HomeMy WebLinkAboutPermit Building 1999-1-12
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COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 981542
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3463 HUTTON ST
Assessors Map #: 17032220
Tax Lot #: 00803
Owner: SYCAN B CORP
Address: 3405 BALDY VIEW LANE
Phone #: 746-8444
City/State/Zip: SPRINGFIELD, OREGON 97477
Description Of Work: SITE WORK/OUTBACK
NEW
Value:
0.00
Name
Architect: GOEBEL ENGINEER
Address
Phone
Contractor
Cons t .
Contractor #
Expires
Phone
General:
SYCAN B CORP 0072619
3405 BALDY VIEW LANE SPRINGFIELD OR
03/25/98
746-8444
PLUMBING
No.
Fee
Charge
40,00
40,00
145,00
40.00
20.00
Sanitary Sewer 115
Water Service 63
Storm Sewer 797
67' FIRE WATER LINE
2 BACKFLOW DEVICES
ft.
ft,
ft,
TOTAL PERMIT
285,00
HANDICAP ACCESS: Y
ZONING CODE: CC
-- OFFICE USE
QUAD AREA: 1CNW
LAND USE:. 5300
Item
SITEWORK ONLY
Square Feet
x
$/Square Feet
Value
0.00
TOTAL VALUE OF PROJECT
0.00
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PAVING VALUE
PLUMBING
Surcharge/Admin
PLAN REVEIW FEE 25%
CITY SDC FEES
135,000.00
0,00
0,00
0,00
511,75
285,00
22,80
199,19
12,329.85
SUBTOTAL PERMITS
13,348.59
,
~,
Job Number: 981542
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TOTAL PERMIT FEES EXCLUDING ELECTRICAL
13,348.59
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 "*11 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,
WATER LINE - Prior to filling trench,
SANITARY SEWER LINE - Prior to filling trench,
STORM SEWER LINE - Prior to filling trench,
UNDERGROUND ELECTRICAL - Prior to Cover.
ROUGH GRADING - After gravel is in place but prior to placing concrete
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
FINAL ELECTRICAL - When all electrical work is complete,
FINAL PAVING - After paving is complete.
ADDITIONAL COMMENTS ---
DRC 98-07-148, PLANNER IS JIM DONOVAN
SITE REVIEW JOURNAL #98-07-148, JIM DONOVAN, PLANNER
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 01/07/99
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 able from the street, that the
permit card is located at the he property, and the approved set
~:::;~'" "~&;;:"'~~:$
s~ature_____ ___ / Dcrre./
SPRINGFIELD
Job Number: 981542
- -- VALIDATION
Receipt Number: -:::1~ '5''''6
Date Paid: i~/:2-9-7
Amount Received: J~. ~~~_ ~
Recei ved By: ./? ~............ "
,#~- '. - '
Page 3
The fOllowing project as .
2:onlng, and does not reSQu~m'tted has the tol/owing
approval. Ulre specific land Use
Zoning_Ce.-
Da!e - cf) - 1 -., ')
97AJi?onzeQ S.
726-3769 Igna!ure ldt.<J
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LOCATION OF INSTALLATIO~
3 I..( ~ '3 bh1~ /'-"
\f)~~IONmE:03
1.
, A.
JOB DESCRIPTION
S 14 (o,...rbu( 'i
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
M.ECTRICAL PERMIT APPLICATION
Cft;5 I ~c;L
City Job Number
3. COMPLETE FEE SCHEDULE BELOll
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular. .Dwelling
Service or Feeder
Items Cos t
Sum
$ 85.00
$ lS,OO
.$ 40,00
2, CONTRACTOR INSTALLATION ONLY .B, ~fEYcMtAAyWIPeeders
Nl1pljy~gon\ i.~tlM'il\\YAlterations
Electrical Contractor :TTJ~/~~edbYO;\ltI~~q;q.~~d>bwrth
fUIIU", cenler,lhOse ru OAR 952.001-
Address 1001 S'L...J r6L tlll~~~etr101~~'1mmrPN\9re's'f;
"e:::: in u",n - oblain Gl1Jlle~1il Ie ,RoileO amps
City (j b crc1 ! 4,A-1.J Phone ~\SIltl.~~t~nledNW!t: ~ tilCa~Jlfl amps
. ca,!\noJ'''- eoreg~\1)11lI.\li 0.:0 1000 amps
Supervisor License Number :2 GsmrilflEillo!5h is 1_8~~2- 6"amps/vol ts
~ ""..Ier Reconnect Only
Expiration Date 10 't)/
C. Temporary Services or Feeders
Constr Contr. Number .:?~;Z ~ ~ AI Installation, Alteration or Relocation
I I~Oilr>,..
Expiration Date 7).3 11 lli( 200' amps' 'or less $ 40,00
( , S PE:201 amps to 400 amps $ 55,00
Signat1re 0 superVisi. ng Electrician AUlliORd:;~;S4.9~L to 600 amps $ 80,00
/? _ COM~' 'o'verJ,680 ::'/';flTfr 1000 volts see "B" above
, Il ~~ . ", "t:iVCE-/J r) v 'E:R lli/" IF Iii,!:
/1\ " D- ( ,^.rf'\ il/y D. L B~anch's~ircui'~$RMII WOR/( .'
Owners me _ .\'J",.\ \LJ\l J\V - ' . PE:A/^~ tJA.NDOMr:: IS NO.,.
::~_ L~~.~~ ~;>;;;;;;:::~'C~'~;""$P:;.:""
~I l I Circuit or with Service
OllNER TALLATION or Feeder Permit $ 2,00
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
:~~~~-:~-------~Trtt ~l~3b S.
RECEIVED BY: l /] ~/,
OJ
$ 50.00
$ 60,00
$100.00
$130,00
$300.00
$ 40.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40,00
$ 40.00
$ 20.00
$ 36.00
?5~
_ r'
t~
r ~
3 'J..y1. 5
o
.~..
.
JOel OR JOB NO,' Cf,g J.c)9~
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: 5'vu,-"" g - ()u I-.6J.c :5.-:I-e-e-!::..hou,S<2..-
I'
lOCATION: :1)/~ 3 )/o!-h,_
DEVELOPMENT TYPE: ~ '!-(7 k.Jl'h/ ~ ~'Y )"l/J.J re'i~utV-.-;/-
BUILDING SIZE: - lOT SIZE Gf. r;,7~ SQ, Ft.
."
1, STORM DRAINAGE - /0/ ~A -/ <7./- ~L.s - Q 7.3'0 sp /yerv,bt/s
7/
IMPERVIOUS SQ. FT. c?1, 7,1'0 x $0.227 PER SQ, FT. .L(~. 7~-
2, SANITARY SEWER-CITY ~lleJ e/8/dJ ~,.(.v:r
NO. OF PFU'S
(See Reverse Side)
X $47,14 PER PFU
$
-6-
3. TRANSPORTATION - G//RJ w/ 81d.J 1lr/77/.f-
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $475,32
$ .c:J-
X X $475,32 $
4. SANITARY SEWER-MWMC eo/Ie ,...I "'/ g lei; ~,4ji-
A, REIMBURSEMENT COST:
NO, OF FEU'S
X
PER FEU
$
B. IMPROVEMENT COST:
NO. OF FEU'S
X
PER FEU
$
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ >
$ 10.00
TOTAl-MWMC SDC
$G
71
$ 1171//""'-
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
I~ ~~di nator
ATTACH'A.WPD
/y
$ 687-
Date:
1?j'lt..
TOTAL SDC
as
$/) 1.:<9-
/
FIXTURE UNIT CALCU.ION TABLE; Number of Ne~ FiXe x Unit Equivalent = Fixtu:: Unit~
(NOTE: For remodels, calculate only the NET additional fixtures)
NUMBER OF
NEW FIXTURES
FIXTURE TYPE
UNIT
EQUIVALENT
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/WaiL,......... ......,.....,.... ..,;.....,...."....,.....,
Wash BasinlLavatory, Single.....................,..,..,..".,
Toilet, Public Installation.....,.................::.,...,.....,..,
Toilet, Private..,...,.......,....,....................,..",."..,...
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
11Head
2
2
1
6
4
TOTAL FIXTURE UNITS
=
FIXTURE
UNITS
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
1979 .or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4,27
4,18
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
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
FIXUNIT. WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1,000
Assessed Value
$1,98
1,55
1,15
0.96
0,83
0,67
0,52
0,38
0.21