HomeMy WebLinkAboutPermit Plumbing 1995-6-8
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/ ~OMMERCIALlINDUSTRIAL.
PERMIT APPLICATION
225 Fifth Street, Springfield. Oregon 97477
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JOB NUMBER
&7~=~
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INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK:~5'O ~~.h?V'"7/,
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TAX LOT' ~/~/
ASSESSORS MAP'
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CITY: ??P?L.-"9 STATE: _~A
PHON ". 0 c,/ / -: /~ :-:>
ZIP'
~? Y?A
DESCRIPTION OF WORK:~ ~"~~'>7y~ ~/~~~ 9' 7~P~Zg ~::>--
?~ . -. ~~. ~~..s .... ,-
NEW REMODEL, A D ION'" DEMOLISH OTHER~ VALUE: ./'7.--- -
NAME
ADDRESS
~ PHONE
CONST. 'uT
CONTRACTOR'~ ~ EXPIRES
PHONE
"
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
GENERA' . _-
22 <'<'~'<Lc ~~?:o>
PLUMBING,0~? /-C~;.~(/.b;r-:....-'!!>/Z1,. .<;/~ ~~~ /~~~ ~3S-'712~
MECHANICA' .
ELECTRICAl'
PLUMBING
I
CHARGE I
.:A::? .-..
MECHANICAL
::z
FEE
Single Fixlure /t!P
Relocated Bldg, .
Inew Ilx, addtll
Water Service
Nn
"""
f"':~.o.~nl=
NO,
ft.
Furnacel 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 Far/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
Sanitary Sewer
It,
Storm Sewer
II.
Backllow Device
Permit Issuance
S10.00
1 TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
~UAD AREA:
. OF BLDGS:
LAND US".
. OF UNITS'
ZONING'
LIGHTING POWER BUDGET:
OCCY GROUP'
CONSTR. TYP'"
. OF STORIES'
HEAT SOURCE:
WATER HEATER'
SO, FT,
$IS0. FT.
VALUE
SO. FTG MAIN
SO, FTG ACCESO
X
SO, FTG OTHER
X
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
RCPP
DAT"
BY
I BUILDING PERMIT
15% Stat,e
Surcharqe
1 MECHANICAL
15% State
Surcharqe
1 PAVING
I PLUMBING
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
CURBCUT
I
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7~.-~
( .~t::::7
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DEMOLITION
FT.
I
I SUBTOTAL
PERMITS
1 SYSTEMS
DEVELOPMENT
-z./, b t!>
/3'::. <' "/
FT.
. I
TOTAL.PERMIT FEES
EXCLUDING ELECTRICAl
1~?8/
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REQUIRED INSPECTIONS
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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
prlor.to setup of forms.
x
"ROUGH:1SCUMBING.)
ELECTRICAL &
MECHANICAL: NO'work.is to
be covered untl(these
inspections have been made
and approved.
PAVING: Alter gravel is In
place but prior to placing
asphalt or concrete.
UNDERSLAB PLUMBING.
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
? s'pecial 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.
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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 Ins lab building
service equl pment, conduit,
piping, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed.
FIREPLACE: Prior to placing
facing materials and before
f~amln~..I~~peCtlon.
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)
STRUCTURAL WELDS:
Perlormed on the Job, (2722 I)
UNDERGROUND: Plumbing,
,electrical, gas, sanitary sewer,
storm sewer, water and
d ral nage II nes. 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:
During earthwork. (306 a,11 &
Chapter 29)
POST & BEAM: To be made
prior to 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 Division before
beams are placed. (2501 u.Be.
STDS. 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel 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.
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Y FINAL PLUMBING
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FINAL ELECTRICAL
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.
FINAL MECHANICAL
FINAL BUILDING: Requested alter 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.
FtNAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DAT~
By signature, I state and agree. that I have carefully examined the co.mpleted application and do hereby certify lhpt 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 contract9rs 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 zructlon. hie- '" cO - /f., 7 PB
SI9~t.ur~--<J #.Al&I(b-??tP),A-' ,,--t./Nl-rlJ..,~~ Date~8' -9.~
VALIDATION:
AMOUNT RECEIVED: / "'57 ~ -;,
RECEIPT ': /7~ -::L
DATE PAID' ?:'~'7JS
RECEIVED BY' . "/2.-~./
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'.~'l1!'? "'1."~
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JOB NO. ~~
CITY OF S~RINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
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ATIACHMENT B1
NAME OR COMPANY: -*CV~ ~O~~~
LOCATION:~6~O~W -z7. ,_~,
. Qjt',;y~ . !Z>~#7#;.#/~? :? ,....p,;//~/pY4.~ -
DEVELOPMENT TYPE:~q _ ,fl~n ,V0:V~~~-,~'-":'~~
BUILDING SIZE: LOT SIZE SQ, Ft,
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
2, S8NlIARY SFWFR-r.TTY
NO. OF PFU'S ?
(See Reverse) .
X $0.209 PER SQ. FT. $
X $43.26 PER PFU $ /'2 9: ~
3. TRANSPORT IlJ.l.O.H
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X
X
X $436.19
X $436.19
X $436.19
$
$
$
SUBTOTAL (ADD ITEMS 1,2, & 3) $
4. S8NlIARY SFWFR-MWMr.
NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADMIN.FEE $
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
IQIAI -MWMr. sor. $
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ /2~. ~
5. AOMTNTSTATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
4~~#~ Date:
, /"')Ia,'y r;UI" I if,' P T.
sac Coor2-nator
~ n/p ?C/71~/7
B2.SDC .
$ 6. y~
6- '2""5 ~
MAl SOr.
$ /3b,~?
Rates
Cost Besis
Service
Standards
Implementation
ATTACHMENT A
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGES
SUMMARY OF SYSTEMS DEVELOPMENT CHARGES
Transportation
Streets Cost per trip = @ $337, Arterial
Street Lights cost per trip = @ $57, State
project match cost per trip = @ $42, Total
cost per trip = @ $436,
Cost of $245,600 per lane mile for roads and
$1,680 per arterial street light, Total Cost of
$1,000,000 to provide 5 percent match for
State projects,
Level of Service '0' for roads [675 peak hour
vehicles per lane) Is minimum acceptable
LOS(maxlmum accepteble vehicles per lane), 1
light per 28 Vehicle Miles Traveled IVMT),
Charges for roads. street lights, and State
project match are calculated based on trip rates
listed in the ITE Trip Generation Manual on the
basis of dwelling units or gross floor area,
Sanitary Sewer
Cost per Plumbing Fixture Unit =
$43,26,
Estimated cost of existing and
future system using costs from
Public Works Department's
current inventory of system and list
of future projects.
Design flow standards
currently used by the City
for various land use types,
Charges are on the
basis of fixture units,
Storm Sewer
Cost per square foot of Impervious
surface = 20.9 (:
Estimated cost of existing system using
costs fiern Public Works Department's
current inventory' of systems,
Design standards currently used by the
City,
.O!
Charges are on the basis of computed
impervious area, Could be calculated
using ,standard runoff coefficients or
actual impervious surface figures
provided by the developer,
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FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Uflit Equivalent = Fixture Units
(NOTE: For remodels, calculate only.the fo!!;l additional fixturesl
I NUMBER OF
FIXTURE TYPE NEW FIXTURES
UNIT
EQUIVALENT
ICIXTURE
UNITS
Bathtub...,..............,.........,....,......,..,."...................." .
Drinking 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/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
1
2
3
6
2
6
6
1
3
2
1/Head
, 2 '2'
2
I 1 /
6
4
TOTAL FIXTURE UNITS
-;so
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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
Rate per $1,000
Assessed Value
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
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
Credit for Parcel or land Only If Applicable
Improvement (if after annexation date)
X $
(Rate X Assessed Valuel
X $
(Rate X Assessed Value)
=
CREDIT TOTAL = $
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tlJB NO.
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ATTACHMENT B2
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
. WORKSHEET
(PROFESSIONAL OFFICES & INDUSTRIAL)
NAME OR COMPANY:
LOCATION:
DEVELOPMENT TYPE:
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. x 0.5 x
I.OT SIZE
X $0.2Q9 PER SQ. FT $
2. S8tllIARY SFWFR~r.TTY
NO. OF PFU'S x 0.5 X
(See Reverse)
X $43.26 PER PFU
$
3. IBANSPORTATION ..,
'~'.
NO OF UNITS X TRIP RATE X COST PER TRIP :1'.'
0.5 X X X $436.19 $
0.5 X X X $436.19 $
0.5 X X X $436~19 $
4. S8tllIARY SFWFR-MWM[
SUBTOTAL (ADD ITEMS 1,2.3 & 4) $
5. ,AnMTNTSTRATTVF Ft..ES.
BASE~ CHARGE (SUBTOTAL ABOVE) X .05
Date:
Mary Hornig, P.E.
SDC Coordinator
lillAI snr, $
B2.SDC
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5Q, F t.
$