HomeMy WebLinkAboutPermit Building 1999-8-13
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 990985
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1869 PIONEER PARKWAY EAST
Assessors Map #: 17032623 Tax Lot #: 02301
Owner: WM WELT
Address: 290 PALMER AVENUE
Phone #: 942-2631
City/State/Zip: COTTAGE GROVE, OREGON 974
Description Of Work: ADD INTERIOR WALLS
REMODEL
Value:
0,00
Contractor
Canst.
Contractor #
Expires
Phone
General:
Pl urOOing:
DOUBLE J INVEST
PO BOX 1184 COTTAGE
3T PLUMBING
0101360
GROVE OR 974240
0008675
08/02/99
942-2941
04/13/01
664-5571
--- PLUMBING ---
NO.
5
Fee
Charge
50.00
Single Fixture
TOTAL PERMIT
50.00
--- MECHANICAL ---
No,
Fee
Charge
15.00
10.00
ALTER DUCTWORK
Permit Issuance
TOTAL PERMIT
25.00
QUAD AREA: lCNW
-- OFFICE USE --
LAND USE: 5300
ZONING CODE: CC
Item
TENANT IMPROVEMENTS
Square Feet
1400
x
$/Square Feet
=
Value
3,000,00
TOTAL VALUE OF PROJECT
3,000.00
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
38.50
-3~09. ~.z
25.00
.l~2Q / $~
50.00
jl.cOO--?:d"O
SUBTOTAL PERMITS
J.2,l-,.79-
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
121,.-7.9~
I:z.~.gb,
Job Number: 990985
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 11*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.
UNDER FLOOR PLUMBING - Prior to insulation or decking,
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - 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 MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
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: LISA HOPPER
Date: 08/09/99
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
proper time, that project
permit card is located a
0' ,ho. "fi CO
Signature
that all required inspections are requested at
address is readable from the street, that the
front of the property, and the approved set
site at all times during construction.
the
~')I11
("'
Date
-- - VALIDATION
Date Paid:
"5 J""2 ~ 2..
~~~.~"9'
b~L:>. 7~
/2".-:..--'7
//Y
Receipt Number:
Amount Received:
Received By:
, . JOURNAL .08 NO. 79098S
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET'
NAME OR COMPANY: ""':Ia... 7:: 2:-I'e ')
LOCATION: /h~ 9 /!-'o~. ee.,r jl-rktJt"v &'51--
t'
DEVELOPMENT TYPE:--.LQI- '1 ~/V f ~_ h_.../ I Iz, ~-'7 h-v/~d
7~1-
BUILDlN6 SIZE: 70 Y.<'o -=- / 4/C10 LOT SIZE SQ, Ft.
1. STO RM DRAIN AG E - ./1k, Ju.-<J e-reo-
IMPERVIOUS SQ. FT,
X $0.232 PER SQ. FT.
$ -er-
2, SANTT ARY SEWER-CITY
NO, OF PFU'S /6
(See Reverse Side)
X $48,27 PER PFU
70
$ YILt - 7'$2.74
4~/t,..N'u..;J-- -/C1.bG <; p.
3, TRANSPORTATION 36/0 I~S5-'./
;!e. ~ '/ -,J. .:n
NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
4. SANITARY SEWER-MWMC ,I _ 11
A. REIMBURSEMENT COST: ~ tvc-' , U'&-r'j e
.;zr
07 $ 7 Jr'Q()~
..30-0 c/ed-t. ..f-; iJ-tflO .07> I
":::$/7(;,</88 >
~6 fo/rJ -= ~ '7)S :'9 l'P1:l<i5'ilj?
/. 1/ X /0,/3(, X $486,73 PER TRIP
Cnj,+/ /- t,/ X_:;l.,"7~X $486.73 PER,TRIP->
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
<$ >
$ 10.00
TOT AL-MWMC SD(
$ -@-
99
SUBTOTAL (ADD ITEMS 1,2,3 & 4) i..:f 13' '/-
,
5, ADMINISTRATIVE FEES: 90
BASE CHARGE (SUBTOTAL ABOVE) X ,05 $ c:9'7- ~r,/l'
C!:?6:?4:) 1P I~.~
-!ic.~ tJ~s-J., Date: a//777 89
SDC OSorditlAtor 7' TOTAL SDC $ 7j 09.2- ?~.$'T
ATTACH'A,WP!S . '?p, s;::.6.B,Y .g'/;?-?7 p$/.:S7I f}"y!#c2< 0~.e,9l?t>/4-&:.~
7;/ L />;-pD,r:/fIL' #~fi'?> 70'4- :?~53 r2? I
FIXTURE UNIT CALCU~ TION TABLE: Nwnber of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only the .additional fIxtures) . . "
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.... ..........,.... .............,...... .......... ............ ........,
Drinking Fountain.. ................... ,.... ...... ........ .... .........
