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Home My WebLink AboutPermit Building 1998-3-13 ~ ",Ji\l\'U\ Sl Q.o :t f' , \ v , . COMM ERCIAL/IN DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springlield, Oregon 97477 LOCATION OF PROPOSED WORK: El1l t ASSESSORS MAP 1r]I.y'y3:;L\\ 0i\\r{if\(\ttW\ \\~J I ADDRESS: \ 01 n \-\ \ 1 ~\-'fi 00 t - \ rH~()Xn) ~ - - - OWNER: CITY' DESCRIPTION OF WORK: -.J.J(} n ;T! 11_ 'trJ'i I DEMOLISH NEW REMODEL ADDITION NAME ARCHITECT: CONTRACTOR'S NAM~ ~ f\u ~RESS GENERAl ~t, \l.{\ g ~ U\1\~ U~. . PLUMBING: 1\>( Y 0 tV ..\J I m hI h.~ MECHANICAl' ~~~JY\_ .'R~ ~ ELECTRICAL:...A\.Q ~{\H? i(1~ . JOB NUMBER l\ <(;'OlH 0 INSPECTION LINE: 726.3769 OFFICE: 726.3759 TAX LOT: n '3 \ on PHONE/IIY1 ~ QIr;(J L STATE: ('A ZIP:~ OTHER VALUE:7?~ ADDRESS PHONE CONST. CONTRACTOR' ~~~() EXPIRES PHONE ID. y:,,41~ .~ r/ PLUMBING NO -:? Single Fixture Relocated Bldg. (new IIx. addU) Waler Service It. Sanitary Sewer It. Storm Sewer It. Backflow Device I FEE CHARGF I Ib ~_C:O) I j ! I J J I J I TOTAL PERMIT I MECHANICAL III , FFF ~~ Furnace! burner & vent < 100.000 BTUs I I Furnace/burner & vent I > 100.000 BTUs I Floor furnace and vent I I Suspended wall or floor I mounted unit heater I Appliance Vent I separate I Stat lonary evap. I cooler I I Vent Fan/Single "3 j duct Vent System apart I from AC or htg. Mechanical exhaust I hood and duct I Permit Issuance $10.00 J TOTAL PERMIT /la-# L-s.-I QUAD AREA' LAND US.. - OFFICE USE - . OF BLDGS: . OF UNITF. OCCY GROUP: CONSTR. TypF. . OF STORIEF' HEAT SOURCF' HANDICAP ACCESS: FLOOD PLAIN' ZONING. LIGHTING POWER BUDGET: WATER HEATER: SQ. FT. $/SQ, FT. VALUE SQ, FTG MAIN x SQ, FTG ACCESS SQ. FTG OTHER X x TOTAL VALUE OF PROJECT PLAN CHECK FE!' RCPP , BY I BUILDING PERMIT I 15% State ~ SurcharQe I MECHt.fi~F 15% Stale ~ Surcharoe ;--31 I PAVING PLUMBING I ~~I ~g. '5'~ 1- . 't~ .~e:. ""~ /~ ...~ '-. ;i~-' .'75' 5% State SurcharQe FENCE VALUE q: SIDEWA~ FT, , I CURBCUT FT, DATE :3(? -~ I - YO .90 I DEMOLITION I SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT /;72.. >'1 ~-6'C). ~ I TOTAL PERMIT FEES I EXCLUDING ELECTRICA' 7&2.80 . REQUIRED INSPECTIONS . i /. It Is the responsibility of the permit holder to see that alllnspectlons 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 B.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prior to setup of forms. 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. 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 Owner! Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. v UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. ATTIC DRAFT STOPS & CURTAIN WALLS y 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, pi ping, accessories and other ancillary equipment items are In place but before any concrete Is placed. 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 filllng trenches. INSULATION & VAPOR BARRIER: To be made after all insulation and recwlred 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: UB.G, 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) 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. GLU.LAM BEAMS: Inspection' Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 UB.G, STDS, 25.10.11), POST & BEAM: To be made prior to Installation of floor Insulation, 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 UBC 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. / t Y 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 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. . t/ " FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' PLANS REVIEWED BY ~/~...-<- - ,/ /' . DATE -;;;>vY~5:f!!!!, By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformatlon 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 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. Signature ,~/~P--- J Date .5"// :J/f7~ VALIDATION: AMOUNT RECEIVED' ?:;;Ii;"2. 5i!"d::> ---::2 qc:?~ V RECEiPT N' DATE PAID' RECEIVED BY: "?-/~.'5':E /' L~.:r---=, -.~v . \ '...~ ""-,,,~,~..,. "~'~'c~ JOB NO. 7'C(),;?;t~ . ATTACHMENT A . CITY OF SPRiNGFIELD SYSTEMS DEVELO~ENT CHARGE WORKSHEET NAME OR COMPANY: 0-:/''n~ j./)v. t;;, LOCATION: /ft.- ~A/!-;4/e (vot;~/M - 5"7// /..l~"/;> .'5:1-. t DEV~LOPMENT TYPE: I-Z-Ni.. t h7/JJV~~d? 741J '?ft<-ce. I / ,> . . . BOIUJING SIZE:;%>xl.7.fj "(1:1:7 LOT SIZE C;O. Ft. 1. STORM DRAINAGF - A,6 N60 :Cm!"yVJ::'-uS Ar",.___ IMPERVIOUS SO, FT. X $0.226 PER SO. FT. $ -6L' 2. SANTlA.RY SFWFR,CITY NO. OF PFU'S 7 (See Reverse Side) 3. TRANC;PORTATTON- /l...;-+AA'! uf62. d~~.J Lvi 6/~ d..//.. ~e jJU'n-<-t't H 970,,2- 7 Y U ,NO OF UNITS X TRIP RATE X.COST PER TRIP X $46.86 PER PFU 0.2- $ :i.213- x X $472. 49 $~ x X $472.49 . $ x X $472.49 $ 4. SANITARY SFWFR.MWMC , ' ND.OFFEU'S ;_.?.-r-X,k>,iEpER f'EU +$10 MWMC/ADM FEE $ ,-><"9/.23 TOTAl -MWMC SfJC $ e-- . J ".:1 ~ $ (7' tI . MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1.2.3 & 4) . . .;15' $t..J'7 - 5. AoMINISTRATIVF FFES BASE CHARGE (SUBTOTAL ABOVE) X .05 . ? 9(, $ . Je>-:-- .)2. ti?'~ ..... ,;l'-sDatco~diriator , Date: ~;/7 0' , ~/ TOTAL SOC. $ t:.-52;J-:-: .. II'" 1_"_ _1'lI11 ""~~__L..~ I .""'.. . ru........L... I\lUlIlut;:r VI I'H~W rlXlUIt;:::i ^ UllIl r::4UIVcut::Hn ::: j-ixture Units (NOTE: For remodels, calculate only the NET additional fixtures) .J . .. NUMBER OF , . UNIT FIXTURE FIXTURE TYPE . '. NEW FIXTURE EQUIVALENT. UNITS I 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 RefrigeratorlWater Station/Eic........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL.............,..... ..................... ........ Shower, Gang........ ................"..,............................. ,Sink: Bar, Commercial, Residential Kitchen........................ Urinal, StalllWaIL......,...,.:............:............................ Wash Basin/Lavatory, Single......................;........... Toilet, Public Installation.. .....,.".,........................... Toilet, Private.............,......... ... ............................. Miscellaneous: I I I TOTAL FIXTURE UNITS 2 1 2 3 6 2 '6 6 1 3 2 llHead 2 2 l 6 4 = .., ..,. / .v '7 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed I 1979 or before 1980 1981 1982 1983' 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 Credit for Parcel or land Only If Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) Improvement (if after annexation date) 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 = = 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