HomeMy WebLinkAboutPermit Building 1997-3-20
SPRINGFIELD
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 970263
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 909 INTERNATIONAL WAY
Assessors Map #: 17031500
Tax Lot #: 01117
Owner: GUISTINA
Address: 388 PEARL STREET
Phone #: 485-1500
City/State/Zip: EUGENE, OREGON 97440
Description Of Work: INFILL/MCKENZIE OUTFITTER NEW Value: 0.00
Const.
Contractor Contractor # Expires Phone
General: SCOTT RUDE 0044104 01/05/98 461-2785
1560 Horn Lane Eugene OR 974040000
Plumbing: ANKENY 0016112 01/20/98 686-2667
91585 N Coburg Rd Eugene OR 9740100
Mechanical: ROLFS 0102455 10/04/97 6B6-4927
PO Box 66 Dexter OR 974310000
Electrical: SAVE ON 0056697 05/16/97 344-4928
PO Box 23154 Eugene OR 974020425
--- PLUMBING ---
No.
9
Fee
Charge
90.00
0.00
10.00
Single Fixture
BACKFLOW PREVENTION
DEVICE
TOTAL PERMIT
100.00
- - - MECHANICAL - - -
No.
Fee
Charge
6.00
9.00
4.50
2.00
10.00
3
Furnace/burner & vent < 1000,000 BTUs
Vent Fan/Single Duct
VENTILATION UNIT
GAS PIPING
Permit Issuance
TOTAL PERMIT
31.50
QUAD AREA: lINW
-- OFFICE USE --
LAND USE: 3999
Item
LEASE SPACE INFILL
Square Feet
5000
x
$/Square Feet
= Value
70,000.00
TOTAL VALUE OF PROJECT
70,000.00
Plan Check Fee:
222.95 Rec #: 24602
SPRINGFIELD
~.
Job Number: 970263
Page 2
Date: 02/18/97
Rec By: DON MOORE
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
343.00
27.44
31. 50
1. 73
100.00
8.00
SUBTOTAL PERMITS
SYSTEMS DEVELOPMENT
511. 67
4,941.54
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
c.'E417'/~ Piffl;t7I'T
5,453.21
27t6.Y8
1I;.7a9,tn,
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.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CEILING GRID
INSUL-V.B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT
MECH/SUB: FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER
CEILING GRID/SUB:
FINAL/SUB
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 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 - - -
INFILL OF LEASE SPACE ONLY
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 03/19/97
.
SPRINGFIELD
Job Number: 970263
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.
\ 5"o#td 'f.2L
3kDj'n
Signature
Date
- -- VALIDATION
Date Paid:
~ ~,?</~
'3-<o-~'?
,72Q, C~
/?'J%.~ .
-/)7" -
Receipt Number:
Amount Received:
Received By:
SPRINGFIELD
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / INDUSTRIAL)
Name or Company: GUISTINA
Location: 909 INTERNATIONAL WAY
Developement Type: C Building Size:
1. STORM DRAINAGE
Impervious Sq Ft 1.0 X 0
X
0.216
2. SANITARY SEWER
Number Of PFUs
(see Page 2)
- CITY
1. 0 X 18
X
44.75
3. TRANSPORTATION
Number Of Units
1.0 X 5.268 X
X Trip Rate
1. 480 X
Job No.: 970263
Lot Size:
Per Sq Ft =
Per PFU
X
Cost Per Trip
451.26
$3,51B.31
Transportation Total
4, SANITARY SEWER - MWMC
Number Of PFUs
1B
X
X
Per PFU +
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
MWMC Admin Fee
10.00
Date: 02/24/97
Page 1
Sq Ft
$0.00'
$805.50
$3,518.31
$382.42
$0.00
$382.42
$4,706.23
$235.31
$4,941. 54
SPRINGFIELD
Job Number: 970263
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
4
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
o
o
o
o
o
o
8
o
2
o
B
o
2
2
1
6
4
18
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.)