HomeMy WebLinkAboutPermit Building 1994-10-27
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'l)'S03 726 3689
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COMM ERCIALlINDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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lOCATION OF PROPOSED WORK: 17cf:: ye
ASSESSORS MAP: 1'7 - ()~. ~d.. '";\...q
SPFD DE\'. SER.
e:
I4J 002
JOB NU:-'1BER ct1l3~
j"!0PEC'r:o,'J LJ.'\JE: 726.3/09
OFF!C=: n6.375~
.:ow - t:bJlno,< l\..n-("-L~-lO"'L._
TAX LOTC/leD !~cx:'.
OWNER: Svrr.Ll n (' 0?
ADDRESS:_~.qn~~.I':7 \/..1"'..... ,l.-ct11'"
CITY: Sp'~Il(~~"" lrl_ ' STATE: O\C.
DESCRIPTION OF WORK _70.co..;S ,. ~ ~~iJ.".Y"' ~tQ.lv
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NEW X- REMODEL ADDITION DEMOLISH OTH::i'1
NAME
ARCHITECT;~iC""1 Cc&~-,
PHONE: _ "7'1~f1f13. _
'_ ZIP: S7~ ._ _
MDR_ck~m1t
.. VALuE: __, _' _
ADDRESS ' PHON"
~lq SW,~,t ?tl~O""Z C[:zdCk\ ~~-d~~
CONSt '
CONTRACTOR'S NAME ~.\' ADDRESS COt>;TRACTOR' It. EXPIRES ?~ONE
GENERAL:J'-"1pr \:ct.it;r ',\''-..'tl ~c:"f. ~,ST A,l'" ?l-lr~n~~Q{O@ +4'Z-'J~
PLUMBING: _\.,,....~'>-..,..f-rlpk.rn),J,"'rl_
MECHANICAL: J,
I~-
gg-
I
7,,().oe.i
//) .-1
7<::'. -!
I
J
I
, I
15~~1
- OFfl~U*-
LAN D USE: l \ i1"-t
. OF UNITS:_ 70
ELECTRICAl'
'J
I PLUMBINC:
I NO I
I o/'~ Single Fix:ure
I ~EE CHARGE
~.- cy~~ "1
I
Relooaled Bldg.
rnew Ilx. addtll
Water ServIce
?J!t6 It.
Sanirary seweroo;a.a
"",;/D fl.
Storm Sewer
+'.5'/~ 1<.
::i
Y'!
i --t Backllow Device
r:40' ./i;~ ~~c
TOTAL. PERMIT
QUAOAREA:~J\.t )
~l
, OF 8LOGS:
OCCY GROUP'
, OF STORIES: _ ~
CONSTR. TYPE:
HEAT SOURCF'
c:.n !:"T
s/sa. FT.
q$:i Y'.o
/.t:'./,O
/. :')0
t::./.6Oa 41
~~~ //.J~
S~ FTG OTHER _t!:.21 '3903
//IlYAIjf:::'o,
sa. FTG MAIN
x
x
x
ME~HANIc'AL
Nn
7~
,. 'r=umc,:;c;! bur."er 20 '".::tll
, ..:: .,00,000 erus
r FUf(laC;,!/t:~rr.er 2. VI2;'l:
. > 100.000 eTUs
I ,F:oor furnacG.' .find ver.l
I :Su!>pended wall or !:uc:
,rno'Jnt~d uni: hearer
'Apolianc~ ~er,l
I .~epartll~ /JR~
I .S:a:ionary' O'JI1P,
.COOIl:!f
'Yen: Fan/Sir.nl~'
:a~c:
, IV&r.t SYSrem 3~3r:
}rorr: AC Of Il~~,
iMeCI"'.an:CSI exhaust
'tl00<l and dUCI
7t'
7&>
1,
,
:.~errt1il Issuance
TOTAL PERMIT
"FF
CHARG'L1
I
I
,
.!
L?'- ~t',-:
I ..----,
-'
,"3: ~. ...,.
I I
:<<'~ ;;5/~-
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S"l<':U
: 75'~-t
HANDICAP ACCE5S:_.
F~OOJ PLAIN: _
ZONING. .~\"12.)
WATER Hi;:AT;::R:
LIGHTlNC ?Ol/lEK 3UDGET __. _
VA:"UE
-?~/1i":.~VO.c>~
"'Y-;"<<<? ,,- ';>:z 'f6'6 ZlB't. ~:>
/p~, y'o/o/'J/p '"
~~. ~~~ ~O
'!pTAL VALUE OF PROJECT.. ~?6<? ""?;?.J.t;?
. rn !N\Cl ~ \)J::l... OO'\RA ~ onDA~O---L0LO_ 011 8~"
PLAN CHEel{'F\!l:' .:..=....._.__ RCPT' "_
I BUILDING PERMIT
/5% State 1':!>
Surcharl',e ;<':)
! MECHANICAL '
L,~ ,. ~.~.e> PlUM61NG
::l y. /5 5% State ~
/7~./ SurcharCle ","1'
_ FENCE
~ ',!.~.t_I_I~~
zt:~ SIDEWA~ FT.
/7/~ - CUR6C~ FT.
'I 5% Stare
Sl,lrcharoe
I PAVING
~
?"J~. = I DEMOLITi01'
1~:~6'
.
/S:Ve:>
/5: YD.
Sl!BTOT":"':"
?E AM ITS
-SYSTEMS
~)S.I:.!....O?M=.'JT
TOTAL ?R'.,T r.
EXCLUDING Ec'
IZ1lg&,.~ I
: 8:1.,'309.1j-'
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REQUIRED INsPEcrrJN'
,
Ills tHe responsibility of the permit holder 10 See that all Inspections are made at the proper lime. To request an Inspection. Ci
726.3789 (recorder), state your Cit)' designated jOb number, jOb address, tYPe ,~f Inspection requeSted and when YOU will b. rea,
for Inspection, Requests received before 7;00 a.m. will be made lhe same wor ling da)'. requests made aiter 7:00 a.m. will be mat
the following work day.
SITE INSPECTION: To be
made after excavation, but
prIor to setup of forms.
-= '" ,....
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ROUGH PLUMBING,
ElECTRICAL &
MECHANICAL: No WOrl is to
be covered until these
inspectIons have been nade
and 2:p.oroved.
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PAVING: After gravel Is In
place but prior 10 placing
aSPhalt or concrete,
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UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is COvered.
ATTIC DRAFT STOPS &
CURTAIN WAllS
SPECIAL INSPECTtONS: In accordance
Section 308 of the State Specialty Cod,
a special inspector shall be emplo)'ed
by the Owner! Contractor during
construction of the following worl<:. A
COP}' of the speCial testing reports shaL
be furnished to 1he Building Division,
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FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
ereoted, all steel in place, but
prior to placing concrete.
FIREPLACE: Prior to pi, cin.
facIng materIals and be ore
framing Inspection.
A'
FRAMING, To be made .fter
the roof, all framing, Ii"
blocking and bracing ar I In
place and all pipes, chi, 1neys
ar'Jd vents are compl~te and
the rough electrical, Plumbing
and mechanical are app 'OYed.
STRUCTURAL CONCRETE: In
excess of 2500 RS.1. 1306 a.'1
CONCRETE SLAB: To be
made alter all Inslab building
service equipment, conduit,
pipIng, accessories and other
ancillary equipment items are
In place but before any
concrete Is placed.
STRUCTURAL WElDS,
F'erlormed on the job, (2722 I)
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INSULATION & VAPOR
BARRIER: To be made a'ter all
InSulation and required 'apor
barriers are In place but
before any lath or gyps< m
board Imerlor wall cover ng is
applied,
HIGH STRENGTH BOLTING:
During all bolt installation .nl"ld
tightening operations. 1308
a.6)
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UNDERGROUND: Plumbing,
electrIcal. gas, sanitary sewer,
storm sewer, Water and
draInage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
I'IREPROOFING: u.e.c.
Standards 43.8.
UNDERFLOOR, Plumbing,
eleClrical, meChanical. To be
made prior to installation of
floor InSulation, deCkIng or
floor Sheathing,
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I'IRE & SEPARATION W..ll:
Located and constructe,
according to plans.
SPECIAL GRADING.
EXCAVATION AND FILLING:
During earthwor,<, (306 s," &
Chapter 29)
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LATH AND/OR GYPSUM
BOARD: To be made afl< r all
lathing and gYPsum boa d,
Interior and exterior, Is ')
place but before any
pla5tering Is applied or e(ore
gypsum board joints ane
fasteners are ta.ped ar'ld
finishQd.
GL.U.LAIVI SEAMS: Inspecticn
Certllicate by an apprO'lea
agency, furniShed to the Cl!J"s
8l"lllding DIVision before
beams are p'aced. 12501 U SC.
STDS. 25.10,111. .
POST & BEAM: To be made
prior to installation of floor
Insural/on, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking Or floor sheathing.
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STRUCTURAL MASONRY, (308
a.71
MASONRY: Steel location,
bono beams grouting or
verticars In aCcordance with
USC 24,5.
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SIDEWALK & DRIVEWAY;
Required for all conctete'
paving Within str~et righ\ 01
way, to be made after all
excavating completQ and form
work and $l"lb-base matel1al in
place.
'"In adcltior: t:) :,-,~ InSPGc.
t]o"$ specifIed, th0 8t:ildina
OHlcla: may mak~ or requ/;-e
other Inspections of any
construction Work to ensure
compliance wIth the BUIlding,
City or Developme"t Code.
ROOF SHEATHING AND
NAILING: PrIor to installIng
any roof covering.
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CURB ANO APPROACH
APRONS; After forms are
erected but prior to placi lQ
concrete.
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FINAL PLUMBING
VALIDATION:
A' SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the dare YOu wisl Inspection. All project conditions such as
landscapIng, parkln~ fot striping, etc. must be complet~d before'
requestIng this InSPrction.
X" FINAL BUILDINQ: A 'quested after the final plumbing, electrical,
mechanical and FirG Department Inspections are made an(:f
approved. No occup Incy of the premises can be made until a
Y Certificate of OccuPflncy has been Issued by the Sullding Division
FINAL FIRE DEPARTMENT and posted on the PremiSeS.
ADDi['ONAL COMMENTS:'-- AMI> I _, _
'- ^-rT: -~ / .2."fclo~ 38I,S~q.-3 AN~
'0MWL ~ ~ -\~I) "3 Z... (.> li,1&~ 7i:J~Y'N<;><-€ a.,.,....
;?fi:o.~ -~4. /71e= <-c-;-:~~~/~'f ? IE'"~). ,Pc.~ ~
PLANS REVIEWED B~ ~. ......-:::~ DATE ./6 -.r::2 ~5''Y
4' 1'~
By signature, I state and agree. Ihall have carefully exemlned the completea apJICation and do hereby certify thaI all information
herein Is true and correct, and i further cerllf)' Ihat any and all work performed ~hall be done in accordance with the O<dinance.
of the Cily of Springfield, and lhe Laws of 'he Slate 01 Oregon pertaining 10 the, lork described herein, and Ihat NO OCCUPANCY
will be made of any Slructure without permission of the Building Safety Division. I urther certify that only Conlractor. ana employees
who are in compliance with ORS 70'.055 will be used on this oject.
I further agree to ensure that all required inspectlo e d at the prop, ,r time, that project address Is readable from the
street. that the permit card is located at th r rty. and the ;!.efoved S~t of plans WIll remain on the site at all
times during constructIO,:...fi' :-~~ /,/>?c/~u tAlt!1
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Sjgnature~--== ~ ____..._ Date_
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AMOUNT RECEIVED; I
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x
FINAL ELECTRICAL
j{
FINA~ MECHANICAL
DATE PAID:-\OP!J'~. )
RECEIVED By:~LC~L__
RECEIPT ':
\C:::U...:-jh
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.. ATTACHMENT Bl '.
_.. JOB NO, _9 ~n <":;t
CITY OF SPRINGFIELD SYSTEHS.DEVELOP~ CHARGE .
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: )A02/AA,8. ~.
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LOCATION:~"..I JI~~/I~ ~": 1..:. (1'f-~"-~.2'$~A'.2~",,/f~(J(,.)
" . , , .' ".. '. '., . '
DEVELOPMENT TYPE: '10 a..u:/ -t. ~ ~..J. 5 f);A5E 3; .
