HomeMy WebLinkAboutPermit Building 1992-5-4
SPRINGFIELD
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,rcC)M M ERCIALlI N DUSTRIAL-
" PERMIT APPLICATION
JOB NUMBER
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726-3759
LOCATION OF PROPOSED WOR~' 5"7"2/' h-1A//Y' ~T
ASSESSORS MAP: 1?~-~"5-<'/<./
'6~'t;1"'" ?a e:cU~/t!:5 N C::-./ r- <>
ADDRESS: ~ / .A/. w.r b ~~;;:--
CITY' C ~7-? ~/ 5
TAX LOT: ~.q~
PHONF'
tJC /!iT H.!::>t,L.&> low"-"<<.
-;1'~9 ---,~ V
STAT'" c::::::>~ .
/ ~ ~9' -.- n:../l" ~~/S/4>__.c::~
ZIP: ~::r7"'73'=
DESCRIPTION OF WORK: _~x,..,~.--., =
CONTRACTOR'S NAME
7".. .
GENERA' . .e-~~or-
PLUMBING'
NEW
ARCHITECT:
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OTHER
VALUE:2~,<---><..-J
,
REMODEL
ADDITION
DEMOLISH
NAME
AOORESS
PHONE
AODRESS
CaNST.
CO NT RACTO R .
EXPIRES PHONE
~
ELECTRICAl'
MECHANICAl'
I
i NO.
1'1
I
I
I
I
I
I
I
I
1
I
I TOTAL PERMIT
QUAD AREA::::/::__~r -
. OF BLDGc,
OCCY G RO U p.
PLUMBING
MECHANICAL
FEE
...n
1=1=1= f"":l-Il1.RnJ:
CHARGE
'70 of)
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
0.~
/
Single Fixture
Relocated Bldg.
(new lix. addtl)
Water Service:
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
30-0
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
/
1otf/llJ /5170
Permit Issuance
$10.00
TOTAL PERMIT
- OFFICE USE -
LAND US". 5 ~ riJ
HANDICAP ACCESS'
FLOOO PLAIN'
(l-,~
. OF UNITF'
ZONING'
CONSTR. TYPF'
HEAT SOURCE:
LIGHTING POWER BUOGET:
WATER HEATER'
. OF STORIEF'
VALUE
SQ. FTG MAIN
SQ. FT.
$/SQ. FT.
X
SQ. FTG ACCESO': X
SQ FTG OTHE~,?;t::~ , .;fr=-P;&?k ~ /"-'C--' r;6
/~~
TOTAL VALUE OF PROJECT
RCPTR 7"5" '3 S-
BY--;:?~ ~ ;;..--?
PLAN CHECK FEZ. ..!L/- ~::;r
OATF <;,-<;.<. ~2
,
I BUILDING PERMIT
15% Stat.e
Surcharoe
I MECHANICAL
1:')5<<AL'CE
15% State
Surcharoe
I PAVING
140.S-0
7-tS7?
Ib...V"'-
In ~
.7.5
, PLUMBING
I
1
I
I ~.i'e 1
li~.~1
IP S"D II! 1~
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'?.) :/ .
7000
3.~O
, DEMOLITION
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
SUBTOTAL
PERMITS ,-
I SYSTEMS
OEVELOPMENT
FT.
CURBCUT'
FT.
TOTAL PERMIT FEES I
EXCLUOING ELECTRICAl
.
REQUIRED INSPECTIONS
.
It is the responsibility of the permit holder to see that all inspectlons.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.
x
ROUGH<(L.UMBINq)
c:!LECTRICA<. &
~CHAN~ No work is to
. be covereo until these
inspectlons have been made
and approved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
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UNOERSLAiGu.UMBINGJ
ELECTRICAL &'
MECHANICAL: To be' made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made atter 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.
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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 PS.I. (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 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 filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required 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.B.C.
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)
x
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,BC,
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.
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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
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 Bui/ding
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
-------------------------------------------------------
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FINAL PLUMBING
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 ELECTRICAL
FINAL MECHANICAL
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.
FINAL FIRE DEPARTMENT
ADDiTIONAL COMMENTS:
PLANS REVIEWED BY
<~~
DATE' .-;;-/,(~/q L
'7: I
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 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 w.ill remain on the site at all
times during constr n.
