HomeMy WebLinkAboutPermit Building 2005-10-4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00638
ISSUED: 10/04/2005
APPLIED: OS/2712005
EXPIRES: 04/04/2006
VALUE: $ 10,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3550 GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703153301700
Springfield TYPE OF WORK: Carport
TYPE OF USE: Addition
PROJECT DESCRIPTION: Carport and interior alterations existing Travelodge
Commercial
Owner:
Address:
ROD KEMPF
2121 FRANKLIN BLVD
EUGENE OR 97403
Phone Number: 541-686-6658
Contractor Type
Generat
Electrical
Plumhing
~C\~'I-
'Or \~ ~",t _ ~Il'\\
"'- . t ~\-I';(!?~\ I~
, (ill'{llR>AQ1" 1! -, 'l'1Q1\t ,Q~
J:f' ~_,. ~., ~".
\.. S\'~..., UI"II"'. ~ II'"
Contractor '\~"'~~~\~O ()~1~~ icense Expiration Date
STONEWOOD CON ~~'12010302/04/2006
WIZARD ELECTRICb ,,, 152766 09/05/2006
R J PLUMBING INC ~ 158500 01130/2006
Phone
541-485-6638
541-484-5200
541-521-1381
I BUILDING INFORMATION'
c
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VA
# of Stories:
. Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-l
nla
'r
I DEVELOPMENTINFORMATION ,
REQUIRED PARKING
, Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: !!,andicapped:
Paved Drive Rqd: ~ eS 'IOU e9fPact:
% of Lot Coverage: \a.'l'IleC\U I gOfl \.l\i\lt t\.n
Olegofl \ne Ole se\ \0
_ I....,C"\N.. '^,\ 'O'l .loC, a.le _,,_l\O~'
, I PUBLIC IMl'ioyE'MENjS~I;I. \\'I~~~~g\'l ~~~;;u\es '0,/
S I ,- .,'ICa.\IO" - ,,'.OO~QUI ..aiil.S-O ,\e,,\'IOfle
treet mprovements: Fully Improved NO\I p, 95'2.-0v \ o'O\~,,-l\"~e',\~pt\l l~Ica.\iOl\ Curbside 5'
Storm Sewer Available: Yes ifl oP< 'IoU lfIa.'l efl\€Po~h~I\3~,IA!~s: To Storm Sewer
SpecialInstruction: 0090"'l\g \\'Ie c Olegofi "'3'1/2.'34 .
Ca.I,1 el \01 \\'Ie. ~.'OOO-"
Notes: Interior remodel only changing from 119 rooms to 1021l'Oml?s ~'ftdlt noted on SDC Worksheet 8/1512005 CAS
Pa!!e 1 of5
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00638
ISSUED: 10/04/2005
APPLIED: OS/2712005
EXPIRES: 04/04/2006
VALUE: $ 10,500.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
120,000.00
Value
Date Calculated
Descriotion Tvpe of Construction
Total Value of Project
$120,000.00
$120,000.00
OS/27/2005
~
, Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommllndlPublic $409.92 5m/05 3200500000000000259
+ 10% Administrative Fee $35.52 10/4/05 2200500000000001371
+ 7% State Surcharge 524.86 10/4/05 2200500000000001371
Add, Alter, Extend Circ 543.00 10/4/05 2200500000000001371
Add, Alter, Extend Circ Ea Add $15.00 10/4/05 2200500000000001371
Building Permit $115.20 10/4/05 2200500000000001371
Fixture $182.00 10/4/05 220050000000000137t
Plan Review Fire & Life Safety 546.08 10/4/05 2200500000000001371
Total Amount Paid 5871.58
I Plan Reviews I
Paee 2 of5
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2005-00638
225 Fifth Street, Springfield, OR ISSUED: 10/0412005
541-726-3753 Phone APPLIED: OS/27/2005
541-726-3676 Fax EXPIRES: 04/0412006
541-726-3769 Inspection Line VALUE: $ 10,500.00
Fire Department Review 05/31/2005 07/0512005 OK GRG Plan Review: Exterior and interior
remodel-exterlor canopy and
interior conference room. Job
#COM2005-00638. Occupancy
Classification: R-l. Construction
Type: V-A Sprlnklered.
Maintain fire extinguishers with a :
minimum rating of 2-A:I0-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Extend sprinkler coverage to canopy
(NFPA 13-2002,8.14.7.1).
If more than 20 sprinkler heads are
added or require relocation, submit
sprinkler plans and calculations to
Springfield Fire Marshal's Office fOl
review and approval. Ifless than 20
sprinkler heads are relocated,
provide submittal showing
relocation of sprinkler heads and
ensure system maintains compliance
with NFP A 13 requirements.
