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HomeMy WebLinkAboutPermit Building 1999-1-3 . .. SPRINGFIELD . . . . , Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991491 225 North Fifth Street Springfield, OR 97477 Office: Inspection Line: *, 726-3759 ' . ",-no, I ... Location of Proposed Work: 4270 MAIN ST Assessors Map #: 17023231 Tax Lot #: 02201 Owner: WILLIAM SOKOL Address: III OLIVE ST, Phone #: 683-4664 City/State/Zip: EUGENE OR,97440 Description Of Work: REMODEL/RESTUARNNT NEW Value: 0,00 Canst. Contractor Contractor # Expires Phone General: JOHN HYLAND CON 0046071 PO BOX 7867 EUGENE OR 974010000 Electrical: NEWWAY ELECTRIC 0051088 PO BOX 21503 EUGENE OR 974020409 07/11/00 726-8081 10/01/01 686-2365 --- PLUMBING --- No, 9 Fee Charge 90,00 Single Fixture TOTAL PERMIT 90.00 HANDICAP ACCESS: Y - - OFFICE USE QUAD AREA: 3CNC LAND USE: 5300 Item INTERIOR REMODEL Square Feet x $/Square Feet Value 60,000.00 TOTAL VALUE OF PROJECT 60,000.00 Plan Check Fee: 203,45 Rec #: 0360 Date: 10/27/99 Rec By: AL WARD BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin CITY SDC FEES 313,00 31. 30 0.00 0.00 90.00 9,00 202,73 SUBTOTAL PERMITS 646,03 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 646,03 Job Number: 991491 Page 2 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) I 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*lI 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, UNDERFLOOR PLUMBING - Prior to insulation or decking. ROUGH PLUMBING.. Prior to cover, ROUGH ELECTRICAL - Prior to cover, FRAMING - Prior to cover. DRYWALL - Prior to taping, FINAL PLUMBING.. When all plumbing work is complete, FINAL ELECTRICAL - When all electrical work is complete, 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: BOB BARNHART Date: 12/23/99 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. (]2~ I!tJt~~ 19natur / 01/Q3;;'() Dat,l I - -- VALIDATION Date Paid: /1-7 O//03/~Y , ~~OJ ~A "( . , D :3: -< -< 0::0 ::ODD IT! -< ;z: n IT! C/) 0..# C":I .. C-l .. D r--.:lDO C/) ;z: f-' :r: Ell I .....n 00 m:r: o--t..l 0 ::::O:J:>~ 0 .. :z: 0" f\J 0 om. O~ omoo.p.. t"J.. t"JO-.J Receipt Number: Amount Received: Received By: .. . . " ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET , JOURNAL OR JOB NUMBER 'J_5.b,}~&1~911~bl:~.. .~. ,lL,~ ~.l~.J.lii.dij",d..J.ai*,i&.lJJ .........' '. ~--IV",>.!Il!:lUi'IUIJL.u..JJ.,lIIi~"h III 't~J,4I1J....loI..o.:...iI,... NAME OR COMPANY: ~T~E!E>]~c:<~_1ii"dY!SiiDwaYLSand}Yiche'Sl~estal.l11lnt LOCATION: C4'lrllJJlVlam TAX LOT NUMBER ili(r02}i2!3jI111L,!Q2~2'OJ..i"",,.,olIriiI.io.i.I..ulI. '~i I ...... DEVELOPMENT TYPE: !1i,enantllmproy.ements~~,onv,ertj"xistinil\"estauranl\tol1\1,em"eslaurant ,.. ., -. .~.?f_;'-~.,..,' ..- '$'"""J~;'r" "' - .~:; "-.,.. """. -' .' ",. .:. .: ').. ct., ."~. . ~ c" .. J:C\':'~: .. .F>'. ':~.. r .....i:;tl.~ BUILDING SIZE: (New) Itlill50J iid!11('69.0i LOT SIZE "...,. .. -1i5~517.0:J1 I, STORM DRAINAGE .... Interior work only - No new area IMPERVIOUS SQ. FT. J;fi~~'l'l?a x 2. SANITARY SEWER-CITY $0,232 PER SQ, FT, $0,00 I NUMBER OF PFU's ~,,~4." x (SEE REVERSE SIDE) $48,27 PER PFU $193,08 I 3, TRAN"YUK I A TION ,-- No Change, Convert existing restaurant to new restaurant NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP ~1~69~ x ~O~ x $486,73 PER TRIP ~:9 x 1lJ.l' ., "....... x $486,73 PER TRIP $0,00 I $0,00 TOTAL TRANSPORTATION SDC $0,00 I 4, SANITARY SEWER.. MWMC -- No Change, Convert existing restaurant to new restaurant , A, REIMBURSEMENT COST: NUMBER OF FEU's __1~69~ x I$~~PERFEU $0,00 I B, IMPROVEMENT COST: $0,00 I TOTAL MWMC SDC $0.00 I SUBTOTAL (ADD ITEMS 1,2,3, &4) $193,08j 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $9,65 I ~~R ~qp9 D TOTAL SDC CHARGES I $202.73 I 4270Main,xls . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ PLUMBING FIXTURE UNITS ]NOTE, FOR RE~L~, CALCULATE ONLY THE liE,! ADDmONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElOIUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO W ASHlETC, LAUNDRY TUB/CLOTHESW ASHER/MOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER ST A TIONIETC, RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URlNAL,STALLAVALL WASH BASIN/LA V ATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES UNIT NEW OLD EQUIVALENT _ _ I__i~ 2 .....Jo..w...~ 1 - B:J"'21 ' 2 _11 _11 3 .l.il;Ii~ I~ - 6 =-IJ ...-0..1.1 2 - l~ 6 .- ~ .~IL...; I. 11..,Lio~ 6 -'2 1 ~2 "21 3 -_ 2 . ~i .-.. 1 ,,21-"21 2 . &;;..--J.~........, li-, ... Iii 2 "2_2l 1 "2 -"'2] 6 _I .~ 4 .1...:& .1:.&.iL1---&.:,1....I:\ii..i:;... u!J.:L.~'..~ !1..LL.....j '~ ~lblljl l.h.jLo.UII.lIli1!1'lJ~Ii.""j1,.......~ 1!1~~I...s,.. I.M,dilll.iII::i!l.-.....~_I",~:iJ "'" 1~"'lt'- ......... ~ ~&iIlLl__''''.ii-. TOTAL PLUMBING FIXTURE UNITS 4 I 'CREDIT CALCULATION TABLE: BASED ON ASSESSED VALliE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y Year Annexed: YEAR , ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 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 YEAR ANNEXED 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE....'....... IMPROVEMENT (IF AFTER ANNEXATION DATE) .....'''.~'~ NOTE: CREDIT CARRIED OVER FROM JOB NO. 990425 4270Main,xls RATE PER $1,000 ASSESSED VALUE """"$218 - $ 1.75 $ 1.35 $1.17 $1.03 $0.86 $0,71 $ 0,57 $0,39 $0.18 X ~.;;oIr.,.J.!;,.!u..,IilI' ~ I I $ x ,.,:l.J.aI~,II~, ;oJ, I CREDIT TOTAL I $ ~ ~ PLUMBING FIXTURE UNITS o o 2 o o o o o 2 o o o o o o o o o o o