HomeMy WebLinkAboutPermit Building 1994-7-20
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COM M ERCIALIIN DUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK'
27c:::;r; 19!..y~/I/C-
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ASSESSORS MAP'
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OWNER: -1_1'11 'UL"!.
ADDRESS: ? ~ <:"
C ITV' '5),;& p.-;)
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,FLA;AA/~)~,r; AI/F.
STATE:
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JOB NUMBER
14/'??tGO
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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TAX LOT: WMr sr Ld- ~
PHO~r:) 11/- -'/17 /.~41-(dO~ (If)
97477
ZIP:
DESCRIPTION OF WORK'
NEW / REMODEL
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ADDITION DEMOLISH
A"rk
OTtER
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I , Permit Issuance
I TOTAL PERMIT
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
GENERA' '
6&AJ..u 4i'il
'1
PLUMBING'
MECHANICA' '
"
ELECTRICA' '
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PLUMBING
NO.
FEE
CHARGE
Single Fixture
Relocated Bldg,
(new fix, addtll
Water Service
ft.
~anltary Sewer
Storm Sewer
It,
It,
Backflow Device
TOTAL PERMIT
OUAD AREA:~W
- OFFICE USE.-
7
LAND USE: 3 <=7,g,g':;:
. OF UNIT~'
. OF BLDGS:
OCCY G RO U p'
. OF STORIES'
CONSTR. TYPF'
HEAT SOURCE:
SO. FT.
$/SO. FT,
SO. FTG MAIN
SO, FTG ACCESS
SO, FTG OTHER
x
X
x
PLAN CHECK FF~
RCPTN
DAT~
I BUILDING PERMIT
15% State
Surcharn.e
I MECHANICAL
15% State
Surcharae
I PAVING
~~.'50
.....-
;0." -
,,,_ I.SS!>
..i'l:
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
I PLUMBING
CURBCUT
FT,
FT,
VALUE:
PHONE
CONST,
CO NT RACTO R .
EXPIRES
PHONE
MECHANICAL
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CI:IAJiGi
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Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
$10,00
HANDICAP ACCESS'
FLOOD PLAIN'
ZONING:_/ .-/2-II
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
~PM?>>".J 0/4
TOTAL VALUE OF PROJECT ~4t/f') ,I#-<)
BY
I DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
&7,S"/
.
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J"', _--...ill.
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:
(' -- ~o be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
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,
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.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
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.
ATTIC DRAFT STOPS &
CURTAIN WALLS
STRUCTURAL CONCRETE: In
excess of 2500 PS,I. (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
floor sheathing.
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,
~~-'-'!
"-I~I:' & SEPARATION WALL:
Located and constructed
according to plans,
HIGH STRENGTH BOLTING:
Ourlng.all bolt Installation and
tightening operations, (306
a,6)
UNDERGROUND: Plumbing,
electrical. gas, sanitary sewer,
storm sewer. water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B,C,
Standards 43-8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
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),
STRUCTURAL MASONRY: (306
a,7)
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,
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
construction work to ensure
compliance with the Building,
City or Development Code,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof cover! ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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FINAL PLUMBING
FINAL ELECTRICAL
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 MECHANICAL
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.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
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PLANS REVIEWED BY
C::\~/hn<
DATE '?-28 -5'../
- 1-
By signature, I state and agree, that I have carefUlly examined the completed application and do hereby certlfy that alllnformatlon
heretn 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,
I 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 co~ct1on, y .. '
Slg~e ;;:.a.......-- c;><< A Date ? - 2...0 -?v
VALIDATION:
/. 7 -
AMOUNT RECEIVED: (L?" 5, (
l4-0{) /
RECEIPT N'
DATE PAID'
RECEIVED BY'
7/20/){-
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City of Spr'illgficld
225 Fifth Street
Sppingficldi OR 97'77
(503) 72f..-3'?S3
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Tp;:H\SiJct :~on nllll.her' 01,1tOOl
Jul~ 2G~ 1994 LO;3i A~\
Rccc) vpc~ T(':):ll: 1..0NN':: MOFSE
.:., C:ontr'::Jcl'/O\JJn
: 'Addr'css~ 555 FLAMINCO
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OR Z:tp: ~':;74T/
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Job ~. ,1010960
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Chfi'ck :~: 7
Th~n~ you, Don M.
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. J08 NO. 9~~9~o
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(PROFESSIONAL OFFICES ~USTR~
NAME OR COMPANY: '.1~ $~ -
,
LOCATION: .21.ro cJ.L. #'! 4d.
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DEVELOPMENT TYPE: ~,~L/ (.-uH~d~.)
BUILDING SIZE: LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. 0.5 x ... ~01~
X SO.203 PER SQ. FT~;t/..2'.'iJ'?J
............ .-'
27 SANITARY SEWER-CITY
NO. OF PFU'S 0.5 X
(See Reverse)
3. TRANSPORTATION
NO OF UN~P RATE X COST PER TRIP
JoMNVt:,.4c.TtJIUNfr THouSAND 5~. FT.
0.5 X O. '1s X J.1$ X S424.31
~
X S42.08 PER PFU
rs-/OS".2~
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0.5 X
0.5 X
X
X
X $424.31
X $424.31
r;-r..o~. r,.~
............ "./
S
s
4. SANITARY SEWER-MWMC
NO. OF PFU'S S- x $15.125 PER PFU + $10 MWMC ADMIN. FEE S ~~.~ 3
(Use PFU Total From Item 2 Above)
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S 48,/S'
TOTAL-MWMC SDC ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
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SUBTOTAL (ADD ITEMS 1,2,3 & 4) L/4r..o:/.s-
-5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ 13.0;)
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4.'
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7~ ....?c:' -9'fl
TOTAL SDC S IS' 3.J./~
oordinato
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FIXTURE UNIT,CALCU ~ION TABLE: Number 01 New Fix1ure Unit Equivalent = Fix,urc Units (NOTE:
For remodels. calculate only the ~lddi:ional fi'1ures)
NUMSER OF UNIT fiXTURE
fiXTURE TYPE NEW fiXTURES EOUIVALENT UNITS
Bathtub..................,........,.."",...""".." "..", ..........,..,
Drinking Fountain,..,."", ",' """,' '.', .'"" ...."."..',., .."..
Aoor Drain.......,....,..,.,.....,.,...,."'., .,., '" ,....'."....,.".".
Intercepto~ For Grease/Oil/S.olids/Etc.................
Intercepto~ For Sand/Auto Wash/Etc..................
Laundry Tub /Ootheswasher............ .......................
Ootheswa~er - 3 Or More.....................................
MobUe H6me Park Trap (1 Per Trailer)....:...:.::.....:- '"
Recep~or FiJr Refrigerator /Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower. Single' Stall...... ................ ...........................
_ Shower. Gang...................,.......................................
Sink. Bar, COmmercial.............................................
. Urinal, StallfWali.:.....................................................
Wash Basin/Lavatory. Single..................................
Water Ooset, Public Installation.............................
Water Ooset, Private...............................................
Miscellan.eous:
"
2
1
2
3
6
2,
6
6
1
3
2
I/Head
2
2
1
6
4
/
';..
4
TOTAL FIXTURE UNITS
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CREDIT,CALCULATION TABLE:
calculate credits separates.
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Based on assessed value. If improvein~nts occurred, alter annexation date in table,
Rate per $1,000
Assessed Value
S 2.24
1.93
1.57
1.18
0.79
0.44 I
0.28 ,
I
= ..,~./ 5-
= ,;---
= $ 46,/S-
Year
Annexed
Rate per S 1,000
Assessed Value
Year
Annexed
1979 or before
1930
1981
1982
1983
1984
'1985
$3.21
3.13
3.08
2.95
2.82
2.68
2.51
,1986
1987
1983
1989
1990
1~1
1~2
~ed;j (or Parcel or Land Only If Applicable
3..2. / X $ /5'. ~
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
Improvement Cd alter annexation date)
0,
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RUNOFF COEFFICIENTS FOR STORM DRAINAGE
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Residential........................................................ 0.4
COmmercial...................................................... 0.9
Industrial.......................................:..:................ 0.45.
Governmental..................................:................ 0.5 .
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT