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Home My WebLink AboutPermit Building 2005-11-18 (2) Status Issued CITY OF SPRINGFIELD' , Building/Combination Permit PERMIT NO: COM2005-01438 ISSUED: 11/18/2005 APPLIED: 10/13/2005 EXPIRES: 05/18/2006 VALUE: $ 40,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1621 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703253404500 Springfield TYPE OF WORK: Office TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Partition removal and installation Owner: Address: SCOTT STOVALL 1570 MOHAWK SPRINGFIELD OR 97477 " Phone Number: 541-729-4840 Contractor Type Contr General ~YE~ Electrical ~~ Plumbing ....,f\) r_<< 1<' ~ ,\., .. 't" ,,{ ~~x'~0 ~~' ~ ,,<.)~-..\. ,~~ # of Units: ~ Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ~ ,~\<.)'0 ~ &,~.... ~<.) -<.~ .,S ~ ~' C\'(' . ~~~ <<<k~~tRACTOR INFORMATION I 'v~~S ~ ~ ~ ~~<::;J License ~ II~f5;:\ C SERVICE Hl15f8~ ~ 0'" v ,0 '\' :A V ATION & PLUMBING I~~0VJiO~' _ ~'J ,,~ I BUILDING INFO.wA~iQN~I<--~'0:~0c" ~0 ^'~ ~. .;y.~ 0" 0 ~O. 0" 0" \\, "$' Q i}$ # of Stor,~: 0'0 Oc,,0 :::>Cf & ,r?i-0 .~CJ Lot Size: Heig~CO'f stfucture~O Q,0c" ~0 ~O":,~, Sq Ft 1st Floor: Tv. ~ oial~~t:.. ,\'J '>\.;0 cP ~i' ~~"\Cl~~ Sq Ft 2nd Floor: ~'" c' v 0" SJ '0 -:,.,0 . ,.....' ,{,;.J /Watef)T,ype:A. 50 ~if ~ ^ v 0.,'(: Sq Ft Basement: "-." / ,v - l"'" ~ 0" ::;;.J ~ Rang~TY-, ,Ire:' .\ 0 ~0'\' "Q) $Y Sq Ft Garage/Carport ,. ;-1;)'" ~ "/ 0-'\.r-.; <"" n..v ,CJl,n~fgY.fatl\:' r'}".,0' ~') Sq Ft Other: S'~' <,~, d D il"d' .. OJ - / 0 L . . prlOlUe)nu 109:..~ n a ccupant oad: ~.~ C,\ -... "\....... "~'" Expiration Date 07/19/2006 09/28/2006 04/27/2007 Phone 338-9901 541-343-1681 541-988-0868 B VB I DEVELORMENTINFORMATION I ;::: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Paee 1 of3 Status Issued CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2005-01438 ISSUED: 11/18/2005 APPLIED: 10/13/2005 EXPIRES: 05/18/2006 VALUE: $ 40,000.00 225 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 40,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $40,000.00 $40,000.00 10/13/2005 ~ -, Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $202.90 10/13/05 1200500000000001517 Add, Alter, Extend Circ $43.00 11/16/05 1200500000000001733 Add, Alter, Extend Circ Ea Add $21.00 11/16/05 1200500000000001733 + 10% Administrative Fee $36.82 11/18/05 2200500000000001599 + 7% State Surcharge $25.77 11/18/05 2200500000000001599 Building Permit $312.15 11/18/05 2200500000000001599 Fixture $56.00 11/18/05 2200500000000001599 Plan Review Fire & Life Safety $124.86 11/18/05 2200500000000001599 Planning Final Occy Inspection $143.00 11/18/05 2200500000000001599 Total Amount Paid $965.50 Plan Reviews I Fire Department Review 10/14/2005 11/17/2005 OK GRG (Plans review conducted on 10/28/05 11'-':1 by DFM Fechtel) Plans Review: Remodel. Job #COM200S-01438. Partition Removal and installation. Exit signs shown on plans. Will verify on inspection. Provide fire extinguishers with a minimum rating of2-A:I0-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (2004 Springfield Fire Code 906). Initial Review 10/14/2005 10/14/2005 APP LLH Planninl! Review 10/14/2005 10/27/2005 APP EMM LUCS included in building permit for change of use. Catch basin filters, bike rack, screening of trash receptabcle and restriping of handicap space required to be completed before occupancy. Pal!e 2 of 3 Building/Combination Permit PERMIT NO: COM2005-01438 ISSUED: 11/18/2005 APPLIED: 10/13/2005 EXPIRES: 05/18/2006 VALUE: $ 40,000.00 _~~ R';~.iEU)".,~,........ ..,.;,:. ',..,'. " " "" .- -,. < .......--........--... -'." Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 10/14/2005 11/17/2005 APP SB , Structural Review 10/14/2005 10/20/2005 WE JMP Structural Review 11/02/2005 10 JMP 11/02/2005 Structural Review 11/17/2005 11/17/2005 APP JMP SUB Review SUB Review 11/07/2005 10/14/2005 11/07/2005 10/21/2005 APP JF WE JF " CITY OF SPRINGFIELD' Remodel and change-of-use to less intensive use. No new fixtures, no new square footage. No SDCs See attached documents for 5 structural comments faxed to Pamela Hillstrom. WE. Received incomplete response to structural comments. Still waiting on valuation verification from the contractor. Received final internal approvals. Left a message for Vince with VE Builders requesting the plumber and plumbing data so that the fees can be completed and the permit issued. No energy code issues or inspections. See attached documents for energy code information request as item #2 in JMP's structural comments. 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. LReauired Insoections 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 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 II required inspections are requested at the proper time, that each address is readable from the street, th~be permU e..d is eated at. the front of the property, and the approved set of plans will remain on the site at all times dur constructio. ~\ ~~~ JL [\~II~\~ Owner or Contractors Signature Date Paf!:e 3 of 3 x $46.88 PER FEU $305.53 I x $494.46 PER FEU $3,222.90 1 x $93.75 PER FEU ($611.06)1 x $988.92 PER FEU ($6,445.81)1 $0.00 TOTAL MWMC REIMBURSEMENT FEE: ($305.53) TOTAL MWMC IMPROVEMENT FEE: ($3,222,90) MWMC ADMINISTRATIVE FEE: $0.00 TOTAL MWMC SDC:! $0.00 ($3,528.44 ) I ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER COMl005-0 1438 NAME OR COMPANY: Evergreen Land Title LOCATION: 1621 Centennial Blvd MAP & TAX LOT NUMBER: 17 03 25 34 04500 DEVELOPMENT TYPE: Change-af-use: Medical Office to. Land Title Campany NEW DEVELOPED AREA (S.F.): 6,518.00 EXISTING DEVELOPED AREA (S.F.): 6,518.00 TOTAL IMPERVIOUS SURFACE (S.F.): 1. STORM DRAINAGE ITE: ITE: LOT SIZE (S.F.): 710 720 49226 IMPERVIOUS SQ. FT. $ 0.323 PER SF x TOTAL STORM DRAINAGE SDC:J 2, SANITARY SEWER-CTTY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) o x $ 25.Q7 PER DFU o x $ 19.Q7 PER DFU $ 44.14 TOTAL LOCAL WASTEWATER SDC:! $ 3. TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 6.52 x 11.01 B. IMPROVEMENT COST: 6.52 x 11.01 EXISTING A. REIMBURSEMENT COST: -6.52 x 36.13 B. IMPROVEMENT COST: -6.52 x 36.13 0.9 NTF $1,232.761 0.9 NTF $5,437.63 1 0.85 NTF ($3,820.64)1 0.85 NTF ($16,852.59)1 x $ 19.09 PER TRIP x x $ 84.19 PERTRIP x x $ 19.09 PER TRIP x x $ 84.19 PER TRIP $ 103.28 x TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TOTAL TRANSPORTATION SDC:I $ 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 6.52 B. IMPROVEMENT COST: NUMBER OF FEU's 6.52 EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's -6.52 B. IMPROVEMENT COST: NUMBER OF FEU's -6.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) $ x 5% ! $0.00 TOTAL TRANSPORTATION ADMINISTRATION FEE: TOTAL SEWER ADMINISTRATION FEE: TOTAL SDC CHARGES Steven W. Beaudry Barnes SDC COORDINATOR 11/812005 DATE COM200S-01438, Evergreen Title, 1621 Centennial Blvd.xls $0.00 I #DIV/O! #DIV/O! 1 JULY 2004 '225 Fifth Street Springfield, Oregon 97477 . 541-726-3759 Phone .:t;~;4'i ~ Job/Journal Number ; COM2005-01438 COM2005-01438 COM2005-0 1438 CQM2005-0 1438 COM2005-0 1438 COM2005-0 1438 Payments: Type of Payment Check ,\ ( l (" 11/18/2005 RECEIPT #: 2200500000000001599 Description Planning Final Ocey Inspection Plan Review Fire & Life Safety Building Permit Fixture + 7% State Surcharge + 10% Administrative Fee Paid By Received By EVERGREEN LAND TITLE CO Jmp Page 1 of 1 "'~ty of Springfield Official Receipt ..welopment Services Department Public Works Department Date: 11/18/2005 Item Total: Check Number Authorization Batch Number Number How Received 48959 In Person Payment Total: 1:45:08PM Amount Due 143.00 124.86 312.15 56.00 25.77 36.82 $698.60 Amount Paid $698.60 $698.60