HomeMy WebLinkAboutPermit Building 1999-4-2
.. ,
SPRINGFIELD
, ~,
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY Of SPRINGfIELD Job Number: 981521
COMMUNITY SERVICES DIVISION
BUILDING SAfETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4851 MAIN ST
Assessors Map #: 17023200
Tax Lot #: 00900
~'
~~~.
Owner: SUNWEST MANAGEMENT
Address: 2735 12TH STREET #200
Phone #: 503-375-9016
City/State/Zip: SALEM, OREGONN 97302
Description Of Work: ASSISTED LIVING FACILITY
NEW
Value:
0.00
Name
Architect: PATRICK BICKLER
Address
1313 MILL STREET, SE SALEM
Phone
588-7046
Contractor
Canst.
Contractor #
Expires Phone
12/06/97 503-362-1164
OS/24/98 839-4166
05/31/98 363-2334
12/10/98 485-0922
General: ELLIOTT & SHEET 0001205
PO BOX 12906 SALEM OR 973090000
Plumbing: NORTHWEST PLUMB 0004586
PO BOX 724 CANYONVILLE OR 974170000
Mechanical: JET HEATING 0003944
1935 SILVERTON RD NE SALEM OR 97303
Electrical: BUILDERS ELECTR 0004296
195 MADISON ST EUGENE OR 974025030
PLUMBING ---
NO.
264
Fee
Charge
2,640.00
25.00
70.00
310.00
100.00
30.00
Single Fixture
Sanitary Sewer
Water Service
Storm Sewer
535' FIRE LINE
3 BACKFLOW DEVICES
28
383
1913
ft.
ft.
ft.
TOTAL PERMIT
3,175.00
--- MECHANICAL ---
No.
Fee
Charge
375.00
9.00
192.00
6.00
5.50
10.00
64
Furnace/burner & vent < 1000,000 BTUs
Mechanical exhaust hood and duct
Vent Fan/Single Duct
APPLIANCE VENTS
GAS PIPING, 11 CONN.
Permit Issuance
TOTAL PERMIT
627,50
-- OffICE USE --
~ .
SPRINGFIELD
~-
Job Number: 981521
Page 2
HANDICAP ACCESS: Y
# OF UNITS: 51
QUAD AREA: 3RSC
ZONING CODE: MDR
LAND USE: 1134
Item
Sq. Ftg Main
Square Feet
39609
x
$/square Feet
Value
2,510,000.00
TOTAL VALUE OF PROJECT
2.510.000,00
Plan Check Fee:
2,718.95 Rec #: 32293 Date: 12/11/98 Rec By: LORNE PLEGER
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PAVING VALUE
PLUMBING
Surcharge/Admin
SIDEWALK
CURB CUT
CITY SDC FEES
ADD. PLAN REVIEW FEE
181,000.00
4,348.00
347.84
627.50
49.41
615.25
3,175.00
254.00
23.95
23.95
57,243.66
107.25
SUBTOTAL PERMITS
66,815.81
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
J~.:;.r.A/.?A ~
66,815.81
~ 7~'" SIP
~f.~~/
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 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,
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
UNDERGROUND ELECTRICAL - Prior to Cover.
GRADING/EXCAVATING/FILLING - To be done during constr by Special State
Certified Inspector. Provide reports/tests to City Building Inspector
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
, .
SPRINOFIELD
Job Number: 981521
Page 3
ROUGH PLUMBING - Prior to cover.
ROUGH GAS - after line is installed.and capped if not attached to an
appliance
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAMING - Prior to cover.
INSUL-V.B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT
DRYWALL - Prior to taping.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
ROOF SHEATING/NAILING - Before covering sheathing with finish material
MECH/SUB: FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER
CEILING GRID
FINAL PAVING - After paving is complete,
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/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
DRC 98-04-083, PLANNER IS GARY KARP
SITE PLAN REVIEW JOURNAL #98-04-083, GARY KARP, PLANNER
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 01/08/99
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 remain on the site at all times during construction.
Uk 'f(,
fL
4/'1.. /, "
Date
Signature
--- VALIDATION
Date Paid:
~ "'3':::;'~ 5
~:?-~~
.G9. 5'~. c. /
~..;;"'-~:;': ~ ,
//&/ '
Receipt Number:
Amount Received:
Received By:
... .. ..
JOURNAL OR ~JOR.tfO. /b .1."5- ~ /- .
, ATTACHMENT A
CITY OF S~NGFIELD SYSTEMS DEVEL~ENT CHARGE
WORKSHEET
NAME OR COMPANY: . >./-"/LJesf~~ - 4/C()ds,'de.. 4L./=-
LOCATION: 4-")3. 7"/ #...../ A :;V- .
. DEVELOPMENT TYPE: 3.;:' - U.It J r /k~ xle.ci L '1//;""(1
. /)
-r;;:ft-!
BUILDING SIZE:'? <J ~O'i LOT SIZF '7?",j/7 SQ. Ft.
f:;~....... h N..-/ <U'~ .1%-. ::: /3/./j 1'::;0 f /'h..... r r /.....-/.<, hj /j7?"-I>',. '.:
1. STORM DRAINAGE "" /7 I (~/.:< ;- Y/; 0/7 '
J .
. 5'
IMPERVIOUS SQ. FT. G.;< 731 X $0.227 PER SQ. FT, $/-</ ./l.39 ~
, /
2. SANITARY SEWER-CITY
NO. OF PFU'S Gc1~
(See Reverse Side)
X 547.14 PER PFU
;..f}
$213178-
/
3. TRANSPORTATION ..zs-.l- - CD/? tr~;j~j.c G-..,,-e.
NO OF UNITS X TRIP RATE X COST PER TRIP
_tJ.J.
X ./7 'x $475.32
. S]
$ 7".~o/ -
/
x
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
7-<
NO. OF FEU'S "1."..2 X 1.18 -PER FEU
'r'f'
$ 7 2/J -
B. IMPROVEMENT COST:
NO. OF FEU'S,5.2 X I,Z ~ PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL-MWMC SDC
~o
$ G'75":;"'---
/c;" g
< $ I'UC./ >
$ 10.00
73-
$ 7&'77
-, -
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
tr",-,-I{,~.' Date: It'.~/t77
/' SD~COr}ll nator II
AITACH'A.WPD
77
$.77'.7/7-
gz.
$ ~ 7,;lS=--
c.e,
TOTAL SDC $ "7::2. '73 -
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only the NET additional fixtureS). ,- .. ~
. '. NUMBER 0 UNIT FIXTURE
FIXTURE TYPE. NEW FIXTUR EQUIVALENT UNITS
Bathtub.................,.."............................."..............,. .
Drinking Fountain.,.. .............. ........... ...................., ,..
Floor Drain........... ........................., ........ ............., .....
Interceptors For Grease/Oil/Solids/Etc.................
InterceDtors For Sand/Auto Wash/Etc..................
Laundr~ TUb/Clotheswashev. #pl'~;",f':-....,...,..,....
Clothes washer - 3 Or More...............................,.....
Mobile Home Park Trap (1 Per Trailerl..................
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.........,........................
Toilet, Public Installation...., ...........................,." ,...
Toilet, Private.................,...... ........,..,............. ......
Miscellaneous:
CREDIT CALCULATION TABLE:
calculate credits separates.
II
I
J .::1 2 J-
Ill/ ;:..y 1 Lt.
(" fllU'fI/i.r= / 7 2 .7'1
3
6
j ,....ff IfLL::: y 2 ~
._&; :;. S 6 .TO
6
I -=/ 1 i
fll -:::3 3 9
.;-~ ': S,l 2 /cJL/
1/Head
/I!lf5.Z~L...?S7 2 //7'
2
lilt. 'NJU-'T.2.;.//:: (,,<r' 1 &,/
-3 +-1 ::'1' 6 -2~'
-7 ::5"). 4 12 of<
...,~
TOTAL FIXTURE UNITS
C::02
=
Based on assessed value. If improvements occurred after annexation date ie, :able,
j'
Year
Annexed
~r before
1::10LJ
1981
1982
1983
1984
1985
1986
1987
1988
X $ 1(.;1. .:17
. (Rate X Assessed Value)
X $
IRate X Assessed Value)
CREDIT TOTAL
Rate per $1,000
Assessed Value
(; ~ z})
. 8
4,12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
Credit for Parcel or Land Only If Applicable
<%.J7
Improvement (if after annexation date)
Year
Annexed
Rate per $1,000
Assessed Val~e
1989
1990
1991
1992
1993
1994
1995
1996
1997
$1.98
1,55
.1.15
0.96'
0,83
0.67
0.52
0.38
0.21
=
<;'2
/W~
=
'Zd
= $ /-&0
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential.....,..................... 0.4
Commerical........,......."....... 0.9
Industrial....................,....... 0 5
Governmental..................,... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT