HomeMy WebLinkAboutPermit Building 1998-12-4
-, ~~ . .
-ItcoM M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER 9~/~c:X:>
SPRINGFIELD
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LOCATION OF PROPOSED WORi'" .'i 7?, M" in <::t-rppt-
ASSESSORS MAP' /'7-tt72-'"} -=?- yv
OWNER' The Carrinaton Comnanv
ADDRESS' POBox 1328
CITY' Eureka.
,-1....... '
DESCRIPTION OF WORK: -.d..J I AA/-"yv
NEW
REMODEL x
ADDITION
ARCHITECT'
NAME
r0n h,\jh,l(C _
PLUMBING
NO. FEE
t! Single Fixture /0
Relocated Bldg,
(new lix, addtl)
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
ft.
8ackflow Oevlce
I /'.#? ,;=:-Z; ,
TOTAL PERMIT
QUAD AREA:
. OF BLDGS:
OCCY GROUP'
. OF STORIEf"
SQ, FT,
SQ. FTG MAl N
SQ, FTG ACCESS ~___
SQ, FTG OTHER
INSPECTION LINE: 726,3769
OFFICE: 726,3759
TAX LOT:
~Ge>/
.... ...
STATE:
1"11'
'"0"' "::m::::~
P"'/~~' ('Jf}!tf~ W~I~ !N/O<If1R./G?tO~~L
DEMOLISH OTHER VALUE: /-1i.ID 00
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CHARGE I
7"'a 4
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ADDRESS
PHONE
EXPIRES
PHONE
CONST,
CONTRACTOR'S NAME AODRESS CONTRACTOR'
GENERA" Richard's Remodelinq 291'~allev River Center 30422
PLUMBING' --rW/~ f9 \iruD PjUl1/OA/~-(a r,) o"F,-1 Lf 'f'-f
MECHANICAl' C. 011.1 FVn.-.'T PLow 1-11#),;''';'-'' / d-. (0- 0100
ELECTRICAl' ~/!J, JI/Il1)(UILi.~ 7'f7-0'h1\
11 /qq ''ld~_<R<h
Dlc.k;. hh~
,:)oh,.l hlau...0-rL
LVJ I kl't 1111(, {Ad, '-
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MECHANICAL
Nn
~~~
""l-I.tdH'~!:
/
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and ven't
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
conler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
,~~72c;/!Jd~
Permit Issuance
7.S0 I
I
Ih...e? I
/~O~ol
TOTAL PERMIT
~1/.
LAND US~'
- OFFICE USE -
FLOOD PLAIN'
I BUILDING PERMIT I
15% State r~
SurcharQe ;-~r:;
I MEC~ICA'L7' I
f'r:--ht A/ ~.
15% Stale .,,~
Surcharae ".....-~~d
I PAVING I
/:29. >&7 'PLUMBING
~'_ ~ 5% State r~';;;i!:?
'il Surcharoe T:T'?<:>>
/<f!:' - FENCE
/~'. -i!> VALUE $
. . ~ I SIDEWALK
I CURBCUT
# OF UNIT~'
CONSTR. TYP~' .
HEAT SOURC~'
$/ SQ, FT,
X
X
X
FT,
FT,
HANDICAP ACCESS:
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
TOTAL VALUE OF PROJECT
PLAN CHECK FEE ~_=? >:.:?
RCPP 1':z.:::r:s- ~ DATE /?- .y: ~~ BY ~-C%::L
. ............../........-
5b.-d?
~ . 5<::""
/ . -€:.::;:,
, DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
. DEVELOPMENT
2./~. ~
. 296. ~8
,- I
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
5/5:97
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REQUIRED INSPECTIONS
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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.
/
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.
V UNDERSLAiit:e.lJLMBING;)
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.
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,
ATTIC DRAFT STOPS &
CURTAIN WALLS
..r'
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.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 WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanltary 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 coverlng'ls '
applied,
HIGH STRENGTH eOLTING:
During all bolt installation and
tightening operations, (306
a,6)
SPRAYEO ON
FIREPROOFING: U,B.C,
Standards 43,8,
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing,
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,
SPECIAL GRADING,
EXCAVATION AND FILLING:
Ouring earlhwork. (306 a.11 &
Chapter 29)
UNOERFLOOR: Plumbing.
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
GLU,LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the Clty's
Building Division before
beams are placed. (2501 UBG,
sTDs, 25-10,11),
MASONRY: Steel location,
bond beams grou"ting or
verticals In accordance with
UBC 2415,
slOEWALK & ORIVEWAY:
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.
)('
STRUCTURAL MASONRY: (306
a,7)
h../~}";>
Cc/C/~ .
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prIor to Installation of
decking or floor sheathing,
ROOF SHEATHING AND
NAILING: Prior 10 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
compll.ance with the Building,
City or Development Code,
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FINAL ELECTRICAL
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 PLUMBING
y
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 MECHANICAL
y
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
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PLANS REVIEWED BY / /_~/::.~.:: -..-DAT~ 12-/;'-?:-a
L f/' 'y.--'(9
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 c;or~ect, 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, thai the permit carJI ILated at ,1he front of the property, and the approved set of plans will remain on the site at all
times dUrl~g'TIstrutlon. .
Signature l1f~MoflA!lij , .' Date j d - Lj - 9>!
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AMOUNT REC~D: ~ '9-?
"'3 .2. '3'?"3
VALIDATION:
DATE PAID'
J<-?~-?&
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,RECEIPT ':
RECEIVED BY:
vvv.un,,- VI" VV..., 11'-1. "/A I .....L/
it" L
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. ATTACHMENT A
CITY OF SP~GFIELD SYSTEMS DEVEL~ENT CHARGE
WORKSHEET
NAME OR COMPANY: SJ".. I&~'/' ~.
LOCATION: r,-7~3 ~J~ s:I--
DEVELOPMENT TYPE: -:C;.hA"'':;;r 7:.1: ~ k~1 J;, fJ-yJ:e.d~'&.
BUILDING SIZE: LOT SIZE
1. STORM DRATNAG~ - M c.~'.r-
SO, Ft,
IMPERVIOUS SO, FT,
X $0,227 PER SO, FT, $ ~
2, SANITARY SEWER-CITY
NO, OF PFU'S ~ X $47.14 PER PFU
(See Reverse Side)
~rA--L.r C-~, -., rhwer ~;:?
3, TRANSPORTATION - ;1/e.v cJu. ~ #c,-,,:/ ~~
NO OF UNITS X TRIP RATE'X COST PER TRIP
X
X $475,32
X
X $475,32
4, SANITARY SEWER-MWMC -4>,).-~ cJl~<;.V/" ()S-e-
A, REIMBURSEMENT COST: ~
NO, OF FEU'S
X
PER FEU
B, IMPROVEMENT COST:
NO, OF FEU'S
X
PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL-MWMC SDC
sY'
$~;< -
/(/; J~
$ t"f-
$
$ ~
$ ~
< $ >
$ 10,00
$ ~
$,;1.8..2 81'
L!L .
$ /4/
SUBTOTAL (ADD ITEMS 1.2,3'& 4)
5, ADMINISTRATIVE FEE~:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
k:;~ / JatJ,.,L.., . Date: /~jJg
; r ~ C~rdi nator TOTAL SDC
ATTACH' A, WPD
$;z9&~
(NOTE: For remodels. calculate only rhe NET additional fixtures) . .
. NUMBER OF
FIXTURE TYPE NEW FIXTURES
riA I unL VI"II '"'''"'L.'-'v....1'''''\ 11'-'1" I,."...,........ l'4UIlIUI;OI VI 1'4t:;VY '1^~'..lIv""" ...."H '-~""''''''''''''~ - . .",,~.......... ...."n...
(
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FIXl'URE
UNITS
"
Bathtub""""""""""""""""""""""""."""""""""" ,
Drinking Fountain,....".."..""""......",....,..,..,....,......,
Floor Drain"..,...." ......,..,....'.,....... ..~.., ..~r.:/;.!.,..7
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, Residential Kitchen........................
Urinal, Stall/Wall...",..,.., ,...".,...'".."...."..,....,.."."""
Wash Basin/Lavatory, Single......,........................,..
Toilet, Public Installation",....", "..,..",..",....'",..,,'..
~~~~:I;a~:~~:~"""" a;D: ;~'~~". '5hJ; ;;;: 5"'.""""
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TOTAL FIXTURE UNITS
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
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CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates,
1
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
.1
I
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4,27
4,18
4,12
3,99
3,83
3,68
3.48
'3,18
2,82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
X $ ;
(Rate X Assessed Value)
X $ ;
IRate X Assessed Value}
CREDIT TOTAL ; $
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential...,........,..........,...O.4
Commerical.........,..........,.... 0,9
Industrial...................,........ 05
GovernmentaL,................,.., 0,5
FIXUNIT,WPD
IMPERVIOUS AREA; TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1,000
Assessed Value
$1,98
1.55
1.15
0,96
0,83
0,67
0,52
0,38
0,21
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SIGN 'PERMIT APPLlCATI.
225 Fifth Street L~
Springfield, OR 97477 ....... ~
SITE ADDRESS: /)'71--'2, mi91c,v. ('f {(" ' .
ASSESSORS MAP: /- rI}..L.. ..U.. 1../ 't!J ( V I
OWNER-r~ '( v.1 'w-,';;,:~-",-, Co
)
n 2')(- <;I;.
eU r LA&--
SPRINGFIELD
JOeMBER' 9?:/~OQ
Inspection Line: 726-3769
Office: 726-3759
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TAX LOT:
PHONE:
ADDRESS:
PD,
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CITY: ~ _ "
fJ
BUSINESS NAME, FIRM ElC,:
STATE:
C CA f rl&rItA'ifJ'
ZIP: 95'5O:?:..
DESCRIPTION OF PROPOSED SIGNISI: Iplease check and com..elete all appropriate information)
.--/: NuTICE:
---T- Wall - Freestanding - ~r~I'S'~'/:'RMIT SH;!d:t-E~RE IFTHE-WeFfr{arquee
_ Single Face Double Face 1j~[!lppr.gRIZED Il/'IDEFPu:.W3 PERMIT IS NOT
Square Footage: /9, 5' COMMETbg[~ggh\q,~&t~C?,Q~lED FOR
ANY 180 DAY PERIOD, ( "
Horizontal Width of sign or enclosure: I -;;;; - 0
Electrical Installation: Yes y,' No VAI.UEI:1 (!)C2
(If yes additional electrical permIt I~"edl OF SIG~ t;'2-00~
Vertical Dimension of sign or enclosure:
181'
Dimension from Grade
to bottom of Sign Enclosure:
Ie; /
Material Sign is constructed of: :5)",...-1- VIA .l-r:al
List ALL existing signage and attach a photograph of 8ach sign:
/Jp Me
lal Type
Sq, Ftg,
(b) Type
Sq, Ftg,
. tdl Oi<P.lJf6":,M I<ow reouire$if,>l/;IJ1, .
All t:.NI,l__ _~Mt~rj hv the Oregon Utlhly,
IVIIVn ",-'- - . Th e rules ar,=, ;:)~L IV_~'.
Notification <?=;." t~~,,"nh OAR 952-00~HONE:qt,l'Z--/ D <)17
in OAH 1l0"'.V bt~jn copies of the rules oy .
0090, You may 0 : 1-\-' tho t"IAohone
calling \ne ell'"'''' J~- - - ility Notification
^"mberforthl'l?lflAEl1!?n, 2-^AA) ZIP: Q7</"'} /
Center IS 1-8 -VU~ _.
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER: 01 (j2.R' EXPIRES: q - It! -ctq
Icl Type
Sq, Ftg,
CONTRACTOR/INSTALLER: y.q6 (lj
ADDRESS: 7RX-,f'{, T--eyytfwi It.!
pr/
CITY: Lnvl4 ",.p.
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
OFFICE USE
Sign District:(f:!>,P(""/~
Quad Area:
.3 c. 5 c::-
Zoning:
C't:
Code Section:
Sign Permit Fee:
1f()6--
DATE:
r~/lr/'f9
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
~achment ~lectriCal ~nal
after fasteners are prior to energizing completion of sign
installed/prior to cover electrical installation installation
..du..I~ ~ A/J ;4- - ..:..~
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Additional Comments and/or Conditions: ~
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. 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 the installation
of the sign(s),
Signature }J'AAA'^D jlA"P' Date Iy' ~p~
.
Receipt Number:
()':?;:;;-< 57
"C.L-o
Validation:
Amount Received:
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SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely, If you are the sign contractor/installer, or if you are
_ hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the Registration
Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each,
If the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed
by either a supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the
building in which you are occupying, and you will be performing the electrical installation yourself, you may sign the
electrical application.
If there are existing wall and/or freestanding signs, a photographlsl of aach existing sign naeds to ba attached to tha
application, The size of each existing sign also needs to be listed on the application,
PLANS
To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and
a plot plan indicating where the proposed sign will be located, If you are installing a freestanding sign which exceeds 20
feet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect, After the
plan review process is completed, and, if your sign(s) is approved, one set of plans will be return~~ to you, The approved
set of drawings need to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your ,signls), you may be required to request one or all of the fOllowing inspections during the installation
of your sign: ' '
Site:
To be requested after indicating on the lot where the proposed sign will be located but prior to any work
being performed for the installation of the sign, This inspection is required if there is a question on the
location of the proposed sign, " .' ,
Footing:
To be requested after excavation and the forms are installed, but prior to pouring concrete, If there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection,
Attachment: To be requested when all fasteners are installed but prior to cover.
Electrical:
To be requested after the electrical connection to the sign is made, but prior to energizing,
Final:
After all required inspections are conducted and approved and the sign installation is complete,
The inspections that are required for your sign installation will be indicated on the application during the plan review
process, Failure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the
required intervals of work.
To request an inspection, phone 726-3769, This is a 24 hour recording, On the recording you will need to leave your City
Designated Job Number, location of where the sign is being installed, the type of inspection you are requesting, and when
you will be ready for the inspection, All inspections called in to the recorder prior to 7:00 a,m, will be made the same
working day, all inspections phoned in after 7:00 a,m, will be made the following work day,
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If you have any questions regarding the application, required' plans or inspections. please feel free to phone, the Building
Safety Division,at 726-3759,
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City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
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