HomeMy WebLinkAboutPermit Building 2007-10-4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01231
ISSUED: 10/04/2007
APPLIED: 08/21/2007
EXPIRES: 04/04/2008
VALUE: $ 55,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 919 Kruse Way
ASSESSOR'S PARCEL NO.: 1703222007000
Springfield
TYPE OF WORK: Swimming Pool
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Swimming pool and spa
Owner: SYCAN B CORP
Address: 840 BEL TUNE RD STE 202
SPRINGFIELD OR 97477
Phone Number: 541-746-8444
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Contractor
FIELDS CONSTRUCTION COMPANY
FUTURE TECH INC
License
114952
120245
Expiration Date
07/1012009
02/1112008
Phone
541-826- 7728
541-826-7538
BUILDING INFORMATION I.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A-2
R-l
IA
lIB
# 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:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback: Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbac~sl:TENTION:?!~?_O~n ~~~hr:~~~~~X~i~:V
~~~~~~t~~~c~~~;r:-Those rule~ffi. < . .PROVEMENTS I
. ("'I \ t:.l or.::;2-001-001 0 through O.iIIIiI b
Street Impr'OVetirents: obtain copies of the rules y
0090. You may N' the telephone
Storm Sewer -i~l,l.n~gl:!he center. ( ote'Tt Notification
Special Instruf\Y.I'nter for the Oregon Ut2112Y344)<
I Center is 1'-800-33 - ·
Notes'. ~~!,...."t'P(-'J1e
: l,,' I Bt..,~:
i'l~!S PERMIT SHALL EXPIRE IF THE WORK
.'\UTHORIZED UNDER THIS PERMIT IS NOT
CC:l\HV1ENCED OR IS ABANDONED FOR
/',[N 180 DAY PERIOD.
Sidewalk Type:
DownspoutslDrains:
Pa\?:e 1 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01231
ISSUED: 10/04/2007
APPLIED: 08/21/2007
EXPIRES: 04104/2008
VALUE: $ 55,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Estimate
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
55,000.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$55,000.00
$55,000.00
08/21/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $279.36 8/20/07 1200700000000001069
+ 10% Administrative Fee $42.98 10/4/07 3200700000000000665
+ 5% Technology Fee $21.49 10/4/07 3200700000000000665
+ 8% State Surcharge $34.38 10/4/07 3200700000000000665
Building Permit $429.79 10/4/07 3200700000000000665
Plan Review Fire & Life Safety $171.92 10/4/07 3200700000000000665
Total Amount Paid $979.92
I Plan Reviews ,
Fire Department Review 08/2812007
Initial Review 08/22/2007 08122/2007 APP LLH
Planninl! Review 08/28/2007 08128/2007 APP EMM
Plumbinl! Plan Review 10/02/2007 10/02/2007 10 LLH Permits for plumbing and
mechanical systems for pool were
obtained under original permit for
motel. See job number C6-1505 for
permits.
Public Works Review 0812812007 08/28/2007 APP JHJ Attached SDC Worksheet. No New
SDC's. (JHJ)
Structural Review 08/22/2007 09/07/2007 WE JMP Received 8/28/2007 with 4
applications and a heavy backlog.
See attached documents for 3
structural comments faxed to
Robert J. Seibert.
Structural Review 09/12/2007 10/02/2007 APP DJP Approved by John Pearson. All
items in his letter to Robert J Seiberl
dated September 7, 2007 have been
addressed and received.
SUB Review 08/2812007 09/12/2007 WE JF See JMP's attached documents for
Item 1 requesting the energy code
forms and information.
SUB Review 10/02/2007 10/0212007 APP JF Passes energy code review
Pal!e 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2007-01231
ISSUED: 10/04/2007
APPLIED: 08/21/2007
EXPIRES: 04/0412008
VALUE: $ 55,000.00
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.
I Reouired Insoections I
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 Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Special Inspection - Soils/Compaction: To be done during construction by a State Certified Special Inspector with
approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Underslab Mechanical. Prior to insulation or decking and including required testing.
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
t;m~dU2J2~7
r
Owner or Contractors Signature
IO/~/6)7
/ / {
Date
Pa\?:e 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER COMl007-0123 1
NAME OR COMPANY: Holiday Inn Pool (Sycan B)
LOCATION: 919 Kruse Way
MAP & TAX LOT NUMBER: 17 03 22 20 07000
DEVELOPMENT TYPE: Holidav Inn Pool (Sycan B)
NEW DEVELOPED AREA (SF):
EXISTING DEVELOPED AREA (SF):
TOTAL IMPERVIOUS SURFACE (SF):
I. STORM DRAlNAGE;
IMPERVIOUS SQ. FT.
$ 20.404 PER DFU
$ 47.24
TOTAL LOCAL W ASTEW A TER SDC:' $
;l. 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:
0.00 x 0
B. IMPROVEMENT COST:
0.00 x
2. SANlT ARY 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
No New SDC's
SDC's Paid Previously
Reference COM2006-01505
ITE:
ITE:
LOT SIZE (SF):
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
NTF
x
x
$ 90.10 PER TRIP
x
o
NTF
x
$ 20.43 PER TRIP
$0.00 I
o
NTF
x
x
$ 90.10 PER TRIP x 0 NTF $0.00 I
$ 110.53 TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:1 $ I
No New Building Square Footage
0.00
#N/A
$0.00 I
$0.00 I
x
PER FEU
0.00
#N/A
PER FEU
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)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
Jesse Jones
Civil Engineer, EIT
$0.00 I
$0.00 I
x
#N/A PER FEU
x
#N/A PER FEU
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:! $
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I
I
$0.00 I
$
x % I moo
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
TOTAL SDC CHARGES
8/28/2007
DATE
$0.00
Holiday inn Pool (Sycan B)
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SANDI AUTO W ASHlETC.
LAUNDRY TUB
CLOTHES W ASHERlMOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER ST A TION/ETC.
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 LAVATORY/RESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDD'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
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 =, 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day
CREDIT CALCULA TION 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
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0l231
COM2007-0l23 I
COM2007-0l23 I
COM2007-01231
COM2007-0l23 I
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Plan Review Fire & Life Safety
Building Pennit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
FIELDS CONSTRUCTION
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200700000000000665
Date: 10/04/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
26586
In Person
Payment Total:
9
Page 1 of 1
9:02:10AM
Amount Due
171.92
429.79
21.49
34.38
42.98
$700.56
Amount Paid
$700.56
$700.56
10/4/2007