HomeMy WebLinkAboutPermit Building 1998-4-30
BPAINQFIELD
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Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELn Job Number: 980295A
COMMUNITY SERVICES nIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5709 MAIN ST
Assessors Map #: 17023341
Tax Lot #: 03100
i!
Owner: CARRINGTON COMPANY
Address: 627 H STREET
NOTICE:
. THIS~I*HAee ~~fFltHE WORK
Clty/State!Zlp: EUREKA, CA'S5501
AUTHURIZED UNDER THIS PERMIT IS NOT
Description Of Work: INFILL/PHYSICAL THEIffiJfrlMENCEI!1-~~ABA~ FOR 7,778,00
~6~~!.~& ;;~IOC.
Contractor #
Contractor
Expires
Phone
General: MCINTYRE CONSTR 0003550 10/08/95 687 - 2 841
85830 Pine Grove Rd Eugene OR 97405
Plumbing: TUCKER PLUMBING 0109801 11/07/98 726-2192
2451 CLEARVUE SPRINGFIELD OR 974770
Mechanical: COMFORT FLOW HE 0000460 06/27/98 726-0100
1951 DON ST #D SPRINGFIELD OR 97477
Electrical: ABSOLUTE LIGHTI 0067664 07/11/99 345-3055
2487 PARK FOREST DRIVE EUGENE OR 97
--- PLUMBING ---
NO.
2
Fee
Charge
20,00
Single Fixture
TOTAL PERMIT
20.00
--- MECHANICAL ---
NO,
Fee
Charge
15,00
10,00
EXTEND DUCTWORK
Permit Issuance
TOTAL PERMIT
25.00
QUAD AREA: 3CSC
-- OFFICE USE --
LAND USE: 5300
Item
COMPLETE LEASE SPACE
Square Feet
1320
x
$/Square Feet
Value
10,000,00
TOTAL VALUE OF PROJECT
10,000.00
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
CITY SDC FEES
80,50
6,45
25,00
1. 20
20.00
1. 60
196.81
SUBTOTAL PERMITS
331,56
BPRINQFIELD
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Job Number: 980295A
Page 2
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
331.56
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*rr 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/SUB
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 ---
ADDITIONAL PLUMBING, ELECTRICAL & MECHANICAL PLANS REQUIRED FOR REVIEW/APPROVAL
PRIOR TO COMMENCING THOSE PORTIONS OF THE WORK,
Plans Reviewed By: LORNE PLEGER Date: 04/27/98
Building Site Reviewed By: LISA HOPPER
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 ORB 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.
a?ffi--
~.......-
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t;/?'f/<;w
Signature
Date
.
SPRINGFIELD
Job Number: 980295A
Receipt Number:
Date Paid:
Amount Received:
Received By:
- -- VALInATION
010f SCf3
Lf-/;:11/q(
30J\$ f.t
X, (()~
Page 3
~B ~O. CJg9,-1'7.5~
ATTACHMENT A ·
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
.
NAME OR COMPANY: ~_/~,/~/ftA;~j ,P'fc,;'uLiilh'/'~fc
LOCATION :~~7~ '} ~;../,., SI:
.. .
DEVELOPMENTTYPE: ~o.-J z::.. }:/// -J/i;ukl 12LW)/ O,g;c~
BUILDING SIZE: lOT SIZE <;0, Ft,
1. STORM ORATNAGF -M /f/f2A.J A-r~
IMPERVIOUS SO, FT,
X $0,226 P,ERSO, FT. $ -6'<.'
_ -r ..Jd.;'~c., b ,/Jrt../'i ~'1a"/o/'/i.--,40-,t-ti:'_
.J.-/1 c;.- . . , . (/ ~o;2!j:J
. . $0"0/'
'/ X $46.86 PER PFU $ /?n-
2. S8!ilIARY SFWFR-r:TTY
NO, OF PFU'S
(See Reverse Side)
3. IBANSPQRTATTON - ~I-l V~ a~~.J...../ ,t IcJ" ~/ - ~
~h--;'t-# 77o.,{/f;~ ' 1
.NO OF UNITS X TRIP RATE X,COST PER TRIP
X
X $472. 49
$ ...e
X
X $472.49
$
.. X X $472.49 . , $
4.S8NilARY SFWFR-MWMr: - ~(I-"; fb'~'r p 9M"?9'S
NO. OF FEU'S
.' X
PER FEU + $10 MWMC/ADM FEE $ .:e-.
. MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
IQIAI -MWl:1r: snr: $ -e-.
. SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ /.>37 ~
5. AOMINTSTRATIVF FFFS
BASE CHARGE ( SUBTOTAL ABOVE>. X .05
37
. $. "1'--:-
~ 1-44~ . .
/ , SPff c66rdinator .
Date: ;i77~
.., 6/
IQIAI SOC $ /'7~-
,FIXTURE UNIT CALCUL~ION TABLE: Number of New FiXe x Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate onl. Nfl additional fixtures)
, NUMBER OF UNIT FIXTURE'
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..........,..,....'...,."."."",.""".......,.......,.,.,.,..,.., .
Drinking. Fountain,.......,.""..,.""";,,..,.,...... _.....,.".,."
Floor Drain...... ,:........,.,..,."..,..,..", ,.,.,...:.........,...,.,.." '
Interceptors For Grease/OiIlSolids/Etc.................
.Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher...."..,.......... ................
Clotheswasher - 3 Or More.,..................................,.
Mobile Home Park Trap.(l 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, Stalltwall..,.. ....,..,:.,."", ,., ,.,... ,.............,.,.",..,
Wash Basin/Lavatory, Single.."",.,.,..,....................
Toilet, Public Installation.; ,., ,.":,, ,.,.,...,.. ......., ...',.,."
Toilet, Private..................,..".".:..,.. ...........:.......,..
Misc\lllaneous:
2
1
2
3
6
2
'6
6
1
3
I 2 ;l
l/Head
I 2 .<
2
1
6
4
TOTAL FIXTURE UNITS
=
S/
CREDIT CALCULATION TABLE:
calculate credits separates,
I
Based on assessed value, If improvements occurred after annexation date in table,
Year
Annexed
Rate 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
1.3'-
0.92
0.74
.0.61
0.45
.0.31
:0.17
J
Credit for Parcel or Land .Only If Applicable
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value) .
=
Improvement (if after annexation date)
=
CREDIT TOTAL. = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For, Estimating Purposes Only)
. Residential...:..;................;... 0:4
Commerical..........,..,........... 0.9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
MlB NO, <J9o..l'7.5""A
ATTACHMENT A .
CITY OF SPRINGFIELD.SYSTEMS DEVELOPMENT CHARGE'
WORKSHEET
NAME OR COMPANY: ~/~'?d';~-Y1j ~7<;~uj~/J/~fc
LOCATioN:_C:;-7~7~;"".-, Sf:
DEVELOPMENT TYPE: ~,1-/~f ~r;// -/,~/1k.r7'7. O/!f;crZ-
BUILDING SIZE: LOT SIZE SO, Ft,
1. STORM DRAINAGF -.4 A/t2A.J A-rt'!t:1-
.
x
X $472. 49
$ -e
x
X $472. 49 .
$
x X $472,49 $
4.sAt1ilARY SFwER-MWMC - ~(I--I fb';.-'r t:i 9&/,l9S
NO. OF FEU'S
.' X
PER FEU + $10 MWMC/ADM. FEE $ ~
. ,
MWMC CREDIT IF APPLICABLE (SEE .REVERSEY $
TOTAL-MWMC SDC $-e-
. SUBTOTAL (ADD ITEMS 1.2,3 & 4) . $ 1/37:tt:
5, ADMINISTRATIVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
J7
. $. Cj' ----:-
Jf-- i.h~ . .
" . S& ~rdi nator ..
Date: 077~
. S/
IQIAI SDC $ /9? ~
,FIXTURE UNIT CALCUL,ilION TABLE: Number of New FiXe x Unit Equivalent ~ Fixture Units
(NOTE: For remodels, calculate onl. Nil additional fixturesl . ,
, NUMBER OF . UNIT FIXTURE' . ,
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub......... ,..,." ..',.."".".""""""..............,....,.,..,.."
Drinking. Fountain.,...,..,.""""""",.,.,.,..,.,.,......,.,."."
Floor Drain......:.,......,.""",..""." ,,', ,.....;.....,..,.""".." '
Interceptors For Grease/OiI/Solids/Etc.................
,Interceptors For SandlAuto Wash/Etc........,.........
Laundry Tub/Clotheswasher.,.".,..,.,.,...............,....,
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. StalllWall......, ,.,.":,.."".,,, ':'... ,.,..... ,...,.,.,.."".
Wash Basin/Lavatory, Single..................................
Toilet, Public Installation,:..,." ,:, """.................,....,
Toilet., Private............,.,......",..,;",...,..:..........,.,..,.
Miscellaneous: '
2
1
2
3
6
2
'6
6
1
3
I 2 .2
llHead
I 2 ..z
2
1
6
4
TOTAL FIXTURE UNITS
=
S/
CREDIT CALCULATION TABLE: Based on assessed value. If improvements .occurred after annexation date in table.
calculate credits separates,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate .per $1.000
Assessed Value
l'
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
IL
Credit for Parcel or Land Only If Applicable
"
Improvement (if after annexation date)
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
=
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Onlyl
.Residential...:.,;.,......,.......;...OA
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA. = TOTAL LOT SIZE X RUNOFF COEFFICIENT