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Home My WebLink AboutPermit Miscellaneous 1999-10-13 Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF. SPRINGFIELD Job Number: 991295 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1936 MAIN ST Assessors Map #: 17033642 Tax Lot #: 02200 ~ Owner: JIM LYNCH Address: 128 TYSEN LANE Phone #: 726-0238 City/State/Zip: EUGENE, OREGON 97404 Description Of Work: NEW Value: 0.00 -- OFFICE USE -- Item Square Feet x $/Square Feet Value TOTAL VALUE OF PROJECT 0.00 Surcharge/Admin MECHANICAL Surcharge/Admin PAVING VALUE PLUMBING Surcharge/Admin CITY SDC FEES 25,000.00 0.00 0.00 0.00 170.50 0.00 0.00 1,876.94 SUBTOTAL PERMITS 2,047.44 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 2,047.44 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 "*" 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 GRADING -' After gravel is in place but prior to placing concrete FINAL PAVING - After paving is complete. ADDITIONAL COMMENTS --- . Job Number: 991295 Page 2 STORM DRAINAGE SYSTEM PERMIT ISSUED 9-22-99. Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: Date: 10/13/99 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 wi~h 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. \~,\ ~'&~ Signature \ Vl/l I..........., /v\ ~ /() J/~/'?9 Date --- VALIDATION Date Paid: :3 5''l>74 /&;'i,y5'J 2/)-:17. d -~ Receipt Number: Amount Received: Received By: . JOURNAL.' JOB NO. ~C;/..2~.") ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET _ {;m / ./ML i '''-.. .... .....- i NAME OR COMPANY: LOCATION: /"7]1:, k,;;. U"..# ;.., C; #- DEVELOPMENT TYPE: g,/Lr~ .4.1- 0' BUILDING SIZE: LOT SIZE SQ.Ft. 1. STORM DRAINAGE ~ N...w c--?'"ut.- ~ 7; 70St(! /P- /~ s S-r: IMPERVIOUS SQ. FT. ? 705 X $0.232 PER SQ. FT. S / ~7 - 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse Side) X $48.27 PER PFU . 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP x X 5486.73 PER TRIP x X 5486.73 PER,TRIP 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: > . NO. OF FEU'S x PER FEU B. IMPROVEMENT COST: NO. OF FEU'S x PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOT AL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) I \. 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 h:..-. lkt1'~ Date:_p 1/97 .:sl>CCo4Iinatlr ATTACH'A.WPriI TOTALSD~ $ ,.",.. - $ -&- $ $ $ <$ > $ 10.00 $ -r9- X $ J /87- , .3b $ 87- fZ $ J EX , FIXTURE UNIT CALCULA TION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Cnits (NOTE: For remodels, calculate only.&ET additional fIXtures) . ~ NUMBER OF UNIT FIXTIJRE' - FIXTURE TYPE NEW FIXTURES EQUN ALENT UNITS Bathtub............... ....................... ..... ....................... .... Drinking Fountain...................... ........ .................. ..... Floor Drain...... ....... ................. ..... ... ..... ..................... Interceptors For GreaselOil/Solids/Etc..................... Interceptors For Sand/Auto Wasb/Etc...................... Laundry Tub/ClotheswasherlMop Sink.................... Clotheswasher - 3 Or More...................................... Mobile Home Park Trap (I Per Trailer)................... Receptor For RefrigeratorlWater Station/Etc........... Receptor For Conunercial SinklDishwasherlEtc...... Shower, Single Stal!.................................................. Shower, Gang. ........ ............... ............. ....... ...... ......... Sink: Bar, Conunercial, Residential Kitchen............ Urinal, S tall/W all.. .......... ...................... ........ ...... ...... Wash BasinlLavatory, Single................................... Toilel, Public Installation......................................... Toilet, Private.......................................................... Miscellaneous; 2 1 2 3 6 2 6 6 I 3 2 IIHead 2 2 I 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in lable. calculate rdits s".p.arate~:~ed 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 " Rate per $1,000 Vear Rale per $ I ,000 Assessed Value Annexed Assessed Value $4.47 1989 2.18 4.38 1990 1.75 4.32 1991 1.35 4.20 1992 1.17 4.03 1993 1.03 3.88 1994 0.86 3.68 1995 0.71 3.38 1996 0.57 3.03 1997 0.39 2.62 1998 0.18 Credit for Parcel or Land Only If Applicable X $ . (Rale X Assessed' Value) Improvement (if after annexalion date) X $ (Rate X Assessed Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRo\INAGE (For Estimating Purposes Only) Residential........................... 0.4 Conunerica!......................... 0.9 Industrial.............................. 0.5 Governmenta!...................... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT