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Home My WebLink AboutPermit Building 1993-3-30 ',"" .'\ " . :-,,'.,, .., -,':".,.. t ~ -,1 ,.... V". .,' COMMERCIAL/lNDUSTRIAL. PERMIT APPLICATION SPRINGFIELD ~ . JOB NUMBER 9::?oY'~ 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726.3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK' -G"~G> ./~~/)-/ ~.7. ASSESSORS MAP: /7-.Q.z-~=3- y/ TAX LOT: L? ~- ~ T/-/~ ~ Y"C:::: ~ ADDRESS:.:?.! ~--:::- fn:}A-::.~?~ CITY- B/____c:::...~# J G PHONE:.6.86 -2.~~S OWNER' STAT'" ",::::>/'?- zip, q..-:>'7~ DESCRIPTION OF WORK: . ~~~F< L' F;-7~- _~ /"'9>/'f> ~ . ,- X ADDITION DEMOLISH OTHER ffz#~..rY- 57. . VALUE: /~ __"-;7 NEW REMODEL NAME ADDRESS PHONE ARCHITECT' CONTRACTOR'S NAME ADDRESS GENERAL: ~N'~ _ PLUMBING:/S'l"/C/.lG>~T ~.~_. MECHANICAl' ELECTRICAl"::::: --I~ 8'=7. CONST. CONTRACTOR # E<'~'"O" y~ PLUMBING I I MECHANICAL NO. FEE CHARGE I I NO """ rU^or,!,~ ~ Single Fixture ~.-I I Furnace/burner & vent /.0 < 100,000 BTUs Relocated Bldg. I I Furnace/burner & vent (new fix. addtll > 100,000 BTUs Water Service I I Floor furnace and vent It. Sanitary Sewer I I Suspended wall or floor It. mounted unit heater Storm Sewer I I Appliance Vent It. separate I I Stationaryevap. Backflow Device cooler I I Vent Fan/Single duct I I Vent System apart from AC or htg. I I I I Mechanical exhaust hood and duct ],0-S? H,;;r-~/~7~ ~-I I TJ { ., I I I Permit Issuance $10.00 TOTAL PERMIT Y ..2~ -! I TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: QUAD AREA' LAND US". FLOOD PLAIN' ZONING: # OF BLDG~' #. OF UNITS' # OF S1;ORIES: p-z / CONSTR. TYPE: HEAT, SOURCE: , e;;;..k/ LIGHTING POWER BUDGET: WATER HEATER' OCCY GROUP: SQ. FT..' : '~ .. $ISQ. FT. VALUE" ( .; .~. SQ. FTG MAIN X . , '. SQ. FTG ACCESS X SQ. FTG OTHER. ~~~~~ X, /~ t TOTAL VALUE OF PROJECT PLAN CHECK FEi:....:.. :c' 2/j~ RCPT# / ?". ~ <:> !7-;5&> /.~8 I ~L MBING _ J "q~(~~ Yo State Surcharae . FENCE VALUE $ I SIDEWALK I CURBCUT DATF t $.-,-'> '~V..- '31.- BY ILDING PEI>MIT 't:€~ 5 % State Surcharae I MECHANICAL 15% State Surcharoe' I PAVING I DEMOLITION FT. P~~.uc~1 SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT ~r.l3 FT I fP /;1.1 't2.,~ 3'~/ 7/Y . ,-..- ~ . 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. 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. 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 Ownerl Contractor- during construction of the following work. A copy of the special testing reports shall be furnished"to the Building Division. ATTIC DRAFT STOPS & CURTAIN WALLS CONCRETE SLAB: To be made after all inslab bullding service equipment, conduit, piping, accessories and other ancillary equi pment items are in place but before any concrete is placed. 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 P.S.1. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. 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 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. 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.S.G. STDS, 25.10,11). FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. STRUCTURAL MASONRY: (306 a.7) MASONRY: Steel location, bond beams grouting or verticals in accordance with USC 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. ROOF SHEATHING AND NAILING: Prior to Installing any roof coverl ng. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. *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 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 strl ping, etc. must be completed before requesting this inspection. 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 FINAL FIRE DEPARTMENT and posted on the premises. /-> ADDITIONAL COMMENTS:-W'~~ ~"",,"?~e./,"",..c::.-> ~/...'-'~ / .c/''''7-~/.?S- (/~-/5"?""" '-;" ~:::> c:; l~,,-~ pc:-./~...--r~/~~./9 ~"';- .~~/.7/~~... <- ./~~':='/r--~ ~-=-<,c.../'/ifa-~~ O~ !/...,...;?:r. FINAL PLUMBING )' FINAL ELECTRICAL FINAL MECHANICAL PLANS REVIEWED SY ".r /' /!..~.y-'" /'./ ~~ .. AT~ ~-"a~ /7 - ......... /' - By signature,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 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 Bul/ding 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 during construction. .~ "7- Iff? ;' " '. AMOUNT RECEIVED: RECEIPT ': ~o~cr- ~/."::>~ Date J/.J'o/'1_~ DATE PAID: ::>=-3b>-~.:? RECEIVED SY: 4~""~ ,. Signature VALIDATION: .. JOB NO. CJ ')..0 'f'f 3 CITY OF S'INGFIELD SYSTEMS DEVELOP~lA CHARGE . WORKSHEET I , (COMMERCIAL & RESIDENTIAL) ./ NA~lE OR COI1PANY: 'f'e-rc- \Z-\C'~-( L LOCATION: S"" 10 tvlA-lt-..\ 'S, \--.C)'Z.""",L\-I - D":!:>o"o DEVELOPHENT TYPE: c.c.. - R~oDeL. 8UILDING SIZE: LOT SIZE SQ. Ft. 1. STORH DRAINAGE mPERVIOUS SQ. FT. X SO.186 PER SQ. FT. I~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S ~ X S38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION Is IIS~ J NO OF UNITS X TRIP RATE X COST PER TRIP X X' X $388.61 X $388.61 Is -I s X X $388.61 ~ (Se~ Attachmen~ ~ To Determine Trip Rates) ....'.. SUBTOTAL (ADD ITEMS 1,2, & 3)' S liS ~ 4. ADMINISTRATIVE FEES 'BASE. CHARGE (SUBTOTAl ABOVE) X .05 Is s -r!. I TOTAL-CITY SDC S /'1..1 +.-2 5. SANITARY SEWER-MWMC NO. OF PFU'S x S13.25 PER PFU + S!OMWMC ADMIN. FEE s (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICA8LE (SEE REVERSE) ~ '-""tz- L..k- ,- ~ Kip 8urdick sac Coordinator 7 /"2:x;/"I 7-- S TOTAL-HWMC SDcIs ~ I TOT AL SDC S I ~ I '-1-.2 FIXTURE UNIT CALCUl...JiIilON TABLE: Number of New F.i'1Ures.nit Equivalent '= Fi'1ure Units (I~OlE:.. , For remodelS, calculate only the ~ditionalli'1ureS), . '. NUMBEfl OF UNIT FIXTURE .FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS -\ 2 t 2 3 6 2 6 6 t 3 2 I/Head 2 2 1 6 4 f 1. t '2. Batht ub........... "..."..........".,.."....".."....".........."...,,' Drinking Fountain..,'.,.:., "........... ,..".... ..". ..."....."..... Roar Drain...........:........:..., ..,.."..........",....."............ Interceptors For Grease/QiI/Sollds/Etc........."".... Interceptors For'Sand/Auto Wash/Etc,.."."..:....... Laund ry Tub /Ootheswasher....., ...." ..."......, ......"... Ootheswasher . 3 Qr 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, COmmerclal..........................__............. Urinal. StaD/Wall..................:......................-..-..... Wash BasinfLavatory, Single._............ Water Ooset, Public Installation..............__......... Water Ooset, P.rivate........-........-.." Miscellaneous:. 1'1 ..~ -~ -\""~ -'2 H. +-4 - \ +\ -11'1 0 TOTAL FIXTURE UNITS c .~ CREDIT CALCUlATION TABLE: calculate credits silparates. II Based onassess'ld value. 1f,lmprovements ~ alter ,annexation date In.table. 1979 or before 1980 1981 1982 1983 1984 . Rate per $1.000 Assessed Value S2.66 2.64 2.53 2.41 2.19 2.04 Year . Annexed 1985 1986 1987 1988 1989 1990 , Rate per $1,000 , Assessed Value $1.69 1.35 1.15 0.92 0.59 0.23 II Year, AnneiEid Improvement (If alter annexation date) . x S (Rate X Assessed Value) X S c (Rate X Assessed Value) CREDIT TOTAL = s Credit for Parcel or Land Only If Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL...".....""".".... ......... ..............."..... 0.4 Commercial,......."................."..........."...."...,;. 0.9 Industria!...,...".......".... ............,..., ....... "....".. ,,, 0.45 GovernmentaL.... ""...".....,..." ............. ..."....." 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT