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HomeMy WebLinkAboutPermit Building 1998-10-22 .' " Page 1 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 . " , ~I SPRINGFIELD Job Number, 981120 Page 2 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 ," , SPRINGFIELD Job Number: 981120 Page 3 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} \1) ~C\~ \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