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HomeMy WebLinkAboutPermit Building 1994-10-27 ;. 09:10:92 16:16 'l)'S03 726 3689 . """ COMM ERCIALlINDUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 " , i I 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 t" 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/~- I I 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-' ,/ . -..,., I 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. -= '" ,.... . .If ROUGH PLUMBING, ElECTRICAL & MECHANICAL: No WOrl is to be covered until these inspectIons have been nade and 2:p.oroved. L' PAVING: After gravel Is In place but prior 10 placing aSPhalt or concrete, / 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, x' 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) x 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) y 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, x I'IRE & SEPARATION W..ll: Located and constructe, according to plans. SPECIAL GRADING. EXCAVATION AND FILLING: During earthwor,<, (306 s," & Chapter 29) v 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. )( STRUCTURAL MASONRY, (308 a.71 MASONRY: Steel location, bono beams grouting or verticars In aCcordance with USC 24,5. I 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. y CURB ANO APPROACH APRONS; After forms are erected but prior to placi lQ concrete. -------------------------------------------------------- j( 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 ,..-? ,/ ....- Sjgnature~--== ~ ____..._ Date_ I I " -r. AMOUNT RECEIVED; I I I- I x FINAL ELECTRICAL j{ FINA~ MECHANICAL DATE PAID:-\OP!J'~. ) RECEIVED By:~LC~L__ RECEIPT ': \C:::U...:-jh I I .. ATTACHMENT Bl '. _.. JOB NO, _9 ~n <":;t CITY OF SPRINGFIELD SYSTEHS.DEVELOP~ CHARGE . WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: )A02/AA,8. ~. / " 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 \'~. . .;. .... ":1... ..... , ' " , . .1..... '.! - .. . ....M :~ ,