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Home My WebLink AboutPermit Building 1993-7-19 225 Fifth.Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: \ ~%...~ \ ASSESSORS MAP: \ ')(')~9 \ 0 ~ ~ ~ OWNE~~~' . <\ 0. Q~oITuJ) PHONF' ADDRE~ u,t ~) . ( r)ffll{T\bf1, IT 7 - CIM _Y~. rl {\0~' -- STATE~rtn Q0(Jr\ ZIP:!:}' )/))/ .DESCRIPTlONOFWORK'\ ,~f)J~O_ '-~~~ (\n_) -s::~~, :hE=,/?~4';ye::;;;- DEMOLISH CONST. ADDRESS ~_. CONTRACTOR' ~&~~-?ffC~~~ . '1!2 c:;. . ~.:>y,; : ':$.v ~ ~ -;S?.s=:>~ GJfi"7. 2'Q<;t' / . '" - . eOIQl1VlERCIALlI N DUSTRIAL PERMIT APPLICATION NEW REMODEL ADDITION NAME ARCHITECT' GENERAL: I J LVQi (~ o_ly\'\0Yf)J) ./- I~ PLUMBING ELECTRICA' . NO. FEE f':H-6.RnF :2 Single Fixture /t!? ~ Relocated Bldg. (new Ilx. addlll Water Service It. Sanitary Sewer It. Storm Sewer It. Backflow Device TOTAL PERMIT ~--I . Y.~\c*\ JOB NUMBER TAX LOT: OTHER VALUE: ADDRESS PHONE EXPIRES PHONE I MFr.HANI(~4l ~~ --Furnace/burner & vent I < 100.000 BTUs Furnace/burner & vent > 100.000 BTUs , EEE_ _;~RG~ I I I I I I ~~I I I 2_-01 SIO.00 I ~=1 -- Floor furnace and vent Suspended wall or 1I00r mounted unit healer Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or hlg. Mechanical exhaust hood and duCI C::;.-5 ?~ - i Permit Issuance TOTAL PERMIT /~/A< OUAD AREA' - OFFICE USE - LAN 0 USE: FLOOD PLAIN' . OF BLDG"" HANDICAP ACCESS' ZONING' ~C- OCCY GROUP: ??_2 r . OF UNITf' CONSTR. TYPE: -,:0; -A/ , "?..--/"). ,. - /" _. r HEAT SOURCE: ~ ~ fi#. LIGHTING POWER BUDGET: , OF STORIES: SO. FT. S/SO. FT. SO.'ETG MAIN X SO. FTG ACCESS X . SO. FTG OTHER ~ ~ .~. PLAN CHECK FEE l_n4-. ()~ RCPT' ~\.9-) I BUILDING PERMIT '9$.S-O"'Vnlft#:MtVq~G 5% State b -= 5% State rR-er Surcharae 7'" /? Surcharae MECH~M. ?~---- FENCE ~r ~_~ VALUES 15% Slate -..:::.- SIOEWALK Surcharae L~ I PAVING CURBCUT i WATER HEATER' VALUE = TOTAL VALUE OF PROJECT \ ~ ~ ') DATE.J . \Q q-::, BY ~ I 1)f\ ) ..-?p- - /. -c> 'DEMOLITION I I I /5'~/~ I I 30'1 '0 H::'t FT. FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT 'TOTAL PERMIT FEES I EXCLUDING ELECTRICAl r'5~ r? . 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. )( ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. PAVING: Alter gravel is in place but prior to placing asphalt or concrete. )( FOOTINGS' & FOUNDATIONS: To be made after trenches are excavated and forms are . erected, all steel in plac~l.but prior to placing concrete. " .... FIREPLACE: Prior to placing facing materials and before framing Inspection. SPECIAL INSPECTIONS: In accordance Section 306 01 the State Specialty Code a special Inspector shall be employed by the Ownerl Contractor during construction of the lollowing work. A copy 01 the special testing reports shall be furnished to the Building Division. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. ,. ATTIC DRAFT STOPS & CURTAIN WALLS }< FRAMING: To be made aller the roof, all Iramlng, lire blocking and bracing are in place and all pipes, ch;mneys and vents are complete and the rough electrical, plumbing and mechanical are approved. STRUCTURAL CONCRETE: In excess 01 2500 PS.1. (306 a.l) CONCRETE SLAB: To be made aller all Inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are In place but belore any concrete Is placed. STRUCTURAL WELDS: Perlormed on the job. (2722 I) UNDERGROUND: Plumbln'g, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. INSULATION & VAPOR 'BARRIER: To b.e' made aller..all InsLilatlon 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 tightening operations. (306 a.6) .SPRAYED ON FIREPROOFING: UB.C. Standards 43-8. UNDERFLOOR: :Plumbing, electrical, mechanical. To be made prior to Installation 01 floor Insulation! decking or floor sheathing. FIRE & SEPARATION WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.ll & Chapter 29) v LATH AND/OR GYPSUM BOARD: To be made 'aller all lathing and gypsum board, Interior and exterior, Is In place but belore any plastering Is applied or before gypsum board joints and fasteners are taped and IInlshed. GLU.LAM BEAMS: Inspection Certificate by an approved agency. furnished to the City's Building Division belore beams are placed. (2501 U.BC. STDS. 25.10,11). POST & BEAM: To be made prior to Installation 01 floor Insulation, decking or floor sheathIng. STRUCTURAL MASONRY: (306 a.7) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation 01 decking or Iloo'r sheathing. SIDEWALK & DRIVEWAY: Required for all concrete paving within street right of way, to be made aller 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. MASONRY: Steel location, bond beams grouting or verticals In acc'ordance with UBC 2415. ROOF SHEATHING AND . NAILING: Prlor"to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. :/ " FINAL PLUMBING A FINAL ELECTRICAL j X FINAL MECHANICAL / FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' 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 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~Buildlng Division and posted on the premises. ~ - PLANS REVIEWED BY / ~~ .~ '// r /~~, DATE 7, :;;--4??, " 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 olthe 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 OAS 701.055 will be used.on this projel.2t. "~lf\ -. ~.~ l\T ~.~., . . . 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 construction. Signature I~ ~!-. .-. Date a~v ;;:acJ I' 'P? 3- t? ,. VALIDATION: AMOUNT RECEIVED' RECEIPT ': 5""3 "2.. "9-;:> AI?L410pO\ DATE PAID' RECEIVED BY' ~~..7_, . . . JOB NO. Cf31D4-1 ""'" -,'.....-. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (PROFESSIONAL OFFICES & INDUSTRIAL) NAME OR COMPANY: I-IILLMA-tJ f1<OPER-rIli:. s LOCATION: j<lf3 t10AJE:.t.f:.. /A./2.f(..iNAY /7a3-z.t..7-?/ -D/100 DEVELOPMENT TYPE: Cc.: !:.e.MoDE.L UJ6E 5fltU BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 0.5 x LOT SIZE SQ. Ft. !AI. A . X $0.203 PER SQ. FT~ -8- ) '-- .-/ 2. SANITARY SEWER-CITY NO. OF PFU'S 0.5 X (See Reverse) 7 X $42.08 PER P~U ((' 21'-1 s?) '--- .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 0.5 X If. A . X X $424.31 c( e-) . ~ 0'.5 X- X X $424.31 $ -- 0.5 X X X $424.31 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S AI.A. x $15.125 PER PFU + $10 MWMC ADMIN. FEE $ ~ (Use PFU Total From Item 2 Above) TOTAL-MWMC SDC $ - ~ '- ---. MWMC CREDIT IF APPLICABLE (SEE REVERSE) -" SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ '2 ~ '-I '?.- 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ( 1+7~ ~ ~cLc.k (lip Burdick sot: Coordinator 7/~jq3 I / TOTAL SDC 1.-"1 $ ~ocr- FIXTU RE UNIT ,CALCU LA,I N T A8 LE: Number of New Fixtures .it Equivalent; Fi'1ure Units (NOTE: For remodets, calculate only the NET additional fixtures) _-4 . . NUMBEf1 OF UNIT FIXTURe . ~~ FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub..................................................................... . Drinking Founta in..................................................... Roor Drain...................... ......... ." ...... .... ............. ....... Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Ootheswasher................................... Ootheswa~er - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer)..........:....... Receptor F9r Refrigerator{Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single.Stall................................................. Shower, Gang.........................:................... .............. Sink, Bar, COmmercial............................................. Urinal, StallfWall....................................................... Wash Basin/Lavatory, Single.................................. Water Oosel, Public Installation............................. Water Oosel, Private............................................... MiscellaneOus: I I 2 t 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 ! Co TOTAL FIXTURE UNITS ; 7 CREDIT CALCULATION TABLE: calculate credits separates. I Based on assessed value. If improvements occurred after annexation date in table, -'1 Year Rate per $1,000 Annexed Assessed Value 1986 $ 2.24 1987 1.93 1988 1.57 1989 1.18 1990 0.79 J 1991 0.44 1992 0.28 X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ N.A, Year Annexed Rate per $1,000 Assessed Value L 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 .. Credit for Parcel or Land Only If Applicable Improvement (If after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE I I. Residential....................:................................... 0.4 Commercial...................................................... 0.9 Industria1........................................................... 0.45 GovernmentaL................................................. 0.5 IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT , CITY OWPRINGFIELO SYSTEMS OEVELO.NT CHARGE ~q \(Jb~ 1 WORKSHEET NAME OR COMPANY: A.ChcC-II><-rE.t;. FU-l.A-t-.1c,(PrL. 'S:E:~lc.E. - Mc..'lN-r,{l2E QON.Si. LOCATION: \"6\'? P\DN.E.E.~ P~A,-( C:J.b. - IIc'~'2Ac.'Z.~- lY2..<-+60 DEVELOPMENT TYPE: ~~ BUILDING SIZE: E:.'t-I.;.nl-l& LOT SIZE u fA SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. F.T. X SO.186 PER SQ. FT. ~-A-- (See Reverse For'Runoff Coeffi ci ents If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S 1'2.- X S38.55 PER PFU (See Reverse To Determine Total PFU'S) S %2~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP - X X $388.61 X S388.61 S -f+ S x X X $388.61 S (See Attachment C To Determine Trip Rates) SUBTOTAL (ADO ITEMS 1,2, & 3) S l.\-(.,z" ~ 4. ADMINISTRATIVE FEE~ BASE'CHARGE (SUBTOTAL ABOVE) X .05 s 'Z'?13 TOTAL-CITY SDC S'-,,~.;1~ 5. CREDITS IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: TOTAL-CITY SDC X (50%) = ADJUSTED CITY SDC S N/~ 6. SANITARY SEWER-MWMC NO. OF PFU'S 1'Z- x $13.25 PER PFU + S10 MWMC ADMIN. FEE S lGoq ~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) S No. fA 01/' ~Lt 4 ~ ()' Kip Burdick SDC Coordinator '7 - /?. -"1.1- TOTAL-MWMC SDC S \ ioCr o~ ,.? TOTAL SDC S CoS cf - FIXTURE UNITCALCULA~N TABLE: Number of NewFixtures .it Equivalent ~ Fix1ure Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE Bathtub..................................................................... . Drinking Fountain..... ................................................ Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. laundry Tub /C1otheswasher................................... Clotheswasher . 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall................................................. Shower, Gang.......................................................... Sink, Bar, Commercia!............................................. Urinal, StalljWal!................................ ....................... Wash Basin/lavatory. Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: CREDIT CALCULATION TABLE: Based on assessed value. rCUlate Cred:::;:ates. ~:~~~e:ds~~~~ ~:-: -. :....;.:-.r::. . - . - -. ~ . .::? :;: II 1980 156; 1982 1983 19&-1 2.64 2.53 2.41 2.19 2.04 " NUMBER OF NEW FIXTURES UNIT EQUIVALENT '2,. 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 1..- TOTAL FIXTURE UNITS = FIXTURE UNITS 1-- --z.- ~ I-z.,. If improvements occurred after annexation date In table. Year Annexed ~ ?== 1986 1;87 1988 1989 1990 Credit for Parcel or land Only If Applicable Improvement (if after annexation date) x 5 = (Rate X Assessed Value) X 5 = (Rate X Assessed Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residentia!.............. ......................... ................. 0.4 Commercia!...................... ............. . 0.9 Industrial........................................................... 0.45 Governmental...... ..... ..... ..... '" ... ...... ....... .... ....... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per 51,000 Assessed Value s~ .~9 1.35 1.15 0.92 0.59 0.23 !I ._ .__ .n.n._ .. ___ .__._.u.