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HomeMy WebLinkAboutPermit Building 1998-7-16 - . , ~, Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF, SPRINGFIELD Job Nwnber: 980606 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4765 MAIN ST Assessors Map #: 17023200 Tax Lot #: 00102 ~ Owner: CITY OF SPRINGFIELD Address: 225 FIFTH STREET Phone #: 726-3753 cityfStatefZip: SPRINGFIELD, OREGON 97477 Description Of Work: REMODEL FIRE STA #2 REMODEL Value: 0.00 Name Architect: M.R.A.W. ARCH IT Address 1310 COBURG ROAD, EUGENE Phone 342-6511 Contractor Const. Contractor # Expires Phone General: MORRIS KIELTY 0032772 301 MONROE ST EUGENE OR 974020000 12/11/99 687-2287 --- PLUMBING --- No. 4 Fee Charge 40.00 Single Fixture TOTAL PERMIT 40.00 --- MECHANICAL --- No. 3 Fee Charge 9.00 6.00 10.00 Vent Fan/Single Duct ALTER UNIT & DUCTS Permit Issuance TOTAL PERMIT 25,00 QUAD AREA: 3CSC OCCY GROUP: B -- OFFICE USE LAND USE: 6800 CONSTR. TYPE: 5N ZONING CODE: PL Item INTERIOR REMODEL Square Feet x $fSquare Feet Value 141,661. 40 TOTAL VALUE OF PROJECT 141,661.40 Plan Check Fee: 356.04 Rec #: 29949 Date: OS/20f98 Rec By: AL WARO NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . Job Number: 980606 Page 2 BUILDING Surcharge/Admin MECHANICAL SurchargefAdmin PLUMBING SurchargefAdmin CREDIT FOR PLAN REVIEW OVERPAYMENT CITY SDC FEES 527.50 42.21 25.00 1. 20 40.00 3.20 0.00 -13 .16 196 . 81 SUBTOTAL PERMITS 822.76 TOTAL PERMIT FEES EXCLUDING ELECTRICAL L". ~ "'- '.....4 ~.~ _ 822,' 76 ~""'.r'l;'__~ /-~~. $'~ ~7). ~ 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*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. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. MASONRY - Steel location, bond beams grouting or verticals in accordance with UBC 2415. 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 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: 07f01/98 . Job Number: 980606 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 ~ivision, 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 0< '~~"4Z :~:;;'"' OO"O,~:o>/_ zY Signature ~ Date --- VALIDATION Date Paid: () 3 6 76J~ 1/1t 11ft ~r~ Receipt Number: Amount Received: Received By: , .. .0 . '.OBNO, ~~ ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE , WORKSHEET DEVELOPMENT TYPE: C~7 c,J? 14'-1~~!"- I;; , 5I-d/~A #:l 'r'7t.C:;d-J}, 5.#: z:;, fe//6/ f0,.~dc-/ NAME OR COMPANY: LOCATION:' h'r~ BUILDING SIZE: lOT SI7F SQ. Ft. 1. STORM DRAINAGE .-, /!h d"1M1pt!- IMPERVIOUS SQ. FT. X $0.226 PER SQ. FT. $ 2. SANITARY SFWER-CITY NO. OF PFU'S '/',., (See Rever:se Side), 3. TRANSP()RTATlOI1 - A0 ~;e NO OF UNITS X TRIP RATE X COST PER TRIP X $46.86 PER PFU $ /S72:t:. X X $472.49 $ X X $472.49 ' $ X X $472.49 $ 4. SANITARY SEWFR-MWMG. - ~ dtLr'?;e NO,OF'FEU'S , X PER FEU + $10 MWMC/ADM' FEE $ ,~ , ' ,'MWMC .cREDIT IF APPLICABLE (SEE REVERSE) , i IQIAI -MWMr.C;/l~ l.f}- ,SUBTOTAL (ADD ITEMS 1.2.3 & 4),.,' $/f?7'd 5. ADM~NJSTRATIVF FE~, BASE CHARGE (SUBTOTAL ABOVE) X .05 J'7 $ 9-' ~,~" /( sit C~diriator Date: ~~o/7,8 .JI)lAI snr. . /0 &1 $ 7(,,---- ~