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Home My WebLink AboutPermit Building 1995-6-20 COMM ERCIALIIN DUSTRIAL PERMIT APPLICATION . . 9S{) '/9L ~ JOB NUMBER INSPECTION LINE: 726,3769 OFFICE: 726,3759 225 Filth Street, Springlield, Oregon 97477 OWNER: "b.flr-:;>\<:" sF" -A"VltC4L"'- ADDRESs~-c9.-D-T r ) CITY:.3? ~12"'" L~O LOCATION OF PROPOSED WORK' ASSESSORS MAP: / ;70'3 207'2; E>LYMIYfC- z.. S' -4 2...- , '5 '-" 1'"('''''' 3 \ L TAX LOT: _I"') ///9)') PHONF' STATE: a!)~ ql4li ZIP: DESCRIPTION OF WORK: ..,-~"" ",...--r :I' ...,~I L'--. DEMOLISH OTHER VALUE:~' 000 , REMODEL ~ ADDITION NEW NAME ARCHITECT' ADDRESS PHONE CDNST. CONTRACTOR'S NAME ~~RESS CONTRACTOR' EXPIRES PHONE 'B 3" rr",,~~o<.- 10/9 s' (,tJ?- Zglf-I GENERA' ' Mc....:r..,-(u,.....r- , "",....",'1'" ~~ Z17'to-r' :>,s $''' PLUMBING: Af2.'5ol~-r~ '1?LOH.-t:'S'U..l t... lpltoVA ,.\rOS '3'-tS- J~:5'.) MECHANICAl' !'....ow...'t;'_"l -r.:::Lo<..J (Yy\\ O{ ) m '5 '-{ 2 -6/el ELECTRICA' ' 'DeL,,,, et..'E'c'z....~ ()\ C\t-o~ . . '-f( ,.,f _00 (.,,1 PLUMBING NO, /'9 Single Fixture Relocated Bldg, .. (new fix. addtll Water Service Sanitary Sewer Storm Sewer Backflow Device TOTAL PERMIT QUAD AREA: rP(! fJ)U ) . OF BLDGS' OCCY GROUP: /5-.2 ~ . OF STORIES: sa, FT sa, FTG MAIN It. I I MFCHANIr.AI I FEE CHARGE I rn F.EE_ _CHARGEi /~.-t Furnace/burner & vent /.c> < 100,000 BTUs I I Furnace/burner & vent I >100,000 BTUs I I Floor lurnace and vent I I I Suspended wall or floor I mounted unit heater I I Appliance Vent I separate I I Stal ionary evap. I cooler I I 2- Vent FanfSingle 1.,.- 6.- I duct I I Vent System apart I I from AC or htg. I I I I Mechanical exhaust IY~ -r.' S~ I hood and duct I I ~~,:;r{p~ tb.-I I Permit Issuance $10.00 I , 19~.'-1 TOTAL PERMIT ,16~1 It. It. - OFFICE USE - LAND USE:--.!5~ HANDICAP ACCESS: FLOOD PLAIN: (I fI' .J . OF UNITS' ZONIN(,' CONSTR. TYpo, HEAT SOURCF' ::2-/ ..6'~ LIGHTING POWER BUDGET: WATER HEATER' $/SQ, FT. VALUE x sa, FTG ACCESS X sa FTG OTHER L~~ ?~~-= ~~.rc. PLAN CH ECK FEE ?-ry/3.l I BUILDING PERMIT 15% State h7';~ SurcharQe ::l' I MECHA~~~ 15% Sta',e ~ Surcharae ~ I PAVING RCPP , / TOTAL VALUE OF PROJECT C 2 o-eo / P'~ J79?)~ DATE ~01 BY -::s 19. 4f'D I PLUMBING I /?&:'_ ~ I DEMOLITION I ~i!7 5% State ~~ ?:r-- I Surcharge <':' ::'.d FENCE I /~~S'.".. VALUE $ .$ ~ SIDEWALK I SUBTOTAL ?"'7? 5'5 I ~.-:::> FT, PERMITS I CURBCUT I SYSTEMS ~ -:O"''':7'''~ ~ FT, DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICA' .,~ ~~ .1 /e ~.r17 . REQUIRED INSPECTIONS . It is the responsibility of the permit holder to see that alllnspe~tions 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 loilowlng work day, SITE INSPECTION: To be made after excavation, but prior to setup of forms, x ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. 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. ATTIC DRAFT STOPS &. CURTAIN WALLS SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Owner I Cohtraclor during construction of the following work. A copy of the special testing reports shall be furnished to the Building D~vision. . FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. x FIREPLACE: Prior to placing facing materials and before framing Inspection. FRAMING: To be made alter 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) CONCRETE SLAB: To be made after all Inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are In place but before any concrete Is placed. STRUCTURAL WELDS: Performed on the job, (2722 I) , 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 alter 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 lightening operations. (306 a,6) SPRAYED ON FIREPROOFING: U,B,C, 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) )( 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 U.B,C, STDS, 25,10.11), POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor. sheathing, STRUCTURAL MASONRY: (306 a,7) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing, 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. tlons specified, the Building Official may make or require other inspections of any con~tructlon work to ensure compliance with the Building, City or Development Code. