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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 ),-