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Home My WebLink AboutPermit Building 1998-3-13 , '. . COM M ERCIAL/lN DUSTRIAL PERMIT APPLICATION . ~ LOCATION OF PROPOSEO WORK. oil nq '-.~ '90.1'\ ~\ 0 ~ X- ASSESSORS M,AP: \rJ.(;y')::{~L\\ I . TAX LOT: OWNER: 01\ \ifi r,(\ \M -\\~I JI AODRESS: \ 01 F1 \-\ \.l~~ 00 t l\ tJ lJ _0 X (J ) STATE:-0A DESCRIPTION OF WORK: \in n ,T~ (1t JOB NUMBER U<(OL9~ 225 Fifth Street, Springfieid, Oregon 97477 INSPECTION LINE: 726-3769 OFFICE: 726.3759 n 3 \On PHoNE:SDD 44~ OIrX) L CITY: ZIP: ~~o):)OI_ NEW REMOOEL ADDITION tiN J OEMOLlSH OTHER VALUE: "'..-' ...:x- NAME AOORESS PHONE ARCHITECT: CONTRACTOR'S NAM~ ~ r\u ~RES~ GENERAl W,t ,~f\ L U~\~l..\^, PLUMBING: \\{ i Q tP twrJ)1 il ~ MECHANICAL' ~~~\\.\'tt ~ ELECTRICAL: \..AvX\l. llJcH? J0.-7 CONST. CONTRACTOR' ~~~() EXPIRES PHONE ID.~,ca ~ PLUMBING I I MECHANIr.Al FEE I r.HARGE J I NOli ~~~ ("'U6Q(:!:t:' /d ~ ...z> I I Furnace/burner & vent t.6 I' < 100,000 BTUs j I I Furnacel burner & vent 1- > 100.000 BTUs I I I Floor furnace and vent I 1 Suspended wall or floor I mounted unit heater j Appliance Vent j separate I Stationaryevap. I cooler I / Vent Fan/Single - I duct ? I Vent System apart I from AC or hlg, I Mechanical exhaust I hood and duct J I I Permit Issuance I $10.00 I I TOTAL PERMIT M~ I /5 -iJ1 NO. -? Single Fixture Relocated Bldg. (new fix. addtl) Water Service fl. SanItary Sewer fl. Storm Sewer II. Back flow Device TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOO PLAIN: QUAO AREA' . OF BLOGS. LAND US>' . OF UNITS: CONSTR, TYPF' HEAT SOURC~' ZONING' OCCY GROUP: LIGHTING POWER BUDGET: . OF STORIEF' WATER HEATER:_ SQ, FT, $/SQ, FT, VALUE SQ, FTG MAIN X SQ, FTG ACCESS X SQ, FTG OTHER X TOTAL VALUE OF PROJECT. PLAN CHECK FEf RCPT' OATE .n _ BY ;(8. S'"~ 3~Y~ ~_d~ /4P. -e;;. /1;, Ie:> - . ::>:;:.- .V~ I BUILOING PERMIT 15% State ~ SurcharQer~ I MECH~Jl 15% Slate - ~ Surcharae /"3 I PAVING I I PLUMBING 15% State Surcharoe FENCE YALU~ $ SIDEWALK CURBCUT t~ I ~.- / . '5".a ,?c:::> OEMOLlTlON FT, FT. ~UBTOTAL PERMITS -. SYSTEMS DEVELOPMENT 13 < oS? CS~. ~/ TOTAL PERMIT FEES I EXCLUDING ELECTRICAl 78'~ .$0 /'1 . ~EQUIRED 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, y 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 d ral nage II nes. To be made prior to covering or IIlIlng 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 ANa NAILING: Prior to Installing any roof covering. 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 lestlng reports shall be lurnlshed to the Building Division, STRUCTURAL CONCRETE: In excess 01 2500 PS,i. (306 a,1) STRUCTURAL WELDS: . Performed on the job, (2722 f) HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a,6) SPRAVEO ON FIREPROOFING: U.BG, Standards 43.8, SPECIAL GRADING, EXCAVATION ANO FILLING: During earthwork. (306 a.11 &. Chapter 29) GLU,LAM BEAMS: Inspecllon . Certificate by an approved agency, furnished 10 the City's Building Division before beams are placed, (2501 U.B,C, STOS, 25.10,11), STRUCTURAL MASONRY: (306 a,7) * In addition to the inspec- tlons 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 / FINAL PLUMBING ------------------------------------------------------- I i V FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materIals and before framing Inspection. !/ FRAMING: To be made afler the roof. all framing, lire blocking and bracing are In place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. INSULATION & VAPOR BARRIER: To be made after all Insulation and re<wlred vapor barrIers are In place but before any lath or gypsum board Interior wall covering ;s applied, FIRE & SEPARATION WALL: Located and constructed according to plans. Y 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, SIDEWALK & ORIVEWAV: 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. 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 Inspection. All project conditIons such as landscaping, parking lot striping, etc. must be completed before requesting this inspection. /r FINAL BUILOING: 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. ~ ~hu~_/:;,," /Y PLANS REVIEWED BY By signature, 1 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 certi fy 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 tlme, 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. Slgnatur~ ~./.- . ~- (2- , -, VALIDATION: AMOUNT RECEIVEO' ?3~-~.e7 7~~_ Y RECEIPT ': DATE -:?y/-"3~ Oate gj/,l//~ OATE PAlO' "?~/?--~t!l> RECEIVED BY:/Z~~~ 4'(/ ~/ ~ JOB NO. V?30,.:2'J.? ... ATTACHMENT A -.-. CITY OF SP~NGFIELDSYSTEMS DEVEuJT-'~lENT CHARGE WORKSHEET NAME OR COMPANY: 0A"I'/nA 1-6..: ~. . ... .' (I',. LOCATION: . /It.. 14A-1~/e Ct/Dt;':;/h~ - _?J70'7 /4u;'" * (I DEVELOPMENT TYPE: 77~,a.. t- h"MJV~In..t"~ 7&uuA:- '?It.<-c.e- , /,. I . . BtJILfJING SIZE:,"?OX(,7-,3 =/1<)'3 LOT SIZE SO, Ft, 1. STORM fJRATNAGF - h6 A/~0 ':cm/<7rV';;'uS ,4r"",;,- IMPERVIOUS SO, FT, X $0.226 PER SO, FT. $ --6L 2, SAN !TARY SEWER -C!TY NO, OF PFU'S '7 (See.Reverse Side). X $46,86 PER PFU 0.2. $ .?-2?3- 3, TRANSPORTATION ..~ /..a.-f.,.,,'1 vSt2 c/~b.J wi /:;/~ ~-I/_ . . ~e /<</}'I4'j- ~ 970,2- 7 Y U 'NO OF UNITS X TRIP RATE X.COST PER TRIP x X $472,49 $ .-@- x X $472.49 . $ x X $472,49 $ 4, SANTTARY SFWFR-MWMC . . , . .. ' . !",'.' .. . . ..' . .1.7 NO, of FEU'S /-?5-:-X .,1oh,b,PER FEU + $10 MWMC/ADM FEE $ 2c.J;- . MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ -GL TOTAl -MWMC SfJr .. .:3 $ ,0;11/- /' ~:r . $I#/~- SUBTOTAL (ADD ITEMS 1.2,3 & 4) 5. ADMTNTSTRATTVF FFF~. ... .. BASE CHARGE (SUBTOTAL ABOVE) X ,05 $ .1-,/'.f J..:.' / / . (1..... w~)v;:, . . / slfc' C~di ria tor . Date: . ,7I0'c; ,21 JOTAl SfJC $ '!0..5?) ~ . I '^ I un&... VI"'. \"I-\L\.."UL': IIUI\I rJ-\DLC; Number ot New fixtures X Unit t::qUlvalent :; Fixture ~its'~ (NOTE: For remodels, calculate only the NET additional fixtures) f . '. ' NUMBER OF . UNIT FIXTURE FIXTURE TYPE - .. NEW FIXTUR EQUIVALENT UNITS Bathtub.............,.........."'.".,..""'.........,.......,.,.."""'. , Drinking. Fountain..".. ,.""",."".""""""...,......:"..."" Floor Drain.........,' ........."".,.,'.".", ;......., ....',.."'..."..,, . Interceptors For Grease/OiIlSolids/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/Eic........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, .Single Stall.,...".....",..".".., ......., .......,.""..., Shower, Gang.,.."""..",.."."""",........" ....,'..",."...., . Sink: Bar, Commercial, Residential Kitchen...........,......,..... Urinal, StaIl/Wall..."""", ".""'.",, '," .......,...."..,.",..,.., Wash Basin/Lavatoiy, Single................,................. Toilet, Public Installation.",.,.""",..""..."..,.....""... Toilet. Private......"""",..".", "":"......."..."...,,..,... Miscellaneous: I I I TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: calculate credits separates, r 2 1 2 3 6 2 '6 6 1 3 2 l/Head .2 2 l 6 4 = ,.;' , 4-' 7 Based on assessed value, If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed 1 979 or before 1980 1981 1982 1983. 1984 1985 1986 $3.97 3.89 3.83 3.70 3.55 3.39 3,20 2.91 1987 1988 1989 1990 1991 1992. 1993 1994 1995. 1996 II Rate per $1,000 Assessed Value $2,56 2.17 1.73 1.31 0.92 0.74 .0.61 0.45 0,31 0.17 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) . Residential...:....,..............;... 0.4 Commerical......................... 0.9 .Indusirial.....:.........:............ 05 Governmental...................... 0.5 IMPERVIOUS AREA == TOTAL LOT SIZE X RUNOFF COEFFICIENT