HomeMy WebLinkAboutPermit Miscellaneous 1996-10-21
Office: 726-3759
Inspection Line: 726-3~.,.
Tax Lot #: 06400 ~
SPRINGFIELD
I Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 961358
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 4441 MAIN ST
Assessors Map #: 17023231
OWner: GRAYS GARDEN
Address: 4441 MAIN STREET
Phone #:
City/State/zip: SPRINGFIELD, OREGON 97478
Description Of Work: PAVE PARKING LOT
ADDITION Value:
Contractor
Const.
Contractor #
Phone
Expires
General:
06/05/97
302-0904
GR DOEMER CONST
0089945
PLUMBING
NO.
Fee
Charge
70.00
Storm Sewer
ft,
259
TOTAL PERMIT
70.00
HANDICAP ACCESS: Y
u OFFICE USE
QUAD AREA: 3CSC
LAND USE: 5300
Item
$/square Feet
Value
Square Feet
x
TOTAL VALUE OF PROJECT
Plan Check Fee:
137.15 Rec #: 23403 Date: 10/08/96 Rec By: LISA HOPPER
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PAVING VALUE
PLUMBING
Surcharge/Admin
0.00
0.00
0,00
34,000.00 211.00
70.00
5.60
SUBTOTAL PERMITS
SYSTEMS DEVELOPMENT
286.60
7,035,34
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
7,321.94
0.00
0.00
SPRINOFIELD
Job Number: 961358
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 11*11 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.
STORM SEWER LINE - Prior to filling trench.
ROUGH GRADING - After gravel is in place but prior to placing concrete
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PLUMBING - When all plumbing work is complete.
FINAL SITE PLAN - After all requirements have been met for Minimum
Development Standards or from the Development Agreement.
FINAL PAVING - After paving is complete,
ADDITIONAL COMMENTS - - -
SEE SITE PLAN REVIEW JOURNAL #96-05-105, JULIA POWELL PLANNER
NO FINAL UNTIL ACCESS ISSUE RESOLVED WITH CITY TRAFFIC DIVISION=
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 10/17/96
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 re~e site at all times during construction,
~/),r:;;a-." /~ ~ 2/- y(;
Signature Date
- - - VALIDATION
Receipt Number: ;;?? -> ~ "7
Date Paid: /<t>~ ;?,/. '7~
Amount Received: 7&-"! J. ~Y
Received By: ~__-:- J"\,.-~_
r/ -
SPRINGFIELD
.
~-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / INDUSTRIAL)
Name or Company: GRAYS GARDEN
Location: 4441 MAIN ST
Developement Type: C Building Size:
Job No.: 961358
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 1.0 X 31020
X
0,216
Per Sq Ft
2. SANITARY SEWER
Number Of PFUs
(see Page 2)
- CITY
1.0 X 0
X
44.75
Per PFU
3. TRANSPORTATION
Number Of Units
Trip Rate
x
x
Cost Per Trip
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: TROY MCALLISTER
Date: 10/15/96
Page 1
Sq Ft
$6,700.32
$0.00
$0,00
$0.00
$0,00
$0,00
$6,700.32
$335.02
$7,035.34
SPRINGFIELD
Job Number: 961358
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/C1otheswasher
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
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
2
1
6
4
o
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
CREDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)