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Home My WebLink AboutPermit Building 2008-1-23 _~~',f1t<i!P'I,~"'O;'",,!"I~'1ll , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01912 ISSUED: 01/2312008 APPLIED: 12/21/2007 EXPIRES: 07/2312008 VALUE: $ 27,000,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1040 HARLOW RD ASSESSOR'S PARCEL NO,: 1703220002305 Springfield TYPE OF WORK: Office , TYPE OF USE: Remodel Pnblic PROJECT DESCRIPTION: Add demising wall/reception window for State of Oregon Dept of Hnman Resonrces Owner: PUDDING CREEK LAND CO Address: 2295 COBURG RD SUITE 200 EUGENE OR 97401 Phone Nnmber: 541-521-5108 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Contractor CHAMBERS CONSTRUCTION BUILDERS ELECTRIC INC COMFORT FLOW License 114258 4296 460 Expiration Date 05/30/2011 12/10/2011 06/27/2009 Phone 687-9445 541-485-0922 541-726-0100 BUILDING INFORM A TlON I # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building; Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VB n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: , SI JaW8:J I PUBLIC IMPROVEMENTS I , (\7\7t;Z-Zt;t;'009' , 'a JOI JaqUJnu II A 11"1[:1 uo6aJO 1.1\ 6U1111lO , UOI\1l0\I'STdewalli T~p~: 'Ja\uao aLl\ ' , auoLlda\a\ aLl\ _,a)~ ~ 0 A1lUJ no).. '0600 Aq salnJ 1o]lIl'!uspontsfD'tlRj,Q6_ ~OO-Z96 't!VO u\ .~OO'ZS6 't!VO Ll6nOJ~' 0 ~'~a\uao UO!\1lo!l!\ON LI\JOI.as aJ1l sa\oJ aSA LI~a\dOP1l sSln! MO\lol A\!I!.n uo6aJOb aJ~1l~uo6aJO ;NOllN3llV 0\ noA saJ\n a Storm Sewer Available: Special Instruction: Notes: N01\CE' XI'IRE IF 1\-1E WORK 1\-11S I'ERM\1 S\-I"'~~ ;\-IIS I'ERNI\1 IS NOT f.,U1\-10RIIED UND IS J:i6J:iNDONED FOR ~~~~i~~~~ ~~RIOD, Paee 1 01'3 _li;Ii!IilINOF;llilLQ; ~ ~!j Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3,676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Descriptio'lI Plan Review Comm/lnd/Public .....Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Minimum/Adjustment Mechanical Total Amount Paid Initial Review Planning: Review Public Works Review 12/26/2007 12/26/2007 12/26/2007 Structural Review 12/26/2007 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01912 ISSUED: 01/23/2008 APPLIED: 12121/2007 EXPIRES: 0712312008 VALUE: $ 27,000.00 I yaluation Oescriution I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 27,000,00 Value Date Calculated Total Value of Project $27,000,00 $27,000,00 12/21/2007 F~~~, P'lirU Amount Paid Date Paid Receipt Number $169,14 $20.00 $5,60 $31.02 $6,72 $37,23 $15,51 $48,00 $8,00 $260,22 $50,00 12/21/07 1/23108 1/23/08 1/23/08 . 1/23/08 1/23/08 1/23/08 1/23/08 1/23/08 1/23/08 1/23/08 1200700000000001518 2200800000000000093 3200800000000000050 2200800000000000093 3200800000000000050 2200800000000000093 2200800000000000093 3200800000000000050 3200800000000000050 2200800000000000093 2200800000000000093 $651.44 Plan Reviews I 12/26/2007 APP LLH 12/26/2007 APP EMM 12126/2007 APP JHJ 01/07/2008 APP LLH Attached SDC Worksheet. No New SDC's, (JHJ) Reviewed by Mick Nolte at the Building Department under contracl with the City of Springfield, Paee 2 of 3 _$F.''''J!llIi,IIlI....,D;, tar ".""""'.,""'., '~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01912 ISSUED: 01123/2008 APPLIED: 12/21/2007 EXPIRES: 07123/2008 VALUE: $ 27,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541- 726-3769 Inspection Line Fire Department Review 12/26/2007 01/23/2008 OK GRG Plans Review: Remodel of reception and viewing rooms. Job #COM2007-01912, Occupancy Classification: B, Construction Type: V.B, Maintain fire extinguishers with a minimum rating of2-A:10-B:C every 75 feet of travel distance, The top of the extinguisher(s) shall be between 3 and 5 feet above finished 1100r (2007 Springfield Fire Code 906), 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. I Re/luire'd 'n~nection~ Framing Inspection: Prior to cover and after all rough in inspections have been approved, Lath/Piaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Final Bnilding: 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 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. ,~j-, ),r- , \ J Owner owContractors Signature //;?3!lfQ Date Paee 3 of3 . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER C0M2007-01912 NAME OR COMPANY: Department of Human Services LOCATION: 1040 Harlow Road MAP & TAX LOT NUMBER; 17 03 22 00 02305 DEVELOPMENT TYPE: Interior Remodel NEW DEVELOPED AREA (S.F,): EXlSTING DEVELOPED AREA (SF): TOTAL IMPERVIOUS SURFACE (S,F,) __ *No New SDC's* $0,00 MWMC: MWMC: ITE: ITE: LOT SIZE (S,F,); 1 STORM DRAINAGE IMPERVIOUS SQ. FT x No New Impervious Area $ 0.346 PER SF 2 SANITARY SEWF.R-C.lTY (see reverse side) A REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's TOTAL STORM DRA~AGE SDCj No New Fixtures o x $ 26,833 PER DFU x $ 20.404 PER DFU $ 47,24 TOTAL LOCAL WASTEWATER SDC:! $ 1, TRANSPORTATION No New Building Square Footage BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRTP FACTOR NEW; A REIMBURSEMENT COST: 0.00 x 0 x $ 20.43 PER TRTP x 0 NTF $0.00 , B. IMPROVEMENT COST: 0,00 x 0 x $ 90,10 PER TRIP x 0 NTF $0,00 I EXlSTTNG: A. REIMBURSEMENT COST: 0,00 x 0 x $ 20.43 PER TRIP x 0 NTF , $0,00 I B. IMPROVEMENT COST: 0,00 x 0 x $ 90. TO PER TRIP x 0 NTF , $0,00 I $ 110,53 TOTAL TRANSPORTATlONRETMBURSEMENTSDC:1 $0,00 TOTAL TRANSPORTATION IMPROVEMENT SDC:I $0.00 TOTAL TRANSPORTATION SDC:I $ $0,00 o $0.00 $0,00 $0,00 TOTAL MWMC RErMBURSEMENT FEE: $0.00 TOTAL MWMC IMPROVEMENT FEE: $0,00 MWMC ADMINISTRATIVE FEE; $0,00 TOTALMWMCSDC:I $ I $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) $0.00 I S AOMfNlSTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) $ x 5% , $0,00 . TOTAL SEWER ADMINlSTRATTON FEE: TOTAL TRANSPORT A TTON ADMTNTSTRA TTON FEE: $ TOTAL SDC CHARGES $0.00 Jesse Jones Civil Engineer, El~ 12/26/2007 DATE $0,00 . . DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ~ DRAlNAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) Interior Remodel FDITURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASElOJUSOLIDS/ETC INTERCEPTORS FOR SAND/AUTO W ASH/HC LAUNDRY TUB CLOTHES WASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRlGERA TORlWA TER ST A nON/ETC RECEPTOR FOR COMMERCIAL SINK! DlSHW ASHER/ETC SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KJTCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLE LA V A TORY SINK: SINGLE LA V A TORYIRESIDENTIAL BAR URINAL, STALUWALL TOILET, PUBLIC INST ALLA nON TOILET, PR/V A TE INST ALLA nON MISCELLANEOUS: NUMBER OF EDU'S' FIXTURES NEW OLD UNIT EQUIVALENT 3 1 3 3 6 2 3 6 12 I 3 2 2 3 2 2 I 5 6 3 DRAINAGE FIXTURE UNITS o o '0 o o o o o o o o o o o o o o o o o o TOTAL DRAINAGE FIXTURE UNITS ~ , 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwellirig (20 DFU) set at J 67 gallons per day CREDIT CALCULA nON TABLE; BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARA 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 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXA nON DATE) l' YEAR ANNEXED 1992 1993 ,1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 '2004 , ,< RATE PER $1,000 ASSESSED VALUE x x CREDIT TOTAL $0,00 $0,00 $0,00 City of Springfield Official Receipt Development Services Department Publie Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01912 COM2007-0 1912 COM2007,01912 COM2007-01912 COM2007-0 1912 COM2007-01912 Payments: Type of Payment Check cReceintl RECEIPT #: Date: 01/23/2008 I :38:58PM 2200800000000000093 , Description Building Permit Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 260:22 50.00 20.00 15.51 37.23 31.02 $413,98 Paid By CHAMBERS CONSTRUCTION Item Total: Check Number Authorization Received By Batch Number . Number How Received Amount Paid 065778 In Person Payment Total: $413.98 $413,98 njm Page 1 of 1 1/23/2008