HomeMy WebLinkAboutPermit Building 1997-8-19
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Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 970785A
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5770 MAIN ST
Assessors Map #: 17023341
Tax Lot #: 01900
Owner: LARRY/JANIE POLEN
Address: 2197 OLYMPIC ST
Phone #: 746-6965
City/State/Zip: SPRINGFIELD, OR 97477
Description Of Work: ADD RESTROOMS
ADDITION Value:
6,000:00
Contractor
Const,
Contractor #
Expires
Phone
Electrical: ALERT ELECTRIC 0012772
1970 N 28th St Springfield OR 97477
OS/22/98
747-2213
--- PLUMBING ---
No.
6
Fee
Charge
60.00
Single Fixture
TOTAL PERMIT
60.00
--- MECHANICAL ---
No.
2
Fee
Charge
15.00
10.00
Vent Fan/Single Duct
Permit Issuance
TOTAL PERMIT
25.00
QUAD AREA: 3CNC
-- OFFICE USE --
LAND USE: 5300
Item
BATHROOM REMODEL
Square Feet
x
$/Square Feet
Value
10,000.00
TOTAL VALUE OF PROJECT
10,000,00
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
surcharge/Admin
80.50
6.45
25.00
1. 20
60.00
4.80
SUBTOTAL PERMITS
SYSTEMS DEVELOPMENT
177 . 95
492.03
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
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669,98
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SPRINGFIELD
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Job Number: 970785A
Page 2
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 "*" 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 FIRE - When all Fire Department requirements have been met.
been met.
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: 08/11/97
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
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SPAINGFIELD
Job Number: 970785A
Receipt Number:
Date Paid:
Amount Received:
Received By:
-- - VALIDATION
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Page 3
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- - (COMMERCIAL / INDUSTRIAL)
Name or Company: LARRY/JANIE POLEN
Location: 5770 MAIN ST
Developement Type: C Building Size:
Job No.: 970785A
Lot Size:
1. STORK DRAINAGE
Impervious Sq Ft 1.0 X
X
0.226
Per Sq Ft
2. SANITARY SEWER
Number Of PFUs
(see Page 2)
- CITY
1. 0 X 10
X
46,86
Per PFU =
3. TRANSPORTATION
Number Of Units
Trip Rate
X
Cost Per Trip
X
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
o
X
X
Per PFU + MWMC Admin Fee
20.690
MWMC 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
Reviewed By: DENNIS ERNST
Date: 07/17/97
Page 1
Sq Ft
$0.00
$468,60
$0.00
$0,00
$0.00
$0.00
$468,60
$23.43
$492.03
...
-
.
Job Number: 970785A
.
PIXTURB UNIT CALCULATION TABLB
Page 2
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
Number of
New Fixture
Unit
Equivalent
Fixture
Units
o
1
o
o
o
o
o
o
o
o
o
o
1
1
1
o
o
2
1
2
3
6
2
6
1
3
2
o
1
o
o
o
o
o
o
o
o
o
o
2
1
6
o
o
2
2
1
6
4
10
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0.00 =
0.00
o
X
0.00 =
0.00
CRBDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)