HomeMy WebLinkAboutPermit Building 1993-6-22
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COMMERCIAL/lNDUST~
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER 9?~ ./ ;:r
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: /01/ Cl--1/)/3 ?tt~d
ASSESSORS MAP' 11- O.3-c~S-- c..f-/
TAX LOT:
6" 7t.lo
OWNER: ,~tI~%t5muA
ADDRESS: /0 / U~ '5;/-
CITY: '--~~
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DESCRIPTION OF WORK'
NEW
REMODEL
ADDITION
ARCHITECT'
. tflJA
NAME
CONTRACTOR'S NAME
..s tl ~
GENERAl'
PLUMBING'
MECHANlrA' .
ELECTRICA' .
NO,
PLUMBING
, FEE
Single Fixture lJif;:t:, ~ ~7'
Relocated Bldg,' , "
Inew fix. addtll
Water Service
/
It.
Sanitary Sewer
It.
Storm Sewer
It.
/ Backflow Device
TOTAL PERMIT
OUAD AREA ~C' ./~)0
. OF BLDG~'
OCCY GROUP:
. OF STORIES:
SO. FT.
SO, FTG MAIN X
SO. FTG ACCESS P} 7" t::> JffI1{1' X
SO. FTG OTHER i7!w"c~ X
PLAN CHECK FEF ""'32,8~
RCPl'
I BUILDING PERMIT
15% State
Surcharge
1 MECHANICAL
15% State
Surcharae
1 PAVING
1??J. ~
2.::>'5
STATE:
0/))
--
DEMOLISH
VALUE:
ADDRESS
PHONE
EXPIRES
PHONE
+
I MECHANICAL I
CHARGE I Nn , """ , "~"IiGI
Ibl.-I Furnacel burner & vent
< 100,000 BTUs
I Furnace/burner & vent 1
> 100,000 BTUs
I Floor furnace and vent I
1 Suspended wall or floor I
mounted unit healer
1 Appliance Vent I
separate
lb. ", 1 Stationary evap. 1
cooler
1 Vent Fan/Single I
duct
1 Vent System apart I
from AC or htg.
I Mechanical exhaust I
hood and duct
I 1
I Permit Issuance $10,00 1
Aft). - 1 TOTAL PERMIT I
- 95~ Y.SE"
LAND USE:~..::-J.....'1 )
HANDICAP ACCESS:
FLOOD PLAIN:
If OF UNIT~'
ZONING'
CONSTR, TYPE:
LIGHTING POWER BUDGET:
WATER HEATER:
HEAT SOURCE:
$/SO. FT.
VALUE
~~.""'"
:2e?~ -
.~ .<::!""___. C>~
TOTAL VALUE OF PROJECL b--:> ~
DAT"
BY
I PLUMBING
15% State
Surcharge
1 FENCE
VALUE $~
SIDEWALK
_e>
DEMOLITION
FT.
I
/.- (7t~-/i--6 ~2.S~
L)"_e> (~tV6r y-~A~/z> ~ 'I
SUBTOTAL' 7:'&1 ......:2
PERMITS T,""~
~m~~~MENT 1/ 3'-1 [~ If!:>
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CURBCUT
FT.
. - TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
~2G?60
,
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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 fol/owing 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,
J 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 place but before any
concrete is placed.
y UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UN DERFLOOR: 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 covering.
ROUGH PLUMBING.
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel is In
pi ace but prior to placing
asphalt or concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner I 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
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 PS.1. (306 a.1)
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STRUCTURAL WELDS:
PerforIT!1jSl on the job/(272~f)
/7 ;##Y'#,/~;:7/?C
HIGH STRENGTH BOLTING:
Doring all boll Installation and
tightening operations. (306
a.6) .
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 pla~s.
SPRAYED ON
FIREI?ROO'FING: U.B,C.
Standards 43.8.
,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a,11 &
Ch,apter 29)
GLU.LAM BEAMS: Inspection
Certlficate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B,C.
STDS. 25.10,11).
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.
STRUCTURAL MASONRY: (306
a.7)
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
x
FINAL PLUMBING
y
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 ELECTRICAL
x
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
AD~ITIONAL C~~ENTS:
,_C2\c::\- T: ~lAJr1-32qqO: 5~mOl\.PJ\~/)
/!/'9Z=.~ :Y~~ ,,~f/~-;j.~~-;;~/""z-~~-y">-- ,~/~~
~~~/h--;'~ L~~~ /?~Y"""""'~_
. .' PLANSREVIEWEDB/ ~~~ DATF 7/:?~7':::S
'l" // _ )!'n~./ '
By signature, I state and agree, that I have carefully examined the completed application and do he~ebY ce.rtify'"that alllnformatlon
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 orily contractors and employees
who. are ,in compliance with ORS 701.055 wl,lI 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.permICcard.ls located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Slgnaturo.':~V ~ ~
Date
t!?-Pc-~~
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VALIDATION:
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AMOUNT RECEIVED: Y-<O.~6
9/~
RECEIPT ':
DATE PAID' t!:-2.;:if. 77
RECEIVED BY: r-- ~
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~B NO. "I?oSl~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: ~f'F'U;>. u-r/l__l TY 15oA-~t:>
LOCATION: 10/1 4 10/3 NlA--IN 5-r. 17 o"3? 5"-1-1 - '37&0
DEVELOPMENT TYPE: cc...: 40D VE.J-I-/GL-E:.. !AfA<,./-I BAy'
BUILDING SIZE: 2"., ,(1"6
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. N6 Abt>(E.b At2-eA X $0.192 PER SQ. FT.
LOT SIZF
SQ. Ft.
c;~)
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2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reve{se)
to
X $39.78 PER PFU
G 1-?8 ".i)
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3. TRANSPORTATION
CAe>E- /10 UTIL.-Inf;!>:= ",'!o/tlTSF
NO OF UNITS X TRIP RATE X COST PER TRIP
0.5'-1- X o.ofo X $401.05
C '61., c.i)
---- -
X
X $401.05
X $401.05
$
X
$
SUBTOTAL (ADD ITEMS 1,2, & 3) $ ?"2-5 ~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
((,,>2."~
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TOTAL-CITY SDC $ ?7'--f1 57
5. SANITARY SEWER-MWMC
NO. OF PFU'S IV.A. x $13.62 PER PFU + $10 MWMC ADMIN. FEE $
(Use PFU Total From Item 2 Above)
~,_ ~~Jc..
.- -~ Kip Burdick
SDC Coordinator
s /llq~
{
1
TOTAL-MWMC SDC~ -tr- ~
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TOTAL SDC $ 3'-1-/57
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
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FIXTURE UflUT CALCULATMABLE: Number of New Fixtures X Mivalent = Fixture Units (NOTE:
For remodels, calculate only Ihe NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
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 fWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single Stall.................................,.........,.....
Shower, Gang.............................. ............................
Sink, Bar, Commercial.............................................
Urinal, StallfWall................................. ...................:..
Wash Basin/Lavatory, Single............................,.....
Water Closet. Public Installation............,................
Water Closet; Pr[vate......................, ........,..............
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
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TOTAL FIXTURE UNITS'
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FIXTURE
UNITS
(,
b
Based on assessed value. If improvements occurred after annexation date in table.
CREDIT CALCULATION TABLE:
~te credits separates.
Year
, Annexed
Rate per $1,000
Assessed Value
Year
Annexed
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
11
Rate per $1,000
Assessed Value
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
Credit for Parcel or Land Only If Applicable
- X $ -
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
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Improvement (if after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Resldential....... ....... ....... ........ ........................... 0.4
Commercial...................................................... D.9
I nd ustrial................ ........................................... 0.45
GovernmentaL................................................ 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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