Floor Drain................ ....,;,..................... ........... .........
Interceptors For GreaselOiIlSolids/Etc....................,
Interceptors For Sand/Auto Wash/Etc..................,...
Laundry Tub/ClotheswasherlMop Sink....................
Clotheswasher - 3 Or More..............,.......................
Mobile Home Park Trap (I Per Trailer)...................
Receptor For RefrigeratorlWater Statio:t/Etc...........
Receptor For Commercial Sink/DishwasherlEtc......
Shower, Single Stall.................,....,..........................
Shower, Gang........... .......... .........,......... .............. .....
Sink: Bar, Commercial, Residential Kitchen............
Urinal. Stall/W all.............. ....................... .......,........,
Wash Basin/Lavatory, Single...................................
Toilet, Public Installation.........................................
Toilet, Private..............,.......................,...................
Miscellaneous:
2
I
V 2 4(/
3
6
I 2 ~
6
6
1 1 I
I 3 3
2
IlHead
..I- 2 if
2
I
6
4
.'
TOTAL FIXTURE UNITS
/0
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate
credits separately.
I ---,\
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
i981 ,> 4.32 1991 1.35
", .~: : 1982 4.20 1992 1.17
1983 4.03 1993 1.03
1984 3.88 1994 0.86
.I 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)
.'
.
. ~ . ~t
Residential..... ,............,........
Commerical.........................
Industrial........ ....,.... ..........,..
Governmental......................
0.4
0.9
0.5
0.5
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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JOURNALO a NO. 79098S
'-' A TT ACHMENT A' J
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
,/
"
,/
NAME OR COMPANY: ,\tL ;J-; 2:,'e '5
LOCATION: /nc-' 9 .f;cu. ee..r j7......kiJt."v 6.-::1:-
/
DEVELOPMENT TYPE: ~/. 1/""" I- ~ n.... f / h JZz~ h.u /r;.,J-
7~;-' ,
BUILDlN6 SIZE: '70 Y'/O "" I o/'ttJo LOT SIZE SQ. Ft.
I. ~TO RM DRAINAGE - f"'1.k, IU..<J e-reo-
IMPERVIOUS SQ, FT.
X $0,232 PER SQ. FT.
$ -e-
2. SANITARY SEWER"CITY
NO, OF PFU'S /6
(See Reverse Side)
X $48,27 PER PFU
70
s /YIL.t - 7'$2.7"
4-~~t'c."J- -/o.b(;, <; p. /
3. TRANSPORTATION 30/0 I?-SS -(J/
It., h... 'i - ,.7. .,-p
NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
4, SANITARYSEWER-MWM( ~ ;(/,,"dl{fd/.e
A. REIMBURSEMENT COST: ' I
.;5/
0;, .$ 7 J.jQO~
3041 udt.:?: 1'0;10.(.)7 >
L $_1 7(nY;3
$J~ 1o/.J ::-04'r' '/5 -:- f>p~..fj/
/ 1/ X /O,!3c' X $486.73 PER TRIP
Cru/' +/1. t/ X _$ .fT€- X $486.73 PER,TRlP>
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
<$ >
$" 10.00
TOTAL-MWMC SD(
$ -&-
'" 99
SUBTOTAL (ADD ITEMS 1.2,3 &4)$,1 ,is? 7-
-
5. ADMINIS.T.RA TIVE ~EES:. 90
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ /97"- ~ 1,/]' ,
''<::f)C'-?6) 1P I~.~,
/4~., I j.n~..J^ Date: o//~77 .. 89
~~<!ttor ' TOTALSDC $ ~ 09';- 54:..e'i I
ATIACH'A.WP '?p, ;:).cb, BY .8-/;r.?7".. P.tiy.::::;l/ p/t.0tf'<d'c (1 ;:;~.<!I0 ?R/~-(;.:I
7P /. /U:YDh'l/ --6~:;)f/"?b ~..?~ ~6':J5'JJ/:tJ?
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ClOorb'--: ~~_,.......=-
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. Id, OR ~I~'
Spr-ingfle ~ . -3753
.. ~03) ,2b
\oJ
036353
nun,ber-. PM
1395 4:2b
t'on
TranS.:1C,l.
be-' Db,
DecelTI I
"AZZIES [lEU
-'
0I4NER ..", AY EAST
rER F'ARr,W .. 37477
F'ION<. 0" Zl""
St: ~ r
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Recelve .
t/O",,, .
Contr-<lc. 8b' ~
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Addr'ess.
City: SPFLD
b ~. 990985
.10 ...
Descr-iption
SDC/Tr'<>~sp
SIiC/Adm'"
An,t,
Total:
Received:
Check .:
-Building-
Fee
3 415.29
, i?O.,'t,
3 581>.05
.., 1"1::
3,58b.OJ
Check
1012
. or.ne P.
Thank you, L
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