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Home My WebLink AboutPermit Building 2000-6-23 . . Page 1 of4 TRANS#:01-0002293 DATE:JUN 23 2000 AMT RECD:2 $ 41892.77 2 $ 2403.69 CHANGE: CASHIER:004 I Job# 00-00585-01 I 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD? OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00585-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3491 HUTTON ST Spr Assessors Map#: 17032220 Lot: Block: Addition: Owner: Address: Tax Lot #: 00804 Subdivision: Jack In The Box 4500 SW Kruse Way, #270 Phone Number: 503-636-4565 City/State/Zip: Lake Oswego, OR 97035 New Value: $490,000 Scope Of Work: Restaurant Jack In The Box Contractor Type Architect General Contr Electrical Contr Plumbing Contr Quad Area: 1CNW # Of Units: Constr. Type: Water Heater: Contractor Scott/Edwards Architecture 1010 NW Flanders #204, Portland, OR Lemar & Son Construction Inc 88489 Stephens Rd, Springfield, OR 97478-9657 J & J Electric Inc Po Box 813, Albany, OR 97321-0288 Rock Construction Inc Po Box 8507, Bend, OR 97708-8507 Registration # Expiration Date Phone 503-226-3617 32241 4/28/00 541-747-0568 322 4/27/00 541-928-8488 112770 4/4/02 541-317-2944 Office Use Land Use: Restaurants Zoning Code: CC Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq, Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. . Required Inspections I Buildinll I - To be made after excavation but prior to setting forms. -After trenches are excavated. - To be made after all inslab building service equipment, conduit piping, and other equipment iter - Before covering sheathing with finish materials. -Prior to installing any roof covering. - Prior to cover. -Prior to taping. - To be done during construction by State Certified Special Inspector. Provide inspection test re! Site Footing Slab Shear Wall Nailing Roofing Framing Drywall Structural Welds Bolts installed in concrete Hold Downs Installed Roof Sheating/Nailing Ceiling Grid SUB. InsulationNapor Barrier SUB. Final Final Fire Final Site Plan Final Building Temporary Power Underground Electrical Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Backflow Device Final Plumbing Rough Gas Rough Mechanical Gas Service SUB - Mechanical Final Gas Final Mechanical Sidewalk Rough Grading Final Paving . . Page 2 of 4 I Job# 00-00585-01 I Required Inspections I Buildinll I - To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildir - Before covering sheathing with finish material. - To be called for at the same time as the SUB framing inspection. -When all Fire Department requirements have been met. -After all requirements have been met for Minimum Development Standards or from the Develo~ -When all required inspections have been approved and the building is complete. I Electrical I -Approval required prior to SUB energizing pole. - Prior to cover. - Prior to cover. - Must be approved to obtain permanent power. -When all electrical work is complete. I Plumbing -Prior to insulation or decking. - Prior to cover. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. -After device is installed but before backfilling trench. -When all plumbing work is complete. Mechanical - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure te: -When all gas work is complete. - When all mechanical work is complete. Public Works I Permits w/o Srchg I -After gravel is in place but prior to placing concete. -After paving is complete. . Zoning: CC FloodPlain? 0 Wetlands? 0 Journal numbers 1: 20.0.0.-0.2-0.0.38 2: Comments: I Job# 00-00585-01 Overlay District: # of Street Trees: . Page 3 of4 Land Use: Restaurants Pave Driveway? 0 3: \ Additional Requirements: Required Attachments: Source Locn: Material: Planner: Susanna Julber Urban Growth Boundary?D Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: Fee Commercial Plan Check Additional Plan Check Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Permanent: 20.0. Amps or Less Permanent: 20.1 to 40.0. Amps Permanent: 60.1 to 10.0.0. Amps Temporary: 20.0. Amps or Less Branch Circuits With Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Backflow Prevention Device Plumbing Administrative Fee Total Plumbing Flood Plain FEMA: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Paid On Receipt# Plan Check 0.4/18/20.0.0. 1284 0.6/23/20.0.0. 0.0.0.2293 Value/Quantity I Fee Amount 30.0.,0.0.0. 51 $573.95 $51.19 $625.14 Buildinn 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 335,0.0.0. $961.75 $67.32 $28.85 $1,057,92 Electrical 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 1 3 1 1 85 $50..0.0. $180..0.0. $130..0.0. $40..0.0. $170..0.0. $39.90. $17.10. $627.00 Plumbinn 0.6123/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 0.6/23/20.0.0. 0.0.0.2293 29 $.0.0. $290..0.0. $37.45 $55.0.0. $70..0.0. $10.0..0.0. $20..0.0. $16.0.5 $588.50 186 284 548 2 . Fee Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Vent Fan to One Duct Each Additional Outlet More than 100,000 BTU ApplianceVent (Not Covered in SchedulE Equipment Not Itemized on Permit Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical New Sidewalk Encroachment Permit - Commercial Total Public Works Impervious Surface Area - Storm Sanitary Sewer MWMC Administrative Fee SDC Administrative Fee Property Annexed 1986 Fast Food Restaurant - MWMC Miscellaneous Transportation Total System Development Paving Total Permits w/o Srchg Grand Total Plan Check Type Initial Review-C/I/P Engineering-C/I/P Planning-C/I/P Structural-C/I/P Fire Marshal-C/I/P Checked By Lisa Hopper Steve Templin Susanna Julber Lome Pleger AI Gerard Job# 00-00585-01 Paid On Receipt# Mechanical 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/2312000 0002293 . Page 4 of 4 ValuelQuantity Fee Amount ' I 2' $9.00 1 $2.00 $.00 $1.10 $.00 3 $1.50 2 $15.00 1 $4.50 1 $4.50 $10.00 $2.56 $50.16 378 $77.28 1 $80.00 $157.28 , $6,095.57 26,274 56 $2,703.12 1 $10.00 $1,962.27 196 $-662.49 3 $5,302.50 25,797 $25;796.69 $41,207.66 155,000 $556.75 $556.75 $44,870-41 Public Works 06/23/2000 0002293 06/23/2000 0002293 System Development 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 06/23/2000 0002293 Permits w/o Srch!l 06/2312000 0002293 Date Completed 04/20/2000 06/12/2000 06/23/2000 06/23/2000 05/02/2000 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 each Gd ss is readable from the street, that the permit card is located at the front of the property, and the appr ved S~\Of plans will re ain on the site at all times during construction. . . ~ ",+1. (Q-Z3-oo ~~ ~ A TT ACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-00585.01 NAME OR COMPANY: JACK IN THE BOX LOCATION: 3491 HU1TON STREET TAX LOT NUMBER 17-03-22.20-00804 DEVELOPMENT TYPE: FAST FOOD RESTAURANT USE # 1 NEW DEVELOPED BUILDING AREA (S.F.): USE # 2 NEW DEVELOPED BUILDING AREA (S.F.): EXIST DEVELOPED BUILDING AREA (S.F.): TOTAL DEVELOPED BUILDING AREA (S.F.): . 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 26274.00 . 2870 TYPE OF USE: FF RESTAURANT TYPE OF USE: o 2870 LOT SIZE (S.F.): 44346 $6,095.57 I x $0.232 PER SQ. FT. 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 56 x $48.27 PER PFU $2,703.12 I 1, TRANSPORTATION -- RATE 53 PM PEAK HR TRIPS INCLUDING PASS BY TRIPS PER MASOOD MIRZA NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP USE#l USE # 2 I o x x 53 x $486.73 PER TRIP x $486.73 PER TRIP TOTAL TRANSPORTATION SDC $25,796.69 I $0.00 I $25,796.69 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: USE#l USE # 2 NUMBER OF FEU's NUMBER OF FEU's 2.87 o B. IMPROVEMENT COST: USE # 1 NUMBER OF FEU's 2.87 USE # 2 NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x x $1,756.84 PER FEU PER FEU $5,042.131 ' $0.00 x $90.72 x $260.371 $0.00 ($662.49) I $10.00 I $4,650.0 I I PER FEU PER FEU TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) $39,245.39 I 5, ADMINfSTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x ~T~ SDC COORDINATOR 06/12/2000 DATE 0.05 $1,962.27 I TOTAL SDC CHARGES I $41.207.661 . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTUI!&~' FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SANDI AUTO W ASH/ETC. LAUNDRY TUB/CLOTHESW ASHERlMOP SINK CLOTHESW ASHER, 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TORIW A TER ST A TION/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL,STALLAVALL WASH BASINILA V ATORY, SINGLE OR DOUBLE TOILET, PUBLIC INST ALLA TION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES UNIT NEW OLD EQUIVALENT 2 1 8 2 1 3 6 2 6 6 6 1 3 2 1 2 2 1 2 5 1 3 6 4 PLUMBING FIXTURE UNITS o o 16 3 o 2 o o 6 o o o 4 2 5 18 o o o o TOTAL PLUMBING FIXTURE UNITS=! 56 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 ' 1986 1987 1988 RATE PER $1,000 ASSESSED VALUE $4.47 $4.38 $4.32 $4.20 $4.03 $3.88 $3.68 $3.38 $3.03 $2.62 YEAR ANNEXED 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $3.38 IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $1,000 ASSESSED VALUE - $2.18 $ 1.75 $ \.35 $1.17 $1.03 $0.86 $0.71 $0.57 $0.39 $0.18 x x 196.003 CREDIT TOTAL $662.49 $0.00 $662.49 ,Jur~-'::::...}-'::::\:I\::ll:l l:Ij" lq I'""I"\Url J J r:.~t::.l,,;rK:I.~' H~ JU . J & J ELECT~, INC. . n.a.TE: (n /2 "5/r; () SENT FROM: Lf'l te.:€ rV L tL~.e l/ -r;;~)} 11 ) PAGES: ;) / '(INCLUDING TillS Dt2~I~J /0 .t;,(/rH~r- DELIVER IMMEDIATELY TO: NUMBB R Of' Mf.SSI\GF: PtlGE) 1::>41f;::::b...}b"rb J-' .1j\;jl/I:::J\;j~ BBS s.w. 22ND P.O, BOX 813 ALBANY. OR 97321 L.': . _ .'.......__._.. ~,:...l CONTRACTING (541' 929.769S FAX (541) 926.6980 Jur~-d.':'-G':IJ\j'U ~; l.~ r-1"(U1"1 J J tLt:.l...ll"(ll... lr~ ..Jun-12-00 OS'2SA . IU ~~~!(~O~O(C ,.UU~/UU~ . P.02 I:J., 225 FIFTS STREET SPRINGFIEI~. OREGON 97477 INSPECTION REQUEST; 726-3769 OFFICE: 726-37S9 1. LOCATION Of ,INSTALLATI,!!N -:i?V9/ ~.u"""~ ~7: LEGAL DESCRIPTION .i2O~2.Z:z.o. ~y . . 1...:08 D7SaIPTIllIb n' '"7L ' ~r'~ /#1<(8' ~ ~!"~~~. Permits are non-transferable and. expire if "'orlc. is no t started \II thin 180 days of is.u~nce or it \lork is $usp~nd~d for 180 dllys. l 2 _ CONTRACTOR INSTALLATION ONLY B. &lectric:al Contractor ~J;:;' A/-""f:/~ Addr'!ss Pi') ~.A' f:/:l/'# CltY~~~PhOnc~ S"pcrv\st>r Li r.on~'! Numb~r I>y.piration Dote ConSlr Conti". Number -a:2~ t.pirlltion lJHo__ '1-2.7./.)2. , Signature 0 Supervising Electd cio" F::::. OVllers Namc~ /~.<<r~ 2&y AddL'tiSslf~~~~~ Ci trWfA>'~':4f;;;;'lone~.,..~~t:. ~~S" OllNJ::1\ TNSTALLA ION -"-t The i n$ tl>llation is 1",in8 made on p,'operty I .."'" ",hleh is not intended tor sal~, lease or rent. Olffiors Signa tUI'O: ______.r' "'.._________.. - -----------....--- DATE: RKCEU'"J: a: RECETVElJ BY: JUN-l2-2000 09:30 BI.EcrarCAL PUKlT lIPPLJ.CAnON City Joi) !lumber ~~~ ~/ 3, COKPLETE FEE SCllEDULE BELOII A. !le\l Residential-Single Dr Kulti-F~ily p~r du~lling unit. Service Included, It"",s Cos t SUM 1000 sq. ft. or leo.s S .85.00 Each add! dona! ~OO sq, ft or portion thereof S 15,00 Each K..nul'd lIome. or - Modular 'Duelling Setiriu or Feeder " 40,00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less _J... 201 amps to 400 amps _.;t.. 401 amps to 600 omps 601 ""p' ,to. 1000 amps ," Over 1000 amps/volts .. Jleconne.~l Only ~' 50, 00 .Bt:r?. ~ 60.00 1.lh2. 5100.00 5130,00 ~ 0300.00 ~. 40.00 C. Temporary Services or Feeder~ Installation, A1hl"",,tion 01" I:c)oc:~llun 200 amps"QT less -1-- S 40.00 ~ lOl emps to 400 amps S S5.00 Over 401 to 600 amp. - 5 00.00 -,.- Over 600 aDlps or 1000vorr. c'ee "n" a1iOv'';- D. Dral\ch Circui to " Ne"" Alt"rotioll or Extension rer Panel ~. 35.00 One Cireuil Each Add i t iona1 Circuit or ",ilh S",'vice or Feeder Permit ~ f 2,00 .L2I2 E. Ki.cd)n<leou~ (Service/teed"l not included) -&ach instaJl.alion Pu,"V or irrigation f,' '.0.00 SIBn/OUtUne Lightlng- S 40.00 Limited Energy/lies -,--'- :; 7.0.00 L~lni ted EnQl'gylColllm -.... S 36.00 , , ;>. SUDTOTAL OF ABOVE 7t State Surchorte 3% Administrativo Pcc TOTAL ~~.- . _.~ 17. U> .1/Q:z7 .I~ P.OO2 TOTAL P.002 . . Jack in the Box Inc. June 22, 2000 City of Springfield Community Services 225 5'" Street Springfield, OR 97477 RE: 3491 Hutton Street I have authorized Jeff Hammond of Scott Edward Architecture to act as an agent of Jack In The Box Inc. for the purpose of obtaining all necessary permits. Please accept his authority to sign as the owner's representative for this project. Sincerely, ,/J / tL~,t//~ Charlie Patton Construction Manager 4500 S.W. Kruse Way, Suite 270 . Lake Oswego. OR 97035 . 503.636.4498 . WWIN.jackinlhebox.com'