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Home My WebLink AboutPermit Building 1992-8-3 (2) COMMERCIAL/INDUSTRIAL. PERMIT APPLICATION ~ tJOB NUMBERL\ '2 \(''('In 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726-3769 OFFICE: 726-3759 1144 GATEWAY LOOP, GATEWAY PLAZA, LOCATION OF PROPOSED WORK:_ ASSESSORS MAP' \ ~ (') ~ Q ,? ("() SPRINGFIELD, OR TAX LOT: 2 ~ OWNER: ADDRESS' CITY: QUALICENTERS 1144 GATEWAY LOOP SPRINGFIELD PHONF.686-5867 STATF' OREGON ZIP' 97477 DESCRIPTION OF WORK: ~ODEL FOR KIDT;lEY nTALV,<:;TS r.""",",~ NEW REMODEL-X- ADDITION DEMOLISH OTHER VALUE f<n,C:('(). ~ . NAME ARCHITECT' CASCADE CONSULTING ASSOCIATES INC. ADDRESS 529 SW 4TH, CORVALLIS,OR CONST. CO NT RACTO R ' 54132 PHONE 753-4417 'P~~.s RN.~~,c- CONTRACTOR'S NAME ADDRESS CCMW CO. 4505 MARION SE, ALBANY/OR 97321 EXPIRES PHONE 926-8641 367-6776 PLUMBING', KROESSIN PLUMBING, 988 MAZAMA, LEBANON, OR 97355 f{)~~ 08-19-92 ~ .'b ,q~ GENERAl' MECHANICA' . ELECTRICA" G&E ELECTRIC, INC, 1701 GEARY S.E., ALBANY, OR 97321 ,~O~ q ,\592167-8627 It. I MECHANICAL FEE CHARGE I Nn """ rU^O~C :2~-t Furnace/burner & vent $ <100,000 BTUs I Furnace/burner & vent > 100,000 BTUs 1 Floor furnace and..vent 1 . Suspended wall or floor mounted unit heater 1 Appliance Vent separate 1 Stationaryevap. cooler 1 ,.-, Vent FanfSingle ~ -z./ / duct 1 Vent System apart from AC or htg. 1 Mechanical exhaust hood and duct 1 ::z ~ ~w4?'~ ~ /2- I Permit Issuance $10.00 1 TOTAL PERMIT I I NO. 1'2"7 I 1 PLUMBING Single Fixture Relocated Bldg, (new fix. addU) Water Service Sanitary Sewer It. Storm Sewer It. Backflow Device TOTAL PERMIT QUAD AREA: l0 \\'')\ Ii) - OF~E USkr' LAND US". ~C:> u ') HANDICAP ACCESS: FLOOD PLAIN' ZONING: (l.ff'.. , OF BLDG'" , OF UNITS' , OF STORIES: '8-?- --? CONSTR. TYP"' i '5"-# LIGHTING POWER BUDGET: OCCY GROUP: HEAT SOURCE: WATER HEATER' SQ. FT, $/SQ. FT. VALUE SQ. FTG MAl N X SQ. FTG ACCESS X SQ. FTG OTHER .~~ ~~ TOTAL VALUE OF PROJErT ~~ ,,; PLAN CHECK FEE --Zc.?'2_~ RCPT' . DAT" BY I BUILDING PERMIT 15% Stat,e Surcharae 1 MECHANIC~n_ 15% State . I Surcharae I PAVING I g7?- /B.t:-G /&1.. Cir# 3"3..a. PLUMBING ~.~ //..~ I DEMOLITION FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT I I 1 6?7.l!SC> I II~~~I J.~S' 5% State SurcharQe FENCE VALUE $ SIDEWALK FT. CURBCUT TOTAL PERMIT FEES I EXCLUDING ELECTRICA' 1$26. ys . 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. Requ~sts 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. )( 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 Ownerl 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 x 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 P.S.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'coverlng Is applied, HIGH STRENGTH BOLTING: During all bolt. installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.S,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) -X 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,SC. 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 all excavating complete and form work and sub-base material In place. *In addition to the inspec. tlons 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 USC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. x FINAL PLUMBING 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 ELECTRICAL )( )( /( 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/' /<"'...~; ~--. DATE _?-'?~~ ~~_ -' ---7' By signature, I 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. I further certify that only contractors and employees who are in compliance with 0 701.055 will be used on this project. I further agree to ensure that all r uired inspections are requested at the proper time, that project address is readable from the street, that the permit card Is I ated at the front of the property, and the approved set of plans will remain on the site at all ~::~9str~. ~ \1: Datp %~)-tZ- >\ ~/ / '=7' ) VAll Dx;';ON' rOUNT RECEIVED: _\ 't:;a0:"tS DATE PAID'-kh.Q'~Y/L-/ RECEIPT': ':~=L,-'L--S RECEIVED ~t.'O... ) ~, -- _._~ --. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET . . CHARGE jq?#?2I'CiPt6 NAME OR COMPANY: r'J'.(/I4L$-V'T1lt:'51l?5. LOCATION: //F,I~ ~.4r.E"J-v.#.'; L~ ( 0.. "'"'<Jt..IVS) . DEVELOPMENT TYPE: ~L i.e./.:? ~~..v-<r P.-f!L<r~S r~/~--= BUILDING SIZE: /cx/sr. LOT SIZE SQ. Ft. 2. SANITARY SEWER-CITY .,' . NO. OF PFU'S .-:;~ X 539. 78 PER PFU . ~(See Reverse To Determine Total PFU'S) 5 =N~ 7. 9t::> 3. TRANSPORTATION 093% ) ...- NO OF UNITS X TRIP RATE X COST PER TRIP X X X S401. 05 X S40t.05 5 S X . X S401.05 S (See Attachment C To Determine Trip Rates) SUBTOTAL (ADD ITEMS 1,2, & 3) S . '-- - -"-- .~-. 4.'"' Aor~INISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 TOTAL-CITY SDC L~~'~'54.70 s"Z2?7.~ 5. CRED ITS _~___'''_ - 0.- __ IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: TO!AL-CITY SDC X (50%L= ADJUSTED CITY SDC VLl/A.Ui" --- -. ~----~ 6. SANITARY-SEWER-MWMC NO. OF PFU'S x S13.62 PER PFU + S10 MWMC ADMIN. FEE S (Use'PFU'Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) S /2. '/; ~- ~R~,;z> Kip1lurdicK ;', . SDC Coordinator TOTIl.L-t.nmc SDC 5 1/4. TOTAL SDC S .// Y.B.~~ FixrURE-UNiT'CAlCULAD.ON TABLE: Number of New Fixtures X Unit Equivalent = FixtureUnits (NOTE:' - For remOdels: calculate only the ~Itional fixtures) . . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub............................... ................. .......... :........... Drinking Fountain...........................,......................... Floor, Drain....,..,.. ...:...................... ,...........:................ Interceptors For Grease/Oil/Solids/Etc.....:........... interceptors ror Sand/Auto Wash/Ete.................. Laund ry Tub /Clotheswasher................................... Ctotheswasher - 3 Or More..................................... lyii5oiie:-i'iome ParK Trap (Her Tiailerf....::.:.::..::..' iieeepto[ ror nefrigerator /Watei Station/cte........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stail.......... .................................... ... ~nCl~'~r ,- Gang... ....~...... :............ ...... ..... ..... ............. Sink; Bar, Commercia!................,.........'................... U rina~'Stall iN ail.........: c:....... c.................................... wasJi B?~in /Lavatory,-..Singl.e......... ......................... Watecqoset, ?,ublic Instailation.................:.....:..... \~/Qte~qoS;t. er;vatl:,,~~-;~: ..-.,:...:-....... .:. ,-:,. :~. '"., ~..~:s:e!!ar1e-o:.:s:.- -- I 2 '1 2 3 6 2 6 6 1 3 2 1/i-iead 2..., 2 1 6P+ - 2. lJI/ I'fIL III -;z.~ ffl! 11// .c; -,4 . - -- +- - . ~~- - ~---- .. ' . TOTAL FIXTURE UNITS ~ ~ LJ/1F4' T)I:'P~ , ~,~, :5'h'~ /9:-.... '. '2' -:z. . . 7p../~L . ~ CREDIT CALCULATIONTABLE: BaSed-on assessed value. if impr'overrllints oceurred'after anrexation date in table. ~ ',' ~- - ---. . calculate credits separates. . _:'-:_,-.' -Year=-:-- Annexed ~ _ , Rate per $1,000 Assessed Value Year Annexed Rate per $1.000 ;. Assessed Value. . ' 1979 or before . - 1980- . 1981 . . -1982- 1983 1984 .. $2.83 - 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 .. ., ~ - - -,-,,-:- --,,"""-.- -~.. ---==-'-- - -- - - ~ ----"'- - - .' --- .,'. ~ Credit foi Pal.C:e(or land Only If Applieablit. , =-:-+ + .~ .. . x $" = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ . Improvement (If after annexation date) o , . RUNOFF COEFFICIENTS FOR STORM DRAINAGE . . Residential........................................................ 0.4 Commercial..... ..... ............ ...............,...... .......... 0.9 Industrial.........................................' .................. -0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT