HomeMy WebLinkAboutPermit Building 1999-12-17
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COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 991358
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1040 HARLOW RD
Assessors Map #: 17032200
Tax Lot #: 02305
Owner: PUDDING CREEK LAND C
Address: P.O. BOX 640
Phone #: 338-8334
City/State/Zip: SPRINGFIELD,OR 97455
Description Of Work: TENANT INFILL NEW Value: 0.00
Name Address Phone
Architect: GERALD MCDONNEL
Const.
Contractor Contractor # Expires Phone
General: CHAMBERS CONST 0114258 05/30/03 687-9445
2295 COBURG RD EUGENE OR 974017482
Plumbing: TWIN RIVERS 0017695 03/11/99 688-1444
PO BOX 40397 EUGENE OR 974040000
Mechanical: COMFORT FLOW 0000460 09/21/01 726-0100
1951 DON ST #D SPRINGFIELD OR 97477
Electrical: BUILDERS ELECT 0004296 12/10/98 485-0922
195 MADISON ST EUGENE OR 974025030
MECHANICAL ---
NO.
Fee
Charge
18.00
21.00
18.00
10.00
7
Furnace/burner & vent < 1000,000 BTUs
Vent Fan/Single Duct
3 AC UNITS
Permit Issuance
TOTAL PERMIT
67.00
HANDICAP ACCESS: Y
-- OFFICE USE
QUAD AREA: 3CNC
LAND USE. 5300
Item
TENANT IMPROVEMENTS
Square Feet
x
$/Square Feet
Value
380,000.00
TOTAL VALUE OF PROJECT
380,000.00
Plan Check Fee.
690.95 Rec #: 035791
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SPRINGFIELD
Job Number: 991358
Page 2
Date: 10/06/99
Rec By: AL WARD
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
CITY SDC FEES
1,063.00
106.30
67.00
5.70
0.00
0.00
354.78
SUBTOTAL PERMITS
1,596.78
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
1,596.78
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 U*II 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 MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
DRYWALL - Prior to taping.
MECH/SUB: FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER
CEILING GRID
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL FIRE - When all Fire Department requirements have been met.
been met.
FINAL/SUB
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
ADDITIONAL COMMENTS ---
PLAN REVIEW DONE BY PRIVATE CODE CONSULTANT, JIM KENWORTHY
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: BOB BARNHART
Date. 12/10/99
Job Number: 991358
Page 3
By signature, I state and agree, th~t 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.
si~urj~ /
Jzj 17Ll:j
Date
-.. VALIDATION
Date Paid:
3 c.1~'1'
/2~~F :'
/5"<) c::>7f,
c1/:f ~ I
I?t-X b ~ 7 - 7 "f ,)1
.A7 (7rJ /UdJ'-
Receipt Number:
Amount Received:
Received By:
SPRINGFIELD
~-
Job Number: 991358
Page 3
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.
~ -:1J:.-
~lure r
J2/17~
Date
--- VALIDATION
Date Paid:
3 C:, 1-0'7'
h~.~J'! .
/5'<J0.7f,
.cI~
I~,x b 'j? . '/"/')/
-*'/ r/U /UdJ"-
Receipt Number:
Amount Received:
Received By:
NOTICE:
THIS PERMIT SHAll EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
I"~" Ilu,":urllgOr, ,aw reqUires you tt.
f~1I0W rules adopted by the Oregon Utility
'Iotificatio:> CHnter. T fl, :s€ rules are set forth
.1 OAR 952-00,.0010 ,',rou(111 OAf, 952-001-
,)090. You may 0l1t8ir' copies 01 the ruies by
ca1!ina the center. (Note: the telephone
~',mber for the Oregon Utility Notification
,-"1.......,. :... -i. a(){l~~~?~2344).
ATTENTION:Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001 ~001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER IJ,o.b;~p.99J358 .... _.
NAME OR COMPANY: tP,iiaaiiiFGfeekjLarid,Gompanv!Qregoii!Dept of;HuinanResources :-
LOCATION: 'f01iOiHarlowRd '-:_- .":C.;. .--.- '-.'
TAX LOT NUMBER i n'Q3'22-00,TL 2305 .
DEVELOPMENT TYPE: :Governinenl'Office Remodel _
BUILDING SIZE: (New)
14,000 LOT SIZE
rc:r rerum ronn
\
I. STORM DRAINAGE ., Interior work only -- No new area
IMPERVIOUS SQ. FT.
x
$0.232 PER SQ. FT.
$0.00 I
2. SANITARY SEWER-CIT'(
NUMBER OF PFU's
(SEE REVERSE SIDE)
7
x
$48.27 PER PFU
$337.89 I
3. TRANSPORTATION -- Remodel for current use, no expansion of use, so no charge.
. NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
TOTAL TRANSPORTATION SDC
$0.00 I
$0.00 I
$0.00 I
x
.x
x $486.73 PER TRIP
x $486.73 PER TRIP
4. SANITARY SEWER - MWMC
-- Remodel for current use, no expansion of use, so no charge.
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0 x PER FEU $0.00 I
B. IMPROVEMENT COST:
NUMBER OF FEU's '0 x PER FEU I $0.00 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE) 1$
. MWMC ADMINISTRATIVE FEE I $0.00 I
TOTAL MWMC SDC I $0.00 I
SUBTOTAL (ADD ITEMS 1,2,3, &4) $337.89 I
~. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
x
0.05
$16.891
..,l~~ I~~
a[;'tCUU~AIU'
. /#;3/77
iWrE 1
TOTAL SDC CHARGES I . $354.78 I
1040Harlow.xls
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PLUMBING FIXTURE UNIT (PFU) CALCULA nON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE. FOR REMODELS. CALCULA TE ONLY THE NET ADDITIONAL F1XTlJRES\
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO W ASH/ETC.
LAUNDRY TUB/CLOTHESWASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W ATER STA nONIETc.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERJETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALUW ALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INST ALLA nON
MISCELLANEOUS:
FIXTURES UNIT
NEW OLD EQUIVALENT
;,: 2
I
2
3
6
2
6
6
I
3
2
I
2
v 2
I
6
4
"1 . ~
.- ;";.:!
.. ,I. ,.....,r
- H;'+ ~'l
,
~~~ '. 1
.:: -'I
".:: ,.1
" ,..!
2
2
10.
I.
.. 2'
9
8
TOTAL PLUMBING FIXTURE UNITS
8
j
I
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PLUMBING
FIXTURE
UNITS
o
2
o
o
o
o
o
o
o
o
2
o
2
o
1
o
o
o
o
o
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CREDIT CALCULA nON TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION DATE IN TABLE,
CALCULATE CREDITS SEP ARA TEL Y
Year Annexed:
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 APPLICABLEI~;. ,-,-'
IMPROVEMENT (IF AFTER ANNEXA nON DATE)
1040Harlow.xls
x
x
RATE PER $1,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$1.17
$1.03
$0.86
$0.71
$0.57
$0.39
$0.18
. Cl
...... .. ....
-'.. .
.. :.>....:. '_..~ ....:c.....
1$
I
CREDIT TOTAL I $