D~tP ~ 20-7~
Signaturp _
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VALIDATION:
AMOUNT RECEIVEO: -7"5'5 _')"'3
'-/71' _ S-
RECEIPT ..
DATE PAID: 5"-20'9;;>
RECEIVED BY: ~~ '
''/
"
CITY OF
JOB NO_ q2-0(,cP/
S"INGFIELD SYSTEMS DEVELOPM~ CHARGE
WORKSHEET
(COMMERCIAL & RESIOENTIAL)
/'
"
NN1EOR COHPANY: fk..€.c.\7\O~ c.u."T~
LOCATION: '?1'2..1 /VIA-IN 'S-r.
\, o "2-"?'?'-l-<-l - 009,00
DEVELOPMENT TYPE: C-G: C-fTMf'I.-E- -r E. LE.A<;-/:; SPA<-/:;
BUILDING SIZE:
LOT SIZE
.SQ. Ft.
1. STORM DRAINAG~
IMPERVIOUS SQ. FT. JJ. A . X SO.186 PER SQ. FT. I~
(See Reverse For Runoff Coefficients If Actual Imperv_ Area Is Unknown)
2. SANITARY SEWER-CITY
NO. OF PFU'S I~ X S38.55 PER PFU
(See Reverse To Determine Total PFU'S)
~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
N.A. X
X
X S388_61
Is
I
X S388.61
s
'BASE. CHARGE. (SUBTOTAL ABOVE) X ;05
x X $388.61 S ~
(See Attachment C To Determine Trip Rates) .~
SUBTOTAL '(ADD ITEM,S 1,2, & 3) $ ~
l,fjP;' i -zo J~ -::f~~
Is~1
TOTAL-CITY SDCS ~
4. ADMINISTRATIVE FEES
'-
5. SANITARY SEWER-MWMC
NO. OF PFU'S
15
1~
x S13.25 PER PFU .+ S!O 1o\WMC ADKIN. FEE S -ZoS -
(Use PFU Total From Item 2 Above)
~lWHC CREDIT IF APPLICABLE (SEE REVERSE)
~~.L..k-
Kip Burdick
SOC Coordinator
s Ie.. /17.-
S
TOTAL-MWMC SDC Is 2.o8"t! I
TOTAL SDC ~
f 'So't> ~
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FIXTU R E UNIT CALC U LAliI..O N T AS LE: Number of New Fi,1ures X Unit Equ~'alenl " Fi,1ure Units (I,OTE:
For remodels. calculate only the ~ii.ion21 li>..1ures) . .
NUMBEji OF UNIT FIXTURE.,
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
...
"7
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
''2,
Batht ub............................................................. .....uu
Orinking Fountain..:...:............................... ..... ........"
Floor Orain...........:........:.....:.................................. ...
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For'Sand/Auto Wash/Etc..........:.......
Laundry Tub/Ootheswasher -.................................
Ootheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Traller)..................
Receptor For Refrigerator jWater Slation/Etc........
Receptor For Commercial Sink/Ois!l\vasher IEtc.:
Shower. Single Stal1.~.._..:............_..........n............
Shower. Gang.................,..........................-_..........
Sink, Bar. CommerciaL.--..-..----...-.....
Urinal. StalljWaIL................:.........._..._.-...o......
Wash Basin[laVatory, Single.___._.-''''''''''
Water Oosel. Public Installatiorl....-..-...-............
Water Oosel. Private..-..............-....
Miscellaneous:.
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TOTAL FIXTURE UNITS
=
/5
CREDIT CALCULATION TABLE: Based on assessed value. If.\mprovemenlS occurred alter annexation date in ,table.
calculate credits separates.
~.
Year
Annexed
1979 or before
1980 ..
1981
1982
1983
1984'
Rate per $1.000
AsseSSed Value
$266
2.:64 .
2.:53'
2.:41
2.:19
2.:04
Year
Annexed
1985
1986
1987
1988
1989
1990
Rate per $1.000.
Assessed Value
I:
$1.69
1.35
1.15
0.92
0.59
0.23
Improvement (If after alUlexation date) ,
x $. =
(Rate X AssesSed Value)
X S =
(Rate X Assessed Value)
CREDIT TOTAL = $
Credilfor Parcel or Land Only Ii Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
ResidentiaL................................................n.... Q.4
COmmerci:oL.................n..............................o 0.9
IndustriaL.... ................................. ................... Q.45
GovernmentaL..............._......... .on ........__....._uu 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT