HomeMy WebLinkAboutPermit Building 2001-02-06SPRINGFIELD
Job# 01 -00058-01
COMMERClAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1503 Mohawk Blvd Spr
AssessorsMap#: 00000000
Lot: BIock: Addition:
Job Number: 01-00058-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00000
Subdivision:
crTY oF SPRINGFIELD, OREGO^
Owner: Dutch Bros. Coffee Phone Number:
Address: 903 NW F Street Building C City/State/Zip:
Scope Of Work: Commercial New
Dutch Brothers Coffee - espresso stand
541 -659-1 957
Grants Pass, OR 97526
Value: $10,000
Contractor Type
ElectricalContr
Plumbing Contr
Contractor
New Way Electric lnc
Po Box 21503, Eugene, OR 97402-0409
Emk Contractors lnc
540 Conger St, Eugene, OR97402-2718
Registration #
51OBB
Expiration Date
6127t2001
Phone
541-686-2365
541 -683-371 59904811112001
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
office use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording a1726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Electrica!
Rough Electrical
Fina! Electrical
Sanitary Sewer Line
FinalPlumbing
Modular Set Up
Final Modular Set Up
-Prior to cover.
-When all electricalwork is complete.
Plumbi
- Prior to filling trench.
-When all plumbing work is complete.
Permits w/o Srch
-To verify method of tie-down
J
it
-After all required inspections have been approved and project is complete.
Job# 01-00058-01
# Of Stories: Height (feet):
Gurrent Units: Proposed Units
Census Code: Does not apply
Total:
Page 2 of 3
Construction Types
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
CommercialPlan Check
Total Plan Check
10,000 $s2.33
$52.33
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Electrical
0112312001
01t23t2001
0112312001
0112312001
4298
4298
4298
4298
$50.00
$2.00
$3.64
$1.56
$s7.20
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Plumbing
02t06t2001
02t06t2001
0210612001
02t06t2001
4388
4388
4388
43BB
45
$.oo
$1.75
$25.00
$.75
$27.50
Sanitary Sewer
MWMC Administrative Fee
SDC Administrative Fee
Miscellaneous MWMC
Miscellaneous Transportation
Total System Development
System Development
02t0612001
02106t2001
0210612001
02t06t2001
02t06t2001
4388
43BB
4388
4388
43BB
258
1,740
$187.00
$10.00
$109.74
$258.20
$1,739.65
$2,304.59
5
1
Permits w/o Srchg
02t0612001 43BBModular
Total Permits w/o Srchg
10,000 $40.00
$40.00
Grand Total
Plan Check Type
lnitial Review-C/l/P
Engineering-C/l/P
Planning-C/l/P
Structural-C/l/P
Checked By
Lorne Pleger
Pam Ownby
Ruth Klein
Lorne Pleger
Date Completed
01t22t2001
02t01t2001
01t31t2001
0210112001
$2,481.62
Comment
site plan prepared by Bob Kettwig from aerial
photograph
01t22t2001 4289
1
1
Job# 01-00058-01 Page 3 of 3
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employess who are in acompliance with ORS 701.055 will be used
on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each
address is readable from the stret, that the permit card is lcoated at the front of the property, and the
approved set of plans will remain on the site at all times during construction.{5-G A- c'o I
Signature Date
TE
CITY OF SPRTNGFIELD SYSTEMS
JOB
ARGE WORK$}IEET
NAME OR COMPANY:
LOCATION:
MAP& TAX t.OTNUMI3ER
DEVTiLOPMEN'I'TYPE:
usE # t NEW DEVELOPED BUIU)ING AREA (s'F
EXIST DEVELOPED BUILDING AREA(S'F
,TOTAI, DEVELOPED BUILDING AR.EA (S' F
l12
.)t
.)i
Bt.YD
IMPERVTOU$ sQ. rT. 0.00 x S 0'271I PER SQ. IrT',00
A. RETMEUR$EMEN'T COST:
N(JMBlrt(OF IJFt'rs
B. IMPROVEMENTCOS'I':
NI.JMBEROF DF'U'S
(sEF RF:VERSE Slt F)
5 x $ 2I.25 PURDFII
$ 16.15 PER DFU
TOTAI. LOCAL WASTEWATER SDC:
x
106,25
7(
BLDGAREATGSFx,I.RIPRATExCOSTPERADTxNEWI'RIPFAcToR
A, REIMBUR$EMENTCOST:
0.112 x 716 x
r-
B, IMPROVEMENT COST:
0.112 x
-|!1L
x
. TOTAU1'RAI{SPOR'I'ATION SDC
S 16.12 PER TR'IP x 0-25 NTF-i
S 65.5.1 PER'IRIP x 0,25 NTF
-
III
I
A. RHIMBI.]RSEMENT COST:
NUIYIBF.R. OIi FEIJ,S
M WMC A DMIMSTBA'TI\M FEE
B. IM PROVEMEN'I' CTDST :
NUMBEROFFEI'J's 0'-!-!?------+-
MWMC CREDIT IF APPLICABLE (SUIJ REVERSD) ]
.65 PER FEU
x $ r00,08 PER TEU
TOI'ALMWMC SDC
0,112 x 8(,
i2s3,0l
BASE CHARGE (SUBTOTAL ABOVE)
Pr*
SUBTOTAL (ADDITEMS 1,2,3,&4)$?",077.33
TOTALSDC CHAR.GES $2,181.20
DECEMBER 2OOO
x
ll2Sl0l i
-Dffi
.E7
? SeYd !og:9t to'Ea'NVr ! rao lggl trs fma ot:uolIUdg :AE lN3$
IT['-J-lrE,-
LOT slZE (S.F ),-