HomeMy WebLinkAboutPermit Building 1998-4-1
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SPAINOFIELD
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Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 980221
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office:
Inspection Line:
726-3759
726-3769
*
Location of Proposed Work: 5705 MAIN ST
Assessors Map #: 17023341
Tax Lot #: 03400
Owner: ANAN MORA
Address: 177 LANE ST.
Phone #: 942-1155
City/State/zip: COTTAGE GROVE OR,97424
Description Of Work: INFILL COMPLETION NEW Value: 0,00
Const.
Contractor Contractor # Expires Phone
General: CLAYTON PAYNE C 0098789
6106 SE Lambert St Portland OR 9720
Plumbing: NORTH DOUGLAS 0095639
PO BOX 557 SUTHERLIN OR 974790000
Mechanical: COMFORT FLOW 0000460
1951 DON ST #D SPRINGFIELD OR 97477
Electrical: IDEAL ELECTRIC 0050142
PO Box 355 Creswell OR 974260000
05/04/95
775-9347
12/16/98
459-2392
06/27/98
726-0100
OS/20/90
895-2617
--- PLUMBING ---
No,
25
Fee
Charge
250,00
10.00
Single Fixture
BACKFLOW PREVENTION
TOTAL PERMIT
260.00
--- MECHANICAL ---
No,
Fee
Charge
13.50
4.50
6.00
6.00
4.00
10,00
2
Furnace/burner & vent < 1000,000 BTUs
Mechanical exhaust hood and duct
Vent Fan/Single Duct
MAU-1
GAS PIPING
Permit Issuance
TOTAL PERMIT
44.00
HANDICAP ACCESS: Y
-- OFFICE USE
QUAD AREA: 3CNC
LAND USE: 5300
Item
COMPLETE LEASE SPACE
Square Feet
2992
x
$/Square Feet
Value
120,000,00
TOTAL VALUE OF PROJECT
120,000.00
Plan Check Fee:
310.70 Rec #: 28875
SPRINQFIELD
.
Job Number: 980221
Page 2
Date: 02/20/98
Rec By: LORNE PLEGER
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
CITY SDC FEES
478,00
38,24
44,00
2,72
260,00
20,80
14,097,018
SUBTOTAL PERMITS
14,940.83
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
14,940.sr
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 lI*n 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.
UNDERFLOOR PLUMBING - Prior to insulation or decking,
SLAB - To be made after all ins lab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover,
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH ELECTRICAL .
ELECTRICAL SERVICE
FRAMING - Prior to cover.
CEILING GRID
MECH/SUB: FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER
FINAL PLUMBING - When all plumbing work is complete.
FINAL GAS - When all gas work is complete,
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete,
FINAL FIRE - When all Fire D~partment requirements have been met,
been met.
FINAL/SUB
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
Prior to cover.
- Must be approved
to obtain permanent power.
--- ADDITIONAL COMMENTS ---
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: BOB BARNHART
Date: 03/30/98
SPRINQFIELD
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Job Number: 980221
Page 3
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
OR::'i'=$2~:"..,.n n... 'odo, .oo"'o~~o/_ 9~
Sr~ature Date
- -- VALIDATION
Receipt Number:
"2Q2<9/
Date Paid:
~~/~'9~
/~9~.t:J, ~</
.f~
Amount Received:
Received By:
.
~
. JOB NO. 51i.lJ..J,..< /
./
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: 7/5/,,<'j();' 1<P-6--ho y~r
LOCATION: '
,
~"'71? <J AM..... 5ft-
DEVELOPMENT TYPE:
~M-1. 1- ..z;; ;;,// - k~a.u J7~ "
.:z <J..5-zJ LOT SIZE
--
<;Q, Ft,
BUILDING SIZE:
1. SlQRM ORA I NAGF - ~ #ev Ar~ .
IMPERVIOUS SQ, FT,
X $0,226 PER'SQ, FT, $ t~
2. ,SMil.IARY SFWFR-r.TTY
NO, OF PFU'S '..~'."
(See.Revecse Side)
3, TRANSPORTATION" 83/- Cl(.J~1, '''I ~.j'6'A.>r-.l:-
X $46.86 PER PFU'
. ,98
$nR. 7/7~ .
,
'NO OF UNITS X TRIP RATE X,COST PER TRIP
.2...- 95' X 7_.19 X $472,49
U~.',' /1:.. {W. f /1, t:1.i-.' ~ / ,/ ,'\.
f" ~= / X ~-::-q_Y'~X $472.49/
Pp-$"J 9/4/ " ., .
v/b/1f~J#' ." ,,' X . X $472,49
;.d.b' ? .
, 4, SANTTARYSFWF'R-MWMr. . , . .
, ',.", ,"/-..8.' . . . . 7l..
NO, OFFEU'S 2 ,'95l<i.3ifPER FlU + $10 MWMC/ADM FEE $ 7;037.
. . "'\.. ,. .
. MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ -4-
$ /O,300~
3'1.
$ (, C, 3() :--
/
. d,
'J:;.f,.4 Co $ .~c. 7{)-
73
" TOTAL-MWMC sac L7037-
.' 7ft '
SUBTOTAL (ADD ITEMS 1.2.3 & 4) . $/1, ~.t1"- .
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X ,05
~1
$(;,7/-
.. ..
;!~_ U . .' '. "
,./' ~ordi ria tor ,'.
: . Date:~~~.
:rOTAI SOC.
$ /Lf 09f$
-'
. r1^ I vnc VI\l11 L,J.\LL,VLJ"UI\I I J.\OLI:: Number of New FixtU. Unit Equivalent = FixtureUnits
(NOTE: For remodels, calculate only. NET additional fixtures) , ....
, NUMBER OF . UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.......,.."...".'."""""""",.""."..,.....,...,..""",... .
Drinking. Fountain...,...."."..""",.."..",.,...,..,.."""..",
Floor Drairi.'.,.., :...,..."..."..,..""",.. ;.,...,.............,.., ...... .
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/Eic........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall..,..",..,..""""",...,....,....,.".,."..,
Shower, Gang....,......",..,...,."",."..."............"",..""
Sink: Bar, CommerCial, Residential Kitchen........................
Urinal, StaII/Wall...,..,:"",:,',.,",.,"",..".,....,..,",.,.,',...
Wash Basin/Lavatory, Single.................................,
Toilet, Public Installation",..,,"'" "'..'..........,...,.,.,,.,
. Toilet, Private..........................,:...........................
Miscellaneous:
t.I
/.
f,!
~
d'
I
.5
-'1'
TOTAL FIXTURE UNITS
CREDIT:CALCULATION TABLE:
calculate credits separates,
r-
2
1
2
3
6
2
'6
6
1
3
2
1/Head
2
2
1
6
4
=
8
.1
'"
ix
y--
J.
P
/.8'
08
Based on assessed value, If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
'1
1979 or before
1980
1981
.1982
1983
1984
1985
1986
1987
.1988 .
1989
1990
1991
1992
1993
1994
1995
1996
$3.97
3.89
3,83
3.70
3.55
3.39
3.20
2.91
Credit for Parcel or land Only If Applicable
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
"
Improvement (if after annexation date)
. ~I
Rate per $1,000
Assessed Value I
$2.56
2.17 ,
1.73
1.31
0.92
0.74
, 0.61
0.45
0.31
:0.17
=
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(Fa< Estimating Purposes Only)
. Residential...;..:................:... 0.4
Commerical..,....."............... 0.9
. Indusirial............................ 05
Governmental...................... 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
. . .. ..
~,
.
.
, JOB NO. . 'j80d.J./_
./ ATTACHMENT A
CITY OF SPRINGFIELD$YSTEMS DEVELOPMENT CHARGE'
WORKSHEET
NAME OR COMPANY: . ;;;;f'.(!...f'OA;;.Iz..u/,wr,t/-'
LOCATION: . .' 70'~~'/;1 St-.
. 7e.-, tvfvf- r,., ,{;) J - ~pf~ +-
~, 0/56
;
LOT S171'"
so, F t.
-&-- " X$O. 226 P,ERSO. FT, $ '-&- '
2. SAtillARY SEWER ~C ITY .
NO, OF PFU'S' '. 0'8 .,..
(See Reverse Side)
X $46,86 PER PFU
$ ,.2 7/7fM. ·
3. IBANSPORTATION' 8J:?,-I/;~ -;:':/-"tJpar&+?</rt'n../-
NO OF UNITS X TRIP RATE X COST PER TRIP
x
X $472,49
$/8. 07.q~
.,_' " ,.~L4,t,30~,>
. -r;;&-/ -= '. . $ //, 3781..!L'-.,
"
/' .:l-fS
/' (pJ, ')-If"",/ '
;. "'e5~J . ~,J: 9-5
rs<- .<:' /1 '
t; J;;!:k-J ~~
. x /J .9'?'
t.;~L
x /9 '-I~
X $472,49
x $472,49>
4, SMuARY SFWER-MWMC .
NO. OF FEU'S "i ~ X,1 # PER FEU + $10 MWMC! ADM FEE $ 8.~ II J'~
-. '
IQIAI -MWMr. SOC
$ -e-
. '.~
$ 8,J1/ "
J2
$.2.< .367
. MWMC ,CREDIT IF APPLICABLE (SEE REVERSE)
. SUBTOTAL (ADD ITEMS L 2 . 3 & 4)
5, AOMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE) X .05
'F
$ /.//S"::'-- .
I' .
))/1~ ~t''''~l. . " . .
,/ . (DC tpordi riator "
Date: jh/7",
'2L'
'.IQIALSOC $,;?3Y';7.
;
,FIX:rURE UNIT CALCULAIIIIilN TABLE: Number of New Fixtur.unit Equivalent = Fixture \=!nits
(NOTE: For remodels, calculate only ttWu additional fixtures)' , ,
NUMBER OF . UNIT FIXTURE
FIXTURE TYPE - NEW FIXTURES. EQUIVALENT UNITS
Bathtub..... ............:......",."".,."""....,...........,..,., ........ .
Drinking. Fountain.......~,.,......,',..,.:....,.... :...........,..,..,
Floor Drain.... ........ .......,.,.,...,..,. '.'" c.,.,....:............,..,.... .
. Interceptors For Grease/OiI/Solids/Etc..................
Interceptors For SandlAuto Wash/Etc..................
Laundry Tub/Clotheswasher......,.,....,.. ..... ..:......,..,.
Clothes washer - 3 Or More.,:............................:......
Mobile Home Park Trap (1 Per Trailer)..........;........
Receptor For RefrigeratorlWater Station/Etc........
Receptor. For Commercial SinklDishwasher/Etc..
Shower, Single Stall.......,.,.,.,....,.:,.,................,.....,..
Shower, 'Gang..... ........'..,...,.""""",..... .........,....,..,..
Sink: Ba'r, CommerCial, Residential Kitchen...:.~...................
. Urinal, StalllWaIL..:.....,.,:",..",.". ':,:...... ..... .......,..,.., '.
Wash Basin/Lavatory, Single.""""..,......... .,.............
Toilet, Public Installation""...",.,....,...................,:"
Toilet, Private.............,......,..",.:.. .......:.............,...
Miscellaneous:,
If
,
(~
l(
,.r..
I
'l:'
::(
TOTAL FIXTURE UNITS
2
1.
2
3
6
2
'6
6
1
3
2
1/Head
2
2
l
6
4
=
t;{
}-<
(,
, ..JJ
7"
..:;
..!J
if:!;
....')f3
CREDIT~ALCULATION 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
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.
. .
. ..
'. .
Credit for. Parcel or Larid ,Only If Applicable
X $
(Rate X Assessed Value)
X $'
. (Rate X Assessed Value)
"
Improvement (if after annexatiori dl'!te)
=
=
CREDIT TOTAL. '" $
. ,,' .
RUNOFF COEFFICIEI'.iTS FOR STORM DRAINAGE
(For. Estimating Purposes Onlyl
. ResidentiaL..:..,................'.... OA
. CommericaL........................ 0.9
. IndustriaL....:...................... 05
GovernmentaL.......:............. 0.5
Rate 'per $1 ,000 '
Assessed Value
11
I
$2.56 .
2.17"
1.73
1.31
0.92
0.74
. 0.61
0.45
0.31
:0.17
~
, .
IMPERVIOUS AREA, = TOTAL LOT SIZE X RUNOFF COEFFICIENT