The URL can be used to link to this page

Home My WebLink AboutMiscellaneous System Development Code Charge 1991-7-9 CITY Or,JlpRINGFIELD SYSTEMS DEVELO~T CHARGE . WORKSHEET' *-qto~~>o NAME OR COMPANY: VAl-l -:S-E:I.H::::II..\.SCl-l . VAtJ.'S Au-rorv\o,'\/E lOCATION: ?L4T, ~,t-1 S""~E.1 ,,-o'l. -~\ -~\ -O<ObO~ DEVELOPMENT TYPE: C c.. - S-r~A&~ 1X-O& t4:M."E' BUILDING SIZE: ~o"(PO (1~"'Z.1'>1. "" 10) lOT SIZE SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT.(i<DCO - ";04 - '6D') X $0.186 PER SQ. FT. i "22<0 l~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S -e (See Reverse To Determine Total X $38.55 PER PF}t. .\.. PFU'S).' . " $ --(T 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X - X $388.61 X $388.61 .$ S X X X $388.61 (See Attachment C To Determine Trip Rates) SUBTOTAL (ADO ITEMS 1,2, $ & 3) 1- -z.Uo I! 4. ADMINISTRATIVE FEES BASEcCHARGE (SUBTOTAL ABOVE) X .05 $ \\~ TOTAL-CITY SDC $ "'l.~'" 'tl. 5. CREO ITS IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: TOTAl-C(TY SDC X (50%) = ADJUSTED CITY SDt.S ~~. 6. SANITARY SEWER-MWMC NO. OF PFU'S n x $13.25 PER PFU + SIO MWMC ADMIN. FEE S -- (Use PFU Total From Item 2' Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) S - r:-~~,f~',k. ,-'[- 'f I (j Ki p Burdi ck SDC Coordinator TOTAl-MWMC SDC $ ~ ~'f TOTAL SDC S 'Z-?I - COMMERCIAL/INDUSTRIAL. PERMIT APPLICATION ~ . JOB NUMBER q/O~= INSPECTION LINE: 726-3769 OFFICE: 726.3759 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' -:::3 4177 /r1?#/A/ :S7, ASSESSORS MAP: /?-b~-"=i'I-~ / TAX LOT: Oh~ OWNER: .EJt.# JE{f/'K/A/~h',pfi'HS ~7lf;1)>'>>&>7/V~ ADDRESS: ~/1 ;"i~ .. . ~p~z> . / DESCRIPTION OF WORK: _ ~-1'-57??/~ NEW Y REMODEL PHONE: 7:2~ . :S-$23' CITY' STAT'" &'>A. v ZIP: 7'7/::>? 5~p/~~- VALUE: JZ ~--- ADDITION ""3'.::S xC.:::::> r 4-/7>> '/ /- DEMOLISH OTHER NAME ADDRESS PHONE ARCHITECT: CONST. CONTRACTOR'S NAME ADDRESS ;l;)M~NTRACTOR . EXPIRES .-- ~ ~7'1'e;., ~LAly-= GENERAL:_ f/.cC<-J.AV~~*/"-":7'~~C::'-='--';'q.?~ .-~~: 7~::>,:;;-~,~'7//--:'> PLUMBING' PHONE MECHANICAl' ELECTRICAl' PLUMBING MECHANICAL NO. FEE CHARGE "'0 """ r:I-4A~r.;~ Single Fixture Relocated Bldg. (new fix. add!!) Water Service Furnace/burner & vent <100.000 BTUs Furnace/burner & vent > 100.000 BTUs ft. " 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 hlg. Mechanical exhaust hood and duct ft. Sanitary Sewer ft. Storm Sewer Backflow Device Permit Issuance $10.00 TOTAL PERMIT TOTAL PERMIT QUAD AREA: ?f'. \\)" . - - I - OFFICE USE - LAND USE: ---E;)?-'l'L) HANDICAP ACCESS: FLOOD PLAIN' . OF BLDG~' . OF UNITS' ZONING: .('\0 ~ OCCY GROUP: CONSTR. TYP'" LIGHTING POWER BUDGET: . OF STORIE'" HEAT SOURCF' WATER HEATER' SQ. FT. $/SQ. FT. VALUE SQ. FTG MAl N SQ. FTG ACCESS SQ. FTG OTHER /!':;;t90 . X X X /O.S5 -;- TOTAL VALUE OF PROJECT JCJ I'llJn.<rlJ PLAN CHECK FEe ~?~ RCpp2~/'" DAT" 7-0-<7/ // ~. BY /..,:::~-_..-_~~ -,./- r____ ~ I BUILDING PER.MIT 15% Stat.e SurcharQe 1 MECHANICAL 15% State Surcharae 1 PAVING /34,50 ro ,73 I PLUMBING 15% State SurcharQe 1 FENCE VALUE $ 1 SIDEWALK 1 CU RBCUT . I DEMOLITION FT. FT. 1 SUBTOTAL PERMITS SYSTEMS DEVELOPMENT I~ J,.~I 't! TOTAL PERMIT FEES I EXCLUDING ELECTRICAl :3 7@:> '72... ~ . 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 ba made after excavation, but prior to setup o! forms. UNDERSLAB PLUMBING, . ELECTRICAL & MECHANICAL: To ba mada before any work Is covered. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. PAVING: Atter gravel Is In place but prior to placing asphalt or concrete. ... FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steer in place, but prior to placing concrete. FIREPLACE: Prior to placing facing materials and before framing In~pection. SPECIAL INSPECTIONS: In accordance Saction 306 of the State Spacialty Coda a speclal 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. ATTIC DRAFT STOPS & CURTAIN WALLS v .- STRUCTURAL CONCRETE: In axcass of 2500 P.S.L (306 a.1) 'X FRAMING: To ba made attar the roof, all framing, fire blocking and braclng are In place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. STRUCTURAL WELDS: Performad on the job. (2722 f) 'X , CONCRETE SLAB: To ba made after all Inslab building service equipment, conduit, piping, accessories and other ancillary equi pment items are In place but before any CCfiA:ata is plac,\d. It P/O~ } UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and d rai nage II nes. To be made prior to covering or filling trenches. 'X HIGH STRENGTH BOLTING: During all bolt installation and tightanlng oparatlons. (306 a.6) INSULATION. & VAPOR BARRIER: To 'ba mada-attar all insulation and required vapor barriers are in place but before any lath or gypsum board Interior wall covering Is appllad. - SPRAYED ON FIREPROOFING: UBe. 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: During earthwork. (306 a.11 & Chaptar 29) POST & BEAM: To ba mada prior to installation of floor Insulation, decking or floor sheathing. LATH AND/OR GYPSUM BOARD: To ba mada attar 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 baams ara placad. (2501 U.BC STDS. 25.10,11). FLOOR INSULATION & VAPOR BARRIERS: To ba made prior to installation of decking or floor sheathing. STRUCTURAL MASONRY: (306 a.7) MASONRY: Staal 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- 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. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. FINAL PLUMBING SITE PLAN REVIEW BOARD: Must ba raquas!ad 2 days in advanca 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 x. FINAL BUILDING: Raquested aftar the final plumbing, elactrlcal, 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. X ADD\.TIONAL~MMENTS' , ~\TO " ("\. f\ , \\f'it '.' ,\\QO LLU\.Q N ~r C-\NU.L \! P\ II i) 't \ ~ o.1'),QX" '//Ji 1).- q. q I \ (\ - ~l (J '- d'~ // - PLANS REVIEWED BY .;fv,.~.;;"'l/t..(. FINAL FIRE DEPARTMENT DATE .""{/ Jo(.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 times during construction. ___ --- Slgnatura 4 ~ Date :7 - j"/- ,f/ /" VALIDATION: AMOUNT RECEIVED: -::S"78 . 72 RECEIPT N' ?,t?'R'71 DATE PAID: 7'7-/- '7 / RECEIVED BY: /A r --