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Home My WebLink AboutPermit Building 1999-2-4 ... " ," Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY O~ SPRINGFIELD Job Number: 981540A COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 ATTENTION:Oregon law requires you. ~o TfBftovi'rulEtS at!€}l'itl3l:l by the Oregon Utility Netif!'.:'?tinn r.p.nter. Those rules are s~t forth own~ii" s~~ B CORP , Phone #':OA1tP95r.!l001-0010 through OAR 9o~.~v 1- Add'r'eQI'~4'05 BALDY VIEW LANE City/State/Zip: SP5b~eYf~&rma~MlOONcwpieS7ofthe rules by THIS PERMIT SHALL EXPIRF. IF THF \NORK catring the center. (Note: the tel~~ho~e , , .' ' UtiIl>t I\lcl,fl~~tlon Desft:tghl:R2r:P)fl~~o)!!.t~ ::'!~!fT~l}~,W1- i~~rNG REMffiI~&rfor~@re~on lJ.'j, ~44) . t,.tJ , " '. , " .' 'j, ,,-. " ,.. " . -.' .. r.Antp.r is 1-800-332-23 . Location of Proposed Work: 844 BELTLINE RD Assessors Map #: 17031500 C/ ;;:) (,FIlS .i\f:lj~NUOi\iH] ANY I '.j;: '; Con,t,ractor . J I ~...IIP...n"". , Const. <;:ontractor # Expires Phone General: SYCAN B CORP 0072619 3405 BALDY VIEW LANE SPRINGFIELD OR 03/25/99 746-8444 --- PLUMBING --- No. 1 Fee Charge 15.00 Single Fixture TOTAL PERMIT 15.00 MECHANICAL No. Fee Charge 15.00 10.00 ALTER DUCTWORK Permit Issuance TOTAL PERMIT 25.00 QUAD AREA': 1 CNW -- OFFICE USE -- LAND USE: 5300 Item LEASE SPACE IMPS. Square Feet 1082 x $/Square Feet Value 12,000.00 TOTAL VALUE OF PROJECT 12,000.00 BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin' PLUMBING Surcharge/Admin CITY SDC FEES 92.50 7.41 25.00 1. 20 15.00 1. 20 98.99 SUBTOTAL PERMITS 241.30 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 241.30 ) ., Job Number: 981540A 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 726-3,769 (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 "*" 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 Officjal may make or require other inspections of any constructio~ work to ensure compliance with the Building, City or Development Code. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL- Prior to cover. ROUGH ELECTRICAL - Prior to cover. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all'mechanical work is complete. FINAL ELECTRICAL - When all electri~al work is complete. FINAL FIRE - When all Fire Department requirements have been met. been met. FINAL BUILDING - When all required inspectipns have been approved and the building is complete. --- ADDITIONAL COMMENTS --- Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER .Date: 02/02/99 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. 1M~ , ;z I L "qq. Signature\j Date Date Paid: --- VALIDATION --- {)3;)1f1 :2~Lj~ 17 Sf ;)41, 30 " 17 .m~af?2)dU Receipt Number: Amount Received: , Received By: ATTACHMENT A ~. CITY OF SPRiNGFIELD SYSTEMS DEVElul dENT CHARGE , WORKSHEET JOURNAL Of\. JOB __NO). ,70 /S YLJA NAME OR COMPANY: ~CC~ ~ LOCATION: ,gl/~ /3&--/ I-/:;-~ (~../f1~~~fr/~-.1-h1J- '1&/SYd) 1/ DEVELOPMENT TYPE:7~-r ~j7~I/~'#vzJ ,hy ~4#t?~~,/ I r BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. X $0.227 PER SQ. FT. $ ~- 2. SANITARY SEWER-CITY NO. OF, PFU ' S ,;< (See Reverse Side) X $47.14 PER PFU , , --:18 ,?'- $ ~~~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x X $475.32 $ x X $475.32 $ '4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. ,OF FEU I S x PER FEU $ B. IMPROVEMENT COST: NO. OF FEU'S , X PER FEU $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ $ ......--' > 10.00 TOTAL-MWMC SDC $ ,z8 $ 9'1- 71 $~- SUBTOTAL (ADD ITEMS 1. 2 . 3 & 4) 5. ADMINISTRATIVE FEES: ' BASE CHARGE (SUBTOTAL ABOVE) X .05 ~cl~ator ATTACH'A.WPD Date: C:Z/:I/9:7 ./ / ' TOTAL SDC 9f' $ 98~ ',.: .; .-,,:,. '~'';... . :~./ ~.. riA I ut\c UI~II ~AL~ULA IIUI'.I I AtsLt:: Number of New Fixtures X Unit Equivalent = Fixture Units' , (NOTE: For remodels, calculate 0,..,1" the NET additional fixtures) NUMBER OF NEW FIXTURES UNIT EQUIV ALENT FIXTURE UNITS FIXTURE TYPE , Bathtu b............................................ ~........'.................. Drinking Fountain.......................... ........ ............ .'...... Floor Drain................ ................... ........................ ..... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc........,......... Laundry Tub/Clotheswasher............ .... ... ....~ ........... C!otheswasher- 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.............: ~.............................. .... S how e r, G a n g . . . .. . . . .. . . . . . . .. . . . . . . . . . . .. . .. . . . .. .. .. . . . . .. . . . . . . . ..: Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall....................................................... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation.,....................................... Toilet, Private............. ~.......:..............................;.. Miscellaneous: I 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 --2 TOTAL FIXTURE UNITS '? .:"'- 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 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4.27 4.18 4.12 3.99 3.83 3.68 3A8 3.18 2.82 2.42 Year Rate per $1,000 I Annexed Assessed Vaiue- 1989 $1.98 I 1990 1.55 1991 1.15 1992 0.96 1993 0.83 1994 0.67 1995 0.52 1996 0.38 1997 0.21 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