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HomeMy WebLinkAboutPermit Building 1999-1-11 i..., :, l;.lr.,:., .~ SPRINGFIELD Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 981577 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 840 BELTLINE RD 206 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: COMPLETE LEASE SPACE REMODEL Value: 0.00 Contractor Const. Contractor # Expires Phone Electrical: SYCAN B CORP' 3405 BALDY VIEW LANE HARVEY & PRICE PO BOX 1910 EUGENE OR INFINITY ELECTR 0072619 SPRINGFIELD OR 0000077 974400000 0096612 03/25/99 746-8444 General: Mechanical: 10/31/99 746-1621 02/07/98 699-4811 --- MECHANICAL --- No. Fee t Charge quireS yoU 0 vent < 1000,000 BTUs ON' Oregon law ra Utility 6.00 ATTENTI. db the Oregon 2 00 follow rules adopteTh:se rules are set forth1 0 : 00 Notification Center. ou hOAR 952-001- in OAR 952-001-~~t~~;~~pi~S of t~e r~le~ b~ 5 . 00 . 0090. You may 'Note: the telep o~ calling the center. \ on Utility Notification number !or th~: O~~~nO_332-2344). vtl"t6. ;C . OFFICE USE -- LAND USE: 5300 ZONING CODE.: CC Furnace/burner & GAS LINE QTlCE' Permit Issuance N . I XPIRE IF THE WORK THIS PERMIT Stt~TA~ PERMERMIT IS NOT AUTHORIZED UNDER THIS P E.D FOR COMMENCE:D OR IS ~BANOON ANY HiD O,t\'( ?~MIV\J. QUAD AREA: 1CNW Item TENANT IMPROVEMENTS Square Feet x $/Square Feet Value 24,000.00 TOTAL VALUE OF PROJECT 24,000.00 Plan Check Fee: 110.83 Rec #: 32395 Date: 12/28/98 Rec By: BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin SDC 164.50 13.17 25.00 1. 20 0.00 0.00 918.39 SUBTOTAL PERMITS 1,122.26 ~ .~, -;,. ._",.~l~ t-_:\,,:'~_. ~ -.- ~, ;~ SPR'NGFE~ ~ .~ .. '-. 'lJiJjji"1&L~!.'..IJ..(1it.N4 Job Number: 981577 Page 2 TOTAL PERMIT FEES EXCLUDING ELECTRI~AL 1,122.26 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 your City designa~ed 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, City or Development Code. ROUGH MECHANICAL - Prior to cover. ROUGH GAS - after line is installed and capped if not attached to an appliance GAS SERVICE - After line is installed and line has minimum of one appliance. Pressure test done ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. DRYWALL - Prior to taping. CEILING GRID FINAL MECHANICAL - FINAL ELECTRICAL FINAL/SUB 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. been connected to a at this point. When all mechanical work is complete. When all electrical work is complete. ADDITIONAL COMMENTS --- ELECTRICAL PERMIT REQUIRED Plans Reviewed By: TOM MARX Building Site Reviewed By: LISA HOPPER Date: 01/05/99 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. 'jllli~~\IT1~1\()~~ signatu~' " .. J I/I\jqq Date Ii t. 7' SIP'IRDINIGFIIEn..D !i:il''''''''''' Job Number: 981577 Receipt Number: Date Paid: Amount Received: Received By: J --- VALIDATION 0325 J 0 Ilfl/lf / r"2 2. z.. ~ ,d/tJ~ ) Page 3 ..... '.~ .. )- JOUF OR JOB NO. -,95/$'.77" .. , ATIACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: J)/~ 13 - A5I /~-~Ac7 ~~U(r""~ LOCATION: '0 ye de/}~~ I ~//-e- ~00 DEVELOPMENT TYPE: U~ r 'C';:;'// (-C:r7 ~ BUILDING SIZE: !; ,2. 8 S- LOT SIZE SQ. Ft. 1. STORM DRAINAGE -/l;0 AUJ c..-y-eo- IMPERVIOUS SQ. FT. X $0.227 PER SQ. FT. $ 'CJ 2. SANITARY SEWER-CITY -No ~ h?~vre~ NO. OF PFU'S (See Reverse Side) ~ $ <-----" X .$47.14 PER PFU 3. TRANSPORTATION 7/0 6~0-'J O/hee ~?~ NO OF UNITS X TRIP RATE X COST PER TRIP /. ..1.J..s- X ~ /;r9' X $475.32 (;f; $ 879- X X $475.32 $ 4. SANITARY SEWER-MWMC ~.J c./ ~dS c;;~/I A. REIMBURSEMENT COST: c7 NO. OF FEU'S '$ L9 x PER FEU B. IMPROVEMENT COST: NO. OF FEU'S $ C x PER FEU . MWt~C CREDIT IF APPLICABLE '(SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ > $ 10.00 $CJ $ 877r~- 2L- $ 4/1 TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~~' Date:/~~7 /7 SDtl/Copf'di nator / · ATTACH' A. WPD TOTAL SDC Zl- $ '1/73 - -~ . FIXTURE UNIT CALCU~ nON TABLE: Number o.f New Fi>- (NOTE: Fo.r remo.dels, calculate o.nly the NET additio.nal fixtures) NUMBER OF FIXTURE TYPE . NEW FIXTURES ~:~ s X Unit Equivalent = Fixture' Units UNIT EQUIVALENT FIXTURE UNITS Bathtub................"".".....,..........,..........."...,.."........ . Drinking Fountain...............,..........,...........".,......,.... Floor D ra in. .. .... .-.;... ............. .. .. . .. . .... . ..... , .. ... ,. , .. . .. .. , , .. Intercepto.rs Fo.r Grease/Oil/So.lids/Etc................. Intercepto.rs Fo.r Sand/Auto. Wash/Etc,....,;.........,. Laundry Tub/Clo.theswasher..............,..................., Clothes washer - 3 Or Mare................;...................._. Mabile Hame Park Trap (1 Per Trailer).................. Receptar For Refrigerator/Water Station/Etc........ ' . Receptor For Commercial Sink/Dishwasher/Etc.. Shawer, Single Stall.,.... ........,......, ...""".,...,....,..."., Shower ,Ga ng..............,.........,.............."'......"......" Sink: Bar, Commercial, Residential Kitchen........,........,...... Urinal, Stall/Wall....."".... ...,....,.... .....;..........,... ....,.." Wash Basin/Lavatory, Single....,....,.......""..., ,......., Tailet; Public Installatian.................. .....""'......,,..,. Toilet, Private.......................,.,....."..."",....,.., .;.... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based an assessed value. If improvements accurred after annexation date in table, calculate credits separates. 1979 or befare 1980 1981 1982 . 1983 1984 1985 1986 1987 1988 . -- Rate per $1,000 Year Rate per $1,000 Assessed Value Annexed Assessed Value $4,27 1989 $1,98 4,18 ~ 1990 i.55 4,12 1991 1.15 3,99 1992 0.96 I' 3,83 1993 0.83 I 3,68 1994 0.67 3.48 1995 0.52 3.18 1996 0.38 2.82 1997 0,21 2.42 Year Annexed .... -~ ., ,.~._-_. 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 (Fo.r Estimating Purpo.ses Only) Residential...........;............... 0.4 . Commerical.....,..; ........"...,., 0,9 Industrial............................ 0 5 Governmental...................... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT