HomeMy WebLinkAboutPermit Building 1998-2-19
'.
, _'... ,';' J !1'P _ I' .....
:(I'~
,Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 980129
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
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 INFILL
REMODEL
Value:
0.00
Name
Architect: LINN WEEST
Address
Phone
Contractor
Const.
Contractor #
Expires
Phone
General:
MEGA PACIFIC 0063108
PO Box 82186 Portland OR 972820186
01/16/00
238-3772
PLUMBING ---
No.
2
Fee
Charge
20.00
Single Fixture
TOTAL PERMIT
20.00
--- MECHANICAL ---
No.
Fee,
Charge
6.00
10.00
Furnace/burner & vent < 1000,000 BTUs
Permit Issuance
TOTAL PERMIT
25.00
QUAD AREA: 1CNW
-- OFFICE USE --
LAND USE: 5300
ZONING CODE: ,CC
Item
TENANT INFILL
Square Feet
x
$/Square Feet
Value
70,000.00
TOTAL VALUE OF PROJECT
70,000.00
Plan Check Fee,:
222_95 Rec #: 28655 Date: Oi/29/98 Rec By:
'-i
..,
Job Number: 980129
~
"t.~ ~
Q &\>'
::o?_ ~. ~
'~ .~~ '%:
~ OV Q
" ~()o' n
~ &~ ..
~~~'b
%Y'~~.~
\v.> ~ ~ ()o-
~.~ Q~
~ Q,&~.
~~~~
.- ~ ~.~.~
'&~~~
~~~
~Y'
Page 2
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
SDC
343,00
27.44
25.00
1. 20
20.00
1. 60
4,259.91
SUBTOTAL PERMITS
4,678.15
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
4,678.15
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 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, City or Development Code.
ROUGH PLUMBING - Prior to cover.
ROUGH ELECTRICAL ~ Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
ROUGH MECHANICAL - Prior to cover.
FRAMING - Prior to cover.
CEILING GRID/SUB:
DRYWALL - Prior to taping.
CEILING GRID
FINAL MECHANICAL - When all mechanical work ,is complete.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
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.
ADDITIONAL COMMENTS ---
ELECTRICAL PERMIT REQUIRED
Plans Reviewed By: TOM MARX
Building Site Reviewed By: LISA HOPPER
. Date: 02/19/98
SPRINGFIELD
~-
".';tl'~
Job Number: 980129
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
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.
v.~~ &&~
~lgnature .
~te~~0.e
- - - VALIDATION
Date Paid:
21s~ "3
d~,C]-qg'
eft 1.{ ( 7<b. So
~~r
Receipt Number:
Amo1:lnt Received:
Received By:
JOB NO .,qfJo 102 9
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE'
WORKSHEET
NAME OR COMPANY (;;y~.s) 0..,rU -r;..V/~ /<P./~1-/
LOCATION: 'f3~t3 ~/I~H_ ~~ '
- "
DEVELOPMENT TYPE: ~;:J hhr//- kllyO.;({,,~
~~ ~~'-Ce' pr ~r- S I
BUILDING SIZE:. 3) 6/.2.;j'J7 LOT SIZE SQ. Ft.
1. STORM DRAINAGE- M ~ h7.P-yh/;u5,A-r~
IMPERVIOUS SQ. FT.
d
X $0.226 PER SQ. FT. $ ~.
2. SANITARY SEWER-CITY
NO. OF PFU'S _ ~
(See Reverse Side)
X $46.86 PER PFU
$:J.3Lj~
3. TRANSPORTATION
c;~e,r~:-/C~~
NO OF UNITS X TRIP RATE X.COST PER TRIP
,~(,o/
X :t~~ X $472.49
72
,/) leA
$ j, /0, J'
X
X $472.49
$
X
X $472.49
- $
4. SANITARY SEWER-MWMC
, ' ' " ,Z' , ' o~
NO. OF FEU'S 3,,01 X .10gl-pER FEU + $10 MWMCI ADM FEE $ iPS 7 -
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ .,~
0'(
TOTAL-MWMC SDC $~37 ~
00
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ f.067~
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05'
Bfr
~,mJ~
K'/k;
-?fl- jcj;6ordi nator
Date.~~
91
TOTAL SDC $i//~9~
,FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only NET additional fixtures)
NUMBER OF
NEW FIXTURES
FIXTURE TYPE
UNIT
EQUIVALENT
J
FIXTURE
UNITS
Bathtub. .. . .......... ..,.', . , . , ,'. . , , .. . . . . . . , , . . , . .. .;... , '" , . . ..... .. , .-, .. '..
Drinking. Fountain.....,..,...",;,....,., ',",.,',...,' .............."
Floor Drain......:......,.."....""..... ','" ;.."............".....,.,." .,'
,Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc......,.,.........
Laundry TubJClotheswasher..............,. .....,...,. .,....."
Clothesw8sher - 3 Or More.:...................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water StatioriJEtc........
Receptor For Commercial Sink/DishwasherJEtc..
Shower, Single Stall..........................,:...........,.........
Shower, 'Gang",.......".",.,....................""."..""..". ,.
, Sink: Bar, CommerCial, Residential Kitchen...............,.........
, Urinal, Stall/Wall.". ...........,..........,....,.. .....;."'...........
Wash Basin/Lavatory, Single,.,..............,. ........,.,....
Toilet, Public Installation........................................
Toilet " Private"....."""..,................ .."...,................
Miscellaneous:
2
1
2
3
6
2
'6
6
1
/ 3 3
2
1 /Head
/ 2 J
2
1
6
4
TOTAL FIXTURE UNITS
<~
CRI;DITCALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table;
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value .
Year
Annexed
Rate 'per $1,000 '
Assessed Value
II
1979 or before
1980
1981
,1982
1983'
1984
1985
1986
$3.97
3.89
3.83
3.70
3,55
3,39
3.20
2.91
1987
1988
1989
1990
1991
1992
1993'
1994
1995'
1996,
$2.56
2.17
1.73
1.31
0.92
0.14
, 0.61
0.45
0.31
0.17
Credit for Parcel or Land Only If Applicable
X $ .
(Rate X Assessed Value)
X $.
(Hate X Assessed Value)
=
"
Improvement (if after annexation date)
, CREDIT TOTAL :;:: $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
'Residential...;...................;... 0.4
Commerical...""..................' 0.9
Industrial....,;....,................. 0 5
Governmental...................... 0.5
IMPERVIOUS AREA, = TOTAL LOT SIZE X RUNOFF COEFFICIENT