Fire Department Review 08/05/2005 Revised plans.
Initial Review 05/31/2005 05/31/2005 APP LLH
Plan nine Review 05/31/2005 06/24/2005 APP Steve Robinson will bring In revised
site plan showing two additional
parking spaces. Received revised
plot plan on 6/24/05.
Plannine Review 08/05/2005 08/1212005 APP EMM Revised plans.
Public Works Review 08/0512005 08/15/2005 APP CAS Revised ptans. Interior remodel
only; changing 119 rooms to 102
rooms SDC credit noted on
worksheet
Public Works Review 05/31/2005
Structural Review 05/31/2005 06/1 0/2005 WE JMP Met with Jeff Morton who said to
place the job on hold until they
decide how extensive they want to
make a revised set. Also requested
the 4th set and the 2 sets of energy
code forms for SUB's approval.
Structural Review 06/24/2005 06/2412005 10 JMP Left a message with Corrlne for Jeff
Morton asking for a status update
on scheduled revised set.
Paee 3 of5
. CITY OF SPRINGFl~L1J
Building/Combination Permit
PERMIT NO: COM200S-00638
ISSUED: 10/04/2005
APPLIED: OS/27/2005
EXPIRES: 04/04/2006
VALUE: $ 10,500.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
08/05/2005
08/1512005
WE JMP
Structural Review
08/25/2005
08/25/2005
10 JMP
Structural Review
09/29/2005
09/30/2005
APP JMP
SUB Review
09/30/2005
09/30/2005
APP DH
SUB Review
08/05/2005
08/12/2005
WE JF
Jeff Morton delivered revised plans.
See attached documents for 6
structural comments faxed to Jeff
Morton.
WE. Received revision for ADA
restroom-relocated the toilet. Still
waiting on the balance of the
responses to the comments.
Received response to structural
comments from Josh Shafer.
Forwarded energy code forms to
David Harris. Received final
internal review.
No energy code issues or inspections
on the suite conversions which is the
only portion to be permitted at this
time.
Revised plans. JMP left a message
for Jeff Morton requesting energy
code forms and worksheets.
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 Rp'Wirp,-l Tnf;',nection~ I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
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.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Final Etectrlc: When all electrical work is complete.
Palle 4 of5
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. ul:fOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00638
ISSUED: 10/04/2005
APPLIED: OS/27/2005
EXPIRES: 04/04/2006
VALUE: $ 10,500.00
By signature, I state and agree, that I have carefully examioed the completed application and do hereby certify that all
Information hereon is true and correct, and I further certify tbat 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.
~ /'
~h }<..., -=.---=
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.
Owner 07~ignature
Paee 5 of5
lJ)fl;~~
Date I '(
_ AlTACHMENT A
: . CITY OW1NGFIELD SYSTEMS DEVELOPMENT CHARGE .HEET
JOURNAL OR JOB NUMBER COM2005-00638
NAME OR COMPANY: Gateway Quality Inn-Travelodge
LOCATION: 3550 Galeway Street
MAP & TAX LOT NUMBER: 1703153301700
'DEVELOPMENT TYPE: Interior remodel rooms to suites
NEW DEVELOPED AREA (S.F,): 102.00 Room
EXISTING DEVELOPED AREA (S,F,): 119,00 Room
TOTAL IMPERVIOUS SURFACE (S,F,): 41,040,00
ITE:
ITE:
LOT SIZE (S,F,):
310
310
65,177
.
.
" ~
'ii~
",8
.
;l t
~~t'
E i:i c
00..
I STORM ORAINAGF.
No ~ange to building rootprint
IMPERVIOUS SQ, FT.
x
$ 0.323 PER SF
TOTAL STORM DRAINAGE SDC:! $
1070
2 SANITARY SEWF.R-CITY
A, REIMBURSEMENT COST:
NUMBER OF DFU's -170
B. IMPROVEMENT COST:
NUMBER OF DFU's -170
(SEE REVERSE SIDE)
AVAILABLE CREDIT (2 Yean;)
x $ 25,07 PER DFU
-4262,5324 1091
x $ 19,07 PER DFU
$ 44,14
TOTAL LOCAL WASTEWATER SOC:' $
-3241.2268 1092
:t TRANSPORTATION
No Dew trips
I $ (7,503,76)
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRJP FACTOR
NEW
A. REIMBURSEMENT COST:
102,00 x 8,17 x $ 19,09 PER TRJP x 0,85 NTF $13,520,001
B, IMPROVEMENT COST:
102,00 x 8,17 x $ 84,19 PER TRJP x 0,85 NTF $59,635,741
EXISTING $ 103,28
A, REIMBURSEMENT COST:
-119.00 x 8.17 x $ 19.09 PER TRJP x 0.85 NTF -$15,773,33
B. IMPROVEMENT COST:
-119.00 x 8.17 x $ 84,19 PER TRJP x 0,85 NTF -$69,575,03
AVAILABLE CREDIT (2 Yean;)
4 SANITARY SFWER - ~
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 41
B. IMPROVEMENT COST:
NUMBER OF FEU's 41
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's -41
B. IMPROVEMENT COST:
NUMBER OF FEU's -41
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL TRANSPORTATION REIMBURSEMENT SDq $ (2,253,33) 1093
TOTAL TRANSPORTATION IMPROVEMENT SDC:' $ (9,939,29) 1094
TOTALTRANSPORTATIONSOC:' $ ~ $(12,192,62)
x
. $456,67 PER FEU
$18.741.55'
x
$1.454.51 PER FEU
$59.693,25
x
$456,67 PER FEU
-$18,741,55
x
$1.454.51 PER FEU
-$59,693,25
TOTAL MWMC SOC:'
$
$
$
$
IS
-j
1054
1054
1055
1056
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
, $
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
, AOMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
$
x 5%
TOTAL TRANSPORTATION ADMINISTRATION FEE:1
TOTAL SEWER ADMINISTRATION FEE:
#DIV/O!
#DlV/O!
1078
1079
Cl1e'1:1L SLal::ll'l<.lllur
TOTAL SOC CHARGES
COM200s..o0638, 3550 Gateway St, Travelodge.x1s
8/1512005
DATE
~ONE
1
1 JULY 2004
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVAlENT =z DRAlNAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
Gatewav Quality Inn- Travelodee
FIXTURE TYPE
BATH11JB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLlDSIETC,
INTERCEPTORS FOR SAND/AUTO W ASHlETC,
LAUNDRY 11JB
CLOTHES WASHERlMOP SINK
CLOTHES.W ASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (i PER >RAILER)
".- '. .,' ..,
RECEPTOR fOR REFRlGERATOR/W A TER ST A TIONIETC,
RECEPTOR\,~OR COMMERCIAL SINK! D1SHW ASHERiETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS) ,.'
SINK: COMMERCIAL, RESIDENTIAL, KITCHEN
t' .'
SINK: COMMERCIAL BAR ',,, .,
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LAVATORYIRESIDENTIAL BAR
URINAL, ST ALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
102 119
.,(
o 0
o 0
102 119
102 119
NUMBER OF EDU'S'
UNIT
EQUIVALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
TOTAL DRAINAGE FIXTURE UNITS~
.EDU (Equivalent Dwellinl!; Urnt) is a dischar~ equivalent to a single family dwelliIlJ!: (20 DFU) set at 167 ~Ions per day
. ~
,
;
DRAINAGE
FIXTURE
UNITS
-51
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
-17
o
-102
o
o
o
o
-170
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 or before $5,29 1992
1980 $5,19 1993 $1.45
1981 $5,12 1994 $1.25
1982 $4,98 1995 $1.09
1983' $4,80 1996 $0,92
1984 $4,63 1997 $0,72
1985 $4,40 1998 $0.48
1986 $4,07 1999 $0.28
1987 , $3.67 2000 $0,09
1988 $3.22 2001 $0,05
1989 $2,73 2002 $0,00
1990 $2.25 2003 $0.00
1991 $1,80 2004 $0,00
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE X $0,00
IMPROVEMENT (IF AFTER ANNEXATION DATE) 'x $0,00
CREDIT TOTAL $0,00
COM2005-00638, 3550 Gateway St. Travelodge,x1s
,
1 JULY 2004
225 Fifth Street .
Sl:n:in&fteld, Oregon 97477
541-726-3759 Phone
.
GJ..~.~:~.....
1IIiE. .:,
.~ I
., .. ..~ ~
liJ..ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00638
COM2005-00638
COM2005-00638
COM2005-00638
COM2005-00638
COM2005-00638
COM2005-00638
Payments:
Type of Payment
Check
Q
:(
:'
'I
.(
10/4/2005
RECEIPT #:
2200500000000001371
Date: 10/04/2005
2:10:40PM
Description
Fixture
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Plan Review Fire & Life Safety
Building Pennit
+ 7% State Surcharge
+ 10% Administrative Fee
Amount Due
182.00
43.00
15.00
46.08
115.20
24.86
35.52
$461.66
PaId By
INN4 LLC
Item Total:
Check Number Authorization
ReceIved By Batch Number Number How Received
djb 10425 In Person
Payment Total:
$461.66
$461.66
Amount Paid
Page I of I
,
"0 1'0' S~~
225 FIFTH STREET. SPRINGFIELD, O'R 97477 . PH:(541)726-3753 . FAX: (5:n'~~.orOi~..~.,; ~~'!;
~'r) I 0'0" .. "". "liD'
ELECTRICAL PERMIT APPliCATION 0 ~ $ '101 . Vb .'
CityJobNumberClW2oof"-OO bJ f Date 9,r,; OrA. "'..",0'1;'19 r~9v;r:;""~1,
/ I!, '- $.0 "$
0,.,_ "' 9{y... th_
3. f:c?;>M'!?~-i:!; :fEji$Q~~~~,~:.!.~~;~f~"h,J
...... ~-~
V' ,.... ;- v".,'" ,. -' '. ........;", '~'-';.' ~,. '1
A. r'N~w 1l.~!"e~ti~b:-.Sirigl~~nMt!lti:F~lDJ'~JJ~~:O~~'laik'. I
Service}ncluded ~
1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or
portion thereof $ 19.00
Ea<;ll),:1i1Wf~\:P. !j~!!13{91\ law requires you to
MbHdlli{dwel in!! !':eI[Virel9\' the Oregon Utility
FIle\l6\W rUles ana" <JU J \' _._ "n'I~,(lIOO
.' . Genter. Those ru v:: -:':c,>,M1-
. """"""""',":ATiHL'tt'lroUlluvf"..Q;.!c.. . ..'" -. ' I
S.\ 'i~~~c~6rIJo~~~~~~~~n:~~t~~,~!' ~ter.~tJ~!is:~~~!leloc~:tiori: .:.~
0090. You may uu""" ~- . \ telephone
200 ~f,"'~'ottl~s.;enter. (Note.t\.1e "-"""~l~l;\lO
Ccr,1'<" _ "'e on Uti "1 ..-...,
2Oh{}mPjJP!4.00~mps g _ M , A\ $ 75.00
401 Amps t{600:Wn\ps1.800.332'~-', $125.00
601 Amps to 1000 Amps . $163.00
Over 1000 AmpsIVolts $375.00
Reconnect Only $ 50.00
iLO h 1C~W1 PF.
Address ""Zt Z- I ,~ r AV\. ~, ''''- If I ,f .l E, .IMii~;itah~~~s(Se'J:ti_c~tie~~-';r:not incl,jdedj~E~~h I~s!all~tio" '1
City FrfA,G-&J.f~ Phone bfb -bbS--g Pl'mpOrirri~.__" $50.00
\\01\ce.i i.' ~~.NOl $50.00
OWNERINSTALLATlON . 1'1\\Sfaa; 1 ~ .. $2;;.00
The installation is being made on Y'-Y"'J I own Whi'M)1~\~1 W clal $ 45.00
IS not Intended for sale, lease or rent. ~Q~~rmi~ I~.spectl~u Fe.~ ~s $45.00 +. ~urcharges
Owners Signature: ~"~;Y:i~;(;IF-#JQYE.",.. f", '...- ",. I .:::; B
1.(06
SeJv
I. r\~(JQ4.t!o.N. OF~~T!4/:rA.:fi.6N':'~;.:;~i
3S-S-0 (}A'"eYi~L,.:.!:"J
LEGAL DESCRIPTION
\='7(3)5'33'" 0/700--\
JOB DESCRIPTION
~ h> (,u/,h, Co"'lIers;VII\
)( 3
Permits are non-transferable and expire if work Is
not started within 180 days of Issuance or if work Is
Suspended for 180 days. .
!:;;GONTRA.--' Gt.oi(iN......s. 7:.~ rr.''4.T1oJ.idJvi, '1')
2. r~ ".~.....-,~)..," .,.....~ ...."..-..~ ~H"..' ,~"..."'. -', ~ r._ l
Electrical Contractor Vo.""i L'l- t 1 e(,~; c:.
Address 'Poi;
50€>9 I
City
EIJC,iNE Phone '1F'J"t-~
9 7<{0,>
i/m 5
/elHh7
I
Constr. Contr. Number I 5'Z- 7 bb
Expiration Date Cj/ S-/00
Supervisor License Number
Expiration Date
,
Owners Name
,
Inspection Request: 726-3769
l' C014.{a.c.~
c. l!~mp~;:~&;Se~n1c~;o;':Feed~rS
of;;' ','
.....~
\";"1
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D. r;tI~:f~.c_~fCi!c.iiits:~}~i '" ":. ''', .', t< ~.':>~~:~.".;.:- ,";:1
~ew Alteration or Extension Per Panel
. Oiie-GrCUlt I
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
L/3
/ ,('
5
$ 3.00
7% State Surcharge
10% Administrative Fee
TOTAL
b 7 !J!?
Shared Drive(T:)IBuilding FormslElectricnJ Pemit Application I-Q3.doc
h~ -:Svs-h\ ~ q 5'3- 9 2-87