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Home My WebLink AboutPermit Building 1994-4-27 COMMERCIALIINDUSTRIAL SPRINGFIELD JOB NUMBER C\4D3 ~ PERMIT APPLICATION . ~ INSPECTION LINE: 726-3769 225 Fifth Street" Springfield, Oregon 974-77 _ ~ OFFICE: 726-3759 LOCATION OF PROPOSED WORK:' q~ ~1:.)d.\.~~)~_ _ ASSESSORS ~AP: .\'l ()~ \SCX) TAX LOT: CB.~m - - (~)=-If5t") T OWNER: ,l)\_~~J)i\ ~ ~~ ~ Un.. PHONE: ADDRESS eAos UdfW ~ \''')W D \.:;'1 ~ n t---- CITy:~~)l-C(\~t000MJ. - STATE: ((J)tQ ~CJr\ DESCRIPT-ION OF WORK:~~J'\\\\Ylffi \~~D{'L~t~_^\\,':l' N~W ><:' REMODEL ADDITION DEMOLISH OTHER ZIP: ql4tl 5'D//S~-:'GU VALUE:2:?J-ffl' ). v )- NAME ADDRESS ARCHITECT: \\n. f\~fA\. f;t1S1J\rjJ~\j~\~ PHONE t1Ql().~qn ,- - CONS~ . CONTRACTOR'S NAME .. ~DDRESS CONT.RACTOR # EXPIRES . PHONE ~.... ~,~K 5l&~ GENERAL:~/~~~4 ~~.~~; Y/~,_ $?-:z./...~ 3'~;:>-y'~<- PLUMBING:~H~~~} 7t~_ .-. . . .. MECHANICAL~~~ ^ ELECTRICAL:A~ ~ ~ . I NO. I ,&t I I I , I I .1 I I vi -~ " I "".I T--"._ I I PLUMBING FEE CHARGE Single Fixture Relocated Bldg: (new fix. addtl) Water Service I~o ft. Sanitary Sewer <!::::> tJ . . . ~ T ft. Storm Sewer _ -:;~7' ft. /t) ? Y't? 5S- y~_. /~~ /C::> Backflow Device I I I'5Y~ I TOTAL PERMIT MECHANICAL J Nn ~F=F= r.HARr::F= I 1"-- Furnace/burner & vent 6 /8. t$>b I < 100,000 BTUs I / Furnace/burner & vent --? SC) 7.~ >100,000 BTUs MA~ , Floor furnace and vent r I I Suspended wall or floor j mounted unit heater "' I Appliance Vent I - separate I I Stationary evap_ cooler I 2 I Vent Fan/Single "'3 6. d>~ duct I Vent System apart I I from AC or htg. -'I I Mechanical exhaust 7(~1 IB~ 6C> hood and duct I I I I I Permit Issuance $10.00 I TOTAL PERMIT L/9,S~ I QUAD AREA: \ ~"'-)\ ;:) # OF BLDGS- \ -.... OCCY GRoup:~3-- -:--~_-':- # OF STORIES: , LAND USE: - OFFICE USE - ~)~. FLOOD PLAIN: HANDICAP ACCESS: ZONING: ~ # OF UNITS: CONSTR. TYPE: ~.A/ HEATSOURCE:~ ,1<7? SQ. FTG MAIN SQ. F~ 39/_~ x $/SQ. FT. SQ. FTG ACCESS X SQ.FTG OTHER ?#y~ /,/ ~~. h~, ~ CH~C~ \rfrC().~ RCPP 'L.IC ~' --:7 ~ .I. _ .s.. , ,. ,- l )qC\lr I BUILDING PERMIT . I 150(0 State I Surcharge I MECH.AM,IQAL/~" ~VJ/ )I"- 15% State' . Surcharge I PAVING / /~'3...S-e:::> s-S: /8- f.t:;} ---e. V-=7: "'-'0 "2, 'Ie I PLUMBING 15% State Surcharge I FENCE VAllIF$ SIDEWALK ..a 7-/1;) F~ CURBCUT 7 , l./ F~ LIGHTING POWER BUDGET: WATER HEATER' VALUE ~9?, ~?--'~ - #" ~ J -, ~ ?~5":l7a DEM;:L1TION_~ .. I'"i ; . '27:2'5'~. ~~7;.6~~?V9-~.~~ . ..~ . 68-7,:/ ~/ 53. 50 ~ERMITS . I 18 ~"'5. Y-.6 1/. ~s-I ~~t~~~~MENT 1~3, Il\O~ -tfl ~~ 7/&:J ~ ~c;t::: ~/f'eP.}?,,~cac<: . I /?>t~~ TOTAL VALUE OF PROJECT -~.. ?~ , DATE\~. \R~ - -- By~L[j~ TOTAL PERMIT FEES EXC LUDI NG.);LECTRICAL . ~~c:/-' I ' ~Q ,. '" "z.~ ~~ """",ro; .- //,~~.Y~ 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 b-efore 7:00 a.m. will be made the s-ame 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 covered. x FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. / CONCRETE SLAB: To be made afte'r all inslab building service equipment, conduit, pi pi ng, accessories and other ancillary equipment items are in place but before any concrete is placed. y 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 verticals in accordance with UBC 2415. REQUIRED INSPECTIONS x x PAVING: After gravel is in place but prior to placing asphalt or concrete. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. 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. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing inspection. XI' STRUCTURAL CONCRETE: In excess of 2500 PS.1. (306 a.1) 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. HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) STRUCTURAL WELDS: Performed on the 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. - SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a_11 & Chapter 29) SPRAYED ON FIREPROOFING: U.B.G. Standards 43-8. 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 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. 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. ,/ ,,( . \ 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_ 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 this project. . Date ^I /~ 7 lCiCf t L ~-2/~c;J~ ~~~ -;p'/- VALIDATION: AMOUNT RECEIVED: I? 8~ ~ RECEIPT #: /2.5'tt::) ~ DATE PAID: RECEIVED BY: -" COMMERCIAL/INDUSTRIAL SPRINGFIELD :~:;~~:t~:~;~:~:~~,~'egOn 9,477" ~ .' LOCATION OF PROPOS-ED WORK: q(X) ~ ~ ~ X, ASSESSORS MAP: \\'\[')-:\ \~CfJ ~ ...., '-' JOB NUMBER C11D0CfS INSPECTION LINE: 726-3769 (\0 O~F&~. TAX LOT: r-\-.....~ - - (~~'~(_~/J OWNER:. \.~9-n-,~') ,--.t~ l/~~C\/ . ADDRESS:~~LVl(J>~\. ~(lS}C\ q V~ \')~.L;) C\Cino - CITy~l\) f\~O~N l\ STATE fOJ\ ~(}I(), DESCRIPTION OF WORK: y.J:::::'l). J\J'\,(); . NEW \.fJ REMODEL ADDITION (JEMOLlSH' NAME ADDRESS PHONF" ZIP: q 1<\ () (1 OTHER VALUE: I ()qj Crr> PHONE ARCHITECT: CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR # EXPIRES PHONE GENERAL' PLUMBING: MECHANICAL: ELECTRICAL: NO. FEE CHARGE NO MECHANICAL I FFF ) r,I-lAJ:lrj I I I I I I I I I PLUMBING , . Single Fixture Relocated Bldg. (new fix. addtl) Water Service Furnace/ burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs ft. Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Sanitary Sewer ft. I Storm Sewer I Backflow Device I I ft. I. Permit Issuance $10.00 TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: QUAD AREA: LAND USF' FLOOD PLAIN: # OF SLOGS' # OF UNITS: ZONING: LIGHTING POWER BUDGET: ." OCCY GROUP: CONSTR. TYPE: HEAT SOURCE' WATER HEATER: # OF STORIES: SQ. FT. $/SQ. FT. VALUE SQ. FTG MAIN X :: :~: :~::~"- )'~~;S~T\)_' ~l)in.) omw) - - - ~~ TOTAL VALUE OF PROJECT 101-)000 PLAN CHECK FFI= RCPT# DATF BY I BUILDING PERMIT 15% State Surcharge . MECHANICAL PLUMBING FT. DE~OLlTI~N I ~~tL_ I I~LCJl SUBTOTAL I PERMITS SYSTEMS I I DEVELOPMENT . LoH,r;4 J 5% State Surcharqe I PAVING. 5% State Surcharge FENCE VALUE $ -- SIDEWALK , '\^\~ ~ I CURBCUT FT.. TOTAL PERMIT FEES EXCLUDING ELECTRICAl ~)D. 71 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, reqyuests made after 7:00 a.m. will be made the following work day. '. SITE INSPECTION: To be ROUGH PLUMBING, . PAVING: After gravel is in made after excavation, but ELECTRICAL & place but prior to placing prior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these inspections have been made and approved. 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. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. ATTIC DRAFT STOPS & CURTAIN WALLS 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 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) STRUCTURAL WELDS: Performed on the job. (2722 f) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made pri or to coveri ng or fi II i ng 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 covering is applied. ... HIGH STRENGTH BOLTING: During all bolt-installation and ti ghteni ng operations_ (306 a.6) SPRAYED ON FIREPROOFING: U.BC. 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 & Ch.apter 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 fi nished. 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. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. .In addition to the inspec. tions s.pecified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code_ FINAL ELECTRICAL 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 PLUMBING '. FINAL MECHANICAL 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 FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVI EWED BY DATF 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 this project. I further agree 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 times during construction. Signature Date VALIDATION: AMOUNT RECEIVED: 5/~? y J2~::<cj RECEIPT #: DATE PAID: _"5'-'5""'9" RECEIVED BY: ~~- '" ~~ t-' " ~,} )8 NO. gc...(o~55 CITY OF SPRINGFIELD SYSTEMS DEVElOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: '::JYC"\/,-! b Lo~fi LOCATION: 900 1~=)f:--L-1 LlWE:- RD . I' o~ ,SO() - 0'2.1.+00/0'2.50\ DEVELOPMENT TYPE: C-c..: w..t&H \UR-"-lo\l~t<eSTAURA~ -r ('54A~1 5') BUILDING SIZE: ':?9 0 q So... ,~-r . LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. :;,2-q'2..'t- X $0.203 PER SQ. FT. z(Z~B?~ "-- ~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 4~ X $42.08 PER PFU ~B09~ ~l ~. 3. TRANSPORTATION CoPE- ~32.-(.l.I&1-\ '\u14\D"E:~ ~'-AV~t4\:: \G:;.."Uo /TC:rSF NO OF UNITS X TRIP RATE X COST PER TRIP ').J,qoCl X \0,2~ X $424.31 X X 4. SANITARY SEWER-MWMC NO. OF PFU'S L\-~ . x $15.125 PER PFU + $10 MWMC ADM FEE $ (Proo ~~ (Use PFU Total From Item 2 Above) X $424..31 X $424.31 I.;J~~~, ~ ,9 (c;.q "2.'1 "-- . --' $ r..<?"y ~6- ?6',~- E?>,.I $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ '201 ~ ~OTAL-MWMC sDc ~?'2 €) . . ~ ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ :::, So.. \ Y -z..~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~L~ ~/2J/94 \ -G Kip Burdick ( I SOC Coordinator 0'~ Pit 72~...3~-z.G TOTAL SDC $ ~( l \OO~ /t'l~O ?t> 7"'" '2 7 ~ ~ y ///7/0 Z:>~~~-??l'feO "'-_ - . ",.. ~,,~ :.>/~rt .:. " FIXTURE UNIT,CALCUL . --. ON TABLE: Numb~r of New Fixtures 'n_mit Equivalent = Fixture ~nits(N6T~: For remodels, calcul~te only the NET additional fixtures) Bathtub......... ...-. ...... -... - - -.. - -- - - - - - - - - - - - - -.. -... -.. -..... -... -. -..- Drinking Fountain... - -....... - - p- - -... - - -. -.. - _..- - - --. - ..-..- -...... Floor Drain_...................- - ...