HomeMy WebLinkAboutPermit Building 1997-12-4
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COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 971617
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 9747J
-',
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed work: 1501 MOHAWK BLVD
Assessors Map #: 17032534 ~
*
Phone #: 746-9236 ~~
City/State/Zip: SPRINGFIELD, OREGON 97477
Tax Lot #: 04401
Owner: DARREL FLUKE
Address: 1825 YENTA AVENUE
Description Of Work: ADA UNISEX RESTROOM
REMODEL
Value:
0,00
Plumbing:
Const.
Contractor Contractor #
BISHOP CONSTRUC IB\\.o \)>>:083008
1~~~ :.. ~~...1 .s;:l..,,:~_U 3H-97478000
MCMICHAEL PLUMB 0028832
2994 Chandler Ave Eugene OR 9740300
KIDD 0035651
PO Box 1067 Springfield OR 97478000
Expires
qgg~ 051i
General:
01/30/98
-9{,b - V..:)/ d
09/21/98
389-6078
Electrical:
03/28/98
746-6476
No,
2
Single Fixture
Sanitary Sewer
--- PL~NG ---
1'1t;,s :C~.
9 -4U)ft , ~-9~ .
OQ '10-9,( 71',sJ,.;
~ ~4t~41 ~O U. '-4l.l.
:Y '00 t:'~O WO(=j ~-rP49,
0-1y 0-9L(\ 'IT~/!;o ~/~)>,
MECm.C~q ~~O;~-91t~~ /ft0-9
W~O ~ 411" rt
~O-9 <.II'
Fee
Charge
20,00
25,00
TOTAL PERMIT
45.00
NO,
1
Vent Fan/Single Duct
Permit Issuance
Charge
15,00
10,00
TOTAL PERMIT
25.00
QUAD AREA: 2 CNW
-- OFFICE USE --
LAND USE: 5300
Item
ACCESSIBLE TOILET RM
Square Feet
x
$/Square Feet
Value
6,000,00
TOTAL VALUE OF PROJECT
6.000.00
Plan Check Fee:
36,73 Rec #: 27993 Date: 11/12/97 Rec By: DON MOORE
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
56,50
4,53
25,00
1. 20
.. BPRINQPIELD
Job Number: 971617
Page 2
PLUMBING
Surcharge/Admin
CITY SDC FEES
45,00
3,60
344,42
SUBTOTAL PERMITS
480,25
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
480.25
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
made at the proper time, To request 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. 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
a special inspector shall be employed by
construction of any following n*lI work.
shall be furnished to Building Safety,
Section 306 of the State Specialty Code
the Owner/Contractor during
A copy of the special testing reports
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 Development Code,
ROUGH PLUMBING - Prior to cover,
ROUGH MECHANICAL - Prior to cover,
ROUGH ELECTRICAL - Prior to cover,
FRAMING - Prior to cover.
DRYWALL - Prior to taping,
FINAL PLUMBING - When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete,
FINAL ELECTRICAL - When all electrical work is complete,
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
--- ADDITIONAL COMMENTS ---
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 12/01/97
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 all required inspections are requested at the
proper time, that project address is readable from the street, that the
permit card is located at the front of the property, and the approved set
of plans will remain on the site at all times during construction.
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Date
~-
\ SPRINQFIELD
Job Number: 971617
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VALIDATION
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Page 3
.
..JUU nu. ,. //(..-,,/ /
. ATTACHr~ENT A .
CITY OF SPR1NGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
/.1' .--,--
NAME OR W1P.t,NY: /-I/llvc/.-Ub t-t-U'e'/,>,
LOCATIOil )""-;'0/ dl11~.L.uf::....6 ~d
DE'jEL.OPI'1Ei'/T T'lPE'0vt!1"/1 - Ad.J /'e'."i/rC'Oh"!
BUILDING SIZE
LOT ~I7~
~-
"'--'. ';...
i, STfJPH C;:,,,T::~,~;:- -/V~" /V2<J <'-1"o?.:-o-dkd
-,,,---. -- - -- --
.:.i'ir;::.;~,~,_.....::: ,;\.... '-'.
--t!?-
" 50.226 ;t~ SO. It. 5 c-&
2. SF_NTr.~~"! ~;':n~,:; _.~ iT'!
NO. OF PFU'S ~
(See Revers2 Side)
'( '. '/ 8/ P~- D~'I
. j~c. 0 'cK ,r~
c.,;:.
..,...,~-
5 .,.?,...: / /
3, TR,t.NSPORTATTON -,/V:' r..e,....Jf'r10
"0 OF U~II-S '( -DrD ~\-f' X COS- -C"- -,--p
'l'~ l!_, I"A' 1"\,:....1_ ! r...K 10'\1
X
, X 5472,"-9
$&
x
X $472,49
$
X
X $472 ,119
$
4, SAN iTARY SF\~FR -iA\'JI'1(
NO, OF FEU'S
x
PER FEU + $10 ilWMCI ADM FEE $ 6-
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL -M\~MC SDC
$
$ -6-
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
o~
$ 8';73-
5, ADMINISTRATrVF FFFS
, BASE CHARGE (SUBTOTAL ABOVE) ,X ,05
7-''''
$ /t;. ~
/ K~Lh~
~' S~ C~inator
Date: ;4/17
TOTAL SO[
5.j1/9'~
,t'IJ\ I Util: UI\JII L;AL~LJ..~IIUN I AI::ILt:, Number of New.. ures X Unit Equivalent = Fixture Units,
(NOTE: For remodels, calculat.:y ,ne NET additional f,xturesl ., .' "
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.... ..,..........",..""""""",.... '..',..,..",.."",..",....
Drinking. Fountain, ......,"','""""""""'......,...."",,..,..,
Fioor Drain...."....,........".."""""",.. ............"....,..,,'..,
Interceptors For Grease/OiilSolids/E:c..........,;....,
Interceptors For Sand/Auto WashiE:c..................
Laundry Tub/C!otheswasher"",,""'" ,...."..""..""",
C:otheswasher. 3 Or More...."......,........................
Mobile Home Park Trap (i Per Traiier;"................
Receptor For Refrigerator/Water Sta:;.:niE:c........
Receptor For Commercial Sink/Dish':nsher/Etc..
Shower, Single Stall...." ......""",.. ,..........................,
Srlo'Ner, Gang............... '.,............. ... ................. .......
Sink: Bar, Commercial. Resic8r:tial Ki::::--,en........................
Urinal, Stall/Wall......, ",..,'....,'.."" ",..,....................,
Wash Basin/Lavatory, Single.. ..",..................
Toiiet, Public Installa:ion......,..,....,.., ..,..................
Toiler, Privare,............,..,....,.."...., ......, ............,....
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
I 1 I
I 6 h
4
TOTAL FIXTURE UNITS
=
"7
CREDIT CALCULATION TABLE:
calculate credits seDarares,
r--- Year
I Annexed
Basae on assessed value, If improvements occurred after annexation date in table,
Rare per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
$3,97
3,89
3,83
3,70
3,55
3,39
3,20
2,91
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
$2,56
2,17
1,73
1,31,
0,92
0,74
0,61
0,45
0,31
0,17
Credit for Parcel or Land Only If Applicable
X $
(Rate X Assessed Value)
X $
, (Rate X Assessed Value)
=
Improvement (if after annexaticn date)
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purp~ses Only)
Residential..,:...........,.......;... 0.4
Commerica/""....,.......,........ 0,9
Industrial..........,....,..,......... 0 5
Governmental...................... 0,5
\
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT