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HomeMy WebLinkAboutPermit Mechanical 2005-8-29 ~..se91~GI. "_ ji "iii: " '~.:. ~' .... , " ..~,. ~ < ~ ~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00538 ISSUED: 08/2912005 APPLIED: 05/0612005 EXPIRES: 02/2812006 VALUE: $ 82,800.00 Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 765 A ST ASSESSOR'S PARCEL NO.: 1703354204600 Springfield TYPE OF Heating System TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Boiler replacement. Owner: WILLAMALANE PARK & RECREATION Address: 200 S MILL ST SPRINGFIELD OR 97477 Phone Number: 541-736-4044 I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical Contractor ROBERTSON/SHERWOOD/ARCHITECTS LEBANON SERVCO l\lI.crrENTION: Oregon l/Hlil~ulres you tdO/22/2006 J K GUCKENBERGE~bf;<fmy:a~ted b\4l1W!OreQon Utili\94/24/2006 r1roYf:oftW ~ORJ..hIOm'es are set forth .11 ~'. !! I, .J:.~ e~ " "" ! ell"" _ ~,\~ OAR 952-001- 009l1oY~'tb\litlU obtain copies of Ihe ruleEc\tISize: CH~~il(w center. (Note: the telephorsq Ft Ist Floor: nUlMlilrotHt!af: Oregon Utility NotificatSqlFt 2nd Floor: Water;w~/&f. is 1-800-332-2344). Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Patb: Sq Ft Other: Sprinkled n/a Occupant Load: License Expiration Date Phone 541-342-8077 541-451-5090 541-746-4656 # of Units: Primary Occupancy Group: Secondary Occupancy P"rimary Construction Type Secondary Construction # of Bedrooms: A3 B VB I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTSI Street Storm Sewer Available: Special Instruction: Sidewalk Type: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Downspouts/Drains 1 of 3 " Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Type of Construction Estimate Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Boiler/Comp Up To 100,000 btu Building Permit Minimum/Adjustment Mechanical Plan Review CommlIndlPublic Plan Review Fire & Life Safety Total Amount . . CITYOFSPRING1'u,LJJ Building/Combination Permit PERMIT NO: COM2005-00538 ISSUED: 08/29/2005 APPLIED: 05/06/2005 EXPIRES: 02/28/2006 VALUE: $ 82,800.00 I Valuation Descriotion I $PerSqFt or multiplier $1.00 Square Footage or Bid Amount 82,800.00 Total Value of Project Fees Paid I Amount Paid Date Paid $314.44 $4.60 $3.22 $43.00 $3.00 $10.00 $54.44 $38.10 $12.00 $499.35 $33.00 $10.14 $199.74 5/6/05 6/6/05 6/6/05 6/6/05 6/6/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 $1,225.03 I Plan Reviews I Fire Department Review 05/09/2005 06/13/2005 OK GRG Initial Review 05/09/2005 05/09/2005 APP SKG Plannin!! Review 05/09/2005 05/ll/2005 APP EMM Public Works Review 05/09/2005 05/11/2005 APP SB Structural Review 05/09/2005 05/13/2005 WE JMP Structural Review OS/26/2005 OS/26/2005 10 JMP Structural Review 06/01/2005 06/01/2005 10 JMP Structural Review 06113/2005 06/13/2005 APP JMP SUB Review 06/06/2005 06/13/2005 APP JF 2 of 3 Value Date Calculated $82,800.00 $82,800.00 OS/26/2005 Receipt Number 2200500000000000542 1200500000000000770 1200500000000000770 1200500000000000770 1200500000000000770 1200500000000001257 1200500000000001257 1200500000000001257 1200500000000001257 1200500000000001257 1200500000000001257 1200500000000001257 1200500000000001257 Plan Review: Boiler replacement. Job #COM2005-00538. Plans appeal to meet code requirements. Boiler Replacement. No SDCs, No new Sq. Footage. No new plumbing fixtures. See attached 5 structural comments faxed to John Bramwell. WI. Received response from John Bramwell. WI. Received borsepower for boiler from John Bramwell. Received final internal approvals. JMP received II page fax from John Bramwell of energy code forms and faxed them to Jack Foster. . . CITY OF SPRINGFIELD Status: Issued . Building/Combination Permit. PERMIT NO: COM2005-00538 ISSUED: 08/29/2005 APPLIED: 05/06/2005 EXPIRES: 02/28/2006 VALUE: $ 82,800.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Review 05/10/2005 05/18/2005 WE JF JMP called John Bramwell and he said that he has requested the energy code forms from the engineer and they will be coming soon. 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 Reouired Insoections I Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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 Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. By signature, 1 state and agree, that 1 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 tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure that all required inspections are requested at tbe proper time, tbat each address is readable from tbe street, that tbe permit card is iDeated at the front of the property, and the approved set of plans wiD remain on the site at all times during constructiolL \\CAN--0J\~ --- ? - ').s\ - D~ Owner or Contractors Signature Date 3 of 3 225 Fifth Street Spriilgfield, Oregon 97477 ~'541-726-3759 Phone . . a"~RIN'~~ ,........ Wir' .~ n'. .' / j ~-'''- ,- ' ,R,ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00538 COM2005-00538 COM2005-00538 COM2005-00538 COM2005-00538 C.oM2005-00538 COM2005-00538 COM2005-00538 Payments: Type of Payment Check Ii " :t " ;~ -\ :~ (. 8/2912005 RECEIPT #: 1200500000000001257 Date: 08/29/2005 Description Plan Review CommlInd/Public Plan Review Fire & Life Safety Building Permit Boiler/Comp Up To 100,000 blu . Minimum/Adjustment Mechanical .....Mechanical Issuance Fee..... + 7% State Surcharge + 10% Administrative Fee Paid By SERVCO Item Total: l:heck Number Authorization Received By Batch Nnmber Number How Received djb 15805 In Person Payment Total: 1 of 1 1:31:13PM Amount Due 10.14 199.74 499.35 12.00 33.00 10.00 38.10 54.44 $856,77 Amount Paid $856,77 $856.77 ~ .r' ,. . AITACHMENT A _ CITY 0 INGFIEgJ SYSTEMS DEVELOPMENT CHARGE .SHEET JOURNAL OR JOB NUMBER; COM2005-00538 NAME OR COMPANY; Willamalane Memorial Bldg LOCATION; 765 A 51 MAP & TAX LOT NUMBER; 17 03 35 42 04600 DEVEWPMENT TYPE: Boiler Replacement 495 NEW DEVELOPED AREA (S.F.); 0 EXISTING DEVELOPED AREA (S.F.); TOTAL IMPERVIOUS SURFACE (S.F.); 592 lTE; lTE; LOT SIZE (SF); 495 . ;;l t ~.. ~ =~1:: - = = 00.. 1 STORM ORATNACiF. IMPERVlOUS SQ. FT. 0 $ 0.310 PER SF x TOTAL STORM DRAINAGE SDq 2 SANITARY SFWFR-r.JTY 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 PER DFU o TOTAL LOCAL SAN-SEWER SOC:I $ , $ $0.00 1070 $0.00 1091 $0.00 1092 3. TRAl\TSPORTATION BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A REIMBURSEMENT COST; 0.000 x 22.88 x $ 18.30 PER TRIP x 0.85 NTF 1$ B. IMPROVEMENT COST: 0.000 x 22.88 x $ 80.72 PER TRIP x 0.85 NTF 1$ EXISTING A REIMBURSEMENT COST; 0.000 x 0 x $ 18.30 PER TRIP x 0 NTF 1$ B. IMPROVEMENT COST; 0.000 x 0 x $ 80.72 PER TRIP x 0 NTF 1$ TOTAL TRANSPORTATION REIMBURSEMENT SDq $ TOTAL TRANSPORTATION IMPROVEMENT SOC;' $ TRANSPORTATION SOC:' $ I $ 4 SANITARY SF.WFR _ MWMr: NEW; A REIMBURSEMENT COST; NUMBER OF FEU's 0.000 x $75.00 PER FEU 1$ B. IMPROVEMENT COST; NUMBER OF FEU's 0.000 x $791.14 PER FEU 1$ EXISTING; A REIMBURSEMENT COST; NUMBER OF FEU's 0.000 x $0.00 PER FEU 1$ B. IMPROVEMENT COST; NUMBER OF FEU's 0.000 x $0.00 PER FEU 1$ 1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) INDUSTRIAL STRENGTH INCREASE $ TOTAL MWMC REIMBURSEMENT FEE; $ TOTAL MWMC IMPROVEMENT FEE; $ MWMC ADMINISTRATIVE FEE; $ TOTAL MWMCSOq $ ~ $ SUBTOTAL (ADD ITEMS 1,2,3.&4) '$ ~ " AOMrNISTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) $ x 5% $ TOTAL TRANSPORTATION ADMINISTRATION FEE;I TOTAL SEWER ADMINISTRATION FEE;1 #DIV/O! #DIV/O! . i :i ~~ t!~ 1093 1094 1054 1054 1055 1056 1078 1079 steve"" W. '!Seau~rl::J '!Sar",," 5/1112005 C\Slli2tr~~~~i\,alane Mem. Bldg. 765 A Stxls DATE TOTAL SOC CHARGES , NONE 1 JULY 2004 . . CITY OF M"Kli~GFIELD Building/Combination Permit PERMIT NO: COM2005-00538 ISSUED: 08/29/2005 APPLIED: 05/06/2005 EXPIRES: 02/28/2006 VALUE: $ 82,800.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 765 A ST ASSESSOR'S PARCEL NO.: 1703354204600 Springfield TYPE OF Heating System TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Boiler replacement. Owner: Address: WILLAMALANE PARK & RECREATION 200 S MILL ST SPRINGFlELD OR'9"7477 Phone Number: 541-736-4044 Contractor Type Architect General Electrical Plumbing I CONTRACT~'Il\EJl~wl~i;IIrI"DrOject as sUbm'H :\,\ON: Qre\,jJr \\'Ie dfliJ~i~es nor reqUire' s~~~as the fOllOWing Contra.ll1Oji:.~leadOP\ed:~e ruleS a~ S~~se Expiration ~(i.t'l!nd 'Phone ROBEmJll(l)til~ ,OD,uirCO~I'\JUhs9 .leS b'l 541-342-8077 LEBA~SEi~\.(&~(jj)~~ \ ieS 01 \\'Ie rU4i~?9 10/22/2006 541-451-5090 J K GU~~l~'liri:'rtM ~.I\W! \ele'p'l ttlh 04/24/2006 541-746-4656 LEBANQ~~Q.\Nfil\er. ~ _~ \ \~i\i\'l No\\\I~ 395 10/22/2006 541-451-5090 C<1\1Il"::;t . - , ~t;"....- - "--"~~~~L" u((\be( 10BPIf-DIN@m...d""tlAnONI (\ Cell'v"- # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled A3 B VB Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: # of Unils: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: nla I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: ,.,nO\( IPUBLIC IMPROVEMENTS I 'C'I-~I?>'C 11'\ ~~ IS ~Oi ~\)"- ?>\'.J\II S\,\f',~rdew~fk \t1'?>Y:' to?> i\'\IS ~'C 0 \ll'\U'-" . il.l'\\)~R~(.\) f',\Ji \,\O?>ll\\) O?>Do~pouts/Drains CO\'.J\I'J\'Cl'\C f','/ ~'C?>IO\). ~l'\'/ "\\)\) \) Notes: 1 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00538 ISSUED: 08/29/2005 APPLIED: 05/06/2005 EXPIRES: 02/28/2006 VALUE: $ 82,800.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Estimate Type of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 82,800.00 Value Date Calculated Total Value of Project $82,800.00 $82,800.00 OS/26/2005 L.Fee~ paidJ - Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlIndlPublic $314.44 5/6/05 2200500000000000542 + 10% Administrative Fee $4.60 6/6/05 1200500000000000770 _ + 7% State Surcharge $3.22 6/6/05 1200500000000000770 Add, Alter, Extend Circ $43.00 6/6/05 1200500000000000770 Add, Aller, Extend Circ Ea Add $3.00 6/6/05 1200500000000000770 -Mechanical Issuance Fee- $10.00 8/29/05 1200500000000001257 + 10% Administrative Fee $4.50 8/29/05 1200500000000001258 + 10% Administrative Fee $54.44 8/29/05 1200500000000001257 + 7% State Surcharge $3.15 8/29/05 1200500000000001258 + 7% State Surcharge $38.10 8/29/05 1200500000000001257 Backl10w Device $14.00 8/29/05 1200500000000001258 Boiler/Comp Up To 100,000 btu $12.00 8/29/05 1200500000000001257 Building Permit $499.35 8/29/05 1200500000000001257 Minimum/Adjustment Mechanical $33.00 8/29/05 1200500000000001257 Minimum/Adjustment Plumbing $31.00 8/29/05 1200500000000001258 Plan Review Comm/IndfPublic $10.14 8/29/05 1200500000000001257 Plan Review Fire & Life Safely $199.74 8/29/05 1200500000000001257 Total Amount $1,277.68 I Plan Reviews I Fire Department Review 05/09/2005 06/1312005 OK GRG Plan Review: Boiler replacement. Job #COM2005-00538. Plans appeal to meet code requirements. Initial Review 05/09/2005 05/09/2005 APP SKG Plannin!! Review 05/09/2005 05/11/2005 APP EMM Public Works Review 05/09/2005 05/11/2005 APP SB Boiler Replacement. No SDCs, No new Sq. Footage. No new plumbing fixtures. Structural Review 05/09/2005 05/13/2005 WE JMP See attached 5 structural comments faxed to John Bramwell. Structural Review OS/26/2005 OS/26/2005 10 JMP WI. Received response from John Bramwell. Structural Review 06/01/2005 06/01/2005 10 JMP WI. Received horsepower for boiler from John Bramwell. 2 of 3 . . CITY OF SPRINGFIELD Status: Issued Building/Combination Permit PERMIT NO: COM2005-00538 ISSUED: 08/29/2005 APPLIED: 05/06/2005 EXPIRES: 02/28/2006 VALUE: $ 82,800.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review SUB Review 06/13/2005 06/06/2005 06/13/2005 06/13/2005 APP APP JMP JF Received final internal approvals. JMP received 11 page fax from John Bramwell of energy code forms and faxed them to Jack Foster. JMP called John Bramwell and he said that he has requested the energy code forms from the engineer and they will be coming soon. SUB Review 05/10/2005 05/18/2005 WE JF 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 Rel1uirerl TnsDedions I Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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 Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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 wiD 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 ofthe property, and the approved set of plans wiD remain on the site ~II times during construction. \ \-....\~K-D~ ~-d<=\-DS- .........r Owner or Contractors Signature Date 3 of 3 225 Fifth Street Springfield, Oregon 97477 ~,41-n0-3759 Phone . a~:. ~ ~.,: ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Joornal Number COM2005-00538 COM2005-00538 COM2005-00538 COM2005-00538 Payments: Type of Payment Check 'I 'I " 8/29/2005 RECEIPT #: 1200500000000001258 Date: 08/29/2005 Description + 7% State Surcharge + 10% Administrative Fee Backflow Device Minimum! Adjustment Plumbing Paid By SERVCO Item Total: Lheck Number AutnOlization Received By Batch Number Number How Received djb 15804 In Person Payment Total: 1 of 1 1:36:17PM Amoo nt Due 3.15 4.50 14.00 31.00 $52.65 Amount Paid $52,65 $52.65