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 241~, ROOF SHEATHING AND NAILING: Prior to installing any roof covering. CURB AND APPROACH APRONS: Alter forms are erected but prior to placing concrete. ------------------------------------------------------- x 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 alter the linal 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 ElECTRICAL X FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: )( .;? =-- ./ PLANS REVIEWED BY /'" ~ ~'.-rt OAT" ?-~/,C:;J <;""- '/7 V' #' By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th.Bt 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 01 the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Bulldlng Safety Division. I further certi fy that only contractors and employees who are In com pi lance with ORS 701.055 will be used on thls.proJect. ' I further agree to ensure that all required Inspec"tion.s are requested 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. . Sign;ture~1#c-" ~ VALIDATION: AMOUNT RECEIVED: _//9 SfJ,4!. 5'? I' I~ <;" '? c:. Date 0/701 "-5 ^ DATE PAID: V0f ~~ q--'.-. '- , ' RECEIPT .' RECEIVED BY: '~ . .B NO~q?O"ot \ . A IT ACHMENT B2 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE . . WORKSHEET (PROFESSIONAL OFFICES & INDUSTRIAL) NN1E OR COMPANY: '=BMJ)C. of Arv\E:.~Ic.A LOCATION: ZOI? OL.-'<I'v\\"'\c.. 1"10?7-547.- - 0 (100 DEVELOPMENT TYPE: C'.c: LLr-IlA.... !;)PJ-lTAL OFF/C."'" BUILDING SIZE: 1. SlOR0 ORATN8GE IMPERVIOUS SQ. FT. x 0.5 x I..OT SIZF SQ. Ft. M.A. X $0.209 PER SQ. FTC; -i;). -; --- --- 2. SAHlIARY SFWFR-CITY NO. OF PFU'S x 0.5 X (See Reverse) 1.'2- X $43.26 PER PFU ((".:14-r..~ "- ....-/ 3. lRANSPORTATION . f\l.~V\otJS u!>\!O. E.".<:..e,\U><;; -r~If' lZMe t=-oP- ^^E::.~C.AI.. DF-F-lCE:. NO OF UNITS X TRIP RATE X COST PER TRIP 0.5 X X X $436.19 ((" -6-) '-- ----- 0.5 X X X $436.19 $ ,. 0.5 X X X $436.19 $ 4. SAHlIARY SFWFR-MWtlC NO. OF PFU'S ~.~ x $17.19 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) - TOTAl -MWMC SOC $ - r;- -& ) ......... .....-'" MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ ~4-lo o..!. 5. AOMTNTSTRATTVF FFES BASE CHARGE (SUBTOTAL ABOVE) X .05 (.1I~) V'_,,~L~ -ti~H Il>....u'r~. f' .L sac Coordinator Date: &, /-zx, J 'I r; I . IQIAI SOC: $ ?Io? '?~ B2.SDC FIXTURE UN'lrCAlCULA _N TABLE: Number of New Fixture Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only thWEr additional fixtures) , . . "u',,';~'~.NUMBER OF UNIT FIXTURE __ ". :.. '.\:. :. NEW FIXTURES EQUIVALENT UNITS . c..'" ,.... '-'.' fl.::'"';,' t-.,:.{..~<t''''':;':J;.I'-=1'-:-'-t,.p.;-'n l-"'j"-l' I''''' ..... r ,f, ,..... ,.,.. ,', -,~'.:i~.::':X";"'~~J~;'~:(4'T- l~_"I, ,.,../:1'" \..' ,', I ;, 2 1_ ". 1 2 3. '-", ' 6 2. 6 6 '1 3 2 l/Head 2 2 1 6 4 Bathtub... ...u .......:........... H.... U......................... ..;'~~:.:::'; !i..:.~ " Drinking Fountain.............................................;....... ....:..;" Floor Drain... .......................................... .............. ..... Interceptors For Grease/Oil/Solids/Etc................. Interceptors"For Sand/Auto Wash/Ete.................. Laundry Tub/Clothesv.iasher...........................,....... .. . Clotheswasher - 3 Or More.........................;.......:...... Mobile Home Park Trap (1 Per Trailerl............,........ . Receptor For RefrigeratorlWater Station/Etc....:..~. Raceptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang................................ ..... ............. ..-...... Sink: Bar, Commercial, Residential Kitchen......................... Urinal, StaIlIWall................. ........ ....... .......... .... .......... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........................................ Toilet, Private...................................................,... Misccllaneous: CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred aftcr annexation date in table, calculate credits separates. FIXTURE TYPE .~ ~ ," ". l.'l.";.: Year Annexed Rate per $1 ,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.3B 3.32 3.21 3.06 2.92 2.73 f~ ". , :; '\"'., ,'\'~, I'" II:, (" TOTAL FIXTURE UNITS z,z. = "': , Year Annexed Rate per $1,000 Assessed Value 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 Credit for Parcel or Land Only If Applicable = Improvement (if after annexation date) ." . ,.,.....,.. .' X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = CREDIT TOTAL = $ ,.1'