HomeMy WebLinkAboutPermit Building 1998-10-22
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COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY 01' SPRINGFIELD Job Number: 981120
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 147 75TH ST
Assessors Map #: 17023500
Tax Lot #: 03601
Owner: BEREAN ASSEMBLY
Address: 147 75TH STREET
Phone #: 747-5711
City/State/Zip: SPRINGFIELD, OREGON 97478
Description Of Work: COMPLETE MAIN SANCTUARY
REMODEL
Value:
0.00
Name
Architect: BRACKMEN
Address
Phone
Contractor
Canst.
~~ Contractor # Expires
i'\r. fOlio S'IV~
. Oll~' If,/'itt. 6l;v31810 05/08/94
II"JO Cqt.. eS '0,..
0090 I</Iy 9;~q Ce~(jO,oI:()Oq la.
C 10 ~"c::..1k ,. Oy Ire
qit;,lttr,g 1~~~;'VJo;:lio~ IlJe 09itl/'~
'be/' fo e Ceq 06/q1q IIJ/'o~ /'itles'"eOOq '{:it 10
CeI"J/'llJeotet; (/..CO,ole'gIJOA q/'es ~i'/~
te/" '"e 'vOt. is' "I1y9 el"
IS 7_ 'gOq e: II) Of II} :5"<8 0i'f1J
6'00'<1. UIII!~ e lele e /'itle -007_
~<'" 1V01,?1J0,,_ s 6y
MECHANICAL ~). '~qJ>o-
'l-ee
Phone
General:
BRAD PHILLIPS
650-3866
No.
12
Single Fixture
Charge
120.00
TOTAL PERMIT
120.00
No.
Charge
19.50
9.00
2.00
10.00
Furnace/burner & vent < 1000,000 BTUs
3 Vent Fan/Single Duct
GAS PIPING ~
Permit Issuance ~l.r(\
rl-;/8 "'~.
TOTAL PERMIT 1url-;:S'Iyt/.f/~
COt/.ft/1, ~I.?S'D 81-;1i.i.
411/1' 1 0 _~I\tCS'1'l . UI\tD,<:-" $-r,o/.t;>,...
-v/)4;.--: "O~~CE I.Il8E '-JErf.;,
HANDICAP ACCESS: Y QUAD AP:EA. : 4"WE. ,o$J">'1 ~h&IwD USE: 1111
. "Of) . 'WDQ '7IYI/r . VIi'.t
'. W$D /81\10
..e:~ l'
40.50
Item
COMPLETE SANCTUARY
Square Feet
x
$/Square Feet
Value
50,000.00
TOTAL VALUE OF PROJECT
50,000.00
BUILDING
Surcharge/Admin
MECHANICAL
283.00
22.64
40.50
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SPRINGFIELD
Job Number, 981120
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Surcharge/Admin
PLUMBING
Surcharge/Admin
CITY SDC FEES
SEPARATE ELECTRICAL
PERMIT REQUIRED
2.45
120.00
9.60
1,484.91
0.00
0.00
SUBTOTAL PERMITS
1,963.10
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
1,963.10
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 PLUMBING - Prior
ROUGH GAS - after line
appliance
ROUGH MECHANICAL -
ROUGH ELECTRICAL -
FRAMING - Prior to
to
cover.
is installed and capped if not attached to an
Prior to
Prior to
cover.
cover.
cover.
DRYWALL - Prior to taping.
MECH/SUB: FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER
CEILING GRID
FINAL PLUMBING -
FINAL GAS - When
FINAL MECHANICAL
FINAL ELECTRICAL
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.
When all plumbing work is complete.
all gas work is complete.
- When all mechanical work
- When all electrical work
is complete.
is complete.
--- ADDITIONAL COMMENTS ---
Plans Reviewed By, LORNE PLEGER
Building Site Reviewed By, LISA HOPPER
Date, 10/19/98
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SPRINGFIELD
Job Number: 981120
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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 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.
~,t.-w o.tip
10- 2 2 -q~
Date
Date Paid:
--- VALIDATION
~ \10}
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\C\\_t0.\U
~L~
Receipt Number:
Amount Received:
Received By:
.. .. .~
. JOURN",OR JOB NO. 51i!1.2A
ATTACHMENT A W
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: !l:n-,...L<J. A--:,5t?b1blv (/j'bud
/
/4/7 75 ti <{i/--
LOCATION:
DEVELOPMENT TYPE: ~d.v/ ~ ~",.fflLlH15 ~ C~5<00B1 S'
BUILDING SIZE: ..LJk ~ 12- LOT SIZF SQ Ft.
II
1. STORM DRAINAGE /!4 /I ~ cH-tU,-
IMPERVIOUS SQ. FT.
X $0.227 PER SQ. FT. $ -er-
2. SANITARY SEWER-CITY
NO. OF PFU'S :1 f
(See Reverse Side)
3. TRANSPORTATION -' ~ ';:;,,,-I"'~
X $47.14 PER PFU
:u.
$ J ~/-r-
/
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $475.32
$ ~
X
X $475.32
$
4. SANITARY SEWER-MWMC c.L:JeA ~ o/'IJ,'nv.-1 #/..13-
A. REIMBURSEMENT COST: v
NO. OF FEU'S
X
PER FEU
$ 4r
B. IMPROVEMENT COST:
NO. OF FEU'S
X
PER FEU
$
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL-MWMC SDC
< $ >
$ 10.00
$€5-'
~
$/'?'" ~
/
71
$ 70-
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
k_1/~if Date:_~)'8
/( SDlt!cqd?-di nator
ATTACH' A. WPD C
TOTAL SDC ~~
FIXTURE UNIT CALCU~ION TABLE: Number of New Fi. X Unit Equivalent ~ Fixture U~it~'
(NOTE: For remodels, calculate on.e NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..................................................................... .
Drinking Fountain.....................................................
Floor Drain................................................................
Interceptors For GreaseIOiI/Solids/Etc.................
Interceptors For SandlAuto Wash/Etc..................
Laundry Tub/Clotheswasher...................................
Clotheswasher. 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For RefrigeratorlWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall....................... ..........................
Shower, Gang.... ......................................................
Sink: Bar, Commercial. Residential Kitchen........................
Urinal, StaII/Wall.......................................................
Wash Basin/Lavatory. Single..................................
Toilet, Public Installation........................................
Toilet, Private.......................................................
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
.2 2 1,1
1/Head
2
I 2 .L
"I 1 7'
Q 6 ,.)...1/
4
TOTAL FIXTURE UNITS
3~
CREDIT CALCULATiON TABLE: Based on assessed value. If improvements occurred after annexation date in table,
~alculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1.000
Assessed Value
r
l
1979 or before
1980
1981
1982
1983
1984
1985
1986
19B7
1988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1B
2.B2
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL ~ $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential........................... 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
FIXUNITWPD
IMPERVIOUS AREA ~ TOTAL LOT SIZE X RUNOFF COEFFICIENT