HomeMy WebLinkAboutPermit Building 2006-5-10 (2)
.
Status,
Issued
*
ecITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00423
ISSUED: 05/10/2006
APPLIED: 04/10/2006
EXPIRES: 11/10/2006
VALUE: $ 35,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 113 Main St
ASSESSOR'S PARCEL NO.: 1703353206100
Springfield TYPE OF WORK: Modular Unit
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Coffee cart
Owner: VERNON & LEORA SWENSON 2002 FAMILY
Address: 1045 N OLD STAGE RD
MT SHASTA CA 96067
I CONTRACTOR INFORMATION I
~"
Contractor <,~'0 ~c.$- License
BRYSON CONSTRUCTION LLC 163747
CAMPBELL ElJEC:PRI~'J'<' 73995
JUNG ENTERPRIS"ES1NC 102455
KEVIN M~!<,:C':Q(iEN 13!326..\. ,~
oX-'?-~~<<::- '~'?-' , BUILDING INFORMATION.I"'-.....O'.~,.
. ~-J,~" ~ ", 0' c~ oJ~? ,')"'.
...<t,;.. ~ 'V ~ '0" 'OC5=. 0) ,'0 (.',. c'"
# of Units: ~'" ~<i' x.,'J '0 (.~ # of Stories: ~'O' 'i,' <:(- OJ ,y ~'O "~t Size:
Primary OccupanCYJGroup':~ 01), \ q B Height of Structurl," .:l'" o'?' ~'O' ,';-:-v ,-Sq Ft 1st Floor:
S d 0 ~ "~G"" -"" ~ T fH -" .,- , ~ ." ,,, '''S F 2 d
econ ary ccupancy' roup:,- "" ype 0 eat:,,'O" ,'0 N' 0' "6~, ,,,, q t n Floor:
" ,...,' ~,'v ~ V fl,..! V oJ .;)'V.J ~'- '.'
Primary Constructio??T!~~'~ ,<<3 VB Water,1'Y~~~ "'-'" ~O rl', ,~-!' .,,,~' ~; Sq Ft Basement:
Secondary Construchon,T):~..: Ra.~0e;.Ty'pe~Q}' ,,," vO.'.:}',';"" f Sq Ft Garage/Carport
# of Bedrooms: ~ E,[!.erg~P,ath:~ }:Jc:,~,rij0 ~' >:--0 ,;V"sq Ft Other:
"Sprinkled'Building: . <" $,~ "n1a Occupant Load:
~,," _~ .:....0... t"\}.) "'~ "Y..l,u ~
Contractor Type
General
Electrical
Mechanical
Plumbing
Expiration Date
03/17/2007
OS/24/2008
10/04/2006
0910412006
Phone
541-913-0557
541-744-0705
541-741-0002
541-607-9208
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVEbOPMENT,INFORMATION I
'" \.)'~" ~Q, ,-u' ~'"
'~ C\OJ ,"$! Q} 0'0
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:
DownspoutslDrains:
Notes:
Paee 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Modular Unit
Tvpe of Construction
Estimate
Modular
Fee Description
Plan Review Comm/lnd/Puhlic
+ 10% Administrative Fee
+ 8% State Surcharge
Addressing Assignment
Building Permit
Fire Fee - Non-Residential
Miscellaneous Plumhing
Modular Building
Plan Review Comm/lnd/Public
Sanitary Sewer - Improvement
Sanitary Sewer - Reimhursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimhursement
SDC Sanitary/Storm Admin
Total Amount Paid
.
.ITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00423
ISSUED: 05/10/2006
APPLIED: 04/10/2006
EXPIRES: 11/10/2006
VALUE: $ 35,500.00
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
5,500.00
30,000.00
Value
Date Calculated
$5,500,00
$30,000.00
$35,500.00
05/09/2006
05/09/2006
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
3200600000000000175
1200600000000000634
1200600000000000634
1200600000000000634
1200600000000000634
1200600000000000634
1200600000000000634
1200600000000000634
1200600000000000634
1200600000000000634
1200600000000000634
1200600000000000634
1200600000000000634
1200600000000000634
1200600000000000634
$44.46
$39.39
$29.99
$31.00
$76,20
$19,00
$45.00
$253.65
$143.23
$33,37
$43,88
$10,00
$190.51
$21.85
$14.98
4/10/06
5/10/06
5/10/06
5/10/06
5/10/06
5/10/06
5/10/06
5/10/06
5/10/06
5/10/06
5/10/06
5/10/06
5/10/06
5/10/06
5/10/06
$996,51
I Plan Reviews I
Paee 2 of4
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00423
ISSUED: 05/10/2006
APPLIED: 04/10/2006
EXPIRES: 1lI10/2006
VALUE: $ 35,500.00
.
-1Iri:~1iI1~~I;l~
, '
^ . .!. -
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
04/12/2006
OK
GRG
05/01/2006
Initial Review 04/12/2006 04/12/2006 APP SKG
Plan Review Comments 05/09/2006 10 JMP
Plannin~ Review 04/12/2006 04/13/2006 APP EMM
Public Works Review 04/12/2006 05/10/2006 APP SB
Structural Review 04/12/2006 04/21/2006 10 RWC
Structural Review 05/10/2006 05/10/2006 APP JMP
Structural Review 05/01/2006 05/01/2006 WE JMP
SUB Review 04/12/2006 04/18/2006 APP JF
Plans Review: ColTee cart, Job
#COM2006-00423. Occupancy
Classification: B, Construction
Type: V-B,
Provide address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505,1).
Provide fire extinguishers with a
minimum rating of2-A:IO-B:C
every 75 feet of travel distance, The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
nnnr (2004 Springfield Fire Code
906),
WI. Received response from Luis
LaForteza,
Attached approved MDS approved
site plan. Site to be constructed per
this plan DRC20056-00057
SDCs added to replace coffee cart
with one slightly larger, with more
fixtures (+bathroom)
Requirered special inspection
Received final internal approval.
See attached documents for 7
structural comments faxed to
Pamela S, Hillstrom.
No energy code issues or inspections,
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.
Ueollire'Unsnections I
Foundation: After forms are erected but prior to concrete placement.
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 Plumbing: Prior to cover and including required testing.
Pa~e3 of 4
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.CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00423
ISSUED: 05/10/2006
APPLIED: 04/10/2006
EXPIRES: 11110/2006
VALUE: $ 35,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phooe
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plnmbing: When all plnmbing work is complete.
By signatnre, 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 sball be done in accordance with
tbe 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 ofthe Community Services Division, Building Safety.
I further certify that only contractors and employees wbo 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 tbe 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 durin::~t~!?; ~
'P? ~________ r--/6-d~
rr Contractors~re
Date
Paee 4 of 4
. _.~ .',
.
.
'.
AlTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2006--00423
NAME OR COMPANY: LaFortcza Coffee Cart
LOCATION: 113 Main 51
MAP & TAX LOT NUMBER: 1703353206100
DEVELOPMENT TYPE: Replacancol Coffee Cart
NEW DEVELOPED AREA (S.F.): 217.50
EXISTING DEVELOPED AREA (S.F.): 192.00
TOTAL IMPERVlOUS SURFACE (S.F):
I STORM DRAINAGE
IMPERVlOUS SQ. FT.
ITE:
ITE:
LOT SIZE (S.F.):
934
933
x
$ 0323 PER SF
TOTAL STORM DRAINAGE SDC:,
2 SANITARY ~FWFR-OTI
A REIMBURSEMENT COST:
NUMBER OF DFU's 7
B. IMPROVEMENT COST:
NUMBER OF DFU's 7
(SEE REVERSE SIDE)
75% Downtown Development Credit
x $ 25.07 PER DFU
$43.88 I
x $ 19.07 PER DFU
$ 44.14
TOTAL WCAL WASTEWATERSDC:I
$33.37 I
$77.24 I
$308.98
3 TRANSPORTATION
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A REIMBURSEMENT COST:
0.22 x 496.12
B. IMPROVEMENT COST:
0.22 x 496.12
EXISTING
A. REIMBURSEMENT COST:
.0.19 x 716
B. IMPROVEMENT COST:
-0.19 x 716
x
$ 19.09 PER TRIP
.x
0.5 NTF $1,029.80 ~
0.5 NTF $4,542.36 ~
0.5 NTF ($1,31 1.96)~
0.5 NTF ($5,786.95)~
x
$ 84.19 PER TRIP
x
Used trips cbarged on 02-00S99-01(attac:bed)
X $ 19.09 PER TRIP x
X
$ 84.19 PER TRIP
$ 103.28
x
TOTAL TRANSPORTATION REIMBURSEMENT SDC:I
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SD<::JS I
4 SANITARY SEWER. MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.22 X $856.69 PER FEU $186.33 ,
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.22 x $7,471.08 PER FEU $1.624.961
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's .0.19 x $856.69 PER FEU ($164.48)1
B. IMPROVEMENT COST:
NUMBER OF FEU's .0.19 x $7,471.08 PER FEU ($1,434.45)1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:, $ 222.36
SUBTOTAL (ADD ITEMS 1,2,3, & 4) $299.60 I
5 ADMINISTRATIVE FEE~'
BASE CHARGE (SUBTOTAL ABOVE)
$
299.60 X 5% , $14.98
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
TOTAL SEWER ADMINISTRATION FEE: $
&.... /J(/. e......, &...-
SDC COORDINATOR
5/1012006
DATE
TOTAL SDC CHARGES
C0M2006-00423, Coffee cart replacement, 115 Main 51.xls
$175.52
$133.46
($1.526.75:.
1 JULY 2004
.
.
DRAINAGE FlX11JRE UNIT (DFU) CALCULA TION TABLE
NUMBER OF NEW FlX11JRES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS. CALCULA TE ONLY TI-IE NET ADDmONAL FIXTIJRES)
,.
,.
LaFortcza Coffee Cart
FlX11JRE TYPE
BA TIlTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASElOIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AU'TO WASHIETC.
LAUNDRY TUB
CLOTl-lES W ASHERlMOP SINK
CLOTHES WASHER. 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RE<,."r, u,,- FOR REFRlGERA TORIW A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINKI DISHW ASHERIETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BAS1N/OOUBLE LAVATORY
SINK: SINGLE LA V A TORY /RESIDENTIAL BAR
URINAl, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCEUANEOUS:
FIXTIJRES UNIT
NEW OLD EQUIVALENT
3
I
3
3
6
2
3
6
12
3 I
3
2
2
2 3
2
2
I
5
6
3
NUMBER OF EDU'S'
TOTAL DRAINAGE FlX11JRE UNITS=
o'EDU ffiaoivalent DwcUin. Unit) is a dis<:han!e eQUivalent to . sinJde familv dweUin. (20 DFUl set at 167 gaUoos "'" dav
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR
ANNEXED
1979 orbefon:
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER 51,000
ASSESSED VALUE
..55:29.
.;,55.19'
'. S5.Iil.
':". $4.98
<, $4.80_
; $4:63:
.' -",,0'1'
,";.$4.40:;
r;'S4.07.i::.
~':':!:::' $3.67,:
..:. 53.:U',
>~:~:7~'-i
~'iT' $2i~_.
51.80
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER 51,000
ASSESSED VALUE
,~',::} ,:''':~~~';~'I~~
..~i".;,~/,~./ ~i:~:'
~::::,J'~f/~'::,~:~' ~~;~,~
.:~: :.~J~:~1:~ :;;:',:'::'!~::~ . $O.2.~i;'
,':, l" ',~ "I"SO 09:'
:,~!~i;::'i::::;!::'I>:: ,,:;~::I: $0: O~:"
.,.." .".' >. $0.00
't~".': :'-"$0 iKt
:~- ...":1,' $0:00'-
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
CREDIT TOTAL
COM2006-00423, Coffee cart replacement, 115 Main St.xIs
DRAINAGE
FIXTIJRE
UNITS
o
o
3
o
o
o
o
o
o
.2
o
o
o
.3
o
2
1
o
6
o
o
o
o
7
50.00
$0.00
50.00
, JULY 2004
..~
.-.
\ I
Ii;
.
.
AlTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 02-00599-01
NAME OR COMPANY: VERN SWENSEN
LOCATION: 115 MAIN STREET
MAP & TAX LOT NUMBER: 17-03-35.3206100
DEVELOPMENT TYPE: COFFEE CARTlFooD CART
DOWNTOWN DEVELOPMENT DISCOUNT
NEW DEVELOPED BUILDING AREA (S.F.): 192 ITE: 833
EXISTING DEVELOPED BUILDING AREA (SF): ITE:
TOTAL DEVELOPED BUILDING AREA (S.F.): 192 LOT SIZE (S.F.):
I STORM DRAINAGE
8OSTINGIMPEmAOUSAREA
IMPERVlOUS SQ. FT.
x 5 0.273 PER SF
TOTAL STORM DRAINAGE SOC: '$
2 SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's 9
B. IMPROVEMENT COST:
NUMBER OF DFU's 9
DOWNTOWN DEVELOPMENT DISCOUNT
x 5 21.37 PER DFU I $ 96.17
x 5 16.24 PER DFU I $ 146.16
TOTAL LOCAL WASTEWATER SOC: , $ 242.33
LTRAN~PORTATION
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR '
NEW
A REIMBURSEMENT COST:
0.19 x 716 x 5 16.26 PER TRIP x
B. IMPROVEMENT COST:
0.19 x 716 x 5 71.75 PER TRIP x
0.5
NTF
0.5
NTF
TOTAL TRANSPORTATION REIMBURSEMENT SOC:
TOTAL TRANSPORTATION IMPROVEMENT SOC:
TOTAL TRANSPORTATION SOC:
4 SANITARYSEWER-MWMC
NEW:
A REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
$2.409.46
PER FEU
0.19
x
5143.28
PER FEU
0.19
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SOC:
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5 ADMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
x
0.05
Pa~I.I.lJ. OW"",, tl::!
SOC COORDINATOR
6/1012002
DATE
TOTAL SDC CHARGES
02-00599-01. VERN SWENSEN, 115 MAIN STREET .xls
I
JULY 2001
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FDmJRES x UNIT EQUIVALENT - DRAINAGE FIXTIJ}' E UNITS
(NOTE: FOR REMODELS, CALCIJLA TE ONLY THE NET ADDmONAL FDmJRES)
FIXTURE TYPE
BA TIlTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLIDSIETC.
INTERl..cr' u,Q FOR SAND/AU'TO WASHlETC.
LAUNDRY TUB
CLOTHES WASHERlMOP SINK
CLOTHES WASHER. 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERA TORIW A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL S1NK/ D1SHW ASHERIETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLELAVATORY
SINK: SINGLE LA VA TORY /RESIDENTIAL BAR
URINAL, ST ALI1W ALL
TOILET, PUBLIC INSTALLATION
TOILET, PRN ATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
3
2
NUMBER OF EDU'S.
UNIT
EQUN ALENT
3
1
3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
TOTAL DRAINAGE FIXTURE UNITS=
_.EDU (Equivalent Dwelling Unit) is a discl1a:rRe equivalent to a sinJde family dwclIin~ (20 DFU) set at 167 Il81lons oer day
9
..
,
...,
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
3
o
o
o
6
o
o
o
o
o
o
o
o
o
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR RATE PER 51,000 YEAR RATE PER 51,000
ANNEXED ASS,g,SSED VALUE ANNEXED ASSESSED VALUE
1979 or before 5 4.92 1990 5 2.06
1980 5 4.83 1991 5 1.64
1981 5 4.77 1992 $ 1.45
1982 5 4.64 1993 5 1.31
1983 5 4.47 1994 5 1.13
1984 5 4.30 1995 5 0.97
1985 5 4.09 1996 5 0.82
1986 5 3,78 1997 5 0.63
1987 5 3.41 1998 5 0.41
1988 5 2.98 1999 5 0.22
1989 5 2.52 2000 5 0,04
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE x =1 50.00
IMPROVEMENT (IF AFTER ANNEXATION DATE) x =1 50.00
CREDIT TOTAL 50.00
02-00599-01, VERN SWENSEN, 115 MAIN STREET.xIs
JULY 2001
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
.ii~
c.of Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2006-00423
COM2006-00423
COM2006-00423
COM2006-00423
COM2006-00423
COM2006-00423
COM2006-00423
COM2006-00423
COM2006-00423
COM2006-00423
COM2006-00423
COM2006-00423
COM2006-00423
COM2006-00423
Payments:
Type of Payment
Check
cReccintl
RECEIPT #:
1200600000000000634
Date: 05/10/2006
Description
Addressing Assignment
Fire Fee - Non-Residential
Modular Building
Building Permit
Miscellaneous Plumbing
Plan Review CommllndlPublic
+ 8% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC MWMC Improvemenl
SDC MWMC Administration
SDC SanilarylSlorm Admin
Paid By
LAFORTEZA INC.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 1002 In Person
Payment Total:
Page I of I
II :20:39AM
Amount Due
31.00
19,00
253.65
76.20
45,00
143.23
29,99
39.39
43.88
33,37
21.85
190.51
10,00
14.98
$952.05
Amount Paid
$952.05
$952.05
5/1 0/2006