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Home My WebLink AboutPermit 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