HomeMy WebLinkAboutPermit Building 1999-12-02SPRING:FIELD
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUII,DING SAFETY
age 1
ilob Number: 99LL94
225 North Fifth Street
Springfield, OR 97477
office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #: 01001
CITY OF SPruNGFIELT'. ONEGON
Owner: CITY OF SPRINGFIELD
Address: 225 FIFTH STREET
Phone #: 726-3556
city/state/ztp: SPRTNGFTELD, oREGON 9747
NEW Vafue:55,787.OODescription Of Work: RESTROOM & UTfLITY BLDG
Architect
Name
BRANCH ENGINEER
Address Phone
General:
Plumbing:
Mechanical:
Electrical:
ConEractor
CONST. SYSTEMS OO3375B
40084 MCKENZIE HWY SPRINGFIELD OR 9
VOS PLUMBING OO418O5
PO BOX 2189 EUGENE OR 974020000
STUCK ELECTRIC OOO2358
L47 W MAIN SHERIDAN OR 9737BOOOO
STUCK ELECTRIC OOO2358
l-47 W MAIN SHERIDAN OR 97378OOOO
ConsE.
Contract,or #Expires
06/os/e8
04/04/e8
04/te/e8
04/Le/eB
Phone
7 46 -3554
48s-0551
843 -2322
843-2322
No
4
PLIIMBING
ft.
fr.
Fee Charge
40.00
25.00
40.00
105.00
Single Fixture
Sanitary Sewer
Water Service
TOTAL PERMIT
15
80
MECHANICAL
No
2
Fee Charge
5.00
18.00
10.00
34.00
Vent Fan/Single Duct
3 UNIT HEATERS
Permit fssuance
TOTAI, PERMIT
HANDICAP ACCESS: Y
FLOOD PLAIN: Y
- - OFFICE USE
QUAD AREA: 1CNW
OCCY GROUP: A4
LAND USE: 5800
CONSTR. TYPE: VN
Item Square Feet $/Square Feet Val-ue
Location of Proposed Work: 39L0 SPORTS WAY
Assessors lutap #: 17031500
SPRINGFIELD
Job Number: 991-1-94
CITY OF ONEGON
Page 2
sq. Ftg Main
TOTAL VALUE OF PRO.TECT
842 56,781.00
56,787 .00
BUILDING
surcharge/admin
MECHANICAL
Surcharge/admin
PLT]MBING
Surcharge/admin
C]TY SDC FEES
HOURLY REVIEW FEE
SUBTOTAL PERMITS
TOTAL PERMIT FEES EXCI,UDING ETECTRICAL
304.00
30.40
34.00
2 .40
105.00
10.50
998.88
80.00
1, 565 . 18
1,555.1-8
REQUIRED INSPECTIONS
It is the responsibility of the permi-t hoLder to see that all inspections are
made at the proper time. To requesL an inspection, 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. wil-I be made the same working day, requests made after
7:00 a.m will be made Ehe following work day.
Special Inspections: In accordance with Section 305 of the State Specialty Code
a special inspector shal1 be employed by the Owner/Contractor during
construction of any following "*" work, A copy of the special testing reports
shal1 be furnished to Building Safety.
In addition to the inspections specified, Lhe Building offj-cial- may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development. Code.
FOOTfNG - After trenches are excavated.
ITNDERFIJOOR PLITMBING - Prior to insulation or deckj-ng.
SLAB - To be made after all inslab building servlce equipment, conduit
piping, and other equipment items are in place but prior to concrete
MASONRY - Steel- location, bond beams grouting or verticals in
accordance with UBC 2415.
BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special
Inspector. Provide inspection/test reports to City Building fnspector
ROUGII PLI,MBING - Prior To cower.
ROUGH MECHANICAI, - Prior To cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAIIING - Prior to cover.
rNSUL-V.8./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT
FINAL PLITMBING - When all plumbing work is complete.
FINAIJ MECHANfCAL - When a1l- mechanical- work is complete.
FINAL ELECTRICAL - When all electrical- work is complete.
FTNAI,/SUB
FINAT FIRE - When all Fire Department requirements have been meE.
been met.
FINAL BUILDING - When all required i-nspections have been approved and
the building is complete.
SPRINGFIELD
Job Number: 99LL94
CITY OF SPruNGFIELD, ONEGON
Page 3
--- ADDTTIONAL COMMENTS ---
SEE CRfTERIA FOR CONSTRUCTION IN FLOODPLANE, ATTACHED
Plans Reviewed By:
Buildi-ng Site Reviewed By: LISA HOPPER
Date: L2/ot/99
By signature, I state and agree, that I have carefully examined the compJ-eted
application and do hereby certify that all informati-on hereon is true and
correct, and I further cert.ify that any and a1f work performed sha11 be done
in accordance with the ordinances of the City of SpringfieJ-d, 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 Servj-ces Division, Building Safety. f further certify that only
contractors and employees who are in compliance with ORS 701.055 wil-I be
used on this project.
I further agree to ensure that al-l- required inspecLions are requested at the
proper time, that project address is readabfe from the street, that the
permit card is located at the front of the property, and the approved set
ofp lans wil-l remain on t site at al-l- times during construction
Signat ure Date
--- VALIDATTON ---
Recei-pt Number
Date Paid
Amount Recei-ved
Received By
/l -? '?>/+s./a
OREGONC'TY OF
SPI iFlELl,
INSPECf,ION RE0tESTz 72 City Job Nunber
oFFICE: 726-3759 Authorized signarure fufS SCffiDTII.E BELOV
1. LOCATION OP INSTALLATION
225 FIFTE STREET
SPRINGFTEID, OREGoN 9747
The following project as sulrmitted haszoning and does nci requlre specificapprovat
Zoning C c--
the foIowing
land use
ELECTKTCAL PERHIT
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less J/
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
0ver L000 amps/vo1ts
-
Reconnect 0n1Y
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
37t cl srrctets
I,EGAL DBSCRIPTIONa
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,.ATION ONLY B.
Electrical Contrac to:t .1Tu(fr EZk:V]zJc €4-
Address ,f,C - AcY 2{82
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit.
Service Included:Items Cost
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home' or
Modular Dvelling
Service or Feeder
$ 85.00
s 1s.00
$ 40.00
Sum
City ZLk c,.ttv.otL r-*fpnone 48'S-f€l.flS-
s s0.00
s 60.00
$100.00
$130.00
$300.00s 40.00
c_5A,c
Supervisor Li cense Number 44 3 z S
Expiration Date Zc-e/
C
Constr Contr. Number z 3(g
Expiration Date tt/oo
S of Supe ising Electrician
D.
0vners N
Address
cirv y'?*Pr?B. Phone ?Z^4,*3
OVNER INSTALLATION
The installation is being made on E
property I ovn vhich is not intended
for saIe, lease or rent.
Ovners Signature:
DATE:
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
/a/
200 amps"or less $ 40'00
201 amps to 400 amps
-
I 11.00over 4b1 to 6oo ambs
-
$ 80.00
Over 600 amps or 1000 voTts see rrBil a66ve
$ 2.OO /u,;c
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permi t {
s 3s.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
$ 40.00
s 40.00
$ 20.00
s 36.00
60' t=''
='t t-ZL/
/- ?a6(,4eRBCETVBD
5
JOURNAL
"
JOB NO.qg
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
LOCATION
DEVELOPMENT TYPE:
,4.f ".-.-^ -gfg
s'ark = /sP
4. SAMTARYSEwER-MWMC Prh/,. /Lk
A. REIMBURSEMENT COST:
sf
NO. OF FEU'S , /f (, xl'/ UqERFEU
B. IMPROVEMENT COST:
/c
NO. OF FEU'S - /O 6 X UO --PER FEU
BUILDING SIZE
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATIVE FEE
strBTorAL (ADD ITEMS 1,2,3 &.4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
f",^-lAn--
s-a
S
,o
.)
-")
7,7
--r.<S €-
s 10.00
TOTAL-MWMC SDC $ _f?
3t
57$ ,7-
Ft.T
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.7/o xs0.232 PER SQ. FT
2. SAMTARY SEWER-CITY
NO. OF PFU'S X$48.27 PER PFU
(See Reverse Side)
3. TRANSPORTATION
NO OF LINITS X TRIP RATE X OST PER PM PEAK HOIIR TRIP
X $486.73 PER TRIP
X 5486.73 PER TRiP
a1!
s -2,/g
x
x
n-Q
s /-7' z
y3
S
" soe-doordffi*o,
ATTACH'E.WflO
TOTAL SDC s ??2
.7zlr> 3>ty's h).-
e
FIXTURE UNIT CALCITLATION TABLE: Number of New F' r.ues X Unit Equivalent = Fixrure Units
(NOTE: For remodels, calculate only tl * :T additional fixrures)
FIXTURE TYPE
Bathnrb.........
Drinking Fountain.......
Floor Drain..
Interceptors For Grease/Oil/Solids/Etc.
Interceptors For Sand/Auto Wash,/Etc.
Laundry Tub/Clotheswasherfvlop Sink....................
Clotheswasher - 3 Or More............
Mobile Home Park Trap (1 Per Trailer)..
Receptor For RefrigeratorAMater Station/Etc...........
Rec eptor For C ommerc ial S inic/D ishwasher,Etc......
Shorver, Single Stall..
Sho*'er, Gang............
S ink: B ar, Commercial, Residential Kitchen............
Urinal, Stall/Wall.
Wash Basin/Lavarory, Single...........
Toilet, Public Installation...
NUMBER OF
NEW FIXTURES
2
)
UMT
EQUTVALENT
FIXTURE
LNITS
AIead
2
I
2
3
6
2
6
6
I
3
2
1
2
2
:1
6
4Toiiet, Private.
Miscellaneous:
TOTAL FIXTLIRE LINITS
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexarion dare in table, calcuiate
credits
Credit for Parcel or Land Only If Applicable
(Rate X Assessed Value)
Improvement (if after annexation date) X S _
(Rate X Assessed Value)
Year
Annexed
CREDIT TOTAL = g
Rate per $ 1,000
Assessed Value
av4t4L9t
Year
Annexed
Rate per $ 1,000
Assessed Value
I 979 or before
1980
1981
1982
I 983
1984
1985
1986
1987
1988
$4.47
4.38
4.32
4.20
4.03
3.88
3.68
3.38
3.03
2.62
1 989
I 990
1991
r992
1993
1994
1995
1996
1997
l 998
2.18
1.7 5
r.35
1.17
1.03
0.86
0.7 t
0.57
0.39
0.18
RTINOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential.
Commerical..
Industial......
Governmental..
0.4
0.9
0.5
0.5
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
_._
o\v-/.7
///
x $_