HomeMy WebLinkAboutPermit Building 1995-7-27
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COM MER C I A L II N D.U ST R I A L
PERMIT APPLICATION
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,.. JOB NUMBER 9~0765
INSPECTION LINE: 726-3769
OFFICE: 726-3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: ~8::::>5 - 58/9 A .:s/~/<!:.
. /7..tf?2.'33.97'
ASSESSORS MAP: 17~--'3 y. '3 "3
OWNER:
ADDRESS:
~"" C. C:;;:~~y..(;;;e.
J~ 7"9 ~>>~y ~~.
C;~~~
CITY:
~'~Er _
~/c:lI3~~~/
. TAX LOT: ~/~~
PHONE: t!::.~ <S7i!tYE A"~~
7Y"-~'3r -
STATE:
t&'7? ~ ZIP: 97'j/~ y
DESCRIPTION OF WORK: $~ ~?%C~ ~/,~~ ~~~, f ~7:!F~~~~~Y"C,,-.()
NEW X. REMODEL __ ADDITION DEMOLISH OTHER VALUE:
. NAME . ADDRESS PHONE
ARCHITECT:~~~~~~.N ~~ ?~;.."'7~~. 7%-e:>~"3?
CONST.
CONTRACTOR'S NAM. E ~~~~~~...~Sr".9~... CONTRACTOR II EXPIRES PHONE
GENERAL:A?~ .~.J9'"C,- ~".?'~~~ / .&;:J/~~. /-:/6 -9/ {~~J2..;:lk!D~-=,..t'" /--=:;
PLUMBING:
MECHANICAL:
ELECTRICAL:
I
I NO.
1'Z?6 Single Fixture
I
I
I
I
I
I
I
I
I
I
I TOTAL PERMIT
I
FEE CHARGE I
~~.~ ~~~~
I
PLUMBING
Relocated Bldg, -
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
I
I I
I I
I I
I I
I I
~$"~ I
MECHANICAL
NO
1,?::2
I
I ~'7
I
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate ~~~5
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
~.2
Permit Issuance
TOTAL PERMIT
I
~~~ r.HAI=lr.~ I
I
I
I
I
'?- ~ ?b..e> I
I~~ /92.-
I I
I ~ ~ /Y't'. _0 I
I I
$10.00 I
~. 061
HANDICAP ACCESS:_~~ .14/~N'~
FLOOD PLAIN:
QUAD AREA:
t.f R. ?E
S
;7?-/
:2
- OFFICE USE -
. LAND USE: //"*:3~
II OF UNITS: ----=? 2-
CONSTR. TYPE: ~-.A:/
HEAT SOURCE: E'L.~ If4~L
II OF BLDGS:
OCCY GROUP:
II OF STORIES:
SQ. FT.
SQ. FTG MAIN ~,?~
SQ. FTG ACCESS
SQ. FTG OTHER ~W~
$/SQ. FT.
X ~_VO
X
X
PLAN CHECK FEE /S'9~. "S
RCPTII /75'~2.
I BUILDING PERMIT 'Z'/~~-.
5% State ""'5 / ~*, yS'
Surcharqe ~ . '?fl. y?
MECH6l:JJCAL/?~ /i? 4lIO
~~r. tI~,--
15% Stat.e 1";51 --::Z/.~~
Surcharqe -n /':2.~
~VING plx'~I::<,S/~ c>..
~~t:>
. PLUMBING
5% State t~'
SurCharge rq
I FENCE il.'~~"
VALUE $ /Z~~
I SIDEWALK I
'"=3/~ FT.
. I CURBClJ~ FT. I.
ZONING:
M~~
LIGHTING POWER BUDGET: /JI.J'/'
WATER HEATER: E'L~C.7:"
VALUE
_~~2.4'~.:::2~~
&j /,. 9t?.d>. --
TOTAL VALUE OF PROJECL( ~5" /?~" y'~
DATE -;>..:?c,t'....~~ BY ZJ L ~
-:::z~~. ~ DEMOLITION I
/~8,~ j
~~.~ .
-?:-e> I
. ., SUBTOTAL I I
~t6 .;Se::> PERMITS . ~ ':ti'/y;~g
~.2b l~~~~~-~~MENT I ''1'~%"2.~
. m~~~AfC""'~ 2$"S" y ,cs-e
I
. "
TOTAL PERMIT .FEES
EXCLUDING ELECTRICAL
~~/.gy
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 setu p of forms.
!;.-
UNDERSLAB PLUMBING,
. ELECTRICAL & .
MECHANICAL: To be made
before any work Is cov'ered.
FOOTINGS & FOUNDATIONS:
To' be made after trenches are
excavated and forms are
erec'ted, all steel in place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all Inslab building
stlrvlce equ I pment, cond uit,
pi pi ng, accessories. and other
ancillary equipment Items are
In place but before any
concrete Is placed.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlc'als In accordance with
UBC 2415:
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
REQUIRED INSPECTIONS
.x
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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.
,
SPECIAL INSPECTIONS: In accordance
"Section 306 of the State Specialty Code
a ~pecial inspector shall be employed
by the Owner! Contractor during
construction of th.e following work. A
copy of the special testing reports shall
be furnished to the Building Division.
I
;Y'
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framl ng 'Inspection.'
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
/
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.
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.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
STRUCTURAL WELDS:
Performed on. the job. (2722 f)
~
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
.a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
yo
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
y
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).
LATH AND/OR'GYP,S.UM
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.
STRUCTURAL MASONRY: (306
a.7)
-~
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
con$truction work to ensure
compliance with the Building,
City or Development Code.
y
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
X FINAL PLUMBING
,
-------------------------------------------------------
x
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
'requestlng this inspection.
X . 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
.A" FINAL FIRE DEPARTMENT .," and posted on the premises.
ADDITIONAL COMMENTS: p~ L #~-,,?~y. ~/ ~~~-'-rl"t.""'i'jlF~Z .r~ez.~ ""'-b..~~
,4-'1T:9~~~..~~~;:Q-,.!/.9~ .
~ FINAL ELECTRICAL
IX
" "
FINAL MECHANICAL
--, ..-. ._~.
PLANS REVIEWED BY ./b~ ~-:d~ATE' 7~9~
,/ // -( -- ,,"_ r~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thi'it 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 describe<;J herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Division. I further certify that oRly contractors and employees
who are in compliance with ORS 701.055 will be used on this project. . .
I further agre'e 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 front of the property, and the approved set of plans will remain on the site at all
ti~e' d",ln~"UCtlon.,,) 0 . . .,. .' . ~ .
Signature (;1~ c.-...-/~~~_-___ Date ~ ?7/ 7 )
VALIDATION:
AMOUNT RECEIVED: 6;~031. S C/
RECEIPT II: /.$'7/90
DATE PAID:
RECEiVED BY:
7"'3?..9~
/7~ -
//~
., ," ,~ ,'" r., .~..;. ;... .\,.
.1
r
/'
I. .0...'
~ JUL-~9-95 WED 11:33
\.
20. ~3723
P.02
. ,
The following project as ~ubmitted has tM;ollowing ~"
zoning and does not require speciflc.'nd ."
225 FIFTH STREE'r approv'al. . a lff.EcrRICAL PERMIT APPLICATION
SPRINGFIELD" OREGON 97477 .
INSPECTION REQUEST: 726-3769 ZonlnP
Oi-'PICE: 726-3759 . ,Date
City Job Number qf~1J '1~ >'
" ' I
3. "COHPLEre FEE SCHEDULE BELO\1
Authorized Signature
1. LOCATION OF INSTALLATION
~~I)'5 -13 .4$m< s r,
A. Nev Residential-Single or
Hulti-Family:,.'pcer dw~lling uni t.
Service Included:
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ I Installation, Alterations or
Elect~'lcal contrac.t;;~T--R~~~1 Nt... Reloeationt
Addl:ess!..fO"/ {'\w --7tQih. s:tA.JI_--',.~ 200 amps or less
\/ i r .... .. 201 amps to 1.00 amps
CitY}Jw.lDf\ C'/B.6<4*lone {31ctL.'6Y)4:rICl..ob LiOl amps to 600 amps
.---.(], 601 amps to 1000 amps
Supervisor License Number ~l ()CJ~ Over 1000 amps/volts
I 0 J , 111. ~ -- Reconnect Only
ExpiL'ation Date ....., ..;;:.
C Temporary S~rvices or Feeders
,3/ ".32Y-lC' J . Installation, Alteration or Relocation
10 It ! 9 ~
, LEGAL DESCRIPTION I
/702. ~.'3. 44 tJ6J/03 (002~1
17(92. 3t:f 33 ' 00102..
JOB DESCRIPTION .
~2 tb/rs" (7~L)W~ tJelf.J
Permits are non-transferable and expire
if work is no t. started lIT1 thin 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
Constr Contr. Number
.Expiration Date
Items
Cost
Sum
$ 85,00
$ 15.00
$ 40.00
S 50,00
$ 60,00
$100.00
$130.00
$300,00
$ /jO.OO
200 amps or less ~ $ 40,00 2$,1')
201 amps to 400 a,!\ps I $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Si1'reO;fc Supervising Electdd:m
. . ~ ~L"1'L/ JJ-.." ~ ~(J
Owners Name Raw C:;A'~ L/,(1.
., 7 ... . - /
Address. /_~ 79 St.lQ~~ ~A'.
- - .,...-.. I .
Ci ty . .~6Y~. Phone%7:1'~ -IJP 37
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
O\lNER INSTALLATION,
$ 35.00
$ 2.00
The .installation is being made on E. Miscellaneous (Service/feeder hot included)
property I ovn ~hich i ot. intended -Each installation .
for sale, lease or re t. . 4; ,~p~lfnp or iuigation
'-,_ (7 Sign/Outline Lighting
O~ers S' ature: , .c:r'" Cl Limited En~rgy/Res
~~ /J ~ Limited Energy/Comm
r?hAw"-l ~ .
~AT~~~-------~~~~~------------- 5. ~~~~;~; ~~r~~~~e
RECEIPT I: ' ( (/s;;~_<r..r r- ..Jl1U.~ 6 d)"
RECEIVED DY: /r:~
$ 40.00
$ 40,00
$ 20.00
$ 36.00
:2-So~
J~ot:)
c;b, 9'b
382~ ~
, NO. Q607(o5
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: ~y C, &fVtY :TR.. .f
rraz-?'3+4 -- 00 lo~q '2--01
LOCATION: 5805-'5~r~ As-re!Z. S...,.. 17tJz-;4?? - 00(0'2--
DEVELOPMENT TYPE: M o!Z - '? Z. VN (r s (C6 EE-A. A.. - Pu::.x A-Pi~ ')
~
BUILDING SIZE: LOT SIZE SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. 4-7..,'1:/ 5, X $0.209 PER SQ. FT. ~~.,~
2. SANITARY SEWER-CITY
NO. OF PFU'S E?1'2- X $43.26 PER PFU E-.c,\~
(See Reverse)
3. TRANSPORTATION
c.oP~ '20--2-\ - \.-Owte,\$E. ^P1. :. 0,68/ DWE:.t.-l-\t..1t- U~ ,,.
NO OF UNITS X TRIP RATE X COST PER TRIP
?J2 X C),I?e. X $436.19
X
X
4. SANITARY SEWER-MWMC
NO. OF PFU'S ?t~ x $17.19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total From Item 2 Above)
X $436.19
X $436.19
00~0J
$
$
$ Bf2> \ \ 'l-..!
TOTAL-MWMC SDC
$ ??4- 55
~
'--- .--/
$ 4-1 ~"4-1~
,
MWMC ,CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE)
1-: ,,~Lck-
. . - 0 Kip Burdick
SDC Coordinator
X .05
Date: 5/Zfo/QS
I /
'IOTAL SDC
G2?/~~
'-. ~
.$ ~c)?2~
. .
. . . ".' ".' ".....: '_,' _ . .... ""'-:". :~.::. <~'..:".\:i~i,~~:'.i.~~-'"~_.tT;~~:""">-:.P';',-~"'''r.. ~
FIXTURE uNtT .CALCULA TION TABLE: Number of New Fixtures YUnit Equival~nt":": 'Fi~~~~~Uriit~'"
,.- ,...... _ . , " .', _' ~,'O- ,,-, .
(NOTE: For remodels: calc~late only tht [additional fixturesl . .,' . .''';;'.::." .' .... .
NUMBER OF UNIT FIXTURE ,.
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
(,4. .
l,4-
2
1
2
3
6
-2
6
6'
1
3,
2
1/Head
2
2
1
6
4
lD+
Bathtub.......... ....................... ............. .... .......... ..........
Drinking Fountain. ............ ....... ...,... .......... ................
Floor Drain..... .........- -... -....... "-'" .......--. --.. .... ........ .....
Interceptors For Grease/OiI/Solids/Etc...... -..........
Interceptors 'For Sand/Auto W ash/Etc..................
Laundry Tub/Clotheswasher:.. ..,........ - -.' -.-..... ..,~.. ...: '-.'
Clotheswasher - 3 Or More.._.......~._.._........:~.:..~......-..
Mobile Home Park Trap (1 PerTrailer)_...._...~....:...
Receptor For Refrigerator/VVater Station/Etc..,......
Receptor For Commercial Sink/DiShwasherlEtc.. .~
Shower, Single StalL............. ............ .......................
Shower, Gang .......................................... ..... .,. .~.......
Sink: Bar, Commercial, Residential Kitchen........................
Urinal. Stall/VV (111.......................... ...................... .........
Wash Basin/Lavatory, Sin.gle.........._. ..... .................
Toilet, Public Installation..... .......... ............... ...... -.,
Toilet, Private.._........... ................................... .......
Miscellaneous:
~'2.-
-;1..
G,4
" ,'. :
::;-z.
(,,4
~4-
"Z.?'=:.
TOTAL f=IXTURE UNITS
'?\~
CREDIT CALCULATION TABLE: Based on assessed value'. If i~proJe;nents.occurredafter annexation'date:intable,
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
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)
~,4-fo X $ q~.(Pq
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
??4- ?IS
Credit for Parcel'or Land Only If Applicable
CREDIT TOTAL
= $ 3~4 ~
'. ,