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Home My WebLink AboutPermit Plumbing 1994-5-26 '. COMMERCIAL/lNDUSTRIAL SP~'NGP'ELD PERMIT APPLICATION l~ 225 Fifth Street, Springfield, Oregon 97477 .... tit LOCATION OF PROPOSED WOr;!,';:, 4-\9A Un 0\ ~~t ASSESSORS MAP' I rru.:h.!Kj . JOB NUMBER 440f cfjq INSPECTION LINE: 726.3769 OFFICE: 726,3759 TAX LOT: O/c9.CO OWNER:\AJClJJ ~ \-\ Q ~SLn,L8..Q.L:1t(L RtrlDPHONE: ~, I n"lt'El ADDRESS: 4\-\9..4 ~l>f\ '-~..) ~ CIT~' '-~J..f'\n.1.'&rG STATE: I KJlQ.Mn) ZIP:~ , ,-' \\~I'I"' L F. ,11 . DESCRIPTION OF WORKtiLY:l1.LLL"oon ff..... \, Pill ADDITION )( NEW REMODEL DEMOLISH OTHER J JlPLlJ VALUE:~ PHONE v NAME ADDRESS ARCHITECT: CONTRACTOR'S NAME ADDRESS CONST, CO NT RACTO R . EXPIRES PHONE GENER/ I '_ ' , ., - PLUMBIN~P~~IOrt\h N"\ \\'dC)~'.\\~, ~\?3 MECHANICA" \j \.J ELECTRICA' ' \ '.14. ,LlC::; 4~4, 'l?'\ta I PLUMBING I NO, 1+ Single Fixture I Relocated Bldg, Inew lix, addtl) 1 Water Service II. I Sanitary Sewer II. I Storm Sewer II. I Backflow Device MECHANICAL FEE C,fV\RGE L\D~ Nn 000 rucaru: Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs -.' ..,'~ Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct ,~~ Y~I~ ,. I:' I I 1 I .I 1 TOTAL PERMIT Permit Issuance $10,00 I " I I I, ,40~, TOTAL PERMIT QUAD AREAl> ~e.Jt)(' .J - OFFICE USE - LAND USE:~) HANDICAP ACCESS: FLOOD PLAIN' ZONING" C'J2J . OF BLDGS' . OF UNIT~' OCCY GROUP: . OF STORIE~' CONSTR. TYpo, HEAT SOURCE: LIGHTING POWER BUDGET: WATER HEATER: SQ, FT, $/SQ, FT, VALUE SQ, FTG MAIN SQ, FTG ACCES~ X X X SQ, FTG OTH ER TOTAL VALUE OF ,PROJECT PLAN CHECK FF" RCPP DATE BY I BUILDING PERMIT ' PLUMBING 1~,)p:J , DEMOLITION ! 5% State 5% State I ~, GCJ ~-lfJ}{) SurcharRe Surcharoe MECHANICAL FENCE I VALUE $, 5% State SIDEWALK 1 SUBTOTAL Surcharoe FT, PERMITS I PAVING CURBCUT 1 SYSTEMS FT. , DEVELOPMENT \ ,c9.() 1 aA()Y~ TOTAL PERMIT FEES I EXCLUDING ELECTRICA' ~Idt.\~ . REQUIRED INSPECTIONS . It Is the responsibility of the permit holder to see that alllnspecllons 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 Inspecllon, Requests received before 7:0\fj,m, will be ma~" ~Q..,~, rklng day, requests made after 7:00 a,m, will be made the following work day, /" .r-- ~ SITE INSPECTION: To be \ ROUG PLUMBING" PAVING: After gravel is In made after excavallon, but ELECT CAL & 'place but prior to placing prior to setup of forms, MECHAN work Is to asphalt or concrete, be covered until these Inspections have been made and approved, 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, 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. CONCRETE SLAB: To be made after all Inslab building service equlpmenl, conduit, piping, accessories and other ancillary equIpment Items are In place but before any concrete 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 PS,L (306 a,1) 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: Ourlng earthwork, (306 a,11 & Chapter 29) POST & BEAM: To be made prior 10 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 Olvlslon before beams are placed, (2501 U,B,C, STDS, 25,10,11), FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of decking or floor sheathing, STRUCTURAL MASONRY: (306 a,7) *In addition to the Inspec- tions specified, the Building Official may make or require CURB AND APPROACH other Inspections of any ROOF SHEATHING AND APRONS: After forms are construction work to ensure NAILING: Prior to Installing erected bul prior to placing compliance with the Building, _~a~~~~~rl~__________~~~et~______________~~~~Deve~m~~~de~_ \L/ 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 FINAL ELECTRICAL requesting this Inspection, MASONRY: Steel location, bond beams grouting or verticals In accordance with UBe 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, 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 DAT~ By signature, I state and agree, that I have carefUlly examined the completed application and do hereby certify that alllnforrnatlon herein Is true and correct, and I further certIfy that any and all work performed shall be done In accordance with the Ordlna~ces 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 Ihis 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 properly, and the approved set of plans will remain on the site at all times during construction. Slgnatur~ ~D~~ AMO~NT RECEIV~: C^lo4, \h-- RECEIPT .' 1~~f)R ' Date s- 2.0 -CJ4-' VALIDATION: DATE PAID: \.1, l\*?_'o ,qq. RECEIVED BY: ~' C,.t JOB NO. ~:J9 . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIOENTIAL) NANE OR CONPANY: ,f d .g,~ r;~ LOCATION: 4/..2 -f ~.,; 5~ DEVELOPNENT TYPE: ~. (.ut,/:/ ~ ;I~~) BUILDING SIZE: LOT StZE SQ, Ft. 1. STORN DRAINAGE _ - INPERVIOUS SQ, FT. ~ ~ X $0.203 PER SQ. FT. ~ />1M ) Y -- 2. SANITARY SEWER-CITY NO. OF PFU'S , (See R,everse) 5" X $42.08 PER PFU (:;/040 ) '- .-/ 3. TRANS PORTATI 011 NO OF UNITS X TRIP RATE X COST-PER TRIP X ~4.31 ~ ~ X X $424.31 (( #~) '-.,/ -- S S ,- X 5424.31 4. SANITARY SEWER-NWM~ NO., OF PFU'S 5 x $15.125 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) s~ -- s~ TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) S ~ -- 5. ADMINISTRA..IVE FEES r BASE CHAR E BTOTA'-/'fiOrE~ X ~05 c/~/o.s-~ ~~ S--~9'~ .,_~ / ~~' TOTAL SDC S '3~"lrs 2.20.1<- :/ S~~ Co :?S ---- FIXTURE UNIT,CALCU~ION TABLE: Nlll\lt"'1 01 New r;.t",(.s X Unit Equiv:llent = Fix1lJ1e Units (I~OTE: For remodels, c.llcul~le only the ~ddl;"lIl;11 "'1"',,:,) ...., .' r~L'I.'.sEll OF ~ L':~lr FiXTURE FIXTURE TYPE NEW FIXTURES EOl'l\'i,LEln U:"TS Bathtub.....,..,..,..,...., ,......",..,..,',..,',..'.. ....'""..,..,....', Drinking F Ollnlain,......... ....,....", ,."..""..,..,........', ,.." Floor Drain,.."..,"""""""".""" ',"""""""""""""""" Interceptors For Grease/Oil/Solids/Etc....,..,......,.. Inlerceptors For Sand/I,uto Wash/Elc..,.........,..,.. laund ry Tub /Ootheswa sher.."""",....,...,.. ,......,..,.. Ootheswa~her - 3 Or More............................,........ Mobile Hdme Park Trap (1 Per Trailer)..............,... Recep!or F9r RelrigeratorfWater Station/Ete.....,.. Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single,Stall..,....,..,..,....,....,;..............,..,...." Shower, Gang,..,..................,...."".................,.."...." S!nk. Bar, COmmercia'-..,..,...,.."""......"....,......,...... , Urinal, Stall(l'lall..,....,...."...."...."..,..,........":,,....,..... Wash Basin/lavatory, Single.................................. Water Oosel. Public Installation....,.....,....,......,...... Water Ooset, Private..,....,..,....,...."......",......,....,.... Miscellaneous: " 2 J 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 ') TOTJ.,L FIXTURE UNITS = ~ 2 .:)- CREDIT CALCUL<\TION TABLE: Based on assessed value, If impcovemenls occurred after annexation date in table, calculate eredhs separates, Year Annexed Rate per S 1,000 Assessed Value Year Annexed 1979 or belore 1980 1981 t982 1983 1984 '1985 1986 1987 1988 1939 1990 1991 1992 $3,21 3,13 3,08 2.96 2,82 2,68 2,51 Rate per $1,000 Assessed Value l II , I ; i I $ 2,24 1.93 1,57 1.18 0,79 0,44 0,28 ~ cred~ for Par,eel or Land Only If Applicable X $ = (Rate X Assessed Value) / X $ = ./ (Rate X AssessedVal~:)1 ~ CREDIT TOT./" = $ Impr<?Vement [If alter annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resident ial...,..,..............,.......................,.......... 0,4 CommerciaL...........,..,..........,....,..........,........, 0.9 Industrial..... ,...... ..,...., ..,.......... ...... .....,..,:..,......, 0,45 GovernmentaL........, ..,.., ........ ..,.. ....' ....,.........., 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT