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Home My WebLink AboutPermit Building 1992-4-8 '. ...-, CO~ M ERCIALIIN DUST RIAL. PERMIT APPLICATION ~ . JOB NUMBER '92~V 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726.3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK' 5701 MAIN '5r, ASSESSORS MAP: 17-02-3~-L/1 TAX LOT: ~~. a;,<~. ~~C> r - " - - OWNER:.ML.P~..;t/,rr:=. ~~P. . PHONE: GJ!:CI-~ $I' ADDRESS: 5~ 5w- ~"'7i9PD~. "'",",/:r~ :Z-e> 7?G;~ ye+ , / - CITY: LAK-= ~\.v"'~&> STATF' .:::::t2 ZIP' 97~3~ DESCRIPTION OF WORK: ~~,.- ;fYp",.,. P1~~/_7><' /?l ~~/~~i1?~~r- NEW.Y REMODEL ADDITION DEMOLISH OTHER VALUE: CONTRACTOR'S NAME GENERAL:~~4f.',q- ./"'" -- ',- . '&000""" .. j--;'- NAME """"-:z~ /-2..,;y,&>"" ADDRESS . - ;7 :7_ /I'"V.42 :S".~ ~r~/- ARCHITECT: J~~R/~L. B~.:...<.<:",.....v"';;; lV~; _ ~~~. CONST. ADDRESS ~-!l. ~ONTRACTOR . ~W7~" -M1':. ~ ,4:" / . _. . ,--= /"r> ~ .A.--...c. .,. ;I" /~.... '... , PHONE (':Z~) h stst- y~ iC~/9~c-.F ~i~ EXPIRES PflONE 2~3Y"~- ~ >' ?-/ PLUMBIW" ltt -,~ MECHANICAl' ELECTRICA' . TOTAL PERMIT I I MECHANICAL I FEE CHARGE I I Nn ~~~ "'~lU~n.1= I ?.y~ -I 1 ::2. Furnace/burner & vent e{" .- /2.. .::0=1 10 < 100.000 BTUs 1 1 2. Furnacel burner & vent 7.9' /5'.-4 > 100.000 BTUs -::z So: -I 1 Floor furnace and vent I 25: ..09 1 Suspended wall or floor 1 mounted unit heater 70.4 I Appliance Vent 1 separate /~.-9 I Stationary evap. I cooler I I Vent Fan/Single I duel I I / Vent System apart t/. S:I? I from AC or htg. 1 1 :3 Mechanical exhaust /f.'5? I3-Sa. hood and duct 1 1 S ~~~.!'7'5 ,5<::;' 2-Sd I I I Permit Issuance $10.00 I 1-:3' 7t'- ---I I TOTAL PERMIT , L/7.~ I I PLUMBING I;: Single Fixture I Relocated Bldg. (new fix. addtl\ I *,' Water Service II. 1 "1'5' Sanitarr Sewer II. I~~' Storm Sewer II. / Backflow Device OUAD AREA' ,~0 SQ___ I OCCY GROUP' 4- 3 , . I LAND USE: - OFFICE USE - ~?-(n HANDICAP ACCESS' . OF BLDGF' . OF UNIT~' ZONING' FLOOD PlAIN' (\C' j . OF STORIES' CONSTR. TYPF' HEAT SOURCE: ~< 5=-# NV~ LIGHTING POWER BUDGET: WATER HEATER: ,...:=, 9''':; sa. FTG MAl N sa. FTG ACCESS sa FT. -.:3 /~ $/SO. FT. VALUE ~or:-: I.':::'_"~-:j. .;..~ ; - - /n~~~. X SOfTG OTHER ~Vh<AC. X -/ ~ p<= tJ/~.&<- - . .' ::1q~" TOTAL VAlUE OF PROJECT ,]::lC\ .Ql:I1, DATE _V -.f!?- "72. BY ~~_ :1' ~ _ ~ PLAN CHECK FEE 39"Z,6Q RCPP t./;;U:.S I BUILDING PERMIT 15% State :$urcharoe I MECHANIClU./~~ ~_"71 I' 5% State . Surcharae I PAVING 1 &5'B. ~, PLUMBING -2 _ 5% State ? 2."..- Surcharge ; /V.. _c.-' . FENCE 0/'7.50.' VALUE $ a~:8. SIDEWALK /'7"3. ~'.5 1 CURBCUT ""'5"7<:? en:> /5i;_?"~ , DEMOLITION FT. I I ~~~.1 ~/C:> 1 I ~~~~~i~(~=- I ?5-z. '2jg~ I SYSTEMS 1< 'IS DEVELOPMENT 11 2;.0 f>'-O - FT. ........ .~ .: ~.:\~i~;. ".:.. .'11' - -' . . TOTAL PERMIT FEES EXCLUDING ELECTRICAl ?2;2<8 ~ ~.., It (s 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 UNDERSLAB PLUMBING, , ELECTRICAL & MECHANICAL: To be made be'fore any work is covered. ~*., REQUIRED INSPECTIONS . '. II FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. ..... x ./ ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. PAVING: Alter gravel is in place but prior to placIng asphalt or concrete. x 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. 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 th"e Building Division. .,; UNDERGROUNO: Plumbing, electrlcal, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing Inspection. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) 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 prlor to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. c ROOF SHEATHING AND NAILING: Prior to Instailing any roof covering. x 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 ail insulation and required vapor barriers are In place but before any lath or gypsum board interior wall covering is applied. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. FIRE & SEPARATION WALL: Located and constructed according to plans. ;I LATH AND/OR GYPSUM BOARD: To be made after ail 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. STOS. 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. ~-x---------------------/------------------------------- FINAL PLUMBING /I 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 inspectlon. )' )( FINAL ELECTRICAL FINAL MECHANICAL .x 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 FINAL FIRE DEPARTMENT Ar)e1\~~MO:~..O(). ~ - LVtG {\ Y\O r ,.MltrLn ~ \\ Q ~ ~ ~ .-' _k~-? OAT" / -. .---, PLANS REVIEWEO BY~>.~-:: 7" -Z.y.. "7::2.. 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 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 GRS 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. Signaturo' Date VALIDATION: RECEI PT ': AMOUNT RECEIVED: ~2,;;:':z.g_ ':3'-=3 ~~?" ? DATE PAID: -:/- 7-92 RECEIVED BY: ~~ <=> r~- "'" ~. . JOB NO. q1-o '3> SL/- CITY OF SttINGFIELD SYSTEMS DEVELOPM'" CHARGE WORKSHEET ' , (COMMERCIAL &. RESIDENTIAL) .J rWIE'OR COHPANY: Mc.."DONAL-DS C.Ofl.PO(l..A'Tl0l'J LOCATION: SiD\ MAII-J <=?-r. 1""1(>~_?34-' . ~IOO.3-z.00.~~oo DEVELOPHENT TYPE: c..c...; ~AS.'T i=-DOr:> 1(.~<;.-rA.VIZAN.T -1~Al'-F"\C. c.ot:>E:-#-e~,", BUILDING SIZE: 1.. STORM DRAINAGE IMPERVIOUS SQ. fT. 1... 19~?. X $0.186 PER SQ. FT. ~ <-IDt"l~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) "1-'100 '?G.... fO-. .. LOT SIZE SQ.. Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S l?4- X $38.55 PER PFU (See Reverse To Determine Total PFU'S) S z.o~\ ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 2.'9 x '2.0 X $388.61 S-z.2?'?9~ X X $388.61 s X X $388.61 (Se~ Attachmen~ ~ To Determine Trip Rates) , .'. . , , " SUBTOTAl(AOD ITEI'\S 1.2. ~ -{ .' & 3): L'ZI3"!oo':i3- 4. ADMINISTRATIVE FEES 'BASE. CHARGE (SUBTOTAl ABOVE) X ;05 0:< S I'P;>S'- TOTAL-CITY SDCS-;'o \ "",,:> ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S ' '34- x S13.25 PER PFU.+ S!OMWf1C ADMIN. FEE S t2..S s~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) V'_~Lt..L ~ Kip Burdick sac Coordinator '-+/10 /" '2- S TOTAL-MWMC SDC S ,2..<; ~ TOTAL SDC S ~D 13100 ~ . FI XTU R E UNIT CALCU LA 'UQ N T AS LE: Number of New Fi'1uresX Unit Equivalent = Fi,1ure Units SNOTr;~. For remodels. calculate only the NET .ilional fi'1ures) '. '. " NUMBE~ OF UNIT FIXTURE' .FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS 4- I U ? 2 1 2 3 6 2 6 6 1 3 2 1jHead 2 2 1 6 4 I'" Bathtub............... ......... .............................................. Drinking Fountain..:...:.............................................: Aoor Drain...........:........:........................................... Interceptors For GreasejOil/Solids/Etc................. Interceptors For-Sand/Auto Wash/Etc....._.:.:....... Laundry Tub/Ootheswasher................................... Ootheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator JWater Station/E1c........ Receptor For Commercial Sink/Dishwasher /Etc.: Shower, Single Stall...................................-............ Shower, Gang......._....._.....:...................- Sink, Bar, COmmercial............._-- Urinal, StaIlJWall..........,.......:-..-. Wash BasinJLavatory, Single._. Water Oose!. Public Installation. Water aose!. Private..........___..___ Miscellaneous:. P., 1.. (n 'B 2 L..\ IF-, TOTAL FIXTURE UNITS = t7t..\ r CREDITCALCUl.All0N TABLE: calculate crecfllS separates. . ~ Year I AnneXed Based on,assessed value. IIlmprcr.~..~..., ~ after annexation date in ,table. $1.69 1.35 1.15 0.92 0.59 0.23 I 1 1979 or before 1980 1981 1982 1983 1984' Rate per $1.000 Assessed Value $2.66 264 2.53 2.41 2.19 2.04 Year' .. Annexed 1985 1986 1987 1988 1989 1990 : Rate per $1,000. Assessed Value ,I Improvement (If after annexation date) . x S (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 ResidentiaL........._................ .........._................. 0.4 COmmerciaL.................................................... 0.9 Industria!............................ ....... ...... ......... ......... 0.45 GovernmentaL................................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT