HomeMy WebLinkAboutPermit Building 1998-07-16ONEGONctTr oF SPilNGFIEI^O,
NOIICE:
THIS PERMIT SHALL EXPIRE IF THE WOHK
AUTH0RIZED UNDER THIS PEBmI&htN0[Z rxousrRrAr, pERMrr Appr,rcAr r oN
COMMENCEDORISABANDONEDFOR CITY OF SPRINGFIELD
ANy1g0DAyPERIOD oMMtNrrY sERvrcEs DrvrsroN
BUII,DING SAFETY
ISPFI]{GFIELD
225 North Fifth Street
Springfield, OR 97477
Locatsion of Proposed Work: 1-150 SHELLEY ST
Assessors Map #: l-7032700
Page 1
ilob Nr:rnber: 980075A
Office:
Inspection Line:
725-3759
726-3769
Tax Lot #: 00902
Owner: MCKAY IM/ESTMENTS
Address: 2350 OAKMONT WAY
Description Of Work: TENANT INFILL
Phone #: 485-47LL
city/state/zip: EUGENE, OREGON 974O1,
NEW Value 450, 000.00
ContracEor
Const.
Contractor #Expires
ot/02/ee
03/Lt/ee
LO/3L/e8
os /22 / ee
Phone
747 -8734
688-1444
'7 45 -L52l
7 47 -22t3
General:
Plumb j-ng:
Mechani-ca1 :
Electrical:
ORDELL CONSTRUC OO53O3O
350 SHELLEY ST SPRINGFIELD OR 97477
TWIN RIVERS PL 0017595
PO BOX 40397 EUGENE OR 974040000
}IARVEY & PRICE OOOOOTT
PO BOX 1910 EUGENE OR 914400000
ALERT ELECTRTC 001,2772
].970 N 2BTH ST SPRfNGF]ELD OR 9747'7
PLI'}TBING - - -
No
11
Fee Charge
110.00
l_10.00
Single Fixture
TOTAL PERMIT
No
5
--- MECHANICAL ---
Furnace/burner & vent < 1000,000 BTUs
Mechanical exhaust hood and duct
Vent Fan/Single Duct
SUSPENDED UNITS
8 GAS P]PING OUTLETS
4 REFRIG. UNITS
Permit fssuance
TOTAL PERMIT
Fee Charge
24 .00
4.50
18.00
24 .00
4.00
24.OO
10.00
1_l_l_.50
QUAD AREA: 1INW
-- OFFICE USE --
LAND USE: 3999 ZONING CODE: LMI
Item
COMPLETE LEASE SPACE
TOTAIJ VALUE OF PRO'TECT
Square Feet
).2921-
x $/Square Feet Value
175, 000.00
l_75, 000 . 00
BUILDING
Surcharge/admin
50L.75
48 .1_4
SPFINGFIELD
.fob Number: 980075A
CITY OF SPilNGFIEI^O, ONEGON
Page 2
MECHANTCAL
Surcharge/admin
PLL]MBING
Surcharge/admin
CITY SDC FEES
ELECTRICAL PERMIT
SUBTOTAL PERMITS
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
111.50
I .13
110.00
8.80
9, 381 . B8
354.24
1_O , 624 .44
L0 , 624 .44
REQUIRED INSPECTIONS
It 1s the responsibi-1ity of the permit hoLder to see that all inspections are
made at the proper time. To request an i-nspection, caLL 726-3759
(recorder), state your City desi-gnated job number, job address, type of
inspection requested and when you will be ready for inspection. Requests
received before 7:00 a.m. wil-l- be made Ehe same working day, requests made after
7:00 a.m wifl be made the following work day.
Special Inspections: In accordance with Section 306 of the State Specialty Code
a special inspector sha1l be employed by the owner/Contractor duri-ng
construction of any followi-ng "*" wbrk. A copy of the special testing reports
sha11 be furnished to Building Safety.
In addition to the inspections specified, the Building Official may make or
require other inspectj-ons of any constructj-on work to ensure compliance wi-th
the Building, City or Development Code.
ROUGII PLUUBING - Prior To cover.
ROUGH GAS - after Ii-ne is installed and capped if not attached to an
appliance
ROUGH MECIIANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
FF,A.MING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
INSUL-V.B,/SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT
DRYWALL - Prior to taping.
FIREWALL - Located and constructed according to p]ans.
CEILING GRID
FINAL PLITMBING - When all plumbing work is complete.
FINAL GAS - When all gas work is complete.
cAs SERVICE - After line is i-nstalled and line has been connected to a
mini-mum of one appliance, Pressure test done at this point.
FINAL MECHATiIICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When al-l- electrical- work is complete.
FINAL/SUB
FINAL FIRE - When all Fire Department requj-rements have been met.
been met.
FINAL SITE PLATiI - After all requirements have been met for Minimum
Development Standards or from the Development Agreement.
FINAL BUILDING - When all required inspections have been approved and
the buifding is complete.
--- ADDITIONAI. COMMENTS --.
SEE JOB #9BOO74 FOR STRUCTURAL SHELL AND ASSOCIATED SITE
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
IMPROVEMENTS
Date: 07 /09/98
SPFINGFIELD
Job Number: 980075A Page 3
By signaEure, I state and agree, that I have carefully examined the completed
applj-cation and do hereby eertify that all information hereon is true and
correct, and I further certify that any and all work performed sha11 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 herej-n, and that
No OCCUPANCY will be made of any strucEure without permission of the
Community Servj-ces Division, Building Safety. I further certify that only
contractors and employees who are in compllance 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 ard is located at the front of the property, and the approved set
of p1 will remain on site at all times during construction
c "?B
Si ure Date
CITY OF SPRINGFIELD, ONEGON
--- VALIDATION ---
Receipt Number
Date Paid
Amount Recelved
Received By
6f
fY
/0 [ 71/,
JOURNAI ^R JOB NO.
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
I^JORKSHEET
NAME OR COMPANY
LOCATION
PEDEVELOPMENT TY
T.*ro9o*-8$ftD{+(ff SIZE:
17,5/6 6 87 "//0. Ft
$
<$
$100 0
$+
$7/z
OT SIZ
1. STORM DRAiNAGE - /1,/, n^€r'r a",/z-a- + ,U. ,/A4 il*-// /r-a-frt,sru€
IMPERVIOUS SQ. FT X $0.227 PER SQ FT $&
2. SANITARY SEWER-CiTY
X $47.14 PER PFU $ /J5'?o
NO. OF PFU'S
(See Reverse Side)
3
4
/,-tar.L-;e
52)
NO OF UNITS X TRIP RATE X COST PER TRIP
e X .-f ' X$475.32
x $475.32
SDC
SAN-IrARy sEI^IER-MWMC - U -/il1" il*.// frr^.,ft7BazrA. REIMBURSEMENT COST: '*' ' O
N0. 0F FEU'S _X _pER FEU g --r
B. IMPROVEMENT COST:
N0. 0F FEU'S _x --PER FEU
MI^IMC CREDIT IF APPLICABLE (SEE REVERSE)
MI^JMC ADMINISTRATIVE FEE
TOTAL-l4t4,MC SDC
ADMINISTRATIVE FEES.SUBTOTAL
(ADD iTEMS 1'2'3 & 4)
BASE CHARGE (SUBTOTAL ABOVE) X .05
$X
5 vet
ATTACH 'A. I^JPD
j nator
Date 8r(
TOTAL SDC
ol$,rt'{-
U{D-&
FlxruRE uNlr cALcuf ^TloN TABLE: Number or New F\.(NOTE: For remode\s, ca\cu\ate or,.*.he NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
Bathtub.....
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc
lnterceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher.
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer).........
Receptor For Refrigerator/Water Station/Etc.
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Sta11.........
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen....
Urinal, Stall/Wall...
es X Unit Equivalent = Fixture Units
UNIT
EOUIVALENT
FIXTURE
UNITS
d/Hea
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
Wash Basin/Lavatory, Single........
Toilet, Public lnstallation.
Toilet, Private...............
Miscellaneous:
I
,
TOTAL FIXTURE UNITS
ased on assessed value. lf improvements occu
--v-__/-
.{
CREDIT CALCULATION TABLE: B
calculate credits rates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
rred after annexation date in table,
CREDIT TOTAL = $
(Rate X Assessed Valuex$
(Rate X Assessed V alue)
Year
Annexed
Rate per $1,OOO
Assessed ValueYear
Annexed
Rate per $1,000
Assessed Value
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
o.96
o.83
0.67
o.52
o.38
o.21
1979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating PurPoses OnlY)
................. o.4
................ o.9
o5
,................ 0.5
Residential......
Commerical.....
lndustrial.,......
Governmental..
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
x $-
JOB NO Zfu: I
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAM E oR coMPANY: zf/r*/W"r./ l/a,J;-u
LOCATION
DEVELOPMENT TYPE #Taug
BUILDiNG SIZE SIZ Ft
1. STORM DRAINAGE -./, nda,/ 64ad- fi.f"-anf t^"[;'//
€X $0.226 PER SQ. FT s€
2. SANITARY SEI^IER-CITY
NO. OF PFU'S X $46. 86 PER PFU
Jra4r,*7
/8
$ /,?q-(See Rever:se Side)
3. TRANSP0RTATI0N ee--,eza/ L,i/rE^
NO OF UNiIS X TRIP RATE X COST PER TRiP
'o el x .?a x$472.49 %
$ -r ^r2
X
X
x $472.49 $
x $472.49
NO. OF FEU'S X PER FEU + $10 MI^IMC/ADM FEE $ +
$
4
MtdMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINIST,,RATiVE FTES
BASE CHARGE (SUBTOIAL ABOVE) X .05.
s4
$4qeaE
$ /qefu
TOTAL SDC s 7SA,
ut
IMPERVIOUS SQ FT
oate, /r ?
FIXTURE UNIT CALCUL/ -'ON TABLET Number or New Fixtr-,(NorE: For remoders, calcurate only vre NET additional fixtures)
NUMBER OF
NEW FIXTURES
X Unit Equivalent = Fixture Units
FIXTURE TYPE
Bathtub.....
Drinking Fountain....
lnterceptors For Grease/Oil/Solids/Erc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher.....
Clotheswasher - 3 Or More...
Mobile Home Park Trap (1 Per Trailer)......
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... ...........i!!.
Toilet, Public lnstallation.
Toilet, Private....
Miscellaneous
TOTAL FIXTURE UNITS
CREDTT CALCULATTON TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits se arates
UNIT
EOUIVALENT
FIXTURE
UNITS
x
q
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
/Head
4
--
-
,2d3v-
---
F
T--T-
--)
-
/z@J
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
Year
Annexed
x$
(Rate X Assessed Value)x$
(Rate X Assessed Value)
Rate per $1,OOO
Assessed Value
CREDIT TOTAL = $
Year
Annexed
Rate per $1,OOO
Assessed Value
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
$2.56
2.17
1.73
1.31
o.92
o.v4
o.61
o.45
o.31
o.17
1979 or before
1 980
1 981
1 982
1983.
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes OnlYl
Residential...;.
Commerical....
lndustrial.......
Governmental.
o.4
o.9
o5
o.5
TMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
----7-
-7-
T-
.-_-
COM M ERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Frtfi Street, Springfield, Oregon 97477
SPRINGFIELO
JOB NUMBER a.-,4Ar-<
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WOFIK:
ASSESSoRS MA? r/7e7 \^? @ rAX Lor +=-
,4)A<" Z./^ ,PHON E:7--------7-
STATE:ztP
7
CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE
DESCRIPTION OF WORK
MECHANICAL:
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONE
ELECTRICAL:
ARCHITECT:
CONTRACTOR'S NAME
PLUM BI NG:
G EN ERAL:
CONST.
CONTRACTOR #
PLU MBING
NO FEE CHARGE
,b Single Fixture /o ,Zs-e
Relocated Bldg.(new fix. addtl)
Water Service
ft
Sanitary Sewer ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NO FFF EHA RG F
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- oFFrcE usE -
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF P
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT'PLAN CHECK FEE DATE BY
/2,i?a
BUILDING PERMIT PLUMBING
^b.o?
DEMOLITION
5% State
Su rc harge
57o State
Surcharoe fr a./J_
a.>4,.>
MECHANICAL FENCE
VALUE $
5% State
Surcharqe
SIDEWALK
FT.
SUBTOTAL
PE RM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PEBMIT FEES
EXCLUDING ELECTRICAL
%o
REOU!RED INSPECTIONS
It ls the responsibillty of the permlt hofle to see that all lnspectlons are made at the proper time. To request an lnspection, 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.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
UN
ELECTRICAL.
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all lnslab building
service equi pment, cond uit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UNDERGROUND: PIumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
dralnage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to lnstallatlon of floor
insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance withugc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalling
any roof coverlng.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
FRAMING: To be made after
the roof, all f raming, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior wall covering is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, is in
place but before any
plastering is applied or before
gypsum board joints and
fasteners are taped and
f inished.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghtening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certificate by an approved
agency, furnlshed to the City's
Building Division before
beams are placed. (2501 U.BC.
STDS. 25-10J1).
STRUCTURAL MASONRY (306
a.7)
'ln addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
Clty or Development Code.
MBI
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information
herein 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 Building Safety Division. 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.
Signature Date
VALIDATI AMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID
FINAL PLUMBING
F]NAL ELECTRICAL
FINAL MECHANICAL
F]NAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All proJect conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requesting this i nspection.
FINAL BUILDING: Requested after the final plumbing, etectricat,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
PLANS REVIEWED BY DATE
y/ r,/r!
/2?-aa
CITY OFSPR OFEGO'U
i'he following pfalsct
zoning, and doee nd
approval.
225 FIFTH STREET
SPRINGFIEI,D, OREGON 9747
INSPECTION REQTIEST z 7268rt6fud
OFFICE: 726-3759
1
DESCRI
JOB ON
t,Ynl nll.rl0 J
Permits are non-transferable and expire
if vork is not started vithin LBO days
of issuance or if vorlt is suspended for
180 days.
2. COMRACTOR INSTALLATTON ONLY
Electrical Contractor It-i'fl
SPnrnlGFlELD
aodrblrfisd hmthri
rcqdte spocilla hrd uss
EI,ECTRICAL PERHIT
Ci Job Nunber
COHPTETE FEE SCBEDTILE BELOS
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems
3
A
Cos t
$ 8s.00
s 1s.00
$ 40.00
Sum
B
L-
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
SerVice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps orAddress4
Ci ty
'l
))
201 amps
40L amps
601 amps
anps .2--
amps _amps_
to
to
to
less
400
600
1000
s s0.00
s 60.00
s 100. 00
s130.00
$300.00s 40.00
@oone
Supervi-sor License Number arl3 -.t
Expiration Date to -/-qg
constr contr. Number eC' .tS C-
Expir:ation Date -q,g
ture of pe rvising Electrician
0ver 1000 amps/voIts
-Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 6oo amps
-
$ 80.00
0ver 600 amps or fbOO voTts see rrgrr ufffi-
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
$ 3s.00
Circuit or vith Service
or Feeder Permil sCI $ 2.00
c
/()-/
S
ers Na me
Address
Ci ty Phone
OVNER ALLATION
DATE:
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/outline Lighting- $
t imited Energy/Res
-
$
D
ful
E not included)
40.00
40. oo
20.00
5 SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTALRECETVED B
u01b
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0sners Signature:
CITY OF ORECON
f[6. f6l larvyip'rg project as $ubmittgd has the
roquiro speclfic lanrJ usul'
SP. eGFIELEt
EI.,ECTRICAL PERHIT APPLICATION
zonir.(; ahd doaanot
approyal.
225 FIFTH STREET
SPRINGFIELD, OREGON 97
INSPECTION REQTIEST: 7
OFFICE: 726-3759
26-
1 ALLATION
qoQ
Permits are non-trans ferable re
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
L80 days.
2. CONTRACTOR INSTAILATION ONLY
Job Nunber
3. COHPIJTE FEE SCEEDT'LE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
L000 sq.ft. or fess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
B. Servi.ces or Feeders
lnstallation, Alterations
or Relocation:
qsm05
I Sum
vfr-sfrcElectrical Contracto
Address &gear
Phone
1e
40
60
amps
or
to
to
ps
ps
am
am
ss
0
0
s s0.00
$ 60.00
s100.00
s130.00
$300.00s 40.00
Ci
i Supervisor icense Numb
amps amps _
amps to 1000 amps_
r 1000 amps/vo1ts
Reconnect 0n1y
Expiration Date
Constr Contr. Number
Expir:ation Date
ture of Supervis Iectrician
Owners Name
Ci ty Phone
OVNER
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0uners Signature:
DATE:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
-L201 amps to 400 amps _
Over 401 to 600 amps
Over 600 amps or 1000-voFs
Branch Circuits
c
D.
$40
sss
$80
see
.00
.00
.00rgtt
"ffi[[
00
00
00
00
@_
sresdAd
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Out1ine Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
b
$
$
$
4A
40.
20.
36.
RECEIVED B
5
0o
ol
CITY OF SPruNGFTEI-O,
. SPlrIr,GFIELcl
COMMERETAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
a
age 1
dlob Number: 980075
225 North Fiftsh Street
Sprlngfield, OR 97477
Location of Propoeed Work: 1150 SHELLEY ST
Assessors i,tap #: 17032700
Office:
Inspection Line:
725 -37 59
725 -37 69
Tax Lot #: 00902
Owner: MCKAY II{VESTITIENTS
Address: 235O OAKMONT WAY
Description Of Work: WAREHOUSE
Phone #: 485-A'lL]-
cirylstate/zip: EUGENE, oREGON 97401,
NEW VaIue 0.00
Name
SCHAIIDT
Address Phone
Archi-tect:
General:
Plumbing:
Mechanical:
Electrical:
ContracUor
ORDELL CONSTRUC OO53O3O
360 SHELLEY ST SPRINGFIELD OR 97477
TWIN RIVERS 0045848
HARVEY & PRICE OOOOOTT
PO BOX 1910 EUGENE OR 974400000
ALERT ELECTRIC OOA2772
1970 N 28TH ST SPRINGFIELD OR 97477
Const.
ConEracEor #E:<pires
ot/ 02 / oo
oe /L6 / e8
Lo/3L/e8
os/22/ee
Phone
747-8734
928-2292
7 45 -L621
747 -2213
PLI'MBING
No Fee Charge
85.00
100.00
235.00
420.00
Sanitary Sewer
Water Service
Storm Sewer
TOTAL PERITTIT
480
500
15 00
fr
fr
fr
No
--- MECHATiIICAL ---
Furnace/burner & venE < 1OOO,O00 BTUs
GASLINE
Permit Issuance
TOTAL PERMIT
Fee Charge
33.00
2 .50
10.00
45.50
QUAD AREA: 1INW
ZONING CODE: LMI
-- oFFrcE usE --
LAND USE: 3999 # OF BLDGS: 1
Item Square Feet x $/Square Feet Value
TOTAL VAIJUE OF PROJECT 450, 000.00
a
SPNIi.GFIELD
.Tob Number: 980075
dTTOF t
Page 2
Plan Check Fee:793.33 Rec #: 28523 Date: o1,/2o/98 Rec By
BUILDING
Surcharge/admin
MECHANICAL
surcharge/admin
PLUMB]NG
Surcharge/admin
ELECTRICAL
SDC
PAVfNG
SEWER HOOKUP
STIBTOTAL PERMITS
TOTAL PERMIT FEES EXCLUDING EI,ECTRICAL
1,220.5O
97.65
45.50
2 .85
420 .00
33.60
L94 .40
40,676 .t3
283.00
20 , 07O .40
63,O44.03
63 , 044 .03
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. To requesL an inspection, calJ- 726-3769
(record.er), 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. wil-l 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 Section 305 of the State Specialty Code
a special inspector shall be employed by the Owner/Contractor during
construction of any following "*" work. A copy of the special testing reporLs
shaI1 be furnished to Building Safety.
fn addition to the inspectj-ons specified, the Building official may make or
require other inspections of any consLruction work to ensure compliance with
the Building, City or Development Code.
FOOTING - After Lrenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prlor to concrete
I,NDERGROI,ND EI.ECTRICAL - PTiOT IO COVCT.
TNDERGROTND PTIIMBING - Prior to filling trench.
WATER LINE - Prior to fllIing trench'
STORM SEWER LINE - Pri-or to fi-lJ-ing trench.
SAIiIITARY sEwER LINE - Prior to filling trench.
HIGH STRENGTH BOLTING - To be done during constr by State Certified
special Inspector. Results provided to city Building Division.
STRUCTURAL CONCRETE in excess of 2500 psi. To be done during consEr.
by State Cert. Insp. Resufts Eo City Building Inspector
ROUGH GAS - after line is installed and capped if not attached Lo an
appliance
ROUGH MECHATiIICAL - Prior to cover.
GAS SERVICE - After line i-s instal-fed and line has been connected to a
minimum of one appliance. Pressure test done at this poinL.
ROUGH ELECTRICAL - PriOT TO COVCT.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SPFINGFIELD
Job Number: 980075
OIY OF SPilNGFTELD,
Page 3
FRAMING - Prior to cover.
MECH/SI'B: FOLLOWING ROUGH MECIIN{ICAI, APPROVAL, PRIOR TO COVER
DRYWALL - Prior to taping.
FINAL/SUB
FINAL PLITITIBING - When all plumblng work is compleLe.
FINAL MECIINiIICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When al-I electrical work is complete.
FINAL FIRE - When all Fire Department requirements have been met.
been met.
FINAL SITE PLAti[ - After all requirements have been met for Minimum
Development Standards or from the Development Agreement.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
--- ADDITIONAI, COU}IENTS ---
DRC 97-10-218, PLANNER rS JrM DONOVAN
Plans Revj-ewed By: TOM MARX
Building Site Reviewed By: LISA HOPPER
Date: 03/23/98
By signature, I sLate and agree, Lhat I have carefully examined the completed
application and do hereby certify Ehat a]l information hereon is tsrue and
correct, and I further certify that any and all work performed sha1l be done
in accordance with the ordinances of the City of Springfield, and the Laws
of the SEate of Oregon pertaining to the work described herein, and Lhat
NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify EhaE only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree Eo ensure that alf required inspections are requested at the
proper time, that projecL address is readabfe from the street, that the
pe
of
rmit rd is loca Eed at the front of the property, and the approved set
n on the site aE all times during construcEion.
J. L-deI7/3 24'gB
s ture Date
will
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VALIDATION ---
7*?7'**
6?r'a//'e3
ATTACHMENT A JoB No ' 7"a<
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME oR coMpANy , frc Ko^u TEro,ry' ' Q
LOCATION
DEVELOPMENT TYPE . ,.Ln
sr0RM DRAINAGE - F..u Jo 5'z/e L'le /4^
(- 64 )) o,u*- /Lu,li 2
BUILDING SIZI OT SIZ
1
rMpERVrOus sQ FT. ,t5/6 x $0.226 pER SQ. t. Srf6r-527Q
SANITARY SEWER-CITY -,.U il"-f .14- - A//n./ ,t/ teao-t /b5.2
J
NO. OF PFU'S
(See Reverse Srde)
NO OF UNITS X TRIP RATE X COST PER TRIP
x $472.49
x $472.49
X $46. 86 PER PFU
x $472.49
TOTAL-MI^IMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
s
TRANSPoRTATIoN * 0//r-/ /fu"*'f y'b t
X $
X $
X $
Jus.lnJ4. - Lnc
N0. 0F FEU'S /q-y-tx /3g@pen FEU + $i0 ]'4I^JMC/ADM FEE
,
l'4l^lMc CREDIT IF APPLICABLE (SEE REVERSE)
?J
>os ?:?-
ta;J*
fiLrrf
s /,1-76 &_
BASE CHARGE (SUBTOTAL ABOVE) X .05
i nator
Date ?1i TOTAL SDC s ?o.676&
-
I tn I vrll- vlul I lsALt-tJLA I lUlY I ADLtr: Number ot New Frxt'rres X Unrt Equrvalent = Fixture Uxits
(NOTE: For remodels, calculate.or' the NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
lnterceptors For Grease/Oil/Solids/Etc................
lnterceptors For Sand/Auto Wash/Etc................
Laundry Tub/Clotheswasher...
Clotheswaslrer - 3 Or More.....
Mobile Home Park Trap (1 Per Trai1erI..............
Receptor For Refrigerator/Water Station/Etc......
Receptor For Commercial Sink/Dishwasher/Etc..
Shornrer, Single Stall..
Shower, Gan9.........
Sink: Bar, Commercial, Residerrtial Kitchen..........
Wash Basin/Lavatory, Single
Toilet, Public lnstallation......
Toilet, Private.......
Miscellaneous:
adlHe
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits s rates
Credit for Parcel or Land Only lf Applicable 3-?7 x $ /14 8j 7oq7,
(Rate X Assessed Value)
Year
Annexed
x $_
(Rate X Assessed Value)
Rate per $1,00O
Assessed Value
)O77, -
A4er64J lmproy,;:ment (if after annexation date)(J A/ue 4/?ero2o
D/*/Ar"*'-?.6.2 ac-/25 = ?/IOVZ,ff
Year
Annexed
Rate per $1.000
Assessed Value
/r("{
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91' e=sel tA./ue o.f /6Jg. */"2 /L*l
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
$ 2.56
2.17
1.73
1.31
o.92
o.v4
0.61
o.45
o.31
o.17P
CREDIT TOTAL s
/7or5?J sF * -7/ --,Ai#!"oEFFr CIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential...;.........
Commerical............
lndustrial.......
Governmental
0.4
0.9
o5
0.5
lMPERVlous AREA = TorAL Lor slzE x RUNOFF coEFFtctENT
Bathtub.....
Drinking Fountain....
Floor Drain.................