HomeMy WebLinkAboutPermit Building 1999-12-16
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number 991403
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Flfth Street
Sprlngfleld, OR 97477
Offlee
Inspectlon Llne
726-3759
726-3769
Locat1on of Proposed Work 1717 CENTENNIAL BLVD
Assessors Map # 17032534
Tax Lot # 06200
Owner CHUCK COY
Address 1717 CENTENNIAL BLVD
Phone # 484-2100
Clty/State/Zlp SPLFD OR,97477
Deserlptlon Of Work TENANT REMODEL
NEW
Value
o 00
Archltect
Name
THOMAS PIRTLE
Address
Phone
Contractor
Canst
Contractor #
Expl.res
Phone
General
HARDCASTLE CONS 0060699
18830 S HWY 99E SP#22 OREGON CITY 0
12/30/97
722-3383
PLUMBING ---
NO
6
Fee
Charge
60 00
50 00
Slngle Flxture
REMOVE AND CAP 5
TOTAL PERMIT
110 00
--- MECHANICAL ---
No
Fee
Charge
6 00
6 00
10 00
2
Furnace/burner & vent < 1000,000 BTUs
Vent FanjSlngle Duct
Permlt Issuance
TOTAL PERMIT
25 00
QUAD AREA 2RNW
-- OFFICE USE --
LAND USE 5300
Item
TENANT IMPROVEMENTS
Square Feet
1529
x
$/Square Feet
Value
26,995 00
TOTAL VALUE OF PROJECT
26,995 00
Plan Cheek Fee
116 78 Ree # 35865 Date 10/13/99 Ree By LORNE PLEGER
Job Number 991403
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BUILDING
SurchargejAdmlll
MECHANICAL
SurchargejAdmlD
PLUMBING
Surcharge/ Adlnln
CITY SDC FEES
179 50
17 96
25 00
1 50
110 00
11 00
202 73
547 69
547 69
SUBTOTAL PERMITS
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
REQUIRED INSPECTIONS
It 18 the responslblllty of the permlt holder to see that all lDspectlons are
made at the proper tlrne To request an lllspectloll, call 726-3769
(recorder), state your Clty deslgnated Job number, Job address, type of
lDspectlon requested and when you wlll be ready for lllspectlon Requests
recelved before 7 00 a m wlll be made the same worklng day, requests made after
7 00 a m w1ll be made the follow1ng work day
Speclal Inspectlons In accordance wlth
a speclal lDspector shall be employed by
constructlon of any followlng "*11 work
shall be furn1shed to BU1ld1ng Safety
Sect10n 306 of the State Speclalty Code
the Owner/Contractor durlng
A copy of the speclal testlng reports
In addltlon to the lDspectlons speclfled, the BUlldlng Offlclal may make or
requlre other lTISpectlons of any constructlon work to ensure compllance wlth
the Bu,ld,ng, C1ty or Development Code
ROUGH PLUMBING - Prlor to cover
ROUGH MECHANICAL - Prlor to cover
ROUGH ELECTRICAL ~ Pr,or to cover
FRAMING - Prlor to cover
DRYWALL - Prlor to taplng
MECH/SUB FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER
CEILING GRID
FINAL PLUMBING - When all plumb1ng work 18 complete
FINAL MECHANICAL ~ When all mechan1cal work 18 complete
FINAL ELECTRICAL ~ When all electr1cal work 18 complete
FINAL/SUB
FINAL FIRE - When all Flre Department requlrements have been met
been met
FINAL BUILDING - When all requ1red 1nspect1ons have been approved and
the bUlldlng lS complete
--- ADDITIONAL COMMENTS ---
PLAN REVIEW DONE BY JIM KENWORTHY, CODE CONSULTANT 12~9~99
Plans Revlewed By LORNE PLEGER
BU1ldlng Slte Revlewed By BOB BARNHART
Date 12/10/99
SPRINGFIELD
~-
Job Number 991403
Page 3
By slgnature, I state and agree, that I have carefully exam1ned the completed
appl1catlon and do hereby certlfy that all lnformatlon hereon 1S true and
correct, and I further cert1fy that any and all work performed shall be done
1n accordance w1th the Ordlnances of the C1ty of Spr1ngf1eld, and the Laws
of the State of Oregon perta1n1ng to the work descr1bed hereln, and that
NO OCCUPANCY w111 be made of any structure w1thout perm1ss1on of the
Communlty SerVlces Dlvlslon, BUlldlng Safety I further certlfy that only
contractors and employees who are In compllance wlth ORS 701 055 wlll be
used on th1S proJect
I further agree to ensure that all requ1red lnspect10ns are requested at the
proper t1me, that proJect address lS readable from the street, that the
permlt card 1S located at the front of the property, and the approved set
O'i:~'Ir;;= "". ",.n "... '"no, OO",,';O;~/(rq1
s.:f.gnature f" Date
--- VALIDATION
Recelpt Number
5'--'1-'5 )
/2-/ kyq f
S-47, 6'1
/t(~~~
Date Pald
Amount Rece1ved
Rece1ved By
A TT ACHMENT A
CITY OF3PRINGFIELD SYSTEMS DEVELOPMENT 9HARGE WORKSHEET
JOURNAL OR JOB NUMBER Job No 991403
NAME OR COMPANY Radio Shack
LOCATION 1717 Centenmal Blvd
TAX LOT NUMBER 17-03-25-34, TL 6200
DEVELOPMENT TYPE Convert MedIcal Offices to General Offices
BUILDING SIZE (New)
1,529 LOT SIZE
I STORM DRAINAGE -- Intenor work only -- No new area
IMPERVIOUS SQ FT
x
$0 232 PER SQ FT
$000 I
2 SANITARY SEWER-CITY
NUMBER OF PFU's
IS[[ R[VeRS" SIDE)
4
x
$48 27 PER PFU
$19308 I
3 TRANSPORTATION -- MedIcal Office ~ 3 66 TGSF and General Office ~ I 49 TGSF,
therefore, there IS a nt"t decreas In traffic generatIOn so no charge
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
,
x
x
x
$486 73 PER TRIP
$48673 PIoR TRIP
$000 I
SO 00
TOTAL TRANSPORTATION SDC
$000 I
4 SANITARY SEWER - MWMC
MedIcal Office ~ 302 641 GSF and General Office ~ 15i"'32 TGSF,
therfore there IS a net decrease III regIOnal sewer Impacts so no charge
A REIMBURSEMENT COST
NUMBER OF FEU's
o
x
PER FEU
$000 I
B IMPROVEMENT COST
NUMBER OF FEU's
o
x
PER FEU
$000 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE) I $
MWMC ADMINISTRATIVE FEE $000 I
TOTAL MWMC SDC $000 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) $19308 ,
5 ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE)
x
005
$965 I
~~ Lh j2Jd11
SDe COO~"A TO
~JI}/'79
VAlE';
TOTAL SDC CHARGES I
$202.73 I
1717Cent xis
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURI:S x UNIT EQUIVALENT ~ PLUMBING FIXTURE UNITS
!NOTE rOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FlXTURFS\
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC
INTERCEPTORS FOR SANDIAUTO W ASWETC
LAUNDRY TUB/CLOTHESWASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERA TORfW A TER ST A TIONIETC
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERfETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALL/WALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS
FIXTURES UNIT
NEW OLD EQUIVALENT
2
I
202
3
6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
o
o
4
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
TOTAL PLUMBING FIXTURE UNITS 4
CREDIT CALCULATION TABLE BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE,
CALCULATE CREDITS SEPARATELY
Year Annexed
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED V ALOE
$447
$438
$432
$420
$403
$388
$368
$ 338
$ 303
$262
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
RATE PER $1,000 I
ASSESSED VALUE
$ 218
$ 175
$ 1 35
$ 117
$ 1 03
$ 0 86
$071
$ 0 57
$039
$ 018
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
CREDIT TOTAL I $
1717Cent xis
I $