HomeMy WebLinkAboutPermit Building 2001-1-18
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SPRINGFIELD
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Job# 00-01790-01
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DATE~JAN 18 2001
(.~MT RECD:2 $ 81'76.63
CHANGE:
CASHIER:059
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01790-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 890 Beltline Rd Spr
Assessors Map#: 17031530
Lot: Block: Addition:
Scope Of Work: Commercial New
Dental equipment and supplies wholesale 1/10
First tenant improvement in this portion of_I~2..~ _sF.;"~tkUilding.
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Contractor Type Contractor OO~ :..y~~~~J5~tion # Expiration Date
General Contr Sycan B Corp 41-';.. %'~~lg~ &~ 3/25/2002 541-746-8444
3405 Baldy View Ln, Springfield, OR )'001;) V~.o Ul/lb~~~-1;e.
97477-9401 ~}--A O))>~ '/.fli. I:~
~..., O'Al /Y,(n ~
Infinity Electric Lie 3628fb6 ~1Iit).u/~~2~~/....
23322 Ne Rawson Rd, Brush Prairie, WA " O~ ~?' "PO
98606 ~() ~ ~ 4 194-
Mechanical Contr Harvey & Son Heating & Ai~9~~Eliti*, Onin 55682 2/2612~elOgi
AI'.- v//. ~1'
4680 Main St, Springfield,CQ)~O'A '.'/';,..,.
'"'7 "//, YV.t: ~L~
97478-6054 On 0,,& ~I.s'''~ /i::-1
v,9. . ~"Y "'{" lS'.::;' 1... ,''-
Contractors Plumbingt~~rvice1!nc (~"'0'90~ 10~p24
^ <2'- r"L <";.~ :.'), '$
Po Box 7636, Eugelil:e" G~Ar"401 Vi' 'is).. :_ Co'; - '\".
. , 'IJA ~ h. '*>, YJn' jf. ~'"
'-'l'J';' 't)) -: ~. Qpf.~ / u,.'o,"r ".~~ /_, .
(..' -,OfflC:;~"Use "1;; .../, \.{>- '
\$t:;o. i'-?€) /"6";r 'V/} Cl O(/~1s,. -1:;-,'
LandUl~e:Q. ~ - (Ii/. l:?O./ ~QO\~" ....;' ,
,.'~" is! _ ~~.'& 'V/,.. _'.
Zoning co'~~e<'S9~':'t'''\'O/~r,;~,)t~ ,'/
Bedrooms:.-Z ,..~~.I)E>~ I.Q& \5<?~. {,
'J" 7.y \919 ,..~~ V"
Water Heater: Range:'-.-,:..: /tQ . ;Vl'! (9.", (.. Sq. Footage: 4095
A-. ~;.1l'. ~"'-n c"'~,
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To request an inspection call the 24 hour recording at 726-3769, 'AII i~t~ections 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
working day.
Owner:
Address:
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Framing
Drywall
Bolts installed in
concrete
Hold Downs Installed
Ceiling Grid
Tax Lot #: 00900
Subdivision:
Sycan B Corp
3405 Baldy View Ln
Phone Number: 541-746-8444
City/State/Zip:
Springfield, OR 97477-9401
Value: $100,000
Phone
503-242-2517
541-746-7677
8/15/2001
541-607 -8879
2
# Of Buildings: 1
. Occupancy Group:
Heat Source:
Required Inspections
Building
- Prior to cover.
- Prior to taping.
- To be done by a Sta~e Certified Special Inspector. Provide inspection test reports to City Buildir
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SUB - Final
Final Fire
Final Building
I Job# 00-017.~O-01 I
Required Inspections
Building
Page 2 of 3
- When all Fire Department requirements have been met.
-When all required inspections have been approved and the building is complete.
Electrical
Rough Electrical
Electrical Service
Final Electrical
- Prior to cover.
-Must be approved to obtain permanent power.
- When all electrical work is complete.
I Plumbing
- Prior. to insulation or decking.
- Prior to cover..
- When alf plumbing work is complete.
Mechanical
Underfloor Plumbing
Rough Plumbing
Final Plumbing
Rough Gas
Rough Mechanical
Gas Service
SUB - Mechanical
Final Gas
Final Mechanical
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure te~
- When all gas work is complete.
-When all mechanical work is complete.
Zoning: CC
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
land Use:
Pave Driveway? D
(
3:
Additional Requirements:
Required Attachments:
Source locn:
Material:
Planner:
Urban Growth Boundary?D 'Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:
Occupancy Groups:
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: 4095 Accessory:
Fee
Commercial Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit,
Flood Plain FEMA:
# Of Stories:
Current Units: 1
Census Code: Does not apply
Height (feet):
Proposed Units:2
Total:4095
Paid On Receipt#
Plan Check
12/15/2000 4037
Value/Quantity
100,000 .
Building.
01/18/2001 4264
01/18/2001 4264
100,000
Fee Amount
$281.45
$281.45
$433.00
$30.31
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Fee
Building Administrative Fee
Total Building
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Vent Fan to One Duct
More than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechal:Jical
Total Mechanical
Sanitary Sewer
MWMC Administrative Fee
SDC Administrative Fee
Miscellaneous MWMC
Miscellaneous Transportation
Total System Development
Grand Total
Plan Check Type
Checked By
Initial Review-C/I/P
Engineering-C/I/P
Structural-C/I/P
Fire Marshal-C/I/P
Wendy Stanley
Pam Ownby
Don Moore
AI Gerard
Job# 00-01790-01
Paid On Receipt#
Building ..
01/18/2001 4264
Plumbing
01/18/2001 4264
01/18/2001 4264
01/18/2001 4264
01/18/2001 4264
Mechanical
01/18/2001 .4264
01/18/2001 4264
01/18/2001 4264
01/18/2001 4264
01/18/2001 4264
01/18/2001 4264
01/18/2001 4264
System Development
01/18/2001 4264
01/18/2001 4264
01/18/2001 4264
01/18/2001 4264
01/18/2001 4264
Date Completed
Comment
Page 3 of 3
Value/Quantity Fee Amount
$12.99
$476.30
7
$.00
$70.00
$4.90
$2.10
$77.00
12/15/2000
01/18/2001
01/18/2001
01/18/2001
1
$2.00
$.00
$.69
$6.00
$15.00
$10.00
$1.61
$35.30
2
2
20
1
$748.00
$10.00
$360.86
$391.15
$6,078.02
$7,588.03
$8,458.08
391
6,0,78
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 andall 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 employess who are in acompliance with ORS 701.055 will be used
on this project.
I further agree to enSLJre that all required i pecti re requested at the proper time, that each
. address is readable from the stret, t e p i ard is Icoated at the front of the property, and the
app'ove~ _::;~Of ~a_~ will rema; - ~).!i!"es during construction.
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A TT ACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-01790-01
NAME OR COMPANY: SYCAN B CORP
LOCA TION: 890 BELTLlNE, BLDG 3
MAP & TAX LOT NUMBER: 17-03-15-30 00900
DEVELOPMENT TYPE: SPECIALTY RETAIL: SEE JOBS 99-0259-01, 99-1568-01 & 00-01330-01
USE # 1 NEW DEVELOPED BUILDING AREA (ST):
NEW DEVELOPED BUILDING AREA (S.F.):
. TOTAL DEVELOPED BUILDfNG AREA (ST):
I. STORM DRAINAGE
ITE:
ITE:
LOT SIZE (S.E.):
2100
2200
IMPERVIOUS SQ. FT.
0_00
x $ 0.271 PER SQ. FT
2_ SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
20
x
$ 21.25 PER DFU
x
$ 16.15 PER DFU
20
TOTAL LOCAL WASTEWATER SDC: I
3. TRANSPORTATION
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
814
150
$0_00 ,
$425.00 I
$323.00 I
$748_00 I
DECEMBER 2000
Ok .AGE FIXTURE UNIT (DFU) CALCULATION T ABL~
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONL Y THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC
INTERCEPTORS FOR SAND/AUTO WASH/ETC
LAUNDRY TUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LAVATORY/RESIDENTIAL BAR
URINAL, ST ALL/W ALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIV ATE INST ALLA TION
MISCELLANEOUS:
FIXTURES
NEW OLD
UNIT
EQUIV ALENT
3
I
3
3
6
2
3
6
12
1
3
2
2
3
2
2
I
5
. 6
3
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
6
o
o
2
o
12
o
NUMBER OF EDU'S* 0
o
o
2
2
2
TOTAL DRAINAGE FIXTURE UNITS= 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) sel at 167 gallons per day
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y
YEAR
ANNEXED.
1979 or before
1980
1981
1982
1983
1984
1985
1986
. 1987
1988
1989
RATE PER $ I ,000
ASSESSED VALUE
$4.74
$4.65
$4.59
$4.46
$4.30.
$4.14
$3.93
$3.63
$3.26
$2.85
$2.40
YEAR
ANNEXED
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $ I ,000
. ASSESSED VALUE
$ 1.96
$ 1.55
$ 1.36
$ 1.23
$ 1.05
$ 0.90
$ 0.75
$ 0.57
$ 035
$ 0_15
x
x
CREDIT TOTAL
$0_00
$0.00
$0.00
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DECEMBER 2000