BLO.1f ;... f PAY, LOT I /5/;;)1' :
BUILDING SIZE:' 3SG.o~{.B".3 QI illr. :118,11 OT SIZE" sQ. Ft. cP
. 3:. 9IIif~
L ~ nRATJiAGf. ' -/I . ~ d9'
"IMPERVIOUS SQ. FT.(".239S,oH9//}'l-1Jo1 X $0.209 PER SQ. FT. M S.2'1. ~~;~. ~ I
. , _ _'f'\.'2i
.' w5
2. . SMlIARY SFWFR-r.ll1 . ~q .
NO. OF PFU'S .
(See Reverse)
3, TRANSPORTATION
110
X $43.26 PER PFU
~3/~
NO OF UNITS X TRIP RATE X COST PER TRIP
C,.cDE
,;.;./
J-QW ~/sE
/tPr.
70
x o.s'ii X S436.19
X X 5436.19
F 109,;V
s
X
X 5436.19
$
SUBTOTAL (ADD ITEMS 1.2, & 3) $ t.C,.S49.os-
.
4. SANITARY SFWFR-MWMC
NO. OF PFU'S '110 x $17.19 PER PFU + SID HWMC ADMIN.FEE
(Use PFU Total From Item 2 Above)
LJ3;;;,1C,,30
H'WMC CREDIT IF APPlICABLE (SEE REVERSE)
'.' -'; . ," . .IQIAI-HWHr. s.o.c
SUBTOTAL (ADO ITEIIS 1.2.3 & 4)
o...k.
.
ll405".,~ ~}}, .
t'ii I? '9 t>. (p ~. '!I
$ r8.3S'1." ~\~ .
5. AnMINlsT~IVF FFFS
. .-. .
Bis~'l!r~ ABOVE> X .05 e,q~
~ A : Date: 9-2'1-f~
/ Har~orn;g. P~
SDC Coordinator
;It BLD, RooF PUI"I"IS 6-0 T" Al'I'ltOVE-D IQIAI snr. s 82 3of.df
IJK.Y weJJ.S. /'1'0 CJ>HrRIS(,I..TION T(J
B2.SDC' !:"N "1'':- po,c ,.f).t:. pu/f,poses. , r
2. t.. -+,C &,4 j),C,ltIIlJS TO p/r.(lt://'/6- -" .
~~ A,/,(OI(/MArsl.'(' i of s/pewA. K tA#l> SCAN$/> A,fI>A$.
). If" '1,,"
II. z.
-.
FIXTUR"f: UNiT ClU-CULATION TABLE: Numbe.ew Fixlures X Unit Equivalent = Fixlur
(NOTE: For remodels, c.ale only the tJ.EI addilional fix lures) .
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub..................................................................... .
Drinking Founlain....:................................................
Floor Drain................................................................
Interceptors For Grease/OiItSolids/EIC.................
Interceptors' For Sand/Auto Wash/Etc..............)..... .
L~undry Tub/Clolheswasher.(1.1~..f.4.ifIf..(lI.(~r. ........
Clotheswasher - 3 Or More....................:..........".....
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For RefrigeratorN"ater Station/Etc........ .... .
Receptor For Commercial Sink/Dishwasher/Elc..
Shower, Single Slall................................................,
Shower, Gang.... ....................................................,.
Sink: Bar, CommerCial, Residential Kitchen.........................:
Urinal, StaIlN"all..:....................................................
Wash BasinlLavatory, Single..................................
Toilet, Public Inslallation........................................
Toilet, Private.......................................................
MiscellaneoUs: ,;TANI T02"$ .$.',01-"
fa
1-0
, .
:f~
~o
10
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
.1
3
2
l/Head
2
2
1
6
4
..l
=
/40
_/40
/4 C>
10
.280
110
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexati~n date in
calculate' credits separates,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
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
19B8
1989
1990
1991
1993
3."" X $ -f.e":tZ 1.0
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
. .... .
Credit for Parcel or Land Only If Applicable
. .
'Improvem'ent (if after annexation date)
=
=
Rate per $1,000
Assessed Value
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
I
1
/40If',(..,
CREDIT TOTAL = $ /4~~,r.,1
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