HomeMy WebLinkAboutPermit Building 1997-5-22 S_~G~LD ~ . .~'I .. _<l'j~Jii.rWfr/iL:ti~~'Jrf=i.','Jjll , ~ ~' I Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 970577 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 555 W CENTENNIAL BLVD Assessors Map #: 17032743 Office: 726-3759 Inspection Line: 726-3769 Tax Lot #: 05800 Owner: BOB BENNETT Address: 11400 SE 6TH #220 Phone #: 206-462-1515 City/State/Zip: BELLEVUE, WA 98004 Description Of Work: REMODEL FOR VALUE VILLAGE Name Architect: BRYAN HAWKINS Address Contractor Const. Contractor # General: KEITH CONSTRUCT 0048570 --- PLUMBING No. 1 Single Fixture BACKFLOW DEVICE TOTAL PERMIT --- MECHANICAL No. 2 Furnace/purner & vent < 1000,000 BTUs Vent Fan/Single Duct GAS PIPING Permit Issuance TOTAL PERMIT HANDICAP ACCESS: Y -- OFFICE USE QUAD AREA: lCNW Item REMODEL LEASE SPACE MECHANICAL SYSTEM Square Feet 28410 TOTAL VALUE OF PROJECT Plan Check Fee: 318.01 Rec #: 25374 REMODEL Value: Expires 07/27/95 Fee 'Fee LAND USE: 5300 x $/Square Feet 3,526.00 Phone Phone 826-9635 Charge 10.00 10.00 20.00 Charge 36.00 6.00 12.00 10.00 64.00 Value 125,000.00 52,392.00 177,392.00 S""NGFOELD ~ _-".., . . ..."J-e, 1;JNh'lt1J/=tI,'''.)rf.q''1..)~'4I ~- ' Job Number: 970577 Page 2 Date: 04/18/97 Rec By: DON MOORE BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin 608.50 48.69 64.00 4.32 20.00 1. 60 SUBTOTAL PERMITS SYSTEMS DEVELOPMENT 747.11 469.88 "- TOTAL PERMIT FEES EXCLUDING ELECTRICAL 1,216.99 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 to cover. ROUGH MECHANICAL - Prior to cover. ROUGH GAS - after line is installed and capped if not attached to an appliance ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. BACK FLOW DEVICE - After device is installed butbefbre backfilling trench. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all ,mechanical work is complete. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. FINAL ELECTRICAL - When all electrical work is complete. 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. --- ADDITIONAL COMMENTS --- Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: OS/21/97 SPA'NGF'ELD ~ .~- ,.~}...ti.rWM~/#'6'}rf7.','}jI4 ,a...,., , Job Number: 970577 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. S-J.'J.-17 Date --- VALIDATION Receipt Number: -:2~~ ~ -- - - Date Paid: ?,---:;;z? c::1.:> Amount Received: /:?/~, ~ttJi!jJ Received By, ~~, I SPRONG".'" ~ ___~ ~ :"'<I);f:W(IJ'/.t1~l:/I~~ ~- .... CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (COMMERCIAL / INDUSTRIAL) Name or Company: BOB BENNETT Location: 555 W CENTENNIAL BLVD Developement Type: C Building Size: Job No.: 970577 Lot'Size: 1. STORM DRAINAGE Impervious Sq Ft 1.0 X 0.216 Per Sq Ft x 2. SANITARY SEWER - CITY Number Of PFUs 1.0 X 10 (see Page 2) x 44.75 Per PFU 3. TRANSPORTATION Number Of Units -X Trip Rate x Cost Per Trip Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs o X X Per PFU + MWMC Admin Fee 20.690 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 << 4) 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) X 0.50 '-- TOTAL SDC Reviewed By: TROY MCALLISTER Date: 04/25/97 Page 1 Sq Ft $0.00 $447.50 $0.00 $0.00 $0.00 $0.00 $447.50 $22.38 $469.88 SPR'NG..."" ~ "~IlIIl'-' .. ~J~Y;J{f!J 'Lrf;/=tI'....J{f=l...l. .J~ '41 ~*' . Job Number: 970577 Page 2 FIXTURE UNIT CALCULATION TABLE Fixture Type Number of New Fixture Unit Equivalent Fixture Units Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oil/Solids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/Water Station/Etc Receptor for Commercial Sink/Dishwasher/Etc Shower, Single Stall Shower, Gang Sink, Bar, Commercial, Residential Kitchen Urinal, Stall/Wall Wash Basin/Lavatory, Single Water Closet, Public Installation Water Closet, Private Miscellaneous o o o o o o o o o o o 1 1 o 1 o o 2 1 2 3 6 2 6 1 3 2 o o o o o o o o o o o 2 2 o 6 o o 2 2 1 6 4 TOTAL FIXTURE UNITS 10 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: Credit For Parcel Or Land Only If Applicable: o x 0.00 0.00 Improvement (if after annexation date) : o X 0.00 0.00 CREDIT TOTAL = $0.00 (If land value is multiplied by 1 then the parcel/land credit is not accurate.)