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Home My WebLink AboutPermit Building 1992-8-4 ... -- COMMERCIAL/lNDUSTRIAL. PERMIT APPLICATION ~ . JOB NUMBER q2~Y~ 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726.3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK:_ ...:;" /~! c:> N~/~ 3,?- ASSESSORS MAP' /7~:2. -:?/-c:::> ~ TAX LOT' c- Y' 0-.,;;::. OWNER ~. !/:.....~r ~p ~~~.r-qs- ADDRESS: ~./,~ /'77;;ii'7~ ~7 ~Z>/'L .7> / " r ,4 ".- PHONE: 7::?6'-:~~ CITY' STATE: ~/? ZIP: DESCRIPTION OF WORK: ~;n.nP ' ~ ~.~....,.~.r-- fr-~ NEW REMODEL X ADDITION Y DEMOLISH OTHER /' ~/,&"c~ ~ G~. VA[UE:~_~ ;- NAME ARCHITECT' ~ CONTRACTOR'S NAME ADDRESS GENERAI'~'~ ~h/~~ :%,,(:'527 ~~ PLUMBING' ADDRESS PHONE MECHANICA" CONST, CONTRACTOR # 72 _, EXPIRES PHONE -* P'>'~~/....~_. ~. " , ELECTRICA' ' PLU MBING I MECHANICAL I NO, FEE CHARGE I NO I ~~~ ~ "'l-I.4D(':!;~ , Single Fixture :::ZOo -=-1 Furnace/burner & vent 1 Z /t:> < 100.000 BTUs Relocated Bldg. 1 Furnace/burner & vent 1 I (new lix, addll) > 100.000 BTUs Water Service 1 Floor furnace and vent I It. Sanitary Sewer 1 Suspended wallar floor 1 It. mounted unit heater 1 Storm Sewer 1 Appliance Vent 1 It. separate 1 1 Stationary evap. I Backflow Device cooler 1 I / Vent Fan/Single I);?/.;</ /<S:'Cin>1 duct 1 I Vent System apart 1 from AC or hlg. 1 I Mechanical exhaust 1 hood and duct 1 I 1 I 1 PermIt Issuance $10,00 TOTAL PERMIT 1 TOTAL PERMIT aUAD AREA: ,~1\\)~ - ~FR)lj;r LANDU5E:~ HANDICAP ACCESS' # OF BLDG,~' # OF UNITS: FLOOD PLt(. ZONING: X'(\, \ LIGHTING POWER BUDGET: OCCY GROUP' CONSTR. TYP~' HEAT SOURCE:P~ trA??4:: WATER HEATER' # OF STORIES: sa, FT, $/sa, FT, sa, FTG MAIN 47?Z> 9?1ii'~ X sa, FTG ACCESS~"-~~ l~e~EC.. !JbI:::2.'I' VALUE , SO, FTG OTHER X TOTAL VALUE OF PROJECT :2a,C!>O-= PLAN CHECK FEE 9/. ~~ RCPP DATF BY 1 BUILDING PERMIT 5% State Surcharoe MECHANICAL /.5s1L6 15% State Surcharoe I PAVING 1+0.50 7,63 / '0 t>-o> /B ...., .7S' " PLUMBING 5% State SurCharge FENCE VALUE $ SIDEWALK 20.6/!') /:0<> DEMOLITION TOTAL PERMIT FEES EXCLUDING ELECTRICAl 5n ~'7 I 1 q/.~3 I /9"".2& 1 1 f~e;~-ItP., 7~2-3g , :,' ,.;'.. "1' . . .~. . FT, I~ hV,&:(/ SUBTOTAL PERM ITS SYSTEMS DEVELOPMENT 1 CURBCUT FT. . 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 designated job number, job address, type of inspection requested and when you will be ready for inspection. Requests received before 7:00 a.m. wilt be made the ~ame working day, requests made after 7:00 a.m. will be made the following work day. . StTE tNSPECTION: To be )( ROUGH PLUMBING, made after excavation, but ELECTRICAL & prior to setup of forms. 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 / 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 inspectlon. 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 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. STRUCTURAL CONCRETE: In excess of 2500 P.S,1. (306 a,1) CONCRETE SLAB: To be made after all lnslab 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) ( 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) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or fllling trenches. SPRAYED ON FtREPROOFING: U,B,C, Standards 43.8. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor Insulation, decking or floor sheathing. FIRE & SEPARATtON WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATtON AND FILLING: During earthwork. (306 a.11 & Chapter 29) 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, GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed, (2501 UB,C, STDS, 25.10,11), 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 & DRtVEWAY: 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. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. y FtNAL 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. x FINAL ELECTRICAL x y .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 FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: .. PLANS REVIEWED BY / h , '/ "...-- t t' DATE _?-::?9-9~ 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 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 :::S~during c~~LJg/" 4.LJ~ Date ~ J ~ /9"?_ ~ ' V / /'" - . VAL'DATION: AMOUNT RECEiVED.:.::.~::Jl' L 7 .YL1 DATE PAID ~/Lf I C:{ ~ 'RECEIPT" ~) I ~ RECEiVED BY:~ ' .. .JOB NO.9 '2.o9.'-\-"'S CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: n~0-0N DE:.p,. O~ f=-O\2-E:;S\I2--( LOCATION: ?::>\<?o MA-II-! S-r. \ "1 0 -z.. -:z;, \ 00 - 0 e<--i- 00 DEVELOPMENT TYPE: G,o-.../.- A,-VD\\\Ot-.l1 'EEMoOE..L BUILDING SIZE: ADn::. 1\(,1.'2-1 LOT SIZE SQ. Ft. S'T5/ ---~ c: ;;vr'<>3,...) ---- --- 1. STORM DRAINAGE ~6i'5 ~r ~&> ;e. <---rr ~ IMPERVIOUS SQ. FT. "'-J,c}' X $0.192 PER SQ. FT, 2. SANITARY SEWER.CITY NO. OF PFU'S (See Reverse) I X $39.78 PER PFU G'2-I't>~ ---- --- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X - X $401.05 G-s) --- -- X X $401.05 S ~ SUBTOTAL (ADD ITEMS 1,2, & 3) S $ ~-o.:z- -:2-7i!l. Y6 X X $401.05 4. ADMINISTRATIVE FEES , BASE CHARGE (SUBTOTAL ABOVE) X .05 I~. ?Z. ~ ~ --- TOTAL-CITY SDC $ ;a(;;6~- '2 ~-:z. ~:!!> 5. SANITARY SEWER.MWMC NO. OF PFU'S x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ - (Use PFU Total From Item 2 Above) v '..,., ~L.k. \.j Ki P Burd i ck SDC Coordinator "1 ;\"?/"!v I ' L=- TOTAL-MWMC SDC~ ~ ~ - --- TOTAL SDC $ ;,(,,'O-~- '~7~.~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) . . FIXTU RE UNIT CALC U LA TI 0 N T AS LE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) Bathtub................. ................................. ,.............. ..... D rinking Fountain.........,.. ,.......",.....,....,..,.....,..,..".., Floor Drain....,......""",....",...,."""""""..,......,..,..,..., 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 JWater Station/Etc........ Receptor F.or Commercial Sink/Dishwasher /Etc.. Shower, Single Stall...................,..,..........,............... Shower, Gang"",....,.,..".,.., ,.""""", "" """".."."..'" Sink, Bar, Commercial""",..,."""""""""",.."."""" Urinal, Stall JWall"",."""" "".." '" '" ",', '" ",."""".."'" Wash Basin/Lavatory, Single,............"......,.....,...... Water Closet, Public Installation,.............. ........,.... Water Closet, Private........ ................................'...., Miscellaneous: NUMBER OF UNIT FIXTURE NEW FIXTURES EQUIVALENT UNITS 2 1 2 3 .. 6 2 6 6 1 3 2 I/Head 2 2 I 1 I I 6 (, 4 FIXTURE TYPE TOTAL FIXTURE UNITS 7 CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table, calculate credits separates, 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 $2,16 1.90 1.60 0.25 0,87 0,50 0.16 1 j Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value Improvement (if after annexation date) X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Credit for Parcel or Land Only If Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE R esid entia!.."",.""..."."......"..,..,...,...........,...... 0.4 Commercial.."..,....",....".""...,..,....,.........,....... 0,9 I nd ustriaL.."....., .....,....."",..,...,..,...........,..,..,.... 0.45 Governmental...."........""...",..,..,.. ............,...... 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT