HomeMy WebLinkAboutPermit Electrical 2006-1-12
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-368 ,)~"\-,, ..~ '.
Date " ,"d\Q{:l)i"4{0,
ELECTRICAVr~I;c.APPLICftTION
City Job Number <.;.t:> ~U/~9~ Date /.-- /;;) -- d~"zed Slgnalure
1. I LOCATION OF INSTALLATION
IL/3i. ;?'1#/J) 5r.
LEGAL DESCRIPTION
17033G s'd 03/OD
JOB DESCRIPTION / /fl,Xfi-1T....
'2- ;e,.vP ~11vJs
:3 (2, (Z(!I<I'rS ~ 1511 t<e~
Permits are non-transferable and expire If work is
not started within 180 days of issuance or if work is
Suspended for 180 days,
2. I CONTRACTOR INSTALLATION O~LY I
Jaocl (;,0/)'1 e,~/O" ~
Electrical Contractor t-; I~ dr, C. C!AmbA'l,/
Address ~/{) u.J tL 1//5
);4 ,:;" e.ne.-
g, it-~
City
Phone
~3 y-r:.<I'11
Expiration Date
-50 C/ I 5
10 - ( -c4 eM
Ifoo5'ooP
1- 1-0 t:;
Supervisor License Number
Constr, Contr, Number
Expiration Date
Signature of Supervising Electrician
U"L /: ~_-_,~_ g
Owners Name d-eJ50 bunciv, aJ:.
AddressX3090 Ei:Jr'na /ZD
~/I tV' Ph~ -1ff~-3?2((;
OWNER 1NST ALLA nON
The installation is being made on property 1 own which
is not intended for sale, lease or rent.
'Owners Signature:
Inspection Request: 726-3769
~I
,A. I New Residential- Single or Multi-Family per dwelling unit. I
Service Included
3. I COMPLETE FEE SCHEDULE BELOW
1000 sq, ft, or less
Each additional 500 sq, ft, or
portion thereof
$106.00
$19,00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder ATTn'tIN",
J . t""l"t'lo...._
B. I Se'ryi~~s: orf~eders '-' Ins~,~II~t.i.;~;~ ~~r!ition~I~D~~loca tion:
i . ~""r2r. Tho'- '-""'yon Uti/it
200 Amps or,less ":~1-0010 th Se rUles al$)6}~900:'
20 I Amps to 400).mpsClbtain c 'uugn OAF$l7J1-0io;"
401 Amp~ to,600~mpslter. (NoOtl-nr::s 01 thf$l~~~Q,Ob:'
" ...r hr th c me t I J
601 Amps to 1000 Amp0regon L';"" e €$'i63:Q!)
ventp-.. r 1 ""lY r'!Jor"
Over 1000 AmpsIVoltsS -800-.~~~ ~_ "$3a5<ll,Q
Reconnect Only - ~v"'f). $ 50,00
$50,00
c. I Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less $ 50,00
201 Ame;; to 400 Amps $ 69,00
401 ~Qp;J(9ll:eo Amps $100,00
T Ill.
O~~ R~MirT1sn~VTtt^ee "B" above.
D. hi~Its/JfJDER Tffl~HE IF THE Won:{
N_!fh~,(;f.D fJft<ii;iA'BAN!&Jf1/T IS NOT
One CircUt~ DAY PERIOD fjED FC}Rl3,OO
Each Additional Circuit or With <:"\
Service or Feeder Permit ~ $ 3,00
I
<;3
u
E. I Miscellaneous (Service/feeder not included) -Each Installation I
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50,00
$ 50.00
$ 25,00
$ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ..-. \
4.1 SUBTOTAL OF ABOVE 11f 9 _ cJ _ '---'
7% State Surcharge :;;> , V':J..
10% Administrative Fee
TOTAL
-y -.;tc
67- ,y 2...
Shared Drive(T:)/Building FonnsIElectrical Permit Application I-03.doc
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01494
ISSUED: 10/31/2005
APPLIED: 10/21/2005
EXPIRES: 06/19/2006
VALUE: $ 11,700.00
SITE ADDRESS: 1436 MAIN ST A Sl'ringfie1d TYPE OF WORK: Commercial Miscellaneous
~ ASSESSOR'S PARCEL NO.: 1703363203100 f)': ft:Nr/ON- ~
/ _, nW rUle. 'TYPE OF USE: Remodel
PROJECT DESCRIPTION: Tenant improvement for!MeJ'iCait'bake.jdOPt;;~ laW reqUir
~~~~R 95;~()'-;,"'nter. "'h~~ /he OrA~~s You tn
-....., ro - . -lJUIQ -.... 'Ule ~ -., Unfif
Cel/in U /)Jay Obi ' through s iPhl!,~~Number: 541-729-3826
nu g the c <!In CO' OAR 9 fOrth
/)Jber fa enter. IN Pies Of th 52-001.
f". r the O'n." ate: fhn. . e rU/A. /..
-..(t:!r,s 10"':......" ut/Jitv .-'~pnOn "
I CONTRACTOR INFORMATION"ll NOflficalio e .
44). n
License Expiration Date
.
- Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax ,
541-726-3769 Inspection Line
; Owner:
, Address:
JOSE LANDEROS
93090 EWING ROAD
SPRINGFIELD OR
.
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Contractor
APAZ
MARKUS THOMPSON CONSTRUCTION IN 158184
BUILDERS ELECTRIC INC 4296
AMBASSADOR PIPING INC 121469
SHAD CHASAN SURRETT 158295
01/13/2006
12/10/2007
03/27/2007
01/14/2006
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
. Secondary Occupancy Group:
'! Primary Construction Type
, Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat:,!:. Sq Ft 2nd Floor: .
Water TYRe~'''' Sll.Ft Basement:
RangeType: ERMIT SHALL EXPIRE ISqlF[dMGl~Carport
Ener~pattl9RIZED UNDER THIS PE!l41Ffm1f~fJT
SprinlU~\B\illdjng:D OR IS .il8lANDOI~P.t Load:
,^,~~_': ~ ~~ ,~\Y ~~Rlf.f. '
I DEVELOPMENT INFORMATION I
M
F1
VB
.
Commercial
Phone
541-744-2046
541-284-1121
541-485-0922
541-726-5723
541-741-3553
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
~ Special Instruction:
,
Sidewalk Type:
Downspoutsffirains:
Notes:
.
Paee 1 of 4
~ Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Estimate Estimate
, Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Exhaust Hoods
Fixture
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Plan Review CommlIndlPublic
Planning Final Occy Inspection
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
. SDC Sanitary/Storm Admin
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
. CITY OF SPRINGFIELD--
Building/Combination Permit.
PERMIT NO: COM2005-01494
ISSUED: 10/31/2005
APPLIED: 10/21/2005
EXPIRES: 06/19/2006
VALUE: $ 11,700.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
11,100.00
600.00
Value
Date Calculated
Total Value of Project
$11,100.00
$600.00
$11,700.00
10/28/2005
10/28/2005 -
,
Fpp~
Amount Paid
Date Paid
Receipt Number
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
2200600000000000059
2200600000000000059
2200600000000000059
2200600000000000059
..
. $10.00
$22.40
$15.68
$123.00
$9.00
$56.00
$4.00
$32.00
$79.95
$143.00
$114.40
$150.44
$10.00
$1,919.65
$220.12
$121.23
$4.90
$3.92
$43.00
$6.00
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
1/12/06
1/12/06
1/12/06
1/12/06
$3,088.69
I Plan Reviews I
~
Paee 2 of 4
. . CITY OF ~rK1f\j\.Jt<lJ!,LlJ
Building/Combination Permi(
Status Issued PERMIT NO: COM2005-01494
. 225 Fifth Street, Springfield, OR ISSUED: 10/31/2005
541-726-3753 Phone APPLIED: 10/21/2005
541-726-3676 Fax EXPIRES: 06/19/2006
541-726-3769 Inspection Line VALUE: $ 11,700.00
Fire Department Review 10/24/2005 10/24/2005 OK GRG COM2005-01494 Over the counter
permit. Laura & Daisey Mexicana
Panaderia (Bakery). Type II hood
system for oven - no grease laden
vapors. Type V-No 1,725 sq ft
Provide fire extinguishers with a
minimum rating of 2-A:10-B:C
every 75 feet oftrave1 distance. The
top ofthe extlngu1sher(s) shall be
between 3 and 5 feet above finished
, floor (2004 Springfield Fire Code ,.
906).
Provide or maintain address
numbers In contrasting color from
the background positioned plainly
visible and 1egihle from the street or
road fronting the property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505.1).
Above tbe main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware Is employed (2004 OSSC -
1008.1.8.3, exception 2.2). '.
0 Plannine Review 10/28/2005 10/31/2005 APP TOI No occupancy until LUCS :
,
requirements are done. tara
Public Works Review 10/28/2005 10/28/2005 APP SB Planning Review Required.
Dumpster area must be screened.
SDC's for Industrial process added
at 185 gallons per day of water
usage.
Structural Review 12/12/2005 12/14/2005 OK DLM Received sbop dwgs for kit. hood.
Architect to specify method of
attacbment of hood to roof
structure. Called architect to
inform him of this requirement.
Waiting for response. 12/12 dim
Received architect's drawing for
attachment of hood to structure. OK
12/14/2005 dim,
Structural Review 10/24/2005 10/28/2005 APP DLM See documents for plan review
comments.
SUB Review 11/07/2005 11/07/2005 APP JF No energy code issues or Inspections. .
Paee 3 of 4
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01494
ISSUED: 10/31/2005
APPLIED: 10/21/2005
EXPIRES: 06/19/2006
VALUE: $ 11,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will he made the following work
day.
[Jeouired Insnections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building Is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Gas: After line is Installed and required testing and capped if not attached to an appliance.
Gas Service: After line Is Installed and line has been connected to a minimum of one appliance Including required
.. testing. Presure test done at this point.
. Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work Is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 1 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 701.005 wlll be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each 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.
"
Owner or Contractors Signature
Date
Pal!e 4 of 4
225 Fifth ~treet
,Sprin.glield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2005-0 1494
COM2005-01494
,
COM2005-01494
COM2005-01494
Paymeuts:
Type of Payment
Check
I :~
,
:1
:~
':'
t :~
:\
:\
-
':'
, .~
'j
1/12/2006
RECEIPT #:
8J~a.~,;:~,
wr. .'
.ty of Springfield Official Receipt
.evelopment Services Department
Public Works Department
2200600000000000059
Date: 01112/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
GOOD CONNECTIONS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
3255 3255 In Person
Paymeut Total:
Page I of I
1:54:04PM
Amount Due
43.00
6,00 '
3,92
4,90
$57.82
Amount Paid
$57.82
$57.82
.
Status
Issued
Jf
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1436 MAIN ST
ASSESSOR'S PARCEL NO.: 1703363203100
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01494
ISSUED: 10/31/2005
APPLIED: 10/21/2005
EXPIRES: 04/30/2006
VALUE: $ 11,600.00
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Tenant improvement for Mexican hakery
, CONTRACTOR INFORMATION I
Contractor License
APAZ
MARKUS THOMPSON CONSTRUCTION IN 158184
BUILDERS ELECTRIC INC 4296
AMBASSADOR PIPING INC 121469
SURRETTS
Owner: JOSE LANDEROS
Address: 93090 EWING ROAD
SPRINGFIELD OR
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Phone Number: 541-729-3826
Expiration Date
Phone
541-744-2046
541-284-1121
541-485-0922
541-726-5723
741-3553
01/13/2006
12/10/2007
03/27/2007
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
M
F1
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special '''Oif~'l$i!~:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 1 SO DAY PERIOD.
Sidewalk Type:
Downspouts/Drains:
ATTENTION:Oregon law 1\J\IUUUS yuu 10
follow rules adopted by the,Oregon Utility
~olification Center. Those rules are set fortr
In OAR 952-001-0010 through OAR 952-001
0090. You may obtain copies of the rules b
calling the center. (Note: the telephone .
Paee 1 of 4 number for the Oregon Utility Notification
C9ntArl" 1_RM_'l'l?_?'>AAI
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlon Line
Description
Tvpe of Construction
Bid Amount
Estimate
Use Bid Amount
Estimate
Fee Description
-Mechanical issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Exhaust Hoods
Fixture
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Plan Review Commllnd/Public
Planning Final Occy Inspection
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
.
. CITY OF SrIU1~GFIELD
Building/Combination Permit
PERMIT NO: COM2005-01494
ISSUED: 10/31/2005
APPLIED: 10/21/2005
EXPIRES: 04/30/2006
VALUE: $ 11,600.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
11,100.00
600.00
Value
Date Calculated
Total Value of Project
$11,100.00
$600.00
$11,700.00
10/28/2005
10/28/2005
]?pp< PiilU
Amount Paid
Date Paid
Receipt Number
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
1200500000000001643
$10.00
$22.40
$15.68
$123.00
$9.00
$56.00
$4.00
$32.00
$79.95
$143.00
$114.40
$150.44
$10.00
$1,919.65
$220.12
$121.23
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
10/31/05
$3,030.87
I Plan Reviews I
Paee20f4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01494
ISSUED: 10/31/2005
APPLIED: 10/21/2005
EXPIRES: 04/30/2006
VALUE: $ 11,600.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
10/24/2005
10/24/2005
OK
GRG
COM200S-01494 Over the counter
permit. Laura & Daisey Mexicana
Panaderia (Bakery). Type 11 hood
system for oven - no grease laden
vapors. Type V-No 1,725 sq ft
Provide fire extinguishers with a
minimum rating of2-A:IO-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
noor (2004 Springfield Fire Code
906).
Provide or maintain address
numbers in contrasting color from
the background positioned plainly
visible and legible from the street or
road fronting the property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505.1).
Planninl! Review
10/28/2005
10/31/2005
APP TDl
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware is employed (2004 OSSC
1008.1.8.3, exception 2.2).
No occupancy until LUCS
requirements are done. tara
Planning Review Required.
Dumpster area must be screened.
SDC's for Industrial process added
at 185 gallons per day of water
usage.
See documents for plan review
comments.
Public Works Review
10/28/2005
10/28/2005
APP SB
Structural Review
10/24/2005
10/28/2005
APP DLM
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I 1?Pn~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and tbe building is complete.
Pal!e30f4
.
.
CITY OF SPRINGFIELD.
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Building/Combination Permit
PERMIT NO: COM2005-01494
ISSUED: 10/31/2005
APPLIED: 10/21/2005
EXPIRES: 04/30/2006
VALUE: $ 11,600.00
Rough Plumhing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
By signature, 1 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 wiD 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 701.005 will be used.
on this project. .
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from
the str et, thatthe permit card is located at the front of the property, and the approved set of plans wiD remain on the site
atall' :Sd ringco/~/L 1/ ft 1,105
Owner or Contractors Signature Date
4 of 4
225 Fif)h Street
S'iirii1greld, Oregon 97477
541-72'0-3759 Phone
.
.,,~'!'!'!.'!!:!~~~~" ,".
u- i:
_".,1
.....ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
Job/Journal Number
COM2005-0 1494
COM2005-0 1494
COM2005-0 1494
'COM2005-0 1494
COM2005-0 1494
COM2005-0 1494
COM2005-0 1494
COM2005-0 1494
C9M2005-0 1494
COM2005-0 1494
'e'OM2005-0 1494
C~M2005-0 1494
C'1JM2005-0 1494
COM2005-0 1494
COM2005-0 1494
COM2005-0 1494
Payments:
Type of Payment
Check
, "
"
I ,~
,
:;
'l
1:
; 'I
:.
,!..\,
:,
j
l-
,\
10/31/2005
RECEIPT #:
1200500000000001643
Date: 10/31/2005
Description
Plan Review Comml1ndlPublic
Building Permit
Fixture
Exhaust Hoods
Gas Outlets 1-4
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
Planning Final Occy Inspection
Paid By
DA1SYS MEXICAN BAKERY
Received By
djb
I of I
Item Total:
l:heck Number Authorization
Batch Number Number How Received
3784 In Person
Payment Total:
2:01:45PM
Amou nt Due
79,95
123,00
56,00
9,00
4,00
10,00
32,00,
15,68
22.40
150,44
114.40
220,12
1,919,65
10,00
121.23
143.00
$3,030.87
Amount Paid
$3,030,87
$3,030.87
.,'
. . CIT
'-;lOURNAL OR JOB NUMBER CO
NAME OR COMPANY: Laura & Daisey Panaderia Mexicana
LOCATION: 1436 Main St
MAP & TAX LOT NUMBER: 1703363203100
DEVELOPMENT TYPE: Mexican BAKERY
NEW DEVELOPED AREA (SF):
EXISTING DEVELOPED AREA (S,F,):
TOTAL IMPERVIOUS SURFACE (S,F.):
RKSHEET
1.720.50
1.720.50
327.625
Resale store
ITE: 814
ITE: 815
LOT SIZE (S.F.):
, ~
~.
c C
80",
E Oil t
'0:S '-
.
.
:~~
. 0
o:u
I STORM nR~
IMPERVIOUS SQ, IT,
x
$ 0.323 PER SF
TOTAL STORM DRAINAGE SDC:/
$0,00 ,1178
2 SANITARY SFWFR-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's 6
B. IMPROVEMENT COST:
NUMBER OF OW, 6
(SEE REVERSE SIDE)
x $ 25,07 PER DFU $150.44 1183
x $ 19,07 PER DFU $114.40 1184
$ 44,14
TOTAL LOCAL WASTEWATER SDC:' $ 264.84 1 $264,84
,1 TRANSPORTATION
BLOG AREA TGSF x TRJP RATE x COST PER ADT x NEW TRJP FACTOR
NEW
A. REIMBURSEMENT COST:
1.72 x 44.32
B. IMPROVEMENT COST:
1.72 x 44.32
NEW
A. REIMBURSEMENT COST:
,1.72 x 56.02
B. IMPROVEMENT COST:
-1.72 x 56,02
EXISTING
x
$ 19,09 PER TRIP
x
0.75 NTF $1,091,57 1
0.75 NTF $4,814.83 1
0,65, NTF ($1,195.77)1
0,65 NTF ($5.274,44)1
x
$ 84.19 PER TRIP
x
x
$ 19.09 PER TRJP
x
x
$ 84.19 PERTRJP
$ 103,28
x
TOTAL TRANSPORTATION REIMBURSEMENT SDq
TOTAL TRANSPORTATION IMPROVEMENT SDC:'
TOTAL TRANSPORTATION SDC:I $
1$104,20) 1173
($459,61) 1094
($563,81)
LSANITARY SFWER, MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU', 1.72 x $23.44 PER FEU $40,32 I
B, IMPROVEMENT COST:
NUMBER OF FEU's 1.72 x $247.23 PER FEU $425,36 ,
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's -1.72 x $23.44 PER FEU ($40,32)~
B. IMPROVEMENT COST:
NUMBER OF FEU's -1.72 x $247.23 PER FEU ($425,36)1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
INDUSTRIAL PROCESS ADDITIVE:
THOUSAND Gallons/day
$0.00 1054
TOTAL MWMC REIMBURSEMENT FEE: $0,00 1186
TOTAL MWMC IMPROVEMENT FEE: $0.00 1187
MWMC ADMINISTRATIVE FEE:1 $0,00 1189
PROCESS STRENG11J: HIGH CODE 502
0,19 x ~I 18984 PROCESS REIMBURSEMENT FEE: $220,12
0.19 x $1037650 PROCESS IMPROVEMENT FEE: $1,919,65
TOTALMWMCSDq $2.139,771 $2,139.77
SUBTOTAL (ADD ITEMS 1,2,3,&4) $2,404.61 L
5 ADMINISTRATIVE FFFC;;',
BASE CHARGE (SUBTOTAL ABOVE)
$
2,404,61 x 5% , $120,23
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
TOTAL SEWER ADMINISTRATION FEE: $
stNe.... W, 1!.e."drfj 1!..r....es 10/28/2005
C&OO'tXJ~NtallaI& Daisy Panaderia, 1436 Main Sn.TE
TOTAL SDC CHARGES
1175
120,23 1190
$2,524.84 ,
1 JULY 2004
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUJV ALENT "" DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONlY TIlE NET ADDITIONAl FIXTURES)
Laura & Daisev Panaderia Mexicana
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLlDSIETC.
INTERCEPTORS FOR SAND/AUTO W ASHlETC.
LAUNDRY TUB
CLOTHES WASHERlMOP SINK
CLOTHES WASHER, 3 OR MORE (EA)
MOBILE HOME PARK TRAP'(I PER TRAILER)
RECEPTOR FOR REFRlGERATORlWATER STATlONIETC.
RECEPTOR FOR COMMERCIAL SINK! D1SHWASHERlETC,
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLE LAVATORY
SINK: SINGLE LA V A TORYIRESIDENTIAL BAR
URlNAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
NUMBER OF EDU'S.
TOTAL DRAINAGE FIXTURE UNITS=
. .EDU (Eauivalent Dwellin~ Unit) is a discharge eauivalent to a sin~le fam~wellinl!: (20 DFU) set at 167 ~lIons per day
. .
R
DRAINAGE
FIXTURE
UNITS
o
o
o
3
o
o
o
o
o
o
o
o
o
3
o
o
o
o
o
o
o
o
o
6
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AfTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 or before $5,29 1992
1980 $5.19 1993 $1.45
1981 $5,12 1994 $1.25
1982 $4,98 1995 $1.09
1983 $4,80 1996 $0.92
1984 $4,63 1997 $0,72
1985 $4.40 1998 $0,48
1986 $4.07 1999 $0,28
1987 $3.67 2000 $0.09
1988 $3,22 2001 $0,05
1989 $2,73 2002 $0.00
1990 $2,25 2003 $0.00
1991 $1,80 2004 $0,00
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE X $0,00
IMPROVEMENT (IF AFTER ANNEXATION DATE) x $0,00
CREDIT TOTAL $0,00
COM2005-01494, Laura & Daisy Panaderia. 1436 Main Stxls
, JULY 2004