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Home My WebLink AboutPermit Building 1999-12-16 ~ p , Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 991284 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4175 MAIN ST Assessors Map #, 17023232 Tax Lot #, 02500 ~ ~~ Owner: CHARLIE PATTON Phone #, 503-636-4565 Address, 4500 SW KRUSE WAY, 270 City/State/Zip: LAKE OSWEGO, OR 97035 Description Of Work, JACK IN THE BOX RESTAURAN NEW Value: 0.00 Name Architect: RHL DESIGN Address 1550 140TH AVE, NE, BELLEVUE WA Phone 425-746-4677 Contractor Canst. Contractor # Expires Phone General: LEMAR & SON 0032241 88489 STEPHENS RD SPRINGFIELD OR 97 04/28/98 747-0568 --- PLUMBING --- No. 24 Fee Charge 240.00 70.00 55.00 100.00 25.00 10.00 Single Fixture Sanitary Sewer Water Service Storm Sewer FIRE HYDRANT LINE BACKFLOW DEVICE 344 229 527 ft. ft. ft. TOTAL PERMIT 500.00 --- MECHANICAL --- No. Fee Charge 21.00 13.50 6.00 9.00 4.00 10.00 2 Furnace/burner & vent < 1000,000 BTUs Mechanical exhaust hood and duct Vent Fan/Single Duct 2 VENT SYSTEMS 8 GAS OUTLETS Permit Issuance TOTAL PERMIT 63.50 HANDICAP ACCESS, Y ZONING CODE: CC u OFFICE USE QUAD AREA, 3CSC LAND USE, 5300 Item Sq. Ftg Main Square Feet 2636 x a/Square Feet Value 249,925.00 0: SPRINGFIELD . . . . , Job Number, 991284 Page 2 TOTAL VALUE OF PROJECT 249,925.00 Plan Check Fee, 522.76 Rec #: 35623 Date: 09/21/99 Rec By: LORNE PLEGER BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PAVING VALUE PLUMBING Surcharge/Admin CITY SDC FEES SEWER ASSESSMENT 770.50 77.06 63.50 5.36 118,501.00 475.75 500.00 50.00 36,537.52 7,220.78 SUBTOTAL PERMITS 45,700.47 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 45,700.47 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. FOOTING - After trenches are excavated. 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 BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special Inspector. Provide inspection/test reports to City Building Inspector WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. 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. SHEAR WALL NAILING - Before covering sheathing with finish materials. . . . , Job Number: 991284 Page 3 ROOF SHEATING/NAILING - Before covering sheathing with finish material INSUL-V.B./SUB, TO BE CALLED FOR AT.SAME TIME AS SUB FRAMING INSPECT DRYWALL - Prior to taping. CEILING GRID ROUGH GRADING - After gravel is in place but prior to placing concrete 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 #99-08-199, PLANNER IS LAUREN LEZELL OUTSIDE PLAN REVIEW PERFORMED BY JIM KENWORTHY, RECEIVED 12-8-99 SITE REVIEW JOURNAL #99-08-199, LAUREN LEZELL, PLANNER Plans Reviewed By: LORNE PLEGER Date: 12/09/99 Building Site Reviewed By, LISA HOPPER 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. /1.h7/!A /2 - )6 79 Signature 1../ Date u _ VALIDATION Date Paid: ~V~~ . - /?y.s: ' 9"9- ~;--,-?t::>&> Lf' ') a/~~-' ~?/ Receipt Number: Amount Received: Received By: . . A TT ACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER J6bNo.:991284. NAME OR COMPANY: Fciodn1akerDack-in,lhe-Box1 . LOCATION: 4175 MaillS!.' TAX LOT NUMBER 17-02-32-32,TL2500 DEVELOPMENT TYPE: New Fasl Food.Restauranl BUILDING SIZE: (New) 2,636 LOT SIZE 30,392 - - I. STORM DRAINAGE -- From lab!e on plans IMPERVIOUS SQ. FT. 23,4!3 x $0.232 PER SQ. FT. $5,431.82 I 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 72 x $48.27 PER PFU $3,475.44 I 3. TRANSPORTATION u Per TlA u 44 New PM Peak Hour Trips NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP 44 x x x $486.73 PER TRIP x $486.73 PER TRIP $21,416.121 $0.00 TOTAL TRANSPORTATION SDC $21,416.121 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: 2.64 x $ 1.756.84 PER FEU $4,638.06 I NUMBER OF FEU's 2.64 x $ 90.72 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE 1$ $239.50 I (413.3011 $10.00 I TOTAL MWMC SDC $4,474.26 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) 1$34,797.641 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $1,739.88 I ,!-t; -- /,6 SJj[WO~R /._)~3/jt} DX{'~ r ' TOTAL SDC CHARGES I $36,537.52 I 4175Main.xls .. . PLUMBING FIXTURE UNIT (PFU) CALCULA TlON TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS ,(NOTE: FOR REMODEL<;. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) PLUMBING FIXTURES UNIT FIXTURE NEW OLD EQUIVALENT UNITS 2 0 1 0 - 10 2 32 c,J 3 3 , 6 0 ...1 2 2 6 0 t..::,:.. 6 0 4 " ... I 4 1 3 3 2 0 1 0 2 2 4 1 2 2 4 1 4 3 6 18 4 0 0 0 0 FIXTURE TYPE BATHTUB. DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OlUSOLlDS/ETC INTERCEPTORS FOR SAND/AUTO W ASH/ETC LAUNDRY TUB/CLOTHESW ASHER/MOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TORIW A TER ST A TlON/ETC RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALUWALL WASH BASIN/LA VA TORY, SINGLE OR DOUBLE TOlLET, PUBLlC INSTALLATlON TOlLET, PRIVATE INST ALLA TlON MISCELLANEOUS: TOTAL PLUMBING FIXTURE UNITS 72 CREDIT CALCULA TlON TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATlON DATE IN TABLE, CALCULATE CREDITS SEPARATELY L YEAR . ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 Year Annexed: 1960 YEAR ANNEXED 1989 1990 1991 1992 1993 1994 1995 1996 J997 1998 RATE PER $1,000 ASSESSED VALUE $4.47 $4.38 $4.32 $4.20 $4.03 $3.88 $3.68 $3.38 $3.03 $2.62 CREDIT FOR PARCEL OR LAND ONLY IF APPLlCABLE. 4.47..: IMPROVEMENT (IF AFTER ANNEXA TlON DATE) 4175Main.xls RATE PER $1,000 ASSESSED VALUE $ 2.18 $ 1.75 $ 1.35 $ 1.17 $1.03 $0.86 $0.71 $ 0.57 $0.39 $0.18 x x '~$.i;:.i;;,;. 92;11p) = I $ 413.30 I I CREDIT TOTAL I $ 413.30 I .