HomeMy WebLinkAboutPermit Building 1992-3-18
COMMERCIALIINDUSTRIAiJ
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK'
ASSESSORS MAP'
OWNER'
ADDRESS:
{ \~-"
/NtJOOfL <..YC~.....
~a7 0 (j'\'~mPI '-
S',o,q.;NfoP,f:t..b
CITY'
DESCRIPTION OF WORK'
NEW REMODEL
IN'fF-q ,/l'w
ADDITION
NAME
ARCHITECT'
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
MECHANICA' .
ELECTRICA' .
PLUMBING
NO.
'2 Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
ft.
Backflow Device
I TOTAL PERMIT
QUAD AREA: c-0r 1] )0
# OF BLDGS'
OCCY GROUP' /- 2~ /
. OF STORIES:_/
SQ. FT.
SQ. FTG MAIN
SQ, FTG ACCESS X
SQ FTG OTHER ,(1"'7: p~r.>q
PLAN CHECK FF~ 5' =<. _ ??:
I BUILOING PERMIT
5% State
SurcharQe
MECHAN.JC,AL 1'<;> '"
J?-~,,/
15% State
Surcharae
I PAVING
~. -;>'0
7". CJ3
/b.-.b
/.,J!)':c''''''
_ :;;s-
~Cl'70
~
(:
L,......... ..
.
JOB NUMBER
9:lO =toS-
Z>
()A.yn.,p, c...
INSPECTION LINE: 726-3769
OFFICE: 726.3759
(~PP-'tVGoF'&.... r,)
TAX LOT'
IN/...
~/ Lo.. nNgA.l~) PHON~' 3~'f- 9117 S-
C",,':'....N'" ......:') ~ Sir)("" G.)(;'€'N~ <i7~l)
STAT~' ~ ZIP: _<;J7~ ? 7
PAIt.TTl701ll') . WI'<LJt.w(l() . 1"EYl..
rawS
~ Occ.VP. INS.-"........,J
VALUE: tlo~OOO
DEMOLISH
OTHER
ADDRESS
PHONE
AOORESS
CaNST.
CO NT RACTO R #
PHONE
EXPIRES
I MECHANICAL I
FEE CHARGE I Nn ~~~ ~HARGI
10 ~.a-ol Furnacel burner & vent
< 100.000 BTUs
I Furnace/burner & vent I
> 100.000 BTUs
, Floor furnace and vent I
I Suspended wall or floor I
mounted unit heater
I Appliance Vent I
separate
I Stationary evap. I
cooler
I Vent Fan/Single I
duct
I Vent System apart I
from AC or htg.
I I Mechanical exhaust I
hood and duct
I ~Y'::-I""'1"~C- ~ ",' /'5"' I
'" "z-/c,q,,//:>~
I Permit Issuance $10,00 I
I TOTAL PERMIT I
- OFFICE U~
LANDUSF ~r)3u(J
# OF UNIT~'
CONSTR. TYPE: 'S #. "5J2'r .
/
HANDICAP ACCES~:
FLOOD PLAIN'
(I 1
ZONING'
LIGHTING POWER BUDGET:
HEAT SOURCE:~_
WATER HEATER:
$/SQ. FT.
VALUE
X
/?/___'e-...-
,
TOTAL VALUE OF PROJEI"T
RCPP --:??hy'
DATE Z '7'""d?-S ~ ~_
-,..-v --
I PLUMBING
, DEMOLITION
I
I
I
13/. '2:8 I
<jl.1"2-1 '+~ 'I!t
.:2'0. .-".
/.-0
5% State
SurcharQe
FENCE
VALUE $ _
I SIOEWALK
I CURBCUT
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
:4'~. 7/
. 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 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following 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.
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 Insrab building
service equIpment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete Is placed.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
x
UNDERFLOOR: 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.
)(
A"
A
}
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
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.
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
FIREPLACE: Prior to placing.
facing materials and before
framing Inspection.
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
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 WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTiNG:
During all bolt 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.
SPRAYED ON
FIREPROOFING: U,BC,
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,ll &
Chapter 29)
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
x
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency. furnished to the Clty's
Building Division before
beams are placed. (2501 U.BC,
STDS. 25-10,11),
LATH AND/OR GYPSUM
BOARD: To be made after ali
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.
