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Home My WebLink AboutPermit Building 1996-01-09COMMERCIAI, / IIIDUS TRTAI, P ERMI E AP P I, I CAT I ON CITY OF SPRINGFIEI.D I COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Nurnber: 96L236 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 1855 17TH ST A-C Assessors Map #: a7032524 Office: Inspection Line: 726 -37 59 726 -37 69 Tax Lot #: 03500 Owner: H KWAKE -1,- Address z rcdl 17TH srREETl? Description Of Work: TRIPLEX Phone #: 747-9550 city/state/zr-p: SPRINGFIELD, OREGON 97477 NEW Value:0.00 Contractor General:TGL INC Const. Contractor # 0 0582 99 Expires 1,1,/22/e3 Phone 747-9650 No )i PLI,MBING ft Fee Charge 200.00 2s.00 25.00 25 .00 275.00 Single Fixture Sanitary Sewer Water Service Storm Sewer TOTAL PERMIT t t f f No 4 --- }IECHAIiIICAL --- Mechanical exhaust hood and duct Vent Fan/Single Duct WALL HEATERS Permit Issuance TOTAT PERMIT Fee Charge 3.00 12.00 48.00 10.00 82.00 QUAD AREA: 2RNW # OF UNITS: 3 CONSTR. TYPE: VN INSUL PATH: P1 -- oFFrcE usE -- LAND USE: 1134 ZONING CODE: MDR HEAT SOURCE: WH # OF BLDGS: 1 OCCY GROUP: R3 WATER HEATER: E Item TRTPLEX W/aaR;16s5 TOTAI. VALUE OF PRO'IECT Square Feet x $/Square Feet VaLue 92, 100. 00 .00 \ffi,b27 BUILDING Surcharge/Admin MECHANICAL Surcharge/admin PAVING VALUE PLUMBING 41,2 . OO 32 .96 82.00 5.76 25 .00 275.00 1,450 . 00 Job Number: 961,235 Page 2 Surcharge/admin IN LIEU ASSMT PLAN REVIEW FEE SUBTOTAL PERMITS SYSTEMS DEVELOPMENT 22 .00 0.00 267.80 L , a22 .52 5,229.12 5 ,35L .64TOTAL PERMIT FEES EXCLUDING EI.ECTRICAI, *J,1(tunn\,n&1nab,ffi--- REQUIRED INsPEcrIoNs --- 6tur\ €,4 n. b It is the responsibility of the permit holder Eo see t,hat aLl inspections are made at the proper time. To request an inspection, calL 725-3769 (recorder), state your City designated job number, job address, tlpe of inspection requested and when you wil-l be ready for inspection. Requests received before 7:00 a.m. will be made Ehe same working day, requests made after 7:00 a.m will be made the following work day. Special Inspections: fn accordance with Section 305 of the State Specialty Code a special inspecEor shal-l- be employed by the Owner/Contractor during construction of any following r'*" work. A copy of the special testing reports sha1l be furnished to Building SafeEy. In addition Eo the inspecEions specified, the Building Official may make or require other inspections of any consEruction work to ensure compliance with the Building, City or Development Code. ITNDERFLOOR PLITMBING - Prior to insulation or decking. FOITNDATION - After forms are erected but prior to concrete placement. INSULATION - FLoor; prior to decking Wal1/Ceiling; Prior to cover ROUGH PLI,MBING - Prior To cover. ROUGH UECIIAIiIICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FRAIIING - Prior to cover. INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover DRYWALL - Prior to taping. WATER LINE - Prior Eo fiLLing trench. SATiIITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. FINAT PLITMBING - When all plumbing work is complete. FINAL MECIIAIiIICAL - When alL mechanical work is complete. FINAL ELECTRICAL - When alf el-ectrical work is complete. FINAL FIRE - When all Fire Department requirements have been met. been met. FINAL BUILDING - When all required inspections have been approved and the building is complete. ,( --- ADDITIONAL COMMENTS --- DRC 95-01-001, PLANNER IS LAUREN LEZELL. STREET TREE REQUIREMENTS PER DRC AGREEMENT PATH ]- SEPARATE ELECTRICAL PERMIT ]S REQUIRED INSTALL FIRE EXTINGUISHER PER FIRE MARSHAL'S REQUIREMENTS Plans Reviewed By: Building Site Reviewed By: LISA HOPPER Date: Lo/L6/96 Job Number: 961-236 Page 3 By signature, I state and agree, Lhat 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 furLher certify that only conEractors and employees who are in compliance with oRs 701.055 will be used on this project. I further agree to ensure that al-I reguired 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. s ture e Receipt Number Date Paid Amount Received Received By: 2Lt2b Iw--- VAI,IDATION .-- L \/,r-g-7 7 CITY OF OREGON SPRINGFIELD Page 1 CITY OF SPRINGFIELD SYSTE}IS DEVEI.OPMEI{:T CHARGE (COMMERCIAL / INDUSTRIAI.) Name or Company: H KWI\KE Location: 1865 17TH ST A-C Developement Tlpe: C Building Size Job No. : 961-236 Lot Size Sq Ft 2. SAI.IITARY SEWER - CITY Number Of PFUS 1.0 X 50 (see Page 2) 1. STORM DR,A,INAGE Impervj-ous Sq Ft. 1. 3. TRAI.ISPORTATION Number Of Units 1.0 x 3 x o x 4791, X Trip Rate 0.580 x X 0.216 Per Sq Ft = X 44.75 Per PFU = Cost Per Trip 45L.26 $78s.19 $1, 034 . 86 i2 ,23'7 .50 $78s.19 $l-, 044 . 50 #L2t.94 #922.s6 $4, 980.11 $249 . OL Transportation Total 4. SANITARY SEWER - MI'IMC Number Of PFUs 50 5. ADIIIINISTRATIVE FEES Base Charge (Subtotal Above) Per PFU + 20.690 + MWMC Admin Fee 10.00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SITBTOTAL - (Add lt,ems 1, 2, 3 & 4) x 0.50 TOTAI. SDC Reviewed By: DENNIS ERNST Date: O9/24/96 i5,229.L! SPllINGFIELD Job Number: 96L236 Page 2 FIXTURE I'NIT CAI.CULATTON TABLE dTT OF SPruNGFIELD, ONEGON Number of New Fixture Unit Equivalent Fixture UnitsFixture Type Bathtub Drinking Fountain Floor Drain rnterceptors For Grease/oi1/solids/Btc lnteceptors For Sand/Auto Wash/stc Laundry Tub/CloEheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/WaEer Station/etc Receptor for Commercial Sink/Dishwasher/Etc Shower, Single Stal1 Shower, Gang Sink, Bar, Commercial, Residential- Kitchen Urinal, Stall/Wa}l Wash Basin/Lavatory, Single water Closet, Public InstallaEion Water Closet, Private Miscellaneous TOTAL FIXTURE UNTTS = CREDIT CALCIILATION TABLE: Based on assessed vaLue. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: L973 Credit For Parcel Or Land only If Applicable: 35,140 x 3.47 = a21.94 Improvement (if after annexation date): 0 x 3.47 = 0.00 CREDIT TOTAL = $L2L.94 (If l-and value is mult,iplied by 1 then the parcel/Iand credit is not accurate.) 2 1 ) 3 6 a 6 1 3 ) a ) 1 6 4 3 0 0 0 0 3 U 0 0 0 3 0 4 0 0 6 0 0 0 0 0 l_8 0 0 0 0 6 0 4 0 L5 0 50 SPflt.(rFlELD Nev Residential-Single or MuIti-Family per dvelling unit. Service IncLuded: I tems Cos t %, 225 FIFTE STREET SPRTNGFTELD, OREGON 97 477 INSPECIION REQUEST z 726-3769 0FFICE: 726-3759 1. LOCATION OP INSTALLATION /J. t1l, BLECTRICAL PERHIT APPLICATION City Job N,*b", ?6/?Vp 3. COMPI,ETE TEE SCMDULE BELOV YY^tt" N,!\*. ,A c E I.EGAL DESCRIPTION / 7-o 3 - 'LS-- L<'( TAX uor 3&po JOB DESCRIPTION6t (t Ci ty Beu,rtetlcrr, Phone 843.-{- Supervisor License Number z8 37t iration Date lO.,l- q,V Constr Contr. Number 3:-t '2 L.C L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Service or Feeder SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL a $ as. oo 15 f'D T g 1s.oo ?q -' Sum $ 40.00 Servi.ces or Feeders Installation, Alterations or Relocation: 200 amps or }ess 201 amps to 400 amPs - 401 amps to 600 amPS - 601 amps to 1000 amPs- 0ver 1000 amps/vo1ts - Reconnect OnlY Temporary Services or Feeders Installation, Alteration or Relocation $ s0.00 s 60.00 s100. 00 s130. 00 s300.00 $ 40.00 3 Exp Exp Si I $ $ $ s iration Date 0vners Name Adrlroeq Ci ty 200 amps"or less 201 amps to 400 amPs - Over 401 to 600 amps 0ver 600 amps or 1000-voITs 40.00 5s.00 80.00 ee uB* a5ffi not included) .! 40.00 40.00 20.00 36.00 - aO 5pz4 rrzz Phone 11 D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35'oo Each Additional Circuit or vith Service or Feeder Permit $ 2.00 T Rvsr lan f . if7/ z OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: Z1- Miscellaneous ( Service/feeder -Each installation Pump or irrigation - $ Sign/Outline Lighting- $ Limited Energy/Res - $ RECEIVED B 5 4b rl Permits are non-transferable and expire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 180 days. , ^r}TFVPI(TT^P TUCTAI.! ATTON O!\[.Y B.L. Vvtllivlvivil 44!ur.'!dr Electrical Contrac tor H ! R EktJr.ic, T.qc. tddress '/t3o S.vJ., tl74 Auu.n^1, frt{'|1, I Lt- NAME: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: WillamalanePait & Recreation District j SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE: STATE:tn Job. No. ZIP:q Street Address: Plat Name:Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Single-Family Detaehed single Family home Manufactured home not in a park NO. OF UNITS X $1,000 per unit = $ B. Single-Family Attached NO. OF UNITS X $924 per unit $ C. Multi-Family Apartment tvl NO. OF UNITS X $692 per unit D. Manufactured Home Park NO. OF UNTTS X $699 per unit $ WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC-payer must fumish proof of Wllamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED $ (if sDc for Credit) $ $ 2Cn[o Po !7 L)ltg d) $ Development City of Springfield partment i_, Date q \tqtt3t..' Ire