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HomeMy WebLinkAboutPermit Building 1999-06-21ctTv SPilNGFIELT', SP]dtNGF!ELD 225 North Fifth Street Springfield, OR 97477 LocaEion of Proposed Work: 1569 LgTH ST Assessors Map #: 17032531 COMMERCIAL/INDUSTRTAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVTCES DIVISTON BUILDING SAFETY Page 1 ilob Number: 990675 Of f i-ce fnspecti-on Line 1 26 -37 59 7 25 -37 69 Tax Lot #: O77OO Owner: MCKAY IIWESTMENT CO. Address: 2350 OAKMONT WAY Description Of Work: TENANT IMPROVEMENT Phone #: 4Ts-{y\t City/State/zip: EUGENE OR, 97401 REMODEL Value:0.00 ConEractor ORDELL CONST. 0063030 350 SHELLEY ST SPRINGFIELD OR 97477 ConsE. Cont,ractor #Expires ot/02/oo Phone 747 -8734 00 485-0551 00 746-L62]- 99 485-0922 General: Plumbing: Mechanical: ElectricaL: -2344). No ) Fee Charge 30.00 30.00 SingJ-e Fixture TOTAL PERMIT NOTICE: No 1 Furnace/burner & vent Vent Fan/Single Duct GAS PfPING Permit Issuance TOTAL PERMIT Charge 5.00 3.00 2.OO 10.00 25.00 QUAD AREA: 2CNW -- OFFICE USE LAND USE: 5300 Itsem LEASE SPACE T. ] TOTAL VALUE OF PROJECT Square Feet 175 x $/Square Feet Val-ue 15,000.00 16, 000 . 00 Pfan Check Fee 75.73 Rec #: 34010 Date: 05/18/99 Rec By: LORNE PLEGER BUILDING 115.50 PO BOX 2189 H-A,RVEY & PRT PO BOX 1910 BUILDERS 195 MADISON ST SPRINGFIELD Job Number: 990675 CITY SPRINGFtELD Page 2 Surcharge/admin MECHANICAL Surcharge/aAmin PLUMBING Surcharge/admln CITY SDC FEES ELECTRICAL PERMIT SUBTOTAL PERMITS TOTAL PERMIT FEES "]I€I*}^T}I€ E-"€ITRIg{TL. 9.33 25.00 L.20 30.00 2 .40 247.49 66.96 498.88 498.88 REQUIRED INSPECTIONS It j-s the responsibility of the permit holder to see that all inspections are made at the proper t.ime. To request an inspection, cal-l- 725-3769 (recorder), state your City designaLed job number, job address, type of inspection reguested 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 wil-l- be made the following work day. Special Inspections: In accordance with Section 306 of the State Specialty Code a special inspector shal-f be employed by the Owner/Contractor during consLrucLion of any followingt "*" work. 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 inspecti-ons of any construcLion work to ensure compliance with the Building, City or Development Code. ROUGH PLUMBING - Prior Eo cover. ROUGH cAS - aft.er line is installed and capped j-f not attached to an appliance ROUGH MECIIANICAL - Prior Io cover. ROUGH ELECTRICAL - Prior to cover. FRAITIING - Prior to cover. DRYWALL - Prior to taping. MECH/SUB: FOTI,OWTNG ROUGH MEC}IANICAL APPROVAL, PRIOR TO COVER CEILING GRTD FINAL PIJUMBTNG - When all plumbing work is complete. FINAL GAS - When all gas work is complete. GAS SERVICE - After l-ine i-s installed and line has been connected to a mj-nj-mum of one appliance. Pressure test done at this poinL. FINAL MECIIATiIICAL - When all mechanical work is complete. FINAL ELECTRICAL - When al1 electrical work is complete. FrNAt/SUB FINAL FIRE - When all Fj-re Department requirements have been met. been met. FINAT BUILDING - When all required inspections have been approved and the building is complete. ADDITIONAL COMMENTS Plans Reviewed By: LORNE PLEGER Buildlng Site Reviewed By: BOB BARNHART Date: o6/le/99 CITY OF SPIII]tlcFIELD Job Number: 990575 Page 3 By signature, I state and agree, that f have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and f further certify that any and al-I work performed shall- be done in accordance with the Ordi-nances of the Cj-ty 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 permissi-on of the Community Services Division, Building Safety. 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 permj-t card is located at the front of the property, and the approved set of pI will remain on the site at all times dur ing construction ('zr-?? si ReceipE Number: Date Paid: Amount Received: Received By: --- VALIDATION --- Date o 3q(L(/tfi T(;,W ,(1t. € k 7W :l .'JCITY OF OREGO'U st,FltN( Lo specific land use approval (?- Zoning 225 FIFTE STREET SPRTNGFIELD, oREGON INSPECf,ION REQUEST: OFPICE: 726-3759 1. LOCATION O IJGAL DE10 Date fflffiizea Signature 726-3769 c) 6gGr1 :itW requires YOU..I 1-0010 through OAB 952-001- )opias ot the rules bY ELECTRICAL PERHIT APPLICATION Ci ty Job Number qqDb 7s COHPLETE TBE SCMDULE BELOV Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included: NOTICE: I tems Ccs t sum 1o0o SHLffiERWT $HA|L EMEE lF $FIEI^IOBK _ Each g$$fieHmeD uF{&nruts pERMtls Nor t ft ,€$g,ft'[rReEbUH rs ABANDoN ED fgfr o ractr AUI(ti B0DAYofiERUDD. -Hodular Dvelling Sertice or Feeder s 40.00 It' ity ortl e 3 A IL You maY obtall ng the cente! Permi ts a if vork i of issuan 180 days. re non-transferabl e and expire s not started vithin 180 daYs ce or if vork is susPended for 2. COMRACf,OR INSTALINTION O}TLY Electrical Contractor Address lQ 5[l son Ci ty B. Services or Feeders Installation, Alterations t4C or Relocation: c D. 200 amps or less I 201 amps to 400 amPs --401 amps to 600 amps - 601 amps to 1000 amps- 0ver 1000 amPs/volts - Reconnect OnIY Temporary Services or Feeders Insta}lation, Alteration or Relocation 200 amps"or less $ 4(l'00 over 4b1 to 6oo ambs -I S Bo'oo over 600 ttp" ot-i5OO-roTt" see'ilBx aE6F Branch Ci rcui ts ; .- Nev, Alteration or Extension Per Panel gne Circuit $ 3:i.00 Each Additional-Cir"uit or vith Servicqor Feeder p".,ni',t""'L $ il.oo I Z'0C Hiscellaneous (Service/feeder n<rt included) $ 50,00 s 60.0c s100.00 s130.00 s30(r.00s 40.00 5000 Supervisor License Number 2g 7c -j Expiration Date to -t'q9 Constr Contr. Number 2 nc Expiration Date Signa ture of ing trician Ovners Name c hecl.lnto Cosh rn0E 'Address *)- r - El$ I/(./\ ci Phone OSNER INSTALI,ATION The installation is being made on prop"tty I ovn whiih is not intended for sale, Iease or rent' Ovners Signature: -Each installation Pump or irrigation Sign/0utIine Lighting- Limited Energy/Res Limi ted nner[y/comm SUBTOTAL OF ABOVE 1 g2 st^te Surcharge 32 Administrative Fee TOTAL E $ $ $ s 40. 00 40.00 2t).00 36.00 le DATE: RNCETVED B t<-5 -oD Yno"" 4%49Z7 ATTACHMENT A CITY OF SXINGFIELD SYSTEMS DEVELUP I^IORKSHEET NAME OR COMPANY L- LOCATION ,/1,r(oq /8 as/- JoURNAL oR JoB no. 77o617-{ 2e do p f9/,2/z# 7to22/A ?> //a//?zrJi7 ) 1. STORM DRAINAGE fOo rTrz) c--t'44* IMPERVIOUS SQ. FT 2. SANiTARY SEWER-CITY No. oF PFU'S 5 DEVELOPMENT TYPE fe-*t BLII+8+I+C SIZE:7^f 3 4. SANITARY Stl4ER-Ml,'lMC A. REIMBURSEMENT COST NO. OF FIU'S X LOT SIZ 0. Ft. X $0.227 PER SQ. FT s & X 547.14 PER PFU s 435 L TRANS,,RTATi'N (/vn"2z,J '*s rryJ"'*/ o'#"z 4 /?*t^'' 7d ?)rrc'- DSu'' ,nko/4s re72, / s ,Pa rtz'/ rAcre+l2 (See Reverse Side) NO OF UNiTS X TRIP RATT X COST PER TRIP x $475.32 x $475.32 X $ - /LL /.,2/ / /4 z ra*SL o /z et-,-i'2,/ CtfZ ,?-'f A;:fZ PER FEU TOTAL-MWMC SDC e st s@- $ 1000 $ tr /r !- B. IMPROVEMENT COST NO. OF FEU'S X PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) Mt^/l,lc ADMINISTRATiVE FEI SUBTOTAL (ADD iTEMS 1,2.3 & 4) $5. ADMINiSTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 /4.^U% Date ATTACH'A. WPD \/ T,'TOTAL SDC sA/z f sff q FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X unit Equivarent : Fixture Units(NOTE: For remodels. calculate o-t the NET additional fixtures) FrxruRE rypE ilY,,f?ilrti-r, eo,Yil'I,-.*, [,',X,]:-t Bathtub Drinking Fountain.......... Floor Drain....... lnterceptors For Grease/Oil/Solids/Etc...... lnterceptors For Sand/Auto Wash/Etc...... Laundry Tub/Clotheswasher..... Clotheswasher - 3 Or More Mobile Home Park Trap (1 Per Trailer)........,... Receptor For Refrigerator/Water StationiEtc Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stai1.......... Shower, Gang. ................... Sink: Bar, Commercial, Residential Kitchen.. Urinal, Stall/\ /all.. Wash Basin /Lavatory, Single....... Toiiet, Pubiic lnstallation.-r- 2 1 2 3 o 2 b 6 1 I 2 1/Head 2 2 'l o 4 I Toilet, Private... Miscellaneous: €7 TOTAL FIXTURE UNITS 5 CREDIT CALCULATION TABLE: Based on assessed vaiue. lf rmprovements occurred after annexation date in table,calculate creCits se a rates. Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) X$ Year Annexed (Rate X Assessed Value)X$ (Rate X Assessed Value) CREDIT TOTAL Rate per S1,000 Assessed Vaiue $ Year Annexed Rate per $1,000 Assessed Value 1 979 or before 1 980 1 981 1982 't oa2 1 984 1 985 1 986 1 987 1 988 $4.27 4.18 4.12 200 J."J 3.68 3.48 3.1 B 2.82 2.42 1 989 1 990 1 991 'r992 1 993 1 994 1 00tr 1 996 1 997 $1.98 1.55 1.15 0.96 0.83 o.67 o.52 n ao o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential.... Commerical... lndustrial.. Governmental. 0.4 0.9 o5 0.5 FIXUNIT.WPD lMPERVlous AREA = TorAL Lor slzE x RUNOFF coEFFtctENT I CITY OF*INGFIELE, The tollowing proiect as submitted zoning, and does not require sPecilic 225 FTFTB STR..EET SPRINGFIELD, OREG 0To'f)?] INSPECTION REQUEST Z 72 0FFICE: 726-37 59 Pate 1. LOCATION OF LEGAL DESCRIPTION JOB CRTPTION erm s are .non-an era b1e an A I tems r 201 amps to 400 amps _401 amps to 600 amps _I 601 amps to 1000 amps_ SUBTOTAL OF ABOVE 5Z State Surcharge 3% Administrative Fee TOTAL ELECTRICAL PERHIT APPLICATION City Job Nunber FEE SCEEDT]LE BELOIJ Nev Residential-Single or Mul-ti-Family per dvelling unit Cos t s 8s.00 s 1s.00 $ 40.00 has the lollowing land use t- Sum t if vork is not siarted vithin L of issuance or if vork is susPe 1B0 days. 2. CONTRACTOR INSTALI,ATION ONLY Electrical Contractor €t Address\95 MOdt'SOn city €Phone 4<3- &ZZ Supervisor License Number Expiraiion Date Consrr Conrr. Number 429 L? Expir:arion Dare l2' tO'Q? ANvtu'DAY Signature of Supervising Electrician Ovners Name B. Services or Feeders Installation, Alterations r ic ( ner )Hff)frpbry rZ / fa. ./ 200 amps or less / P zD//, 3?3:33 tuF s1oo.00 s130.00 s300.00s 40.00FFtEs,oRKt" NOT tsngltrootrtEDForbes or Feeders tallation, Alteration or Re loca t ion 200 amps''or less 201 amps to 400 amps -Over 401 to 600 amps 0ver 600 amps or 1C00 vofTs eaaress<Tp @pq/l/#/br Ci ty Yhone /t{^??// OTTNER INST ON The installation is being made on property I ovn vhich is not intended for saIe, lease or rent. 0.rners Signature: DATE: D. Branch Circui ts Nev, Alteration or Extension Per Panel one Circuit S 35.00 Each Addi tionalCircuit or vith Service or Feeder Permi t A S 2.00 /2r? E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Out1ine Lighting_ Limited Energy/Res Limi ted Energy/Comm bovea s 40.00 s ss.00 $ 80.00 seettB" ( s $ s 40.00 40.00 20.00 36.00 5 RECEIVED BY: -^ a-G1- ling SerVice or Feeder tollow Genter' may center- forthe Each KEU.bl-P'r S: