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Home My WebLink AboutPermit Building 1993-4-27 ~, M""J '. J "'r' ,.~. . J \ ,,'<'. , ." COM M ERCIALlI N DUSTRIAL PERMIT APPLICATION . 225 Fifth Street, Springfield, Oregon 97477 LOCATION .oF PROPOSEO WORK' i.f-3S"o 3/ ASSESSORS MAP' J?t92.. ~2. OWNER' ADDRESS' CITY: r::"'~7 /)~!~'" I V,y,O Mr..,--' ~~/ / DESCRIPTION OF WORK' NEW /" REMODEL 4.7;:; ft?,~-J ADDITION DEMOLISH . JOB NUMBER '9 s/?:2"11 INSPECTION ,LINE: 726.3769 OFFICE: 726.3759 TAX LOT' PHONF' S"'~..,. €' ~ 72-h - 0 -;(.\ <.. STAT'" t'fJ_''- 9.7V7cP, ZIP: g,..u_~ ~ 7 VALUE: /80000 , OTHER ARCHITECT: NAME 'l? .J'r..<-~C L ADDRESS .Yo AI. C;~ 'iT, .1IF-1J. CaNST, CONTRACTOR' CONTRACTOR'S NAME ADDRESS GENERA' . ,<),.un .,......-- .../"" PLUMBING' <..,./" , MECHANIC''' I . _ ELECTRICA" .----- PLUMBING NO, FEE CHARGE Single Fixture Relocated Bldg, Inew fix, addtl) ~ JW~ter Service "f.'.I/'~ /~ It. ~. Sanitary Sewer <5'.0 It. e",-- Storm Sewer ~;2 7 It. Yo, .-. ~- ?~.- Backflow Device TOTAL PERMIT /~- . PHONE EXPIRES PHONE 11 ' ~' I I Nn 1 I I Floor furnace and vent 1 Suspended wall or floor mounted unit heater 1 Appliance Vent separate I Stationaryevap. cooler 1 Vent Fan/Single duct 1 Vent System apart from AC or htg. 1 Mechanical exhaust 1 hood and duct ~~?w'#....".e r~~~ ~ ~ ~~ I Permit Issuance I TOTAL PERMIT MECHANICAL """ t"I:lARGE- Furnace/ burner & vent < 100,000 BTUs Furnace/ burner & vent > 100,000 BTUs $10.00 QUAD AREA"~~ X\'0 , -O~~ LAND US". ~~ FLOOD PLAIN' (\(' ./ . OF BLDGS' . OF UNIT~' OCCY GROUP' CONSTR. TYp., HEAT SOURCE: . OF STORIES' SQ, FTG MAIN SQ, FT, ~~ ~C~ , L)39~t;6 X /.s- $/SQ, FT, X SQ, FTG j\CG~~o X SQ, FTG OTHER .e,~~~ ~C~:~~ 1"t~!5 -Jl~ ~~1 / I BUILDING PERMIT 15% Slate SurcharQe I MECHANICAL 15% State Surcharae 1 PAVING -5g~,.2~ -:;?9. Y'/ 1 PLUMBING 15% State Surcharge 1 FENCE -~~ "", VALUE $ A__.-". 1 SIDEWALK FT. 1 CU RBCUT FT. 7'1!JO , " ~ HANDICAP ACCESS: laNING' LIGHTING POWER BUDGET: . WATER HEATER' , f ; I , , VALUE ~~, <?//.:> 5'&1 , r~~. -- ...ao8~_ ~O TOTAL VALUE OF PROJECT /.Q::>.~~ , DATE 3';'4-<1} '3 .#~ . BY 1"~5: .- 6.15 ~'.P DEMOLITION ~~h~ - /~.~ SUBTOTAL ~ PERMITS . Z> ~B. -9/ SYSTEMS oJ ,L DEVELOPMENT If' ..,3'10.. '?f!. TOTAL PERMIT FEES I EXCLUDING ELECTRICA' S2 I)>, <t!> '.'.: " ,. . . REQUIRED INSPECTIONS 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 deslgnated'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 B.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prior to setup of forms. x y 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. x SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Ownerl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. 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. STRUCTURAL CONCRETE: In excess of 2500 P,S,I. (306 a,1) J! 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. x' x 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) /r HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a,6) y 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, . )( " ' , \ UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. SPRAYED ON FIREPROOFING: U,B.G, Standards 43.8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a.11 & Chapter 29) FIRE & SEPARATION WALL: Located and constructed according to plans. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. ..Y GLU-LAM BEAMS: Inspection Certlftcate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.G, STDS. 25.10,11), 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, ' POST & BEAM: To be made prior to installation of floor insulation, decking or floor sheathing, STRUCTURAL MASONRY: (306 a.7) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. SIDEWALK & DRJVEWAY: 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. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. * 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 but prior to placing compliance with the Building, any roof covering. concrete. City or Development Code. --V---------------------------------------------------- ./I FINAL PLUMBING X' 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 co~pleted before requesting this Inspection. / FINAL ELECTRICAL .( y t 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. FJNAL MECHANICAL FJNAL FIRE DEPARTMENT AODITIONAL COMMENTS: /...-(C?: /lylJE} 'pLb')A)~ \J\<.C' ~ PLANS REVIEWED BY /7~"!-,, ~ . .,P'~ , DAT~ ""r -<..Y-S>""" By signature, I state and agree, that I have carefully ex.amined 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 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 construction~./ ~ Signature ,___,---~(_./ ____.' Date V- 2..7- ~J "-~ DATE PAlO: 4/-2 ?~9;! RECEIVED BY' . ~......"..~-- . /'FS--' AMOUNT RECEIVED: ~z./"3, 2a. 5fj.2?/ VALIDATION: RECEI PT ': w J.. ~f . . JOB NO. 9~()271 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . NAME OR COMPANY: bA-R. V D U fS!<.A y' LOCATION: Lf'?"io MA-,IJ 'S...,- 1702~'2.""-"Z?oO DEVELOPMENT TYPE: CG: New 4/J.."(0 fAIN"- 13W6 . BUILDING SIZE: qo,t. g-z.. ~7?51o \t,L. LOT SI7F SQ, Ft. 1. STORM DRAINAGE IMPERVIOUS SQ, FT. 'i?ql~ X $0.192 PER SQ, FT, Ct72? 8!;) --------- 2, SANITARY SEWER-CITY NO, OF PFU'S Co X $39,78 PER PFU G 2-?B ,,~ (See Reverse) ~ 3, TRANSPORTATION /, C<>Vf.. 1<./0 Nl"o.jUfl<<-"f.:. 0, lS I [& SF' NO OF UNITS X TRIP RATE X COST PER TRIP 7.';,% X .7"> X $401.05 C:Z2.I'l%!:) -- -- x X $401.05 $ x X $401,05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ '-fl&! 3...!- 4, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ -.... --- TOTAL-CITY SDC $ <I-'3/10;.! 5. SANITARY SEWER-MWMC NO. OF PFU'S N. A x $13,62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) 0"" ~L.k '--V Kip Burdick SDC Coordinator ? 1'7...'-1 /<f~ I $ - TOTAL-MWMC SOC~~ ~ - TOTAL SDC $ tf-;,,/o'?>.!.... MWMC CREDIT IF APPLICABLE (SEE REVERSE) . . /'Tv\ FIXTURE UNIT CALCUU\TION TABLE: Number of New Fixtures X Unit Equivalent; Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FiXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT Bathtu b....................... ............ ................................... Drinking Fountain....,......"................"......,............", Floor Drain......"............",...............,.......",......,..,..... Interceptors For Grease/Oil/Solids/Etc,................ Interceptors For Sand/Auto Wash/Etc......,........... La und ry Tub /Clotheswasher...,..,.....".........,.,.....",. Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator fWater Station/Etc......., Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Singl e Stall........"...........,."..,.....".,.."..,..,.. Shower, Gang,...............,...,.....,..,........"........,..,....., Sink. Bar, Commercial,..........,......,.."",.....".,....",." Urinal, StallfWall..,..,.............,.. "....", "."."..,..,..,..",., Wash Basin/Lavatory, Single,.....,.........................., Water Closet. Pubiic Installation..........,................., Water Closet, Private..,........................ ................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 1-; TOTAL FIXTURE UNITS FIXTURE UNITS ~ (, 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 $2,83 2.76 2,71 2,60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 ~ Credit for Parcel or Land Only If Applicable X$ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential................,.."....." ....., .........,............ 0.4 CommerciaL......,......................,..,.....,..........." 0.9 ._ Industrial........................................................... 0.45 Governmental.,..............,.....,...,.....".......,......... 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value I I $2,16 1,90 1.60 0,25 0,87 0,50 0.16