HomeMy WebLinkAboutPermit Building 1996-10-22
SPRINQFIELD
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 961355
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 755 HARLOW RD
Assessors Map #: 17032721
Tax Lot #: 10120
Owner: SPFLD SCHOOL DIST
Address: 525 MILL STREET
Phone #: 726-3244
City/State/zip: SPRINGFIELD, OREGON 97477
Description Of Work: DRIVEWAY IMPR/STORM SEWER ADDITION Value: 0.00
Name Address Phone
Architect: KENNETH NAGAO
Const.
Contractor Contractor # Expires Phone
General: DELTA SAND 0079069 11/04/95 995-6105
PLUMBING
NO.
Fee
Charge
40.00
Storm Sewer
138
ft.
TOTAL PERMIT
40.00
QUAD AREA: 1CNW
-- OFFICE USE --
LAND USE: 6800
Item
Square Feet
x
$/Square Feet
Value
TOTAL VALUE OF PROJECT
0.00
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PAVING VALUE
PLUMBING
Surcharge/Admin
SIDEWALK
CURB CUT
47,000.00
0.00
0.00
0.00
269.50
40.00
3.20
16.00
16.00
SUBTOTAL PERMITS
SYSTEMS DEVELOPMENT
344.70
1,247.40
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
1,592.10
SPRINGFIELD
~-
Job Number: 961355
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 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.
STORM SEWER LINE - Prior to filling trench.
ROUGH GRADING - After gravel is in place but prior to placing concrete
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PAVING - After paving is complete.
ADDITIONAL COMMENTS
TRAFFIC REVIEW APPROVED BY DEAN BISHOP 10-15-96, LAST REVISION
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 10/18/96
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.
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Date
Signature
--- VALIDATION
Receipt Number:
-:2 '3 s-s--s--
Date Paid:
/0 -<"2"' <;7'::
/5'"72... /0
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Amount Received:
Received By:
SPRINGFIELD
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / INDUSTRIAL)
Name or Company: SPFLD SCHOOL DIST
Location: 755 HARLOW RD
Developement Type: C Building Size:
Job No.: 961355
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 1.0 X 5500
X
0.216
Per Sq Ft =
2. SANITARY SEWER
Number Of PFUs
(see Page 2)
- CITY
1.0 X 0
X
44.75
Per PFU =
3. TRANSPORTATION
Number Of Units
Trip Rate
x
Cost Per Trip
X
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 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER
Date: 10/14/96
Page 1
Sq Ft
$1,188.00
$0.00
$0.00
=
$0.00
$0.00
$0.00
$1,188.00
$59.40
$1,247.40
.
Job Number: 961355
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.)