The URL can be used to link to this page

Home My WebLink AboutPermit Building 1991-7-10 ~SP~R'NG"ELD . JOB NUMBER C\ \ O<()Olo INSPECTION LINE: 726.3769 225 Fifth Street, Springfield, Oregon 97477 ~ OFFICE: 726.3759 LOCATION OF PROPOSED WORK: \~ V1. " S\t">:\QQ r \)'<JJ.:A ~ ~. _ ASSESSORS MAP' I. O~~l oQ:3 . TAX &*: UrS4CX") OWNER:\. )A(\. \JJ::JJ.;.. "- 'J'<\~W ADDRE7\: \) (') \tM~ \ l 0 'l ~ \ . CITY: \..:, 0 \ u mbuJ::JJ STATE: J:;itu J. C) DESC~ ,TlON OF WORK' ~tJN\ \'J\i t Q ') tf\O [) f\fJ . ~~(\ t- Q J NEW _ _ REMODEL ADDITION DEMOLISH OTHER CONST, CONTRACT\?~'~AME\ . f\"", J.. ADD~S (\ . CONTRACTOR:.n GENERAL \\N ~~q\L\'1JlI1D\J\. . (:)t9:Q() \"\ f$) (-)((1 ~\:1 Y, PLUMBING- cA$~\.\u:fh, 10'1/ o[P4 11/1/ o...~flf{,,\ MECHANIC;" \~\:) I('ClP fNlV\.::S.". . <AC\.lg\' q \ / <<sf ct'[.. ELECTRICAL: \J I;:, \. ~/.f<()l rl1\:1 } \ 'lA.~4-JRrffi \ ,_ (\ _ u, ' COMMERCIAL/INDUSTRIAL. PERMIT APPLICATION NAME ARCHITECT' PLUMBING NO. -:2 Single Fixture Relocated Bldg, (new fix. add! I) Water Service It. Sanitary Sewer It. Storm Sewer It. Backflow Device FEE CHARGE /,t::> ::::?G?-=" TOTAL PERMIT ;:;?~ """"I PHONE: lo\L\ -Sic;.l504-- ZIP' VALUE: ADDRESS PHONE EXPIRES PHO~. E \ l()~l-rJl)l \Cl/ql . MECHANICAL I Nn ~~~ ('HAaG I Furnace/burner & vent < 100.000 BTUs Furnace/burner & vent I > 100,000 BTUs Floor furnace and vent I Suspended wall or floor I mounted unit heater Appliance Vent I separate Stationary evap. I cooler Vent Fan/Single ----.-- I duct Vent System apart I from AC or hlg. Mechanical exhaust I I hood and duct ~h': /,-5: -1 Permit Issuance $10,00 I TOTAL PERMIT ?.5:-=1 OUAD AREA: . OF BLDG'" \0 n)l ")_ - OFFIc;.E-f*-"-"...; LAND USE: t)..J r ') HANDICAP ACCESS: FLOOD PLAIN' ZONING: (\ f' J OCCY GRQUP' . OF STORIES: . OF UNITS: CONSTR. TYP~' HEAT SOURC~' SO, FT. $/SO, FT. SO. FTG MAIN X SO, FTG ACCESS SO, FTG OTH ER x LIGHTING POWER BUDGET: WATER HEATER' VALUE TOTAL VALUE OF PROJECT A~~ PLAN CHECK FEf \ l nV\.?;:) RCPT'Sf'lb-<i.(L DATE <\. \O.CJ:.' BY Ci ([1{\ _) X I BUILDING PERMIT -:::?~. SO PLUMBING 15% State 1"'7.~3 5% State Surchar9.e Surcharoe I MECHANICAL Q~"""O FENCE VALUE $ 15% State /.::;2 bl SiDEWALK Surcharoe FT. I PAVING I CURBCUT FT, ~ ,_e:> 1_ e>P DEMOLITION SUBTOTAL PERM ITS SYSTEMS DEVELOPMENT ~2?'. 7~ '~'7 g Cd , , I TOTAL PERMIT FEES EXCLUDING ELECTRICA' 5"99- $1',2 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. . r 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 inslab 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 d rai nage Ii nes. 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 coverl ng. REQUIRED INSPECTIONS '. 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 asph,!-It or concrete. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Ownerl 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 P,S,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: UB.G, Standards 43.8, SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a,11 & Chapter 29) FIRE & SEPARATION WALL: Located and constructed according to plans. ;x GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed, (2501 U,B.G, STDS, 25.10,11). 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. 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. FINAL PLUMBING ------------------------------------------------------- X ;( FINAL ELECTRICAL x I.( FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENT:'" SITE PLAN REVIEW BOARD: MuSI 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 /'2_ ~~.--? " /.!r T _;-:"~" '~-/~U . DAT~ 7-"1l/-?'/ , 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. 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. r.J~: fi'~ -- Signature /f~ /' . / Date 7h/~ VALIDATION: AMOUNT RECEIVED' 7/</. 9":::> RECEIPT" 7e>~7C;- DATE PAID' ?--.::;;~ ~/ RECEIVED BY' 0? , . , , CITY O.PRINGFiElD SYSTEMS DEVElceENT CHARGE ~q \DgOb WORKSHEET . NAME OR COMPANY: PIc.. WAY SI-Ior::c, . Mc:...1.N.,'<l1...Eo ~l-lS"'12-Cc..T1 0 t-.l LOCATION: l'toll PID",eoER, fAl2-I(:.'^lA.Y f:'t>.S, - 1/ O'~'l-f&.'-z..? -C'l-4DO DEVELOPMENT TYPE: ~C- BUILDING SIZE: Ex.I",,-r. LOT SIZE f.-.l/A SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ'. f.L 1..1./'" X $0.186 PER SQ. FT. ~ '-& (See Reverse For' Runoff Coefficients If Actual Imperv. Area Is Unknown) ',' . \ 2. SANITARY SEWER-CITY NO. OF PFU'S ~ <:. X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION NO' OF UNITS X TRIP ,RATE X COST PER TRIP S iGt1..1 c;, X X X $388.61 X $388.61 S -e- S X X.$388.61 (See Attachment C To Determine Trip Rates) ,. SUBTOTAL (ADD ITEMS 1,2, & 3) S ~ S \ct1-.,t; 4. ADMINISTRATIVE FEES BASE,CHARGE (SUBTOTAL ABOVE) X .05 S 4 . <0<4- TOTAL-CITY sac S 202. .'?,\ 5. CREDITS IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: TOTAL-CITY SDC X (5~) a ADJUSTED CITY SDC S /oJ / A 6. SANITARY SEWER-MWMC NO. OF PFU'S '5 X $13.25 PER PFU + $10 I1\/MC ADMIN. FEES IID.'ZS ,.' ' '\ (Use PFU Total From Item 2 Above) Kip Burdick SDC Coordinator S N./A TOTAl-MWMC SDC S lID .....S IOTAl sac ,$ "2.-1~.(o4 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 'FIXTURE UNIT CALCULA~ TABLE: Number of New Fixtures X.t ~qUivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) , FIXTURE TYPE NUMBER OF UNIT FIXTURE NEW FIXTURES EQUIVALENT UNITS 2 1 2 3 6 2 6 6 1 3 2 1/Head '2 2 1 6 \ 4 4- Bathtub......... ....... .........,..... ....... ................................ Drinking Fountain, ,..",..",..,..."....",.........., ,.,...".,..." Floor Drain,..,..,.....,....,..",..,.""",......,........,......"..,.., Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc................., Laund ry Tub /Clotheswasher.. ....,....... ,...... .............. Clotheswasher - 3 Or More,............................,....... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator fWater Station/Etc,......, Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.................,......,........:.............,. Shower. Gang......................................,.............,..... Sink, Bar, Commercial...;........,.,....................:..",..,. Urinal, StallfWall...........".........,..................:.:,..:..'..,.. Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation........,.................... Water Closet. Private..,............................................ Miscellaneous: TOTAL FIXTURE UNITS = -5 CREDIT CALCULATION TABLE: rCUlate croo~:;:rates, Basoo on assessoo value. ' If improvements occurroo after annexation date In table, Rate per $1,000 Assessoo Value Year Annexed Rate per $1,000 Assessoo Value ii ., 'I i;'7.~ :.~ j~fG;-? C::? ~".. ..._. ~O 2.64 2,53 2.41 2.19 2,04 19E~ s ~ .:.? :: 1980 1901 1982 1983 1984 1986 1987 1988 1989 1990 1.35 1.15 0.92 0,59 0,23 I! .' II Crooit 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 I nd ustriaL......,......,..,..".,............"...,..."..""""" 0,45 GovernmentaL"""""".,..,. ...' ..',...." ,'. ""..,:"..", 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT SP'IINGt=IELD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 3. 1. '9-Cftj~N~A~TfJ~ GA. i-\'IJ~:m"'3 M4~ ~.,~~;:::1,~~ ..pi,. if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date Signature of Supervising Electrician ",\1 Q&4~g/?~~ (~s Na~ Y\ (\ l t 11 O.ki .sh t\f;Q Address.Del ~y -I (nl~\1 Ci ty lDillm ~~\tnQ: OVNER INSTALLATIO)({U.O The installation is being made on property I own which is not intended for sale, lease or rent. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 .:2:lZ. e>tP 2. CONTRACTOR INSTALLATION ONLY Electrical Contracto(~ ~QiA'~ Address A1f?~ CQ.ftf1n 0 200 amps - 201 City-alk1O... Phone ~4 ?:>-12-cr1 401 ::~: . 601 amps to 1000 amps Supervisor censlhN;in!b6 ~ -;l5:;-C Over 1000 amps/volts ~ ~\:) rA I Reconnect Only Expiration Date I D. ( . ~'--L C. Temporary Services or Feeders Constr Contr. Number / /?~~~ Installation, Alteration or Relocation f3.~.qz/ or less to-400 amps to 600 amps ~ $ 40.00 $ 55.00 $ 80.00 see "B" above 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts New, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL D. Branch Circuits $ 35.00 $ 2.90 b6:l_o One Circuit Each Additional Circuit or with Service or Feeder Permit --?~ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 Owners Signature: DATE: RECEIPT 11: RECEIVED BY: "'7- '? /-7 r ?.qr.??5 // /.:>.// /' ./J~' " ~~-,...--... ,z.. ...".r //p.~ ~5o<:::> //<5 . 5<<:?