HomeMy WebLinkAboutPermit Building 2000-7-10
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I Job# 00-00370-01 I
Page 1 of4
TRANS#:01-0002497
DA TE: JUL 10 2000
AMT RECD:2 $ 12959.17
CHANGE:
CASHIER: 004
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225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD? OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00370-01
Office: 726-3759
Inspection Line: 726-3769
*
MAINSt
Spl
Location Of Prollosed Site: 5303
Assessors Map#: 17033331
Lot: Block:
Owner:
Address:
Tax Lot #: 01303
Subdivision:
Addition:
Dewees and Watson
Phone Number: 541-746-8329
City/State/Zip: Springfield, OR 97478
Addition Value: $250,000
5303 Main Street
Scope Of Work: Office
McKenzie Animal Clinic
Addition to existing facility
Contractor Type
Architect
General Contr
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor Registration # Expiration Date
Chuck Bailey
1740 Willamette Street, Eugene, OR
97401
JONNY WATSON
5303 MAIN STREET, SPRINGFIELD, OR
97478
JONNY WATSON
5303 MAIN STREET, SPRINGFIELD, OR
97478
Phone
541-485-3315
541-746-8329
541-746-8329
Office Use
Land Use: Veterinarian Services
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a,m, will be made the same working day, inspections requested after 7:00 a,m, will be made the following
working day,
Footing
Foundation
Slab
Shear Wall Nailing
Framing
Drywall
Firewall
Structural Masonry
Required Inspections
I Buildinll
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- To be made after all inslab building service equipment, conduit piping, and other equipment iter
-Before covering sheathing with finish materials,
- Prior to cover.
-Prior to taping,
- located and constructed according to plans,
- To be done during construction by a State Certified Special Inspector. Provide results to City B
SUB - InsulationNapor
Barrier
SUB - Final
Final Fire
Final Site Plan
Final Building
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Rough Plumbing
Storm Sewer Line
Final Plumbing
Rough Gas
Rough Mechanical
Gas Service
SUB - Mechanical
Final Gas
Final Mechanical
Rough Grading
Final Paving
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Page 2 of 4
I Job# 00-00370-01 I
Required Inspections
I Building, I
- To be called for at the same time as Ihe SUB framing inspection.
-When all Fire Department requirements have been met.
-After all requirements have been met for Minimum Development Standards or from the Develor
- When all required inspections have been approved and the building is complete,
Electrical
- Prior to cover.
-Must be approved to obtain permanent power.
- When all electrical work is complete.
I Plumbing
- Prior to insulation or decking.
- Prior to cover.
- Prior to filling trench.
-When all plumbing work is complete.
Mechanical
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure te!
-When all gas work is complete.
- When all mechanical work is complete.
I Permits w/o Srchg I
-After gravel is in place but prior to placing concete.
-After paving is complete,
I LDAP/Grading I
Grading/Excavating/Fillin!- To be done during construction by Special State Certified Inspector. Provide test reports to Cill
Zoning:
FloodPlain? D Wetlands? D
Journal numbers
1: 1999-02-0018 2:
Comments:
Overlay District:
# of Street Trees:
Land Use: Veterinarian Services
Pave Driveway? D
3:
Planner: Jim Donovan
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. r ..1)
I Main: Accessory:
Fee
Commercial Plan Check
Additional Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Permanent: 200 Amps or Less
Permanent: 601 to 1000 Amps
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge For Plumbing Permit
Storm Sewer Footage
Plumbing Administrative Fee
Total Plumbing
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee,
Less than 100,000 BTU
Vent Fan to One Duct
Each Additional Outlet
ApplianceVent (Not Covered in Schedule
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Impervious Surface Area - Storm
Sanitary Sewer
MWMC Administrative Fee
SDC Administrative Fee
Medical Office - Vetinarian Services
Medical Office - Transportation
Total System Development
I Job# 00-00370-01 I
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Page 3 of4
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Paid On Receipt#
Plan Check
03/10/2000 874
07/10/2000 0002497
Buildinll
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
Electrical
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
Plumbinll
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
Mechanical
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
System Development
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
07/10/2000 0002497
Value/Quantity
I
250.000
-66
205,000
2
1
39
15
281
5
12
2
1
7,636
12
1
4
4
Fee Amount
$500.83
$-65,82
$435.01
$669.25
$46,85
$20,08
$736.18
$100.00
$130.00
$78.00
$21.56
$9.24
$338.80
$.00
$150.00
$15.40
$70.00
$6.60
$242.00
1
$2.00
$.00
$2.21
$30.00
$36.00
$1.00
$4.50
$10.00
$5.15
$90.86
$1,771.55
$579,24
$10.00
$540,79
$1,227,81
$7,227.26
$11,356.65
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Job# 00-00370-01
Page 4 of4
Value/Quantity Fee Amount
Fee
Paid On Receipt#
, I Permits w/o Srchg
07/10/2000 0002497
45,000
Paving
Total Permits w/o Srchg
Grand Total
Plan Check Type
Date Completed
Comment
Checked By
03/13/2000
07/06/2000
06/26/2000
07/10/2000
03/27/2000
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 correcl. 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 10 ensure that all required inspections are requested at the proper time, that each
address is readable from the street, that the permit card is located at the front of the property. and the
'P~:1?:' J:;ik:=" ",""~ """9 ~.,,"'"
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Initial Review-C/I/P Lisa Hopper
Engineering-C/I/P Steve Templin
Planning-C/I/P Jim Donovan
Structural-CII/P Lome Pleger
Fire Marshal-C/I/P AI Gerard
$260.50
$260.50
$13,460.00
( 0.' Z,)().u.
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
.... JOURNAL OR JOB NUMBER 00-00370:01
NAME OR COMPANY: DEWEES/WATSON
LOCATION: 5303 MAIN STREET
TAX LOT NUMBER 17-03-33-31-07303
DEVELOPMENT TYPE: VETERINARY HOSPITAL EXPANSION
USE # 1 NEW DEVELOPED BUILDING AREA (S.F,):
USE # 2 NEW DEVELOPED BUILDING AREA (S.F.):
EXIST DEVELOPED BUILDING AREA (S.F.):
TOTAL DEVELOPED BUILDING AREA (S.F,):
1. STORM DRAINAGE
IMPERVIOUS SQ. FT,
4057
TYPE OF USE: MEDICAL OFFICE
TYPE OF USE:
2360
6417
LOT SIZE (S.F.):
$1.771.55 I
$0.232 PER SQ. FT,
7636.00
x
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
12
x
$48.27 PER PFU
$579.24 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
USE#I
USE#2
4,057
o
3.66
x
x
x $486.73 PER TRIP
x $486.73 PER TRIP
TOTAL TRANSPORTATION SDC
$7.227.271
$0.00
$7.227,27'1
4. SANITARY SEWER - MWMC
~
A. REIMBURSEMENT COST:
USE#l
USE#2
NUMBER OF FEU's
NUMBER OF FEU's
4.057
o
B. IMPROVEMENT COST:
USE # I NUMBER OF FEU's 4.057
USE # 2 NUMBER OF FEU's 0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
,
5. ADMINISTRATIVE FEES;
BASE CHARGE (SUBTOTAL ABOVE) x
0,05
TOTAL SDC CHARGES I $11,356.661
~T~
SDC COORDINATOR
07/06/2000
DATE
x
x
$277.44 PER FEU
PER FEU
$1.125.571
$0.00
I $102.241
I $0.00
I $0,00 I
I $10.00 I
I $1.237.81 I
$10.815,87 I
x
x
$25,20
PER FEU
PER FEU
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
$540.79 1
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PLUMBING FIXTURE UNIT (PFU) CALCULA TION TABLE
NUMBER OF NEW FIXTIlRES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
INOTE, FOR REMODELS, CALCULAIE.0NL Y THE NET ADDmONALEDITURES' _
FIXTURE TYPE
BATHTIJB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC,
INTERCEPTORS FOR SAND/AUTO W ASHlETC.
LAUNDRY TUB/CLOTHESW ASHERJMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER STA TIONIETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHW ASHERJETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALUW ALL
WASH BASINILA V ATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INST ALLA TION
MISCELLANEOUS:
FIXTURES
NEW OLD
1 2
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE '
UNITS
-2
o
-2
o
o
o
o
o
o
o
o
o
-2
o
6
12
o
o
o
o
TOTAL PLUMBING FIXTURE UNlTS=1 12
2 3
1 1
2
9 3
3 1
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED VALUE
$4.47
$4.38
$4.32
$4.20
$4.03
$3.88
$3.68
$3.38
$3.03
$2.62
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXA TION DATE)
RATE PER $1,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$1.17
$ 1.03
$0.86
$0,71
$0,57
$0,39
$0.18
x
x
$0.00
$0.00
CREDIT TOTAL $0,00
225 FIITH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, .OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number.:2:)~37~/
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
~~~. M.A'/,,-f/ -'5>/",
.
LEGAL DESCRIPTION
J7d?~~~./. LJ7~3>
d!JB DESCRI~ION ' ,
/l'~~ ~,U~/L~_:~~
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of .issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor .L?#",~
Address
City
Phone'
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
O~ners Name~j,/){/I,," UM~#
. w :J, /"" .."
'Address ~?~? N'f{--1" --:;7.
Ci ty ..::"?Z"'L2'. c:::7h'. Phone? ~~.. ""'~./7'
.--17'&. / 9~ /. ~
OVNER INSTALLATtON-
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
vners Signatu/.:: '
A-~~~~:;;~~~----~~--------
CEIPT jj:~~-r?
RECEIVED BY: r ~~ >-
~,
3. COMPLETE FEE SCHEDULE BELOV
A. Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof,
Each Manuf'd Home. or
Modular'D~elling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
,B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less ~
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps I
Over 1000 amps/volts
Reconnec t Only'
$ 50.00 /~."''''
$ 60.00
$100.00
$130.00 ~-
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55,00 -
$ 80.00
volts see liB" above
D.
Branch Circui ts
,"
Ne~, Alteration or Extension Per Panel
E.
One Circuit $ 35.00
Each Additional
Circuit or ~ith Service
or Feeder Permi t ~q $ 2.00 -2J1!l.-
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
5_
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
~$.-o
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