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HomeMy WebLinkAboutPermit Building 1999-2-5 Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY O~ SPRINGFIELD Job Number: 990031 ~OMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1116 CENTENNIAL BLVD Assessors Map #:.17032644 Tax Lot #: 10700 Owner: CALVARY TEMPLE Address: 1116 CENTENNIAL BLVD Phone #: 747-7125 City/State/Zip: SPRINGFIELD, OREGON 9747 Description Of Work: ATTIC/CLSSRM REMODEL REMODEL Value: 0.00, Name Architect: MORTIER Address 484-9080 Phone Contractor Const. Contractor # Expires Phone General: OWNER Electrical: OWNER --- MECHANICAL --- No. Fee Charge 15.00 10.00 VENTILATION SYSTEM Permit Issuance TOTAL ~ERMIT 25.00 QUAD AREA: 2CNW -- OFFICE USE -- LAND USE: 5300 Item INTERIOR REMODEL Square Feet 728 x $/Square Feet Value 4,000.00 TOTAL VALUE OF PROJECT 4,000.00 BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin CITY SDC FEES \/ 44.50 3.57 25.00 1. 20 0.00 0.00 243.76 SUBT,OTAL PERMITS 318.03 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 318.03 ~L~ Job Number: 990031 Page 2 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 MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. INSUL-V.B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT FRAMING - Prior to cover. DRYWALL - Prior to taping. 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 --- CONVERT FORMER ATTIC AREA TO CLASSROOM. WORK COMMENCED WITHOUT REQUIRED PERMITS Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 02/04/99 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. \,~~ Signature ~ ') Date ~-s-cr~ , . SPR'NGF'ELD~ ~ *' . '. illjl!Nrf2/:1J".~r@.i!lj Job Number: 990031 Receipt Number: Date Paid: Amount Received: Received By: --- VALIDATION ?~'/7~ " ~...5"'99' ~/I? et:J~ /?~~ "~' -- Page 3 ( JOUP' OR' JOB NO,'" 7'900,11. ATfACHMENT A CITY OF SPRINGFIELD'SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: ~/i//-'-j/ '/,;7~ LOCATION: /// & U#1 1--&-111 ///-/ A/vr1 DEVELjdPMENT ~YPE: ,&~ ver-f A-Ihe-' /~/ (~~ ~ /06//-) (!-7;X/f3)f-L/.3X/9_S-)::" 737'_00, BUILDING SIZE: 79'6 LOT SIZE SQ. Ft. 1. STORM DRAINAGE -A0 d~ IMPERVIOUS SQ. FT. X $0.227 PER SQ. FT. $ ~ 2. SANITARY SEWER-CITY -/i/o /1/~ hy!v/.e,5 I NO. OF PFU'S (See Reverse Side) X $47.14 PER PFU ~ $ c-J 3.. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ..7~ X , && X $475.32 / ..s- $ ~ 3;2 X X $475.32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: c;b NO. OF FEU'S , 7~ X e:f.o~'PER FEU 98 $ /-=>-3 B. IMPROVEMENT COST: 7'0 NO. OF FEU'S ,.. 77' X /g~ER FEU . MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL-MWMC Sot 07 $/3~ 77 < $ / / /~ > f $ 10,00 $ '0 . I~ $ ~3J...- $ //~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 1;:.-- 14t7~ Date: (/~C//7f ~ &DC~ordinator )1')/' ATTACH'A.WPD TOTAL SDC 70 - $ v27"3 FIXTURE UNIT CALr- "LATION TABLE: Number of Ne\ (NOTE: For remodels, calculatb ....nfy the NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES :tures X Unit Equivalent = Fixtur~ Units UNIT EQUIV ALENT Bathtub.................................................................. ..... Drinking Fountain.... ......................... ................ ........ FI 00 r Dr a in. . . .. . .. . . . . ... . .... .... .. . . .. . . .. . .............. . . . . .. . . ... .. .. 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/Etc........ Receptor For Commercial Sink/Dishwasher/Ete.. Shower,. Single Stall... .............................. ................ Sho,^'er, Gang................................ .......................... Sink: Bar, Commercial, Residential Kitchen...................,..... Urinal, Stall/Wall......... .................. ......;....................... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation.................... ........ ............ Toilet, Private................................ ....................... Miscellaneous: TOTAL FIXTURE UNITS FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 CREDJT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed ~ ~ ~; or ~_~ 1981 1982 1983 1984 . 1985 1986 1987 1988 Rate per $1,000 Assessed Value ~ ($f27..,./ 4-. I d 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 Year Annexed 1989 1990 1991 1992 1993 1994 1995 1996 1997 Rate per $1 ,000 Assessed Value $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 Credit for Parcel or Land Only If Applicable L/cJ ~7/ X $ 00 > . (F\.?te X Assessed Value) yo ~_;1.'7 X $ 53(;7 -'= (Rate X Assessed Value) CREDIT TOTAL Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE . (For Estimating Purposes Only) Residential.............. ............. 0.4 Commerical......................... 0.9 . Industrial............................ 0 5 Governmental...................... 0.5 FIXUNIT.wPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT [~O . i. 7C)J ~ ,r ~ 3 , /C) 3' < ~ = $ .J703