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Home My WebLink AboutPermit Building 1999-9-2 Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 990999 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1805 PIONEER PARKWAY EAST Assessors Map #: 17032623 Tax Lot #: 02001 Owner: FOODMAKER, INC Phone #: 503-636-4565 Address: 4500 SW KRUSE WAY #270 City/state/zip: LAKE OSWEGO, OREGON 97035 Description Of Work: REMODEL-JACK IN THE BOX REMODEL Value: 244,000.00 Name Architect: FREIHEIT Address Phone --- PLUMBING --- No. 26 Fee Charge 260.00 Single Fixture TOTAL PERMIT 260.00 --- MECHANICAL --- No. Fee Charge 27.00 13.50 3.00 4.50 4.00 10.00 1 Furnace/burner & vent < 1000,000 BTUs Mechanical exhaust hood and duct Vent Fan/Single Duct APPLIANCE VENT 8 GAS OUTLETS Permit Issuance TOTAL PERMIT 62.00 HANDICAP ACCESS: Y ZONING CODE: CC -- OFFICE USE QUAD AREA: 1CNW LAND USE: 5300 Item RESTAURANT REMODEL Square Feet 3518 x $/Square Feet Value 211,700.00 TOTAL VALUE OF PROJECT 211,700.00 Plan Check Fee: 573.95 Rec #: 34974 Date: 07/23/99 Rec By: AL WARD BUILDING Surcharge/Admin 685.00 68.50 Job Number: 990999 Page 2 MECHANICAL SurchargelAdmin PAVING VALUE PLUMBING Surcharge/Admin PLAN REVIEW CREDIT CITY SDC FEES 32,300.00 62.00 5.20 206.50 260.00 26.00 -128.70 506.84 SUBTOTAL PERMITS 1,691.34 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 1,691.34 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 11*" 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. BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special Inspector. Provide inspection/test reports to City Building Inspector UNDERGROUND PLUMBING - Prior to filling trench. ROUGH PLUMBING - Prior to cover. ROUGH GAS - after line is installed and capped if not attached to an appliance 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. MECH/SUB: FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER CEILING GRID FINAL PLUMBING - When all plumbing work is complete. FINAL GAS - When all gas 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 MECHANICAL - When all mechanical 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 --- FORMER USE WAS DAIRY QUEEN RESTAURANT Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 09/01/99 SPRINGPIELD Job Number: 990999 Page 3 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. &~~ 7h/99 Signature V' Date --- VALIDATION Receipt Number: -:::J5L/<. / Date Paid: 9~ 2. "'., 9- /b9/.3Y ~- Amount Received: Received By: . JOURNAL 0.08 NO. 2-C; 0992... ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . NAME OR COMPANY: koc:L,..'1.b~/,z::." _ (-.1v~k,/....- ~ 19n.x-) LOCATION: //56'7' /6/1 t" &tv ~,i-:.<Ju..V h-sP ,/ DEVELOPMENT TYPE: ~I/e..//;. 6/_~,/ ~-7 6~J/a-./" h, IL,L- )~<-4v~~ BUILDING SIZE: ~"'\ ,--)/13 (C-*%~/;.7) LOT SIZE :r~ /00 SQ. Ft. 1. STORM DRAINAGE - Me ;. clee-r-e&--j.e - Jci, jJ //<.4sc.y~/,/ IMPERVIOUS SQ. FT. X $0.232 PER SQ. FT. S r(") 2. SANITARY SEWER-CITY NO. OF PFU'S /(') (See Reverse Side) 3. TRANSPORTATION _ /Lb ~e /'" &U? (//- !flee X $48.27 PER PFU 70 s '/,R2,- NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP X X $486.73 PER TRIP $ & X X $486.73 PER,TRIP $ 4. SANITARY SEWER-MWMC - ~ C:La~ /l.. v:Z.e Or ?:/ 'z ~ A. REIMBURSEMENT COST: f' NO. OF FEU'S X PER FEU $ .~ B, IMPROVEMENT COST: TOTAL-MWMC SDC $ G- <$ > $ 10.00 $ L0- 70 $ 4-'8..l - /7' $ tflL./- NO. OF FEU'S X PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~;? Date: ;//75 SDC Coqjtlin r ATTACH'AWP TOTALSDC 87" $ . "JOG,. ~ " FIXTURE UNIT CALCULA TION TABLE: Number of New _es X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only th.T additional fixtures) . ., . "- -..,..,. ~ /t' NUMBER OF UNIT FIXTURE FIXTURE TYPE " - '/ ~ I(J NEW FIXTURES EQUlV ALENT UNITS Bathtub.............. ...................... .................................. Drinking Fountain........ ...... ................. ...................... Floor Drain.......... ............. ............ ........ ..................... Interceptors For Grease/OiI/SolidslEtc............,........ Interceptors For Sand/Auto WashlEtc...................... Laundry Tub/ClotheswasherlMop Sink............;....... Clotheswasher - 3 Or More...................................... Mobile Home Park Trap (1 Per Trailer)................... Receptor For RefrigeratorlWater StationlEtc........... Receptor For Commercial SinklDishwasherlEtc...... Shower, Single Stall................................................. Shower, Gang...... ............... ......... ....... ......... ............. Sink: Bar, Commercial, Residential Kitchen............ Urinal, S tall/W alL.... ....... ............. ......... .................... Wash Basin/Lavatory, Single................................... Toilet, Public Installation......................................... Toilet, Private.......................................................... Miscellaneous: I cb :=.'1' --- / ~I J. I -=-tJ .flY II. '7 =~1 ;t 3 "'0 / I -=-0 L ./1. (p ~J :3 :? ''::6 TOTAL FIXTURE UNITS 2 I 2 3 6 2 6 6 1 3 2 IIHead 2 2 I 6 4 B 3 -'I -::1 It') CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separately. 11 Year Rate per $1,000 Year Rate per $1,000 Annexed Assessed Value Annexed Assessed Value 'I 1979 or before $4.47 1989 2.18 1980 4.38 1990 1.75 1981 4.32 1991 1.35 1982 4.20 1992 1.17 1983 4.03 1993 1.03 1984 3.88 1994 0.86 1985 3.68 1995 0.71 1986 3.38 1996 0.57 1987 3.03 1997 0.39 1988 2.62 1998 0.18 Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) Improvement (if,after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 CommericaL....................... 0.9 IndustriaL............................ 0.5 GovernmentaL.................... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT