HomeMy WebLinkAboutPermit Building 1998-3-2
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 971656
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4198 MAIN ST
Assessors Map #: 17023232
Tax Lot #: 01501
owner: CONNIE MERRIL
Address: 1505 MOHAWK BLVD
Phone #:
City/State/Zip: SPRINGFIELD, OREGON 97477
Description Of Work: TACO BELL
NEW Value: 0,00
Contractor
Canst.
Contractor # Expires Phone
Plumbing: RAY'S PLUMBING 0033217
10706 NE 209TH AVENUE BRUSH PRAIRIE
Mechanical: HOME COMFORT 0084164
706 OSCAR STREET EUGENE OR 97403000
Electrical: BUILDERS ELECTR 0004296
195 MADISON ST EUGENE OR 974025030
,07/05/98
892-8700
06/25/98
345-2838
12/10/98
485-0922
PLUMBING
NO,
22
Fee
Charge
220.00
40,00
40,00
55,00
10,00
Single Fixture
Sanitary Sewer
Water Service
Storm Sewer
BACKFLOW DEVICE
63
118
200
ft",
ft.:
'"
ft"
TOTAL PERMIT
365.00
--- MECHANICAL ---
No,
Fee
Charge
15,00
9,00
9,00
10,00
6.00
10,00
3
Furnace/burner & vent < 1000,000 BTUs
Mechanical exhaust hood and duct
Vent Fan/Single Duct
GAS PIPING
CONDENSER UNIT
Permit Issuance
TOTAL PERMIT
59.00
HANDICAP ACCESS: Y
# OF BLDGS: 1
-- OFFICE USE
QUAD AREA: 3CNC
ZONING CODE: CC
LAND USE: 5300
Item
Sq, Ftg Main
Square Feet
1881
x
s/Square Feet
Value
239,402,00
TOTAL VALUE OF PROJECT
239,402.00
Plan Check Fee:
426,26 Rec #: 28063
_. SPRI",OPIELD
~*'
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Job Number: 971656
Page 2
Date: 11/19/97 Rec By: LORNE PLEGER
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PAVING VALUE
PLUMBING
Surcharge/Admin
SIDEWALK
CURBCUT
DEMOLITION
ADDIT, PLAN REVIEW
CITY SDC FEES
154,025,00
748,00
59,84
59.00
3,92
556,75
365,00
29,20
19,75
10,75
18.00
59,94
4,900,63
SUBTOTAL PERMITS
6,830,78
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
&ec."'.l"I/~e: ~/r
6.830.78
S~$>
7":f~J ,I;"~
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 n*" 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,
FOOTING - After trenches are excavated.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
ROUGH PLUMBING - Prior to cover,
ROUGH MECHANICAL - Prior to cover,
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH ELECTRICAL - Prior to cover,
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
FRAMING - Prior to cover,
INSULATION - Floor; prior to decking Wall/Ceiling; 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.
ROUGH GRADING - After gravel is in place but prior to placing concrete
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place,
.. SPRI~QFIELD
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Job Number: 971656
Page 3
FINAL PAVING - After paving is complete,
FINAL PLUMBING - When all plumbing work is complete,
FINAL GAS - When all gas work is complete,
FINAL MECHANICAL - When all mechanical 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 ELECTRICAL - When all electrical work is complete,
FINAL/SUB
FINAL FIRE - When all Fire Department requirements have been met,
been met,
FINAL SITE PLAN - After all requirements have been met for Minimum
Development Standards or from the Development Agreement,
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
--- ADDITIONAL COMMENTS
DRC #97-10-220, PLANNER IS GARY KARP
SITE PLAN REVIEW JOURNAL # 97-10-220, GARY KARP, PLANNER
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 12/22/97
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
as W~~ite at all times during const~t:_ T f
Signature
Date
-- - VALIDATION
Receipt Number:' -:;;? ~ 95"2....
Date Paid: ---;s' ~"':?-'"7~
- -
Amount Received: -;' ~~/, ~~
Received By: ~~~_
//' '
.. JOB NO, ~7/,<S-0 '
., ATTACHMENT A eiN/"\. e;t: 7''7 -/0 -",,?'-<o
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE'
WORKSHEET
/ U--L.o &// /
LOCATION: ' 9'/9 x d....-t;'" '5jL,
DEVELOPMENT TYPE: A.eL.C-^'frI s.--fYUL. f hrr;:;;:>dA2.~j"d-Vn;-~f-
b5l;'7J - //5'/~
BUILDING SIZE:,/7%-~J- /88/ lOT SIZE /7. 9-5/7 SO, Ft,
NAME OR COMPANY:
1. STORM ORATNAGF -/1..6 /;?c-/-C45-L 10 ",'-r~,,--
IMPERVIOUS SO, FT,
.&---'
X $0,226 PER SO, FT, $ J
,
2, 5ANTTARY SFWFR~(TTY :;:;"';',<!c...$L '<.. .s-'/~ 3/:: ~c.J
NO, OF PFU'S ,#)
(See Reverse Side)
X $46,86 PER PFU'
, 2..5!-
$ q~:;>7 .
3, TRANSPORTATTON :z:;,wc?6-Y- -:... (,5,51- /f)'7"7' -:: :r 3)
'NO OF UNITS X TRIP RATE X,COST PER TRIP
XX $472,49
;0
$ 4/&4/~
$
,;;;'3'/ ,x .:2;",) X $472. 49
x X $472,49
$
4, SANTTARY SFWFR-MWMC ';:;'c.);ec.,;e =: /E3f'/-~'r': 337
',~' , ',' ' W
NO, OF FEU'S, 337 X 1....'lF8 PER FEU + $10 MWMCI ADM FEE $ _~<) -
/
TOTAL-MWMC SDC
$ ~e
'~
$ _'l-V5"
,~7
$ 7':' ,.;.-&, 7-
~
, MWMC .cREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
S, AOMTNTSTRATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X ,OS
" ~~
'$' ;2,J3=-
I
"
!f_JkJ~- "
/' sW C#rdiriator
, Date: ~,.,/98' ,c;::r
/ " TOTAL SO\. $Y 9co-
,FIXTURE UNIT CALCULA TION TABLE: Number of New Fixtures XUnit Equivalent = Fixture Units
(NOTE: For remodels, calculate 0.' e NET additional fixtures) , ' , .. /(/,w ~'k L
, , ' / " NUMBER OF . UNIT FIXTURe ' =-~~' :--'
FIXTURE TYPE , t:=><':sI:"'1t NEW FIXTURES, EQUIVALENT UNITS f):://;"
;::;,,41/ /.%!f- '
, ,
Bathtub.,........""",:""""""""""",:",;"",."."""".;"" ,
Drinking. Fountain,..,.."""",..,':,..,..........", .....,..'",..,.. .
Floor Drain....".."....""..,'..'""'..'""",'""",;...."..,,, '+
,Interceptors For Grease/Oil/Sollds/Etc....,............ ___
Interceptors For Sand/Auto Wash/Etc....,..,......,..,
Laundry Tub/Clotheswasher""""..",...." ....,....."....
Clotheswasher - 3 Or More,..,..,........,................,....
Mobile Hon:e Park Trap (1 Per Trailer)......:..........,'?
Receptor For Refrigerator/Water Station/Etc........ ~
Receptor For Commercial Sink/Dishwasher/Etc.. ,J&-
Shower, Single Stall""".."",.." """"""'..,....,..",, ",.."
, Shower, Gang, ""..,..".""""""",..""..",..,..""...."""
Sink: Ba'r, CommerCial, Residential Kitchen....,..,..,....,/".....
'Urinal, Stall/WaIL,..,..,..,',:"..,"""',..,..,..".......,',..,'~
Wash Basin/Lavatory, Single,........,......,..............,...::?- '
Toilet, Public Installation"",,"""',..,"",.....,.....,""~
Toilet, Private....,..,..,..,....,........: ...........................,
Miscellaneous:
/;2
l
,.;L
-.e?,-)
o
~ "Y
;;(
:e;;c-/"!<:-~ -::: J,6P;-U S
TOTAL FIXTURE UNITS
2
1
2
3
6
2
'6
6
1
3
2
1/Head
2
2
1
6
4
=
.:!"'/
.J
0:2
~/
Y'
/2
~""i""'..y
(
,3
,;Z
6,
...,
~
--S
/,2.
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Based on assessed value, If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
calculate credits separates,
I
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
L
1979 or before
1980
1981,
1982
1983'
1984
1985
1986
$3,97
3,89
3.83
3.70
3,55
3,39
3,20
2,91
1987
1988
1989
1990
1991
, 1992'
1993
1994
1995
1996
Credit for Parcel or Land Only If Applicable
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Valuel
Improvement (if after annexation date)
=
=
'CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For., Estill)ating Purposes Only)
'Reside'ntiaL..:,',;................;... 0:4
CommericaL"",........,.......... 0.9
,IndustriaL....:....,:................ 0 5
Governmental........:.....:....... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate 'per $1,000
Assessed Value
$2.56
2,17
1.73
1.31
0,92
0.74
, 0.61
0:45
0,31
0,17
II
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