HomeMy WebLinkAboutPermit Building 1999-10-4
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COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 991122
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office:
Inspection Line:
726-375~
726-3769 ~
Location of Proposed Work: 710 MAIN ST
Assessors Map #: 17033542
Tax Lot #: 05000
Owner: RAY MORLAND
Address: 710 MAIN STREET
Phone #: 7~ -N2'2
City/State/Zip: SPRINGFIELD, OREGON 97477
Description Of Work: ENCLOSE BAY FOR DINING
ADDITION Value:
0.00
Name
Architect: LINN WEST
Address
Phone
,
Const.
Contractor #
Expires
Phone
Contractor
3....-<~ -06/
? 'Iy, '3 ~ 9'y
General:
HANDYMAN EX PRES
-OJ,O.3~
'~c..JiII?Y
.a.l,'ZE.l,'9.::z.
PLUMBING ---
NO.
1
Fee
Charge
10.00
Single Fixture
TOTAL PERMIT
15,00
HANDICAP ACCESS: Y
-- OFFICE USE
QUAD AREA: 2CNWD
LAND USE: 5300
Item
ENCLOSE FOR DINING
Square Feet
421
x
$/Square Feet
Value
7,000.00
TOTAL VALUE OF PROJECT
7,000.00
Plan Check Fee:
40.63 Rec #: 35244 Date: 08/17/99 Rec By: LORNE PLEGER
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
CITY SDC FEES
62.50
6.26
0.00
0.00
15.00
1. 50
848.56
SUBTOTAL PERMITS
933,82
SPRINQFIELD
.
Job Number: 991122
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TOTAL PERMIT FEES EXCLUDING ELECTRICAL
933.82
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 tr*" 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.
MASONRY - Steel location, bond beams grouting or verticals in
accordance with UBC 2415.
FRAMING - Prior to cover.
INSUL-V,B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT
DRYWALL - Prior to taping.
,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 ---
REFERRED TO KAY BORK FOR ANY MDS REQUIREMENTS
VERIFY CONTRACTOR PRIOR TO ISSUANCE-CLD NOT LOCATE
Plans Reviewed By: LORNE PLEGER
Building, Site Reviewed BY: LISA HOPPER
Date: 09/21/99
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 ORB 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.
SignrZ: 9~
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Date
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". SPRINOFIELD
Job Number: 991122
- -- VALIDATION
Receipt Number: :? ~ .,--:;>
- -
Date Paid:
Amount Received:
Received By:
/~~99
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JOURN.R JOB NO. ~//:r:2
ATTACHMENT A ~vltPJ-<J9p!og.t 7'8/0%2
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
, LOCATION: //.0
~dv~- ;l~~
I - / -
d-<AA ;U:
DEVELOPMENT TYPE: j,p~./> Y/iAJ- ~'2-~5/;"/?
AcId/lrbj. . ' 7P
BL:K..3;)ffi'SIZE: /t, Y:;7 ~ ~:(;z. LOT <::T71= SQ. Ft.
1. STORM DRAINAGE, - A,..~ 0-u-d,/ Cc;w-<<C3d 6,,7 ~t...rA;-
, . /!/o At-W /1o-/1!.1"1/1;''' S ,;r.....""'C<.....
IMPERVIOUS SQ. FT. X $0.232 PE~ SQ. FT. $ C
2. SANITARY SEWER-CITY - /fA? /!..eeJ h~hP/.:? 5
NO. OF PFU'S
(See Reverse Side)
$ cC-
X $48.27 PER PFU
3. TRAi'lSPORTATIOJ'.{ - &UA45'5 ~vj/~ ~e. o/-?7
NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
X
XS486.73 PER TRIP
$0
x
X S486.73 PER, TRIP
s
4. SANITARY SEWER-MWNlC
A. REIMBURSEMENT COST:
~
NO. OF FEU'S . 7"3;l. X~, 7Sc' PER FEU
95"
s7~-
B. IMPROVEMENT COST:
r-
NO. OF FEU'S .'7"32 X 7i? PER FEU
/9
s _1'9-
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
<$ ,~ - >
S 10,00
S f:?tY3~
15:
S E08~
. ~.!
$ 4/t7"""-
TOT AL-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEE~:
BASE CHARGE (SUBTOTAL ABOVE) X .05
,~ t~ Date: W7/
SDC orQlflator
ATTACH'A.WPD
TOTALSDC
~
$ &~8~
FIXTURE UNIT CALCU~ nON TABLE: Number of New Fi_S X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only the _additional ftxtures) . ,
NUMBER OF UNIT FIXTURE
FIXTIJRE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.. ....... .......... ............ ......... ...... ........................
Drinking Fountain......" ,..... ,...., .... ... ...,.." ..................
Floor Drain,.......,......,..,.. ............... ......,...., ..........."...
Interceptors For Gre3SelOiVSolidslEtc,............",.",.
Interceptors For Sand/Auto W3Sh/EtC......................
Laundry Tub/Clotheswasher/Mop Sink...............,....
Clothesw3Sher - 3 Or More......................................
Mobile Home Park Trap (I PerTrailer)...................
Receptor For Refiigerator/Water StationlEtc...........
Receptor For Commercial Sink/Dishw3Sher/Etc......
Shower, Single StalL"".......,..,.............,.........."""'..
Shower, Gang"...., ...."" ...... ...."...,..,....., .........."""",
Sink: Bar, Commercial, Residential Kitchen............
U tinal, S taIVW alL", ....." ,........,...,.. ...,...','.. .............
Wash Basin/Lav3tory, Single......................,............
Toilet, Public Installation,.........,...,....,....""",..........
Toilet, Private"..., ...",.", ,..""" ....,.. ......' .... ....."""",.
Miscellaneous:
2
I
2
3
6
2
6
6
I
3
2
IlHead
2
2
I,
6
4
TOTAL FLXTURE UNITS
CREDIT CALCULATION TABLE:
credits separately.
I - - . Year
Annexed
B3Sed on 3Ssessed value. If improvements occurred after annexation date in table, calculate
"
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.47
4.38
4.32
4.20
4,03
3,88
3.68
3,38
3,03
2,62
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
2,18
1.75
1.35
1.17
1.03
0,86
0.71
0,57
0.39
0,18
Credit for Parcel or Land Only If Applicable X $
(Rate X Assessed Value)
Improvement (if after annexation date) X $
(Rate X Assessed Value)
CREDIT TOTAL =$
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