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Home My WebLink AboutPermit Building 2002-2-14 " " Job# 02-00112-01 " ./ Page 1 of 3 TR~NS#;01-0008049 DATE;FEB 14 200;' AMT RECD'2 $ 410.15 CHANGE: CASHIEP'003 ~ , , - . COMMERCIAL PERMIT City Of Sprrngfleld Community Services DIVISion BUlldmg Safety Job Number 02-00112-01 225 Fifth Street Spllngfleld, OR 97477 Office 726-3759 Inspection Lme 726-3769 Location Of Proposed Site 1717 Centennial Blvd 2 Spr Assessors Map# 17032534 Lot Block Addition Tax Lot # 06200 SubdivIsion Owner Address Shane Schwendlman Phone Number City/State/Zip Alteration Roseburg, OR 97470 Value $30,000 9373 Roberts Creek Rd Scope Of Work Tenant Inflll VIsion Center - Dr Trevor Cleveland Intellor Alterations Contractor Type Architect Contractor RegIstration # '. , ~plratlQn Date U4-''''Phon\!O MG" rules adopted by the 054q~6\,t,J!5~~ 6 , . Jnflcatlon Center Those rules are ~gt ~~ u I " , OAR 952-001-0010 through OAR 952-vu 1- 0(,30 You may obtam copIes of the rules by 39223 calling t~Wee@P~Note th(5!l:ilet.ltIDfl1ll50 ,lumber lor the Oregon UtilIty NotlflcallOn Centerf~ 1_8')(1 'l""-?344) 9/1/2002 541-741-2236 NOTICE: THIS R~ALL EXPIllll:1IF!tilieWeRK AUTHORIZED UNDER THIS PERMIT IS NOT Office Use vUIVIIVIt:I~l;t::U UH IS ABANDONED FOR ANY 180 DAY PE810D Land Use Optical Goods Store - RE /fOf BUildings Zoning Code MRC Occupancy Group Bedrooms Heat Source Range Sq Footage Jonathan Stafford A I A 437 East 11th Avenue, Eugene, OR 97401 General Contr Honn DeSign and Construction 440 Charnelton Street, Eugene, OR 97401 Electllcal Contr C & S Electllc Inc 3849 Po Box 1482, Spllngfleld, OR 97477-0189 Arps Plumbing 38123 4224 W 7th, Eugene, OR Plumbing Contr Quad Area # Of Umts Constr Type Water Heater To requesI an Inspection call the 24 hour recording at 726-3769 All inspections requested before 7 00 a m Will be made the same working day, inspections requested after 7 00 a m Will be made the follOWing working day ReqUIred Inspections BUlldm9 Frammg Drywall Cellmg Grrd Fmal Fire Fmal BUlldmg - Pllor to cover - Pllor to taping - When all Fire Department requirements have been met - When all reqUired Inspections have been approved and the building IS complete Job# 02-00112-01 I Page 2 of 3 Required Inspections Electncal Rough Electncal Fmal Electncal . Prior to cover - When all electrical work IS complete I PlumbmQ - Prior to flllmg the trench - Prior to cover -When all plumbing work IS complete Underground Plumbmg Rough Plumbmg Fmal Plumbmg Zonmg MRC FloodPlam? 0 Wetlands? 0 Journal numbers Overlay Dlstnct # of Street Trees Land Use Optical Goods Store - Ret Pave Dnveway? 0 1 Comments 2 3 Planner Urban Growth Boundary?D Quantity Of Fill Supplier Dramage Floodway FEMA Additional Requirements Glenwood Area? 0 ReqUired Attachments Source Locn Matenal Flood Plam FEMA Construction Types Occupancy Groups # Of BUildings # Of Bedrooms Handicap Access? 0 ,Area (Sq Feet) I Main Accessory # Of Stones Current Unrts Census Code Does not apply Height (feet) Proposed Unrts Total Fee Paid On Recelpt# Plan Check 01/31/2002 7912 Value/Quantity Fee Amount Commercial Plan Check Total Plan Check 30,000 $16487 $16487 BUilding Permit State Surcharge For BUlldmg Permit 8% BUilding Administrative Fee Total BUlldmg BUlldmQ 02/14/2002 8049 02/14/2002 8049 02/14/2002 8049 30,000 $253 65 $1776 $20 29 $291 70 Mmlmom Electrical Permit Fee Branch CircUits WIO Feeder or Service State Surcharge - Electrical 8% Admm Fee - Electrical Total Electncal Electncal 02/14/2002 8049 02/14/2002 8049 02/14/2002 8049 02/14/2002 8049 6 $ 00 $58 00 $406 $464 $66 70 MInimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbmg PlumbmQ 02/14/2002 8049 02/14/2002 8049 02/14/2002 8049 1 $3100 $1400 $315 Job# 02-00112-01 Fee Page 3 of 3 r PaId On Recelpt# Plumbm!l 02/14/2002 8049 1 Provide 1 fire exIlngulsher rated a minimum of 2A-1 OB C, mount on wall with handle between 3' and 5' above finished floor 2 Provide address #'s on front entry and rear door of tenant space Faxed request for energy code compliance to Ted PlkeslJennrngs after speaking with Jack Fosler at SUB Forms are required on most all alIered commercial bUildings Jack Foster had spoken with Dr Cleveland last year regarding energy lighting and IS somewhat familiar with thiS project I will forward plans and forms down to SUB once I receive them L Hopper SUB - Comm/lnd Jack Foster 02/14/2002 Applicant will not be Installing any fixtures that require energy review A form will be provided to SUB by Stan Honn stating thaI fixtures will be removed from plans Okay to Issue permits per Jack Fosler 2/14102 - Ih By signature, I state and agree that I have carefully examined the completed application and do hereby certify that alllnformatron herein IS Irue and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Spnngfield and the Laws of the State of Oregon I further state that only contractors and employees who are In compliance with ORS 701 055 I be used on thiS project I further agree to ensure that all required Inspections are requested the proper time, that th project address IS readable from the street, that the permit card IS locate ~e ont of Ir,e pro rt and the approved set of plans Will remain on the slIe at all times dun str Ctl n fLu... d 4--/0 'Z.. Slgnatu,.e--- ~te / 8% Administrative Fee - Plumbing Total Plumbmg Grand Total Plan Check Type Checked By Date Completed Inrtlal Revlew-C/I/P Lisa Hopper 02/01/2002 Englneenng-C/I/P Pam Ownby 02/05/2002 Plannrng-C/I/P LIz Miller 02/06/2002 Structural-C/I/P Tom Marx 02104/2002 Fire Marshal-C/I/P AI Gerard 02/07/2002 SUB - Commllnd Lisa Hopper 02/01/2002 Value/QuantIty Fee Amount $360 $51 75 $575 02 Comment Plan review - remodel for vIsion cenIer, approx 1900 sq ft, B occ . . AlTACHMENT A CITY 01 oeRINGFIELD SYSTLMS DEVELOPMENT CHARGE JOURNAL OR JOB NUMBER 02-00112-01 NAME OR COMPANY VISION CENTER DR TREVOR CLEVELAND LOCATION 1717 CENTENNIAL BLVD #2 MAP & TAX LOT NUMBER 17-03-25-34 06200 DEVIoLOPMENT TYPE REMODIoL MEDICAL OFFICE .",HEET NEW DEVFLOPED BUILDING AREA (S F) EXI, TING DEVELOPED BUILDING AREA (SF) TOTAL DEVELOPED BUILDING AREA (S F) ITE ITE LOT SIZE (S F ) 1998 1,998 720 720 1 ~TORM DRArNAGE 1M PER VIOUS SQ FT x $ 0273 PER Sf TOTAL STORM DRAINAGE SDC , $ 2 SANITARY ~FWFR~c:J IV A REIMBURSEMENT COST NUMBER or DFU's 0 B IMPROVEMENT COS F NUMBER OF DFU's 0 (SEJ: ru::VERSE SIDE) , $ 2137 PER DFU P x $ 1624 PER DFU , $ TOTAL LOCAL W ASTEW A TER SDC , $ .1 TRAN";PORT A TlON BLOG AREA TGSr , TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A REIMBURSEMENT COST I 99844 x 3613 x $ 1626 PER TRIP x 085 NTF B IMPROVEMENT COSl I 99844 x 3613 , $ 7175 PER TRIP x 085 NTF EXISTiNG A REIMBURSEMENT COST (2) , 3613 , $ 1626 PER TRIP x 08' NTr B IMPROVEMENT COST (2) x 36 13 , $ 717) PER TRIP x 085 Nil TOTAL TRAN,POR FA liON REIMBURSEMENT SDC TOT AI TRANSPORTATION IMPROVEMENT SDC TOTAL TRAN,PORl A TION SDC 4 SAN I rARY SJ-..wr.R MWMC NEW A REIMBURSEMENT COST NUMBER OF FEU's 200 x $38041 PER FEU B IMPROVEMENT COST NUMBER OF FEU's 200 x $39 80 PER FEU EXISTING A REIMBURSEMENT COST NUMBER OF FEU's (2) x $38041 PER FEU B IMPROVEMENT CO, I NUMBER OF FEU', (2) x $39 80 PER FEU MWMC CREDIT IF APPLiCABLE (SEE REVERSE) 101 AL MWMC REIMBURSEMENT AND IMPROVEMENT FEE MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) I $ 997 93 I $ 4,40351 I $ (997 93) I $ (4,40351) ~ - - I ~ 1$ 5 ADMINISTRATIVE FEFS BASE CHARGE (SUBTOTAL ABOVE) , 005 pa""'eLaJ owv..b ei'j 2/5/02 SDC COORDINATOR DA FL 0200112-01 SCHWENDIMAN 1717 CENTENNIAL BLVD #2 TOfALSDCCHARGES DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS CALCULATE ONLY THE NET ADDll IONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLlDSIETC INTERCEPTORS FOR SAND/AUTO W ASH/ETC LAUNDRY TUB CLOTHES W ASHER/MOP SINK CLOTHES WASHER. 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIG~RA TOR/WATER ST A nON/ETC RECEPTOR FOR COMMERCIAL SINKJ DISHW ASHER/ETC SHOWER SINGLE STALL SHOWER GANG (NUMBER OF HEADS) SINK COMMERCIAL, RESIDENTIAL KITCHEN SINK COMMERCIAL BAR SINK WASH BASIN/DOUBLE LA VA TORY SIN!<- SINGLE LA V A TORY/RESIDENTIAL BAR URINAL, STALUWALL TOILET, PUBLIC INSTALLATION TOILEl PRlVAIE INSTALLATION MISCELLANEOUS FIXTURES NEW OLD 5 6 2 3 2 3 NUMBER Of EDU'S' ,. UNIT EQUIVALENT 3 I 3 3 6 2 3 6 12 I 3 2 2 3 2 2 I 5 6 3 TOTAL DRAINAGE FIXTURE UNITS~ +[OU (EqUIvalent Dwelling VOlt) IS a discharge eqUivalent to a smgle laml]y dwelll~..~....f20 Oru) set al167 gallons per day DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o 3 o .2 -I o .6 o o o o -6 CREDIT CALCULATION TABLE BASED ON ASSESSED VALUE If IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN r ABLE, CALCULATE CREDITS SEP ARA TEL Y YEAR RATE PER $1,000 YEAR RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED A SSESSED VALUE 1979 or before $ 492 1990 $ 206 1980 $ 483 1991 $ 164 1981 $ 477 1992 $ 145 1982 $ 464 1993 $ 131 1983 $ 447 1994 $ II3 1984 $ 430 1995 $ 097 1985 $ 409 1996 $ 082 1986 $ 378 1997 $ 063 1987 $ HI 1998 $ 041 1988 $ 298 1999 $ 022 1989 $ 252 2000 $ 004 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE , ~I $000 IMPROVEMENT (IF AFTER ANNEXATION DATE) x ~I $000 CREDIT TOTAL $000 02-0011201 SCHWENDIMAN 1717 CENTENNIAL BLVD #2 JULY 2001 225 FIFTH STREET SPRINGfiELD, ORCGON 97477 INSPCCTION REQUEST 726-3769 OfFICE 726-3759 ELECTRICAL PERMIT APPLICATION City Job NumberOZ -/JO J/Z -D I 3 COMPLCTE fEE SCHEDULE BELOW LOCATION OF INSTALLATION I J 7/'7 /~.::;. ~h' J/k'__ LEGAL DESCRIPTION .-/ ---J-,1/J ~ z.) 5'7- ()~2{J/) h A New Resldentlal-Smgle or MultI-famIly per dwellmg unIt Service Included Items Cost Sum JOB DESCRIPTION 1000 sq fl or less -L AI ~ /d~ ~ ~~ prilleet as submitted h"",l!1flRJ!l1'ti'lfflal 500 (""'-.....- .,' -.?J:f.,,~not require specifiC Ifmd use approval sq rt or portion Permits arc non-transferable and expire. C 11 thereof Lanlng~' . If work IS not started wlthm 180 days ~Lal.:,n l\ll<11lUl J I lome or of Issuance or If work IS suspeli'~ "c. _2 -- ~:o ) .,~od"I" Dwe1ling 180 days Authonzed Signature ~ Service or Feeder $10600 $ 1900 $ 50 00 2 CONTRACTOR INSl ALLA TION ONLY B SeTVIces or Feeders C,;" C I ? \ -\ InstallatIOn, AlteratIons or Electncal Contractor j I, 2l (/ -cr fie I ~ 1'\ C RelocatIOn Addresse [\. \3Cix- \L1 ~)~ CltyC',\XI rWhCk!rJ,one 7lll-22?k, J,~ I Supervisor LIcense NUIll ber G ' ~ I S IOlollD3 ,~_')'1) 11 Cl Constr Contr Number I ~ I OJ/ol/t-2- 200 amps or less 20 I amps to 400 amps 401 amps to 600 amps 60 I amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 63 00 $ 75 00 $12500 $163 00 $37500 $ 50 00 ExplTatlOn Date C Temporary Services or feeders InstallaIlon, AlteratIOn or RelocatIOn ExplTatlOn Date 200 amps or less 20 I amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "B" above $5000 $69 00 $100 00 Signature of Supervlsmg EIectTlcJan ~,~~~^'} Address '7 ~7:\ AJffEi~7?,'0 ~ 4 CIIyA~<; Phone dWNER INST ALLA TION D Branch ClTCultS New, AlteratIOn or ExtenSIOn Per Panel One CIfClllt ..-- $43 00 ~ Each AddlllOnal Circlllt or wIth ServIce or Feeder Permit -S:- $ 300 K The IllstallatlOn IS belllg made on property I own whIch IS not IIltended for sale, lease or rent E Miscellaneous (SerVIce/feeder not mciuded) -Each mstallaIlon Pump or IrrigatIOn SlgnlOutlllle Llghtmg LIllllted Energy/Res Lllnlted Energy/Comm TOTAL $50 00 $5000 $25 00 $45 00 C:.9-, (l-Q - .,dtJ,G .4'. b .,. I t:h ,'70 Owners Signature ~(~b ~ ,lfc.;!! ff <po 1- )' J/I-(/o~ 5 SUBTOTAL OF ABOVE 7% State Surcharge 8% Admllllstratlve Fee