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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 $_