HomeMy WebLinkAboutPermit Building 1998-2-24
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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