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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 ".' . . 'j' " . ; " . I 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? / ClOorb'--: ~~_,.......=- "1:., ~ Nj~~ r- \~~~ iJ5~ ~I \l!I "~~~m L' "'_ (" .~- ~~~ ~ :!l S!! :I> V)~:~~ -I1lN ~~.~~:<:: ~ I~ ~5~ g::;: '" , :!!zm 8 ~ i:\ F ...,. 5 m III '0' \1: L' '''... . ~ ~~ 0""0 w- Oo ~ -<' "?nl!! ~!.: ~.\ !!l~- o ~ ~ ~_ ~~ ;<l ~ ~~ I ~'~ :::. <:> ~~ '~cf nJ t:' ,,[] - '" ~~ .. ~ r [f"l . S ,r'ingfifdci - . t v of _ > . 1..1., " "th Str'ee, ,_, 225 F1T'.. """_', . 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 . d f'r'oITl: Recelve . t/O",,, . Contr-<lc. 8b' ~ . 1 ~ 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 " '. " " " " ,- " " " " " ,. ~ : '" " I ~ o ~ m '. " , . ~,~ ~~ I L~~ ~V\ ~~ (JJ ~'r. ~ Ell \.) '" !II . ~:: -' o -' f\) - ~ .~'_k