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.
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.
=-
~~
( ~
.---,
PLANS REViEWED BY / ~ --."p ~
'//, ,.
DAT~ :;>-2':::>~2-
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 ORS 701.055 will be used on this project.
ections are requested at the proper time, that project address Is readable from the
front of the property, and the approved set of plans will remain on the site at all
~
{
J
~
Datp
::(-:( 8-C?~
VALIDATiON:
AMOUNT RECEIVED' '2. S2. ,7 I
'2, gC&,1'?
DATE PAID'
RECEIVED BY'
?-Zg-'i'Z-
~
RECEIPT .'
JOB NO. q'].O"l-oS
~
CITY OF eRINGFlELD SYSTEMS DEVELOpeT CHARGE
WORKSHEET /
, (COMMERCIAL & RESIDENTIAL)
NAI'lE OR COMPANY: LNDOOI< 51'''1<.75 'INc.-. d.b.... hNffMSE= 1
LOCATION: 20'10 C)t..'(MPI C-
DEVELOPMENT TYPE: Cc.; f?ekMD€::.L
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. M.4 X $0.186 PER SQ. FT. ~
(See Reverse For Runoff Coefficients If Actual Imperv_ Area Is Unknown)
/7 0 ~ -z. ':> ~ I - 0 T, 00
LOT SIZE
SQ. Ft.
2. SANITARY SEWER-CITY
NO. OF PFU'S 3 X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
3. TRANSPORTATION
$ I (S1..5
NO OF UNITS X TRIP RATE X COST PER TRIP
r
X
X'
X $388.61
X $388.61
$
$
.....,.~.. '.'...-," X-. ..~=, X $388.61
(Se~ Attachment ~ To Determine Trip Rates)
'. . SUBTOTAL (ADD ITEMS 1,2, & 3)
."
$' -"
$IIS~
4. ADMINISTRATIVE FEES
'sASE CHARGE' (SUBTOTAL ABOVE) X .05
$ r:, I~
TOTAL-CITY SDC S \~,4~
5. SANITARY SEWER-MWMC
NO. OF PFU'S N. fr.
x 513.25 PER PFU + S!OMWI1C ADMIN. FEE $
(Use PFU 'Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
Jr-!'-1!5.. .~r-k.. ?-/1.4/91-
'-I)" Kip Burdick
SDC Coordinator
S
TOTAL-MWMC SOC $ ~
TOTAL SDC S '2-I~
FIXTU RE UNIT CALCU LA TJQ N TABLE: Number of New Fi'1ures X ~l Equivalent = Fi,1ure Units (NOTE:
For remodels. calculate only the NET _tional fixtures) .
NUMBEf1 OF UNIT FIXTURE
fiXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub...... ........ ..................... ...................................
Drinking Fountain......:. ......... ....................................
Roor Drain........ ...:........:....................................~......
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..........:.......
Laundry Tub/Clotheswasher...................................
Clotheswasher ' 3 Or More.....................,...............
Mobne Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator fWater Station/Etc........
Receplor For Commercial Sink/Dishwasher/Etc.:
Shower, Single ,$lall.................................................
Shower. Gang..,................:.........................._..........
Sink, Bar, COmmerciaL........................._..........
Urinal, SlallfWall..................~..................._..._.....
Wash Basin/Layalory, Single...................
Waler Closel, Public Installalion..............
Water Closet, Private................................
Miscellaneous:.
2
t
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
'?
TOTAL FIXTURE UNITS
=
~
,
CREDIT CALCULAT10N TABLE:
calculate credits separates.
'~
Based on a,~ >x I value. If:lmprovements occurred after.annexation date in.table,
1979 or before
1980
1981
1982
1983
1984
Rate per $1.000
,assessed Value
S2.66
2.64
2.53
2.41
2.19
2.04
Year'
Annexed
1985
1986
1987
1988
1989
1990
Rate per $1,000,
Assessed Value
$1.69
.1.35
1.15
0.92
0.59
0.23
-"
: Year
AhneXed
--.-
Credit for Parcel or Land Only If Applicable
x s =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Improvement [If after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
ResidentiaL...................................................... 0.4
CommerciaL................................................... 0.9
Industria!..,............. .......................... ................. 0.45
GovernmentaL................................................ 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT