
6
2
.6
'..6'
1
3
2
. 'llHead
..?
'2
1
6
./'::;4 .
'.2,'
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TOTAL FIXTURE UNITS" "'., ='
"7
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CREDIT CALCULATlON.tABLEi.:Sased on as:sessed ;"a!ue. If improvements occurred after annexation datEl in table, .
calculate credits separates;. . ". ,;;
,
",.,
,
Rate per $1,000,': J
Asse'ssed Value
'. Year
Annexed
",. ,
. Rate per $1,000 .
'Assessed Value
Year.
Annexed
L
1979 or before
1980
. 1981.
1982
1983
1984 '
. 1985
. ",... <
.$~A6
3,38
".'3,~2
3'.,2."
, 3;06
2,:92
2.'13
. .
'.1985
. . 1986
. 1987.
1988'
1989
. '1990
1991
1993
$2.46
2.14
1.77.
1.37 .
,
0.97'
0.61',
0.44.
0.15 .
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.,
.',
. .' .-
Credit for Parcel or Land, Onl,ylf Applicable. '.
Improvement (if after imnexationdate)'
.........
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:/"
)($,
(Rate X Assessed Value)'.
X $
(Rate X'Assessed Value) .
.' .,,~, :>. .
=
CREDIT TOTAL
= $
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