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HomeMy WebLinkAboutPermit Building 1999-1-12 v , If' Page 1 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 Page 2 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