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HomeMy WebLinkAboutPermit Building 1999-8-25 Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 990907 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office; 726-3759 Inspection Line; 726-3769 Location of Proposed Work: 4006 FRANKLIN BLVD Assessors Map #: 17033042 Tax Lot #: 01600 Owner: STEPHEN ROTH Address; 1403 WIMBLEDON PL, Phone #: 741-9828 City/State/Zip: SPLFD OR,97477 Description Of Work: REMODEL REMODEL Value; 0,00 Contractor Canst. Contractor # Expires Phone General: ALL OREGON CONS 0065548 4420 FOX HOLLOW RD EUGENE OR 974050 Electrical: STEPLETON ELECT 0041371 2150 BUCK ST EUGENE OR 974050000 04/05/98 687-5826 02/05/98 484'7278 --- PLUMBING --- No, 9 Fee Charge 90.00 Single Fixture TOTAL PERMIT 90.00 ATTENTION:Ore fOI/OWrtJl..,,~..__ gon/aWreOlJi,."" ,_, MECHANICAL - .lv.orltication c~;;;ftU oy the Orego"; VI)" m OAR 9S;f-~91 r. hose rUles an,ci,h {rnif < 1000,000 BTUs0090. Youmay~~~1~throughOAR9a oBffh calling the cent am COPies of the ru ., b'a- numberfortheOer. (No!e:the!eleph~ ~cml . Center;s 1~~~~n3U!i/;!y NO!;fica ~il 0 - 32-2344). :00 10.00 No, 2 Furnace/burner & vent Vent Fan/Single Duct DUCT MODIFICATIONS GAS PIPING DRYER VENT Permit Issuance TOTAL PERMIT NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT -<>OMtB!t~EiiSiR.JS ABANUUI\II:U I-Uh QUAD AJlM':lffiffi'iHPERIOD. LAND USE: 5300 63.00 HANDICAP ACCESS: Y Item REMODEL/ADDITION Square Feet. x $/sguare Feet Value 30.000.00 TOTAL VALUE OF PROJECT 30,000.00 Plan Check Fee: 125,45 Rec #; 34685 Date; 06/30/99 Rec By: LORNE PLEGER BUILDING Surcharge/Admin 193,00 15,44 " SPRINliFlELD Job Number; 990907 Page 2 MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin CITY SDC FEES 63.00 4.24 90,00 7.20 514,91 SUBTOTAL PERMITS 887,79 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 887.79 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 n*n 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, UNDERFLOOR PLUMBING - Prior to insulation or decking. FOOTING - After trenches are excavated. SLAB ' To be made after all inslab building service equipment, conduit piping, and other equipment items are in place but prior to concrete ROUGH ~LUMBING - Prior to cover. ROUGH GAS - after line is installed and capped if not attached to an appliance ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL, Prior to cover, FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping, FINAL PLUMBING - When all plumbing work is complete, FINAL GAS' When all gas work is complete, GAS SERVICE ' After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. 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 -,- Plans Reviewed By; LORNE PLEGER Building Site Reviewed By; BOB BARNHART Date; 08/04/99 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. S~ Job Number, 990907 lAJA I--'-- 'fj-z.r- Signature Date - -- VALIDATION Receipt Number: ()3 n /7 'g / zs-j 7) ~ r 7, 77 ~tJ~ Date Paid; Amount Received: Received By: Page 3 "7''''\ ... ... JOURNAL OR JOB NO. 990 'jtJ '/ . ATTACHMENT A . CITY OF ~INGFIELD SYSTEMS DEVE~MENT CHARGE WORKSHEET NAME OR COMPANY: ~"q, .R.-,.;L (~~~o 5- ;g,;:z-?z;.. \ / LOCATION: o/'/'.Y?(; hr___ jc:~'n .<f/vd, DEVELOPMENT TYPE: ~___t?&,/ M.d.J1 '1701'1 do ~e, ho//.-.-f /J/}I,J.. / /t.....: cLt 'r/(1)"" I 1', I /( BIIT! nTNG SIZE: J-:2.-1, k 7- 7 LOT SIZF SO, Ft. = 9~ 79P' 1. STORM DRAINAGE '/fie, NUJ /~t2-rI//'o<-6 "-~ IMPERVIOUS SO, FT, X $0,227 PER SO, FT. $ ce 2, SANITARY SEWER-CITY ~ uG 8 -/Vo ckj2- NO. OF PFU'S X $47.14 PER PFU $ t9-- (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP , "'2.", X /t) n& X $475.32 39 $ 99()- X X $475,32 $ 4, ,SANITARY SEWER,MWMC - o~8 -M Ck.-/"Jle A. REIMBURSEMENT COST: t/ NO. OF FEU'S . X PER FEU $ -e- ,- B, IMPROVEMENT COST: NO, OF FEU'S X PER FEU ,$ ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ > $ 1000 TOTAL-MWMC SDC $---e- SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 y;, u.~~ Date: f/hr~7 ";)'...... SO Coofrdi nator -;=-'"/ ' ATTACH' A, W 0 {I P $ LT 90---- ~-;J.. $ ~7/:-- TOTAL SOC 'it $ ,/~ FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate. the NET additional fixtureS). ~ ' , . NUMBER OF UNIT FIXTURE FIXTURE TYPE ' NEW FIXTURES EQUIVALENT UNITS Bathtub.............,...,......... ................,.................."....... Drinking Fountain...,.."............................................. Floor Drain.... ......, ,...... ............... .......... .....,.... ,.... ....... 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/Etc.. Shower, Single StalL"....................,...."....,........,.,.., Shower, Gang.".,..""",............, .........." ........." ........ Sink: Bar. Commercial, Residential Kitchen...................,.... Urinal. Stall/Wall.,.."",...,...........,.. ...... .....,.............", Wash Basin/Lavatory. Single.................................. Toilet. Public Installation,................,.............,........ Toilet , Private".:.,.,...",...,..................................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in lable, calculate credits separates. 1- Year Rate per $1.000 ' Year Rate per $1,000 II Annexed Assessed Value . Annexed Assessed Value I I 1979 or before $4,27 1989 $1,98 1980 4,18 1990 1,55' 1981 4,12 1991 1.15 1982 3,99 1992 0,96 1983 3,83 1993 0.83 1984 3.68 1994 0.67 1985 3.48 1995 0.52 1986 3.18 1996 0.38 1987 2.82 1997 0.21 J 198B 2.42 Credit for Parcel or Land Only If Applicable X $ = (Rate X Assessed Value) X $ = (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........................... 05 GovernmentaL..................... 0.5 FIXUNlT,WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT