HomeMy WebLinkAboutPermit Building 1998-5-20
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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 ~
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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
.
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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: