HomeMy WebLinkAboutPermit Building 1999-9-24
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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
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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.
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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
.. ...-:.~.'~~.
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6L\-T, - ,CO ',()() A'VY\ - '6 'loa pVV\
~los~c:i SU\OA'-\-S -t- t-to~LDA\.J\.S
L() L \^-J ~ II V\.OT 6t.- O\=:>~V\ 'PAST 4-: GO p\lV\
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