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Home My WebLink AboutPermit Building 1995-1-17 COMMERCIAL/INDUSTRIAL. SP~'NGFIELO PERMIT APPLICATION L~ 225 Fifth Street, Springfield, Oregon 97477 ~ ~ -:2".~ ::> 2/'17_.r OL,;,"'1';'" d LOCATION OF PROPOSED WORK' ASSESSORS MAP' /7 -03 -~ - </-;z:... OWNER: C-45.# ADDRESS: ~/'n Co..J.J~//,,:../ OL.,_,.;<- sr CITY' '~L.1~.,erlc...P . . DESCRIPTION OF WORK' NEW)( REMOOEL NEW ADOITION . JOB NUMBER 9:>~ $/':;> II'lSPECTION LINE: 726.3769 OI=FICE: 726.3759 TAX LOT' /2.00 PHONF' 7Vt. /,. "jtS' STATE: CM_ _ ZIP' <:;7'1'77 W~A'D_b OEMOLlSH OTHER VALUE:/~= ~. ~ " NAME ARCHITECT: :;;c.i.......,7 ,fli!ToMM .. W, tJ AOORESS PHONE CONTRACTOR'S NAME ADDRESS GENERA" OME'U t:....!rr.Lue'7::J _~'-..-'t ..Jk/l,. PLUMBING' ~,'", R?v,;u MECHANICAl' #~ - ~ ELECTRICA" 19/eL- T <f-IF< T ~ CONST. CONTRACTOR' .g.q(oEXPIRES '-~O :300 I U~~~ ') 1'7 LtIJ~ ,'.~ . II. q ~ 00),7 10. :?1'C\ S \~'1f)~ 2,.ad.'C\s I PLUMBING I NO FEE I 7 Single Fixture /R I Relocated Bldg. Inew Ilx. addtll I 5't:7 Water Service ft. I~O' Sanitary Sewer It. I ~/-?" Storm Sewer It. I / Backflow Device TOTAL PERMIT OUAD AREA: ,-..,')0 J\ II A) . OF BLDG~' OCCY GROUP' . OF STORIE~' SO. FT SO. FTG MAIN I CHARGE I /#. -=- I I ~?:~I ::Z5: -I 7~.""'1 /&7_ -I I I I I 1 I I::?~.~"I MECHANICAL Nn 2. Furnace/burner & v"~nt < 100.000 BTUs Furnace/burner & vlmt > 100.000 BTUs Floor furnace and vent Suspended wall or fl:)or mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart Irom AC or hlg. I Mechanical exhaust hood and duct ks4 ~ r;/']'X :..r. '2 Permit Issuance TOTAL PERMIT - OFFICE USE - LAND USE: .CO\~m I~ I I 13 I I I HANDICAP ACCESS: PHONE 7',1} K7.J,Y LJ,J'-/"Y-Y' 7V(..I6.L-/ 7'1'1. zz../J ~~~ f"I-l.o.R(':;1= /2. .,."", b.-J I I '2.....".1 $10.00 I , :<~.-I FLOOD PLAIN' ZONING:_ M~ . OF UNIT~' CONSTR. TYpo. HEAT SOURCF' WATER HEtJER: LIGHTING POWER BUDGET: $/50. FT. VALUE /.T",):::~ ;r x SO, FTG ACCESS X SO. FTG OTHER ~lI?'~ ~~/e,/~~ ::-0.. /. <; ,C$>e> i!> ~ ~ ? TOTAL VALUE OF PROJECT /~ t5"O:- $ T PLAN CHECK FEj; ]'~:Z.& Y- RCPP /~Pe>(;,. DATE_/~/:;::>-:9S8y /A~____ . - ~ // I BUILDING PERMIT 15% Slate Surcharae I MEC~~;~ 5% Siale -1'7 I Surcharoe ?'~ PAVING I I "5'// 75" ~?'.~ /6."2.,. :::;>~.-. / .~. .~ I/&:'. Sit> , PLUMBING (/ , DEMOLITION -::l ~~ -c:> /0..-- tt:;.- 5%, State Surcharge FENCE VALUF $ SIDEWALK ~ I FT. .1 FT. I I SUBTOTAL PERMITS 1 SYSTEMS DEVELOPMENT I CURBCUT TOTAL PERMIT FEES I EXCLUDING ELECTRICA' I ., /~. 7'1 11 ~091- "J 7 tfJO ~. . ~<!; ~ . , 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. x FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concrete. y 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. y UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. 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. x' FINAL PLUMBING ;(' FINAL ELECTRICAL J( FINAL MECHANICAL y FINAL FIRE OEPARTMENT II' ROUGH PLlIMBING, ELECTRICAL & MECHANICAL: No work Is.to be covered until these inspections have been made and approved. y PAVING: After gravel Is in place but prior to placing as phal t or concrete. ATTIC DRAFT STOPS & CURTAIN WALLS 'FIREPLACE: Prior to placing facing materials and before framIng Inspection. .t 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. 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. X' STRUCTURAL CONCRETE: In excess of 2500 PS,L (306 a.1) y 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. J( STRUCTURAL WELDS: Performed on the job. (2722 f) FIRE & SEPARATION WALL: Located and constructed accordIng to plans. J' 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. Jt HIGH STRENGTH BOLTING: Ourlng all bolt Installation and tightening operations. (306 a.6) SIDEWALK & ORIVEWAY: 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. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. SPRAYEO ON FIREPROOFING: U.BG. Standards 43.8. SPECIAL GRADING, EXCAVATION ANO FILLING: During earthwork. (306 ..11 & Chapter 29) GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the Clty's Building Division before beams are placed. (2501 U.BG. STDS'. 25-10,11). STRUCTURAL MASONRY: (306 a.7) -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. X 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. Y 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 untlJ a Certificate of Occupancy has been Issued by the Building Division and posted on the premises. AODITIONAL CAMME~: ~ \ \\\>O*Vi.L\'\l )-?ffi \~\r\\\\\O( 0\ ~~U\ ~~N')l'H. \ ~+-=-t: ~~~n ,A",,'(',p'>l \\i\\-o' \L\\oQ II \ PLANS REVIEWEO BY //,' ~. "7 b!-- - - OAT~ '3-2""-7--S-- ~ /~' C-f~ /' By slgnature,l state and agree, that I have carefully examined the completed application and do hereby certify th~t alllnformatlon 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. r further agree to ensure that all required Inspections 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. Signature A~/ ~ 1........r/1~7- ~ ~~ VALlDATlo;I' AMOUNT RECEl~ED:"77' RECEIPT N: 71/J{Ck1 ~ Datp ..3/ lft//1.5 DATE PAID: . L n8:9PvL{0 RECEIVED ~..J ATIACHMENT Bl . eOB NO. 9s~~~. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ~~ ~~ LOCATION' J.i<;.<;" /J1;-y0:- ~t DEVELOPMENT TYPE: -11 L-w IA/ ~ .j BUILDING SIZE: BLIJ. flAt,e/u)PAWN6- : I',Z',<s' . LOT SI.7I:' : ?fJ'I,Zd' SQ. Ft. 1. STORM nRATN~ IHPERVIOUS SQ. FT. 9072 X $0.209 PER SQ. FT. ~9 ,.0 2. SANTTARY SFWFR-rTTY NO. OF PFU'S . (See Reverse) 10 X $43.26 PER PFU . C4$.<., 0) 3. TRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP c.Dt" 1St> w~EIi...5E 3, 'f S 0 X 0.11 X $436.19 C.OE 1f1" X 4.S'O C,pIYEIC A~ I, (,.6 X $436.19 /f1/!,(&,fNlP/SE, X X $436.19 $ 1.2 11'. ?F\ ~ . ?,}. 3G.g.,,~ $ 2." if.s. ~ 1 $ SUBTOTAL (ADO ITEMS 1. 2. & 3) $ 5 C. '17'. 3"1 4. SMllIARY SFWFR-MWI~C NO. OF PFU'S 10 x $17.19 PER PFU + $10 HWMC ADMIN.FEE $ /'ir'1.9o (Use PFU Total From Item 2 Above) HWMC CREDIT IF APPLICABLE (SEE REVERSE> $ -r'1. ~ l? '. ' . ' IQIAI -MWMr snc: ~ 4~ SUBTOTAl (ADD ITEMS 1.2.3 & 4) $ S-lio/. 96 5. AnMTNTSTATTVF FFFS BASE CHARGE (~UBT~ABOVE) X .05 15 /~ . Date: J-/~-?> ~ M y ornig. PUlE. /' SO oordinato $(i.9~.OV TOTAl snc :. (., 0 'lIS;5 82 . SDC . , FIXTURE UNIT CALCULelON TABLE: Number of New Fi. X Unit Equivalent = Fixture Units (NOTE: For remodels. calculate only the NEI additional fixtures) NUMBER OF NEW FIXTURES UNIT EOUIVALENT FIXTURE UNITS FIXTURE TYPE Bathtub..................................................................... . Drinking Fountain..................................................... Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher. ......... ........ ................. Clothes washer - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer)............;..... Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower. Single Stall................................................. Shower. Gang. .... ......................... ......... ................... Sink: Bar, Commercial. Residential Kitchen........................ Urinal, StailIWall. ::......................................... ........... Wash Basinllavatory, Single.................................. Toilet, Public Installation........................................ Toilet. Private....................................................... Miscellaneous: . "TANI TlU'.$ So'Nr 2 1 2 3 6 2 6 6 1 ',' , 3 2 l/Head 2 2 'Z. 1 2.. 6 :L 4 li" ..l. TOTAL FIXTURE UNITS = /0 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,. c,alc.ulate, credits separates. . . . ". Year' . Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value I 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 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 ~ Credit fo(,'~arcel or Land Only If Applicable 3..4r-:, X $ .u. -1- ~'" (Rate X Assessed Value) X $ (Rate X Assessed Value) = 17. ? Ii Improvement (if after annexation date) = CREDIT TOTAL = $ :;-;. 1" F'