The URL can be used to link to this page

Home My WebLink AboutPermit Building 1999-3-15 ~~~~~RCIAL/INDUSTRIAL . PERMIT APPLICATION LOCATION OF PROPOSED WORK: 8.a..1\1"'-'" ('2 ASSESSORS MAP: /7\t!?3'ZA-7?J ~ PI", "L rA . JOB NUMBER ~'3.q'.$ 225 Fifth Street. Springfield, Oregon 97477 INSPECTION LINE: 726,3769 OFFICE: 726.3759 /9::2/ .~:Z:?~. ti?..?~a/ TAX LOT' NEW REMODEL ADDITION / / <~~~~/r;-4' PHONE: ~-~~ . . ' STATE: ~/f "~-f"J'!. / A/rw~ DEMOLISH .!.-- OTHER ~ vc./ '.'2~ Y' ~rc bfe;Rf. ~7 ADDRESS: CITY: '~Av. ~....... ~ ~n' t{f/.t~f" ?>rv~ rb~Q'g ZIP' DESCRIPTION OF WORK: I ""'..()t.....-t- !sbk / ('~ I . VALUE: D2Slrn. o:! CONTRACTOR'S NAME GENERAL: D~L.1A\:I"tI\A. (\~_ ST. CCl'lA..." l,... . ADDRESS 10 7 ~ '5lJJ.II1o. l 0.. d A...A CONST, CONTRACTOR' EXPIRES PHONE 300"Ne(.9'~~ ~ Ire (()l)r:~-H<>q ( ~c.~. \ ,,(I()S'~1"l j 6.~t~R"" PHONE ~((~'") I rtf\ ARCHITECT: NAME AI<' "" r~ M () :"J:V^ ADDRESS PLUMBING: MECHANICAl' ELECTRICA' ' PLUMBING MECHANICAL NO, t Single Fixture Relocated Bldg. (new fix, addtl\ Water ServIce It. Sanitary Sewer It. Storm Sewer It. Backflow Device FEE CHARGE NO' FFF "HAR"F 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 Statlonary evap. cooler Vent Fan/Single duct Vent System apart lrom AC or htg, Mechanical exhaust hood and ducl TOTAL PERMIT MH. I /?- ~I ,/1~ fJ~~ Permit Issuance /~ .e> $10.00 TOTAL PERMIT - OFFICE USE - HANOICAP ACCESS: QUAO AREA' . OF BLDGS' LAND US", FLOOD PLAIN: # OF UNITS' lONING' L1G HTING POWER BUDGET: OCCY GROUP: CONSTR. TYPF' . OF STORIES: HEAT SOURCE: WATER HEATER' SQ, FT, $/SQ, FT, VALUE SQ. FTG MAIN X SQ. FTG OTHER X X SO, FTG ACCESS .TOTAL VALUE OF PROJECT PLAN CHECK FU '2-:S-A_'? RCPP OAT" BY I BUILOING PERMIT [5% Slate ~'I SurcharQe MECHA~~ 5% Stare ~, SurcharQe ~ I PAVING -::2$. ~ ~: 17-- /~.....~ IJ:'..~ " ....?./~ PLUMBING 5% State Surcharge FENCE VALUE $ SIOEWALK CURBCUT ~ /5'. _e- -75- . z,.r~ ... OEMOLlTION I I J ~~ ;?g.~ I FT. FT. SUBTOTAL PERMITS SYSTEMS OEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRI('^' 2C)~, - ,'" .~.'",i~~,_ REaUI~ED IN~;E~~::O:S ..:.r., :~'J\f,J. ,',;;';",;:"" 'j""'",",. ',":' , ' .;./ ;;.~. . . It Is the responsibility of thepertnid'ioJder.to se,~,;t11at'alllnspe"ctrons"a.r'e"made at the proper time. To request an inspection, call . ~ ': " ,'r~ . ,-~. , 726.3769 (recorder). state yo'!r City designated Job number, Job address. type of Inspection requested and when you will be ready for Inspection. Requests recelv~~ before 7:00 a.m. will be made the same worklng..day, req"uests made after 7:00 a.m. will be made the following work day. . ~j. . ( SITE INSPECTION: To,be Y ROUGH PLUMBING, made after excavation: but ELECTRICAL & prior to setup of forms, 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. y UNDERSLAlil1'lUMBINQ ELECTRICAL & ',' MECHANICAL: To be made before any work Is covered. ATTIC DRAFT STOPS & CURTAIN WALLS FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected. all steel In place, but prior to placing concrete. FIREPLACE: Prior to placing facing materials and before framing Inspection. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code ,8 special Inspector shall be employed . by the OwnerJ Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division, /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 CONCRETE: In excess of 2500 PS,I. (306 a,1) 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. STRUCTURAL WELDS: Performed on the job, (2722 f) UNDERGROUND: Plumbing. electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. 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, HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations, (306 a,6) SPRAYED ON FIREPROOFING: U,B.c, Standards 43.8, UNDERFLOOR: Plumbing, electrical. mechanical. To be made prior to Installation of floor Insulation, decking or floor sheathing, FIRE & SEPARATION WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a,11 & Chapter 29) aLU: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), .Y LATH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board, Interior and exterior, Is In place but before any plasterlng.ls applied or before gypsum board Joints and fasteners are taped and finished, STRUCTURAL MASONRY: (306 a,7) / 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, SIOEWALK & 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. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415, ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placIng concrete. ------------------------------------------------------- / 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. )' 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. FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' PLANS REVIEWED BY /' 7 4~P- - ( // V-- , By signature, I state and agree, that I have carefully examined the completed application and do hereby.certlfy 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 wiil 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, DATF ~ -/~,'39 t all required Inspections are requested at the proper time, that project address Is readable from the I cated at t e front of the property, and the approved set of plans wIll remain on the site at all Signatur.o Date '- -=r) {~'19 '7i-,?$. ~ r ~~,,;....... --V /v.J ~I-., / "". AMOUNT RECEIVED: 7et:/..r:<.""" " ~.(J'-""" ..::; _ ......... .'RECEIPT': " :1'. r-')'~\\.O~ DATE PAID' RECEIVED BY: VALIDATION: ~ --- . JOU~ OR JOB NO. AlTACHMENT A . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: r.L Nrt, z.v, ~ ~ Il /./ . 11/ LOCATION: ,/J;'aM~/ tL~_ - /!3,l / )h",.<>.<>/ ~ ~ DEVELOPMENT TYPE: BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE - M IMPERVIOUS SQ, FT. ~ X $0.227 PER SO, FT. $ -er- 2. SANITARY SEWER-CITY NO. OF PFU'S ;2 (See Reverse Side) 3, TRANSPORTATION -c4r v,'..Je" Shr~ ;"Ik~wt>"-~ NO OF UNITS X TRIP RATE X COST PER TRIP X $47,14 PER PFU $ 7'1/e X X $475,32 $~ X X $475,32 $ 4. SANITARY SEWER-MWMC-,.6'/t'u.J_ ~'j POI'" ' A. REIMBURSEMENT COST: ' ({.J~" 11'"ra. c/,u... NO. OF FEU'S X PER FEU $ ~ / B. IMPROVEMENT COST: I -f)- NO. OF FEU'S X PER FEU $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ > $ 10,00 TOTAL-MWMC sac $ /. '-'" !1-~ s~_ Ccerdi nator ATTACH' A, wpa SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X ,05 Date: .Jhs-ln ! , ,zg $ 7' y-- 71 ~ $ 4-' TOTAL sac $ '7fP.Jf ~' FIXTURE UNIT CALCUWION TABLE: Number of New FiX. X Unit Equivalent = Fixture Units" (NOTE: For remodels, calculate on.e NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathwb,....,.",...,.,............,.........,..,....,..,...,...."......", . Drinking Fountain,.""........"........"......... .............,.". Floor Drain.,.,...,..... .....................,... ............,..,.....',... Interceptors For GreaseIOiI/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc..... ............. Launcry Tub/Clotheswasher....,.....,.....".. ..."...,...,., Clotheswasher - 3 Or More..................................... Mobiie Home Park Trap (1 Per Trailer).................. Rece;l!or For Refrigerator/Water Station/Etc........ Rece~wr For Commercial Sink/Dishwasher/Etc.. Shower. Single Stall................................................. Shower, Gang,...,.......,..,............... ......, ....."..",.,.,.". Sink: 3ar, Commercial, Residential Kitchen........................ Urinel, StaII/Wall...., ..... ,..".....,........"....""...,..,...,.,.". Wash 3asin/Lavatory, Single..............""........,....... Toile:, Public Installation...............,., ......",...,..,.,...' Toile: , Private.,...,......................,.."........,.....,... ,... Miscellaneous: / 2 1 2 3 6 2 6 6 1 3 2 llHead 2 2 1 6 4 '^ TOTAL FIXTURE UNITS = 1- CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table. calcclere credits separates. II Year Annexed Rate per $1.000 ' Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4,27 4,18, 4.12 3,99 3,83 3.68 3.48 3,18 2,82 2.42 Year Rate per $1,000 Annexed Assessed Value 1989 $1.98 1990 1.55 I 1991 ,1.15 . 1992 0,96 1993 0.83 1994 0.67 1995 0.52 1996 0,38 1997 0.21 ---- Credit for Parcel or Land Only If Applicable X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after annexation date) .' RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential.,......................... 0,4 Commerical...........:............. 0,9 Industrial............................. '05 Governmental...................... 0,5 FIXUNIT,WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT ".