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