HomeMy WebLinkAboutPermit Miscellaneous 1999-4-28
-.
CO,MM ERCIALIIN DUSTRIAL
PERMIT APPLICATION
~
.
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JOB NUMBER..3.iI?.s<-I7_
INSPECTION LINE: 726,3769
OFFICE: 726,3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' L!{)(j.~
1762.3J'11
rYln ; ,,^
~OLL
ASSESSORS MAP'
TAX LOT'
() 'I70D
OWNER: k'l')s!nC')('n l.u ,mh?Jr ('pl).
ADDRESS (\ YVl(~~V\ \..<)1J...p.1.X-
CITY:~.p 1 rJ " STATE: () t"'_
DESCRIPTION OF WORK: (~:U'l{;h:Lvl ( ~e 1 de ,V- rYl6tnJ ~
NEW REMODEL ADDITION DEMOLISH OTHER
PHON'"
ZIP: g7d77
~
,
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR)rM~E _ _" - f1 A,pDRESS
GENERAL:~d..(j)af5l' <.~~
PLUMBING:
CONST,
CONTRACTOR'
~' ,c..-1:Ji.3 f-!.P.1.() (,rJ
EXPIRES PHONE
7U(/~
MECHANICA' '
ELECTRICAl'
I
I NO,
I
I
I
2.qO
PLUMBING
I
CHARGE i Nn
I Furnace/burner & vent
<100,000 BTUs
I Furnace/burner & vent
> 100,000 BTUs
f~ I '''Tonl\l OrAoon law ~equireslvou to Floor furnace and vent
. :r:.. d b th(' Orego' 1 Utility Suspended wall or floor
!ollov rules a jopte_, Y, _ -tf~~ _ mounted unit heater
NRtifiCitltion \j~mel' "'U"~' lies art ~- -cir Appliance Vent
. -"'AF ~n _M1nthrouqhOAR l52-0 - separate
n' ~ . bt on copillS Ofth~rUles t V Stationary avap,
0090. (OU ma 0 al . cooler
call ng tne (emet. ii.u;~, the tel ,ho,:" Vent Fan/Single
_, M'nd' taDrAnon U~i1ity Not llcatlon duct
..;;Iml., .. . 0' 2344)1 Vent System apart
Cent' Iris 1-800-3, <- r from AC or htg,
I Mechanical exhaust
hood and duct
I
I
I TOTAL PERMIT
MECHANICAL
FEE
"""
r.~lI.Rr::1=
Single Fixture
Relocated Bldg,
(new fix, addUl
Water Service
SanItary Sewer
Storm Sewer
Backflow Device
Permit Issuance
$10,00
TOTAL PERMIT
- OFFICE USE -
HANOI CAP ACCESS:
QUAD AREA
LAND USE:
FLOOD PLAIN'
ZONING'
. OF BLDGS:
. OF UNITS'
OCCY GROUP'
CONSTR. TYPF'
LIGHTING POWER BUDGET:
. OF STORIEo,
HEAT SOURC'"
WATER HEATER'
Sa. FT,
$/SQ, FT,
VALUE
SQ, FTG OTHER
X
X
X
SQ, FTG MAIN
SQ, FTG ACCES"
TOTAL VALUE OF ,PROJECT
PLAN CHECK FF" RCPT' DATF
I BUILDING PERMIT . PLUMBING 70 '"
15% State 5% State ?.~-9
SurcharQe Surcharge
I MECHANICAL FENCE 'V.10
VALUE $_
15% State SIDEWALK
Surcharae FT.
I PAVI NG CURBCUT
FT,
BY
'DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
7f': ~()
.
REQUIRED INSPECTIONS
.
It Is the responsibility of the permit holder to see that all ,Inspections are made at the proper time. To request an lnspectlo'h, 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,
UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
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 placi ng
asphalt ~r concrete.
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
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
.plplng, accessories and other
ancillary equipment Items are
ce but before any
concre e Is placed.
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 P.S,1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
I
UN RGROUND: Plumbing,
ctrlcal, 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 I nstallation 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)
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing,
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 UB.G,
STDS, 25,10,11),
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
UBC 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.
tlons 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 coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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.
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 COMMENT'"
PLANS REVIEWED BY
DAT~
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 b ed on this project.
I further agree --ens r, that all required Ins ctlo s are requested at the proper time, that project address Is readable from the
street, that e perm card Is located at t fro of the property, and the approved set of plans will remain on the site at all
9 canstr ctlon.
'-I L1 ~
Ii /
AMOUNT RECEIVED:
RECEIPT .' 6 5 .s 72. '-I
Date
VALIDATION:
7 r-: ~J
DATE PAID:
RECEIVED BY'
Ll/W' /,f1~/
CJI W~
.'
.
CITY OF. SPRINGFIELD
IMPROVEMENT AGREEMENT AND APPLICA nON FOR SEWER HOOKUP
We, the undersigned property owners, request permission to connect the following described
property to the sanitary sewer owned and maintained by the City of Springfield, hereinafter referred as the
City. We therefore agree to pay a charge of$O,28 per square foot of the benefitting property for the first 150
feet of depth as a deposit against future assessments for sanitary sewer. Area in excess of the above
mentioned 150 feet of depth is charged $0,14 per square foot.
Tax Lot No. 17-02-31-4-1-04700
Receipt No. 033 7 1- L/
PROPERTY DESCRIPTION:
Address 4043 Main Street
A portion of a tract of land described in a deed from Savelich Logging Co, to Rosboro Lumber Company,
filed March 31, 1071 in Reel 525R at Reception No, 40990, Lane County Official Records, lane County,
'Oregon being more fully described as follows:
The Northerly 190 feet of the West 100.0 feet of Lot 6 and Lot 10 of FREDRIC, as platted and recorded in
Book 4, Page 67, Lane County, Oregon Plat Records, in Lane County, Oregon,
Total
$ 4,200,00
$ 560,00
$ 4,760,00
Fee Calculation:
15.000 Sq Ft. at $0,28 per Sq. Ft. ;
4.000 Sq. Ft. at $0.14 per Sq. Ft. ;;;;
This agreement does not include the cost of a house connection to said City Sewer, sewer user
charges, connection fees, plumbing permits or other such costs to be assumed by the property owner.
IT IS UNDERSTOOD that Applicant this agreement is enforceable by the State of Oregon, Lane
County or the City. It is further understood that the applicant agrees to sign any and all waivers, petitions,
consents and all other documents necessary to obtain the above said sanitary sewer improvement under any
improvement act or proceeding of the State of Oregon, Lane County or the City as may be proposed or
adopted, The applicant agrees to waive all right to remonstrate against an improvement project for sanitary
sewer to be duly initiated by the City Council, but not the right to protest the amount or manner of spreading
the assessment thereof, if the same shall appear to Applicant to bear inequitably or unfairly upon said
property of Applicant. Applicant's acceptance of the non-remonstrance condition is in consideration for the
City's waiver of the requirement for the immediate construction of the public improvements that the
development necessitates, The improvement agreement waives the property owner's right to file written
remonstrance, It does not waive a property owners right to speak on the proposed district or any related
matters orally or in writing.
NOW THEREFORE, the City agrees that if Applicant complies with the terms of this al,'1'eement,
Chapter 2, Article 10 of the Springfield Code and Ordinance 5584 along with all other applicable laws of
the State of Oregon, Lane County, and the City, the said Applicant shall be entitled to connect the existing
residence to the public sewer systems.
The covenants herein contained shall run with the land herein described, and shall be binding upon
the heirs, executors, assigns, administrators, and successors of the parties hereto, and shall be construed to
be a benefit and a burden upon the property herein described, This agreement shall be recorded in the Lane
County Deed Records,
CITY OF SPRINGFIELD
By
Director of Public Works
Dan E. Brown
,1991,
!.
STATE OF OREGON)
COUNTY OF LANE)
On this 22-dayof 41".elt ,1997, the applicant. Jttl2 y /?/r'.J< S , ,
,"i""f'R F~V of Rosboro Lumber Company, acting on behalf of said Company,
personally appeared before me and signed the above document.
) SS
,~--, ' ..'.'OFFICIAL SEAL
8'" JULIA L SCOTT
, " NOTARY PUBLIC, OREGON
'",'.. ,;'/ COMMISSION NO, 04B585
',' MY COMMISSION miRES OCT. 31. 1999 J
..j't//.,.~ f, ffi..ur
Nota1Jublic fotOregon
My Commission expires tal:J/ /19
Finance Department Information:
Trunk Sewer Lateral Sewer
RETURN TO:
CITY OF SPRINGFIELD - PUBLIC WORKS DEFT - 225 FIFTH STREET - SPRINGFIELD, OREGON 97477
, , JUUKI~I\L U~.
. ATIACHMENT A. 'l9COYl
CITY OF S~INGFIELD SYSTEMS DEVE~MENT CHARGE
, '.Q.
W,ORKSHEET
NAME OR COMPANY:
120 '=> -e.c,R,O
LOCATION: 404-'3 l-otAltV -;:;'-,'
DEVELOPMENT TYPE: r.oH ME.IZ'CI A. L.. wAl2l:O. f+OUSF
, BUILDING SIZE:
27::0
I nT SIZE
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ, FT.
X $0,227 PER SQ, FT, $ IJA
2, SANITARY SEWER-CITY
NO, OF PFU'S
(See Reverse Side)
5
X $47.14 PER PFU
$ zoo::, .,0
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $475.32
$ NA
x
X $475,32
$
4, SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S '2."13 X G:flo'3l. PER FEU
$ 1'il'1.3S
B. IMPROVEMENT COST:
NO. OF FEU'S z,.,~ X G,."30 PER FEU
$ 11.20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ 2a'20c;,~ >
$ , 10 00
TOTAL-MWMC SDC $ ~
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEE~:
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ 2350,0
$ 11..'1
MSL.
SDC Coordinator
ATIACH' A, WPD
FIXTURE UNII l;All;UlAIIUN fABLE: Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels. calculate only t~ additional fixtures) .
. ,NUMBER OF. UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
,,/
Bathtub,..,.,............,............. .'... 0 0."....'..'.0............,..,..,
Drinkin9 Fountain...,..................,..............................
Floor Drain.............,......... 0.0.0........ ...... 0 0 0 0..................
Interceptors For Grease/Oil/Solids/Etc,.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher..... 0.0.0....000.00.0....... 0" 0"
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.................o...............................
Shower, Gan9... 0......................... ~.............. 0" 0 0..,.. 0 0 o.
Sink: Bar, Commercial,'Residential Kitchen........................
Urinal, Stall/Wall.....,....................., .......,.......... .........
Wash Basin/Lavatory, Single.,.,.,........".....,..,.........
Toilet, Public Installation. ,............."...,..,.....,......,.. 0
Toilet, Private.,....................,o...............,...............
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
TOTAL FIXTURE UNITS
=
r
4-
s
CREDIT CALCULATION TABLE: Based on, assessed value. If improvements occurred after annexation date in table.
calculate credits separates,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
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
Rate per $1,000
Assessed Value
$1.98
1.55
1.15
0096
0.83
0.67
0.52
0.38
0.21
Credit for Parcel or Land Only If Applicable 4.2-1 X $ iDiD ,/qD = ,:Z~ oz. (., 3
(Rate X Assessed Value)
Improvement (if after annexation date) X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL.......................... 0.4
CommericaL................,....... 009
Industrial...........,.................. 05
GovernmentaL..................... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
...: lOB , 108 1;VNIT UNI ~NIT UNIr: :. ~"'''' .
. . '8 .. :_ UNIT ,_ LOT ~~ ~ 109 110 '" 112' ~ -
. . 700 0
. ,.I '~107 '.:: 107 ~\O ;i - 2: ..
.. . , oj . '"
'" '" ~ ,~~UNITI LOm:LoT ,
~ ' . LOT LOT ~OT 0
~ .*~ ' '06' I, I~ .i09 ,
. 1'10 '" 112 0
.. , ~ :_, UNIT' LOT 1 3 ~O2 I~~ 402
, 8 ~ 'a
of 8 ;. ~: I'p~ ~. 105 ~\O -604 -601
0 ,.. ....". - L.' Il\-u..: 0 ~
1600 . ;; 600 _ _.....~""-~o.L. ,..'\. ~
.. :. l.UNIT: LOT
004', .
~ .5.13ot"44'e.- n3.2.5' 500 . ;'104: 104 601 ... 405 . ,
0 ,
i ~ 1402o.o....l: !t e.!S.;t,o' ~ 1-. UNIT ~I lOT 404,-~ 0 .} , .
. . il500 J: '~103 T 103 602 ' ;; ;, i
1II eo"l.e.,.' .. < .
J:' ....b'I."""".w.qo..o. i . ;:UNITI LOT 4(14-... o. 0 ,
1401 i ~ , , 102 : 102 603 - ,,~ 0 ~
. ,~ 0 ..
~ \ . : UNIT, LOT 404' 'II 0 . l ..
~ ; o.~, AC. 0 ;. ~ 101 1 101 604 '; ~
" , . '_ _ _ J ~ ("~Si
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..... 193.38' 19U.' ~ g-SO'J""',v /""Z.I --.- "..".-: ",.. ~.." 'JtJ'" -~'7.t>' --
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