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HomeMy WebLinkAboutPermit Building 1998-2-4 i~, SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980044 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 816 BELTLINE RD Assessors Map #: 17031500 Lot: Block: Tax Lot #: 02400 Subdivision: Owner: C/O MCINTYRE CONSTR Address: PO BOX 2523 Phone #: 687-2841 City/State/Zip: EUGENE, OREGON 97402 Describe Work: COMPLETE LEASE SPACE Contractor Const. Contractor # REMODEL . Expires Phone 10/08/99 687-2841 11/07/98 726-2192 06/27/98 726-0100 OS/22/98 747-2213 General: MCINTYRE 0003550 85830 pine Grove Rd Eugene OR 97405 Plumbing: TUCKER PLUMBING 0109801 2451 CLEARVUE SPRINGFIELD OR 974770 Mechanical: COMFORT FLOW 0000460 1951 DON ST #D SPRINGFIELD OR 97477 Electrical: ALERT ELECTRIC 0012772 1970 N 28TH ST SPRINGFIELD OR 97477 QUAD AREA: 1 CNW OFFICE USE LAND USE: 5300 ZONING CODE: CC To request an inspection, call the 24 hour recording at 726-3769. All inspections requested before 7:00 a,m, will be made the same working day, inspections requested after 7:00 a,m, will be made the following work day. REQUIRED INSPECTIONS UNDERGROUND PLUMBING - Prior to filling trench. ROUGH PLUMBING - Prior to cover, ROUGH MECHANICAL - Prior to cover, ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power, 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 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 t~e building is complete, . - ;~.r - ~:~ - .~..; -"-- Item Main Garage BUILDING PERMIT --- Square Feet x $/Square Feet Value 0.00 0,00 ~I'~ Job Number: 980044 Page 2 OFFICE LEASE SPACE Total Value 20,000.00 201000,00 Building Permit Fee Surcharge/Admin 140.50 11.25 TOTAL FEE (A) 151. 75 PLUMBING PERMIT --- Item Fixtures 3 Fee 30.00 Plumbing Permit Surcharge/Admin 30.00 2,40 TOTAL CHARGE (C) 32.40 MECHANICAL PERMIT --- Furnace Vent Fan 2 6,00 6,00 Mechanical Permit Issuance Surcharge/Admin 15,00 10,00 1. 20 .TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin SDC ELECTRICAL 0,00 2,881.99 97.20 TOTAL MISCELLANEOUS PERMITS (E) 2,979.19 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,189.54 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Received By: Plans Reviewed By: TOM Building Site Reviewed 91.33 Date Paid: 01/12/98 Receipt Number: 28450 MARX Date: 02/03/98 By: LISA HOPPER --- ADDITIONAL COMMENTS --- 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 Divisionl Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. SPRINGFIELD .:tl'~ ~. Job Number: 980044 Page 3 I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans &il ~ m:;;; ii rat a:;i~S during construction" 2 -i/ -9 r .?'# . ~ ",' r /. An; Slgnature ~~ - Date --- VALIDATION Receipt Number: 78~?5' . Date Paid: ~ -7'~ 9~ Amount Received: 3/ B9. 1>'-1 Received By: 4 ~ ... ~ # - - -.-;;-::- . JOB NO. Cj!fn y~ ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: ~A/ I /1 Je' (;A---.#~-./ ./ / / LOCATION 8/{~ g/l~",~ ~ (hd.uJ7 ~i,../;~~&) DEVELOPMENT TYPE: 7.c?-'1o-?1 C J;.,I!. /1 - Or!/; c e 9z'~~ / BUILOING SIZE (!:rc,?f!! re;7':~T SIZE 1. STORM DRAINAGE /i0 /1.JUJ /~Y\.fri/fov.sC-?-~, fiI IMPERVIOUS SQ. FT. ~ SQ. Ft. X $0.226 PER SQ. FT. $ c& 2. SANITARY SEWER-CITY NO. OF PFU'S ~ (See Reverse Side) X $46.86 PER PFU $ 3lJ? 0..<. 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ~~o,l/'c.e. Ie? X oZd~ X $472.49 9'.2 $ ~ &../ c" X X $472.49 $ X X $472.49 $ 4, SANITARY SEWER-MWMC ~.z... . 8( NO. OF FEU'S 1# 9 X~~-PER FEU + $10 MWMC/ADM FEE $ ~05-- MWMC CREDIT IF APPLICABLE (SEE)REVERSE) ((j.J/1:: (,V0-~ C~/~'d Ie? V1-UA-,' r<G f~d' b)~ gWI TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ '-@- //1. _8/ $/~- 7f) $ ,:1. 7 ~7' '- } 5, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X ,05 ';7" $ /37 ~-t-- ~R.r '1;- ,/1- sO<< CO#dinator Date:/Iu/9& . Cf I'} $' 17.'.<2 0, L-J--. I. / . . TOTAL SDC /'.C/UI. r . FIXTURE UNIT CALCUlll TION TABLE: Number of New Fix (NOTE: For remodels, calculate or ) X. Unit Equivalent == Fixture Units FIXTURE TYPE Ie NET additional fixtures) NUMBER OF NEW FIXTURES Bathtu b. . . , . , , ... .. , , , ..... ... , , , . . .. . . , , , , , . . . . , , , . ..... , . . .. , , , , . . , , , . . . ~.. Dri n ki ng. Fou ntai n.. .. ... . .. . . , . . , , , . . . . , . .. .. . .. .. . .. .. ... . .. .. , .. . .. . Floor Drain......:".,........,.,.,..,..."",...,.....,.....,.,.""..,.., . Interceptors For Grease/Oi I/So I ids/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.. S hower, Sing I e Sta II. .. .. , . .. .. .. . . .. . . .. , .. .. .. ... .. .. .. . . .. .. .. , .. , Shower, Gang,..........,....."..,.................................... Sink: Bar, Commercial, Residential Kitchen......................., Urinal, Stall/Wall"..",."..., ,............, """,...., "......., ...,. Wash Basin/Lavatory, Single,................................, Toilet, Public Installation...................................,..,' Toilet , Private..,................"..............,.....,......."".. Miscellaneous: I I I TOTAL FIXTURE UNITS .UNIT EQUIV ALENT 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 == FIXTURE UNITS ,2 I 'Y 7 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 $3,97 3.89 3.83 3,70 3,55 3,39 3,20 2.91 1987 1988 1989 1990 1991 1992 1993. 1994 1995 1996 == Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) Improvement (if after annexation date) = CREDIT TOTAL. = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) . Residential...;...................~... 0.4 Commerical.,.,.... ................. 0.9 . . .. Industrial....,....................... 0 5 Governmental... ,. ,. ,'". ".: ....... 0.5 l' ,. IMPERVIOUSAREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value $2.56 2.17 1.73 1.31 0.92 0.74 .0.61 0.45 0.31 0.17