HomeMy WebLinkAboutPermit Building 1998-3-13
,,-
'f.
· JOB NUMBER o..'t<.IJ/J{1_
,
~\('[i~Y\~ \\lj'fv\\1\~ltJ
ADDRESS \ 01 n \-\ \. l~\--'fi 00 t , - (\
b l U .0 X () _ J STATE ----.M
DESCRIPTION OF WORK: \In nIl X (jt
.
COMMERCIAL/lNDUSTRIAL SPRINGFIELD
PERMIT APPLICATION ~
INSPECTION LINE: 726.3769
225 Fifth Street, Springfield, Oregon 97477 t@ OFFICE: 726.3759
LOCATION OF PROPOSED WORK 0\ \~ ~.ill s~ 0.0 t-
ASSESSORS MAP \'l()I)::r~L\\ - - TAX LOT: rl3\nn
PHONE:~~J 44~ Oldll_
OWNER:
CITY:
ZIP: -.9<0)50{
fiN
NEW
REMODEL
ADDITION
DEMOliSH
OTHER
VALUE: //~~C
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S ~AMK ~ f\u ~RES~
GENERAl tJ.'-. ,~f'i L U"UUA.
PLUMBING 1\.)( Y H \~ M 1fY\ nth ~
MECHANICAL ~~_\\Yt fltJ4J ~
ELECTRICAL ~ A \.0 X\\ Z. \ 0 {'Hi' i (1.-7
CONST.
CONTRACTOR'
~~~()
EXPIRES
lD.~,ca
PHONE
.~
~
jir '
II.
J MECHANICAL
FEE I CHARGI:: j ",n I FFF t""l-Io.Dr.t:
Furnace/burner & vent
< 100.000 BTUs
I Furnace/burner & vent
> 100.000 BTUs
I Floor furnace and vent
I Suspended wall or floor
mounted unit healer
I Appliance Vent
separate
I Stationary evap.
cooler
I Vent Fan/Single
duct
J Vent System apart
from AC or htg.
I Mechanical exhaust
hood and d ucl
I
I Permit Issuance $10.00
I TOTAL PERMIT
PLUMBING
"'0.
Single Fixture
Relocaled Bldg.
Inew fix, addtll
Water Service
Sanitary Sewer
ft.
Storm Sewer
It.
Back flow Device
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA'
, OF BLDG~'
LAND USE:
. OF UNITS'
FLOOD PLAIN'
ZONING'
OCCY GROUP:
CONSTR. TYPE:
LIGHTING POWER BUDGET:
. OF STORIES:
HEAT SOURCF.
WATER HEATER:
SQ. FT.
$fSQ. FT.
VALUE
SQ. FTG MAl N
SQ. FTG ACCESS
X
X
SO. FTG OTH ER
X
TOTAL VALUE OF PROJECT_
PLAN CHECK FEF
RCPP
DATE _
BY
I BUILDING PERMIT
15% State
Surcharae
I MECHA1iJJ:;.M./~":)
~LT
15% Stale ~
Surcharae ?L~
I PAVING
12.~c>
7."-'"
~;.Z~
/~.-""
. ~'f~
PLUMBING
::b- ~
I. :?"&'
-~
DEMOLITION
5% State
Surcharae
1 FENCE
VAllIl= "S
- S(bEWAI.~
CURBCUT
~
I
FT. I
FT. I
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
1,L)..8. 5/
.tB~<. 3 'T
TOTAL PERMIT FEES I
EXCLUDING ELE<;TRICAI
/ c::':Z~. 9~
. REQUIRED INSPECTIONS
.
f
,
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 8.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.
x
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.
y
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
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.
STRUCTURAL WELOS:
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 recwired 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.Be.
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installatlon 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)
.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.se.
STDS. 25.10,11).
POST & BEAM: To be made
prior to Installation of floor
Insulatlon, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
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
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 coverIng.
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
{
y
x
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.
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 PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
---,
PLANS REVIEWED SY (.~~ ~~
DAT~ ":3~...1" ';3'~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thpt 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 at 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 ORS 701.055 will be u.sed on this project.
I further agree to ensure that all required inspections ~re requested at the proper time, th~t 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.
Slgnaturf"
IU~~
Date
J'(/1/~4>J
VALIDATION:
AMOUNT RECEIVED:
RECEIPT N' ?~,,;;;;;::-:,.'"
/ c::? :<'C::>.9d""
DATE PAID:
RECEIVED SY:
'""3"""/7 . '7~
/ 4"'~ "'~
~ #{;/
.
\1
'..,....-,.."..'r"-'1'''.''!''( JOB NO. Cj,9)O';' q 7
... ATTACHMENT A ...
CITY OF SP~NGFIELDSYSTEMS DEVELO~ENT CHARGE
WORKSHEET
NAME OR COMPANY: 0A"/,'rn ./-0... ~.
.' (I' .. . .
LOCATION: . ,--cft.. ~A1~/e. LvoC;.;fM - .':;-7/::; /-1&,'A 5ZA
[I
DEVELOPMENT TYPE: 77~1';;" r y:jn.fJ/.'V~/?1..t"~
741aA-- '?fii-ce. -= -3'1': 1" '>G 7::' '?" / .
. fX':'::"CH>IG SIZE ::. ~ J:rJ LOT SIlF c;Q. Ft.
1. STORM DRAINAGE - hG !tI.!'<J .:Ci?1IPrVJ~US ,4,......___
IMPERVIOUS SQ. FT.
X $0.226 PER SQ. FT. $ -c9--
2. SAN ITARY SEWFR.C ITY
NO. OF PFU'S "7
(See.Revecse Side)
X $46.86 PER PFU
0.2-
$ .i:f3-
3. TRANSPORTATION.~ !1.a...j.",,'( uSt2 d4~.J wi iJ/c4 d..//.
. . ~e jJerq...,'j--U9'7o;n 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. SANITARY SFWFR.MWMC
NO,OFFEU' S ~_ 31 X ,~&'E/~PER F'EU + $10 MWMCl ADM FEE $ 0/93 i$.
. MWMC CREDIT IF APPLICABLE (SEE REVERSE). $ -er--
iCl
TOTAL-MWMC SDC $4'7"'-
15-
SUBTOTAL (ADD ITEMS 1.2,3 & 4) . $ &;:/ ... -
5. ADMINISTRATIVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05-
(J7
$. 7'/ ~
-!F~d~':f ....
~ ~D~ qwordiriator .
Date:.' -pp.G.
TOTAl SOC
. c;y 71
$ Cf<7;Z~ .
.. .". -..- -,-., _r-1..........,.....,L..,r-l. I 1_'. I """'U....i-. I>4UIIIUt:r VI 1'-'t:W r1J1.lUIt::> ^ VIlIl t:YUIValt:!ll :=: t"lxture Units
(NOTE: For remodels, calculate only the NET additional fixtures) ,
.. NUMBER OF
FIXTURE TYPE . - . . NEW FIXTURE
Bathtub.................:.......,..,...........,............................ .
Drinking. Fountain............................. ..... ...... .............
Floor Drain..... .:.. ........................ ..;.......:............ ,....... .
Interceptors For Grease/Oil/Solids/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, Stall/Wall. ..... .:.....:........... .:. ,..................,..,....
Wash Basin/Lavatory, Single..................................
Toilet, Public Installation.,...,.,..,........ ..,... '...........'..
Toilet, Private.. .................,...... .......... ...................
Miscellaneous:
I
I
I
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE:
calculate credits separates.
II
.UNIT
EQUIVALENT
2
1
2
3
6
2
'6
6
1
3
2
1/Head
2
2
1
6
4
=
r
FIXTURE
UNITS
--
.2
,
41
7
Based on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1.000
Assessed Value
Year
Annexed
1979 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
Credit for Parcel or Land Only If Applicable
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value I
Improvement (if after annexation date)
=
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
. ResidentiaL..:..;................;... OA
Commerical......................... 0.9
IndustriaL........................... 05
GovernmentaL..................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1,000
Assessed Value
II
$2.56
2.17
1.73
1.31
0.92
0.74
. 0.61
0.45
0.31
0.17