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HomeMy WebLinkAboutPermit Building 1999-9-24 ) Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPL~CATION CITY OF SPRINGFIELD Job Number: 991036 . COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 647 W CENTENNIAL BLVD Assessors Map #: 17032~43 Tax Lot' #: 0580~ Owner: STEVE/CINDY JOHNSON Phone #: 746-1~92 Address: C/O 647 WEST CENTENNIALCity/State/Zip: SPRINGFIELD, OREGON 97477 Description Of Work:' REMODEL Value: 0,00 --- PLUMBING No. 11 Fee Charge 110.00 Single Fixture TOTAL PERMIT 110.00 --- MECHANICAL No. Fee Charge 4.50 6,00 6.00 2.00 10.00 2 Mechanical exhaust hood, and duct Vent Fan/Single Duct MAKE UP AIR UNIT GASj?IPING Permit Issuance TOTAL PERMIT 28.50 ,- -- OFFICE USE Item REMODEL LEASE SPACE Square Feet 1362 x $/Square Feet Value 36,000.00 TOTAL VALUE OF PROJECT 36,000.00 Plan Check Fee: 143..00 Rec #: 35041 Date: 07/29/99 Rec By: LORNE PLEGER BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin CITY SDC FEES 220.00 22,00 28,50 1. 86 no.oo 11.00 2,129.26 SUBTOTAL PERMITS 2,522,62 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 1l~1?~1';e/~~~ pe~/r 2,522.62 I J 2-~ U~S~ SPRINGFIELD Job Number: 991036 Page 2 REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all in~pections are made at the prope~ 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 receiveq 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 acco~dance 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 othe.r inspections of any construction work to ensure compliance with the Building~ City or Development Code, UNDERGROUND PLUMBING - ROUGH PLUMBING - Prior ROUGH GAS - after line appliance ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover, DRYWALL - Prior to taping. FINAL PLUMBING - When all plumbing work is complete. FINAL GAS - When all gas work is complete. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressu~e test done at this point. FINAL MECHANICAL -When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL FIRE - When all Fire Department requirements have been met, been met. FI~AL BUILDING- When all required inspections h~ve been approved and the building is complete, Prior, to filling to cover. is installed trench. and capped if not attached to an --- ADDITIONAL COMMENTS --- ,PART OF A LEASE SPACE FORMERLY ADDRESSED 647 W CENTENNIAL, AND ALL OF A LEASE SPACE FORMERLY ADDRESSED 649 W CENTENNIAL. Plans Reviewed By: LORNE PLEGER Date: 09/10/99 Building Site Reviewed By: 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 timet 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. @~/! !i~ Job Number: 991036 Receipt Number: Date Paid: Amount Received: Received By: ".,' . ",,- "," '''l''''''. '={l~lIHi!!Li1~l.Jj --- VALIDATION 3~//.f- 9-;< 'l.; -99 ,. , 26-=34J.~2 ~~ Page 3 '" "GFIELD zoning, and does not require specific land use approv,al, ' , Zoning 'cc q-~L\-q'f ~. 3. 225 FIFTH STREET SPRINGFIELD, OREGON ~ql INSPEctION REQUEST: 'i1~~&~gnature OFFICE: 726-3759 1. LOCATION OF INSTALLATION '. ~7. .~~:r ~/~A?!~"- . LEGAL DESCRIPTION /?~.":1<27. Y": ~~~ JOB DESCRIPTI~_ ~ ..?~,/~Mo~<:.. ELECTRICAL PERMIT APPLICATION :.Ci ty Job Number 9&J' /~ COHPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling un~t. Service Included: .. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ! 2.' CONTRACTOR INSTALLATION ONLY B. Elect'rical Contractor f<.evholJ"{. -el dr\c Address 2../75" W 2~J. City EU5-f'H.- ~hone6Y~' 72 q7 Supervisor Licens~ Number '2.:))(', S 'Expiration Date' 10/0 liD 1 . , Constr Contr. Number "2(')-'ft'~C 10/0" /qq , .. Expiration Date . - Signature of Supervising Electrician ff#~#F- . - t' /' J ~~~ame ?~VcE 71~z;r" ~~ Address~~~'? W ./~~A:?'4!!5: .. ..-,..." Ci ty ....-:::~~. Phone ?Yh~/.592 ....:.",;r? / f ~97~ OVNER INSTALLATiON ' The installatiori is beirig made on property I own which is not intended for sale, lease or rent. Ow~ers 5.ignature: --------------------------------------- . , . -9 ro.2'/"'~~ .:~J7~ 7-:r--y DATE: RECEIPT I: RECEIVED BY: It ems Cos t Sum 1000 sq.ft. or less $ 85.00' Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less J 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnec t Only , $ 50.00 .Ii:? ~ $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or. less 201 amps to' 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional, Circuit or with Service or Feeder Permit ~: $ 2.00 ~2.,z? Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res . Limited Energy/Comm . E. 5. SUBTOTAL OF ABOVE ~ State Surcharge TOTAL 3~.. not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ./.tP2. -~ 7./'1 t? . ~6?.. / /2..~ ,\ JOURNI 9R JOB NO. ~5//J3t., 1 ~. -'" A TT ACHMENT A . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET I NAME OR COMPANY: ~~ & Cjrdy-J,ksO'~ , I LOCATION: i '77 i~ (..en 1-ehA I 'c;.../ DEVELOPMENT TYPE: tuJ'7v'erf ~;'/ 10 12a~Iw/'tirr I- B~~SIZE: /)~ VA5--:: / C/oO ;p LOT SIZE 1. STORM DRAINAGE - M ~ ~~ SQ. Ft. IMPERVIOUS SQ. FT. X $0.232 PER SQ. FT. $ (~ 2. SANITARY SEWER-CITY NO. OF PFU'S ;2; (See Reverse Side) 3. TRANSPORTATION - tu~)11$~5 {k~5 e 7""~frl.. ~ ,:...~~j~d- /e#6'r- X $48.27 PER PFU ' C,7 $ I 0/3 / NO OF UNITS X TRlP RATE X COST PER PM PEAK HOUR TRlP X X $486.73 PER TRIP $ 4- X X $486.73 PER;TRIP $ 4. SANITARY SEWER-MvVMC - 33 X"~S-::::: :ooP-p /'o/h1e/n-~ 4-~~ /ll~k/" 7A4 . A. REll-1BURSEMENT COST: ~S-o If ~ r;/~ d/'-<-/.4t-f1t:... Ol/:ce' C~l?e?, m:"u.1 CrceLt ~(,.5_ ~77~~ -=: L /80_39) t:./' /2e-~- NO. OF FEU'S ;' (,5 X .4, 7,~ :pfR FEU :;; (, I 7'/ _ 7D $ 9 ~ /- , B. IMPROVEMENT COST: ~ .> :::: ~ /6" 5..! > ~~d, c~1 ~ ,..~5' t25"7/. . 9> k~f.; NO. OF FEU'S _h-S X 70 - PER FEU::- S8- .>7 $ Y'dl - MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE .-., <$ - > $ 10.00 TOT AL-MWMC SDC ~# $ /, 0/7"- 8) ~ot7- .3''1 $ /t:J/ - SUBTOTAL (ADD ITEMS 1,2,3 & 4) (~- 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 ht-; ~tJ Date: 9~3/7~ /' SDC Ctd>rd' tor 7 &" / ATTACH'A.W TOTALSDC :zc, $ ~E7'- FIXTURE UNIT CALCULA TION TABLE: Number ofNe~ Fixtllres X Unit Equivalent = Fixture enits (NOTE: For remodels, calculate only the l ldditional fixtures) r~ NUMBER OF UNIT FIXitIkE .:-, NEW FIXTURES EQUIVALENT UNITS FIXTURE TYPE f-rt sl::r<.. c /1 Bathtub,...,..,.,...,.,..............."...,.......,..,...............,..,.. . Drinking Fountain.........,......,.....,.................. ....,....,... Floor Drain..........,.,..,.,.....".........,........,...,.. ,.."..,....'. Interceptors For Grease/OiIlSolidslEtc..................... Interceptors For Sand/Auto Wash/Etc...................... Laundry Tub/Clotheswasher/Mop Sink....,............... Clotheswasher - 3 Or More......,...............,.............., Mobile Home Park Trap (1 Per Trailer)................... Receptor For Refrigerator/Water StationlEtc........... Receptor For Commercial SinklDishwasher/Etc...... Shower, Single Stall..............,.................................. Shower, Gang.............,.".....".......,.,..,.......,......"...,., Sink: Bar, Commercial, Residential Kitchen......,..,.. Urinal, S tall/W alL.... ...........,........ ........ ....................' Wash Basin/Lavatory, Single,...........................,...... Toilet, Public Installation....,........,..,...,.................... Toilet. Private,...... ......... .......... ..,....,..., .................,.. Miscellaneous: 2 1 2 3 6 2 "6 6 1 3 2 IlHead 2 2 1 6 4 I .2.. q I / J =- c><. /9 -:;./ ;< ;{ 'J i< G ,}/ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separately. TOTAL FIXTURE UNITS Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4.47 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2,62 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 Credi~ for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) FIXUNIT,WPD CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential......,.................... 0.4 Commerical.......,................. 0.9 IndustriaL..,..,....................... 0.5 GovernmentaI...........,.......... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT 01 Rate per $1,000 Assessed Value 2,18 1.75 1.35 1.17 1.03 0.86 0,71 0.57 0.39 0.18 .. ...-:.~.'~~. , 5TEUG~UV\D'--\ '6 mUVtr'\2-"--\ 60'fLC\CVLS ,LOc.A.\ ~D ..AT. tc4l l\J. ~.TEJilV\\AL '6\..-\J:;>, 5prL\V\~-hc.t d \ O~\..;Y\ (Aj t l \ ~E.. 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