HomeMy WebLinkAboutPermit Building 1995-7-20 (2)
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COM M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
9C: / / '7 ~
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WOR~' ')-1 .c:; 7
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ST-
ASSESSORS MAP'
TAX LOT:
OO'KCO
OWNER: K~~ E 4"L./ ChCh ~""".;,... PHONE:
ADDRESS: ~ ,~,V~ r)A1 -
CITY:_ h/---:.___.H. STATE: dJ~_
"'7.4.-4 c ~
,7::"'- ,
ZIP:
~ 7~?J ./
ADDITION
_~ ~ ;' ,77 j./l)
V DEMOLISH
OTHER
VALUE:
DESCRIPTION OF WORK:
NEW ~ REMODEL
.,~~-
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERAL: _~A)/2,a
ADD RESS
CONST,
CO NT RACTO R .
EXPIRES
PHONE
PLUMBINr.,
MECHANICA' .
ELECTRICAl'
I PLUMBING MECHANICAL I
I NO FEE CHARGE ...0 FFF N'ABGi
I Single Fixture Furnace/burner &. vent
< 100,000 BTUs
I Relocated Bldg. - Furnacel burner & vent I
(new fix. addU) > 100,000 BTUs
I Water Service Floor furnace and vent 1
It.
1 Sanitary Sewer Suspended wall or floor I
ft. mounted unit healer
1 Storm Sewer Appliance Vent 1
ft. separate
1 Stationaryevap. 1
Backflow Device cooler
1 Vent Fan/Single 1
duct
I Vent System apart 1
Irom AC or htg.
1 Mechanical exhaust I
hood and duel
1 1
I Permit Issuance $10.00 I
1 TOTAL PERMIT TOTAL PERMIT I
OUAD AREA:
\ .L~\D
- OF~;J!,SE -
LAND USE: ~L1, '-1. q
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING' ~\
. OF BLDGS'
. OF UNITS:
OCCY GROUP'
CONSTR, TypF'
L1G HTING POWER BUDGET:
. OF STORIES:
HEAT SOURCF'
WATER HEATER'
sa. FT.
$/50. FT,
VALUE
SO. FTG OTHER
~,5
/4- 79
'X
x
x
'71'0
//? &;t"rn
I
TOTAL VALUE OF PROJECT
/n5~
-,
sa. FTG MAIN
sa. FTG ACCES~
PLAN CHECK FEF
.S"&:. _2. 3
RCPT'
\~~L
DATE"]...~.2."" ~ BY
\\N"'\ ~
I BUILDING PERMIT
15% Slate ~
Surcharoe ~3
I MECHANICAL'
15% State
Surcharae .
1 PAVING
&b. Si:::>
"T-::>~
-7.~
I PLUMBING
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
1 CURBCUT
1 DEMOLITION
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
'7"3. So'.3
I .?/~ 73
FT,
\ \ '
. TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
, Lj /3/6
.
REQUIRED INSPECTIONS
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It Is the responsibility of the permit holder to see that aI/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.rTJ. 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.
UNDERSlAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,' '.
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and appr,?ved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
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ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
,
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In placej but
prior to placing concrete.
./
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FIREPLACE: Prior to placing
facing materials and before
framing inspection,
- , "\ .,
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pi pes, chimneys
and vents are complete and
the rough electrical, piumblng
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 PS,1. (306 a.l)
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 tM job. (2722 f)
x
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.
FIRE & SEPARATION WAll:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operaUons. (306
a.6)
x
UNDERGROUND: Plumbing,
electrlcal~s, sanitary sewer,
(1;iIOrm sewer:>vater and
drainage lines. To be made
prior to covering or filling
trenches.
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,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.l1 &
Chapter 29)
K
LATH AND/OR GYPSUM
BOA R D: 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 sheathing.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after al I
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
con~tructlon work to ensure
compliance with the Building,
City or Development Code.
MASONRY: Steef 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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)t 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 striglng, elc. mu~~pleted before
requesting this Inspection. r/fIY,#'L /7/.?-7 .
/ 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
v Certificate of Occupancy has been Issued by the Building DivIsion
~ FINAL FIRE DEPAR,MENT . \ .... a~~ :~~ prem~sD"'
ADDITIONAL COMMENTS: \{, ~.Dc\ "-\1) . l'\. \1..f.~ ~
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
PlAN~ REVIEWED BY ,~"2.- -
--- '"
/ ------~
T~-/:
, , DATF
C7-/-~ 5-
By sIgnature,' 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. / 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, thaI' 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
tlm\~TJng constructlon. .
Slg~~1'JNV'7/), ;F; .~1/Jb.p/J1~ -- Date
v4.L1DATION: AMOUNT RECEIVH: '-'41-6. 110
RECEIPT': I y~
DATE PAID: ~y,.y~
RECEIVED BY:' [ .
~-'-'"-
',.
~....1
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
Name or Company: KENNETH GUCKENBERGER
Location: 2157 DON ST
Developement Type: A Building Size:
1. STORM DRAINAGE
Impervious Sq Ft
1450
2. SANITARY SEWER - CITY
Number Of PFUs 0
(see Page 2)
3. TRANSPORTATION
Number Of Units
x
Trip Rate
Transportation Total
4 _ SANITARY SEWER - MWMC
Number Of PFUs
o
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
TOTAL SDC
Reviewed By: TROY MCALLISTER
X
X
Job No.: 951198
Lot Size:
0.210
Per Sq Ft =
43.43
Per PFU =
X
Cost Per Trip
X
X
Per PFU + MWMC Admin Fee
18.750
0.50
Date: 07/24/95
Page 1
Sq Ft
$304.50
$0.00
$0.00
$0.00
$0.00
$0.00
$304.50
$15.23
$319.73
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Job Number: 951198
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/C10theswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
Number of
New Fixture
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
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Page 2
Unit Fixture
Equivalent Units
2 0
1 0
2 0
3 0
6 0
2 0
6 0
1 0
3 0
2 0
0
2 0
2 0
1 0
6 0
4 0
0
0
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0.00
0.00
o
X
0.00 1:1
0.00
CREDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)