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HomeMy WebLinkAboutPermit Building 1998-5-20 il_ _ _::to ~ =l1'~ Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 980456 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed work: 840 BELTLINE RD Assessors Map #: 17031500 Tax Lot #: 02401 Owner: SYCAN B CORP Address: 3405 BALDY VIEW LANE Phone #: 746-8444 City/State/Zip: SPRINGFIELD, OREGON 97477 Description Of Work: TENANT INFILL REMODEL Value: 0.00 Contractor Const. Contractor # Expires Phone General: OWNER Electrical: HARVEY & SON 4680 MAIN ST SPRINGFIELD INFINITY ELECT. 23322 NE RAWSON RD BRUSH 0055682 OR 9747860 0036288 PRARIE WA 02/26/99 746-7677 Mechanical: 07/03/98 604-8483 --- MECHANICAL --- No. Fee Charge 15.00 10.00 Furnace/burner & vent < 1000,000 BTUs Permit Issuance TOTAL PERMIT 25.00 HANDICAP ACCESS: Y -- OFFICE USE QUAD AREA: 1CNW LAND USE: 5300 Item COMPLETE LEASE SPACE ." ~~ ~'!.~/I' Square Feet 858 x $/Square Feet Value 17,500.00 TOTAL VALUE OF PROJECT 17,500.00 BUILDING SurCharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin PLAN REVIEW FEE CITY SDC FEES NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 128.50 10.29 25.00 1. 20 0.00 0.00 83.53 1,022.40 SUBTOTAL PERMITS 1,270.92 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 1,270.92 ~ SPR'NGFOELD ~ ___..>>..(-- . '. ""r(h'Lrj3/~I~.Jr(!1t.Jj'. ~~ . . /' Job Number: 980456 Page 2 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. 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. Special Inspections: In accordance with a special inspector shall be employed by construction of any following "*" work. shall be furnished to Building Safety. Section 306 of the State Specialty Code the Owner/Contractor during A copy of the special testing reports In addition to the inspections specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover INSUL-V.B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT DRYWALL - Prior to taping. CEILING GRID FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL/SUB FINAL FIRE - When all Fire Department requirements have been met. been met. FINAL BUILDING - When all required inspections have been approved and the building is complete. --- ADDITIONAL COMMENTS --- Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 04/29/98 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon 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 Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proje~t. I further agree to ensure proper time, that project permit card is locatep at of plans will remain on t '. --.::::::;1 . '" :: ;? ~~~;g~ inspections are requested at the le from the street, that the e property, and the approved set times during constru~~ Da~ ./' .... " .. SPRINGFIELD~. ~ ~ ~lb!l!iil.:i~]r711.,JjJ!J4 Job Number: 980456 Receipt Number: Date Paid: Amount Received: Received By: --- VALIDATION 02Cl9'1t 51 2-d / r1 . I ??r-~ 72" : N w;j Page 3 I ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE' WORKSHEET NAME OR COMPANY: ~vt:' ~t.+. If / LOCATION: 6m k/I-/;A&~ ~/kr2/6 DEVELOPMENT TYPE: Oft'ce - '~~~'t{-- .r;.,;:;'11 s:~/~ J rf;c:I/y/ /h 5 OUlLDWS- SIZE: =; / tj LOT SIZE o J.:-/!. ; c. e 1. STORM DRAINAGE - A0 M--u H&1.- IMPERVIOUS SQ. FT. X $0,226 PER SQ, FT. $ <"g-- , . 2. SANITARY SEWER-CITY ~ M A!e-eJ rh)dt(/e5 --- u'i.e ~;/.)?f )/j I v (ytZ- ~vf/'oO#1S' ~/? ~ . j:~or NO. OF PFU 'S.. X $46.86 PER PFU $.eJ- (See Reverse Side) SQ. Ft. 3. TRANSPORTATION b~~1 OM'Ce -NO OF UNITS X TRIP RATE X COST PER TRIP I ?j,;( x ,::1_,;L/ X $472.49 $ ?r7 j 2L X X $472.49 $ X X $472.49 $ 4. ,SANITARY SEWER-MWMC -" ~. A J . //J/~ s4R// ~ ~y ~/;UT}/ .- NO. OF FEU'S , X PER FEU + $10 MWMC/ADM FEE $ .~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC ~ $ --.:--- 71 $ '973- SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05' $ rg fZ- /V/L- VVt.-L-L ,/1 sDC{do~nator Date: <//;,,1# tJ jLIfJ TOiAL SDC $~(?~:Z ~ / . AT CALCUL.l\T)ON TABLE: Number of New Fixtu' . fc1els, calculate only'. "'~ET additional fixtures) . / . ' NUMBER ,OF /PE . NEW FIXTURES ~ /.........,.:'" '....'....................'...;........'.:.....'.. ..... 1:.. J'9-- Fo.untaln..., ..,......................."..... ...;..,.,....,.. Fl........ /rD . ' . 001 rain.....,......,.",.............................,..."....."..... Interceptors For GreaseJOil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher ,...... ,.....: .... ....... ..... ...,. Cldtheswasher - 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.............. .,......... Urin'al, Stall/Wall",.... ,......................,..,... ..'...,............, Wash Basin/Lavatory,' Single..:.,....:............n...,.,.,., Toilet, Public Installation,;. ................,........ ......"..., Toilet '" Private..-............,.""....... ~..... .,..................... Miscellaneous: .: I X Unit Equivalent == Fixture Units UNIT EOUIV ALENT FIXTURE UNITS 2 1 2 3 6 2' '6 6 1 3 2 1JHead 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. It improvements occurred after annexation 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 1985 1986 $3.97 3.89 3.83 3,70 3.55 3.39 3.20 2.91 1987. 1988 1989 1990 1991 1992 1~93' 1994. 1995' 1996. $2,56 2.17 1.73 1.31 0.92 0.74 . 0.61 0.45. 0.31 0.17 Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ (Hate XAssessed Value) = .' Improvement (if after anne.xation date) . '. . CREDIT TOTAL. $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) . Residential...;..;................;... 0:4 Commerical...........:,.. .......... 0.9 IndustriaL..:.;.............:........ '05 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL lOT S'IZE X RUNOFF COEFFICIENT CO M M ERCIAL/I N D U STRIAL PERMIT APPLICATION SPRINGFIELD 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ~~ :13~L-..('~~,~... ASSESSORS MAP:' j? ,o3"y.5'-~ ' INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: ~?~t::>~ 'OWNER: 7;V~ ?? ~~ . ADDRESS: ~1/~ {~C/>,Y JY~ ~, ~~~/?_ STATE: a.:2> & , ~ ~ ? 7--"] DESCRI~~I~N OF WORK: ~~~ ?~. ~A??~j,~~ ~ NEW REMODEL ADDITION DEMOLISH, OTHER PHONE: ,'7.~~y , I CITY: ZIP: 9-;;V:::>::> ?/ ~ ~~~-.. , , - - - - VALUE: NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME ADm')TlCE: CO NST. CONTRACTOR II EXPIRES PHONE GENERAL' PLUMBING' MECHANICAL: ELECTRIQAL: 7;.:i3 Pef'lrvll'i 5iiA~i. i:XPII1t: 11- I HE WORK A~r; IOniZeD ur~[jcn THIS Fi:MiviiT iB NUl CtYvlMENCED on IS ABANDONeEi rul1 AMV 1 ~n [ll\Y p=~IC~. CHARGE 'I I NO I I I Floor furnace and vent I Suspended wall or floor mounted unit heater I Appliance Vent separate I Stationaryevap. c,Ooler I Vent Fan/Single duct I Vent System apart from AC or htg. I Mechanical exhaust hood and duct I f ~~7?/~...~~~~ /~. I Permit Issuance $10.00 I TOTAL PERMIT MECHANICAL PLUMBING NO. I FEE 1=1=1= r.HARGE Single Fixture Relocated Bldg. (new fix. addtll Water Service Furnace/burner & vent <100,000 BTUs Furnace/burner & vent > 100,000 BTUs ft. Sanitary Sewer ft. Storm Sewer ft. . Backflow Device .... TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN: ZONING: . LIGHTING POWER BUDGET: WATER HEATER' QUAD AREA: II OF BLDGS: LAND USE: II OF UNITS' II OF STORIES: CONSTR. TYPE' HEAT SOURCE' OCCY GROUP: SQ. FT. $/SQ. FT. VALUE SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER X X X TOTAL VALUE OF PROJECT PLAN CHECK FEE RCPTII DATF BY I BUILDING PERMIT "15% State SurcharQe I MEC~~~~-? 15% State . C .~~~, SurcharQe . ,..~ I PAVING PLUMBING DEMOLITION /.0 . -- ;/.~. ~ . ~ .?~, . f.,/':':J '. 5% State Surcharge . FENCE VALUE.$ SIDEWALK ',. -".,' FT: , , ., _...I SUBTOTAL . . ,PERMITS' '..,- ',"h SYSTEMS I DEVELOPMENT CURBCUT FT. I J ~; ',~ ~. TOTAL PERMIT FEES EXCLUDING ELECTRICAl ~6.:<~ . , .;'\ . ~~. :~: ~~- / REQUIRED INSPECTIONS .' onsibillty of the permit holder to see that all ,Inspections are made at the proper tline. To request an insp:ction, call /~9rder), state your City designated jOb number,lob address, type o.f inspection requested and w~en you w~" be ready !ion. Requests received before 7:00 a.m. will be made the same working day, requests made after 7.00 a,m. will be made ling work day. / . ~ l SITE INSPECTION: To be , made after excavation, but prior to setup of forms. ..k' ROUGH PLUMBING, ELECT~ICAL & ~CI:LANIr.&\'l:lI No work is to be covered until these inspections have been made ~ approved. .L' ~ OVtt?H c..;r;r ./ A TIC DRAFT STOPS & CURTAIN WALLS PAVING: After gravel is in place but prior to placing, asphalt or concrete, UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To" be made ; before any work is covered. 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 Owner! Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division, )t' 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. FRAMING: To be made after the roof, all frami ng, fi re 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) STRUCTURAL WELDS: Performed on the job. (2722 f) INSULATION & VApOR; .' ',', . BARRIER: To be made after all UND~RGROUND: Plumbln~h:1 rt, ~:1LI-r::t\ :J<i,9~41~t~on;~ndrr;equir~d,:ya;por electrical, gas, sanitary sewer!'~ - I t ""barriers are in place but sto~m sewer, water and Tr)~,\ PI T!Mr'n~~ e.~VRr~'i[Qy"I!!th:9'r;:9y'psufrit'. drainage lines. To be made \, ~ board interior wall covering is prior to covering or filling f1C':! (PV:C!Capplied:~: {to ~ . '<}\'!~j:<,';"':' \.\ trenches, . -, '.'.,.. ' " , FIRE. &, SEPAR'ATioN" wAlL: Located and constructed according to plans. ' HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.G. 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.11 & Chapter 29) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of decking or floor sheathing. 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.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) MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. 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 construction work to ensure compliance with the Building, City or Development Code. ROOF SHEATHING AND NAILING: Prior 'to installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. -------------------------------------------------------:.- 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, FINAL ELECTRICAL )( FINAL MECHANIC~ ~~ /' ~/#/?~r~nr/CF~ FINAL FIRE DEPARTMENT ADDITIONAL COMMENT~' 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. PLANS REVIEWED BY DATE: VALIDATION: 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 ORS 701.055 will be used on thi project. I further agree to ensure that all required Inspec' ns are te at the proper time, that project address is readable' from the street, that the permit card is located at J.h ant f e ~~he approved set af plans will remain on the site at all ::::,:;cors"uctlon> ~ d~/?f~ Da'e J~$ ~ ~,' /' /' z,..t, uJ DATE PAID: U. w sl>>/cr9' ~ tV Pvc// . AMOUNT RECEIVED: RECEIPT #: RECEIVED BY: