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HomeMy WebLinkAboutPermit Building 1999-2-22 ,'" \\lOTIC~: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT Page 1 "MENCLQ "R ISCOMMERCIAL"/INDUSTRIAL PERMIT APPLICATION CO I' r-: 'J 1'\OMI~II\.'I""4~' I V" ''', CITY OF SPRINGFIELD Job Number: 990020 I" 1f'1" ' :"lr;RIOI, COMMUNITY SERVICES DIVISION BUILDING SAFETY I' t, 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1250 RAINBOW DR Assessors Map #: 17032734 Tax Lot #: 02602 Owner: RAINBOW VILLAGE APT Address: 1250 RAINBOW DRIVE Phone #: 746-8958 City/State/Zip: SPRINGFIELD, OREGON 97477 Description Of Work: REM OFFICE/MGMNT BLDG REMODEL Value: 0,00 Contractor Canst. Contractor # Expires Phone General: IMAGE BUILDERS 0068242 4739 MAIN ST #3 SPRINGFIELD OR 9747 Electrical: EASTSIDE ELECTR 0117770 38253 BOSCAGE LN SPRINGFIELD OR 974 07/31/99 74~-3906 10/04/00 741-1499 HANDICAP ACCESS: Y - - OFFICE USE QUAD AREA: 2RNW LAND USE: 1134 Item REMODEL & ADDITION Square Feet x $/Square Feet Value 20,297,00 Plan Check Fee: 95,23 Rec #: ATTENTION:Oregon law requires you to 20,297,00 N~~I:~:t~~~e~:~:t~h~~~he loregon Utility in OAR 95 . ru es are set forth 2-001-0010 II1'''''g'' 0'\n 0:;2-&& ,_ uUIIU, You may obtain copies of the rul, 324 ~Ej"iolitl!le CQllt0l-7 (tfI€lle: IftnTtJlePh"bR~g~ PLEGER number for the, Oregon Utility Notification Centerrs 1-Rnn.""" ~:?~~). TOTAL VALUE OF PROJECT BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin CITY SDC FEES ~46,50 11,73 0,00 0.00 0,00 0,00 158,76 SUBTOTAL PERMITS 316,99 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 316.99 \. Job Number: 990020 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 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, FOOTING ' After trenches FOUNDATION - After forms ROUGH ELECTRICAL - Prior FRAMING - Prior to cover. INSUL-V,B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT DRYWALL - Prior to taping, FINAL PLUMBING - When all plumbing work is complete, FINAL/SUB 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, are excavated. are erected but to cover. prior to concrete placement. --- ADDITIONAL COMMENTS --- Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 02/08/99 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. v1~ ~u:L ,.;J -02<9 - ~9 Signature Date \. .-' Job Number: 990020 Receipt Number: Date Paid: Amount Received: Received By: , *, -- - VALIDATION 0321 Pi 2-/"). /17' '316 f'1 j) d tJ~ / Page 3 " JO. OR JOB NO. 990o.~ ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET /Z.~/A t/? l<) \ !( / Ie:.- lj ~ A I? f.'- '(/ / LOCATION: J.:4..t::)() ~/h_bc)0 /2-, DEVELOPMENT TYPE: I2.ahv"de_ / ~"'e/J,'ov->. ~ J;;{~tI~ (IfE:~~~3_/~ /,:<fJ;P LOT SI7F SQ, Ft, 1. STORM DRAINAGE, - ;:;-,x:5 C~M Ie ~/1 . NAME OR COMPANY: IMPERVIOUS SQ, FT, 2.:') (.,8 X $0,227 PER SO, FT,$ ./] 2, SANITARY SEWER-CITY - M A/~ h;..dvre?s NO, OF PFU'S (See Reverse Side) X $47,14 'PER PFU $ ~ 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ,/ ;Z,e x /, 2'1 X $475,32 7-'7 $/6(""~ x X $475,32 $ 4, SANITARY SEWER-MWMC A, REIMBURSEMENT COST: 08 NO. OF FEU' S., /,~ B X ~Ob-PER FEU B, IMPROVEMENT COST: ~O, OF FEU'S. I,,2B X /8 ~PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIIn5TRATIVE FEE . (,.3 $ :<0- yo';' $';<- TOTAL-MWMC SDC < $ =--- $ 10.00 ".7 $ ":?'1- , .z" $ td7- $(, , $ 7:::::-- > SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 h ~,1 ,:- 1 SD~i nator ATTACH'A,WPD Date: 1//;/77 TOTAL SDC ~ $ /.5'8 " FIXTURE UNIT CALCUlaTION TABLE: ~umber of New FieS X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate on'/lJIf'he 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: Bar, Commercial, Residential Kitchen..,.,...,......,........ Urinal, Stall/Wall."....,.."".."",..,.."..,...."...."".."".." Wash Basin/Lavatory, Single,.."..",.,..,...."...."....". Toilet, Public Installation"".."..,..,.."", ..,."..."".,.." Toilet, Private......,..",..,.."""..,..,..,........,....,........, Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = 'I CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table, calculate credits separates, Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4,27 4,18 4,12 3,99 3,83 3,68 3,48 3,18 2.82 2.42 1989 1990 1991 1992 1993 1994 1995 1996 1997 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..............,.......,..., 0 5 Governmental........,............, 0,5 FIXUNIT,WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value $1,98 1,55 1,15 0,96 0,83 0,67 0,52 0,38 0,21