The URL can be used to link to this page

Home My WebLink AboutPermit Building 1998-08-04CITY OF SPRIilGFIELD 225 North Fifth Street Springfield, OR 974'17 Location of Proposed Work: 1630 12TH ST Assessors Map #: 1-7032641 a COMMERCTAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRTNGFTELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Number: 980842 Office: Inspect j-on Line: 1 26 -37 59 725 -37 69 Tax Lot #: 11500 Owner: 7TH DAY ADVENTIST CH Address: 1630 12TH STREET Phone #: 7468253 city/state/zip: SPRTNGFIELD, OREGON 974't'l NEW Value 0.00 No Single FixLure Storm Sewer --- PLI'MBING --- 50 fr Fee Charge 70.00 25.00 95.00 1 --- MECHAI{ICAL --- No 2 Fee Charge 6.00 3.00 10.00 25.00 Vent Fan/Single Duct DUCT EXTENTTON Permi-t Issuance TOTAL PERMIT -- OFFICE USE -- Item ADDITION TOEAL VALUE OF PRO.]ECT Square Feet 466 $/Square Feet 50 .46 Value 23 , 51,4 .00 23,51_4.00 x Plan Check Fee:106.93 Rec #: 30711 Date: O7/09/98 Rec By BUILDING Surcharge/admin MECHANTCAL Surcharge/admin PLUMB]NG Surcharge/admin SDC SUBTOTAL PERMITS 1,64 .50 13.17 25.00 L.20 95.00 7 .60 L ,252 .93 1, 559 . 40 l_,559.40 /114 TOTAL PERMIT FEES EXCLUDING ELECTRICAL Ele,rr47q,Sa ,Z*w-/6a749 Description Of Work: TOTAL PERMIT CITY OF SPFlIITIGFTELD Job Number: 980942 Page 2 rt 1s the responsibility of the permit holder to see that all inspections aremade at the proper time. To request an inspection, calr 726-3769(recorder), state your city designated job number, job address, type ofinspection requested and when you wil-I be ready for inspection. Requestsreceived before 7:00 a.m. will be made the same working day, requests made after7:00 a.m will_ be made the following work day. special rnspections: rn accordance with section 306 of the state specialty codea special inspector shal-1 be employed by the owner/Contractor duringconstruction of any following "*" work. A copy of the special testing reportsshall- be furnished to Building Safety. Tn addlt.ion to t.he inspections specified, the Building official may make orrequire other inspections of any construction work to ensure compliance withthe Building, City or Development Code. UNDERGROIIND PLITMBING - prj-or to fil_Iing trench. FOOTING - After trenches are excavated. SLAB - To be made after al-f inslab building service equipment, cond.uitpiping, and other equipment items are in place but prior to concrete ROUGH PIJIIMBING _ Prior To cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRTCAL - Prior Io cover. SHEAR WAIJL NAILING - Before covering sheathing with finish material_s. FRAIIING - Prior to cover. INSUL-V.B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT DRYWATL - Prior to taping. FINAL PLITMBfNG - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complet.e. FfNAL ELECTRfCAL - When all electrical_ work is complete. FrNAL FIRE - when al-l- Fire Department requlrements have been met. been met. FINAL/SUB FrNAL BUTLDTNG - when all required inspections have been approved and the buil-ding is complete. ADDITTONAL COMMENTS ELECTRICAL PERMIT REQUIRED Plans Reviewed By: TOM MARX Building Site Reviewed By: Date: 07 /2e/98 a By signature, I state and agree, that I have carefully exami-ned the completedapplication and do hereby certify that all information hereon is true andcorrect, and I further certify that any and all work performed sha11 be donein accordance with t.he Ordinances of the City of Springfield., and the Lawsof 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 wi-l-l be used on this project. T further agree to ensure that atl required inspections are requested at the proper time, that project address is readable from the street, that thepermit card is focated at the front of the property, and the approved set of plans will remain on the site at all tj-mes during construction. sl-ghature Date --- REQUTRED INSPECTTONS ___ SPFINGFIELD ctTy oF SPilNGFIELI',a Page 3 --- VALIDATION --- Recei-pt Number: Date Paid: Amount Received: Received By aa?S€ e^ .Tob Number: 980842 225 FIVfE, STREET SPEJNGETEIJ), OREGON 9747f,,o6oL"6 IIISPBCf,ION REQIIESI: 726:3769 OFEICE: 726-3759 ft S, ,{GFIELO eneeifie tand usa Nev Residential-Single or Hulti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less each additional 500 Eq. ft or portion thereof Each t{anuf 'd Eone. or -Hodular.'Dvelllng' Sertice or Feeder $ 85.00 s 15.00 s 40.00 Services or PeedersInstallation, Alterations or Relocation: EI.ECTRICEL PERHTT APPIJCAITON City Job xubet . n gO? 72 , COUPI.ETE FEE SCEEDTII.E BEI'V JOB Pernits are non-transferable and explrelf vork ls not started vithln 180 daysof lssuanee or if vork ls suspended for 180 days. 2. @IIltsACf,OR INSf,AIJAITON ONLT ELectrical contractor }.leiland Electrtc Address 870 }'l, ZOd Sp- D Ctty Supervisor License Number 2560S Exp iration Date 1/1/99 Constr Contr. Nunber 58600 Expi ration Date 1/23/99 s ture o Supervis Electriclan s Name c.Temporary Services or Feeders Installatlon, Alteration or Relocation 200 anps or less 201 anis to tqg "tps :401 anos to 600 amps 601 anils to'1000 "ip"-Over 1000 anps/volts Reconnect OnlY 3 A .B Sum ee iBi a56F s 50.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 200 aups'c less $ 201 anis to 400 arps - $0ver 401 to 500 anps S over 600 anps or titOOEfts s 40.00 55.00 90.00 Address :t ty .Phone OUNER fhe installation ls being uade on troperty I ovn vhiih is not intendedfor sale, Iease or rent. lrrnerj*Signature: )ATE: D. Branch Circuits One Circuit Each Additional E. -Each installation Pump or irrigation $sigirrOutline-Lighti.e- $Limited Energy/Res $ Nev, Alteration or Extension Per Panel - $ 35.00 --6-.E-/-z Circuit or vith Service or Feeder Permi t 3 $ 2.00 4 Hisce1laneous (Service/feeder not included) 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admlnistrative Fee TOTAL & Br-ECEIVED 5 Frnene Phone__485:3619_ '' ffi*"***' T.EGAL DESCRIPTION/^41*?4i-c:'r/: .. JOB NO 'oo8uZ ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COI.4PANY LOCATION rL 4o 4 4 DEVELOPMENT TYPE A)),'l>bn r OT SIZ8,I}I+E#{6 SIZE 1. STORM DRAINAGE ,aV" Azt, 6-tea- Ft IMPERVIOUS SQ. FT 2. SANITARY SEWER-CITY X $0.227 PER SQ. FT $-& X $47. i4 PER PFUNO. OF PFU'S (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP o,6 x o,c 6 x $475.32 x $475.32 4. SANITARY SEt,lER-l'4t,JMC A. REiMBURSEMENT COST ? $ ,/u6- $X n8 N0. 0F FEU'.S ./Aa X xoo-fER FEU B. IMPROVEMENT COST: No. oF FEU's -/./6L x /179 PER FEU 97$ 76 - //?3 u$# MI,JMC CREDIT IF 'PPLICABLE (SEE REVERSE) Ml'lMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 TOTAL_MhIMC SDC b7 < $ /87 $ 10.00 &-$/o ATTACH'A.I^IPD rdi nator Date tr/'+ | " TOTAL SDC , ,5 "'rE //, s /.0 37 @./) A/$g- ^66$ -<-t - FIXTURE UNIT cALcUL^TloN TABLET Number or New Fix(NorE: For remodels, calculate only-.e NET additional fixtures) FrxruRE rYPE il:'.H?ilro,'".. Bathtub..... Drinking Fountain. Floor Drain. lnterceptors For Grease/Oil/Solids/Etc lnterceptors For Sand/Auto Wash/Etc Laundry TubiClotheswasher.... Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 Per Trailer)............. Receptor For Refrigerator/Water Station/Etc..... Receptor For Commercial Sink/Dishwasher/Etc. Shower, Single Stall... Shower, Gang. Sink: Bar, Commercial, Residential Kitchen...... Urinal, Stall/Wa11......... Wash Basin/Lavatory, Single........ Toilet, Public lnstallation. Toilet, Private....... Miscellaneous: TOTAL FIXTURE UNITS _ r X Unit Equivalent = Fixture Units UNIT EOUIVALENT FIXTURE UNITS /2 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 ",(--4?7-6,a CREDIT CALCULATION TABLE Based on assessed value. lf i mprovements occurred after annexation date in table,calculate credits rates Credit for Parcel or Land Only lf Applicable lmprovement (if after arr{rexation date} u. ,z X$fs (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL -Gzz = $ /679 Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed Value 1 981 1982 1 983 1 984 1 985 1 986 1987 1 988 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 1979 or b $4.2 B 1 989 1 990 1 991 1992 1 993 1 994 1 995 1 996 1 997 $1.98 1.55 1.15 o.96 0.83 0.67 o.52 o.38 o.21 RUNOFF COEFFICTENTS FOR STORM DRAINAGE (For Estimating purposes Onlyl Residential.... Commerical... lndustrial....... Governmental .... o.4 0.9 o5 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TorAL Lor srzE x RUNOFF coEFFrcrENT