HomeMy WebLinkAboutPermit Building 2007-10-19
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01094
ISSUED: 10/19/2007
APPLIED: 07/24/2007
EXPIRES: 04/19/2008
VALUE: $ 100,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4181 E ST
ASSESSOR'S PARCEL NO.: 1702322300300
Springfield
TYPE OF WORK: Interior
PROJECT DESCRIPTION: The Arc of Lane County renovation
TYPE OF USE: Alteration
Commercial
Owner: LINCOLN CAPITOL II LLC
Address: 725 COUNTRY CLUB RD
EUGENE OR 97401
I CONTRACTOR INFORMATION.
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Contractor
AFFOLTER WEST & JONES
ESSEX GENERAL CONSTRUCTION.
REYNOLDS ELECTRIC
MARTIN CASTLEMAN LLC
BARON PLUMBING INC
License
54531
17252
169547
147744
I BUILDING INFORMATION I
# of Units: '(VV8G-G88-00~1-# ~~f~~Gf.eqwnu
Primary Occupancy Group!JO!l'80lmCM'Jfl!l!~~ ~o mbqf~tBHi~'Ilt)l:
Secondary Occupancy Grou~04dalal alH. 1 N) Nd'tlf~A "0600
Primary Construction Ty~q salnJ al.\l':W S~!d~O ~! !li~ga HVO UI
Secondary Construction TybQP-GS6 HVO ~JnaS~4L~ lleollllON
# of Bedrooms: 4)~OJ laS aJ68 ~Oal a\11 Aq PP~'I ~lV.. MOIIOJ
I,+I\lln uo a '1t _Qnr.iAkoI-m;hi~ltlill1tihitJ /
O&'OOA S9JlnbaJ Me, U~.ig'~"f~\f n a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
. # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-988-0200
Expiration Date
Phone
541-342-6511
541-342-4509
541-343-7297
541-736-3438
541-935-1081
11/10/2008
02/08/2009
04/07/2008
05/14/2009
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:
NOTICE:
THIS PERMlrSHAll EXPIRE IF TH~outs/Drains:
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01094
ISSUED: 10/1912007
APPLIED: 07/24/2007
EXPIRES: 04/19/2008
VALUE: $ 100,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
100,000.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$100,000.00
$100,000.00
09/26/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $376.96 7/24/07 1200700000000000956
-Mech Iss 2+ Appliances- $40.00 10/19/07 1200700000000001324
+ 10% Administrative Fee $89.68 10/19/07 1200700000000001324
+ 5% Technology Fee $13.65 10/19/07 1200700000000001324
+ 5% Technology Fee $58.49 10/19/07 1200700000000001324
+ 8% State Surcharge $71. 75 10/19/07 1200700000000001324
Building Permit $622.84 10/19/07 1200700000000001324
Fixture $224.00 10/19/07 1200700000000001324
Minimum/Adjustment Mechanical $36.00 10/19/07 1200700000000001324
Plan Review Comm/Ind/Public $27.89 10/19/07 1200700000000001324
Plan Review Fire & Life Safety $249.14 10/19/07 1200700000000001324
Planning Final Occy Inspection $273.00 10/19/07 1200700000000001324
Sanitary Sewer - Improvement $652.93 10/19/07 1200700000000001324
Sanitary Sewer - Reimbursement $858.67 10/19/07 1200700000000001324
SDC Sanitary/Storm Admin $75.58 10/19/07 1200700000000001324
Vent Fan $14.00 10/19/07 1200700000000001324
Total Amount Paid $3,684.58
I Plan Reviews I
Fire Department Review
07/27/2007
08/24/2007
OK
GRG
See attached document for Fire
Department Plans Review
comments.
Initial Review
Plan Review Comments
07/25/2007
07/26/2007
08/13/2007
APP
10
LLH
JMP
WE. Received incomplete responses
from Kent Affolter. Still waiting for
items 3 and 4 (contractor and
valuation data).
JMP delivered Kent Affolter's
responses to Fire's comments to
GiJbert (in his absence).
Plan Review Comments
09/19/2007
10
JMP
Paee 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status Issued PERMIT NO: COM2007-01094
225 Fifth Street, Springfield, OR ISSUED: 10/1912007
541-726-3753 Phone APPLIED: 07/24/2007
541-726-3676 Fax EXPIRES: 04/19/2008
541-726-3769 Inspection Line VALUE: $ 100,000.00
Plannine Review 08/27/2007 08/27/2007 APP EMM Owner or representative needs to
sign MDS LUCS sheet before
building permit is issued. 11
additional street trees, 8 catch basin
filters, 6 bicycle parking spaces, 90
parking spaces with 4 disabled and
screened trash receptacle need to be
installed before occupancy.
Plannine Review 07/27/2007 WE Left Message for Angela Phinney of
ARC of Lane county to discuss
LUCS requirements and request
letter for parking uses and times.
Talked to Angela on 8/2/07. Will
send letter regarding parking.
Public Works Review 08/03/2007 08/06/2007 APP JHJ Attached SDC Worksheet. (JHJ)
Revised Plan Review - Fir 10/16/2007 10/16/2007 OK GRG See attached document for Fire
Department Plans Review comments
for revised submittal and architect's
responses.
Structural Review 10/18/2007 10/18/2007 APP DJP Appv'd 101607
Structural Review 07/26/2007 07/31/2007 WE JMP See attached documents for 6
structural comments faxed to Kent
Affolter.
SUB Review 07/27/2007 08/13/2007 WE DH See JMP's attached documents for
item 2 requesting the energy code
forms and information.
SUB Review 10/12/2007 10/12/2007 APP DH See attached documents for SUB
plan review approval.
SUB Review 08/13/2007 JMP faxed energy code forms from
Kent Affolter to David Harris. DH
received forms 8/17/07dlm
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.
~eollireCUnsnections .
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Firewall: Located and constructed according to plans.
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 Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01094
ISSUED: 10/19/2007
APPLIED: 07/24/2007
EXPIRES: 04/1912008
VALUE: $ 100,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Final Electric: When all electrical 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 aU
times during construction.
CAlijmalP~ R f IO/N/6l-
Owner or Contractors Signature Date
Paee 4 of 4
, '
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-01094
NAME OR COMPANY: Lincoln Capital LLC
LOCATION: 4181 E. St.
MAP & TAX LOT NUMBER: 17 02 32 22 00800
DEVELOPMENT TYPE: ARC of Lane County - Change in use from a credit union to a bingo hall
NEW DEVELOPED AREA (S.F.): lTE:
EXISTING DEVELOPED AREA (S.F.): 1TE:
TOTAL IMPERVIOUS SURFACE (S.F.): LOT SIZE (S.F.):
1. STORM DRAJ1\IAGE No New Impervious Area
IMPERVIOUS SQ. FT. x $ 0.346 PER SF
TOTAL STORM DRAINAGE SDC:I
$ 90.10 PER TRlP x 0 NfF $0.00 ,
$ 110.53 TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:1 $
No New Building Square Footage
2. SANITARY SEWER-CITY (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
$
32
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 TRlP 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
32
x
x
$ 20.43 PER TRIP
x
o
NfF
o
$ 90.10 PER TRlP
x
o
NfF
x
x
$ 20.43 PER TRlP
x
o
NTF
o
x
4. SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
#N/A
0.00
PER FEU
x
#N/A
0.00
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)
x
#N/ A PER FEU
x
#N/A PER FEU
1,511.60 I
$0.00 ,
$0.00 I
$0.00 ,
$0.00 ,
$0.00 ,
$0.00 I
$0.00 ,
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I $
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I
I
$1,511.60 I
$858.67
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
$
1,511.60 x 5% I $75.58
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
Jesse Jones
Civil Engineer, EIT
TOTAL SDC CHARGES
$1,587.18
8/612007
DATE
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)
ARC of Lane County - Change in use from a credit union to a bingo hall
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SANDI AUTO W ASH/ETC.
LAUNDRY TUB
CLOTHES W ASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERA TOR/W A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC.
SHOWER., SINGLE STALL
SHOWER., GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LA V A TORY /RESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S*
FIXTURES
NEW OLD
UNIT
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
3
o
o
o
o
o
o
3
o
8
o
o
18
o
o
TOTAL DRAINAGE FIXTURE UNITS = I 32
6 2
1 1
5 2
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single faIniIy 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 ONL YIF~LICABLE
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
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0 1 094
COM2007 -01094
COM2007-01094
COM2007 -01094
COM2007-01094
COM2007-0 1 094
COM2007-01094
COM2007-01094
COM2007-01094
COM2007-01094
COM2007-01094
COM2007-01094
COM2007-01094
COM2007-0 1 094
COM2007-01094
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
1200700000000001324
Date: 10/19/2007
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Planning Final Occy Inspection
+ 5% Technology Fee
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Building Permit
Fixture
Vent Fan
Minimum/Adjustment Mechanical
~Mech Iss 2+ Appliances~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
THE ARC OF LANE COUNTY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
16574
DJB
In Person
Payment Total:
Page 1 of 1
2:07:33PM
Amount Due
858,67
652,93
75.58
273,00
13.65
27,89
249.14
622.84
224.00
14.00
36.00
40.00
58.49
71.75
89,68
$3,307.62
Amount Paid
$3,307.62
$3,307.62
10/19/2007