HomeMy WebLinkAboutPermit Building 1999-6-21
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 990623
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 2150 LAURA ST
Assessors Map #: 17032710
Tax Lot #: 04400
Owner: MONTA LOMA TRUST
Address: 2150 LAURA
Phone #: 747-8931
City/State/Zip: SPLFD OR,97477
Description Of Work:
ArrErf,E(t!JN:Ore90){'1']w~quires you to 0.00
f~1I3\\' r:'!I,:,'C ~"Ttorl hI' thA Oreaon Utility
PLUMBING Notiiication Center. Those rules aie set forth
in OAR 952-00'(.:oe1 0 through OAR 952-00trrge
ft . 0090. You may obtain copies of the rulesilll. 00
calling the center. (Note: the telephone
numberfortheOregon Utility Notificatioz\5. 00
Center is 1-800-332-2344).
No.
Storm Sewer
50
TOTAL PERMIT
--- MECHANICAL ---
Fee
Vent Fan/Single &lQTICE: THE WORK
Permit Issuance THISPERMITSHALLEXPIREIF NOT
AUTHORIZED UNDER THIS PERMIT IS
j!, '1' I'-' TOTAL PERMIT CED OR IS ABANDONED FOR
(fi fJ 1" (!.tr<- ,v COMMEN
(r1lcj~ ~ LoN/~YPERIOD, &/~ /1-'//
t?
Charge
15.00
10.00
No.
1
25.00
UIVS'7JU. c:::7c.cIH
-- OFFICE USE --
Item
ADDITION
$/Square Feet
Value
35,000.00
Square Feet
644.5
x
TOTAL VALUE OF PROJECT
35.000.00
Plan Check Fee:
140.08 Rec #: 33907 Date: 05/07/99 Rec By: LORNE PLEGER
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
CITY SDC FEE
215.50
17.25
25.00
1. 20
25.00
2.00
655.50
SUBTOTAL PERMITS
941. 45
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
941.45
Job Number: 990623
Receipt Number:
Date Paid:
Amount Received:
Received By:
- -- VALIDATION
0,0/ t;:l ],.
~h,lf7
9'!1. 'i f
~CJ,j/
Page 3
SPRINGFIELD
Job Number: 990623
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*rr 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.
SLAB - To be made after all ins lab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
STORM SEWER LINE - Prior to filling trench.
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 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:
Date: OS/27/99
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.
F~~
~ - ;L/. 99
Date
.
JOU. OR JOB NO.. 9'1 o(/J,J...J .
AlTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: U /1>-&;"" L/I #U~ '7 /"/./S:f
L OCA TI ON : ...2 ;.: '11/ U,<."o JI"/L c;;.)....
DEVELOPMENT TYPE: ;:;IJ/'-'..4~/ I(Mrruj~ / /Uc.. Ude.r
A-~-1,.' fr'{)~
JU:LJ:;-i€ SIZE: G,.,..-:~ LOT SIZF SQ. Ft.
1. STORM DRAINAGE:::. (J.O )<Jt)-(/7'X7) r-{ y,c.;2S)
-:.. 3'77 .
IMPERVIOUS SQ. FT. 377" x $0.227 PER SQ. FT. $?iq 7:L..
2. SANITARY SEWER-CITY
NO. OF PFU' S
(See Reverse Side)
X $47.14 PER PFU
$
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
. t//"1 X /_ ~ X $475.32
M'
$" &):1 Y
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
. o~
NO. OF FEU'S ,~I7'?X ~PER FEU
&0
$ 13,1-
B. IMPROVEMENT COST:
NO. OF FEU'S -f//] X Ilf:lP- PER FEU
t-lWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
'} IS
$ I/--
~
< $ r vp- / >
$ 10 00
TOTAL-MWMC SDC
..,-.-
$ L./
~'1'
$ f&')~
,;21
.$ .1/-
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEE~:
BASE CHARGE (SUBTOTAL ABOVE) X .05
!;y \ !!i~ ' Date:.Y7 ~f
/ SoOC~dinator I, TOTAL SDC
ATIACH'A,WPD U
s-&>
$ C, :J;)--
FIXTURE UNIT CAlCUlA'ON TABLE: Number 01 New Fixt.X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only~ NET additional lixtures) ,
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 Commerciai Sink/Dishwasher/Etc..
Shower, Single Stall................... ..............................
Shower, Gang.................................... ......................
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stali/Wali.... ........................... ........................
Wash Basin/Lavatory, Single...................;..............
Toilet, Public Instaliation........................................
Toiiet , Private.......................................................
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
TOTAL FIXTURE UNITS
=
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
I
II
Year
Ann..exed ~
~'19i9'~r befOIJ
...-/
~..
1981
1982
1983
1984
1985
1986
1987
1988
Rate per $1,000.
Assessetl,Value
Year
Annexed
Rate per $ 1 ,000
Assessed Value
II
( $4.2~
~18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
'0.21
Gt;z..
c;:.;27 X $ J)3r-- =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL
/ ClJ/ l/'J
I'
Credit for Parcel or Land Only If Applicable
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
FIXUNIT.WPO
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT