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HomeMy WebLinkAboutPermit Building 1998-2-24 r;: .:::' IILl:;LD ~,., Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 971718 COMMUNITY SERVICES DIVISION BUILDING SAFETY , . 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 300 FAIRVIEW DR Assessors Map #, 17032741 Tax Lot #, 00101 Owner: HACSA Phone #, 682-2591 Address: 300 WEST FAIRVIEW DRIVECity/State/Zip, SPRINGFIELD, OREGON 97477 Description Of Work: OFFICE ADDIT & REMODEL ADDITION Value, 0.00 PLUMBING No. Fee Charge 55.00 Storm Sewer 250 ft. TOTAL PERMIT 55.00 --- MECHANICAL --- No. Fee Charge 6.00 18.00 10.00 Furnace/burner & vent < 1000,000 BTUs RELOCATION OF UNITS Permit Issuance TOTAL PERMIT 34.00 QUAD AREA: lCNW -- OFFICE USE -- LAND USE, 5300 Item ADDITION/REMODEL Square Feet x $/Square Feet Value 135,000.00 TOTAL VALUE OF PROJECT 135,000.00 BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin SDC PLAN CK FEE NotiCE: EXPIRE IF THE WORK THIS PERMIT SHA~R THIS PERMIT IS NOT AUTHORIZED UN~iS ABANDONED FOR COMMENCED OR ANY 180 DAY f,~IOD. , 511.75 40.94 34.00 1.92 55.00 4.40 4,730.96 332.64 SUBTOTAL PERMITS 5,711.61 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 5,711.61 Job Number, 971718 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 l1*lI 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. SLAB - To be made after all ins lab building service equipment, conduit piping, and other equipment items are in place but prior to concrete UNDERGROUND ELECTRICAL - Prior to Cover. STORM SEWER LINE - Prior to filling trench. BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special Inspector. Provide inspection/test reports to City Building Inspector STRUCTURAL CONCRETE in excess of 2500 psi. To be done during constr. by State Cert. Insp. Results to City Building Inspector ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. MECH/SUB: FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; 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 - - - ELECTRICAL PERMIT REQUIRED Plans Reviewed By: TOM MARX Building Site Reviewed By, LISA HOPPER Date, 02/10/98 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 jm locatedjtt the front of the property, and the approved set of PlanWei~~~th~7t. all ti~(~uring constrUC;Of r~b ?8 <)"'='""" / c-f' ~ 9-,.,. · Job Number, 971718 Receipt Number, Date Paid: Amount Received: Received By, --- VALIDATION J. 8'16 f c9 -J 4- - q !( c/l57/f,(,,/ c:J{vJ Page 3 , ....... . .~ CITY JOB NO. 71 II /lj a ATTf.,GiI1ENT A _ OF S~NGFIELD SYSTEMS DEVE~MENT CHARGE WORKSHEET N,A,HE OR COHP,<lNY. J/A- C 5A LOC.4TImI . iv() w: ;:;'-',''''I/,eiJ l)r. DE'iELOPi'lEi'iT TYPE /, 7"<7 7 'I o/{~ c... f' ' t'A-c.U '!-I ;,,;, BUILDING SIZE I.OT SIZE so. Ft. 1. ,ST()Pi'.1 CR.t r i\i.~GE IH~t,:,: ~\:'i.J5 3L'. ,=T. i yr.;"7 ; 30.226 PE~ SO. FT. $ :3:.-i. ....,....,'J.- -1.10 . / 2. SAN I 7.::'2'( SE:."JFF: -( fTY (1vS /1.~' /'J{,." 0,'11 P'rf.4';z-;) x 5"6.26 PER PFU 5 ..(53;. NO r,c;: DeLT ~ . Vi I I ...) /"\ 1.---1 (See ~Evers2 Side) 3.- TRANSPORTATION i>lO OF UN(TS X TRIP RPTE X COST PER TRIP 730. bc-'v 'r i.f/dj ,~ . J ./1/) X _ -l.h}; X $472. 49 70 $LI./07 x X $472.49 $ ic" $1//C:-7~ . X X $472.49 4. SANiTARY SF\~ER-H\'H1C NO. OF FEU'S h .X PER FEU + $10 ~IWMC/ADrl FEE $ -G MWMC CREDIT IF APPLICABLE (SEE REVERSE) , $ TOTAl -MWMC SDC $ G- . 08 $ 7" ~oS~ SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FFE~ /(8 BASE CHARGE (SUBTOTAL ABOVE) X .05 $ -1J-6 "'-'- N-v-. ll;-~., , ,/1 SDrUCo#dinator Date.4bY7 TOTAl SDC , . 7';) 9" $ '-I J-cr- { ,FIXTURE UNIT CALCULA TION TABLE: Number of New Fixtures X Unit Eouivalent = FixIU'e iJnits (NOTE: For ,emodels. calculate .the ~JET additional fixtures I . " NUMBER OF UNIT FI1<TURE' FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS 8athIUb.... ............ .........,............... ............................. Drinking. Fountain..........................",.......... ........... .:. Floor Drain.......-.. ..................,.....,......... ...................,. Interceptors For Grease/OiliSoiids/Ecc................. Interceptors For Sane/Auro '-JVashiEtc.................. Laundry Tub/C!othes'Nasher...."..,.......................... Ciotheswasher - 3 Gr More..................................... Mobile Home Park Trap Ii ?er Trailer).................. Receptor For Refrigercwr/vVa:e:- Station/E~c........ Receptor For Commercial Sir.k..Dishwasher/Erc.. Shower, Single Stall... ..... ............. ........................ .... Shower. Gang.... ..............,...,',....,............................ Sink: 8ar, Comr:ners:aL R~sica;,:,iaJ Kitc:,en........................ Urinal. Stall/\Nall............ _.......................................... Wash Basin/Lavawr,/, Si'ngie... .............................. Toder. Public Ins~aiJc:icn........ ............................... Toiler, Private.... ....... ........... ... ....,.....,..".......,....., Miscellaneous: TOTAL FIXTURE UNITS 2 1 2 3 6 2 . 6 . 6 1 3 2 1!Head 2 L 6 "- = CREDIT CALCULATION TA8LE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits seoarates. 'I . 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 Rate 'per $1,000 Assessed Value $2.56 2.17 1.73 1.31' 0.92 0~74 0.61 0.45 0.31 0.17 il I 'II I Credit for Parcal or Land Only If Applicable X $ (Rate X Assessed Valuel X $ , (Rate X Assessed Value) Improvement (if after annexation date) = = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimatin9 Purposes Only) Residentia!...:...................;...O.4 Commerica!......................... 0.9 'Industria!.......~.................... 05 Governmenta!...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT