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Home My WebLink AboutPermit Building 1998-2-24 ~l ':'SPRINGFIELD ~. Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 971760 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1621 CENTENNIAL BLVD Assessors Map #: 17032534 Tax Lot #: 04500 Owner: MCKENZIE WILL HOSP Address: 1460 G STREET Phone #: 726-4400 City/State/Zip: SPRINGFIELD, OREGON 97477 Description Of Work: ADULT DAY HEALTH CNTR REMODEL Value: 0.00 Name Architect: GERALD MCDONNEL Address Phone Contractor Const. Contractor # Expires Phone General: LEE CONSTRUCTIO 0063579 PO Box 10367 Eugene OR 974400000 01/16/98 683-3607 --- PLUMBING --- No. 19 Fee Charge 190.00 70.00 10.00 Single Fixture Storm Sewer BFPD 300 ft. TOTAL PERMIT 270.00 --- MECHANICAL No. Fee Charge 4.50 9.00 6.00 10.00 3 Mechanical exhaust hood and duct Vent Fan/Single Duct HEAT PUMP Permit Issuance TOTAL PERMIT 32.50 QUAD AREA: 2 CNW -- OFFICE USE -- LAND USE: 5300 Item REMODEL Square Feet x $/Square Feet Value 460,000.00 TOTAL VALUE OF PROJECT 460,000.00 BUILDING Surcharge/Admin 1,243.00 99.44 :tl'~ Job Number: 971760 Page 2 MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin PLAN CHECK SDC 32.50 1. 81 270.00 21.60 807.95 14,963.96 SUBTOTAL PERMITS 17,440.26 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 17,440.26 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 followin::r 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. FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDER FLOOR PLUMBING - Prior to insulation or decking. UNDER FLOOR MECHANICAL - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. STORM SEWER LINE - Prior to filling trench. BACKFLOW DEVICE - After device is installed but before backfilling trench. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FRAMING - Prior to cover. MECH/SUB: FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER EXTER LIGHT/SUB MISC/SUB DRYWALL - Prior to taping. FINAL PLUMBING - When all plumbing work is complete. 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. \ FINAL BUILDING - When all required inspections have been approved and the building is complete. --- ADDITIONAL COMMENTS REFERRED TO KITTY GALE FOR ANY MDS REQUIREMENTS ELECTRICAL PERMIT REQUIRED Plans Reviewed By: TOM MARX Building Site Reviewed By: LISA HOPPER Date: 01/30/98 Job Number: 971760 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. ~~~ Si~ :2. /2..1./ /9 y Date I I --- VALIDATION Receipt Number: ';?g:!i!;<f>-:;> Date Paid: <-'.?'7'.~~ Amount Received: /~ V$-"c:::P.:<<;;: .- Received By' ~~_/. ~.f JOB NO. .97/700 .~ /~/).:red. #- ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE' WORKSHEET 'NAME OR COMPANY:' Aft-/<eh c/e /i1/. /k./Me.,-rl-P /k;5L'h ',h~ / / ' / \ LOCATION: /0,:2;' L.R~"71/'t._/ 8/vd DEVELOPMENT TYPE :4d.v /1- /J..u !-!~-c.~-/I-/ Uhhr c... / h / dj ,f_c/~ 7'70h , / 7 ~ ' BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE - bid} ~.:-lcI.1'~~;...;' L&'///'/?~f,j r-:'-O?,;:, "'" Y]~'77'::: ~ .J// ,,,,"'9 X $0.226 PER SQ. FT. $ ~~~ IMPERVIOUS SQ. FT. j. 3// I 2., SANITARY SEWER-CITY , /I I NO. OF PFU S .0 1/ ' (See Reverse Side) X $46.86 PER PFU .;> {; $ l_~ /,8 - I 3. TRANSPORTATION .:;:;, c:/C?u' ,if.' <? r:~ f~;('7 -/Jvr?"m;..de-d 'NO OF UNITS X TRIP RATE X COST PER TRIP I~ G "71: X X $472.49 ~ ,1'1Q . -.t-- d!-~-Y - / X X $472.49 $ X X $472.49 $ 4. SANITARY SEWER-MWMC , . , ' , ' ,,' ' " (,. , . , .,' NO. OF FEU'S ..t/]2J X ,~77 ?-PER FEU + $10 MWMC! ADM' FEE $ /3/ - , , MWMC CREDIT IF APPLICABLE (SEE REVERSE) tL. /3/ 00;> TOTAL-MWMC SDC $.r SUBTOTAL (ADD ITEMS 1.2.3 & 4) '$/~ 4..7"/:1J- 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X. . os- ~ , $ 7/,J!. " Ii_ j/~ldu~~ ,~DC COFdilfator Date: .pfA~ q~ TOTAL SDC $'/096}~ ;Y~.~;k . FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent == Fixture Ul)its (NOTE: For remodels, calculate or1e NET additional fixtures) NUMBER OF '-'UNIT FIXTURE NEW FIXTURES EQUIVALENT UNITS .,,- .~-? ..J..-J1 t:- r~';'~ - , 2 ;2.. I t:b?~J Bathtub.................:.....:.....................:......:............... .. Drinking. Fountain............................ ......:............. ..... Floor Drain... ............................. ','" ;'...... .:.................... .. ,Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc........,......... Laundry Tub/Clotheswasher.............................. ..... Clotheswasher - 3 Or More..:................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Eic........ Receptor For Commercial Sink/Dishwasher/Etc.. . Shower, Single Stall.................... .'.. .......................1. Shower, Gang............,.......................:..................... ,Sink: Bar, CommerCial, Residential Kitchen...............,......... , Urinal, St~"/Wall.......~.. ~.....,................ ........ ;......... 9" Wash Basm/Lavatory, Single..,.............................. n Toilet, Public Installation.....................................;:: Toilet " Priv'ate........................... ~.... ................... .0. lVIiscellaneous: FIXTURE TYPE ~ / / / I / '7 '7 'J t?'-- S 3 /1 ? ;I- 0 '7 ( TOTAL FIXTURE UNITS 1 2 3 6 2 '6 6 1 3 2 1/Head 2 2 l 6 4 v2. .2 '7 .",-' ~/ - ) ij' o ,1 o ~ ,., ,r .~ (" CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. ,I Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983' 1984 1985 1986 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 1987 1988 1989 1990 1991 1992 1993, 1994, 1995' 1996 Credit for Parcel or Land Only If Applicable X $ 'g (Rate X Assessed V~lueJ ;..'C; 7 X $ ..,(]lJ (Rate X Assessed Value) Improvement (if after annexation date) == Rate 'per $1,000 Assessed Value $2.56 2.17 1.73 1.31 0.92 0.14 . 0.61 0.45 0.31 0.17 , b.G 9 .....- ~o/. ,. c CREDIT TOTAL. :;= $ 1/r~'.!..-- RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For< Estimating Purposes Only) . Residential...:..;................;... 0:4 Commerical......................... 0.9 'Industrial....,;....,................. 05 GOvEmimental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT , .