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HomeMy WebLinkAboutPermit Building 1998-1-28 SPRINGFIELD '~I'~ ~- Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 971726 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 800 BELTLINE RD Assessors Map #: 17031500 Tax Lot #: 02400 Owner: SYCAN B CORP Address: 3405 BALDY VIEW LANE Phone #: 746-8444 City/State/Zip: SPRINGFIELD, OREGON 97477 Description Of Work: TENANT IMPR/KINKOS NEW Value: 0.00 Name Archi tect : AHMADMOHAZAB Address Phone 415-362-5857 --- PLUMBING No. 8 Fee Charge 80.00 Single Fixture /\~ ~O a~~~. -Z ~ ~..~ q ~~ ~ ~. ~ '9; ..-': ~ .?;-. . ~ . !& '1: ~\ r.l , ~-~~CAL ~O~"E ~~O~Of~TUS ~(P ~.A~ (;:) ~ ~. ~ · "Z ~ .~ ~..o~ Q~.A .~~~ 'b ~ ". -<'(f>~ ~'t;,~ :A 80.00 TOTAL PERMIT No. Fee Charge 18.00 12,00 2,00 10,00 4 Furnace/burner & vent Vent Fan/Single Duct GAS PIPING Permit Issuance TOTAL PERMIT 42.00 QUAD AREA: 1 CNW -- OFFICE USE -- LAND USE: 5300 Item TENANT IMPROVEMENT Square Feet x $/Square Feet Value 50,000,00 TOTAL VALUE OF PROJECT 50,000.00 Plan Check Fee: 183.95 Rec #: 28246 Date: 12/12/97 Rec By: LISA HOPPER BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING 283.00 22.64 42.00 2.56 80,00 SPRINGFIELD '~,~,~ Job Number: 971726 Page 2 Surcharge/Admin SDC 6.40 14,272.35 SUBTOTAL PERMITS 14,708.95 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 14,708.95 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 I call 726-3769 (recorder), state your City designated job number I job address I type of inspection requested and when you will be ready fo~ 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 "*" 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 Officiai may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code; UNDERGROUND PLUMBING - Prior to filling trench, ROUGH GAS - after line is installed and capped if not attached to an appliance GAS SERVICE ~ After line is' installed and line has been connected to a minimum of one appliance, Pressure test done at this point, ROUGH MECHANICAL - Prior to cover. ROUGH PLUMBING - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. 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 FIRE - When all Fire Department requirements have been met, been met, FINAL SITE PLAN - After all requirements have been met for Minimum Development Standards or from the Development Agreement, FINAL BUILDING - When all required inspections have been approved and the building is complete. ADDITIONAL COMMENTS --- ELECTRICAL PERMIT REQUIRED plans Reviewed By: TOM MARX Building Site Reviewed By: LISA HOPPER Date: 01/22/98 SPRINGFIELD =/1'tI-j/f:[t"/..-jj '~ Job Number: 971726 Page 3 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 correctl 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. ,.L..~. ~ Signat~ ,J< /-;;1 6-? <t Date --- VALIDATION ;)~ to -:21 J-'Jg - 7 <(' Amount Received: ~J/ 7 O,g- .7 {f;- Received By: ~~ Receipt Number: Date Paid: JUb NU ."L.LLLn< (# . .. ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: k /n J0~ . LOCA nON: Boo &/.fL>/1~ DEVELOPMEN'T TYPE: -;e;,t:lr\f- ::c',h')/I- ~l~ C/;J:?,j ~1L;k~ ~z?~e.. / / -BtHtD~I~G SIZE: _~. o,:z/ S.r LOT SIZE,A/ffi SO, Ft, , / 1. STORM ORAINflGE -,.. M ~ ~ IMPERViOUS SQ, FT; l $0,226 PER SQ, FT. $~ 2, SANITARY SE~ER-CITY NO. OF PFU'S 1t1 (See Reverse Side) X $.16,86 PER PFU ~~ -yg $ C./7~. 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ,t,!;/1 ~et../;';f.; /lek// ~.i l. ::" -.- "" "', 2:= ' ) , j..r- X ~ - -,' ~ X $472.49 / --~. oJ'- X ~ <J3 X $472.49 $ . . 'fi l/~('p 9.3 - X X $472.49 $ 4, SANITARY SEWER-MWMC . .... ~. ' . 7/ NO. OF FEU' S ~5=' oPl xc1tJb PER FEU + $10 MWMCI ADM FEE $ 1...a..5:1""'- MWMC CREDIT IF APPLICABLE. . (SEE~EVERSE) /''d- . <t!:. J. /. //.;'\ $ -6- ' . ( e-rul/J. w~ 7Y A'ui f-p 6 (1.~/).. -:t1- TOTAL.:MWMC SOC. ,$/0.53-, 71 SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $13 ,S9,t.- ,. 5. .ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 <;~ . $ ro 7tJ ~ . ,. !*'J~: ' SDCaOO'~ na tor Qate :_14 Pr/9'l . . / " TOTAL SDC $5"' . $/~t7~.