HomeMy WebLinkAboutPermit Building 2007-9-25
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01419
ISSUED: 09/25/2007
APPLIED: 09/18/2007
EXPIRES: 03/25/2008
VALUE: $ 50,000.00
225 Fifth Street, Springfield, o.R
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 250 INTERNA TIo.NAL WAY SPRINGFIE TYPE o.F Wo.RK: Site Work o.nly
ASSESSo.R'S PARCEL No..: LIBERTY PRo.F SUB - S
TYPE o.F USE: Addition
PRo.JECT DESCRIPTIo.N: Structural Fill for Slab of Future Building - Lot 3 Liberty Professional Center
Commercial
o.wner: CORPo.RATE WAY PRo.PERTIES
Address: Po. Bo.X 1318
EUGENE o.R 97440
Phone Number: 541-335-4002
I Co.NTRACTo.R INFo.RMA TIo.N I
Contractor Type
Architect
General
Contractor License
Ro.BERTSo.N/SHERWo.o.D/ ARCHITECTS
1996 LLC 114258
BUILDING INFo.RMA TIo.N I
Expiration Date Phone
541-342-8077
05/3012011 541-687-9445
# of Units:
Primary o.ccupancy Group:
Secondary o.ccupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft o.ther:
o.ccupant Load:
n/a
. I DEVELo.PMENT INFo.RMA TIo.N I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
o.verlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPRo.VEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
NOTICE: WORK
1~~H~~~~6 ~~~~~ ~~~~~:;IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
AI I t:NTlON: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-oG10through OAR 952.0()1.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
Pal:!e 1 of3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01419
ISSUED: 09/25/2007
APPLIED: 09/18/2007
EXPIRES: 03/25/2008
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description Tvpe of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
50,000.00
Value
Date Calculated
Total Value of Project
$50,000.00
$50,000.00
09/1812007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $240.92 9/17/07 3200700000000000630
+ 10% Administrative Fee $40.83 9/25/07 1200700000000001230
+ 5% Technology Fee $20.42 9/25/07 1200700000000001230
Addressing Assignment $35.00 9/25/07 1200700000000001230
Plan Review CommlInd/Public $24.50 9/25/07 1200700000000001230
Site Work $408.34 9/25/07 1200700000000001230
Total Amount Paid $770.01
I Plan Reviews I
Initial Review 09/18/2007 09/18/2007 APP LLH
Planninl! Review 09/19/2007 09/19/2007 APP EMM Pre-approval fill and grading
approved by Andy Limbird and
Pre-approval LDAP process
including bonding and hold
harmless clause. Work is done at
applicant's risk prior to approval of
Site Plan.
Public Works Review 09/19/2007 09/21/2007 APP JHJ SDC Worksheet. No New SDC's.
( JHJ)
Structural Review 09/18/2007 09/24/2007 APP JMP
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. '
UeouiredJnsnections .
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Rough Grading: After gravel is in place but prior to placing concrete.
Pal!e 2 of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01419
ISSUED: 09/25/2007
APPLIED: 09/18/2007
EXPIRES: 03/25/2008
VALUE: $ 50,000.00
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 t~e 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
ijjj=? ~
Z;;;;;;;:;l5W'j/ {
Pal!e 3 of 3
~ c96 ~'t--
.
Date
225 Fifth. Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01419
COM2007-01419
COM2007-01419
COM2007-01419
COM2007-01419
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
1200700000000001230
Date: 09/25/2007
Description
Plan Review Comm/Ind/Public
Addressing Assignment
Site Work
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
WILLIAM BUNTING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 113203 In Person
Payment Total:
Page I of 1
9:32:34AM
Amount Due
24.50
35.00
408.34
20.42
40.83
$529.09
Amount Paid
$529.09
$529.09
9/25/2007
---
-'lIo.
City of Springfield
Community Services Division
225 Fifth Street
Springfield, OR 97477
Telephone: (541) 726-3759
Fax: (541) 726-3689
c..o\.lt Zoo\ - E> l4- ~~
Building Permit #
L.\~1Z-l'l p~
~-"l-~-Ol
Date
c.~\ e... s-re~c.l~ lZ.-~ €"\.U-.
Project Title
(NTS.1l-~~llo~ ~L W~""(
Project Address
'Z.So
Special Inspection and Testing
To applicants of projects requiring special inspection or testing as per Section 1704 of the Oregon Structural Specialty Code. Please review the information below. When you have
fInished, acknowledge an understanding of the information by signing below, and return this form to the City.
BEFORE A PERMIT CAN BE ISSUED: The owner or owner's representative, on the advice of the responsible Project Engineer or Architect, shall complete, sign, and submit to the
City for review and approval this form completed on both the front and back.
1. Contractor is responsible for proper notification for the Inspection or Testing of items listed.
The owner and General Contractor, where applicable, shall also acknowledge the following conditions applicable to Special Inspection and/or Testing.
2. Testing laboratory shall take appropriate samples and transport them to their laboratory for proper evaluation or testing.
. Copies of all laboratory reports and inspections are to be sent to the City by the Testing Agency.
3. Special Inspection Agency is to submit names and qualifications of on-site Special Inspectors to the City for approval.
4. Special Inspector shall provide inspection reports to the building official of all inspection activities.
5. Contractor is responsible to review the City app.v v'ed plans for additional inspection or testing requirements that may be noted.
BEFORE A CERu.r lCATE OF OCCUPANCY WILL BE ISSUED: The Special Inspection Agency shall submit to the Building Official a statement that all items requiring
inspection have been fulfilled and reported and were to the best of the inspector's knowledge, in conformance with the approved plans, specifications and applicable workmanship
provisions. Those items not tested and/or inspected shall be noted in the statement The report is to be submitted to the City prior to a request for fInal inspections.
ACKNOWLEDGEMENTS _. /1 4 _ "'!:t c.. he;........., L ,e,r$ Lvi.. ~ +r ClC.:t-, ./.'"1
WiLl ~ -r: ~ tuiIlt/ltm -I./~ DI+uID B~d / P"Tt,
~~~ _ ~. ~ r n.,. ~~:b Gen. Contractor Firm Na'me (Printed)
~~~ $\\~d:> AVCMl"(l, .. ~ __ -<f'S:+. ,
En~ineer or Architect Firm (Printed) _ 3vlONtal ~lion Agency~e (printed) (
-:PSI '\-~ '-n A L \.oJ ,. .
Testing Laboratory Name (Printed) Building Official Name (Printed)
If) l)j? II
/lk~ /4~1vL
-----
'.'
SPECIAL INSPECTION AND TESTING SCHEDULE
I Reinforced Concrete, Gunite. Grout and Mortar:
I Concrete Gunite Grout Mortar
I
I
I
I
~,gregate Test of Mix Design
Reinforcing Test
Mix Design- Weitdwaster Cert. ·
I Reinforc~ Placement
I Continuous Batch Plant Inspect.
j Inspect Placing
I Cast Samples
I Samples (Pickup/Delivered)
I Compression Test.
GRADING, EXCAVATION, AND FILL
Acceptance tests · PSF
Establish final grade
X Fill placement inspection/continuous
Soil Density
Agg;regate Tests
Reinforcing Tests
Tendon Test
Mix Desil1;l1S.
Reinforc~ Placement
Insert Placement
Concrete Batching
Concrete Placement
I Installation Inspection
j Cast Samples
I Pick-up Samples
I Compression Tests
I
STRUCTURAL STEELIWELDING:
Sample and test (list specific members below)
Shop material identification (mill cert)
Weld inspection Shop Field
Ultrasonic inspection Shop Field
High Strength Bolting Shop Field
A325 N X F
A490 _N X F
Metal deck welding inspection
Reinforcing Steel welding inspection
Reinforcing steel mill certificate
Metal stud welding inspection
Concrete insert welding inspection
Moment resisting steel frames
I
I
I I
I Precast!Pre-stressed Concrete:
I Piles Post-Tens Pre-Tens
I
I
I
I
I
I
I
Cladding
SMOKE COL. 1 AOL:
Leakage testing
Control Verification
FIREPROOFING:
STRUCTURAL WOOD:
Shear wall nailing inspection
Shear wall anchors
Inspection of Glu-Iam fab. · TIC psi
Inspection of truss joist fab.
Sample and test components ,
Fabrication welding of steel accessories
ROOFING:
Insulation installationJR- Value'"
Test stripslseams
Placement inspection
Density tests
Thickness tests
Inspect batching
MASONRY
Special inspection stresses used. rm f'g
Preliminary acceptance tests (masonry units, wall prisms)
Subsequent tests (mortar, grout, field wall prisms)
Placement inspection of units, and reinforcement
Masonry, mortar, grout, and reinforcing steel certificates
ADDITIONAL INSRUCTIONS, OTHER TEST, & INSPECTIONS:
Form Completed by:
Date
*PROVIDE STRENGTH REQUIRED BY ARCIllTECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALUES
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER COM2007-014I9
NAME OR COMPANY: Liberty Professional Center (Slab)
LOCATION: 250 International Way *No New SDC's*
MAP & TAX LOT NUMBER: 17 03 15 40 00300 SDC's will be chareed with future buildin2 permit application
DEVELOPMENT TYPE: Structural Fill for Slab of Future Building
NEW DEVELOPED AREA (S.F,): MWMC
EXISTING DEVELOPED AREA (S.F.): MWMC
TOTAL IMPERVIOUS SURFACE (S.F,):
I. STORM DRAINAGE
IMPERVIOUS SQ, FT.
. .
ITE:
ITE:
LOT SIZE (S,F,):
x
No New Impervious Area
$ 0.346 PER SF
TOTAL STORM DRAINAGE SDC:I
2. SANITARY SEWER-CITY (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B, IMPROVEMENT COST:
NUMBER OF DFU's
No New Fixtures
$
o
26,833 PER DFU
x
$ 20.404 PER DFU
$ 47.24
TOTAL LOCAL WASTEWATER SDC:I $
3. TRANSPORTATION No New Building Square Footage
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRW 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
o
x
o
NTF
$0.00 I
$0,00 I
x
$ 20,43 PER TRIP
x
o
$ 90,]0 PER TRIP
x
o
NTF
x
$0,00 I
x
$ 20.43 PER TRIP
x
o
NTF
o
$ 90.10 PER TRIP x 0 NTF $0,00 I
$ 110.53 TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:I $
x
4. SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0,00 I
B, IMPROVEMENT COST:
NUMBER OF FEU's 0,00 x #N/A PER FEU $0,00 I
EXISTING:
A, REIMBURSEMENT COST:
NUMBER OF FEU's 0,00 x #N/A PER FEU $0,00 I
B, IMPROVEMENT COST:
NUMBER OF FEU's 0,00 x #N/A PER FEU $0,00 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTALMWMCSDC:I $
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I
I
$0.00 I
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
$
x 5% I $0,00
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
TOTAL SDC CHARGES
Jesse Jones
Civil Engineer, EIT
9/21/2007
DATE
$0,00 ,
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
Structural Fill for Slab of Future Building
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OllJSOLIDS/ETC,
INTERCEPTORS FOR SAND/AUTO W ASHlETC,
LAUNDRY TUB
CLOTHES W ASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINKJ DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLE LAVATORY
SINK: SINGLELAVATORYIRESIDENTIALBAR
URINAL, ST ALUW ALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S*
FIXTURES UNIT
NEW OLD EQUIVALENT
3
1
3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
DRAINAGE
FIXTURE
UNlTS
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 ANNEXA TlON 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
x
x
CREDIT TOTAL
$1.45
$1.25
$1.09
$0.92.
$0,72
$0.48
$0,28
$0.09
$0.05
$0,00
$0.00
$0,00
...
$0,00
$0.00
$0,00