HomeMy WebLinkAboutPermit Sidewalk 2007-4-5 (2)
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00309
ISSUED: 04/05/2007
APPLIED: 02/28/2007
EXPIRES: 10/05/2007
VALUE: $ 45,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1116 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703264410700
Springfield
TYPE OF WORK: Paving
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Pave parking lot.
Owner: OPEN BIBLE STANDARD CHURCH
Address: 1116 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Phone Number: 541-747-7125
I CONTRACTOR INFORMATION I
Contractor Type
General
Engineer
Contractor
OWNER
BRANCH ENGINEERlNG
BUILDING INFORMATION I
License
Expiration Date Phone
541-746-0637
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure: Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water TYI~e:,. . " '; I "',I , :Sg~Et~Ba.sement:
-,Tj:;..NIIVI'I..v''-';::i-' ", ,
Range 'fype:-, 'o"""~d b\' 4t'j1e S!Ji'E't'6'lnage/Carport
'nr.!' I"lIQ ~C' I....'......
Energ)\IB':ltlW ~~IV" to. to" Tho'se ruMEf;!(PJI!~r:; ,J. \
SpriD'Kle(lfB.tiildfu""g~enter. . nla Occup'antj:~oa'd:
,.--- ""4 004 U ~nrougll U.-.I · ..........- ~-
_ "n nl:"_, " I . - I l I '
DEVELOPM' -~T -iN'F0R'MWF.J(~NLil copies Olli,\l;;I \U1v"e '
. !~. . ,j ~" th 'e'b"1l10n
Wn~ 4"1~ C6!h ii. ,Note: l e, ':':;.REQ.Ulij.ED PARKING
rea I~ ~ \.\ ,,~l., Or~"'nn Utilitv NotmGtitJU!!
OverlayrD..ist1b0r!.Or ~~~el .,~;: :O_~j32..2344):rotal:
# Street Trees Rqd!3ntor IS · bO Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I '
NOTICE: Sidewalk Type:
THIS PERMIT SHALloG~~~R~u~F JH~ ~ORK
AUTHORIZED UNDER THISPERMt1 ~ NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pa2e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00309
ISSUED: 04/05/2007
APPLIED: 02/28/2007
EXPIRES: 10/05/2007
VALUE: $ 45,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Pavin2:
Tvpe of Construction
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
45,000.00
Value
Date Calculated
Total Value of Project
$45,000.00
$45,000.00
03/01/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlInd/Public $221.91 2/28/07 3200700000000000122
+ 10% Administrative Fee $40.04 4/5/07 2200700000000000483
+ 5% Technology Fee $20.02 4/5/07 2200700000000000483
+ 8% State Surcharge $4.72 4/5/07 2200700000000000483
Fixture $14.00 4/5/07 2200700000000000483
Paving $341.40 4/5/07 2200700000000000483
SDC Sanitary/Storm Admin $176.40 4/5/07 2200700000000000483
Storm Drainage Impervious Area $3,528.00 4/5/07 2200700000000000483
Storm Sewer - 1st 50 Feet $45.00 4/5/07 2200700000000000483
Total Amount Paid $4,391.49
I Plan Reviews I
Initial Review 03/01/2007 03/01/2007 APP LLH
Plannin2: Review 03/02/2007 03/14/2007 APP EMM To be constructed per Discretionary
Use and Phase I Site Plan Review.
Zon2003-00046.
Public Works Review 03/02/2007 03/21/2007 APP JHJ Attached SDC Worksheet. (JHJ)
Structural Review 03/01/2007 03/09/2007 WI JMP Received with 7 other large projects
plus a large backlog.
Structural Review 03/26/2007 03/26/2007 APP JMP Received final internal approval.
SUB Review 03/02/2007 03/12/2007 WE JF JMP called and left a message with
Morgan for Jim Branch requesting
the energy code information.
SUB Review 03/23/2007 03/23/2007 APP JF No energy code issues or inspections.
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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,
~eouireCUnSDections ,
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Pa2:e 2 of 3
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00309
ISSUED: 04/05/2007
APPLIED: 02/28/2007
EXPIRES: 10/05/2007
VALUE: $ 45,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Plumbing: Prior to cover and including required testing.
Storm Sewer Line: Prior to filling trench.
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 construction.
4 -/7 " / ,/7
(:2. ./ A n /~ /J.uA-P
Owner ;;; Cont~act~rs Signature
<I ;&-/L? ?
Date
Pal!:e 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-00309
NAME OR COMPANY: Open Bible Standard Church
LOCATION: 1116 Centennial Blvd
MAP & TAX LOT NUMBER: 17 03 26 44 10700
DEVELOPMENT TYPE: Paving Parking Lot
NEW DEVELOPED AREA (S.F.): lTE:
EXISTING DEVELOPED AREA (S.F.): ITE:
TOTAL IMPERVIOUS SURFACE (S.F.): 10,500 LOT SIZE (S.F.):
L STORM DRAINAGE Total Impervious Area 10,500 feet per Ananda @Branch Engr (3/21/2007)
IMPERVIOUS SQ. FT. 10,500 x $ 0,336 PER SF
*No Previously Existing Impervious Area on Parcel
2, SANITARY SEWER-CITY (see reverse side) No New Fixtures
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
560
560
TOTAL STORM DRAINAGE SDC:!
o
$
26,03 PER DFU
x
x $ 19.79 PER DFU
TOTAL LOCAL WASTEWATER SDC:' $
3, TRANSPORTATION No New Building Square Footage
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW:
A. REIMBURSEMENT COST:
0.00 x 9.11
B. IMPROVEMENT COST:
0.00 x 9.11
EXISTING:
A. REIMBURSEMENT COST:
0.00 x 9,11
B, IMPROVEMENT COST:
0.00 x 9,11
o
x
$ 19.81 PER TRIP
x
NTF
$0.00 I
$0,00 I
x
$ 87.39 PER TRIP
x
NTF
$0.00 I
x
$ 19.81 PER TRIP
x
NTF
x
$ 87.39 PER TRIP x NTF $0,00 I
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:' $
4. SANITARY SEWER - MWMC No New Building Square Footage
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x $26.17 PER FEU $0.00 ,
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x $274,72 PER FEU $0.00 I
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x $26,17 PER FEU $0.00 I
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x $274,72 PER FEU $0.00 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I $
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I
$3,528.00 .
5, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
$
3,528.00 x 5% , $176.40 I
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
Jesse Jones
Civil Engineer, EfT
3/21/2007
DATE
TOTAL SDC CHARGES
, DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
Paving Parking Lot
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OILlSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB
CLOTHES W ASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK. TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHWASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LA V A TORY/RESIDENTIAL BAR
URINAL, STALL/WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S*
FIXTURES UNIT
NEW OLD EQUIVALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
TOTAL DRAINAGE FIXTURE UNITS = I 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day
CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER $1,000
ASSESSED VALUE
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER $1,000
ASSESSED VALUE
$1.45
$1.25
$L09
$0.92
$0.72
$0.48
$0.28
$0,09
$0.05
$0.00
$0.00
$0.00
x
x
CREDIT TOTAL
$0.00
$0.00
$0.00
225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
Cjl-. of Springfield Official Receipt
L lopment Services Department
Public Works Department
Job/Journal Number
COM2007-00309
COM2007-00309
COM2007-00309
COM2007-00309
COM2007-00309
COM2007-00309
COM2007-00309
COM2007-00309
Payments:
Type of Payment
Check
cReceintJ
RECEIPT #:
2200700000000000483
Date: 04/05/2007
Description
Paving
Fixture
Storm Sewer - 1 st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Paid By
CALVARY OPEN BIBLE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
1004
In Person
Payment Total:
Page 1 of 1
8:14:13AM
Amount Due
341.40
14.00
45.00
20.02
4.72
40.04
3,528.00
176.40
$4,169.58
Amount Paid
$4,169.58
$4,169.58
4/5/2007