HomeMy WebLinkAboutPermit Building 2004-3-5
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00084
ISSUED: 03/05/2004
APPLIED: 01/21/2004
EXPIRES: 09/05/2004
VALUE: $ 23,040.00
"- Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
'" 541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 4006 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703344201600
Eugene
TYPE OF WORK: Office
TYPE OF USE:
Addition
Commercial
PROJECT DESCRIPTION: Camp Putt Sales office
Owner: CAMP PUTI
Address: % ROTH STEPHEN 4006 FRANKLIN BLVD EUGENE OR 97403
Contractor
CHARLESLPOVEY
OREGON LOG HOME CO.
ALEXANDER J STAPLETON 41371
ALEXANDER J S~~TON 41371
CHAPIN ENTE~~ INC 81994
~ ",~~r:R~ILDING INFORMATION I ,:>....o,~
~~"""~', ""O~~""'O~a '
# of Units: ~ s"X r:J~ # of Stories: ~0C, >::- ;;;- ~LotSize:
Primary Occupancy Group: -;::;- <<:;,,~ ,~~ Height of Structure ~ 0t!? ~0 0 *'1; ,~~ lit W Floor:
Secondary Occupancy Gr~~~<8' ~"?' Type of Heat: ,0 0<': C, 'Ii ~ .0 ':-~qfF~nd Floor:
Primary Constru~qn J:)(p~~ ~ ~ Water Type: ....l ';5:;-0 2;-0 O"?' ~ ~Sq !!;t'Basement:
Secondary COp.s&lic~o-R~pe:;)~~<:::i Range Type: 0':- -Q""'" 0 <.: ~ ~..if' Sq~Ft Garage/Carport
# ofBedro~"':'S"X~r::,~ <;.;15>:A<< Energy Path: 0<:i) 0?) ,<::-00 ~0~"!P;$'0 ;SqlFiOther:
,,~ ~~ ,~~ <:::>"?' p<': if ~ o~ vo'Q >-.0' $ ~~ervious Surface Area:
..,,\ ...~' _<:'\ ~ ",,--0 ...'-..... " ~'" ..."\ n
. ~'V~ ,,- , DEVELOPMEN';,1'~:';':'vI\\TioN:'I{ ~rb'J
SETBACKS?' A'</ ,v >::- O~;:\ >::-~ O~- ~
,,'~'f>~'li0 "
Overl~Dist1 0)<0 ....$' 0 (j ';5:;-0 .~
.C'i .......- ^' ~v:<::' " !-.
# Streew:~~ Rqd:~.....~ ~Qj
Paved'Drlve~qd:~ 0' 00
~!:)CJ'IY:9
% of Lot covera~f
t,
Contractor Type
General
Electrical
Mechanical
Plumbing
\.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
<I;,
.-
I CONTRACTOR INFORMATION I
License
33293
Expiration Date
04/14/2004
Phone
541-913-0808
541-549-9354
541-484-7278
541-484-7278
541-485-1146
02/05/2006
02/05/2006
05/06/2004
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Paee 1 of4
'.
.
-Wi"
Status
Issued
'.'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
,~. Description
Estimate
Tvpe of Construction
Estimate
-;.
Fee Description
Plan Review Comm/Ind/Puhlic
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Planning Final Occy Inspection
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Total Amount Paid
Fire Department Review
01/28/2004
...
Initial Review
01/22/2004
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
23,040.00
Total Value of Project
Fpp<. PiWLI
Amount Paid
Date Paid
$140.79
$28.96
$20.27
$216.60
$28.00
$118.00
$13.71
$11.83
$192.81
$43.71
$274.22
$45.00
1/21104
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
3/5/04
$1,133.90
I Plan Reviews I
03/02/2004
OK
01/22/2004 APP LLH
Pa!!e 2 of 4
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00084
ISSUED: 03/0512004
APPLIED: 01/21/2004
EXPIRES: 09/05/2004
VALUE: $ 23,040.00
Value
Date Calculated
$23,040.00
$23,040.00
01/2112004
Receipt Number
2200400000000000049
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
2200400000000000211
GRG
Plan Review-Camp Putt Miniature
Golf Course (same address as RRP):
construct sales office. Job
#2004-00084. Occupancy
Classification: B. Construction type:
V-No 256 square foot office with 812
sq. ft roof.
Provide or maintain address
numbers in contrasting color from
the background positioned plainly
visible and legible from the street or
road fronting the property (Oregon
Structural Specialty Code 502 and
Springfield Uniform Fire Code
901.4.4).
Provide public works lock on man
gate at Concord Street.
.
. CITY OF ~rK.1l'~"'1'1ELD
Building/Combination Permit
PERMIT NO: COM2004-00084
ISSUED: 03/05/2004
APPLIED: 01/21/2004
EXPIRES: 09/05/2004
VALUE: $ 23,040.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
..
Plannine Review
02/23/2004
02/24/2004
APP EMM
Obtained Plumbing permit on
2/2/04. Steve to inspect stub. No
connection allowed at this time.
Waiting for contractor to obtain
plumbing permit for stubbed up
sink not to be connected until sewer
is available. Kiltl Gale Planner
Minor Site Plan Review
2002-02-0046
Plan nine Review
01/28/2004
WE EMM
Public Works Review
Structural Review
SUB Review
01/28/2004
01/22/2004
01/28/2004
03/01/2004
02/02/2004
02/06/2004
APP SB
OK TCM
APP JF
Received 1/28/2004.
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 Rpnni.-ed Insnections I
I Footing: After trencbes are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
3 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
4 Drywall: Prior to taping.
5 Final Building: After all Conditions have been completed as required on Development Agreement.
6 SUB Final: After all required energy inspections have been requested and approved.
7 Rough Plumbing: Prior to cover and including required testing.
8 Storm Sewer Line: Prior to filling trench.
9 Final Plumbing: When all plumbing work is complete.
10 Underground Plumbing: Prior to filling the trench and including required testing.
II Underground Electric: Prior to cover
12 Rough Electric: Prior to Cover
13 Final Electric: When all electrical work is complete.
14 Final Fire Department. After all requirements of the Fire Department have been met.
15 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
16 SUB Mechanical: Following City Rough Mechanical Inspection approval and prior to any cover.
17 SUB Ceillng Grid: Interior Lighting
18 SUB Exterior Lighting
Paee 3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00084
ISSUED: 03/05/2004
APPLIED: 01/21/2004
EXPIRES: 09/05/2004
VALUE: $ 23,040.00
Status
Issued
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
By signature, 1 state and agree, that I have carefully examined the completed application and do herehy 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
tim~ng construction.
_~L k'V'-- 3-$'"-0<1--.
Owner or Contractors Signature Date
Paee40f4
. ATIACHMENTA
CITY OF_NGFIELD SYSTEMS DEVELOPMENT CHARGE
JOURNAL OR JOB NUMBER C0M2004,00084
NAME OR COMPANY: CAMP PUTT SALES OFFICE
LOCATION: 4006 FRANKLIN BLVD
MAP & TAX LOT NUMBER: 1703344201600
DEVELOPMENT TYPE: SALES OFFICE
NEW DEVELOPED AREA (S,F,):
EXISTING DEVELOPED AREA (S,F,):
TOTAL IMPERVIOUS SURFACE (S,F,):
256,00
ITE:
ITE;
LOT SIZE (S,F,):
I STORM ORAINAGE
IMPERVIOUS SQ, IT,
x
S 0,290 PER SF
TOTAL STORM DRAINAGESDC:J $ 274,22 1070
946
U PP.1 T f2 1)
SHEET
710 .
::; t -
t"' .
.!i rl
0 5~S la
OO~
2.....S..t\NITARY SEWF.R-C:ITY
NOT YET CONNECTED TO SEWER
A, REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
5 x S 22,64 PER DFU , $ 113,20 ]091
5 x S 17,21 PER DFU , $ 86.05 1092
TOTAL WCAL WASTEWATER SDC:' $
3 TRANSPORTATION
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRJP FACTOR
NEW
A. REIMBURSEMENT COST:
0,256 x 11.01 x S 17,23 PER TRIP x 0,9 NTF 1$ 43,71
B. IMPROVEMENT COST:
0,256 x 11.01 x S 76,01 PER TRIP x 0,9 NTF 1$ 192,81
EXISTING
A. REIMBURSEMENT COST:
0,00 X 0 X S 17,23 PER TRIP X 0 NTF 1$
B. IMPROVEMENT COST:
0,00 x 0 x S 76,01 PER TRJP x 0 NTF 1$
TOTAL TRANSPORTATION REIMBURSEMENT SDq $
TOTAL TRANSPORTATION IMPROVEMENT SDC:' $
TOTAL TRANSPORTATION SDC;' $ 236,52 I
NOT YET CONNECTED TO SEWER
43,71
192,81
1093
1094
4 SANITARY .<I.F.WER. MWMr.
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B, IMPROVEMENT COST:
NUMBER OF FEU's
0,256
X
SI79,79 PER FEU
1$
X
SI22.42 PER FEU
1$
0,256
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.000
B, IMPROVEMENT COST:
NUMBER OF FEU's 0,000
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
X
SO,OO PER FEU
1$
X
SO,OO PER FEU
1$
TOTAL MWMC REIMBURSEMENT FEE:' $
TOTAL MWMC IMPROVEMENT FEE: $
MWMC ADMINISTRATIVE FEE: $
TOTAL MWMC SDq $
46,031
31,341
I
I
I $
46,03
31,34
10,00
]054
]054
1055
1056
SUBTOTAL (ADD ITEMS 1,2.3. & 4)
, $
5 ADMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
S
510,74 ~
510.74 ,,5% S 25.54
TOTAL TRANSPORTATION ADMINISTRATION FEE:I $
TOTAL SEWER ADMINISTRATION FEE: $
11,83 ]078
13.71 ]079
steve",- W, -gea "d Y(j -ga YV\.tS 2/23/2004
c8~0~~UTT, 4006 FRANKliN BLVO,,.PsATE
TOTAL SDC CHARGES
536.28 ~
I $
:~~.. :99'
225'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00084
COM2004-00084
COM2004-00084
COM2004-00084
COM2004-00084
COM2004-00084
COM2004-00084
COM2004-00084
COM2004-00084
COM2004-00084
COM2004-00084
Payments:
~ Type or Payment
Check
"
Wi~~.--J:~O.-IJ!..~, u..~... .."'.
" ,~' ~
. ,
, :A!.:; - i
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....,"'......".\..."...., ;.".,....... '.,'
r
Receipt #: 2200400000000000211
Description
Planning Final Occy Inspection
Building Permit
Fixture
Stonn Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Stann Drainage Impervious Area
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC Sanitary/Stonn Admin
SDC Transpo Admin
Received By
jmp
Check Number
Batch Number Authorization Number
Paid By
ROTH & ROTH
2427
City of Springfield Official Receipt
Development Services Departmel!t
Public Works Department
Date: 03/05/2004 2:45:48PM
Item Total:
How Received
In Person
Payment Total:
Amount Paid
118,00
216.60
28.00
45,00
20,27
28,96
274,22
43.71
192,81
13.71
11.83
$993.11
.
Amount Paid
$993.11
$993.11
.