HomeMy WebLinkAboutPermit Building 1992-6-24
~
~~F I'~~ ~rJ7~ ~ )
'- .-:;> /'
TAX LOT: =<i;::S/
COMM ERCIALlIN DUSTRIAL.
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: !JlZ~ .J44tJtl 471'
ASSESSORS MAP' /?-.d2--:?--::j-<77'<
OWNER:
ffAAlt/6 t1mN~JZ;/
Po BCiY 1~7P/
6JeEJ::A
ADDR~c:.c:..
CITY'
.. JOB NUMBERG. (6:"fi~:-rc
INSPECTION LINE: 726-3769
OFFICE: 726-3759
PHONE:
~.
~r
STATE: 1fJ
ZIP: CI;;;6oz
DESCRIPTION OF WORK:
NEW ,/ REMODEL
7t}/MtJ/r /A/-R1J - ~IZ- M1!Iq'
$ .
VALUE: -z4, ~
.
ADDRESS
~7Z ~1114 ""55r
CDNST,
ADDRESS CONTRACTOR'
~ W' c;< 1'p~O\
ADDITION
DEMOLISH
ARCHITECT:
NAME
A1~ ~,W
CONTRACTOR'S NAME
GENERAL:
PLUMBING'
aJE/I1IW ~
'7""avY .I'.P~
At i:" ~
~
MECHANICA' '
ELECTRICA' .
TOTAL PERMIT
PLUMBING I
FEE CHARGE I
/~ Po.-I
I
I
I
I
I
I
I
I
I
I
I~_~I
NO.
:5 $ingle Fixture
Relocated Bldg,
(new fix, addtl)
Water Service
ft.
Sanitary Sewer
It.
Storm Sewer
ft.
Backflow Device
OTHER
PHONE
~J) 77.6,,-5657.
EXPIRES PHONE
R,LV::t'L =14\,7-~
7 y'y..~ Ie
OOi1<1
\2.,\R,Q?_ l41lu103~
MECHANICAL
I
("1-IfJ.D.G-i
I
Floor furnace and vent 1
Suspended wall or floor I
mounted unit heater
Appliance Vent I
separate
Stationary evap. I
cooler
Vent Fan/Single I
duct
Vent System apart I
from AC or htg.
Mechanical exhaust I
hood and duct
~~ ;;r.:.......~,;.J of' ".. ;;'cl~~4-
~. .,~- I
Permit Issuance $10.00
I TOTAL PERMIT I
Nn
"""
Furnace/ burner & vent
< 100,000 BTUs
Furnacel burner & vent
> 100,000 BTUs
QUAD AREA:
(~ Se.....
\
- OFFICE USE -
LAND USE: rzs?-r!J
I
FLOOD PLAiN:
ZONING: ~~
. OF BLDG'"
. OF UNITS'
OCCY GROUP'
CONSTR. TYP'"
. OF STORIES:
\
HEAT SOURCE:
SQ, FT,
S/SQ, FT.
SQ, FTG MAl N
X
SQ. FTG ACCESS ~ X
SQ. FTG OTHER ~A"'A'~ ~A'cC4i-
, , ,
/a51P
PLAN CHECK m \ \C ) . "d0
RCPT' fJt..L~ \
I BUILDING PERMIT
15% Stale
Surcharae
I MECHANICAL
15% State
Surcharae
I PAVI NG
I PLUMBING
/.76',::'-0
8,..-5-::-
5% State
Surcharge
FENCE
VALUE S
I SIDEWALK
I CURBCUT
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
. ,
WATER HEATER'
VALUE
"
"7,!6'?&/
TOTAL VALUE OF PROJECT
DATE~~ ,-\-q 9_By6~~.
~~ """'" I DEMOLITION
j
I
I
,::<7'/. $"3 I
~
::? -z5(!:?
FT,
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
I
I
I ... ~f,G:. ~
FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
6/7:6:2.
.
REQUIRED INSPECTIONS
.
It is the responsibility of the permit holder to s,ee 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 set,up of forms.
Ix'
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 9' concrete.
/
UNDERSlAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WAllS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, aI/ steel in place, but
prior to placing concrete.
FIREPLACE: Prior 10 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.
)(
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 equi pment items are
In place but before any
concrete Is placed,
STRUCTURAL WElOS:
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 eOlTING:
During aI/ bolt instal/at Ion and
tightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U.SG.
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 GRAOING,
EXCAVATION AN 0 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 USG.
STDS, 25-10,11),
POST & BEAM: To be made
'prlor to Installation of floor
Insulation, decking or floor
sheathing,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a,7)
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
USC 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.
*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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
)(
FINAL PlUMelNG
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.
)(
J
y
FINAL ELECTRICAL
x
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
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
----. /.j,.
PLANS REVIEWED SY /-1~ ~---~ DATF ?-:S?-~'2-
f// 7 -10/
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 Siate 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 GRS 701.055 will be used on this project.
I further agree to ensure that all ,required Inspections are requested at t roper time, that project address Is readable from the
street,~at the permit card Is located at the front of the property, ~~ed set of plans wIll remain on the site at all
times d g c~nstruct\on, I ,,-4 ~". . ~ _ / } k
Signat /~~/~~M' I' t/, / r" Dat..?/ /C;/9 ~
AMOUNT RECEIVED: If {rJ , (" Z- DATE PAID: ~1. /() .<f?/
RECEIPT .' .~'F)f.1 r-r-- RECEIVED SY 1/ y) ~
. I _ _ _
VALIDATION:
JOB NO. 9-Zo8t'Z..
CITY OF .INGFIELD SYSTEMS DEVELOP. CHARGE
WORKSHEET I .
. (COMMERCIAL & RESIDENTIAL)
NAHEOR COMPANY: FF<:.PrIJC-tS CAIU,.ING-io!J
LOCATION: ,?, '2-? MA-II-1 "S-r.
DEVELOPMENT TYPE: (!.C: -:Cu .,.-"-~ INl!_ M()M"_I_
LOT SIZE
SQ. F t.
2, SANITARY SEWER-CITY
NO. OF PFU'S -, X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
$ Uq~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
X $388_61
$ IJlk
$
x
X $388.61
x X $388.61 i .
(See, Attachment C To Determine Trip Rates) '. a 1<""
..' . SUBTOTAL (ADD ITEMS 1,2, & 3)'1. .uP, -
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X ,05
S I? -+~
TOTAL-CITY SDCS -z.e;?"!>..:t
5, SANITARY SEWER-MWMC
NO. OF PFU'S
r
x $13.25 PER PFU + S!O'MWMC ADMIN. FEE $ 1()~'~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
~ ~Lc.k-
lJ Kip Burdick
sac Coordinator
(p/&'f/"i7..-
( ,
S
TOTAl-MWMC SDC S lo"Z-~
TOTAL SDC S ?~Coo~
~.
FIXTURE UNIT CALCU LWO N T AS LE: Number of New Fi'1urcs,W,/nii Equivalent = Fi,1ure Units (I~OTE:
For remodelS, calcuiate only the Nc~ditional fi'1ures) . .
NUMBEfl OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub..........,.. ..............., ............... ................ ....,.....
Drinking Fountain.......:..., ....,...... ,........, ,.. ....,..... ........
Roor Drain.... ....,..:,.......:.." ,......,.. ..,......,.....,..........,..
Interceptors For Grease/Oil/Solids/Etc.....,...........
Interceptors For'Sand/Auto Wash/Ete....,..,..:.......
Laundry Tub /C1otheswasher...... ........., .....,., ....,.,...,
Clotheswasher - 3 Or More,........................,...........
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator jWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc,:
Shower, Single StalL.......:...................,.......".........
Shower, Gang..........................,....,.....,..........,..,.....,'
Sink. Bar, COmmerciaL.,...,..,...,....,.......,........,.-...""
Urinal. StalljWalL.,.."..""....,:..,..""'....."'.....,..-...,..,..
Wash Basin/Lavatory, Single..,................,..........,..,
Water Closet, public Installation,.......,.....,.............,
Water Closet, Private..",.....,.",...."...."..,.....,........,..
Miscellaneous:.
2
1
2
3
6
2
6
6
1
3
2
l/Head
2 2-
2
1 \
6
4 c.j-
TOTAL FIXTURE UNITS
I
r/
CREDIT CALCULATION TABLE:
calculate credits separates,
11
I
Based on assessed value. If.lmprovements occurred after annexation date in table,
I
~
1979 or before
1980
1981
1982
1983
1984
Rate per $1,000
Assessed Value
S2.66
2.64
2.53
2.41
2.19
2,04
Year.
Annexed
1985
1986
1987
1988
1989
1990
Rate per $1,000
Assessed Value
$1.69
1.35
1.15
0,92
0,59
0,23
Year
AnneiEid
Improvement Crt after annexation date)
x S
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = s
Credit for Parcel or Land Only Ii Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.. ............ ........... ,...., ...,...., ...............' 0,4
COmmerdcL........,..............................,........... 0,9
I ndustrial......--........ ..,.........,.... .....-- ...." .......... ,.. 0,45
Governmental........................---........................ 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT