HomeMy WebLinkAboutPermit Building 1999-1-12
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Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 981540
COMMUNITY SERVICES DIVISION,
BUILDING SAFETY
225 North Fift'h Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 844 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: LEASE SPACE COMPLETION
REMODEL Value:
0.00
Contractor
Const.
Contractor #
Expires
Phone
General:SY~AN B CORP 0072619
3405 BALDY VIEW LANE SPRINGFIELD OR
Mecl].anical: HARVEY & SON, 0055682
4680 MAIN ST SPRINGFIELD OR 9747860
Electrical: INFINITY ELECTR q096612
03/25/99
746-8444
02/26/99
746-7677
02/07/98
No.
. - - - MECHANICAL
NOlICE:
1lj1.wS~ERMPPit~e~PIRE IF THE WORK
, IUTHdAlwtir-ro'E'A THIS PERMIT IS NOT
C~w~~Nf~mMf$~ISAeANDONEDFOR
ANY 180 DAY PERIOD,
AlTENTI()f\l'f"ir~-""fi I .'
-.~ -~'" I aw requ
- - -follow rules adopted b th ,res you to
Notificat~enter y e Ore@ia!J<!jlity
in OAR 952_001_00'1TOhthoserules are ~et:Jmorth
009 rough OAR .flJ:.')d"M\ .
O. You may obtain' . ' .p~~V\I!V1-
, calling the center. (~~~/.~~ of t,he rules by
number for the Oregon Util't eNtel~~rgQ~$
Ct. I Y otrf/cat'on
, . en erls 1-800-332-2344).
QUAD AREA: 1CNW
OFFICE USE
LAND USE: 5300
Item
LEASE SP IMPROV.
Square Feet
x
$/Square Feet
Value
12,000.00
\ TOTAL VALUE OF
NOTICE:
PROJEC THIS PERMIT SHALL EXPIRE IF THE WORK
1\UTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 1AI} 0/: Y p::n;(~u,
12,000.00
Plan Check Fee:
60.13 Rec #: 32325 Date: 12/16/98 Rec By:
BUILDING v
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
SDC
92.50
7.41
25.00
1. 20
0.00
0,.00
2,176.27
SUBTOTAL PERMITS
2,302.38
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
2,302.38
!SPRINGFIELD
~-
Job Number: 981540
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 ypur 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 Official may make or
require other inspections of any construction work to ensure compliance with
the Building, ~ity or Development Code.
ROUGH ELECTRICAL -
ROUGH MECHANICAL -
DRYWALL - Prior to
CEILING GRID
FINAL/SUB
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
the building is complete.
Prior to
Prior to
taping.
cover.
cover.
ADDITIONAL COMMENTS -~-
ELECTRICAL' PERMIT REQUIRED
Plans Reviewed By: TOM MARX
Building Site Reviewed By: LISA HOPPER
Date: 12/30/98
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 ~f 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
proper time, that project
permit card is located at
of plans will remain on
.."
that all required inspections are requested at the
address is re d le from the street, that the
the ont e property, and the approved set
lte~~truc~~
-- /' Da e€" ./
I...( ~.
, -.
~atur~
SIPRDINIGFDELIDI
Job Number: 981540
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VALIDATION
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Page 3
.'
JOUR.'OR JOB NO. ;?;?L~~"
A IT ACHMENT A '
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
.
NAME OR COMPANY: ~~~ ~
LOCATION: , g ~ij &~/-I-~~.e
DEVELOPMENT TYPt ;;;/1,;[r,l- ;1.P~<e 'Z:;;~~I/e~ / !L~",/ )
, I e'4''7t7--''- f 5#ac.e I '
BtJILDHJC "sIZ{:- / J at) LOT SIZE SQ. Ft.
'/
1. STORM DRAINAGE' - M ~ C4"C0- '
IMPERVIOUS SQ. FT.
X $0.227 PER SQ. FT. $ ~
2. SANITARY SEWER-CITY -.A/~ I/"yc>~d,
NO. OF PFU'S X $47.14 PER PFU
(See Reverse Side)
$~
3 TRANSPORTATION &80 - tW~Ly -:::"/ !th1 1?frr /It;velt )I.OAL c?-/I
. Oh 1.2/:<3/78
NO OF UNITS X TRIP RATE'X COST PER TRIP
X
X $475.32
8/
1..4' 7~ '
$
J_ /8 X 3,J& X $475.32
4. SANITARYSEWER-MWMC
A. REIMBURSEMENT COST:
, eft-
NO. OF FEU I S /~ J 8 X :2 CJg PER FEU
. s3
$o?/Y5 -
B. IMPROVEMENT COST: :
" 0
NO. OF FEU'S /, /8 X /8 ~PER FEU
,
$ ~ J.. ;1 <!!)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWM,C ADMINISTRA, TIVE FEE ,J ..
(,c/e-d/I 4/0.-5 ~/ff~ 1-0 18r"/h/1:s
~i ~~ ~I TOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
, ~~~
~ 6DC-;'?oordinator
ATTACH' A. WP~'"
< $ -a
$ 10.00
153
$ :(7)-
$ ~ 67;;' f:L-
."j .
"'3
$ /0,1-
>
Date:-E~/7g
TOTAL SDC
~7
$ j( / 70
/