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Home My WebLink AboutPermit Building 1992-6-11 .', ..; , LOCATION OF PROPOSED WORK' ~ sl.. .JOB NUMBER '12o~'1n INSPECTION LINE: 726.3769 OFFICE: 726-3759 COMMERCIAL/INDUSTRI~ PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 50 3z> 11(;,'1 ASSESSORS MAP' /7/) 2 - Z ~ - of/ akv ']. /1 y<.,p ~ 21 f.r {/w-('.!,J ~ U. E4~ TAX LOT' ~ ~,.....,./c..> OWNER' PHONF' 6cJ>6 "zc, 6_,- ADDRESS' CITY' STATF' O~.A,.- ZIP' 9? h, (- DESCRIPTION OF WORK: ~1J iAU6< ~~/~.~y.J.fCf"r//..K .....~ V ADDITION DEMOLISH OTHER VALUE: ? ~ NEW REMODEL NAME ADDRESS PHONE ARCHITECT' CONTRACTOR'S NAME ADDRESS QL~..- 'R.~ - I{ "....J2___ .It J> r &7 c... J ./J' 1:':. ~","'1 .' r,.,~ ru<_I"......)', f3""I.:'I h,pv- J..tr-cJ.~ C........J C -i S' VI.:. 4. J-v,.~ v CONST. CO NT RACTO R . 1 MECHANICA' . ELECTRICA' . EXPIRES PHONE /;--"'~ k J~~~j 4-P~ ..,~ GENERAL: PLUMBING' L.h....l. .M ,u. ft. I I MECHAN'CAL I FEE CHARGE I I I 000 "HARi /0 s~-=I Furnace/burner & vent < 100.000 BTUs I I I Furnace/burner & vent I > 100.000 BTUs I I I Floor furnace and vent j I I I Suspended wall or floor I mounted unit heater I I I Appliance Vent I separate I I Stationaryevap. I cooler I ---f" Vent FanfSingle I duCI I Vent System apart I from AC or htg. I Mechanical exhaust I hood and duct I I I / I Permit Issuance $10.00 I TOTAL PERMIT ,.0/#. , /5": -I - OFFICE USE - HANDICAP ACCESS: LAND USF' ~ FLOOD PLAIN: . OF UNITS' ZONING' (\(1 -' - CONSTR. TYpo. _5'-/-/ r LIGHTING POWER BUDGET: HEAT SOURCO. a-~ WATER HEATER' Ec::2':-~/ ~ $/SQ. FT. VALUE X I I NO_ I~ I I I I I I PLUMBING Single Fixture Relocated Bldg. (new lix. addtl) Water Service Sanitary Sewer It. Storm Sewer It. Backflow Device I TOTAL PERMIT QUAD AREA:, ",---ts~n)~ ~ . OF B LOG>':' . OF STORIES: 4-3 / OCCY GROUP' SQ. FT. SQ. FTG MAIN SQ. FTG ACCESS ~ SQ. FTG OTHER /~'.,i:;--":.}'-. X r n-r~ 5" p.;;;;rc- <:::-- = -::3"~. ..;> TOTAL VALUE OF PROJECT PLAN CHECK FE.E '?5: O? RCPP DATO BY I BUILDING PERMIT 15% State Surcharoe I MECHANICAL I?:;:,:,. _ 15% Stale ~ 'II Surcharoe I PAVING I <:.8. 5z::::> /.73 /&7. -- LS-.. ore> I PLUMBING -~ 5% State ~!!~~~~rge t-t.Nc..;t. VALUE $ SIDEWALK ?<==>. ""- :z _ St::> , DEMOLITION FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT j Z$o-,? I I //~.b~ I ,f ~&.f z. ~ ,If!> I .~ffcv~,.:> CURBCUT FT. TOTAL PERMIT FEES I EXCLUDING ELECTRICA' p:'-g-6..::>? 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 wilt 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 setu p of forms. PLANS REVIEWED BY IX UNDERSLAB 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 steel 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. 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. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. )( FINAL PLUMBING Y FINAL ELECTRICAL y X FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' ". .... ,'. ~EaUIRED INSPECTIONS .. y 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 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 FIREPLACE: Prior to placing facing materials and before framing inspection. STRUCTURAL CONCRETE: In excess ot 2500 PS.1. (306 a.1) -{ 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. HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) STRUCTURAL WELDS: Performed on the job. (2722 f) 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. SPRAVED ON FIREPROOFING: U.B.C. Standards 43.8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) FIRE & SEPARATION WALL: Located and constructed according to plans. V 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.Be. STDS. 25.10,11). STRUCTURAL MASONRY: (306 a.7) 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. .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. !>< SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspectlon. All project conditions such as landscaping, parking lot striping, etc. must be completed before requesting this inspection. 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. / /.4~ (/ /7 - DAT~ b-t"re::?-.............. By signature, I 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 herei(l, 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 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. .tL- y- "'~ , Signatur"" Dat~ RECEIPT ': AMOUNT RECEIVED: 386.. ~ '7 hC>/~ DATE PAID' RECEIVED BY' L: -/' f- "'72- ~~ .rr VALIDATION: "' CITY JOB no. "I-z..oLf'jo O_INGFIELD SYSTEMS DEVEU6- CHARGE ---- WORK~HEEf (COMMERCIAL & RESIDENTIAL) .1 ./- ,/ . NN1E OR Cor.1PANY: "PE:n:,.?:- -S. K~ '( \.. LOCATION: '?"'~O MAIN S.,.. DEVELOP~IENT TYPE: c..c... - 12elV\OOe.L BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ---- X $0.186 PER SQ. FT. Is- (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) Ilo~~?&.\-I - 0'2.7000 -. i lOT SIZE sQ. Ft. 2. ~ANITARY SEWER-CITY NO. OF PFU'S "" X $38.55 PER PFU .(See Reverse To Determine Total PFU'S) Is 'Z.'?\ ~ I 3. TRANSPORTATIO~ NO OF UNITS X TRIP RATE X COST PER TRIP x X $388.61 Is x X $388.61 s x X $388.61 S (See Attachment C To Determine Trip Rates) SUBTOTAL '(ADD ITHIS 1,2, & 3) S 'Z?I~ 4. ADMINISTRATIVE FEE~ 'BASE. CHARGE. (SUBTOTAL ABOVE) X .05 TOTAL-CitY SDC Is II C;~I S -z...<17- ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S x SI3.25 PER PFU + S!OM~~C ADMIN. FEE S (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) V' ~~~...k.. (f Ki p Burd-i ck SOC Coordinator (,1"7/17.- / I S TOTAL -HWMC SDC Is TOTAL SDC S 1. c.f -z, 'it.=. FIXTU R E UNIT CALC U LA.ATAB LE: "umber 01 New Fi'1ures ~J~'Jlenl " FiX1Ure UnilS (r~OTE: For remodelS. calculate only tile "ET addilion211i,"u,e,) . ~ NUMBEfl OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS -, "\ 7. 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 t..l Bathtub................................................---...--....--.--..... Drinking Founlain..:...:.... ..... ..... ..--...... --........--.. ........ Floor Drain...........:........:.... .... ....... .........--. ............. ... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For.Sand/Aulo Wash/Etc........:....--. Laund ry Tub /Clothcswashcr...... .......... ---....... --....... Clotheswasher . 3 Or More.................--.................. Mobile Home Park Trap (1 Per Tra"er).................. Receplor For Refrigerator fWater Station/Elc........ Receptor For Commercial Sink/Dishwasher/Etc.: Shower, Single Stall................................................. Shower, Gang...................:....................................... Sink, Bar. COmmercial_._...._-.........-.._............. Urinal, StallfWall..................:...................-............... Wash BasinjlaVatory. Single._............_....-....... Water Closet. Public Installatioo.........-..._............. Water Closet. Private.-..................-....---........ Miscellaneous:. 1. -z.. TOTAL FIXTURE UNITS (, CREDIT CALCULATION TABLE: calculate crecrlts separates. \ II Year Annexed Based onasses<:;ed value. If .lmpra.rements occurred after annexation date in .table. Rate per $1.000. I . Assessed Value Rate per $1.000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984. $2.66 2.64 2.53 2.41 2.19 2.04 1985 1986 1987 1988 1989 1990 $1.69 1.35 1.15 0.92 0.59 0.23 Improvement (If after aru>exation date) x $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = S Credit for Parcel or Land Only Ii Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residenticl........... ..................__........... .............. 0.4 COmmerci21...............................--..................... 0.9 I ndustria!......................--................... ...... ....... ... 0.45 GovernmentaL..... ............. n.'" n_H'_ n. ....... ..n_.... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT