HomeMy WebLinkAboutPermit Building 2007-10-1
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01321
ISSUED: 10/0112007
APPLIED: 08/31/2007
EXPIRES: 04/01/2008
VALUE: $ 30,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4660 Main ST Suite 500
ASSESSOR'S PARCEL NO.: 1702324200200
Springfield
TYPE OF WORK: Tenant Infill
TYPE OF USE: Repair
PROJECT DESCRIPTION: Tenant lufill - Polaris - Second floor of suite 500 - applicant proposes 500-2
Industrial
Owner: HYLAND BUSINESS PARK LLC
Address: PO BOX 7867
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
General JOHN HYLAND CONSTRUCTION 541-726-8081
Electrical BURRELL BROS ENTERPRISES INC 136446 08/20/2009 541-747-2724
Mechanical COMFORT FLOW 460 06/27/2009 541-726-0100
Plumbing DAVID SCOTT PERRY 144871 06/27/2008 541-896-0145
BUILDING ll'lllURMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
n/a
REQUIRED PARKING
Frontyard Setback: Overlay Dist: '(f7178Z-Z88-008- ~ S! JalU8~otal:
Side 1 Setback: # Street Trel!8CR~J.!lON ^l!Inn uo6eJO 84l JOIHaQWatpped:
Side 2 Setback: Paved Drive ~4d818l 84l :8l0N) 'J8lU80 84m~t:
Rearyard Setback: % of Lot C~ti~~ 84l fO S8!doo U!"Slqo ksw nOA '0600
Solar Setbacks' -~00-G96 H'v'O 4flnoJ4l 0 ~OO-~00-G96 H'v'O UI
!lirJ nr.lJ:. UIJOl18S 8J"S samJ asou I 'JSlUS" LJn~"l1nt,;
THIS PERMIT SHAll EXPIRE IF TI.E.lJBLIC IMPRO~ME8T~t'O 84l};q paldope saln.l MOIIOj
AIJT~n r 1"JPI1I':aftl~ 11 ni t iiflbaJ Mel uo6eJO :NOIlN3JJ.V
Street r(!(l>rb'Vi~WiD. UNDER THIS PERMIT IS NOT Sidewalk Type:
Stor~ ~~~~~~fi~Qe~R IS ABANDONED FOR Downspouts/Drains:
speclafl'nstru~HoQ~Y rERIOD.
I DEVELOPMENT INFORMA nON I
Notes:
Pa2e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
Plan Review Comm/lnd/Public
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Boiler/Comm 15-30 HP
Building Permit
Fixture
Gas Outlets 1-4
Minimum/Adjustment Plumbing
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Vent Fan
Total Amount Paid
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2007-01321
ISSUED: 10/01/2007
APPLIED: 08/31/2007
EXPIRES: 04/0112008
VALUE: $ 30,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
$181.70
$40.00
$55.55
$27.78
$44.44
$48.00
$92.00
$74.00
$279.54
$48.00-
$5.00
$2.00
$111.82
$81.62
$107.33
$10.00
$814.95
$78.46
$13.00
$152.39
$1,806.02
, $409.44
$7.00
8/31/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
1200700000000001134
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
-2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
2200700000000001529
$4,490.04
I Plan Reviews . I
Fire Department Review 09/04/2007 09/27/2007 OK MF Fire Department Plan Review
attached
Initial Review 08/31/2007 08/31/2007 APP LLH
Plannin2 Review 09/04/2007 09/10/2007 APP EMM Use must be an approved use listed
in SDC 20.020.
Public Works Review 09/04/2007 09120/2007 APP JHJ Attached SDC Worksheet. (JHJ)
Pa2e 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01321
ISSUED: 10/0112007
APPLIED: 08/31/2007
EXPIRES: 04/01/2008
VALUE: $ 30,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
08/31/2007
09/18/2007
WE
JMP
Received 9/4/2007 with 3
applications and a heavy backlog.
See attached documents for 7
structural comments faxed to Shaun
Hyland.
Received final internal approval.
Structural Review
SUB Review
09/27/2007
09/04/2007
09/27/2007
09/25/2007
APP
APP
JMP
DH
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.
~eouiredJnsDections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Grid: After drywall approval but prior to cover.
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.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
Pa2e 3 of 4
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01321
ISSUED: 10/0112007
APPLIED: 08/31/2007
EXPIRES: 04/0112008
VALUE: $ 30,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. 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
times during construction.
r-.--....._~ tiP-
/~~ -~
Own~r or Contractors Si(ria"t~re
\O/6)l/o 7
Date
Pa2e 4 of 4
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-01321
NAME OR COMPANY: Hyland Business Park LLC
LOCATION: 4660 Main Suite 500
MAP & TAX LOT NUMBER: 17 02 32 42 00200
DEVELOPMENT TYPE: Hyland Business Park (Polaris InfiIl)
NEW DEVELOPED AREA (S.F.): 2,880.00 MWMC
EXISTING DEVELOPED AREA (S.F.): MWMC
TOTAL IMPERVIOUS SURFACE (S.F.):
J. STORM DRAINAGE
IMPERVIOUS SQ. FT.
BOlTE:
ITE:
LOT SIZE (S.F.):
130
x
Previously Paid
$ 0.346 PER SF
TOTAL STORM DRAINAGE SDC:l
2. SANITARY SEWER-CITY (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFU's 4
B. IMPROVEMENT COST:
NUMBER OF DFU's 4
x $ 26.833 PER DFU
x $ 20.404 PER DFU
$ 47.24
TOTAL LOCAL WASTEWATER SDC:' $
188.95 I
~. TRANSPORTATION
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW:
A. REIMBURSEMENT COST:
2.88 x 6.96
B. IMPROVEMENT COST:
2.88 x 6.96
EXISTING:
A. REIMBURSEMENT COST:
0.00 x 0
B. IMPROVEMENT COST:
0.00 x
x
$ 20.43 PER TRIP
x
NTF
$409.44 1
$1,806.021
x
$ 90.10 PER TRIP
x
NTF
x
NTF ,
PER TRIP x 0 NTF , $0.00 1
TOTAL TRANSPORTATION REIMBURSEMENT SDC:I
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:l $ 2,215.47 ,
o
$0.001
$ 20.43 PER TRIP
x
o
$ 90.10
x
$ 110.53
4. SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 2.88 x $27.24 PER FEU $78.46 1
B. IMPROVEMENT COST:
NUMBER OF FEU's 2.88 x $282.97 PER FEU $814.95 I
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.001
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.001
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC: $ 903.41
SUBTOTAL (ADD ITEMS 1,2,3, & 4) $3,307.83 I
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
$
3,307.83 x 5% , $165.39
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
Jesse Jones
Civil Engineer, EIT
9/20/2007
DATE
TOTAL SDC CHARGES
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)
Hyland Business Park (Polaris Infill)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIlJSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO W ASHlETC.
LAUNDRY TUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TORfW A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHWASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLE LAVATORY
SINK: SINGLE LA VA TORY /RESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES UNIT
NEW OLD EQUlV ALENT
3
1
3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
NUMBER OF EDD'S*
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
I
o
o
3
o
TOTAL DRAINAGE FIXTURE UNITS =, 4
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 Rallons per day
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION 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
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
$0.00
$0.00
$0.00
RATE PER $1,000
ASSESSED VALUE
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
CREDIT TOTAL
$0.00
$0.00
$0.00
ZON LYY' I
INITIALS 10 Y'^
DATE IO-O'"2--CJ1
225 FIFTH E,'fREET . SPRINGFIELD, OR 97477 · PH;(541)726.J753 · FAX: (541)726-3689 SOURCE :cD 'P-<; ry? ~
ELEcIKlCAL PERMIt~PlJCATION J
City Job Number (\ n. ~a L. \ Date \ ~ ~~~ 'W \E, \'
h.~,~f$l'(~=~t:":. i 3. ~~~Cit~l![; \ 1\ W~~'~'(!~1i;{:,.J
LSD OS:')TION' /n r,' / / '1Y ~;" st ~!:~!c1.d,,/~~t .~,~:~:~~=~~~~~~!~ INC. \
JOB DESC&LON: 1 'D1.~'3'2A L..ooz.c;f:.J 1000 sq. ft. or less .... I' ~$'ll/.UO -
\1\11'\.1\. ~ 1.J -n n. , ~ ...l c... Eac~ adclitionalSOO sq. ft. or
\)ll \lI U... 1 ~\U.X \ ...,). portIon thereof $ 21.00
Permits are non-tran),..lable and expire if work is Each Manufact'd Home or
not started withlll 180'lays ofissulUlce or If work is Modular Dwelling Service or
Suspended for 180 days. Feeder
2. j~~~~~~~!~~~f~i.11~ B.
J. '__J_ .1. -1. . .j.1. 1/'1...1. oj "'1.l. I ':""U vlJ,.)..)
,.....1....&...1 IdJ' ..:U J.\J...j'l\..lJ'J...C..Lu
~ V~JU
,(,.,,,~ "1.:~'1':',C It~tlJir;SPR Its:'C EJE't;l)' :~0R rtEi0'N...., ~!'':'" .;':
~.~.:,~~:!}~~i.f:~i .,-: t. .~:.~: :'-:;:." :/, '::~. ~ (. L '.il:' ':. '.~ ':..::~ r:; I . ~{ ,... "{t~.;:.~;~.): i'.~l: .:.;..~.~.~: '~.:I.,". ,)~~: ~ \, ~;=:.~/ ..
Electrical Contracl!URREll SACS. ElECTAJ'
P.O. Sox 697
Address Waltervllfe. OR 91489
541-747-2124
City Phone
Supervisor License Number 0 J J...S
Expiration Date /0 - Q 7
Constr. Contr. Numbcr /3 ~ '-I ~ f.,
Expiration Date /0- .- 0 7
SigMi) WK;mh~\
~
ersName ~\-\ I~
Address VO~ ~Lo 1
City ~-eruLPhono''l.L,. <=tlBI
'\
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request~ 726-3769 .
-
,
6rpcf\
$55.00
";.':*~~~~~{~1~*i~~B~~;~~:~~~~~l.i~_iW,,':,
200 Amps or less $ 70.00
201 Amps to 400 AWM:~-~€e-OOP-l 91 Jetl$9l).oo
401 AmpOO1~~t'$^1!I!ln uo6aJO eLU ~~~nu
601 Am. p's tijJ~9tiYp~4l :aloN) 'JaluaO~~I~\f8:J
Over I 0&s1~& sH'M!JO sa!doo u!alqo I..B '0000-
ReconneCltQQiJ 96 t1VO 46noJ\.U 0 ~OO ~O C ~I
~IlO' ~s am salnl a"oiU ,a,uo:) ~ !J!I'lH-
. "...'" ".-,'. ,,' 1&' t-" A. t............n\\nI--.... ... ...... .....
c. :,;' :,'" 'i,;, ~,! f . "oi4ii~~,;Hr~;;ti:!H
InstallatioD, Alteration or Relocation
200 Amps or less .
201 Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Am s or 1000 Volts see "B" above.
$ 55.00
$ 76.00
$110.00
Pump ~r irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited Energy/Residential $ 28.00
Limited Energy/Commercial $ 50,00
~~li~~:~E'ectrlc Permit Inspection Fee is $50.00 + ~urcharr4 () .,.-
8% State Surcharge . l \ ./W
10% Administrl\tive Fee l2*.
5% Technology Fee I .'
TOTAL . ~.
Shared Drive(T:)fBuilding FonnsIElectrical Permit Application 7..j17.doc
225 Fifth Street
Spring~eld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-0 1321
COM2007-0 1321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
COM2007-01321
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001529
Date: 10/01/2007
Description
Boiler/Comm 15-30 HP
Vent Fan
Gas Outlets 1-4
-Mech Iss 2+ Appliances~
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Fire & Life Safety
Building Permit
Fixture
Minimum/Adjustment Plumbing
Paid By
HYLAND CONST
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
1001515
In Person
Payment Total:
nJm
Page 1 of 1
11:50:16AM
Amount Due
74.00
7.00
5.00
40.00
48.00
92.00
27.78
44.44
55.55
107.33
81.62
409.44
1,806.02
78.46
814.95
10.00
13.00
152.39
111.82
279.54
48.00
2.00
$4,308.34
Amount Paid
$4,308.34
$4,308.34
10/1/2007