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HomeMy WebLinkAboutPermit Building 1997-5-12 SPRINGFIELD Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 970488 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office, Inspection Line, ;~::;~ Location of Proposed Work: 152 MAIN ST Assessors Map #: 17033532 Tax Lot #, 04600 Owner: JACK DUNN TRUST Address: 180 HILLVIEW LANE #1 Phone #: 0 City/State/Zip, EUGENE, OREGON 97408 Description Of Work: SHOWROOM ADDITION ADDITION Value, 0,00 HANDICAP ACCESS: Y ZONING CODE, CC -- OFFICE USE QUAD AREA, lCNWD LAND USE, 5300 Item Sq. Ftg Main Square Feet 480 x $/Square Feet 31,87 Value 15,298.00 TOTAL VALUE OF PROJECT 15,298.00 Plan Check Fee, 75.73 Rec #, 25174 Date: 04/04/97 Rec By: HEIDI KNIGHT BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin 116.50 9.33 0.00 0.00 0,00 0.00 SUBTOTAL PERMITS SYSTEMS DEVELOPMENT 125.83 1,121.25 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 1,247.08 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. SPRINGFIELD Job Number, 970488 Page 2 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 ELECTRICAL, Prior to cover. FRAMING - Prior to cover. INSULATION, Floor; prior to decking wall/Ceiling; Prior to cover DRYWALL, Prior to taping, CEILING GRID 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 --- REFERRED TO JULIA POWELL HAJDUK Plans Reviewed By: LORNE PLEGER Building Site Reviewed By, LISA HOPPER Date, 05/09/97 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, J::d /~, VignatureV ././~ , ?!c7/477 '" VALIDATION Date Paid, '25"'7.03 7'-/'< ~'7" ./ Receipt Number, Amount Received, /-:289. <"""" ~7-?" cC~9. Received By, /2~~__ - - . v/I: SPAINOFIELD CITY OF SPRINGFIELD SYSTEMS DBVELO..~.. CHARGE (COMMERCIAL / INDUSTRIAL) Name or Company, JACK DUNN TRUST Location, 152 MAIN ST Developement Type, C Building Size, Job No., 970488 Lot Size, 15840 1. STORM DRAINAGE Impervious Sq Ft 1.0 X X 0,216 Per Sq Ft = 2. SANITARY SEWIlR Number Of PFUs (see Page 2) - CITY 1.0 X 0 X 44.75 Per PFU 3. TRANSPORTATION Number Of Units 1.0 X .480 X X Trip Rate 4.930 X X Cost Per Trip 451. 26 = $1,067,86 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs o X X Per PFU + MWMC Admin Fee 20.690 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items I, 2, 3 & 4) 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) x 0.50 TOTAL SDC Reviewed By, TROY MCALLISTER Date, 04/11/97 Page 1 Sq Ft $0.00 $0.00 $1,067.86 = $0.00 $0.00 $0.00 $1,067.86 $53.39 $1,121.25 SPRINGFIELD Job Number, 970488 Page 2 FIXTURE UNIT CALCULATION TABLE Fixture Type Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oil/Solids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher ' 3 Or More 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 Water Closet, Public Installation Water Closet, Private Miscellaneous Number of New Fixture Unit Equivalent Fixture Units o o o o o o o o o o o o o o o o o 2 1 2 3 6 2 6 1 3 2 o o o o o o o o o o o o o o o o o 2 2 1 6 4 TOTAL FIXTURE UNITS 0 CREDIT CALCULATION TABLE, Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: Credit For Parcel Or Land Only If Applicable, Improvement (if after annexation date) : o X 0.00 = 0,00 o X 0.00 = 0.00 CREDIT TOTAL = $0.00 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) Issued by: . r-?~Y$& /52-.~~ ?-?' 4~ Date: "5"-/-::;>-"3:> .// . Permit #: Address: # Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli, cants who are not registered with the Construction Contractors Board to sign the following statement before a buildingpermit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: [dJ D 1. 1 own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. o 3A. My general contractor is (Name) Contractor regis, # I will instruct my general contractor that all subcontractors who work on the structure' must be registered with the Construction Contractors Board. OR CB 3B, I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit ofthe name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information No"" 10 r;;;Jr)'~~::;:;P"O'ibrn." 00 Ib, ''''n<;:;;~fo~Y7 a igo"=ofp=""Ppti'm.) I (D"'I: \J (White copy to issuing agency permit file, pink copy to applicant) . . ...... ..... .... [nfom1ai~ion NO~I(:e to Pl"opeiiy Owners ~bo!-!i Cons~ruction Responsibilities - . ;":,,. ' ". , No/e: This III/orma/ioll N,o/ice to Property OWllers about COllstructioll Respollsibilities was developed by the Cd7iStrllctton Contractors Board ill accordance with ORS 70I.Ojj(j). lfyou are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevenl many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSII3IL1TIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement ofa residential structure. you will. in most instances, be ruled to be an employer and the people you hire will be employees.' As the employer, you must comply with the following: Oregon's withholding tax law: Asan employer. you must withhold income taxes from employee wages atthe time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees, For more infornlation. call the Oregon Dept. of Revenue at 945-8091. Vnemplo}'ment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more infonnation, call the Oregon Employment Department at 378-3524. Workers' compensation insurance: As an employer, you are subject to the Qregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. I I' you fail to obtain workers' compensation inst;rance, you may'. be subject to penalties and will be liable forall c,laimcosts ifoneofyouremployees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888, v,s. Internal Revenue Service: Asan employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the lax, For more information, call the Internal Revenue Service at 1-800-829-1040, OTHER RESPONSIBILITIES AND,AREAS OF CONCERN: Code compliance: As the permit holder for th is project. you are responsible for resolving any fai lure to'meet code requirements that may be brought to your attention through inspections. . , Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, painl overspray, water dam,age from pipe punctures. fire, or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have theexpertis~toact as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials at the appropriate times so they can perfonn the required inspections. . Ifyoul1ave additional questions. write or call the Construction Contractors Board (PO Box'14140, Salem. OR 97309-5052, 503/378-~621). The Board is lo'cated at 700 Summer St, NE Suite 300, in S~t1em, . prop-owll.pm4 1/94