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Home My WebLink AboutPermit Building 2004-7-22 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54 I -726-3769 Inspection Line ,\ 'I ,.. . CITY OF SPRINGFIE;LD Building/Combination Permit PERMIT NO: COM2004-00697 ISSUED: 07/22/2004 APPLIED: 06/14/2004 EXPIRES: 01122/2005 VALUE: $ 42,545.00 SITE ADDRESS: 3555 GATEWAY ST STE 200 ASSESSOR'S PARCEL NO.: 1703153300900 SPRINGFIE TYPE OF WORK: Tenant Infill TYPE OF USE: PROJECT DESCRIPTION: Tenant Improvement - Dorman Mausoleum Company Alteration Commercial Owner: TGP LLC Address: PO BOX 70475 EUGENE OR 97401 Contractor License DORMAN MAUS~~M CO 146407 JB ELECTRI~,<c.., ~,~_ ' ~'\:)'\ 104929 COMFOR~~~,,: 460 :J.~'v'X~<:0'" ';<.,'V~ -tiUlLDING INFORMATION I 'v ~i!- ~S ~"<[i'. ,,/ # of Units: x:-~'J <(.." 'i?-~<::j # of S~ories: ~ ,,-0 Primary Occu(lancy Grliup'~~ <'- ~~ B Height of Structure.. ~o. ,~~ ^~ S d n.-!,",x,. "~"G ,," '\~ <' T" fH 0-'" v \0'" econ ary ~".up.:!~~y ,.sou13:- 'f:>V' ype 0 eat: ~ o~ f3' ~'" Primary GfnstructioD\Type, ()~~ VN wate~r Type'\0~O~0C$ .0'" <-.'l:(j 'O~ '\; ,'-:> ,,~' ~" " ~' C!)J ~ Secondary lS;.onstr,uction, T.(;lle: Range T :"S'0 '<..0~ ~ J.0 0 # of Bedrooms.:~' ~~v -o\) , Ener -I',{'tl8 f3 \'" ~ 0 "S'0 ~ ~o"'. 0<::- ,,<:) ,1.'\ / srlal: 6ltR.dil'i'n.ol 0' ~0?J#>~ ,,~ ('~~V~Q ~'7~W>;'0~ _",,0, ~",,, ~ " .'t~ ~,<," ~~ 1J:5" ~. "'--:". ~:~~~~l\~~~f1' ~O ~o a;'>J ~ 0 0\' ~o~ ~n:; \0 ~'V~1!:!lI'Y~" O\q; 9Jr;:ff ~o O~.liS~~~~~ '\~~it.yel!.:.IJ;lt~d: <Sf; ~ot ~verage: ~ Contractor Type General Electrical Mechanical ': Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-342-3722 I CONTRACTOR INFORMATION I Expiration Date 11127/2004 03114/2008 06/27/2005 Phone 54 I -984-0086 541-687-5770 541-726-0100 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: Paee 1 00 '" J Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction I \ Estimate , Estimate Fee Description Plan Review Comm/IndlPublic -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Building Permit Miscellaneous Mechanical Plan Review - Planning SDC MWMC Administrati.on SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Total Amount Paid . . Lll r OF ~rK11'\jtd<mLD Building/Combination Permit PERMIT NO: COM2004-00697 ISSUED: 07/22/2004 APPLIED: 06/14/2004 EXPIRES: 01/22/2005 VALUE: $ 42,545.00 I Valuation DescriDtion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 42,545.00 Value Date Calculated Total Value of Project $42,545.00 $42,545.00 06/14/2004 Fpp<, V..W Amount Paid Receipt Number Date Paid $214.31 $10.00 $37.47 $26.23 $329.70 $45.00 $71.00 $10.00 $171.38 $25 1.70 $86.33 $ I ,054.46 $239.02 6/14/04 7/22/04 7/22104 7/22/04 7/22/04 7/22/04 7/22/04 7/22/04 7/22104 7/22104 7/22/04 7/22/04 7/22/04 2200400000000000757 2200400000000000960 2200400000000000960 2200400000000000960 2200400000000000960 2200400000000000960 2200400000000000960 2200400000000000960 2200400000000000960 2200400000000000960 2200400000000000960 2200400000000000960 2200400000000000960 $2,546.60 I Plan Reviews , Fire Department Review 06/15/2004 06/2112004 OK GRG See attached document for fire department plan review commnents. Initial Review 06/15/2004 06/15/2004 APP Plan nine Review 06/15/2004 06/16/2004 APP EMM Site visit conducted on 6/15104. Meets all LUCS requirements Public Works Review 06/15/2004 06/2112004 APP SB SDCs added. Structural Review 06/15/2004 06/22/2004 APP TCM SUB Review 06/15/2004 06/2112004 APP JF 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'\llirprlln<np..~ 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. Paee 2 of3 "J . . CITY OF ~r1Ul'\jljNJ<.,LD Building/Combination Permit PERMIT NO: COM2004-00697 ISSUED: 07/22/2004 APPLIED: 06/14/2004 EXPIRES: 0112212005 VALUE: $ 42,545.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-37691nspection Line Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Ceiling Grid: Interior Lighting 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 furtber 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 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 time/Ji/;o::tion~ ,~ r~\(f . Ii..-- (.z.z ,04 Owner or Contractors Signature Date Page 3 of3 J AITACHMENT A CIT INGFIELD SYSTEMS DEVELOPMENT CHARG JOURNAL OR JOB NUMBER COM2004-00697 NAME OR COMPANY: DORMAN MAUSOLEUM LOCATION: 3555 GATEWAY - SUITE 200 MAP & TAX LOT NUMBER: 1703153300900 DEVELOPMENT TYPE: MAUSOLEUM BUSINESS OFFICE NEW DEVELOPED AREA (S,F,): 1,400,00 EXISTING DEVELOPED AREA (S,F,): TOTAL IMPERVIOUS SURFACE (S,F.): SHEET 710 lTE: lTE: LOT SIZE (S,F,): o 1 STORM DRAINAGE IMPERVIOUS SQ, FT, $ 0,290 PER SF x TOTAL STORM DRAINAGE SIX:: , $ 2 SANITARY SFWRR..r.ITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) o x $ 22,64 PER DFU , $ x $ 17.21 PER DFU , $ TOTAL WCALWASTEWATER soq $ o . ;; M 8~t' e - ~ OO~ I $ I $ ;!.IB8NSPORT .uIQl'1 BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP F ACfOR NEW A. REIMBURSEMENT COST: 1.400 x 11.01 x $ 17,23 PER TRIP x 0,9 NTF 1$ 239,02 I B. IMPROVEMENT COST: 1.400 x 11.01 x $ 76,01 PER TRIP x 0,9 NTF 1$ 1,054,46 I EXISTING " A REIMBURSEMENT COST: 0,000 X 0 X $ 17.23 PER TRIP X 0 NTF 1$ B. IMPROVEMENT COST: 0,000 X 0 x $ 76,01 PER TRIP x 0 NTF 1$ TOTAL TRANSPORTATION REIMBURSEMENT SIX::I $ TOTAL TRANSPORTATION IMPROVEMENT SIX:: $ $ TOTAL TRANSPORTATION SOC:' $ 1,293,481 4 SANITARY SEWER - MWMC NEW: A REIMBURSEMENT COST: NUMBER OF FEU's 1.400 X $179,79 PER FEU 1$ B. IMPROVEMENT COST: NUMBER OF FEU's 1.400 X $122,42 PER FEU 1$ EXISTING: A REIMBURSEMENT COST: NUMBER OF FEU's 0.000 X $0,00 PER FEU 1$ B. IMPROVEMENT COST: NUMBER OF FEU's 0,000 X $0,00 PER FEU 1$ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 251.70 I 171.38 I I $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC ADMINISTRATIVE FEE: $ TOTALMWMCSDC:' $ 433,081 SUBTOTAL (ADD ITEMS 1,2,3,&4) '$ 1,726,561 239,02 1,054,46 , ,293.48 1054 251,70 1054 171,38 1055 10.00 1056 $ , AnMTNIST'{ATlVE FEES' BASE CHARGE (SUBTOTAL ABOVE) 1.726.56 X 5% $ 86.33 TOTAL TRANSPORTATION ADMINISTRATION FEE:l $ TOTAL SEWER ADMINISTRATION FEE: $ 86,33 1078 1079 steve",- W. 'geaL<l!r!j 'ga.."es 612112004 cdMl6u4~,J~usoleum. 3500 Gateway, suitil.Mi&ls TOTAL SOC CHARGES , $ . .; II ~" lie 1070 1091 1092 1093 1094 1,812.89 JULY 2001 225 Fifth Street Springfield, Oregon 97477 ,j 541-726-3759 Phone Job/Journal Number COM2004-00697 I, I COM2004-00697 COM2004-00697 COM2004-00697 COM2004-00697 COM2004-00697 COM2004-00697 COM2004-00697 COM2004-00697 COM2004-00697 COM2004-00697 COM2004-00697 Payments: Type of Payment Check , 'i I] i, , 7/22/2004 . S~~,".""'! ~, JiiitY of Springfield Official, Receipt -"elopment Services Department Public Works Department RECEIPT #: 2200400000000000960 Date: 07/22/2004 Description Plan Review - Planning SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin Building Pennit Miscellaneous Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By DORMAN CONSTRUCTION Received By Item Total: Check Number AuthoriZation Batch Number Number How Received nJm 167600 In Person Payment Total: Page 1 of I IO:50:36AM Amount Due 71.00 239.02 1,054.46 251.70 171.38 10,00 86.33 329.70 45,00 10.00 26.23 37.47 $2,332.29 Amount Paid $2,332,29 ~~,,,,,~.~'9