HomeMy WebLinkAboutPermit Mechanical 2005-8-29
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. 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
~
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,.
. 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