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Home My WebLink AboutPermit Building 1998-2-3 ;~ ... , BPAINQPIELD Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 971724 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: Inspection Line: 726-3759 "'''* Location of Proposed Work: 3760 MAIN ST Assessors Map #: 17023142 Tax Lot #: 01200 OWner: WELT & WELT INC Address: 290 PALMER Phone #: 942-2631 City/State/Zip: COTTAGE GROVE, OR 97424 Description Of Work: ADDITION TO GIANT BURGER ADDITION Value: 0,00 Contractor Const. Contractor # Expires Phone General: DOUBLE J INC 0101360 PO Box 1184 Cottage Grove OR 974240 08/02/98 942-2941 PLUMBING No. Fee Charge 25.00 Storm Sewer 14 ft, HANDICAP ACCESS: Y QUAD .-\~ ~~~o. ~ ~ cJl..... ~ ~ -:>. ~.- '2.~O(1'\(') ~~';21l~ -- OFFICE USE 'i', 'c:'! 'i1'l ~ AREA: 3CNC ~ ~ ~SE: 5300 "&~e1;. ~~~- <6~.-\~ x' %$~~re Feet c:l"&<1'I ~';l;!.-\ ~~*' -au>~ ~-Z~ ~~ 25.00 TOTAL PERMIT Item Sq. Ftg Main Square Feet 264 Value 12,000.00 TOTAL VALUE OF PROJECT 12,000.00 Plan Check Fee: 60.13 Rec #: 28244 Date: 12/12/97 Rec By: LORNE PLEGER BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PAVING VALUE PLUMBING Surcharge/Admin SIDEWALK CURBCUT CITY SDC FEES 92.50 7.41 0.00 0.00 6,000.00 56.50 25.00 2.00 13,30 13 .30 2,615.75 SUBTOTAL PERMITS 2,825,76 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 2,825.76 , SPRINGFIELD . ,. Job Number: 971724 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), 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 "*'1 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. ROUGH GRADING - After gravel is in place but prior to placing concrete STORM SEWER LINE - Prior to filling trench. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. INSULATION - Floor; prior to decking wall/ceiling; Prior to cover DRYWALL - Prior to taping, FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL PAVING - After paving is complete. 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. CURBCUT - After forms are erected but prior to placement of concrete, SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL BUILDING - When all required inspections have been approved and the building is complete. - - - ADDITIONAL COMMENTS REFERRED TO KITTY GALE FOR POSSIBLE MDS REQUIREMENTS MINIMUM DEVELOPMENT STANDARDS BY KITTI GALE Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 02/02/98 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 plan will remain on the site at all times during construction. /11~a~ c;/r hy Date L n . ... SPAINOFIELD Job Number: 971724 Receipt Number: Date Paid: Amount Received: Received By: - -- VALIDATION 2 <6 10 'ici ~- 3-~c( 4, d. q;lC:;. 7 e- " ..r~ Page 3 . ~, . . JOB NO. '7717,)' f' ATTACHMENT A , ' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY. ~I'?n f ,./ij,..rJ'-"" LOCATION. 8700 4/1-'1 :5Jf.- DEVELOPMENT TYPE 13 J.J.. .4J.J,' h '0 t1 7 I';-T /L:., I,.......:, &/%"""15701-, - / BUILDING SIZE jJ.. 'x2.q-Add,'./-i~Jl-n..OT SIZE,-t;(; It.,,,-/:~w .SQ, Ft. ~ " 7' 5,/-', vO )< tf.O -=.. ~C~ 5;:: 1, STORM DRAINAGF IMPERVIOUS SQ, FT, ~ ~I) tK> X $0,226 PER SQ. FT. $ 9L).yr- 2, SANTTARY SFWFR-[TTY ~ ~ -(5) I~..) Pr-IvNeJ ~'CJh Oh/,~ ~ NO, OF PFU'S (See Reverse Side) X $46,86 PER PFU $ 0 3, TRANSPORTATTON ~ zn} NO OF UNITS X TRIP RATE X COST PER TRIP , r<v"~)'~'AC/LP<-t . .:;< & x;'<, 9",( X $472,49 X X $472 49 17' $ ~ "1.117- $ X X $472,49 $ 4, SANTTARY SFWFR-MWM[ --- d /U'A.JoG~I"C'5 NO, OF FEU'S , X PER FEU + $10 MWMC/ADM FEE $ ,~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -MWMr. sn[ $ ~ /9 SUBTOTAL (ADD ITEMS 1.2.3 & 4) 1)1,. L/91 - 5, AOMTNTSTRATIVF FEES BASE CHARGE (SUBTOTAL ABOVDX .05 " ~ , $ '" /~.y~ -'~/~- ."'" '. X' ,', sD0t~nator , ., . " " ," Date .YUj/9h' , , , " ' 75" TOTAl SO[ $ ~~. &/5"----: "', ' " ;,," ,FIXTURE UNIT CALCULATION TABLE: Number of New FiX. X Unit Equivalent = Fixture>>nits" (NOTE: For remodels, calculate onee NET additional fixtures) , NUMBER OF ,UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub...,................,.,..,....",."".,..................,.,...,., r.. 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 Commercial Sink/Dishwasher/Etc.. Shower, Single Stall......................,.......................... Shower, Gang,.,.",..."..".".,.",.,.".,.,........,.,.."."".". Sink: Bar, CommerCial, Residential Kitchen........................ Urinal, Stall/Wall".",.."".".".""" ':',......,.,.....,..,",.,.., Wash Basin/Lavatory, Single..........................,....... Toilet, Public Installation............ ....... ..................... Toilet, Private.......................... ,: ................... ........ Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table, calculate credits separates, Year Annexed Rate per $1,000 Assessed Value 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 I~ Year Annexed Rate per $1,000 Assessed Value $2.56 2.17 1.73 1.3'- 0.92 0.74 , 0.61 0.45 0.31 0.17 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = = CREDIT TOTAL. = $ RUNOFF COEFFICIENTS FOR'STORM DRAINAGE (For Estimating Purposes Only) 'Residential...:..;.,..........:...~... 0.4 Commerical.................,....... .0.9 , Industrial.....;...;.........~:........ '05 Governmental...,....:...:.::...... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT " ' ,:':'"