HomeMy WebLinkAboutPermit Building 1992-4-3
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'COMMERCIAL/INDUSTRIAL.
PERMIT APPLICATION
~
.
JOB NUMBER
9~o53?
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK.
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TAX LOT: ~'26~ :/~
ASSESSORS MAp. / 7-':::>'3 .~~~
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ADDRI=C:C::.
CITY.
PHONF'
STATF'
ZIP'
REMODEL
7l;F:'hA./E<
)( ADDITION
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LZ::-~",,-d:
NEW,
DESCRIPTION OF WORK:
OTHER
-~
VALUE' .::::;-~~ co "
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ARCHITECT:
DEMOLISH
NAME
ADDRESS
PHO.!:lE
,
EXPIRES
"
"-
PHONE
---
CONST.
CONTRACTOR'S NAME ,ADDill'''S ~'.'.J--=~ GQNTRACTOR'
C./ /" " . ' 8'-" lI:C';OC:> , 7",-. ~..-'i"P
GENERAL: .-V7 Y.H7-t:Zc...",;,u-,/'. c'-4 Y'Yee_ ~_/
/"_/ , /".... /' f'
PLUMBINI'.
I
I NO,
l?f
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1
I
I TOTAL PERMIT
MECHANICAl'
ELECTRICAl'
QUAD AREA'
. OF BLDGS'
OCCY GROUP'
. OF STORIES:
PLUMRING
I
In I
I I
I 1
I I
I I
1
I
I
I
Furnacel burner & vent
< 100.000 BTUs
Furnace/burner & vent
>100.000 BTUs
MECHANICAL
"HARGEJ
FEE
CHARGE
ccc
Single Fixture
Relocated Bldg.
(new lix. addtl)
Water Service
/0
y?>
It.
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 htg.
Mechanical exhaust I I
hood and duct
---1/~7"~ pV'~~~1
Permit Issuance I
I
$10.00
Sanitary Sewer
If.
It.
Storm Sewer
Backflow Device
/5
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
}
LAND US.'
FLOOD PLAIN:
15 - "2-
/
. OF UNITS'
CONSTR. TYPE: '3-A/,. ,::;p?-?
c.c-
ZONING'
,.
LIGHTING POWER BUDGET:
HEAT SOURCE:
WATER HEATER:
SQ. FT.
$/ SQ. FT.
VALUE
SQ. FTG MAIN
SQ. FTG ACCESS
X
X
A''''''''/W40~
'r '
X
.....,~
SQ. FTG OTH ER
TOTAL VALUE OF PROJECT
PLAN CHECK FEf ~:<-B"3
RCPP
DAT.
BY
I BUILDING PERMIT
15% State
Surcharoe
I MECHANI~~
15% State' I
Surcharoe
I PAVING I
I.
52'-5<:::>
::?- 5 ~
Ia.;. -=-
/~ _r=o-
.7S'
I PLUMBING
</0 ""c>
::< - ....."
I DEMOLITION
5% State
Surcharge
FENCE
VALUE <
SIDEWALK
FT.
Plfd c.--
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
1.:4.02'. :3&
?'< .6;3"
I CURBCUT
FT.
I -:7_~ ,.......---::<'~?71
TOTAL PERMIT FEES _/ _ /. / ib. /..//_
EXCLUDING ELECTRICA'
c
.
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.
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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.
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
a special inspector shall be employed
by the Owner! Contractor during
construction of the following work. A
copy of 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 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,1. (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)
;<
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).
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a,7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheatnlng.
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.
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.
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Y FINAL PLUMBING
x
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
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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
'y
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
~~
'~ -
DATE o/~ '3-- ~ .<......
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that a/llnformatlon
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 OAS 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 readabie 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 ail
times during co~struction.
SlgnatureU~~~
.P' -
Oato
VALIDATION:
AMOUNT RECEIVED' V ~ ~ '7'7
RECEIPT .. t:;'< /?
DATE PAID'
RECEiVED BY:
7/- "3' -";72..
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/
City
.. ATTACHMENT B
o~pringfield Systems Develottent Charge
DRAFT WORKSHEET
NAME OR COMPANY: 1?CWI:=<S-r 7F*RkI-.?-A'~ /5' ~~~~C>A7
LOCATION: /~'8 3' ;:?.c>h'~T /~/'7~ 5-~ ~
- DEVELOPMENT TYPE: ;p~~ ~>g- ~,?/~~...c:- c
t
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE:,.,.
IMPERVIOUS SQ. FT. X SO.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)
s/9.:?..~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X
X $388.61
X $388.61
s
s
x X S388.61 S
(See Attachment C To Determine Trip Rates)
SUBTOTAL (ADD ITEMS 1,2, & 3) .s /77.. ;>;:>
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
S '9.C3
TOTAL-CITY SDC s"'a<<?2.3g
5. CREDITS
IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL:
TOTAL-CITY SDC X (50%) = ADJUSTED CITY SDC S
6. SANITARY SEWER-MWMC
NO. OF PFU'S
~
x $13.25 PER PFU + $10 MWMC ADMIN. FEE S
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
S
TOTAL-MWMC SDC S ~~~~--
;
TOTAL SOC S
FIXTURE UNIT CALCU~TION TABLE: Number of New Fi>.1ures X Un~ Equivalent = Fixture Unn{ ~-JOiE:
For remodels, calculate only the" add~ional fixtUres). ....
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
/
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
'2.
Bathtub......................:.............................................. .
Drinking FountairL.:................................. ............. ... '
Floor Drain......... .......................................................
Interceptors For Grease/Oil/Solids/Etc................:
Interceptors For Sand/Auto Wash/Etc..................
Laund ry Tub /C1otheswasher...................................
C10theswasher - 3 Or More.....................................
Mobile Home Park Trap (' 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:
/
/
"2
I
TOTAL FIXTURE UNITS
=
s
,
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred alter. annexation date in table,
calculate credits separates.
Year Rate per $' ,000 Year Rate per $' ,000
Annexed Assessed Value Annexed Assessed Value ,I
\ ,979 or before $2.66 1985 $,.69
I: ,980 2.64 ,986 1.35
,98, 2.53 ,987 ,.15
1982 2.41 1988 0.92
1983 2.19 1989 0.59
1964 2.04 1990 0.23
Cred~ for Parcel or Land Only If Applicable X S =
(Rate X Assessed Value)
Improvement (~ alter annexation date) X $
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Resid ential............................... ......................... 0.4
CommerciaL............................. ....................... 0.9
I nd ustrial........................................................... 0.45
Governmental............... ... .......... ...... ... ....... ....... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT