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Home My WebLink AboutPermit Building 2007-9-19 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01232 ISSUED: 09/19/2007 APPLIED: 08/21/2007 EXPIRES: 03/19/2008 VALUE: $ 200,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 110 S 59TH ST ASSESSOR'S PARCEL NO.: 1702343201001 Springfield TYPE OF WORK: Interior PROJECT DESCRIPTION: TI of existing dental office TYPE OF USE: Remodel Commercial Owner: MCKENZIE DENTAL CENTER INC Address: 110 SOUTH 59TH STREET SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License TEAM MASTERS CONSTRUCTION LLC 165274 J K GUCKENBERGER ELECTRIC INC 45129 OREGON CASCADE PLUMBING & HEA TIN 127 OREGON CASCADE PLUMBING & HTG 127 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: B Height of Structure: Secondary Occupancy GrouPATTEN Type of Heat: Primary Construction Type, 1/ T{.(f/'J: Oregon ~fe~ you to Secondary Construction T)jI]5t;~~a~~'es adopted bJ~a~n Utility # of Bedrooms: in OAR 9~; Center. Th~i>>Il~:set forth -001'0010th8f#gltQff\IQ~1 n/a . 0090. You may obtain ~nrja... ,., flu -Jk. L.. n~~~ ~~~ ~e~~EiBOO'~1itl~~~A TION I C e ~..... ~"III)' I"U~ enter is 1-80Q-332-2344}. Overlay Dfst: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: .541-747-8030 Expiration Date 12/29/2008 04/24/2008 11/28/2008 11/25/2008 Phone 503-407-0792 541-746-4656 503-588-0355 503-588-0355 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: . Sidewalk Type: Downspouts/Drains: Notes: NotICE: EXP1RE \f THE WOR\( TH\5 PERM1T ~~~~~ TH'5 PERM1T 15 NOT AUTHOR1ZEEDD OR 15 ABANDONED fOR COMMENC ANY 180 DAY PER10D. Pal!:e 1 of3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01232 ISSUED: 09/19/2007 APPLIED: 08/21/2007 EXPIRES: 03/19/2008 VALUE: $ 200,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 200,000.00 Estimate Tvpe of Construction Estimate Total Value of Project ~ Value Date Calculated $200,000.00 $200,000.00 08/21/2007 Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $637.55 8/20/07 1200700000000001070 + 10% Administrative Fee $10.80 9/12/07 2200700000000001440 + 5% Technology Fee $5.40 9/12/07 2200700000000001440 + 8% State 'Surcharge $8.64 9/12/07 2200700000000001440 Add, Alter, Extend Circ $48.00 . 9/12/07 2200700000000001440 Add, Alter, Extend Circ Ea Add $60.00 9/12/07 2200700000000001440 + 10% Administrative Fee $114.08 9/19/07 1200700000000001214 + 5% Technology Fee $57.04 9/19/07 1200700000000001214 + 8% State Surcharge $91.27 9/19/07 1200700000000001214 Building Permit $980.84 9/19/07 1200700000000001214 Fixture $160.00 9/19/07 1200700000000001214 Total Amount Paid $2,173.62 I Plan Reviews I Fire Department Review 08/28/2007 09/19/2007 OK MF Initial Review 08/22/2007 08/22/2007 APP LLH Plan Review Comments 09/17/2007 10 JMP Planninl! Review 08/28/2007 08/28/2007 APP EMM Public Works Review 08/28/2007 08/28/2007 APP JHJ Structural Review 08/22/2007 09/14/2007 WE JMP Structural Review SUB Review 09/19/2007 08/28/2007 09/19/2007 09/14/2007 APP JMP WE DH SUB Review 09/17/2007 09/17/2007 APP DH Pal!e 2 of 3 See attached Fire Department Plan Review. MF WI. Received responses from Rick Chavez. Attached SDC Worksheet. No New SDC's. (JHJ) Received 8/28/2007 with 4 applications and a heavy backlog. See attached documents for 7 structural comments faxed to Harvey Snair. Received final internal approval. See JMP's attached documents for Item 3 requesting the energy code forms and information. No energy code issues or inspections. CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-01232 ISSUED: 09/19/2007 APPLIED: 08/21/2007 EXPIRES: 03/19/2008 VALUE: $ 200,000.00. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 work day. Reouired Insoections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 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 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each 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 timeslC?L 9-j1-oj I . Owner or Contractors Signature Date Pal:!e 3 of3 225 Fifth Street Springfield, 'Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1232 COM2007-01232 COM2007-01232 COM2007-01232 COM2007-01232 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Building Permit Fixture + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RICARDO CHAVEZ City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001214 Date: 09/19/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 096371 In Person Payment Total: Page 1 of I , 11:30:31AM Amount Due 980.84 160.00 57.04 91.27 114.08 $1,403.23 Amount Paid $1,403.23 $1,403.23 9/19/2007 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER C0M2007-01232 NAME OR COMPANY: McKenzie Dental Center LOCATION: 110 S. 59th St MAP & TAX LOT NUMBER: 17 02 34 37 01001 DEVELOPMENT TYPE: Interior Remodel NEW DEVELOPED AREA (S.F.): EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): J. STORM DRAINAGE IMPERVIOUS SQ. FT. $ 20.404 PER DFU $ 47.24 TOTALLOCALWASTEWATERSDC:' $ 3. TRANSPORTATION No New Building Square Footage BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW: A REIMBURSEMENT COST: ~OO x 0 B. IMPROVEMENT COST: 0.00 x EXISTING: A REIMBURSEMENT COST: ~OO x 0 B. IMPROVEMENT COST: 0,00 x EXISTING: A REIMBURSEMENT COST: NUMBER OF FEU's 0.00 B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) . ' 2. SANITARY SEWER-CITY (see reverse side) A REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's o o 4. SANITARY SEWER -MWMC NEW: A REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU's 5. ADMIN1STRATIVE FEES; BASE CHARGE (SUBTOTAL ABOVE) Jesse Jones Civil Engineer, EIT *No New SDC's Interior Remodel ITE: ITE: LOT SIZE (S.F.): x No New Impervious Area $ 0.346 PER SF TOTAL STORM DRAINAGE SDC:I No New Fixtures o $ 26.833 PER DFU x o x x $ 20,43 PER TRIP $0.00 I $0.00 I o NIT x x $ 90.10 PER TRIP x o NTF x $ 20,43 PER TRIP $000 I o NTF x x $ 90.10 PER TRIP x 0 NTF $0.00 I $ 110.53 TOTAL TRANSPORTATION REIMBURSEMENT SOC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TOTAL TRANSPO~TATION SDC:' $ No New Building Square Footage 0.00 #N/A PER FEU #N/A x 0.00 #N/A #N/A x PER FEU x #N/A PER FEU #N/A x #N/ A PER FEU #N/A TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC:' #N/A SUBTOTAL (ADD ITEMS 1,2,3, & 4) I #N/A #N/A x 5% I #N/A TOTAL SEWER ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: TOTAL SDC CHARGES 8/28/2007 DATE $0.00 #N/A #N/A #N/A #N/A #N/A #N/A Interior RemodeI DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FWOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASE/OIUSOLIDSIETC. INTERCEPTORS FOR SANDI AUTO W ASH/ETC. LAUNDRY TUB CLOTHES W ASHERlMOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBll..E HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER ST A TIONIETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLE LAVATORY SINK: SINGLE LA VATORYIRESIDENTIAL BAR URINAL, ST ALUW ALL TOll..ET, PUBLIC INSTALLATION TOll..ET, PRIVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S* FIXTURES UNIT NEW OLD EQUIVALENT 3 I 3 3 6 2 3 6 12 1 3 2 2 3 2 '2 1 5 6 3 DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o o o o o o o o o TOTAL DRAINAGE FIXTURE UNITS = I 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set 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 1990 1991 RATE PER $1,000 ASSESSED VALUE $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 RATE PER $1,000 ASSESSED VALUE $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 $0.00 $0.00 $0.00 x x CREDIT TOTAL $0.00 $0.00 $0.00