HomeMy WebLinkAboutPermit Building 1991-11-13
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COMMERCIAL/lNDUSTRIAL.
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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'JOB NUMBER t:l//~;;r;?
INSPECTION LINE: 726.3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK' ~7 Zc::> /'?1'H~ ::5r
ASSESSORS MAP: /7"fP:2-""3"3-4I/
,
TAX LOT' o/9~ /
OWNER:' If.,P. ~/L
ADDRESS: 7//.tP '5, W. /faN.2./Af ~
CITY:~P ,
NEW
REMODEL
PHONF'
5<JPrtS: 2CJ?
/""2? .
.K"fiY'hne-L ~~ ~I./~Ar/~CE
.)( ADDITION DEMOLISH OTHER
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STATE:
ZIP: &?72Z?
DESCRIPTION OF WORK:
~_?~
VALUE' 1:<>&_
. ,
~ NAME p, ADDRESS ~-'"
VC''''/4n'~ ,.. ':Z. ='-~, ~;?,.,.,
~':'''~~~~'~~~/ ?A"'~~~ ~/......
CO NST.
CONTRACTOR'S NAME /8 ~R~k~ <:7. CONTRACTOR #
GENERAL: W~...; ~AA?~ L!>?J ~ ",,>,,<c..I?'So': ~")C>YS'" 7/2"'<0
, -r -r r '
PHONE
-:>~q- ;;t:;-V',
EXPIRES
PHONE
PLUMBIN'"
/~ .<:<"?--g".....
MECHANICA' .
ELECTRICA' .
PLUMBING I I MECHANICAL I
NO. FEE CHARGE I I NO ~~~ 2=-1
If Single Fixture ~~I I / Furnace/burner & vent
It:) < 100,000 BTUs
Relocated Bldg, I I Furnace/burner & vent I
(new Ilx. add! I) > 100.000 BTUs
Water Service I I Floor furnace and vent I
It.
Sanitary Sewer I I Suspended wall or floor I
It. mounted unit heater
Storm Sewer I I Appliance Vent I
It. separate
I I/~- I 1"3' Stationary evap. ~.- /g..- I
Backflow Device cooler
~~khr.Y'/d')';) ~I /&>,-1 I Vent Fan/Single I
I duct
I ' , I I Vent System apart I
from AC or htg.
I I I Mechanical exhaust I
hood and duct
I I I
1 I Permit Issuance $10,00 l
TOTAL PERMIT 6~ .....1 I TOTAL PERMIT , ~"I. - I
QUAD AREA: "3.iE?j<lt:::..
- OFFICE USE -
LAND USE: _~ OC>
HANDICAP ACCESS:
FLOOD PLAIN:
# OF BLDG~'
OCCYGROUP:~-<'
. OF STORIES: "
# OF UNIT'"
CONSTR. TYpo. ,<:-~
HEAT SOURCE:~~ h'#.
ZONING'
c::c::..
LIGHTING POWER BUDGET:
WATER HEATER'
SQ. FTG MAIN
SQ. FT.'
nv~ f6;q.:;._"...-~
$/SQ. FT.
VALUE
/'2~ _
.,
SQ. FTG ACCESS
X
SQ, FTG OTHER
X
TOTAL VALUE OF PROJECT
f IS?$- 7cb
PLAN CHECK FEf ::?~. ~
RCPP '"2/27'>"
DAT~ 97'-< .?/
BY
AA7A:/cC='
I BUILOING PERMIT
15% State
SurcharQe
I MECHANICAL
15% Stat,e
Surcharoe
I PAVING
V'9,? -
"2Y.g~ .
~~-
.
I. 7t?
I PLUMBING
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
CURBCUT
~- .,p
-,.: -
I DEMOLITION
FT.
:0~.~~'
~~"""'~ /3Jf:$. Y'Sl
SUBTOTAL' ,
PERMITS b/9. :;>c!:>
SYSTEMS 9~
DEVELOPMENT S:!? t:lI(B
FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
.& ?.$. 9C'
r
.
. REQUIRED 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.
PLANS REVIEWED BY
j(
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
x
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 rai nage Ii nes. 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
)(. FINAL ELECTRICAL
A
FINAL MECHANICAL
y
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
x
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
inspections have been made
and approved,
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 of 2500 P.S.L (306 a.1)
A
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pi pes, 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)
y
STRUCTURAL WELDS:
Performed on the job. (2722 f)
x
INSULATION & VAPOR
BARRIER: To be made after all
insulatio'n 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: UB.G.
Standards 43-8.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
x
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25.10,11).
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.
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 inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this inspection.
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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.
/z~~~
///-. .~
DATE
A::> . :z..S-..q L
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
wlil 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 OAS 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 104ated a the front of the property, and the approved set of plans will remain on the site at all
times du.".ng co~uctionfl ~
SIgnatur0 ).J..-1 1/, '(. ~(I ~_______ Date //-;.k
VALIDATION: \JOUNT RECEIVED: "5?~'i< ,00 DATE PAID' 11- 12.., -&J f
RECEIPT #:' ~O"'1:>" RECEIVED BY: EJA 10~
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JOB NO, q \ \ 0 T~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: B. I?, OIL
LOCATION: 'Si'l-D M./''''N. -:::".
DEVELOPMENT TYPE: Cc - 'Re.MoDE:.L
\\D2.?'~y\ -Ol"'\b\
,
BUILDING SIZE: "51..-/. 1..(1
I. STORM DRAINAGE .
IMPERVIOUS SQ. FT. ~o TN.c..~U,SI::. X 50.186 PER SQ. FT. ~--f.r
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
LOT SIZE
SQ. Ft.
2. SANITARY SEWER-CITY
NO. OF PFU'S ~ X 538,55 PER PFU
(See Reverse To Determine Total PFU'S)
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3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $388,61 wo APf/rTlo/olAL- '(/Up
GsWER./tT/l>N 1<i:SVL-T!.
X $388,61 F(LOWl MDPIFlcO USe.
$
$
-
$ .&-
X
X X $388,61
(See Attachment C To Determine Trip,Rates)
SUBTOTAL (ADD ITEMS 1,2, & 3)
s 77.!!!-
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X ,05
'1 'l!)c"
S -;7-
TOTAL-CITY SDC S ~O ~
5. SANITARY SEWER-MWMC
NO, OF PFU'S
x 513.25 PER PFU + S10 MWMC ADMIN. FEE S ^,;I~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
S
TOTAL-MWMC SDC S ~
TOTAL SDC 5 S- b ".~
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(j Kip Burdick
SDC Coordinator
'1-l'\ -"\'
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FIXTURE UNIT CALCuLiION TABLE: Number of New Fix1ure~nit Equivalent = Fix1ure Units (N;:~;~ .
For remodels. calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF UNIT FIXTURE
NEW FIXTURES EQUIVALENT UNITS
2
1
2
3
6
2
6
6
1
3
2
1/Head
\ 2 'L.
2
1
6
4
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/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower. Single Stall.................................................
Shower, Gang..........................................................
Sink. Bar. COmmercial..........................~..................
Urinal, Stall ;WaiL....... .............................................
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation........................,....
Water Closet, Private...............................................
Miscellaneous:
TOTAL FIXTURE UNITS
=
2..
CREDIT CALCULATION TABLE:
calculate credits separates.
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Based on assessed value. If improvements occurred after annexation date in table,.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
$1.69
1.35
1.15
OU92
0.59
0.23
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
Credtt for Parcel or Land Only If Applicable
x S
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = s
Improvement (n after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.................. ...................................... 0.4
CommerciaL.................................................... 0.9
Industrial. .......................................................... 0.45
GovernmentaL.................................................. 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT