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: