HomeMy WebLinkAboutPermit Building 1999-7-14
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Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 990795
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1011 HARLOW RD Y
Assessors Map #: 17032200
Tax Lot #: 02503
Owner: PACIFIC CONTINENTAL Phone #: 342-1795
Address: III W.7TH AVE SUITE 320City/State/Zip: EUGENE OR,97401
Description Of Work: TENANT IMPROVEMENT
REMODEL
Value:
0.00
Name
Architect: VARIJSIOJIS ARC
Address
Phone
342-1795
--- PLUMBING ---
NO.
1
Fee
Charge
15.00
Single Fixture
TOTAL PERMIT
15.00
--- MECHANICAL ---
No.
1
Fee
Charge
3.00
18.00
10.00
Vent Fan/Single Duct
EXTEND DUCT SYSTEMS
Permit Issuance
TOTAL PERMIT
31. 00
HANDICAP ACCESS: Y
-- OFFICE USE
QUAD AREA: 5CNW
LAND USE: 5300
Item
COMPLETE LEASE SPACE
Square Feet
x
$/Square Feet
Value
100.000.00
TOTAL VALUE OF PROJECT
100,000.00
Plan Check Fee:
310.70 Rec #: 034431Date: 06/11/99 Rec By: AL WARD
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
I-ITliNTlON:Oregon law re'qUires you to
follow rules adopted by the Oregon Utility
~otificatjon Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001- NOTICe-
0090. You may obtain copies of the rules by THIS PE .
calling the center. (Note: the telephone RMITSHALL. EXPIRE
number for the Oregon Utility Notification AUTHORIZED UNDER TH IFTHEWORK
Center is 1-800-3::12-2'144)_ COMMENCED OR IS IS PERMIT IS NOT
. ANY 180 DAYPERIO;SANDONED FOR
433.00
34.64
31.00
1. 68
15.00
Job Number: 990795
Page 2
Surcharge/Admin
CITY SDC FEES
1.20
98.99
SUBTOTAL PERMITS
615.51
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
615.51
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*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.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover,
ROUGH ELECTRICAL - Prior to cover,
FRAMING - Prior to cover.
DRYWALL - Prior to taping,
CEILING GRID
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete,
FINAL ELECTRICAL - When all electrical work is complete.
FINAL/SUB
FINAL FIRE - When all Fire Department requirements have been met.
been met.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
---,ADDITIONAL COMMENTS ---
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: BOB BARNHART
Date: 07/08/99
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 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.
, /rl[,if'LLCl };/!d 72 Uf/J/'
S1gntfe tf
7//4/qq
Date
,
Job Number: 990795
Receipt Number:
Date Paid:
Amount Received:
Received By:
?_A1}~ATION
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Page 3
. . .... JOU. OR JOB ~O.' 99Cl7~
ATIACHMENT A ;iU-. ~$"o #: '1'7/(7.-r~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: /J~;I.L ~__~~J &~ //f;.-...trI(;~~//y:c.5'U~",
'/'Id I" (
LOCATION: #.J// /4/,/;;/..,1 ILJ J .2 - Fir
, . I
DEVELOPMENT TYPE:
(ru?~
~::"'3~G SIZE:
/?~~ tt.rd- ,r,..? r,1 ve /,Y1.Jt....r
/
.h?~5"~ LOT SIZE
,
SQ. Ft.
1. STORM DRAINAGE-/fh, ~ C~q,.J.
IMPERVIOUS SQ. FT.
/'.....
X $0.227 PER SQ. FT. $ ~~
2. SANITARY SEWER-CITY
l'
NO. OF PFU'S (/'0. X $47.14 PER PFU
(See Reverse Side)
.
3, TRANSPORTATION .-: (~/7LL-,fed- 0/4' 97/dOc'
NO OF UNITS X TRIP RATE X COST PER TRIP
,/l8
$ 9Y--
x
X $475.32
$ ..e:r
x
X $475,32
{.~/4<:-~.d ..../><< 7'7/cc-;G
$
4. SANITARY SEWER-MWMC .-
A. REIMBURSEMENT COST:
NO. OF FEU'S
x
PER FEU
$ e
,-
B. IMPROVEMENT COST:
NO. OF FEU'S
x
PER FEU
$
e;--
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ >
$ 10.00
TOTAL-MWMC SDC
$ -?!r-
r.5
$ 9r~
ti
$ Y"
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
!/ 1/
.~r sDt,,f:r;'nator
ATIACH'A,WPD
Date:
7//77
./ .
TOTAL sac
ct
$ 98
FIXTURE UNIT CALCULaON TABLE: Number of New FixteX Unit Equivalent = Fixture Units.
(NOTE: For remodels. calculate onl~1Ire NET additional fixtures) , ,
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..,..,...........,...,................,...................,.......... .
Drinking Fountain.... ....,............... ............, .... .... ........
Floor Drain"..... ....... .................... ................. ........ .....
Interceptors For Grease/OiI/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc,....,............
Laundry Tub/Clotheswasher........... ........ ...., ...........
Clothes washer - 3 Or More................................,....
Mobile Home Park Trap (1 Per Trailer}..................
Receptor For Refrigerator/Water Station/Etc........
Rece;llor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gang............ ................. ...... .......................
Sink: Sar, Commercial, Residential Kitchen.........,,,...........,
Urinal. StaIl/Wall...,..... ............... ....... ............. ...........
Wash SasinlLavatory, Single..................................
Toile:, Public Installation................ ......... ........ ......,
Toilet. Private....... ...... ............... .................,.........
Miscellaneous:
I
2
1
2
3
6
2
6
6
1
3
2
11Head
2
2
1
6
4
"
.~
TOTAL FIXTURE UNITS
=
'7
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calcuicne credits separates.
Year Rate per $1,000 ' Year Rate per $1,000
Annexed Assessed Value Annexed Assessed Value
1979 or before $4.27 1989 $1.98
1980 4.18 1990 1.55
1981 4.12 1991 1.15
1982 3.99 1992 0.96
1983 3.83 1993 0.83
1984 3.68 1994 0.67
1985 3.48 1995 0.52 J'
,I 1986 3.18 1996 0,38
1987 2.82 1997 0.21
1988 2.42
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............................ 0 5
Governmenta!...................... 0.5
FIXUNli.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
. .' .... .' JO. OR JOB ~O. _'19~
ATTACHMENT A ;u..e- ~S"O # '1'7/cJ.r~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: jJ..~;:'c.... Cn-.I/~u?-hJ &~ /A;.-..Lr()A~..."~(/y:z;,5'V,z,,,
'Ad I" (
LOCATION: #.?// /"'&../'&'h/ t2...J I -2 - Fir
. (
DEVELOPMENT TYPE:
'T~
3U;L:JItJS-SIZE:
H-,~~ r"'/;11/~/;Y!.Jt,.J-
/
~?o.'1!3 LOT SIZE
,
1. STORM DRAINAGE -M ~ C.Nyqi-J.
SQ. Ft.
IMPERVIOUS SQ. FT.
r'
X $0.227 PER SQ, FT. $ ~,~
2. SANITARY SEWER-CITY
NO. OF PFU'S r!! X $47.14 PER PFU
(See Reverse Side)
,
3, TRANSPORTATION -C~//ee:./e.d- ";/"4' 97/t:?c?0
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $475,32
X
X $475,32
{.~/4~-fc d 4-/~ ;;7/<:1';;;;
4. SANITARY SEWER-MWMC ~
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
TOTAL-MWMC SOC
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
.~ (~~]
. '1 SDC (Eoorpl nator
ATTACH' A. WPO
Date:
7//77
./ .~
TOTAL SDC
~a
$ 99'-
$ ..er
$
$-&
,-
$
ef'
< $ >
$ 10. DO
$ -F1r-
",.5
$ 91"~
...,(
$ .y''''''
f
L
$ 98
FIXTURE UNIT CALCULaON TABLE: Number of New Fixll.AX Unit Equivalent = Fixture Units.
(NOTE: For remodels. calculate onl~~ NET additional fixtures) '," "
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub....,................."'.............................,.........,.... .
Drinking Fountain..,. ..,............ .... .....................;.... ....
Floor Drain,...... .... ....... ......... ...... ..... ................... .......
Interceptors For Grease/OiI/Solids/Etc.................
Interceptors For SandlAuto Wash/Etc.....,............
Laundry Tub/Clotheswasher... ......... ....... ....,...........
Clotheswasher. 3 Or More.....................................
Mobile Home Park Trap 11 Per Trailer)..................
Receptor For RefrigeratorlWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.................................................
Shower. Gang. ................. ......... .................,.............
Sink: Bar. Commercial, Residential Kitchen...........,.......,....
Urinal. StaIl/Wall.............................. .........................
Wash BasinlLavatory, Single........................,.........
Toilet, Public Installation......................,.................
Toilet. Private..............................................,........
Miscellaneous:
/
2
1
2
3
6
2
6
6
1
3
2
llHead
2
2
1
6
4
.:..1.
TOTAL FIXTUR:: UNITS
=
'7
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
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
Year Rate per $1,000
Annexed Assessed Value
1989 $1.98
1990 1.55
1991 1.15
1992 0.96
1993 0.83
1994 0.67
1995 0.52
1996 0.38
1997 0.21
Year
Annexed
Rate per $1.000 '
Assessed Value
Credit lor Parcel or Land Only II Applicable
X $ =
(Rate X Assessed Value)
X $ =
IRate X Assessed Value)
CREDIT TOTAL = $
Improvement (il alter annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential........................... 0.4
Commerical......................... 0.9
Industrial............................ 0 5
Governmental...................:.. 0.5
FIXUNIT.wPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT