HomeMy WebLinkAboutPermit Building 1999-12-22SPRINGFIELD
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COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIEI,D
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
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ilob Number: 99L643
225 North Fifth Street
Springfield, OR 97477
Location of Propoeed Work: 1853 2ND ST Y
Assessors Uap #: 17032524
Office:
Inspection Line:
726 -31 59
726 -37 69
Tax Lot #: 01300
SPruNGFIEIT',
Owner: PATRICK EWING
Address : 4'74 BROOKDALE AVE
Description Of Work: REMODEL
Phone #: 726-2050
cirylstate/ zip: sPLFD OR, 97 477
NEW Vafue 0.00
QUAD AREA: 1CNW
-- OFFICE USE
LAND USE: 5300
Item
FIREWALL RETRO
TOTAI, VALUE OF PROJECT
Square Feet x $/Sguare Feet Value
2, 500.00
2,500.00
Plan Check Fee 25.03 Rec #: 36350 DaLe: 1,2/05/99 Rec By
BUILDING
surcharge/admin
MECHANICAL
Surcharge/admin
PLUMBING
Surcharge/admin
CITY SDC
SUBTOTAL PERMITS
TOTAL PERMIT FEES EXCLUDING ELECTRICAIJ
38
3
0
0
0
0
585
50
85
00
00
00
00
94
129.30
729.30
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
mad.e at the proper time. To request an i-nspection, ca]-l- 725-3769
(recorder), state your City designated job number, job address, tlpe 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 Section 306 of the State Specialty Code
a special inspector shalI be employed by the Owner/Contractor during
consLruction of any following "*" work. A copy of the special testing reports
shall be furnished to Building Safety.
In addi-tion to the inspectj-ons specified, the Building Officj-al may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
SPR!It.GFIELD
Job Number: 991-643
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Page 2
SPruNGFIELT',
FIREWALIJ - Located and constructed according to plans.
FINAL, BUILDING - When all required inspections have been approved and
the building is complete.
--. ADDITIONAL COMMENTS ---
INSTALLING FIREWALL ON NORTH SIDE OF MAIN BLDG., & BETWEEN BLDGS
MUST MEET OTHER PLANNING SITE REQUIREMENTS FOR CHANGE OF USE.
Plans Reviewed By: DON MOORE
Building Site Reviewed By: BOB BARNHART
Date : L2 /T,/ 99
By signature, I state and agree, that I have carefully examined the completed
application and do hereby certify that all informat.ion 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 Spri-ngfie1d, 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 certj-fy 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 a1f requj-red inspections are requested at the
proper time, that project address is readable from the street, that the
permit card i-s located at the front of the property, and the approved set
of plans will remain on the site at all times during construction.
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--- VALIDATION ---
Receipt Number
Date Pai-d
AmounL Received
Received By:
76 roz
2 2 5
3a
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2" 7rq/,/au"tr 4zl 77tz7
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER
DEVELOPMENT TYPE:
PATRICK EWING
991643
1853 2ND STREET
170326924-01300
CONVERSION FROM SFD TO OFFICE & NEW PAVED SURFACE
BUILDING SIZE 870 LOT SIZE
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.x $0.232 PER SQ. FT2219.3 $s 14.88
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
x $48.27 PER PFU0 $0.00
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
0.87 x 1.49 x $486.73 PER TRIP
-l x l.0l x M86.73 PER TRIP
$630.9s
($491.60)
TOTAL TRANSPORTATION SDC $139.35
4. SANITARY SEWER. MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x
B. IMPROVEMENT COST:
NUMBER OF FEU's x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
PERFEU
PERFEU
TOTAL MWMC SDC
$0.00
s0.00
$0.00
$0.00
s0.00
$654.23suBTorAL (ADD ITEMS 7,2,3, & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE)x 050 $32.71
/z/zo/aq $686.94
DATE'
TOTAL SDC CHARGES
PLUMBNG FIXTURE LINIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUryALENT: PLUMBING FIXTURE UNITS
fNOrE' nOn neUOOgl,S
PLUMBING
FIXTURES UNIT FIXTURE
FIXTURE TYPE NEW OLD ALENT UNITS
BATHTUB
DRINKING FOTINTAIN
FLOORDRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDSiETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAL]NDRY TUB/CLOTHESWASHER/MOP SINK
CLOTHESWASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALL/WALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
0
0
0
TOTAL PLUMBING FIXTURE UNITS:
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
2
I
2
J
6
2
6
6
I
J
2
I
2
2
I
6
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
RATE PER $1,OOO
ASSESSED VALUE
$4.47
$ 4.38
$4.32
$ 4.20
$ 4.03
$ 3.88
$ 3.68
$ 3.38
$ 3.03
$2.62
1989
1990
l99l
1992
1993
1994
1995
1996
1997
1998
$2.18
$ l.7s
$ l.3s
$ l.l7
$ 1.03
s 0.86
$ 0.71
$ 0.57
$ 0.39
$0.r8
1979 orbefore
1980
1981
1982
1983
1984
1985
1986
1987
1988
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE) _x
x
CREDIT TOTAL
$0.00
$0.00
$0.00
0