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Home My WebLink AboutPermit Building 1992-9-29 . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION 225 'Fifth Street, Springfield. Oregon 97477 ~ -JOB NUMBER 9//:;;>~ INSPECTION LINE: 726.3769 OFFICE: 726.37S9 LOCATION OF PROPOSED WORK' 7// O~Z4f:Z/~~. ASSESSORS MAP: /7~..."z;;! -~.3 OWNER:-#.c-'~2~.~~~.~~r:s- A'DDRESS: JI / ~ ~ G"" ~.dv&: #~rL:Ar~- ; hv~&.e:. I - CITY: DESCRIPTION OF WORK' NEW \t REMODEL ADDITION NAME ARCHITECT: CONTRACTOR'S NAME GENERAL:qE//- .*L ..,~ PLUMBING: ,a:::>:z C>a> TAX LOT' PHONE: .-7?C/-g.y~ STAT'" ~.. ZIP:3?2t::SY ?~.~k~/~ . VALUE: /Pr -'.;>-- . / ~/~,..,~ ""'-- - . ~ -", I CHARGE I I 1 1 1 I /~-I 1 1 1 1 I /.s: -I . OF UNITS' CONSTR, TYpo. HEAT SOURCE: $/ SQ. FT. X PLAN CHECK FEF.ZSJl. 5''3 RCPP 6 "7'1'5 DEMOLISH I BUILDING PERMIT / '2B... S'c:> PLUMBING lS% State ~.Y'3 5% State Surcharoe Surcharae I ME~ICAL/-''> ~.Z 1 FENCE ..... VALUE $ 15% State . _/5'" SIDEWALK Surcharoe FT. I PAVING CURBCUT FT. OTHER ADDRESS PHONE CONST. ADDRESS CONTRACTOR' EXPIRES PHONE ~,~~~~~~ ::73'3'4!G ~""Z'9'Y' ';<}(t:-/-"=>_r , -... ~, -" / / MECHANICAl' ELECTRICA" ~~ E~_ PLUMBING NO. I FEE 1 1 I I 1 ~,W 1 1 1 I I Single Fixture Relocated Bldg. (new lix. addtl) Water Service It. Sanitary Sewer It. Storm Sewer It. l/" Backflow Device TOTAL PERMIT MECHANICAL I ~HAB.GL 101" """ Furnace/burner & vent <100.000 BTUs Furnacel burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart Irom AC or htg. Mechanical exhaust hood and duct I Ji...4: fEn' ~p~ Mat ,$__ Permit Issuance $10.00 TOTAL PERMIT QUAD AREA: \ Q. S\ ')uJ - OFFIC~S~ - LAND USE: \ \,~ FLOOD PLAIN' ZONING' ill 'f.L..J . OF BLDGS: OCCY GROUP' . OF STORIEf" SQ. FT. SQ. FTG MAIN SQ. FTG ACCESS ,__ SQ. FTG OTHER 7~L x . ~ tFd?~/'p: HANDICAP ACCESS: LIGHTING POWER BUDGET: WATER HEATER' VALUE ./~.~C>> TOTAL VALUE OF PROJECT DATE d'~ ..,...../"./- :> /:? "'" I DEMOLITION - , ?- 2'9- ~2-sY .Ar I I I 17~.~ I ~~~<E>~ I SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICAl z-5"~ 97 .. 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 B.m. will be made the same working day, requests made after 7:00 B.m. will be made the following work day. ~ SITE INSPECTION: To be ROUGH PLUMBING, made after excavation, but ELECTRICAL & prior to setup of forms. MECHANICAL: No work is to be covered until these inspections have been made ~.ve~ ATTIC DRAFT STOPS & CURTAIN WALLS PAVING: After gravel Is in place but prior to placing asphalt or concrete. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: 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 serv(ce equipment, 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 framing Inspection. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a sRecial 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. 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: Performed on the job. (2722 f) 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.S.G. 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 US.C. STDS. 25.10,11). FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of decking or floor sheathing. STRUCTURAL MASONRV: (306 a.7) MASONRY: Steel location, bond beams grouting or verticals In accordance with USC 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 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. V FINAL ELECTRICAL ,../"' FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' ....., --- PLANS REVIEWED BY #~)ld ~ -? DATE At' ?f9-9? 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 OAS 701.055 will be used on this project. I further agree to ensure that all r~quired Inspections are requested at the proper time, that project address Is readable from the street, that the ,~~ card Is located at the front of the property, and the approved set of plans will remain on the site at all ~:::t~:urlng Co(()~ 0., ' r---." Date \ 0, \ <\. qQ I U~ - -: "n ,~,~ , VALIDA 'ON: AMOUNT RECEIVED:~, {) ~ .~. L DATE PAID: Il ) .~ y '\./k-Y RECEIPT" I_Or x::x \ RECEIVED r . ,.~ \-I~t NO. q, I z,.g'O ~, ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ,,^c.K-E.~-z..,F-. ME.ADO,^,' /wI'=>. LOCATION: III OPl~p.,L.E:: S.: t--:D~'27.-+~ - OO-z..OO DEVELOPMENT TYPE: Mt>~ - ~lX'> <;..wlMM,\J& 1/0-<> L- BUILDING SIZE: 1. STORM DRAINAG~ IMPERVIOUS SQ. FT. .lOT SIZE .SQ. Ft. . X $0.192 PER SQ, FT. c: -.) --- --- 2. SANITARY SEWER-CITy NO. OF PFU'S ~ (See Reverse) . X $39.78 PER PFU C;-'9 5('~ ---- --' 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $401.05 X $401.05 X $401.05 ~) X X $ $ $ lQ"',,!::: SUBTOTAL (ADD ITEMS 1,2, & 3) , 4. ADMINISTRATIVE FEE2 BASE CHARGE (SUBTOTAL ABOVE) X .05 TOT Al- C ITY SDC, ~ - ---- $ "b? <:oj. 5. SANITARY SEWER-MWMC NO. OF PFU'S JV.~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) .~~~L~ \J Kip Burdick SDC Coordinator \ 0 11/<1.2-- J; TOTAl-MWMC SDC~ ) - ---' TOTAL SDC $ 8"".:> <:o~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~~ . FIXTURE UNIT CALCULA:;I~ TABLE: Number of New Fixtures X un;;~'valent ~ Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS FIXTURE lYPE Bathtub. -..-- --------.------.----..-- ,-------. ---------------.---..-- --..---- Drinking Fountain-- ------- --.-- --- -- ---, --- ------ --,.-- --- --. --. .----. Floor Drain_._____.____________.__,__.____.'.._____._________...__.__..____ Interceptors For Grease/Oil/Solids/Etc---.----,----.--- Interceptors For Sand/Auto Wash/Etc__---------,--..-- laund ry Tub /Clotheswasher ----- --. ------ -- ----,-- -.--. ------- Clotheswasher - 3 Or More,________________.______,________..__ Mobile Home Park Trap (1 Per Trailer)_______________.__ Receptor For Refrigerator JWater StationJEtc-------- Receptor For Commercial Sink/Dishwasher JEtc-- Shower, Single Stall,._____.__._,__.__.....__.__._..__.______....__.. Shower, Gang__----.-,--,--__.---..--..-..--.--.--.--.__.__.-__..'--... Sink, Bar, Commercial.--....-.--..-..--.--.-.--..--......--..-.-.. Urinal, StaIlJWaIL..-----.--.-.----.--...-..-.--'. ......-...-..--...---. Wash Basin/Lavatory, Single___________.______.__.___._______. Water Closet, Public Installation.__________.____._______.___. Water Closet, Private..______..__...._.....__,__...._..____..__.____ Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 '7.. TOTAL FIXTURE UNITS 'Z- CREDIT CAlCUU\TION TABLE: Based on assessed value_ If improvements occurred after annexation date in table, calculate credits separates. . ~- Year Rate per $1,000 .--- - - Year Rate per $1,000 -1 Annexed Assessed Value Annexed Assessed Value ] ~ 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 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL ~ $ Credit for Parcel or Land Only 11 Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resid entiaL ___,__. ___ ___ __'__' __ ____' _____., __.. _..,.,. -. -- ---, -- 0_4 CommerciaL-----------,-------,----,--------------------,.--.-- 0_9 I nd ustrial__ ___. ._____ ,__ ________ ____ ____, _____ __ --- --' -- -- --, --. --.. 0_ 45 GovernmentaL- __. __ ____ __ _ ___ ___.. ___ __ __ __.... -- -- -- --' ---... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT