HomeMy WebLinkAboutPermit Building 1997-8-18
SPRINGFIELD
~~
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 971061
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Propased Work: 770 HARLOW RD
Assessors Map #: 17032200
Tax Lot #: 02217
Owner: SPRING VALLEY LIMITE
Address: 735 COMMERCIAL ST SE
Phone #: 503-588-2725
City/State/Zip: SALEM, OREGON 97301
Description Of Work: PARKING LOT ADDIT
ADDITION Value:
0.00
Contractor
Canst.
Cantractar #
Expires
Phone
General:
OWNER
PLUMBING
No.
Fee
Charge
25.00
Storm Sewer
20
ft.
TOTAL PERMIT
25.00
QUAD AREA: 1CNW
-- OFFICE USE --
LAND USE: 5300
Item
Square Feet
x
$/square Feet
Value
TOTAL VALUE OF PROJECT
0.00
Plan Check Fee:
110.83 Rec #: 26678 Date: 07/15/97 Rec By: DON MOORE
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PAVING VALUE
PLUMBING
Surcharge/Admin
0.00
0.00
0.00
25,000.00 170.50
25.00
2.00
SUBTOTAL PERMITS
. SYSTEMS DEVELOPMENT
197.50
829.61
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
1,027.11
SPRINGFIELD
~-
Job Number: 971061
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 speciaf 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.
STORM SEWER LINE - Prior to filling trench.
ROUGH GRADING - After gravel is in place but prior to placing concrete
FINAL PAVING - After paving is complete.
FINAL PLUMBING - When all plumbing work is complete.
- - - ADDITIONAL COMMENTS - --
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 08/11/97
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.
~ ~ --...,..,...... --'-
Signature
6-fS-<i"]
Date
--- VALIDATION
Receipt Number: ~ /tD :2
Date Paid: ,:R-/R .? ";:>
Amount Received: /t::::>::?? ~/
Received By: ~ ~,.. ~ .
)
SPRINOFIELD
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / INDUSTRIAL)
Name or Company: SPRING VALLEY LIMITE
Location: 770 HARLOW RD
DevelopementType: C Building Size:
Job No.: 971061
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 1.0 X 3496
0.226
Per Sq Ft =
X
2. SANITARY SEWER
Number Of PFUs
(see Page 2)
- CITY
1.0 X 0
46.86
Per PFU =
X
3. TRANSPORTATION
Number Of Units
Trip Rate
X
Cost Per Trip
X
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
o
Per PFU + MWMC Admin Fee
20.690
X
X
=
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
'-
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 07/17/97
Page 1
Sq Ft
$790.10
$0.00
$0.00
$0.00
$0.00
$0.00
$790.10
$39.5t
$829.6~
SPAINQFIELD
Job Number: 971061
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
TOTAL FIXTURE UNITS =
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
o
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.)