The URL can be used to link to this page

Home My WebLink AboutPermit Building 1994-8-31 . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 ~OB NUMBER e:?</ /"1" '""J R , .- ~ INSPECTION LINE: 726,3769 OFFICE: 726,3759 LOCATION OF PROPOSED WORK' '? Y/_? /~~/./V' '5/"'?3'e-e-/ ASSESSORS MAP' /?~'2- ?!/- ~ / TAX LOT' <:>1{; :;>0. b / ~~ "'56~c~ ~~ N.ril2.. 3'v~~- "5r;>""c..z;> _ - / DESCRIPTION OF WORK: 4~7'X - -~ -4~:??::> OWNER: ADORESS: CITY; 'NEW y OEMOLlSH REMODEL ADDITION ~~::~, NAME /:s.<)>fc~ C~~D .- I - CONTRACfOR'S NAME ADDRESS GENERA' ' PLUMBING' MECHANICA' ' ELECfRICAI ' I I NO, 16 I I I I 1-2 ,:~I l"/RE4'UE I I I I TOTAL PERMIT PLUMBING CHARGE I ~..~ I ':?1i4 ~~-I g~ ~=t "2S: FEE Single Fixture Relocaled Bldg, (new fix, addtll Water Service ~ ,... G:>II. Sanitary Sewer -"" L-:>C:::>II. Storm Sewer a -r~1 II. /e> Backflow Device /4 ,:or' o/"c:? - PHONE: ? 'Y '--/-~;::>A. STATE: /"S./? . '/,fPDy- ~..z::t::z=:.y-- .- ;. ./c;r"":>~ -;7 ZIP: OTHER VALUE: AODRESS PHONE CONST, CONTRACfOR' EXPIRES PHONE ~i~ ~ ,~] , MECHANICAL /0'" ~~~ "'~Ar:tnl= Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs Floor furnace and vent Suspended wall or floor mounted unit healer Appliance Vent separate Stationary evap. cooler Vent Fan/Single ducl Vent System apart Irom AC or hlg, Mechanical exhaust hood and duct _, . , . ~-h~~~~~J; Permit Issuance $10.00 TOTAL PERMIT OUAD AREA: ,~ SC- -O~;.!i~ LAND USE: ~""I. U . OF UNITf" HANDICAP ACCESS: FLOOD PLAIN' ZONING' (\ r ..J . OF BLDGS: OCCY G'ROlfP' CONSTR. TYP~' HEAT SOURCE:__ . OF STORIES' sa FT, sa, FTG MAIN ~ X L1G HTI NG POWER BUDGET: WATER HEATER' VALUE /J!?~.$~ 'J G2. '3:26 26, :z..zo ~ /,27,? 1'<;:> ..J . - . I. TOTAL VALUE OF,PROJECT '-:?~'3"'~'~104> , ~ orPW~~.e.;,(&S~'.....J!<=;4z... DATE_';Y"7J4' BY ~~ I BUILDING PERMIT 15% Slate ""? SurcharRe or? I MECHANICAL /5% Stale Surcharae 1 PAVING 7~~. -:;-0 I PLUMBING 37. /6 5% Slate ~. ~. ~I Surcharoe 7"'3 , FENCE VALUE $ 1"21'0 SIDEWALK Y.:o FT, CURBCUT ..../~ .....~FT, I ?'?1i"tt:' , '::<'~~ - /~.- 7.:::10 -5:- /,6, -. /~,- I DEMOLITION '_ _ I :~~~~~%~. ':'c> SUBTOTAL PERMITS SYSTEMS , DEVELOPMENT , , _ v'2:?/!>.6? I '-~'-/I? .8/1?, -<..--- ..---- TOTAL PERMIT FEES I EXCLUDING ELECfRICA' r~~682.~:zo L ;,1", --" - - - _J J -_.. '- -~- . 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. 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. .Y FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concrete. / 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. ..r UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor Insulation, decking or floor sheathing, POST & BEAM: To be made prior to Installation of floor Insulation, deckIng or floor sheathIng, FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of decking or floor sheathing, MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415, ROOF SHEATHING AND NAILING: Prior to installing any roof coverl ng. Jr ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work Is to be covered until these Inspections have been made and approved. r PAVING: After gravel Is In place but prior to placing asphalt or concrete. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing Inspection. / 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. 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, STRUCTURAL CONCRETE: In, excess of 2500 P.S,1. (306 a,1) JI' STRUCTURAL WELDS: Performed on the job, (2722 f) .( HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a,6) A' 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, FIRE & SEPARATION WALL: Located and constructed according to plans. SPRAYED ON FIREPROOFING: U,B,C, Standards 43.8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a,11 & Chapter 29) " GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed, (2501 U,B,C, STDS, 25.10,11), STRUCTURAL MASONRY: (306 a,7) *In addition to the inspec- tions specilled, the Building Official may make or require other Inspections of any construction work to ensure compliance with the Building, City or Development Code. y FINAL PLUMBING ------------------------------------------------------- '" y FINAL ELECTRICAL FINAL MECHANICAL x FINAL FIRE DEPARTMENT ,1 /!' 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, X 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. y CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. 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. VALIDATION: ",,-;"~ . "'~ AMOUNT RECEIVED: .--h1lir:2~, ':2.. Ci RECEIPT .' /Y?7'5> A 1'" 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. t~1-~:L C~\4() \ Ci.,\flO JC T'n-rO) . \ Lt ld ) \ \i\C'\ Q..Mf lLJ : ~."..ft1';,~_.D ~V (' ~ &7Y'~S-9? - - PLANS R~VIE~ED ~Y/'/ ~ ./:'-~ DATE /&>-- Y--=5 s-" p..... t6~~-----;;;r 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'descrlbed herein, an'd 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. coo:pllance wlt~ O~S :01:055 will be used on this project. I'fu!tt~er agree to ensure ihat atl.requlred Inspections are requested at the proper time, that project address is readable from the street, that Uie permit card Is I ated at the front of the property, and the approved set of plans will remain on the site at all times during construction. Signature ~ ': ~ . \ ~.~4"i \' Date-/'/) - ~ - 9~ DATE PAID: RECEIVED BY' Z'P': -~o/' ~ _.-.r_' ~ ? - ~' " .B NO. CfL.\ l'2.7"?B ' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . ATTACHMENT B1 . NAME OR COMPANY: LeON Se:.f\(Lo,\, LOCATION: 7:7Yl? MAIN <::'-f. DEVELOPMENT TYPE: A.'v" D 'f":;;:>OT:>--( <S\-\uF' BUILDING SIZE: lOT ST71' SQ, Ft. I. ~TORM flRATNAGI' IMPERVIOUS SQ, FT, qr7:7~ X $0,209 PER SQ, FT, $ Zo'?? z.:i. 2. S8NlIARY SFWFR-r.TTY 'l 2.0 NO, OF PFU'S 7/) X $43,26 PER PFU $ 10"5 '- (See Reverse) 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 5 X X X $436.19 X $436.19 X $436,19 $ ZI9.>O~ $ $ SUBTOTAL (ADD ITEMS 1.2, & 3) $ 4. S8NlIARY SFWFR-MWMC NO, OF PFU'S 20 x $17.19 PER PFU + $10 MWMC ADMIN,FEE $ ?:7??f~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ -z.T7 z~ IQIAI -MWMr. SOC, $" '" '='..3- SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ '?\ i?'1~ 5. ADMTNTSTATTVI' FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 $ -z.?I'!.::.... V'~JL&..- ~AJA .(JMary Hornig. P.E. f'''''-- SDC Coordi nator Date: f 6 .. to - "1'-\ TOTAL SDC $ 64fS8~ B2.SDC . ~CPT?(Y~7;:> /tf!> ~."." 4,P . ~ FIXTURE UNIT CALCULA Tlf,iiiI TABLE: Number of New Fixtures .it Equivalent = Fixture Units . (NOTE: For remodels, calculate only the _additional fixturesl ' NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.,....".,.,..",.."..",.""",..".,',...,"',."............... .. Drinking Fountain.,..",."".."",..",.." ,....",..,..,."...,.,., Floor Drain.,......,..",."""""""".",..,",...,',..,..,.,.,.,.,... Interceptors For Grease/Oil/Solids/Etc.....,..... ...... Interceptors For SandlAuto Wash/Etc.................. Laundry Tub/Clotheswasher, .......,"',..,"",..,."........ 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....,..",...."",.",.""....,..,........"... Shower, Gang..." ........" ..."",....,..".""",..,..,......,.,.,. Sink: Bar, Commercial, Residential Kitchen,....................... Urinal, Stall/Wall..:, ......" .......""..".",..,..".,..,........,.,. Wash Basin/Lavatory, Single.........,........................ Toilet, Public Installation...............,....,..,..........,..... Toilet, Private"..",..,..".."""",.."."...,",..".,..,...,.,. Miscellaneous: '2. -z.. TOTAL FIXTURE UNITS 2 ,1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 i-, 1..- l2- = 7..--0 Based on assessed value, If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed CREDIT CALCULATION TABLE: calculate credits separates, 'i 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 Credit for Parcel or Land Only If Applicable "? ,Lj-{, X $ ~o. \4 (Rate X Assessed Value) X $ (Rate X Assessed Valuel Improvement (if after annexation date) CREDIT TOTAL '<,,",J-, ... Rate per $1,000 Assessed Value 1 = $2.46 2,14 1,77 1,37 0.97 0,61 0.44 0.15 -Z'r-Z-:!:.. I = ..8 = $ -z.ll -