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HomeMy WebLinkAboutPermit Building 2005-3-1 .. , . ., 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