--.... -.. - -. - - - -...... -.. -... - -.. ...... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sandi Auto Wash/Etc.................. Laundry Tub IClotheswasher......... - -........................ aotheswa~~er - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. . Receptor F9r Refrigerator ;Water Station/Etc........ Receptor For CommerCial Sink/Dishwasher /Etc.. Shower, Single -StalL............. ....... ........-... -............. Shower, Gang.............. ...................... -....... -.. ......... .,. Sink, Bar, Commercial.. ...................-....... ..-............. Urinal, Stallf'Nall.............. ...... ................. -..... ............ Wash Basin/Lavatory, Singl e..... -.......... ... -.............. Water 005et, Public Installation............................. Water Ooset, Private..................... .-.. .....-.......-........ Miscellaneous: FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EOUIVALENT UNITS . \ :, I 2 1 I 2 ~ 3 ~ 6 2 6 6 1 I 3 '? 2 1/Head 2 . 4- 2 '2. 1 l? 6 \B 4 I \ . "2- \ >>15 ?-; TOTAL FIXTURE UNITS 4~ '.-CRE-OIT CALCUtATlqN, TABLE: Based on assessed value. If improvements occurred after annexation date in table, . , '..:. -'t .caJ~tllate credits separates. ,~, ~ ;;,~. \ \ . '. >';. ~ ,....:. ~;~f >.... Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 Credit for Parcel or land Only If Applicable ~. '2.-1 X $ G-,C+ ,1'1 S '?-OI9~ . (Rate X Assessed Value) Improvement (rt after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ 201 ~ ~ . r-'-.. . . ">" RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.......................... ......;... ......... ........... .0.4 Commercial....... .......................... -.................... 0.9 I nd ustrial........................................................... 0.45 Governm~ntal............. ......... ............... .............. 0.5 , . ~ :,. >4.' ...4, . '. .'. .<;."I'~>.:t.~{.:-,>.::...~..;.'l;..,.I.-. IMPERVIOUS 'AREA = TOTAL LOT SIZE X RUNOFF COEFFicIENT' '" . . 'I" ". ", t, NO. <1YO~55 '~ .... CITY,OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ~YCj\l,J 'bLOt<-P LOCATION:9oD "bE::-L-I L.ll--lf:::- Ro . "o~ ISon - 02LfOO/O'2.S0\ DEVELOPMENT T~PE:' C-C:. 1j..'&H ,,"U~"-lo~~1<esTAURAt-..t-r (.S~A'((..I~) BUILDING SIZE: ."?90q5o-.,~-r. 1. STORM DRAINAGE LOT SIZE SQ. Ft. IMPERVIOUS SQ. FT. ?2-q'2..~ X $0.203 PER SQ. FT. ~<':'fY?~ '- ~ .. . 2. SANITARY SEWER-CITY NO. O(PFU'S . ., 4~. (S~e Reverse) 3. TRANSPORTATION., .. . Co~ t032. -1.\\&H -rJitNo"e~ ~-rAU~I-\":: \to.1AP IT&SF NO OF UNITS X TRIP RATE X COST PER TRIP X $42.08 PER PFU -V/~509~ .ef ~ '- .../ ,. I~L~~. ,'C:<?'1'V ~.9<oq1.G\ /~. ?".;;r91 '-- - ~ 6?>) $ - $ ,?qoGl X \Co.'2.G:> X $424.31 X X 4. SANITARY SEWER-MWMC NO. OF PFU'S L\-~ x $15.125 PER PFU + $10 MWMC ADM FEE $ (Proo?~ (Use PFU Total From Item 2 Above) X $424.31 X $424.31 SUBTOTAL JI~ ~ol ~ TOTAL-MWMC ~ ~C;'2~ (ADD ITEMS 1,2,3 & 4) $ ~ S9 \l-.\ "l.-~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~LvL ~/2J/94 I -(j Ki p Burdick (I SDC Coordinator tcnq~ TOTAL SOC $ ~( 1 \000 Pit n~-36Z5" C-2wA!~ r'13f1.p /~~~ ?P Y-"2.7'''Y ~7r 7/o:fo I ~:;::::D. ~ 14Q33'f) cg ~ ,q r-1L/