HomeMy WebLinkAboutPermit Building 1995-6-30
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~RP~'NO".lOI JOB NUMBER '"7~ /C?90
~ INSPECTION LINE: 726.3769
~I OFFICE' 726.3759
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l.OCATlON OF PROPOSED WORI(' 'PIC)~rG ~'i:l:~ ~ ~l~~ ~W...... l!: 7'
ASSESSORS MAP: '\fH) ~ I: TAX l.OT: Dlyr ()
OWNER: -1:V:l JSEUoU::> I=I~\""'.F_ c/" RVE. ~ ~'T'3IHONE' --2Lq/~~C!.("92.~
ADDRESS: loP>4lo !:2:>1_1l1=-c.-AVE'k.11 IF -!I: -, I!
CITY' t-:owdF=v STAT~: c..h..
DESCRIPTION OF WORI<: 1~1211""ll2 ~J.o,Jr- ~12~~ I
NEW REMODEL ~ ADDITION DEMOl.lSlr OTHER VALUE: 3e.,42000
NAME ~ IbDRESS PHONE I
ARCHITECT: l<aJ~ F'oJIl'S % ~_o::>wJ '~~., t:::::>owJ~ ~ 3In/f'{R1.f~9Z,~
CONST, '
CONTRACTOR'
COMMERCIAL/INDUSTRIAL ·
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
ZIP: Cln?A.1
, OF BLDGS:
OCCY GROUP: ~2..--
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Permit Issuance
~. - ! I TOTAL PERMIT
- OFFICEJlSE -
LAND USE: ,c)~~y) ..__
. OF UNITS: _ II
II
CONSTR. TYPE:__
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SO. FT, $/50. FT. II
SO. FTG MAIN X :
sa, FTG ACCES~ X ._-,-,- 1.
so. FTG OTHER ~~~. ~~~ ,,__
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D1~E,6-~
EXPIRES
ifl'jl-,
PHONE
CONTRACTOR'S NAME ADDRESS
OUT To eU)
GENERAL: ~1'6V4'~r~ 1ft,I-
PLUMBING: ~......#' h?~ -
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MECHANICAL:~7h......
ELECTRICAL: 7),,5i!:~ E~Ec:::.T.
.....
~76 - .5'/~
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PLUMBING
MECHANICAL
___HiL
CI1ARGE
_EEF
""ARllL
Single Flxlure
Relocaled Bldg.
(new fix, ad~!!)
Waler Service
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Furnace/burner & venl
< 100.000 BTU s
Furnace/hurner & venl
> 100.000 BTUs
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Floor furnace and vent
Suspended wall or 1I00l
mounted unit healer
Appliance Vent
soparnle
Stallonaryevap.
cooler
Vent f9ntSlnglo
duel
Vent System apart
Irom AC or hlg.
Mecllanlcal exhausl
hood and duel
,A.)u:A P~f&HI:~
'3
6-1
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sanllalY Sewer
II.
Slorm Sewer
II.
8ackllow Device
6:'"
TOTAL PERMIT
.m/A_
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$10,00
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QUAD AREA' I r /~ )11 )
HANDICAP ACCESS: _
FLOOD PLAIN: _
(0 ('./
ZONING'
LIGHTING POWER BUDGET:
, OF STORIES:
HEAT SOURCE:
WATER HEATER:
VALUE
3~,~_
TOTAL VALUE OF PROJECT
PLAN CHECK FEE j "" /.78 . , RCPl' /&/38
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BY /2_~
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I BUILDING PERMIT -:233.!!Hf;>' PLUMBING
15% Sial. ~ /l.6.!S 5% Slale ,..~
Surcharg.e 1'7 7: e>.1 Surcharq. ,r;s
I MECHA~~ /iI?,....~. .. FENCE
.I':l ../.5 . "'!:' VALUE $ __.___
15% Sial. - ---- . 2'>-- SID EwAL..K. -
Surcharge . 9"r . _ ---.fT,
I PAVING I CURBCUT
FT.
5'.:p. -
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. DEMOLITION
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TOTAL PERMIT FEES
E~CLUDING ELECTRICAL
SUBTOTAL
PE RM ITS
SV::;T EMS
I DEVELOPMENT.
~~2 . ~"}
/$/. ~'9
::; /Y. tt:J8
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. . REQUIRED I~~PECTIONS. ". ,..,.. ",
II Isthe responslblllly 01 Ihe permit holder 10 see thai alllnspectl)ns are mede atlhe proper lime, To requesl an Inspecllon, call
726.3769 (recolder), Slale youI Clly designated job numbel, Job ad'/less, Iype 0' Inspecllon requested and whan you will be leady
'or Inspecllon. Requesls lecelved belore 7:00 a.m. will be made th'l same wOlklng day, requesls made altel 7:00 a.m. will be made
1I1e lollowlng work day, II
SITE INSPECTION: To be ...-)L- ROUGH PLlfMBING,
made aller excavation, bul ELECTRICAl &
prior 10 selup 01 10'(IIs, MECHANICI,L: No Walk Is 10
be covered /,nlll Ibese
Inspections ~ave been mado
and approve j.
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ATTIC DRA~T STOPS &
CURTAIN W~LLS
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FIREPLACE1IPrlor 10 placing
lacing mate~'aIS and before
framing In9 cellon.
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V FRAMING: p be made aller
tbe roof, all ;flamlng, lire
blocking an~ bracing ale In
place and ai, pipes, chimneys
and vents all ~ complete and
the rough 01 ,~ctrlcal. plumbing
and mechan eal ara approved.
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,__ _ INSULATlO~ I & VAPOR
BARRIER: T" be made alter all
Insulation a]~d required vapor
barriers are .n place but
before any I Ih 01 gypsum
board Interl r wall covering Is
applied. II
FIRE & SEP]RATlON WALL:
Localed andl conSlrucled
according tq plans.
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h-A"'- LATH AND/IIR GYPSUM
BOARD: To I a made aller all
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lathing end ~ypsum board,
Inlerlor and ~xtarlol, Is In
place but belora any
plaslerlng ISf1' applied or be/ore
gypsum boa ,d lolnts and
fasteners af] taped and
IInlshed.
______ SIDEWALK DRIVEWAY:
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Required lor lall cancra Ie
paving with!., stleet rlghl of
way. '0 be 1ft ldo allor all
excavating c ~mplete and form
work and su ).base material In -In addition to the Inspec.
place, I lions specllled, Ihe Building
Olflclal may make 01 requl,e
CURB AND ,*PPROACH olher Inspecllons of any
ROOF SHEATHING AND APRONS: A'~el lorms are constlucllon work 10 ensule
NAILING: Prior to Inslalllng erecled bul ' ,lor 10 placing compliance wllh Ihe Building,
any roof covollng. concrele. City or Development Code.
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ollhe ~ale you wlslllnspecllon, All proJecl condlllons such as
01 landsc~plng, palklng 101 slrlplng, elc, musl bn compleled belola
/\ FINAL ELECTRICAL requesll!"g this Inspacllon,
A' FINALXUILDING: Requesled afler Ihe final plumbing, elec\rlcal,
FINAL MECHANICAL mecha Ilcal and FIre Department inspections are made ~nd
approv Q. No occupancy 01 the premises can be made until a
Cerllllc~te of Occupancy has beon issued by the Building Division
and po~'ed on the premises.
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PLANS REVIEWED B;. "-;~2;~~-"7_ DATE ,~~/~9.s--
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UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work 15 covered.
FOOTINGS & FOUNDATIONS:
TO.be made,alter (renches are
excavated and forms are
erecled, all steel In place, but
prior 10 piaclng concrele.
CONCRETE SLAB: To be
made afler all Inslab building
service equlpmenl, condull,
piping, accessories and olher
ancillary equipment lIems are
In place but belore any
concrele Is placed.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
. drainage lines. 10 be made
prior 10 covering or fl/llng
trenches.
UNDERFLOOR: Plumbing.
electrical, mechanical. To be
made prior to installation of
floor Insulallon, decking or
Ifoor shealhlng.
POST & BEAM: To be made
prior to Installation or 11001
Insulation, deCking or 1I00r
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior 10 IlIslallallon at
decking or floor shealhlng,
MASONRY: Sleel locallon,
bond beams grouting or
verticals In accordance with
UBC 2415,
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FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
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PAVING: Aftel gravel Is In
place bul pllol 10 placing
asphalt or concrele,
SPECIAL INSPECTIONS: In accordance
Section 306 01 Ihe Slate Specially COda
a special Inspeclor shall be employed
by Ihe OwnerJ Contractor during
construction 01 tho fallowing work. A
copy 01 Ihe spacial lesllng repOrlS shall
ba furnished to Iha Building Division.
STRUCTURAL CONCRETE: In
excess 01 2500 P.S.I. (306 a.l)
STRUCTURAL WELDS:
Perlormed on the lob, (2722 I)
HIGH STRENGTH BOLTING:
During all ball Inslallallon and
IIghlenlng operallon.. (J06
a.6)
SPRAYED ON
FIREPROOFING: U.B,C.
Slandards 43.6.
SPECIAL GRADING,
EXCAVATION AND FILLING:
Ourlng aarlhwolk. (306 a,l1 &
Chapler 29)
G LU.LAM BEAMS: Inspecllon
Cellltleslo by an approved
agency, lurnlshad 10 tho Clly's
Building Division belore
beams are placed, (2501 U.B,C,
STDS. 25.10,111.
STRUCTURAL MASONRY: (306
a.7)
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By slgnalura,I state and. agrce, lhal I have carefully examined the CI?ffiPlelCd application and do hereby cartlly thflt allln'ormatlon
herein Is truo and COllect, and I fullher celllfy thai any,and all wo~~ performed shall be done In accordance with Ihe OrdInances
01 Ihe Clly 01 Springfield, and Ihe Laws of Ihe Slale of O,egon pertaining 10 Ihe Ylork described herein, and Ihat NO OCCUPANCY
will be made 01 any slruclure wllhoul pormlssion of Ihe Building Sal~IY Division, Ilurlher celtily Ihal only contraclors and employaes
who are In compliance wllh ORS 701.0!l5 wlJl ho IJsed on this pr~jecl.
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I (urther ugros 10 onsure thai all rc~ulrcd InspcclIons are roquest~J al the proper lime, Ihal project adcJress Is readalJlo horn the
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slleet, Ihat Ihe pelmll cald Is localed al the Irani 01 Ihe propell:, and Ihe approved, sel 01 plans will remain on Ihe slle al all
limes during conslrucl I. L.. '
~SG t> : FIVE ~ ~ """""rT"S1 A(;,e.... r /.. /
Slgnalure J"Y'" _ A !" .6' ,,: Dale (",(~/"jS-
, c :!/)/;.~ ~..P...-e ~ ff7'~/o9'~
AMOUNT RECEIVF,n:_.,---:2L~j~ DATE PAID: I R--p.~cs-
RECEIPT N: _ /$$7t:;"" :i RECEIVED BY: __ ~~~_'" .-
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VALIDATION:
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.OB NO. .:12./0 'j 0
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: kcust::. HOk-,() ~I.JAH'-E...
LOCATION: P/{JH~ PLAzA i9'f'3 p/{)t-IC:e::.R... PKW<-j =r::"
DEVELOPMENT TYPE:
BUILDING SIZE:
Ij'\T~I"tZ
1t.HA-t-\T
PI L'T'f4C 4 n ct-l
LOT SIZE
SQ. Ft.
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I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
X $0.209 PER SQ. FT. C - )
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
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X $43.26 PER PFU
C '73(~
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3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X X $436.19 C- ')
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X X $436.19 $
X X $436.19 $
4. SANITARY SEWER-MWMC
NO. OF PFU'S #Ift x $17.19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$
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TOTAl-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
$
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5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
-1P..o':!:, WAWbrEI2. Date: 7/5/1s"
:::r J ... 'TOTAL SDC
SDC Coordinator
~B~)
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$ I€>1 "'~
FIXTURE UNIT CALCUL~N TABLE: Number of New FixtU. Unit Equivalent = Fixture Units
(NOTE: For remodels. calculate only t~ additional fixtures)
NUMBER OF UNIT FIXTURE "
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub................................................................... -..
Drinking Fountain...................................... _.._...........
Floor Drain................................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors 'For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher........................... ........
Clo.theswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower. Single StalL................................................
Shower. Gang...................................................:.......
Sink: Bar, Commercial, Residential Kitchen..............,.........
Urinal, Stall/W all..... .................................. ..........:.....
y.'ash Basin/lavatory. Single...................................
Toilet, Public Installation...................................._..
Toilet . Private..................................................~....
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
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TOTAL FIXTURE UNITS
4
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table.
calculate credits separates.
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Year
Annexed
Rate per $1.000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
$3.46
3.38
3.32
3.21
3.06
2.92
2.73
1985
1986
1987
1988
1989
1990
1991
1993
$2.46
2.14
1.77
1.37
0.97
0.61
'<':'44-"
0.15
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Improvement (if after annexation date)
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
=
Credit for Parcel or Land Only If Applicable
=
CREDIT TOTAL = $