HomeMy WebLinkAboutPermit Building 2005-3-1
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.
., CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 03/0112005
APPLIED: 07/0212004
EXPIRES: 09/0112005
VALUE: $ 7,000.00
.
~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-37691nspection Line
. SITE ADDRESS: 526 Harlow Rd
ASSESSOR'S PARCEL NO.: 1703220002607
Springfield TYPE OF WORK: Retail
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: New Image Car Wash
Owner: ROBERT DIENS
Address: 41230 SE 149TH PL
NORTH BEND WA 98035
Phone Number: 425-888-5849
.
I CONTRACTOR INFORMATION I
Contractor .C'\~*-< License
PACIFIC NORTHERN-EN,vIRONMENTAL G78140
,...... '- ,......-
SUNSET ELEC,1'tp~ l!'I~ 158859
VOS PLUM'H~~d~~ '<.'0 41805
BABB CQ.l~S,!~UCJJON
v~~ ~,.
, ~'v'X:-"\.,~~ I
"J~ 1;)<<; ,?-V
# of Units: S..<i,'^"" '0~ ~ f2,,,,<V'
Primary Occupan'cy Group:<>> C'\ '0 ,!(-B
.\' .:,(v~,v (.'V <>v
Secondary Occ'!pancy GrOlH':~v '" '
Primary construct~~~T'i'~!~~ <V~ VN
Secondary Constructi9~TYP!l:
# of Bedrooms: <.:.; ~
Contractor Type
General
Electrical
Plumbing
Sewer
Expiration Date
12/0512005
02/27/2006
04/04/2006
Phone
503-423-2245
541-9 I 5-4883
541-485-055 I
541-688-2233
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
BUILDING INFORMATION I ,0
4,0'::> .~~ ~
# of Stories: 0"> ~ '0~ i\.';)~ ~Lot Size:
, ~ ~' " !:>
Heigh(ofStructure 0~ 0~0 ~:O~~ ~ Ft 1st Floor:
Type of Heat: ~"O" ~ ~ OJ'') ~~S~ Ft 2nd Floor:
Water Type: ~,'I> '$'0 ~0'" O'?' 0 \V ~sqgt Basement:
Range Tyes.e.~O b'Q,\",0 "~(fj' ~ 'S' ~0\,~cfFt Garage/Carport
Ene~gy .Mh;.<"q; '\~ ~\o ',0'" ~0 ~ _,0"1$ Sq Ft Other:
. . :\\.f( ~. ...,. ,-- ...
Spn d ijul~Jn2'.\) r:?~ ~q,n/a,~~ n.1><~(i)ccupant Load:
. .....~,..<;:' ,,\)" :,(:0. ,0 ,~ n-J
I DEVtIDOP-MEiili iJ6aMA\I'ioN .-.0"
It " 1
'0" . r:r "'~. "'- 0' '" ~v
'" .~~ t">..vJ ,," r;; "..:
_,O~.~l;i$' .10" ~0 ,&-0.r:,
U\'er~~lst: ~. '&~ ~"
'.('< \0 ~0
# S~'lC,f r,tes~!id:0"
Pavedl>r"'~Jlqd: V
% of Lot ~verage:
6,973
REQUIRED PARKING
Total:
, Handicapped:
Compact:
.
I PUBLIC IMPROVEMENTS.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Pal!elof8
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
S41-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Estimate
Pavinl!
EstImate
Estimate
Estimate
Use Bid Amount
Fee Description
Plan RevIew CommlIndlPnblic
Plan Review Fire & Life Safely
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Annexed 1996
BackOow Device
Building Permit
Fixture
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Paving
Plan Review CommlIndlPublic
Plan Review Fire & Life Safely
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbnrsement
Sanitary Sewer Each Addtl 100'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addti 100'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each Addti 100'
+ 10% Administrative Fee
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 03/0112005
APPLIED: 07/02/2004
EXPIRES: 09/0112005
VALUE: $ 7,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
298,380.00
120,000.00
7,000.00
143,070.00
Valne
Date Calculated
$298,380.00
$120,000.00
$7,000.00
$143,070.00
$568,450.00
07/0212004
07/0212004
02116/2005
09/28/2004
Total Value of Project
~ Fpp< ~
Amount Paid
$1,022.55
$629.26
$10.00
$298.11
$159.07
$31.00
$-181.24
$56.00
$1,602.40
$224.00
$24.00
$9.00
$708.65
$321.10
$197.60
$45.00
$676.36
$889.48
$70.00
$10.00
$1,536.49
$2,256.61
$526.40
$1,325.28
$19,493.88
$4,419.45
$7,932.59
$45.00
$84.00
$12.00
$45.00
$56.00
$5.00
Date Paid
ReceIpt Numher
2200400000000000892
2200400000000000892
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
1200400000000001460
7/2/04
7/2/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/12/04
Pal!e 2 of8
I .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 7% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Clrc Ea Add,
Low Voltage - Commercial Indus
Perm ServlFdr 201 to 400 amps
Plan Review/Com,lnd,Pub Hourly
+ 10% Administrative Fee
+ 7% State Surcharge
Encroachment Permit
Plan Review/Com,lnd,Pub Hourly
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Copies - Ea AddU @ 50 Cnts Ea
Miscellaneous Copy Chgs
Plan Review CommlIndlPublic
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
Storm Drainage Impervious Area
Total Amount Paid
.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-008I4
ISSUED: 03/01/2005
APPLIED: 07102/2004
EXPIRES: 09/01/2005
VALUE: $ 7,000.00
$3.50
$50.00
$24.30
, $17.01
$123.00
$45.00
$75.00
$135.00
$5.90
$4.13
$120.00
$45.00
$45.00
$14.00
$8.40
$5.88
$84.00
$6.00
$12.00
$54.60
$7.05
$10.35
$0.92
$0.57
$12.40
10/12104
10/12/04
10/26/04
10/26/04
10/26/04
10/26/04
10/26/04
12113/04
12/17104
12117104
12117104
12/17104
12/17104
12/17104
3/1/05
3/1/05
3/1/05
3/1/05
3/1/05
3/1/05
3/1/05
3/1/05
3/1/05
3/1/05
3/1/05
1200400000000001460
1200400000000001460
1200400000000001519
1200400000000001519
1200400000000001519
1200400000000001519
1200400000000001519
2200400000000001503
2200400000000001527
2200400000000001527
2200400000000001527
2200400000000001527
2200400000000001527
2200400000000001527
2200500000000000237
2200500000000000237
2200500000000000237 .
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
$45,449.05
I Plan Reviews I
Pa~e3 or8
. . CITY OF SPRINGFIELD'
Building/Combination Permit
Issued PERMIT NO: COM2004-00814
225 Fifth Street, Springfield, OR ISSUED: 03/01/2005
541-726-3753 Phone APPLIED: 07/02/2004
541-726-3676 Fax EXPIRES: 09/01/2005
541-726-37691nspection Line VALUE: $ 7,000.00
Public Works Review 02/14/2005 02116/2005 APP SB Added Quarterback Station, and
SDCs ($31.29)
Revised Plan Review - Fir 02114/2005 02124/2005 OK GRG Revised Plan Review: Addition of a
4 ft by 8 ft CMU structure for a
"greeter." Job #COM2004-00814.
Provide fire extinguishers witb a
minimum rating of 2-A: 10-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
Door (2004 Springfield Fire Code
906).
Revised Plan Review - Fir 07/13/2004 07/15/2004 OK GRG Revised Site Plan Submittal: new
automated car wash and detached
retail shell building. Job
#COM2004-00814. Occupancy
classification: B. Construction type:
V-No Car wash: 1590 sq. ft. Retail
sbeil building: 2000 sq. ft.
Site plan sheet C-3 shows location of
new hydrant. A three foot clear
space shail be maintained around te
circumference of the fire hydrant
(Springfield Uniform Fire Code
1001.7.2).
Revised Plan Review - Pia 07/13/2004 07/14/2004 APP EMM Must be built exactly as per
approved Final Site Plan Review
and Development Agreement
DRC2004-00018. Any modification
will require the submittal and
approval of a Land Use application -
Modification of Site Plan Review.
Revised Plan Review - Pu 07/13/2004 0711 5/2004 APP SB No changes impacting SDCs or
Permits
Revised Plan Review - Str 07/13/2004 07/16/2004 OK JMP Site work by Branch Engineering.
Revised Plan Review - SU 07113/2004 07116/2004 OK JF Site work by Branch Engineering.
Structural Review 07/23/2004 07123/2004 WE JMP Received fax from Andrew
Montgomery addressing structural
review. Approved 4 additional
drawings. Still waiting for energy
code forms, special inspection forms,
and contractor's bid.
Structural Review 08/02/2004 08/0212004 OK JMP Received Special Inspection forms
from David Diens. Gave him and
Brad Rogers earlier a list of items
that we are stlll wailing to receive.
Structural Review 02125/2005 02125/2005 APP JMP Received final internal review.
Pal!e 5 of8
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
Paee 6 of8
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 03/0112005
APPLIED: 07/0212004
EXPIRES: 09/0112005
VALUE: $ 7,000.00
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00814
ISSUED: 03/0112005
APPLIED: 07/02/2004
EXPIRES: 09/0112005
VALUE: $ 7;000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~~~
Encroachment: After item(s) have been removed'to inspect condition of public right of way.
Site Inspection: To be made after excavation but prior to setting forms.
Backnow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Erosion/Grading Inspection: After all erosion measures are in place.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
Masonry:
High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection
results to City Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to
City Building Inspector.
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 Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Pal!e 70f8
.
. CITY OF SPRINGFIELD
Building/Combination Permit
. PERMIT NO: COM2004-00814
ISSUED: 03/0112005
APPLIED: 07/0212004
EXPIRES: 09/0112005
VALUE: $ 7,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlon Line
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon Is true and correct, and 1 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 permissiou of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 sltc at ail
times during construction.
~/'~~
Owner or Contractors Signature
--
:?/ I Libr
Da' I
Paee 8 of8
~ AITACHMENTA
CITY ~INGFIELO SYSTEMS DEVELOPMENT CHARGE AcSHEET
JOURNAL OR JOB NUMBER com2004-00814 ...-
NAME OR COMPANY: New Image Car Wash
LOCATION: 526 HARLOW RD
MAP & TAX LOT NUMBER: 17 03 22 01 02607
DEVELOPMENT TYPE: Car Wash
NEW DEVELOPED AREA (S.F.):
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
~ --I
6.973.00
846
ITE:
ITE:
LOT SIZE (S.F.):
o
15.842
I STORM nRAIN~
IMPERVIOUS SQ, Fr.
$ 0.310 PER SF
TOTAL STORM DRAINAGE SDC:' $ 7,932.59 1070
25.589
x
2 SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
a. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SiDE)
, $
, $
37
x
$ 24.04 PER DFU
889.48 I $
676.36 I $
x
$ 18,28 PER DFU
37
TOTAL LOCAL WASTEWATER SOC:' $
1 ,565.84 ~
3 TRANSPORTATION
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A, REIMBURSEMENT COST:
1.000 x 322 x $ 18.30 PER TRIP x 0,75 NTF 1$ 4.419.45 I
B. IMPROVEMENT COST:
1.000 x 322 x $ 80,72 PER TRIP x 0.75 NTF 1$ 19.493.88 I
EXISTING
A. REIMBURSEMENT COST:
0.000 x 0 x $ 18.30 PER TRIP x 0 NTF 1$
B, IMPROVEMENT COST:
0.000 x 0 x $ 80.72 PER TRIP x 0 NTF 1$
TOTAL TRANSPORTATION REIMBURSEMENT SDC:' $
TOTAL TRANSPORTATION IMPROVEMENT SDC:' $
$
TOTAL TRANSPORTATION SOC:' $ 23,913.331
UAHTTf_QV"FWFR _ MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 6,973 x $323,62 PER FEU'
B. IMPROVEMENT COST:
NUMBER OF FEU's 6,973 x $220.35 PER FEU
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0,000 x $0,00 PER FEU
a. IMPROVEMENT COST:
NUMBER OF FEU's 0,000 x $0,00 PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
1 $ 2.256.61 I
1 $ 1.536.49 1
1$
.
1$ 1
$
TOTAL MWMC REIMBURSEMENT FEE: $
TOTAL MWMC IMPROVEMENT FEE: $
MWMC ADMINISTRATIVE FEE: $
TOTAL MWMC SOC:' $ 3,621,861
SUBTOTAL (ADD ITEMS 1,2.3, & 4)
'$ 37.033.62 t
5 ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
$
37,033.62 x 5% $ 1.851.68
TOTAL TRANSPORTATION ADMINISTRATION FEE:I $
TOTAL SEWER ADMINISTRATION FEE:) $
steve"" w. ",eaudrti",arv..ts 2/1612005
~~.~ge Car Wash. 526 Harlow Rd,JlilATE
TOTAL SOC CHARGES
.
;;: t
e~t'
e--
oo~
889.48 1091
676.36 1092
4.419.45
19.493.88
23,913.33
(181.24) 1054
2,256.61 l(io54
~~"
1 ,536.49 'JOSS
10.00 1056
1,325.28
526.40
, $
.
.
.E G
Ie
1093
1094
'1078
."')
1079
38.885.3~ I
JulHilCl1
~/'#'J
. 225 Fifth Street
. Springfield, Oregon 97477
541-726-3759 Phone
.
T~s:a~.~~G..F.I.~ ----- t..
((A.,
~.I
Job/Journal Number'
COM2004-00814
COM2004-00814
COM2004-00814
COM2004-00814
COM2004-00814
C.oM2004-00814
COM2004-00814
COM2004-00814
COM2004-00814
COM2004-00814,
COM2004-00814
Payments:
T~pe of Payment
Check
I
I
3/112005
RECEIPT #:
Mi1Y of Springfield Official Rec. eipt
Wvelopment Services Department
Public Works Department
2200500000000000237
Date: 03/0112005
Description
Copies - Ea AddU @ 50 Cnts Ea
Miscellaneous Copy Chgs
Storm Drainage Impervious Area
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC Transpo Admin
SDC Sanitary/Storm Admin
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review CommlInd/Public
Paid By Received By
NEW IMAGE CAR WASH INC. Jmp
Page 1 of 1
Item Total:
Check Number Authorization
Batcb Number Number How Received
1027
In Person
Payment Total:
10:17:S0AM
Amount Due
6.00
12.00
12.40
10.35
7.05
0.57
0.92
84.00
5.88
8.40
54.60
$202.17
Amount Paid
$202.17
$202.17