HomeMy WebLinkAboutPermit Building 2008-3-6
,\
Status
Issued
225 Fifth Street, Springfield" OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line,
SITE ADDRESS: 1940 Marcola Rd
ASSESSOR'S PARCEL NO.: 1703251301500
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00312
ISSUED: 03/06/2008
APPLIED: 03/05/2008
EXPIRES: 09/06/2008
VALUE:
Springfield TYPE OF WORK: Interior
PROJECT DESCRIPTION: Interior -Work for Big Town Hero
Owner: TRI-W GROUP LTD PARTNERSHIP
Address: 100 SE CRYSTAL LAKE DR
CORV ALLIS OR 97333
TYPE OF USE: Alteration
I CONTRACTOR INFORMA TlON I
Contractor Type
General -
Electrical
Contractor
JOHN 'HYLAND CONSTRUCTION INC
BURRELL BROS ENTERPRISES INC
License
, 46071
136446
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
VB
n/a
I DEVELOPMENT INFORMATION I
~.n__ ...'_1. tn
I PUBLIC IMPROVEMENTt(TENT:ON: ~~~~eO~I~~~;h';O~~~~~ Utility
~,1ow ru es a J' rules are set forth
NotificaSidewall{;Q'{YI1~~ose hOAR 952-001-
. OAR ~52-001-0010throug
In y'6o'rfl~P.ltllj~OOf:oo~:es of the rules by
0090, au "I (Note' the telephone
calling the centoer. n Utility Notification
number for the rego
Center is 1-800-332-2344). ,
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: ,
- # Street Trees Rqd:'
Paved Drive Rqd::~
% of Lot Coverage:
Street Improvements:
Storm Se~er,.A:v1Jilable:
Special I~HrVcYi~MIT SHALL EXPIRE IF THE WORK
i HIS Pt \ DER THIS PERMIT IS NOT
Notes: ,\UTHORIZED UN IS ABANDONED FOR
COMMENCED OR
ANY 180 DAY PERIOD.
Pa!!e 1 of 3 ,
Commercial
Expiration Date
07/11/2008
08/20/2009
Phone
541-726-8081
541-747-2724
, Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq n Garage/Carport
Sq Ft Other:
Occupant Load: _
REQUIRED PARKING
Total:
Handicapped:
Compact:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
, ,
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid"
Plannin!! Review
Public Works Review"
03/0512008
03/05/2008
I"Valuation,Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
CITY OF SPRINGFIELD.
" Building/Combination Permit
PERMIT NO: COM2008-00312
ISSUED: 03/06/2008
APPLIED: 03/05/2008
EXPIRES: 09/06/2008
VALUE:
Value
Date Calculated
Total Value of Project"
~
Amount Paid
Date Paid
Receipt Number
2200800000000000292
2200800000000000292
2200800000000000292
2200800000000000292
2200800000000000292
2200800000000000292
2200800000000000292
approved as tenant infill.djb
Attached SDC Worksheet. (JHJ)
To Request an inspection call the 24 hour recor~ing 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.
$8.00
$9.60
$4.00
$80.00
$265.25
$348.83
$30.70
3/6/08
3/6/08
3/6/08
3/6/08
3/6/08
3/6/08
3/6/08
$746.38
I Plan Reviews'
03/0512008
03/05/2008
APP DJB
APP" JHJ
~~ouireCUns~ections I
Rough' Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is co~plete.
Pa!!e 2 of 3
)
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00312
ISSUED: 03/06/2008
APPLIED: 03/0512008
EXPIRES: 09/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 s~all 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, th~::,~permit cacd is loeated at the fmnt of the prop<<ty, and the approved set of plans wm remain on the site at all
nme'&Ab . ... .. J /6 /08
Owner or Contractors Signature
Date
Pal!:e 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2008,00312
NAME OR COMPANy:, Tri-W Group Ltd
LOCATION: 1940 Marcola Road
. MAP & TAX LOT NUMBER: 17 03 25 13 01500
DEVELOPMENT TYPE: Big Town Hero Infill
NEW DEVELOPEQAREA(ST): / '
EXISTING DEVELOPED AREA (S,F.):
TOTAL IMPERVIOUS SURFACE{S.F.):
1. STORM DRAINAGE
IMPERVIOUS SQ, FT
$ 20.404 PER DFU .
$ 47.24
TOTAL LOCAL WASTEWATER SDC:I $
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:
~OO x 0
B. IMPROVEMENT COST:
0,00 ' x 0
EXISTING:
A. REIMBURSEMENT COST:
0,00 x 0
B, IMPROVEMENT COST: .
0.00' .x ' 0
NTF I
$ 90.10 PER TRlP x 0 NTF I ' $000 I
, , .
. $ 110.53 TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATIONSDC:l $ ,
"
.
2. SANITARY SEWER-CITY (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B, IMPROVEMENT COST:
NUMBER OF DFU's
x.
13
I3
x
$ 20.43 PER TRIP
Tenant InfilVRemodeI
MWMC:
MWMC:
ITE;
ITE:
LOT SIZE (S.F.):
x
$ 90.10 PER TRIP
No New Impervious Area
$ 0.346 PER SF
TOTAL STORM DRAINAGE SDC:!
x
$
26.8n PER DFU
x
$ 20.43 PER TRlP
.x
614,091
x
o
NTF!
,
$0.00 I
$0.00 ,
x
x
,0
NTF
x
o
$0,00 I
4. SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FElJ's. 0.00.
B, IMPROVEMENT COST:
NUMBER OF FEU's 0.00 , .
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00
MWMC CREDIT IF APPqCABLE (SEE REVERsE)
'5. ADMINISTRATIVE FEES.
. .
BASE CHARGE (SUBTOTAL ABOVE)
, No,New Building Square Footag~
x ' #N/A PER FEU ! $0,00 I
x #N/A PER FEU ! $0.00 I
x #N/A PER FEU $0.00 I
x #N/A PER FEU $0,00 I
TOTALMWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTALMWMCSDC:I $
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I, $614.09 I
$
614.09 x 5% ! $30,70
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION. ADMINISTRATION FEE: $
Jesse Jones
Civil Engineer, E/T
TOTAL SDC CHARGES
3/5/2008
DATE
.I
I
$644,79j
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)
Big Town Hero Infill
'FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASEIOIIJSOLIDS/ETC,
INTERCEPTORS FOR SANDI AUTO W ASHlETC.
LAUNDRY TUB
CLOTHES W ASHERlMOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERATORIWATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC:
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
'SINK: WASH BASINIDOUBLE LA V A TORY
SINK: SINGLE LAVATORY/RESlDENTIALBAR .
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
,MISCELLANEOUS:
NUMBER OF EDU'S*
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
1
3,
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
..
DRAINAGE
FIXTURE
UNITS
o
o
9.
o
o
o
3
o
o
o
o
o
o
o
o
o
1
o
o
o
o
TOTAL DRAINAGE FIXTURE UNITS = I 13
3
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day
CREDIT CALCULATION TABLE: BASED'ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN T ABLE, 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
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE.
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $1,000
ASSESSED VALUE
x '
x
CREDIT TOTAL
$0,00
$0,00
$0,00
225 Fift~ Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00312
COM2008-00312
COM2008-00312
COM2008-00312
COM2008-00312
COM2008-00312
COM2008-00312
Payments:
Type of Payment
Check
I
''-'
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200800000000000292
Date: 03/06/2008
1 :37:48PM
Description
Fixture
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Amount Due
80,00
4,00
9,60
8,00
348,83
265.25
30,70
$746.38
Paid By
HYLAND CONSTRUCTION .
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
1003124
In Person
Payment Total:
, $746,38
$746.38
Page 1 of 1
3/6/2008