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Home My WebLink AboutPermit Building 1999-1-15 Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF, SPRINGFIELD Job Number: 981435 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4061 MAIN ST 103/1 Assessors Map #: 17023141 Tax Lot #: 04600 Owner: BENCHMARK NW Address: 560 COUNTRY CLUB PKWY Phone #: 484-1601 City/State/zip: EUGENE, OREGON 97401 Description Of Work: TENANT IMPROVEMENTS REMODEL Value: 0.00 Canst. Contractor Contractor # Expires Phone General: DON ELLIOTT 0043148 11/14/99 689-7160 1460 Beebe Lane Eugene OR 974040000 PI Ulnbing: BMC MECHANICAL 0103570 12/15/98 895-3758 648 W OREGON AVE CRESWELL OR 974260 Mechanical: HARVEY AND SONS 0055682 02/26/99 746-7677 4680 MAIN ST SPRINGFIELD OR 9747860 Electrical: ROSE CORP 0054431 09/30/99 686-0905 89976 DAY LANE EUGENE OR 974020000 PLUMBING --- NO, 5 Fee Charge 50,00 Single Fixture TOTAL PERMIT 50.00 --- MECHANICAL --. 2 Furnace/burner & vent < 1000,000 BTUs Vent Fan/Single Duct GAS PIPING Permit Issuance Charge 18.00 6.00 NOTICE' 2.00 . SHALL EXPIRE IFTHE WORlfo. 00 THIS PERMIT MIT IS NOT AUTHORIZED UNDER THIS PER OR 36. 00 COMMENCED OR IS ABANDONED F ~~iY ',,',\1 f)!\ ,{ PERIOD Fee No, TOTAL PERMIT HANDICAP ACCESS: Y -- OFFICE USE QUAD AREA: 3CSC LAND USE: 5300 Item COMPLETE LEASE SPACE Square Feet 5280 x $/Square Feet Value 20,000,00 TOTAL VALUE OF PROJECT 20,000,00 Plan Check Fee: 91.33 Rec #: 32083 Date: 11/17/98 Rec By: LORNE PLEGER ATTENTION:Oregon law requires you to follow ,ules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). , ~I Job Number: 981435 Page 2 BUILDING surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING surcharge/Admin ELECTRICAL PERMIT CITY SDC FEES 140.50 11.25 36.00 2.08 50,00 4,00 0,00 1,468,62 SUBTOTAL PERMITS 1,712,45 TOTAL PERMIT FEES EXCLUDING ELECTRICAL ECer:.r 1,712.45 / g t, 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 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. 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. MECH/SUB: FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER CEILING GRID 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 --- Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 12/21/98 , ~, Job Number: 981435 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 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. ~HI b~~/-- 1-/S--99 Signature Date --- VALIDATION Date Paid: )2.J77 ~~ r;~ey /~~4/& ~ ;( ~ Receipt Number: Amount Received: Received By: B. Services or Feeders Installation, Alterations Electdcal contra<.:tor#QS~ ~r:porahio-1\... or' Relocation: ^,Idress E3'9Q7Co J)Q.L-f Lo..J1~ 200 amps or less .--1_ $ 50.00 ~- '--' 2U1 amps to I,OU amps $ 60.00 CitYCUqe.Me l'''one~-~7'1 401 amps to 600 amps $100,00 --' IV ,,""rUle ON:Ore 601 amps to 1000 amps $130,00 Supervi SOl' Li cense Number J.!Qk}f."t!!Jtin~ adOpt gg1J~1000 amps/volts $300.00 I / 0080"tt952'0 enter ~~8I,[~e2nlY $ 40,00 Expiratioll Dale /(J i ()O o' YO/.l..b.-01'OQ' hOse eOreg YOUto '. ;"'//fng t';"qy ob};!O tifr?JIJU~/tI;t'i3if:gMro4fes or Feeders COllslr COlllr. Number 5t.flf3 r rnbe"Q;-~;enteraIf1Cd:I}jlb'i'a~9~Rf,fdlthteration or Relocation Ce fJ Ore' (Note. s Of the r 2-001. Expiration Date--3'/-:sO/OO ntfJr;SI'8g0nli>>~[Ie.9.flIlS $ 40.00 -. 00'3 'fY 'Mle400 amps $ 55,00 Signature o[ ,ervising Electrician '~~44t c'lIio,pOO amps $ 80,00 , / D /? 1"::/ Over 00 amps or 1000 vol ts see "B" above ^ /' .........-:'//:J~ ~ u",ners N:,~bU\t\~).,'( , t\JLU Address~\({)~J1.\(\-nl^ ~~1D- Ci ty r\ 'XIOr<L..--- Phone \J4~I~VaQ\ ~~~hC~~~~~~onal 1\ TH .-.... Circuit or with Service UIINEl\tNSTALLATION /S PERMIT S or Feeder Permit ~ $ 2,00 z;z.. Al.IrHORI HALL EXp , The installation is being made'don ZE:DUNDi!" M~lF.L~I>9.US (Service/feeder not included) property 1 OWIl ",hich is notAvi'f{'t'ii'lldei)?DOR HTHh$/I'~M>.),nsti{Qfyation [or sale, lease or renl. Ny lBO{)4" ISABA/~ljJ1lP o'trns:~!1f'tion ,$ r PER/OD ~'i'giWlO'-l:t-1Jne Lighting $ Owners Signature: .. Limited 'E:hergy/Res $ Lind ted Energy/Comm $ 225 JlH-1'II sTln:I-:'1' SPltlNGI'IEI.D, uHI':(;UN 9J1,T1 INSPECTIUN ImUUEST: '/26-T/69 OFl'ICF.: l'J.6-J'/59 1. ~G~~ ~F~t\~U~ \f\LO~~~XPTIUfA\&OJ . ,JUIl DESCRI~I~ ~",-... _ A-L'=' \ Q ~f'..:k,- ~V"'-J"J,"~.N\jLJ~ Perini ls aloe nOIl-lralls(eraule and expiL-e if ",ork is 1I0l sl~rted ",iLhill 180 days of issuance or if work is suspended for 180 days. 2. CUNTRAC'l'Ult INSTALLATIUN UNLY DATE: RECEIl'T U: RECEIVElJ BY: 1~I,I':c'l'1l1CAI. mUMI'J' AI'I'I,lCA'l'ION Ci ty Job Number C\<6 ~ J, CUHP(.g'm Flm SCHEDULE IlEI.OV A. Ne'" Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum lUOO sq. ft. or less $ 85.00 Each addilional 500 sq. ft or portion thereof $ 15.00 Each M"nu[/d HOllie or Nodular Dwelling Service or Feeder $ 40,00 D. Branch Circuits Ne"', Alteration or Extension Per Panel $ 35.00 40.00 40.00 20.00 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative F,ee TOTAL ~~- e:;.. /eJ -::i,~ . J.,;} ;/. 76 " .~ . JOURNA.', OR JOB NO. 2'A/~:?") ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NA~E OR COMPANY: .6w,c..Lj)"-M/ k MI'/I v Je.5r LOCATION: , 9'00/ /i...o.A'.!.., :Sh'l-e~ /03 p/O'Y f DEVELOPMENT TYPE: '/;~ z:;,';:;'// - {)~'r..-: 5..:?c.. CPo r;e~S;?",,"<:,e. " /' BUILDING SIZE: ~""""-:..5 ;:Z&6 LOT SIZE SQ, Ft, / 1. STORM DRAINAG~ 7M /C/~A-re.:-. - c;4c..I-~d uAdev )le/-;.,,-1:- a= 97/::'07 IMPERVIOUS SQ. FT, X $0.227 PER SQ. FT, c=---.. ~ '-----.../ 2, SANITARY SEWER-CITY NO, OF PFU' S C} (See Reverse Side) 3, TRANSPORTATION 7/S-- ?-~ttjG /~f-O~i:e NO OF UNITS X TRIP RATE X COST PER TRIP X $47,14 PER PFU .;2& $ L/2~- (;7 5_;l~ X /.- 7/- X $475.32 $ -Y. 3/& - ' J?;.-,'.l >>/' -:5v/.fe /OIC/h.Je-rhA-,!-'77/,70<j/ r .8~'-.' X X $475.32 <- $ ~ 7"'Yc:; ./' ~/4-ed/r -;. - f'3CJ /~ 4, SANITARY SEWER-MWMC Ai:) "//M'r.517. -::5t)c.. ,{Jue A.{, u, ,A. REIMBURSEMENT COST: / 08 NO. OF FEU' S ~~.,7 il X 2A' .8'PER FEU . .~ $ / O'},3 --- B. IMPROVEMENT COST: TOTAL-MWMC SDC 7~ $ "79- oS- < $ :23Y- > $ 10.00 ..yo $ '7/L./~ c.'? $ ),37'8- r $ &'7'!i:! $',eJ NO, OF FEU'S -S:dax /g-PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1.2,3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 4. 14~ Date:, /'~.7/..79 ,--- / doc GOordi nator '7 ,. r ATTACH' A, WPD TOTAL SDC ~q e $/0/'<:;;8 FIXTURE UNIT CALCU~TION TABLE: Numbe, of New FieS X Unit Equivalent = Fixtu,e Units. (NOTE: For ,emodels, calculate o'.le NET additional lixtu,es), ' . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub,....,...........,..,........,...........,...,.....,...,....,.....,., . Drinking Fountain....,..,........,..,........,...,..,..,...,......,... Floo, D'ain..,.........,....................,.,..... ......,..,..........,... Inte,cepto,s For G'ease/OiI/SoIids/Etc................. Intercepto,s For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher..........,...., .,..,..,.....,...... Clotheswashe, - 3 0, Mo'e..................................... Mobile Home Pa,k T,ap (1 Pe, T'aile').................. Recepto, Fo, Ref,ige,ato,/Wate, Station/Etc........ Receptor Fo, Commercial Sink/Dishwasher/Etc.. Showe" Single Stall.,.......,.......,.......,.."...,.,.,..,.....,.. Showe" Gang........,..,...........,..,........,...,..,...,.........,. Sink: Ba" Comme,cial, Residential Kitchen........................ Urinal, Stall/Wall..,.,..,.................,...."...,."..,..,.......". Wash Basin/Lavato,y, Single......,..........."...........,.. Toilet, Public Installation.............,...,...,.."......,....,., Toilet, P'ivate......,..,..,....,...........,.,..."."..,.,....,., ,.. Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 l/Head / 2 " rr-- 2 " 1 ,7- --/ -!2 6 /..?-\ 4 ;fL;J/Or u/kt:-f k:,r 7 /~C::"":- ',/ ~'0-r 971;1(" '7 /' ~c.J TOTAL FIXTURE UNITS = /~ CREDIT CALCULATION TABLE: Based on assessed value, II imp,ovements occurred alle, annexation date in table, calculate credits sepa,ates, Yea, Annexed Rate pe' $1,000 Assessed Value Year Annexed Rate pe' $1,000 Assessed Value 1979 0' belo,e 1980 1981 1982 1983 1984 1985 1986 1987 1988 $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 $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0,38 , 0.21 C,edit 10' Pa,cel 0' Land Only II Applicable X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL oS' = $ 237-' - Imp,ovement (if ~te' l'nnexatign datel d tJ.k-( c... ~e? ~_ 'd C//l.-de,.- ~A-t'';-' -if, c;? 7/:2 r; J ::. ,;2.SrcO RUNOFF COEFFICIENTS FOR STORM DRAINAGE IFo, Estimatin9 Pu'poses Only) Residential....,..,..........,......., 0.4 Comme'ical,.,.,.................... 0.9 Indust'ial............,............... 05 Governmental.....,................ 0.5' FIXUNIT.wPO IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT