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Home My WebLink AboutPermit Plumbing 1996-4-16 ~ .' ,/ COMMERCIAL/lNDUSTRIAL ' PERMIT APPLICATION 225, Fifth Street, Springfield, Oregon 97477 . ~ JOB NUMBER q~YH>7 INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATiON OF PROPOSED WORK' / 7/7' h:1'~/A7 ~;r;?!J5t!!;?' ASSESSORS MAP: /?-a"'7- ,-=51& - "? / OWNER' VAy'/?';) LL~ ADDRESS: tV ~~C::> C /~ m-~. CITY' ~>""'-:;;'~~e TAX LOT: L'~___6 PHONF' '":?~ .9~9 STAT'" ~ . :o/~o/"':LVC ~/,AY.&_~~ NEW DESCRIPTION OF WORK: ADDITION REMODEL NAME ARCHITECT: CONTRACTOR'S NAME ZIP' ;w~ ~":':"'-:--z.- DEMOLISH OTHER VALUE: ADDRESS PHONE ADDRESS CONST. CONTRACTOR' PHONE EXPIRES GENERA' . ,_ I /, 7r.; 7/ "Z'?~ /.:'/'Y"'7Y-77.'E , PLUMBING: /-/ ","-;c,r~..;oo;.)?/~, ~/~~'97t.;J,s": ~/~ MECHANICA" ELECTRICA' ' I I .", Ih I . I I I I I I I I I I TOTAL PERMIT QUAD AREA' . OF BLDGS: OCCY GROUP' . OF STORIES: SQ. FTG MAIN PLUMBING Single FIxture Relocated Bldg, Inew Ilx. addll) Water Service I FEE '/.:::> It" Sanitary Sewer It. Storm Sewer It, Backflow Device SQ, FT, SQ, FTG ACCESS SQ, FTG OTHER PLAN CHECK FEr RCPT' I BUILDING PERMIT 15% State Surcharge I MECHANICAL 15% Stale Surcharae I PAVING -'-./"7-%_ 6~"::'~< ) CHARGE ) ~ -=" I , , I I I I I I 1 I MECHANIr:41. Mn ~~~ '~HABGI I I I I I I I I I Furnace/burner & vent < 100000 BTUs Furnace/ burner & vent > 100,000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationaryevap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duel 11~ I Permit Issuance $10,00 TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS' LAND U,~~' FLOOD PLAIN: ZONING: LIGHTING POWER BUDGET: . OF UNITS' CONSTR. TYPF' HEAT SOURCE: WATER HEATER' $/SQ, FT. VALUE X X X TOTAL VALUE OF PROJECT DAT~ BY , PLUMBING --e> -::?C7. , / .::>"""" _ -9~ , DEMOLITION 5% State Surcharoe I FENCE VALUE $ I SIDEWALK I CURBCUT j:~ I FT, I FT. I ~?~ I ~UBTOrAL . PERMITS I SYSTEMS I DEVELOPMENT ?,R- -::<::<:8,6/ TOTAL PERMIT'FEES I EXCLUDING ELECTRICAl =<'9c7. 'Y / . REQUIRED INSPECTIONS . ~/ ..... It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an inspectio~, call 726.3769 (recorder), state your City designated job number, lob address, type of Inspection requested and when you wi/I 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 foi/owing work day. SITE INSPECTION: To be made after excavation, but prior to setup, of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANtCAL: To be made before any work Is covered. 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 Inslab building service equl pment, conduit, piping, accessories and other ancillary equipment items are In Jllace but before any concrete Is placed. )( UNDERGROUND: Plumbing, electrical, gas.c:rctll\ClIY ::ot::Wc(i) 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 tNSULATtON & 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. rY' FINAL PLUMBING FINAL ELECTRtCAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: .y ROUGHc6'UMBIN,G~' ELECTRI""L .. ' " , MECHANICAL: No work Is to be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & '- CURTAIN WALLS FtREPLACE: 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. INSULATION & VAPOR BARRIER: To be made after ali Insulation an'd.requlred vapor barriers 'are In place but hefore any lath or gypsum board Interior wall covering Is applied, FIRE & SEPARATION WALL: Located and constructed according to plans. 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. 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. PAVING: After gravel is In place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: In accordance Section 306 of the ,State Speciaity Code a special Inspector shall'be employed by the Owner' 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) STRUCTURAL WELDS: Performed on the job, (2722 f) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations, (306 a,6) SPRAYED ON FIREPROOFtNG: u.Be, 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 Bui/dlng Division before beams are placed, (2501 U.Be. STDS. 25-10.11). STRUCTURAL MASONRY: (306 a,7) *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, 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 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. " PLANS REVIEWED BY OAT" By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aI/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 descrlbl;"!d 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.thls project. I further agree to ensure that all required Inspections are reQuest~d 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. --~~ /~ ~ t./ ;L~ '-I / r / '.. .-,- AMOUNT RECEIVED' 7 /' (J) ~ RECEIPT': -::2.JI1'6 Signature - D~rr VALIDATION: ./ Date 9"-/6- ~6 DATE PAID: SI/(f; ~ RECEiVED BY: -Z-C~ - \~ . . JOB NO. 9&D'If17 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . ../ . NAME OR COMPANY: D /tVIO [L~Ol: LOCATION: 171'1 I'IIU 1-/ sr. DEVELOPMENT TYPE: f/€.I>J PL.\) 1'\6'''' (, BUILDING SIZE: LOT SIZF SQ. Ft. 1. 5.TORM ORA I NAr,F IMPERVIOUS SQ. FT. x $0.21 PER SQ. FT, G - ') '- .......-" r 2. SANITARY SFWFR-CITY NO. OF PFU'S 5" X $43.43 PER PFU (('21/ Ii) (See Reverse) ...... --- 3. TRANSPORTATTON NO OF UN1TS X TRIP RATE X COST PER TRIP X X $437.93 ~- ). "- - X X $437.93 5 X X $437,93 5 4. SANITARY SFWFR-MWM( NO. OF PFU'S x $18.75 PER PFU + $10 MWMC ADMIN. FEE (Use PFU Total From Item 2 Above) 5 MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAl -MWMr sor SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5 L) 5 2." '~ 5. ADMINISTATIVF FF~ BASE CHARGE (SUBTOTAL ABOVE) X .05 Cloe~) ....... ~ .{(20-::, ".....m/,'f:>fPV Troy McAllister SDC Coordinator Date: 1 '1/'4>h" . TOTAl SOC 01 $ ZZS - ......- FIXTURE UNIT CALCULATION TABLE: Number 01 New Fixtures X Unit Equivalent = Fixture Unit:;, (NOTE: For remodels, calculate on.e MIT 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 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 , 1 6 I 4 'l TOTAL FIXTURE UNITS = 5' CREDIT CALCULATION TABLE: calculate credits separates. I Based on assessed value. If improvements occurred after annexation date in table, 'I Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 19B3 1984 1985 19B6 $3.47 3.39 3.33 3.21 3.06 2,92 2,74 2.46 1987 19BB 19B9 1990 1991 1992 1993 1994 $2.13 1.76, 1.35 0.95 0.58 0.41 0.29 0.14 I II ~ Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Credit for Parcel or land Only If Applicable = CREDIT TOTAL = $