HomeMy WebLinkAboutPermit Building 2005-5-6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00415
ISSUED: 05/06/2005
APPLIED: 04/13/2005
EXPIRES: 11/06/2005
VALUE: $ 10,035.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 603 W CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703274305805
Springfield TYPE OF WORK: Modular Unit
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Replace Modular Unit
Owner: CENTENNIAL SHOPPING CNTR LLC
Address: 7831 SE STARK ST STE 103
PORTLAND OR 97215
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Contractor ,~ License
EUGENE SAND & GRA VEl.,:>'0 ~\ 44524
SCOFIELD ELECTRI~<--<V ~ ~ 38702
TWIN RIVERS PLPJWBI~.G )NB 17695
<v~\~"J\iBuilinNG INFORMATION .,.
::v'v '\~~,~~v , "
# of Units: ,S'0~ ~'<:- S;~ # of Stories:. ,-0 Lot Size:
Primary Occupancy Grol!pj,' ~\. '0~,''8 f> ~'\)' .Height De Structure ",0'> ~'$!S~t 1st Floor:
Secondary Occupancy:qrou,)f;' /\<v"J (J'<:- ~\:S Type of Heat: ' ,~0C:J ~..:s ~~ Rt 2nd Floor:
Primary ConstructioD'Typ,i? ~~'" (.\...<YN~<<:: Water Type: ,..~ ,..~o C:J0~ 'bRasement:
" 0':,,-, \.'-J ~'V ::-\ \V O~v ~0 ~coP V1
Secondary Constructi6..ly.pe~<<:: \:J~ Range Type: '1>-~ e. e, 'l> ~ Q) ;3-':.. t garage/Carport
# of Bedrooms: ~ \)~" ,CO\:J Energy Path: o~~ ~~ .....s.0 O~ 0~~6ber:
\3 'it Sprinkled BUiW~ft.~00'Q OC:J0 jj O'~ ~c~nt Load:
~ .. Q ..-"}~ .<'<" ,()/,C:J .. ~ _..~
I DEVELOPME~~JJJi)~~il)~~0:.:~,,~J~.
Are <..v I...Jv" ~1>-J ~ 'J~ ~Oj REQUIRED PARKING
~' * . 0(;. ~~ cf':\.., 0(;. f:b~C?;
Ove,lY-'f~~O\<i::>1: ~1>-" 0~0 0\0CS ~<;r
# Str~~r6h>l<<UI: e. c; 0 ,~
C\~~~"?-~ ~ .~ ,
Pave WIV~~qd\Q> ,0\ ~0\"
% of Lot~ve~tlb'0\ cl~'
~-S
Total:
Handicapped:
Compact:
Expiration Date
02/23/2009
12/21/2005
03/11/2007
Phone
541-683-6400
541-686-8612
541-688-1444
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee 1 of 4
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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
Modular
Estimate
Modular Unit
Fee Description
Plan Review CommlInd/Public
+ 10% Administrative Fee
+ 7% State Surcharge
,Perm Serv/Fdr 200 amps or less
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Minimum/Adjustment Plumbing
Modular Building
Not Covered Plumbing
Plan Review CommlInd/Public
Total Amount Paid
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
1,035.00
9,000.00
Total Value of Project
~
Amount Paid
Date Paid
$64.74
$6.30
$4.41
$63.00
$18.96
$13.27
$45.00
$31.00
$99.60
$14.00
$10.14
4/8/05
5/3/05
5/3/05
5/3/05
5/6/05
5/6/05
5/6/05
5/6/05
5/6/05
5/6/05
5/6/05
$370.42
I Plan Reviews I
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00415
, ISSUED: 05/06/2005
APPLIED: 04/13/2005
EXPIRES: 11/06/2005
VALUE: $ 10,035.00
Value
Date Calculated
$1,035.00
$9,000.00
$10,035.00
05/02/2005
04/26/2005
Receipt Number
2200500000000000407
1200500000000000561
1200500000000000561
1200500000000000561
2200500000000000541
2200500000000000541
2200500000000000541
2200500000000000541
2200500000000000541
2200500000000000541
2200500000000000541
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00415
ISSUED: 05/06/2005
APPLIED: 04/13/2005
EXPIRES: 11/06/2005
VALUE: $ 10,035.00
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 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.
LReouired Insoections I
Foundation: After forms are erected but prior to concrete placement.
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.
Electric Service: Approval required prior to utility company energizing service.
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. :
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O~tractorli: ,,"lg~
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-V}'//l.fPJ
,
Date
Pal!e 4 of 4
A IT ACHMENT A
CITY G",~~,~;UNGFIELD SYSTEMS DEVELOPMENT CHARGE
JOURNAL OR JOB NUMBER: COM2Ob5-00415
NAME OR COMPANY: JAVA GENERATIONS
LOCATION: 525 W. CENTENNIAL
MAP & TAX LOT NUMBER: 17 03 27 43 05805
DEVELOPMENT TYPE: Coffee Shop
NEW DEVELOPED AREA (S.F.): 128
EXISTING DEVELOPED AREA (S.F.): 128
TOTAL IMPERVIOUS SURFACE (S.F.):
:SHEET
934
934
ITE:
ITE:
LOT SIZE (S.F.):
L STORM DRAINAGE
IMPERVIOUS SQ, FT. 0
$ 0.310 PERSF
x
TOTAL STORM DRAINAGE SDC:'
~,SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
o
x
$ 24.04 PER DFU
x
$ 18,28 PERDFU
o
;1, TRANSPORTATION
TOTAL LOCAL SAN-SEWER SDC:' $
ORIGINAL CART WAS SIZED AT 128 S.F.
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST:
0.128 x 496.12 x $ 18.30 PER TRIP x 0.5 NTF 1$ 581.00 1
B. IMPROVEMENT COST:
0.128 x 496,12 x $ 80.72 PER TRIP x 0.5 NTF 1$ 2,563.08 I
EXISTING
A. REIMBURSEMENT COST:
-0.128 x 496,12 x $ 18.30 PER TRIP x 0.5 NTF 1$ (581,00) I
B. IMPROVEMENT COST:
-0.128 x 496.12 x $ 80.72 PER TRIP x 0.5 NTF 1$ (2,563,08) I
4, SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
TOTAL TRANSPORTATION REIMBURSEMENT SDC: $
TOTAL TRANSPORTATION IMPROVEMENT SDC: $
TRANSPORTATION SDC:! $ I $
ORIGINAL CART WAS SIZED AT 128 S.F.
1$
1$
109.66 I
956,30 I
0.128
x
$856,69 PER FEU
0,128
x
$7,471.08 PER FEU
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
1$
(109,66) I
-0.128
x
$856,69 PER FEU
$7,471.08 PER FEU I $
INDUSTRIAL STRENGTII INCREASE
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
x
(956.30) I
$
$
$
$
I $
I
-0.128
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC SDC:' $
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
1$
5, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
$
x 5% $
TOTAL TRANSPORTATION ADMINISTRATION FEE:
TOTAL SEWER ADMINISTRATION FEE:
steve II\. w. 'E-eCluctrl:j 'E-C1rll\.es.
iWe~JCCO~~5u004.x's
5/2/2005
DATE
TOTAL SDC CHARGES
I $
, NONE
#DIV/O!
#DIV/O!
1 JULY 2004
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAJNAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIffi NET ADDmONAL FIXTURES)
JA VA GENERA nONS
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO W ASHlETC.
LAUNDRY TUB
CLOTHES W ASHERlMOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER 1RAILER)
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 LA V A TORY
SINK: SINGLELAVATORYIRESIDENTIALBAR
URINAL, ST ALL/W ALL
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 EDU'S*
TOTAL DRAINAGE FIXTURE UNITS=
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at ] 67 gallons per day
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
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
1 SteveCOMBuildSDCJUL2004.xls
. 1 JULY 2004
, 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
r'ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
!""
RECEIPT #:
2200500000000000541
Date: 05/06/2005
10:1l:21AM
Job/Journal Number
COM2005-00415
COM2005-00415
COM2005-00415
COM2005-00415
COM2005-00415
COM2005-00415
COM2005-00415
Description
Not Covered Plumbing
Minimum! Adjustment Plumbing
Modular Building
Building Permit
Plan Review CommlInd/Public
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
Check JAVA GENERA nONS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
JMP 09656 In Person
Payment Total:
Amount Due
14.00
31.00
99.60
45.00
10.14
13.27
18.96
$231.97
Amount Paid
$231.97
$231.97
5/6/2005
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