HomeMy WebLinkAboutPermit Building 1997-5-22
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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
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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
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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, ~~,
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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
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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.)