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