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HomeMy WebLinkAboutPermit Building 1999-6-16 " . SPRINQFIELD Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 990659 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 5071 MAIN ST Assessors Map #: 17023333 Tax Lot #: 05201 Owner: JOHN GRANDAHL Address: 3122 EMERALD PL. Phone #: 687-8322 City/State/Zip: EUGENE OR,97405 Description Of Work: REMODEL CARPORT REMODEL Value: QUAD AREA: 3CSC -- OFFICE USE -- LAND USE: 5300 # OF BLDGS: 1 Item ENCLOSE CANOPY Square Feet 384 $/Square Feet x TOTAL VALUE OF PROJECT BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin PLAN REVIEW FEE CITY SDC FEES NeiTIec: THIS PERMIT SHALL EXPIRE IFTI-fEWORK AUTHORIZED UNDER THIS PERMITIS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIC1/il<- , <::NT/ON. 'Ollow . Ore Noti~. rUles act 90n law re . ICationc OPtedb"th qUires yo m OAR 9 enter T, J e Ore U to 0090. Yo 52-001-0010 hOse rUles a~on Utility Calling ~hmay Obtain ~OU9h OAR ~~~t fOrth nUmber f e center (N Pies Of the -001_ Or the O' ate: the t rUles b EXCLUDING ELECTRICAL Centeris /e8g0nUtilitYNe'~Phone y . 00-332_234~~/flcation SUBTOTAL PERMITS TOTAL PERMIT FEES REQUIRED INSPECTIONS 1< 0.00 Value 650.00 650.00 15.00 1. 20 0.00 0.00 0.00 0.00 9.75 97.14 123.89 123.~ 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.ID will be made the following work day. Special Inspections: In accordance with a special inspector shall be employed by construction of any following "*" 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. .,.+ SPRINGFIELD , ~, Job Number: 990659 Page 2 FOUNDATION - After forms are erected but prior to concrete placement. FRAMING - Prior to cover. 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: BOB BARNHART Date: 06/16/99 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. h/! ~~ ature' t- /tP - <7'7 Date Date Paid: --- ~ION 1O~ .4\ . ..:~S~ ~ Receipt Number: Amount Received: Received By: , . . . -. ... JO_AL OR JOB NO.. '990h..S"? . ATfACHMENT A . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET -b/~ Gdu'7dl')"'~/ . NAME OR COMPANY: LOCATION: ,"')0'7 / ~U~'1 51- DEVELOPMENT TYPE: ;.= 7f"..,-.05/JIl :Jt;.K:}~jljG SIZE: CJcvr2. hfiU.<Jt7 &r...-n">'6h . 397" LOT SIZE SO. F t. 1. STORM DRAINAGE' ~ M ~ C~"'<'~ IMPERVIOUS SQ. FT. X $0.227 PER SQ. FT. $ C 2. SANITARY SEWER-CITY ~ . / (. / /Vo ~ (t'/ /n//e 5 X $47.14 PER PFU $ .-:::S NO. OF PFU'S (See Reverse Side) 3. TRANSPORTATION /sc - tJc--r"c.,,("'-'~ NO OF UNITS X TRIP RATE X COST PER TRIP _ 3<.'0f' X ,$'/ X $475.32 ~ $ '75 X X $475.32 $ 4. SANITARY SEWER-MWMC -;> ..A-~' /tt:h.J C<:)/7/l (i'<:~h ~,...,.5 A. REIMBURSEMENT COST: 0/ j,>~.HC'- 5' NO. OF FEU'S X PER FEU $ () B. IMPROVEMENT COST: NO. OF FEU'S X PER FEU $ .-e-' MWMC CRED IT IF APPLI CABLE (SEE REVERSE) . MWMC ADMINISTRATIVE FEE < $ 0 > $ 10.00 TOTAL-MWMC SDC $-&-' SUBTOTAL (ADD ITEMS 1.2.3.& 4) 5. ADMINISTRATIVF FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 k:~ ILf~J, Date: (~/?7 /f SDc{,eonffi.~ nator . / . / ATTACH' A. WPD V 09 $ 9,f- $ y~ TOTAL SDC $ '7' -:7 ., yo FIXTURE UNIT CALC~ TION TABLE: Number of New Fees x Unit Equival~nt = Fixture Units_" (NOTE: For remodels. calculate o"'the NET additional fixtures) . . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub...,.......,........................ _._....... ..,..................... Drinking Fountain..................,...,.............................. Floor Drain....................................,.... ...............,....... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher........................:........... Clotheswasher - 3 Or More..........................,.......... Mobile Home Park Trap (1 Per Trailer).....,............ Receptor For Refrigerator/Water Station/Etc........ Receptor For CDmmercial Sink/Dishwasher/Etc.. ShDwer. Single StalL... ....... ............. .... ........ ......... .... Shower. Gang.... ........ ........ ........... ....... ..... ..... ..... ..... Sink: Bar. Commercial, Residential Kitchen........................ Urinal, Stall/WaiL... ....:................... ... ............. .... ....... Wash Basin/Lavatory. Single....... .................. ......... TDilet. Public Installation.. ..... ...... ....... ......... ............ TDile.t . Private....................................................... Miscellaneous: CREDIT CALCULATION TABLE: calculate credits separates. II Year Annexed 1979 or befDre 1980 1981 1982 1983 1984 1985 1986 1987 1988 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS ; Based on assessed value. If improvements Dccurred after annexation date in table. Rate per $1.000. Assessed Value Year. Annexed $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 .2.82 2.42 1989 1990 1991 1992 1993 1994 1995 1996 1997 Credit fDr Parcel Dr Land Only If Applicable X $ ; (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL - $ Improvement lif after annexation date) ,- RUNOFF COEFFICIENTS FOR STORM DRAINAGE (FDr Estimating PurpDses Only) Residential........................... 0.4 CDmmericaL........................ 0.9 . IndustriaL........................... .05 GovernmentaL..........,.......... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $ j ,000 Assessed Value $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 ,. --J