HomeMy WebLinkAboutPermit Building 1998-1-16
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SPRINGFIELD
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 971703
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 921 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/GRAND SLAM
REMODEL Value:
0.00
Contractor
Const.
Contractor #
Expires
Phone
General: MCINTYRE 0003550
85830 pine Grove Rd Eugene OR 97405
Mechanical: COMFORT FLOW 0000460
855 W 1st Ave Eugene OR 974020000
Electrical: REYNOLDS ELECTR 0017252
2782 Central Eugene OR 974030000
10/08/98
687-2841
06/27/98
342-8101
08/05/98
343-7297
:;.f!.
- -- PLUMBING
No.
9
Single Fixture
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.....~'O 'i~ ~~'iF~ \iSE __
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Fee
Charge
90.00
TOTAL PERMIT
90.00
QUAD AREA: lCNW
Item
TENANT IMPROVEMENT
Square Feet
x
$/Square Feet
Value
30,000.00
TOTAL VALUE OF PROJECT
30,000.00
Plan Check Fee:
91.33 Rec #: 28174 Date: 12/04/97 Rec By:
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
CITY SDC
PLAN REVIEW ADJ.
193.00
15.44
0.00
0.00
90.00
7.20
3,351.40
34.12
SUBTOTAL PERMITS
3,691. 16
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
3,691.16
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SPRINGFIELD
Job Number: 971703
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.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
ROUGH MECHANICAL - Prior to cover.
ROUGH PLUMBING - Prior to cover.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
UNDERGROUND PLUMBING - Prior to filling trench.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
TEMPORARY POWER
FINAL FIRE - When all Fire Department requirements have been met.
been met.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
- - - ADDITIONAL COMMENTS - - -
OCCUPANCY=A3, CONST.TYPE=III-N, OCC LOAD=299 (MAX) . POST BLDG. FOR 50 OCC. (MAX)
SEPARATE ELECTRICAL PERMIT IS REQUIRED
SEPARATE MECHANICAL PERMIT IS REQUIRED.
Plans Reviewed By: DON MOORE Date: 01/13/98
Building Site Reviewed By: LISA HOPPER
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 ~ns w1ll remain on the site at all times during construction.
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'Date
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SPRINQFIELD
Job Number: 971703
Receipt Number:
Date Paid:
Amount Received:
Received By:
-- - VALIDATION
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Page 3
. .
Jut) NU. 7/1 /u,'i
. ATIAGit1ENT A .
CITY OF S~NGFIELD SYSTEMS DEVEL~ENT CHA~GE
WORKSHEET
N/l,'1E OR CC,.,PANY ?I/.~~ ~.-f~ U~5/:::'"
LOC.!l.TION CJC)'l h r/o!/,/'l<"jYI.."',L.1 tt..,..~H/
/
DE'iEL.OP,'1E"IT TYPE: ;;;;,,:,,,, f- ,f;.J'://
'R,....u;:r t"...,-.u.-
BUILDING S:ZE >,",-0 ;<<)V-- ..;....C)t:-){) LOT SIZE c,n. Fe.
,
1. STORi'! ;Jep ;i.~;::;::- d<..?~7.zd ti../ 4 If! ?hl/ 1-1.,",;,.../1',;6. 7'::;-Q"5?'(; .
v
-":"".-- -- - - - --
li'ir;::-,,' ~,..,L..::" )l....:. ,-'.
. _r '_^, ___ .__ __ _ ./'"
,\ .)V.LL'J. :--t,,"", :;.U. 1- i. ) ~
2. SANTT;::;:j Sri.'lE? -;~ ~T'{.
NO. OF ;FU'S
f''7
bf...:--.
'I ;-.:.;::: 8cr P~P D:"; 1
.\ ... - _. .....\ " V
. "l.-.?.
//' "/\-
S 1'-' .::e.
(See Reve~se Sic~)
3. TRt.NSPGi<TATWi.'
Nq QF Ui'WS X TRIP RATE X COST PER TRIP
. p.e,c /,,;!c-"r- '"' '''(c. f
[-by. 2. K X /...,fJ,. X 5472.49
. 67'
5 / c..,Su -
X
X $472.49
5
X
X $472.49
$
4. SANiTARY SFl~FR .i1\'ir~r.
NO. OF FEU:S ,j.S X ~~PER FEU + $10 ~IWMC/ADM FEE $ _~1't'?8t!..
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$ ~
TOTAl -MWMr sor
9<:~
$.5'30 -
81
$ q /9/-
.
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. AOMTNTSTRATTVF FFFC,
BASE CHARGE (SUBTOTAL ABOVE) X .05
.6'7
$ /.0-
(;4--- j~~
/i . S~ ~rdinator
Date: 17-0/97
. . / .
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TOTAL SDr;, $3. 35-/ -
. FIXTURE UNIT CALCULA TJON TABLE: Number of New Fixtures X Unit Equivalent = FixtUre .Units
(NOTE: For remodels. calculate .the NET additional fixtUreS). ~. .'
. . NUMBE;, OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
BathtUb..... ........ .........................................................
Drinking. Fountain................................................. ..:.
Fioor Drain.... ...........................................................:.
Interceptors For GreaseiOil/Solids/Erc.................
Interceptors For Sand/Auto Wash/Erc..................
Laundry Tub/C!othes.ovasher...................................
Corheswasher - 3 Or More.....................................
Mobile Home Park Trap I; Per Trailer)..................
Receptor For Refrigeratori\-\ta:er Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc...
Shower. Single Stall.................................................
SrlO'lJer, Gang.... '................................. _............... '...
Sink: Bar. Commerc:al. Resice:"',tiaJ Kitchen........................
Urinal. StaliN/ail....... ...... ........... ... .................. ... .......
Wash Basin/Lavatory, Singie....... ..................... ......
ToiieI. Public InsrallaIion................ ..... ...................
Toilet, Private.......................................................
Miscellaneous:
/
2
;
2
3
6
2
. 6 .
6
;
3
2
i/Head
2
2
;
6
4
3
.,
.^
Oi-
TOTAL FiXTURE UNITS
=
CREDIT CALCULATION TABLE:
calculate credits seoarates.
'I
I
I,
.:2.
t.
.,
""-
1-2
2.2
Based on assessed value. If improvements occurred after annexation date in table.
I
Year
Annexed
Rate per $ 1 ,000
Assessed Value
Year
Annexed
1979 or before
1980.
1981
1982
1983
1984
1985
1986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.9;
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Credit for Parcel or Land Only If Applicable
X $ =
(Rate X Assessed Value)
X $ =
. (Rate X A~sessed Value)
Improvement (if after annexation date)
;t/l/1e}L.e~.J /9'17
P 111 %./1 /'1 '15-
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Orily)
ResidentiaL..:...................;... 0.4
CommericaL.....................'... 0.9
Industrial............................ 05
GovernmentaL..................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
/;
Rate per $1,000
Assessed Value
$2.56
2.17
.1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
~
= $
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