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Home My WebLink AboutPermit Building 1996-02-23OTTOF ONEGON SPFINGFIELD COMDIERCIAL/ INDUSTRIAL PER}TI T .E PPLI CATION CITY OF SPRINGFTEI.D COMMT'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Nurnber: 950040 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 950 N 15TH ST Assessors Map #: L7033622 Office: fnspection Line: 726 -37 s9 726 -37 69 Tax Lot #: 04603 Ordner: MCKENZIE SURGICAL GR Address: 960 NORTH 15TH STREET Description Of Work: REMODEL LEASE SPACE Phone #: 745-79L4 city/state/zip: spRrNGFrELD, oREGoN 97477 REMODEL Va]-ue:ru)gp 0.00 Archi-tect Name ROBERTSON/SsBnW Address Phone General: Plumbing: Mechanical- Electrical ConEractor CHAMBERS CONSTR TWIN RTVERS COMFORT FLOW JKG ELECTRIC ConEE. Contractor #Expires Phone 587 -9445 PLI'MBING - - - No L2 Fee Charge 120.00 0.00 120.00 240 .00 Single Fixture CAP 12 FfXTURES CAP 12 FIXTURES TOTAL PERI{IT --- ITECHA}ITCAL --- No. 1 Fee Charge 3.00 10.00 10.00 25.00 Vent Fan/Single Duct DUCTWORK MODIFICATIO Permit Issuance TOTAIJ PERMIT HAND]CAP ACCESS: Y - - OFFICE USE QUAD AREA: 2CNW LAND USE: 5300 ftem INTERIOR REMODEL Sguare Feet 4300 x $/Square Feet Val-ue 0.00 SPFIl{GFIELI, h, Job Number: 960040 ATTOF ONEGON Page 2 TOTAL VALUE OF PRO.TECT 0.00 PIan Check Fee 281.45 Rec #: 200L7 Date: 0t/09/96 Rec By: LORNE PLEGER BUILDING Surcharge/admin MECHANICAL Surcharge/admin PLI]MBING surcharge/edmin ADDITIONAL PLAN REV SUBTOTAL PERMITS SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCI,I,DING EI,ECTRICAL 502.75 40.22 25.00 t.20 240 . OO L9.20 45.34 873.71, 91.20 954.9L --- REQUIRED INSPECTIONS --- It is the responsibility of the permit holder to see that al-L inspections are made ats the proper time. To request an inspection, cal-l 726-3769 (recorder), state your City designaEed job number, job address, type of inspection requested 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 will be made the following work day. Special Inspections: In accordance with Section 305 of the State Specialty Code a special inspector shall be employed by the Owner/ConEractor during construction of any following "*" work. A copy of the special testing reports shall be furnished to Building Safety. In addition to the inspections specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or DevelopmenE Code. ROUGH PLITMBING - Prior to cover. ROUGH MECIIAI.IICAL - Prior Eo cover. ROUGH ELECTRICAL - Prior to cover. FRAIIING - Pri-or to cover. DRYWATL - Prior to taping. FINAL PLITMBING - When all plumbing work is complete. FINAL MECIIANfCAL - When alf mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL FIRE - When all Fire Department requirements have been met. been met. FINAL BUILDING - When all reguired inspections have been approved and the buil-ding is complete. - - - ADDITIONAL COMIIEIiI1TS Pl-ans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 02 / 02 / 96 CITY OF SPRINGFIELD Job Number: 960040 Page 3 By signature, I state and agree, that 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 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 a1l- required inspections are requested at the proper time, that projecE address is readable from the street, that the permit, card is l-ocated at the front of the property, and the approved set of plans will remain on the site at al-l- times during construction. )-az - ?6 Signature Date --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received By: 224ro 2? a 2 CITY OF ONEGON SPEINGFIELD Job Number: 950040 Page 2 FIXTURE I'NIT CAI.CULATION TABI,E Fixture Type Number of New t,r-xtrure Unit Equivalent Fixture Units Bathtub Drinking Fountain Ffoor Drain Interceptors For Grease/Oi1/Sol-ids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/Water station/stc Receptor for Commercial Sink/Dishwasher/Etc Shower, Single StaLl Shower, Gang Sink, Bar, Commercial, Residential- Kitchen Urinal, StaLL/WaIl- Wash Basin/Lavaluory, Single Water Closet, Pub1ic Installation Water Closet, Private Miscellaneous TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calcuLated separately. (calcufations are by $1000) Year Annexed: Credit For ParceL Or Land Only If Applicable: 0 X 0.00 = 0.00 fmprovement (if after annexation date) : O X 0.00 = O.OO CREDIT TOTAL = 50.00 (If fand val-ue is multiplied by 1 then the parcel/1and credit is not accurate.) U 0 0 0 0 0 0 0 0 0 U n 0 2 0 0 0 ) 2 1 a 3 6 .) 6 1 3 a 2 2 1 6 4 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 lsPRINGFIELD Page 1CITY OF SPRINGFIEIJD sYsTEMs DEVELoPIITENT CHARGE (COMMERCIAI. / INDUSTRTAL) CITT OF Name or Company: MCKENZIE SURGICAL GR Job No.: 960040 Lot Size: Location: 950 N 15TH sT Developement T)4ge: C Building Size:Sq Ft 1. STORM DR.AINAGE Impervious Sq Ft 1.0 X O 2. SAI{ITARY SEWER - CrTY Number Of PFUs 1. O X 2 (see Page 2) 3. TR,AtrISPORTATTON Number Of Unit.s X 43.43 Per pFU - X Trip Rate X Cost per Trip X O.21-O Per Sq Ft = Per PFU + MWMC Admin Fee 18.750 x x $0.00 $85.85 $0.00 $0.00 $0.00 $0.00 $85.85 $4.34 Transportation Total 4. SANTTARY SEWER - MUIMC Number Of PFUs 0 MI^MC CREDIT If Applicable (see page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 & 4) 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) x 0.50 TOTAL SDC s91.20 Reviewed By: TROY MCALLISTER Date: 0L/at/96 SPFINGFTELD strrt i.:Ftril r, C hr, 225 FITTH STREET SPRINGFIEID, OREGON 97477 nvsprcttoN REQITBST: 0FPICE: 726-3759 11 6fonirr \-- \-- d ELECTRICAL PERHIT =O__gi[y Job_Nunber ,[;*;, 200 amps or less 201 amps to 400 amps _- 401 amps to 600 amps .-.--..-..- 601 amps to 1000 amps-over 1000 amps/volts --Reconnect Only 200 amps''or less 201 amps to 400 amps Over 401 to 600 amps _- 0ver 600 amps or 1000 voT[ LICATION s 50.00 s 60.00 $100.00 $130.00 s300.00 $ 40.00 $ 40.00 s ss.00 s 80.00 s see rrBrr a s 3s.00 S 2.oo ') 2CL.er_J.< i\-"?b tLe 726-3769] - ,'.:sig ''qf;g''hot'otr6w' 2. CONTRACTOR INSTALT,ATION Oi{LY Electrical Contracto Address Ci ty Phone FEE SCEEDI'I.E BELOII New Residential-Single orHuIti-Pamily per dvelling unit.service rncluded t ,,"r" cost 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf'd Home or - Hodular DvelIing Service or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feedersfnstallation, Altera tionsor ReLocation: \ 3 A B C LEGAL Ll o3 Sum 'Permits are non-transferable and expireif vork is not started vithin 180 dlysof issuance or if vork is suspended ior 180 days. ---rv-Supervisor License Number mve Expiration Date Constr Contr. Number 4 Expiration Date Signature of Supervisi ng Electrician 0vners Name Address Ci ty OIINER INSTALLATION The installation is being made onproperty I ovn uhich is not intendedfor sale, Iease or rent. 0mers Signature: DATE:q- Temporary Services or FeedersInstallation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension per panel5 One Circuit IEach Additional Circuit or vith Servicpor Feeder Permi t Q Pump or irrigation $Sign/0utline Lighting- $ Limi ted Energy/Res -_- $Limited Energy/Comm S SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL E 40.00 40.00 20.00 36.00 5 6n BRBCEIVED ct TY OF Miscellaneous (Service/feeder not included) -Each installation