HomeMy WebLinkAboutPermit Building 2005-1-13 (3)
.
. CITY OF SPRIr'iul'H..LU
Building/Combination Permit
PERMIT NO: COM2004-01566
ISSUED: 01/13/2005
APPLIED: 12/21/2004
EXPIRES: 07/13/2005
VALUE: $ 9,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1836 S A ST
ASSESSOR'S PARCEL NO.: 1703363107300
Springfield TYPE OF WORK: Bathroom
TYPE OF USE:
PROJECT DESCRIPTION: ADA restrooms for new Adult Drinking Place
Alteration
Commercial
Owner: V AJGERT WAYNE M
Address: 4355 SPRING BLVD EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor r::::,<<:-*:. '\ License
BRAD POND ~~ ~\:) 40064
LYNNS ELECTRIC <.'\~ ~ ~ 0. 102316
~ -~ <.r::::,"
OWNER .0...'-<., ,~'", ,
'v (riniiLDiNG INFORMATION I
~ <0 ' ~~....-
# of Units: . ~ s-x::. ~\:)<<:. s"?" # of Stories: Lot Size:
Primary Occupancy Grou!,(~~~<<:-~ ~) "i' ~\:) Height of Structure 0 Sq Ft 1st Floor:
Secondary Occupancy Group.:~<<:' o.~<<:' ,r::::, ,,'-<.,'<'- Type of Heat: 0':> '/ .,~~t 2nd Floor:
~~- ~ '" rV,." S .~~
Primary Construction Type~ 0-\:3 0V1' ~ ' Water Type: e">" \:)"1> ~ t Basement:
Secondary Construction T~Pf:;; ~~ ~r::::, \:) Range Type: #' ~O~ ,,>e'~ll>~9arage/Carport
# of Bedrooms: ,,\:3 ~ '\ Energy Path: ~ \<0 0\<0 ?}e <t'S'~mther:
~ Sprinkled Bundin~~\~ 'S'e ~taO"?-<<:- eOCc~~Load:
. ("'0,: '^~ _ 'f\._ ~~ :!:" .:~O
I DEVELOPMENT JNF'oiW!A1',(jW,'e"> O'e ,e'~:~c;';
_~,~ r;,'7,- ~e" ~J c;t, 'e-:s'.~~~ ~~. REQUIRED PARKING
0- ~<O C;e<:' !;:)<:l .~ _'o~ i$l' r:r
OvF.tfayDi~t:~ s:J" 'f:>'~ ~ ~-::i ~').;
# Slreeff.~~e'i~<a:"1>~ 0 ^,e\' ,e~o ,,<:J~~
'v .,w ,~- ~' e" 0.... a.",
Paved !lriv~Rgp e c; ~e "v
% OfL~~~&\e?l!~~ \0\ 'l i{o
~<:l\:i #,'e\ e~
Ci ,<:0 C;
,
r~'_
'PUBLIC IMPROVEMENTS I
Contractor Type
General
Electrical
Mechanical
Expiration Date
02121/2005
10/14/2007
Phone
541-345-3451
541-726-7895
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer A vanable:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa!!e I of3
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommlIndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
. Minimum/Adjustment Mechanical
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
Total Amount Paid
Initial Review
Plannine Review
12/29/2004
12/29/2004
Public Works Review
12/29/2004
Public Works Review
01/11/2005
Revised Plan Review - Fir
Revised Plan Review - Pu
Revised Plan Review - Str
01/0612005
01/06/2005
01/06/2005
.
CITY OF ~"'Klr'n.d<IELD
Building/Combination Permit
PERMIT NO: COM2004-01566
ISSUED: 01/13/2005
APPLIED: 12/21/2004
EXPIRES: 07/13/2005
VALUE: $ 9,500.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
9,500.00
Value
Date Calculated
Total Value of Project
$9,500.00
$9,500.00
12/21/2004
L F PI". tlIi4.I
Amount Paid
Date Paid
Receipt Number
2200400000000001536
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
$69,81
$10.00
$32.04
$22.43
$107,40
$168.00
$33.00
$201.05
$264.48
$23.28
$12.00
12/21/04
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
$943,49
Plan Reviews I
12/29/2004
12/2912004
SKG
EMM
APP
APP
No planning review required,
Building says owner stated no
change in use just interior
remodeling,
Talked to Jack Dugger at new bar,
they were doing demolition work.
Called him back on his cell phone:
We need a Plan that shows all
fixtures In the building: new
bathrooms, new bar fixtures, new
kitchen fixtures before we can
complete review,
New plumbing plan received and
approved, SDC's for Sanitary
fixtures added.
WE
01/11/2005
APP
SB
01/06/2005
10
JMP
WI.
Paee 2 of3
.
.
CITY OF ~n<.1NGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01566
ISSUED: 01/13/2005
APPLIED: 12/21/2004
EXPIRES: 07/13/2005
VALUE: $ 9,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
12/27/2004
12/27/2004
10 JMP
Wayne Vajgert called to give
general contractor data and said
that his partner, Jack Dugger, at
501-0325 would be handling the
balauce of the application.
Jack Dugger will submit revised
plans as the submitted set is
inaccurate and incomplete.
Received final internal reviews.
Structural Review
12129/2004
12/30/2004
WE JMP
Structural Review
01112/2005
01112/2005
APP JMP
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Rl'nuired lnsnections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
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.
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 constructi
\-13.' oS
\---
Owner or Contractors Signature
Date
Pa2e 3 00
'i .'
... ATIACHMENT A ...
CITY ~GFIELD SYSTEMS DEVELOPMENT CHARGE __SHEET
JOURNAL OR JOB NUMBER: COM2004-01566
NAME OR COMPANY: SHAKERS 11
LOCATION: 1836S,ASt
MAP & TAX LOT NUMBER: 17 0336 31 07300
DEVELOPMENT TYPE: Adult Drinking Establishment
NEW DEVELOPED AREA (S.F.): 2838
EXISTING DEVELOPED AREA (ST): 2838
TOTAL IMPERVIOUS SURFACE (ST):
.~
~
ITE:
ITE:
LOT SIZE (S,F.):
936
936
.
~ ~
8':.t
e--
OO~
I STORMORo\lNAGE
IMPERVIOUS SQ, IT,
S 0.310 PER SF
o
x
TOTAL STORM DRAINAGE SDC:!
$0.00 1070
2_ SANITARY SEWFR-r.ITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
11
x
S 24,04 PER DFU
x
S 18.28 PER DFU
11
TOTAL LOCAL WASTEWATERSDC:I $
465.53 ~ $
;LIMNSP()RT~TION
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST:
2.838 x 113.4 x S 18.30 PER TRIP x 0.5 NTF 1$ 2.944.46 1
B. IMPROVEMENT COST:
2.838 x 113,4 x S 80,72 PER TRIP x 0.5 NTF 1$ 12.989.45 1
EXISTING
A. REIMBURSEMENT COST:
,2.838 x 113.4 x S 18.30 PER TRIP x 0.5 NTF 1$ (2.944.46) 1
B. IMPROVEMENT COST:
-2,838 x 113.4 x S 80.72 PER TRIP x 0.5 NTF 1$ (12.989.45) 1
TOTAL TRANSPORTATION REIMBURSEMENT SIX:I $
TOTAL TRANSPORTATION IMPROVEMENT SIX: $
TRANSPORTATION SDC:I $ ~ $
4 SANITARY SEWER _ MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 2.838 x S159.38 PER FEU
B. IMPROVEMENT COST:
NUMBER OF FEU's 2.838 x $1.681.17 PER FEU
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's -2,838 x S159.38 PER FEU
B.IMPROVEMENTCOST:
NUMBER OF FEU's ,2,838 x SI.681.17 PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
1 $ 452.31 1
1$ 4.771.161
1 $ (452,31)1
1$
(4.771.16)1
$
$
$
$
~ $
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTALMWMCSDC:I $
$264.48 1091
$201.05 1092
465.53
SUBTOTAL (ADD ITEMS 1.2.3. & 4)
I $
465.53 ~
5, ADMINISTRAT1VF FFFS'.
BASE CHARGE (SUBTOTAL ABOVE)
$
465.53 x 5% $ 23.28
TOTAL TRANSPORTATION ADMINISTRATION FEE:I $
TOTAL SEWER ADMINISTRATION FEE: $
steve\.'\.. W. 1;.etludrlj1;.ctrVl-tS
J,\;\\;O'ilW!M?J~RS II. 1836 S, A,xls
I $
111112005
DATE
TOTAL SDC CHARGES
1078
23.28 1079
.
:< ~
~~
~8
1093
1094
1054
1054
1055
1056
488.81
1 JULY 2004
::?
.,
".
.
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIX11JRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FlX11JRES)
SHAKERS II
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLlDS/ETC.
INTERCEPTORS FOR SAND/AUTO W ASIIIETC.
LAUNDRY TUB
CLOTHES WASHERlMOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERA TOR/W A TER ST A TIONIETC.
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 VATORYIRESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
o
2 2
o
o
I
I
o
I I
2 2
@
3 2
I I
3 2
NUMBER OF EDU'S.
UNIT
EOUIV ALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
TOTAL DRAINAGE FIXTURE UNITS~
*EDU (Equivalent Dwclling Unit) is a discharge CQuivalent to a single family dwellinJt (20 DFU) set at 167 gallons per day
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
I
3
o
o
o
o
o
I
o
6
o
II
o
o
II
CREDIT CALCULA TlON TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARA TEL Y
YEAR RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 or before $5.29 1992 $1.59
1980 $5.19 1993 $1.45
1981 $5.12 1994 $1.25
1982 $4.98 1995 $1.09
1983 $4.80 1996 $0.92
1984 $4.63 1997 $0.72
1985 $4.40 1998 $0.48
1986 $4.07 1999 $0.28
1987 $3.67 2000 $0.09
1988 $3,22 2001 $0.05
1989 $2.73 2002 $0.00
1990 $2.25 2003 $0.00
1991 $1.80 2004 $0.00
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE X $0.00
IMPROVEMENT (IF AFTER ANNEXATION DATE) X $0.00
CREDIT TOTAL $0.00
com20D4-D1566, SHAKERS II, 1836 S. A.xls
1 JULY 2004
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
~!
aY of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2004-0 1566
COM2004-0 1566
COM2004-0 1566
COM2004-0 1566
COM2004-0 1566
COM2004-01566
COM2004-01566
COM2004-01566
COM2004-01566
COM2004-01566
Payments:
Type of Payment
Check
1/13/2005
RECEIPT #:
2200500000000000050
Date: 01113/2005
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Fixture
Vent Fan
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
WAYNEM. VAJGERT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
lMP 1254 In Person
Payment Total:
Page 1 of I
10:16:20AM
Amount Due
264.48
201.05
23.28
168.00
12.00
33.00
10.00
107.40
22.43
32.04
$873.68
Amount Paid
$873.68
$873.68