HomeMy WebLinkAboutPermit Building 1999-8-25 (2)
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 990907
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4006 FRANKLIN BLVD
Assessors Map #: 17033042
Tax Lot #: 01600
Owner: STEPHEN ROTH
Address: 1403 WIMBLEDON PL.
Phone #: 741-9828
City/State/Zip: SPLFD OR,97477
Description Of Work: REMODEL
REMODEL
Value:
0.00
Contractor
Canst.
Contractor #
Expires
Phone
General: ALL OREGON CONS 0065548
4420 FOX HOLLOW RD EUGENE OR 974050
Electrical: STEPLETON ELECT 0041371
2150 BUCK ST EUGENE OR 974050000
04/05/98
687-5826
02/05/98
484-7278
--- PLUMBING ---
No.
9
Fee
Charge
90.00
Single Fixture
TOTAL PERMIT
90.00
ATTENTION:Ore
fOI/OWrtJl..,,~...__ gon/aWreOlJi,."" ,_.
MECHANICAL - ,lv.orltication c~;;;ftU oy the Orego; VI)"
m OAR 9S;f-~91 r. hose rUles an,ci,h {rnif
< 1000,000 BTUs0090. Youmay~~~1~throughOAR9a oBffh
calling the cent am COPies of the ru ". b'a-
numberfortheoer, (No!e:the!eleph~ ~cml
, Center;s 1~~~~n3U!i/;!y NO!;fica ~il 0
- 32-2344). :00
10.00
No.
2
Furnace/burner & vent
Vent Fan/Single Duct
DUCT MODIFICATIONS
GAS PIPING
DRYER VENT
Permit Issuance
TOTAL PERMIT
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
-<>OMtB!t~EiiSiR.JS ABANUUI\II:U I"Uh
QUAD AJlM':lffiffi'iHPERIOD. LAND USE: 5300
63.00
HANDICAP ACCESS: Y
Item
REMODEL/ADDITION
Square Feet. x
$/sguare Feet
Value
30,000.00
TOTAL VALUE OF PROJECT
30,000.00
Plan Check Fee:
125.45 Rec #: 34685 Date: 06/30/99 Rec By: LORNE PLEGER
BUILDING
Surcharge/Admin
193.00
15.44
"
SPRINliFlELD
Job Number: 990907
Page 2
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
CITY SDC FEES
63.00
4.24
90.00
7.20
514.91
SUBTOTAL PERMITS
887.79
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
887.79
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 n*n 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.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
FOOTING - After trenches are excavated.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
ROUGH ~LUMBING - 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.
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 ---
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: BOB BARNHART
Date: 08/04/99
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 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.
S~
Job Number, 990907
lAJA I--'--
'fj-z.r-
Signature
Date
- -- VALIDATION
Receipt Number:
()3 n /7
'g / zs-j 7)
~ r 7, 77
~tJ~
Date Paid:
Amount Received:
Received By:
Page 3
"7"'\
... ... JOURNAL OR JOB NO. 990 'jtJ '/
. ATTACHMENT A .
CITY OF ~INGFIELD SYSTEMS DEVE~MENT CHARGE
WORKSHEET
NAME OR COMPANY: ~,,:? .R.-,.;L (~~~o 5- ;g.;:z-?z.. \
/
LOCATION: 0/"/"-",,(; hr___ jc:~'n .<f/vd.
DEVELOPMENT TYPE: ~~t?d~../ M.d.J.,'hoh do ~e, -ho//..-.-f
/J/}I,J-' /
/t.....: cLt 'r/(1)"" I 1', I /(
BIIT! nTNG SIZE: J-:2-1, k 7- 7 LOT SIZF SQ. Ft.
= 9~ 79P'
1. STORM DRAINAGE '/fie, NUJ /~t2-rI//'o<-6 "-~
IMPERVIOUS SQ. FT. X $0.227 PER SQ. FT. $ ce
2. SANITARY SEWER-CITY ~ uG 8 -/Vo ckj2..
NO. OF PFU'S X $47.14 PER PFU $ t9--
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
, "'2.", X /t) n& X $475.32
39
$ 99()-
X
X $475.32
$
4. ,SANITARY SEWER-MWMC - o~8 -M Ck..I"Jle.
A. REIMBURSEMENT COST: t/
NO. OF FEU'S .
X
PER FEU
$
-e-
,-
B. IMPROVEMENT COST:
NO. OF FEU'S
X
PER FEU
. $ ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ >
$ 1000
TOTAL-MWMC SDC $--{j-
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
y;, u.~~ Date: f/hr~7
";)'..... SO Coofrdi nator ;=-'"/ '
ATTACH' A. W 0 {I
P
$ LT 90----
~-;J..
$ ~7/:--
TOTAL SOC
'it
$ ,/~
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate. the NET additional fixtureS). ~ . .
. NUMBER OF UNIT FIXTURE
FIXTURE TYPE . NEW FIXTURES EQUIVALENT UNITS
Bathtub......................,.... ............................................
Drinking Fountain.........................,...........................
Floor Drain.... ....... ....... ......,. ....,.. .......... .......... ..... .......
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher............,...........,..,....,.,..
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single StalL................................................
Shower, Gang........................... ....................... ........
Sink: 8ar, Commercial, Residential Kitchen........................
Urinal, Stall/WaiL.......................... ...... ......................
Wash Basin/Lavatory, Single.,................................
Toilet, Public Installation........................................
Toilet, Private...:...................................................
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
TOTAL FIXTURE UNITS
=
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
1- Year Rate per $1,000 . Year Rate per $1,000 II
Annexed Assessed Value , Annexed Assessed Value
I
I 1979 or before $4.27 1989 $1.98
1980 4.18 1990 1.55'
1981 4.12 1991 1.15
1982 3.99 1992 0.96
1983 3.83 1993 0.83
1984 3,68 1994 0.67
1985 3.48 1995 0.52
1986 3.18 1996 0.38
1987 2.82 1997 0.21 J
1988 2.42
Credit for Parcel or Land Only If Applicable
X $ =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Improvement (if after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
. (For Estimating Purposes Only)
ResidentiaL.......................... 0.4
Commerical....................,.... 0.9
IndustriaL........................... 05
Governmental...................... 0.5
FIXUNlT.wPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT