HomeMy WebLinkAboutPermit Building 1995-6-1 (2)
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COMM ERCIALlI N DUST RIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: I '7 5/ :?J?JA2#
/ 7~ '2,~ 7 2..4
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ASSESSORS MAP:
OWNER ~ j., 25>l-rI ~t'O.haa./r..,-=.t-1.
ADDRESS' -::2/S,~ M/~C?k,_+ at--
CITY: 'F:':'" u. "" STATE: 4 ,-
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DESCRIPTION OF WORK:
NEW ~ REMODEL
/91(:+t e:.e
.{;,..- ~ff]~~+- R<!>w
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ADDITION
DEMOLISH
NAME
ARCHITECT: N,::u:N'j)rJ ~a.I'.(', ~
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CONTRACTOR'S NAME ADDRESS
GENERAL~~ ,.,..cf ~s;'j.,odc.J-af.+
1/.-=
PLUMBING'
MECHANICAL, r:;.,,..,., ,(';, I- f
ELECTRICAL, r-: of c:::::
FlouJ-Iea +'~!J
PLUMBING I
NO, FEE CHARGE I
/4 Single Fixture dJ."'" /.&9. .-.1> I
Relocated Bldg. I
(new fix. addtl)
Water Service I
II.
Sanitary Sewer I
It.
Storm Sewer I
It.
Back flow Device I
loin
TOTAL PERMtT
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TOTAL PERMIT
Permit Issuance
OUAD AREA'
I :--Idlu.\
- OFFICE USE -
1:ftOlCl
LAN D USE,
, OF BLDGS:
OCCY GROUP: __.8- 2.
, OF UNIT~'
CONSTR. TYPE: 3->"(. ~~ .
HEAT SOURC.'
, OF STORIE~'
SO. FT.
$/SO. FT.
SO. FTG MAIN
x
SO. FTG ACCESS X
SO. FTG9THER~.z;.-=~ //"5"2.J'II/~rt;7<7"
. ?2$~ 'f"A;?J!?,PL,e tE~ ??",
-JOB NUMBER .950 ~~)
INSPECTION LINE: 726.3769
OFFICE: 726,3759
-""') ;;-
066 t7D
~B7.- 0194""'3.
TAX LOT:
PHONE,
ZIP'
OTHER
q") 'tog;
1/ ~ ~-h- "In-
1/
VALUE:
PHONE
h'6 /-'7~
EXPIRES
PHONE
-
L\-A-Y(O ~c5"57
InL)Q;::, ~4:? .~(~/
4-"1..c,~ -Zzl,l~~36'.,
, -
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TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
,"_T, (.\/,'" /-, ",
I -~7rB.55'
MECHANICAL
L..I Furnace/burner & vent
7 < 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
?
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
ADDRESS
I to<&? t;;i;,r-I
CONST.
CONTRACTOR'
:;Z1S.~Mllc.f(...f -< f-
4-\~rD
()rt!:o0
OOo~g4&f
s.t
3
~;q,):>./4'~
'iii
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1:t:E--- _c.I:i.4 ruu: I
~:-" z.y.. .- I
I
I.
t; . ...,. /&t.. ~ I
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G.- :z.-V', -I
~.- '7--1
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$10.00
,77--
HANDiCAP ACCESS:
ZONING'
FLOOD PLAIN'
lAl't'C..
WATER H EATE R'
LIGHTING POWER BUDGET:
VALUE
".
't
C'sT/....'rr
TOTAL VALUE OF PROJECT ,9~"~ ,.....
PLAN CHECK FEE 27,5:,"0 RCPT'_/7:"i7~ DATE c..-/-'7C BY /~~_
I BUILDING PERMIT
15% Slale
Surcharge
I MECH~CAL /~:>
r~/T
15% State T'7'
Surcharae .... ~
I PAVING
'7;2 Y.' ."e> , PLUMBING 4 /60,- ' DEMOLITION
'Z I . JP 5% State ~,.&;
/7,7::i!- Surcharqe
a:;::>.-c> FENCE
77_- VALUE $_
~.~:> SIDEWALK I SUBTOTAL I 7.'Z7-$.S
'2, "3/ FT. PERMITS" ,
CURB CUT FT. '1 I SYSTEMS I j(;.~6"z.A-"7 -I<!:i>
DEVELOPMENT
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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 foliowing work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
REQUIRED INSPECTIONS .
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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.
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UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS, in accordance
Section 306 of the State Speciaity 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.
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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 piacing
facing materials and before
framing Inspection.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
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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)
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.
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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)
UNDERGROUND: Plumbing.
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
,SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
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UNDERFLOOR: Plumbing,
electrical, mechanIcal. To be
made prior to Installation of
floor Insulation, deckIng or
floor snea.tring.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING,
During earthwork. (306 a.11 &
Chapter 29)
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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.BC.
STDS. 25.10,11).
POST & BEAM: To be made
prior to installation of floor
Insulation, decking or fioor
sheathing,
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SIDEWALK & DRIVEWAY:
R~qulred 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.
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STRUCTURAL MASONRY, (306
a.7)
~ y.;~ ~.4><5
fi'..o'.rl"L 6:".#<
"., -, -
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking 'or floor sheathing.
x
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.
-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.
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"*' ,FINAL PLUMBING
FINAL ELECTRICAL
J( 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.
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FINAL BUILDING: Requested after the final plumbing, eiectricai,
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 B.uildlng Division
and posted on the premises.
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FINAL MECHANICAL
FINAL FIRE DEPARTMENT
AD~~N;ijO\~~{\O y-- \ rf'{\.rr, * U\\O'llo
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PLANS REVIEWEO B~ ~~~9~- -;> DAT~7-?.c;; ~
VALIDATION:
By sIgnature, I state and agree, that I have carefully examined the completed application and do hereby certl fy thflt alllnformallon
herein Is true and correct, and.r 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 thatNO OCCUPANCY
will be made of any structure without permisSion of the Building Safety Division. I further certify that only contractqrs and employees
who are in compliance with ORS 701.055 wili 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 fro"nl of the property. and the approved set"of plan;; will remain on the site at all
~.:::t:~:I~~~~~/-I ' Date /~~9C;-
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.':';~~:""'.~";' 'F3ECEIPT II:
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AMOUNT RECEIVED: ?~4'6. "'>c;-
Ig/9~
DATE PAID'
RECEIVED BY:
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.B NO,.. Q5o,?<j(q
ATTACHMENT B2
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(PROFESSIONAL OFFICES & INDUSTRIAL)
NAME OR COMPANY: 1?/C-HARD <;?OMOLC-1<.AF"-T
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LOCATION' /q'5' ptJ^' s"
/7~?Z.7Z4- - I'J/Co()O
DEVELOPMENT TYPE:.LIl1 I. - CJFFIc..Ef; '5PA-t..t:
BUILDING SIZE: '5\lo4- ">,F (.,e,uo.lO Fwt.) lOT SIZF
SQ. Ft.
3. TRANSPORTATION '
c.ooe. (\0 - Go-e~ .1.-7, ~p = 0 ,9~ /.,-6'i>f'-
NO OF UNITS X TRIP RATE X COST PER TRIP
0.5 X 6.~ X 0,"1\1' X $436.19 ((I2:~9 r. ~
'- .-/
0.5 X X X $436.19 $
0.5 X X X $436,19 $
4. SANlIARY SFWFR-~
NO. OF PFU'S 4~ x $17.19 PER PFU + $10 MWMC ADMIN. FEE $ "74"11.::!-
(Use PFU Total From Item 2 Above)
TOTAl -MWMr. snr.
$ 3'67-.]
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MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL (ADO ITEMS 1.2.3 & 4) $ '2.€>€>o"4-
5. 8DMINTSTRATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X ,05
(( 1M-oj)
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--+--oI";~--'~. :-_::..
sac Coordinator
Date: ""/'2-0/'fr;
(.,"'1
IQIAI snr. 1> ~o"2A- -
B2.S0C
FIXTURE UNIT eALeULA aN TABLE: Number of New Fixtur.U~it Equivalent =. Fixture Units ~1'
(NOTE: For remodels, calculate only th~ additional fixtures)
NUMBER OF UNIT FIXTURE ,.
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS.
'Z-
'Z
'5
.;
2
1
2
3
6
.2
6
6
1
3.
"2
1/Head
2
2
l'
6
4
4-
4-
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'?o
Bathtub""..".. ,-,...'".. -,.""."..-.,...."...,........""............
Drinking Fountain. .".... ..,. ",.. ... ,. ,..",., .....',..,........"...
Floor Drain....,......................... ........... .................."..,
Interceptors For Grease/Oil/Solids/Etc.....,............. . ,'.,
Interceptors 'For Sand/Auto Wash/Etc..................' '
Laundry Tub/Clotheswasher........,. ...... ...... -. ..... .....
Clothes washer - 3 Or More...................:..~............~:
Mobile Home Park Trap (1 Per Trailer)......,....,......
Receptor For Aefrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.........................,.......................
Shower, Gang..................,..........,.....................:...... .
Sink: Bar, Commercial, Residential Kitchen.........................
Urinal, Stall/Wall,.,.. ."......; ..,.... ,.."..".. ,...,..'"" ,..,......
Wash Basin/Lavatory, Single.....'.............................
Toilet, Public Installation..........,.,.,.... ...,......'.,........
Toilet, Private.......................,...,.,...,.,...,.....,...,.....,
Miscellaneous:
",":"
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TOTAL FIXTURE UNITS
=
4?
CREDIT CALCULATION TABLE:
calculate cre9!ts separates,
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Based on assessed value, If improvements occurred alter annexad,;n d'ate in table,
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
0.44
0.15
Improvement (if after annexation date)
X $ =
(Rate X Assessed Valuel
X $ =
(Rate X Assessed Value)
Credi(f()( Parcel or Land Only If Applicable
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CREDIT TOTAL = $
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:i;, g 2-.2.
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