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HomeMy WebLinkAboutPermit Building 1998-12-4 -, ~~ . . -ItcoM M ERCIALlI N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 . JOB NUMBER 9~/~c:X:> SPRINGFIELD ~ 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 I I CHARGE I 7"'a 4 I I I I I ~-tPl I I I I -z:>1 I I~ 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, '- ,- 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 . REQUIRED INSPECTIONS . " (""""'- ,,~ . WI!: 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, ------------------------------------------------------- I A % 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: ~ 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>! I AMOUNT REC~D: ~ '9-? "'3 .2. '3'?"3 VALIDATION: DATE PAID' J<-?~-?& ~~_., , '. ,RECEIPT ': RECEIVED BY: vvv.un,,- VI" VV..., 11'-1. "/A I .....L/ it" L \.. ~ . 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... ( . \ ./ - 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"'."""" . . -I ~ ;x TOTAL FIXTURE UNITS UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 t< ; -;l. ~ 0/ G 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 $1,98 1.55 1.15 0,96 0,83 0,67 0,52 0,38 0,21 II -. SIGN 'PERMIT APPLlCATI. 225 Fifth Street L~ Springfield, OR 97477 ....... ~ SITE ADDRESS: /)'71--'2, mi91c,v. ('f {(" ' . ASSESSORS MAP: /- rI}..L.. ..U.. 1../ 't!J ( V I OWNER-r~ '( v.1 'w-,';;,:~-",-, Co ) n 2')(- <;I;. eU r LA&-- SPRINGFIELD JOeMBER' 9?:/~OQ Inspection Line: 726-3769 Office: 726-3759 \ , TAX LOT: PHONE: ADDRESS: PD, , , \ " ~? CITY: ~ _ " fJ BUSINESS NAME, FIRM ElC,: STATE: C CA f rl&rItA'ifJ' ZIP: 95'5O:?:.. DESCRIPTION OF PROPOSED SIGNISI: Iplease check and com..elete all appropriate information) .--/: NuTICE: ---T- Wall - Freestanding - ~r~I'S'~'/:'RMIT SH;!d:t-E~RE IFTHE-WeFfr{arquee _ Single Face Double Face 1j~[!lppr.gRIZED Il/'IDEFPu:.W3 PERMIT IS NOT Square Footage: /9, 5' COMMETbg[~ggh\q,~&t~C?,Q~lED FOR ANY 180 DAY PERIOD, ( " Horizontal Width of sign or enclosure: I -;;;; - 0 Electrical Installation: Yes y,' No VAI.UEI:1 (!)C2 (If yes additional electrical permIt I~"edl OF SIG~ t;'2-00~ Vertical Dimension of sign or enclosure: 181' Dimension from Grade to bottom of Sign Enclosure: Ie; / Material Sign is constructed of: :5)",...-1- VIA .l-r:al List ALL existing signage and attach a photograph of 8ach sign: /Jp Me lal Type Sq, Ftg, (b) Type Sq, Ftg, . tdl Oi<P.lJf6":,M I<ow reouire$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- - ..:..~ , , 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: . . \ 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, I . If you have any questions regarding the application, required' plans or inspections. please feel free to phone, the Building Safety Division,at 726-3759, .' . . '." . ~ .. ~ " City of Springfield Building Safety Division 225 Fifth Street Springfield, OR 97477 '. "