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Home My WebLink AboutPermit Building 2006-2-8 r/. 'J . . CITY OF ~rK11'1ut<1ELD' Building/Combination Permit PERMIT NO: COM2005-01760 ISSUED: 02/0812006 APPLIED: 12/21/2005 EXPIRES: 08/08/2006 VALUE: $ 11,450.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 528 Harlow Rd ASSESSORtS PARCEL NO,: 1703220002607 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant improvement for Rapid Refill Ink Owner: DlENS REV LVG TR Address: 42130 SE 149TH PL NORTH BEND WA 98045 Contractor Type General Electrical -. Mechanical , CONTRACTOR INFORMATION I Contractor ~~<(-~'\ License RICHARD L i!~ 79190 SUNSET EI&<si~'h ~ 158859 SUNSE'!;~lil~ C 158859 ~ v'\~;~~\v' I BUILDING INFORMATlON'f~"" 1(' . S~ ~<v<(- ~~ .~co'" 'r;-~'I:!:-..,o~<::,,,, # of Units: ~~. -$- <::\ Y::,~ R-:~ ~, # of Stories: dt cod) ""co x<:S 'O-.lLot Size: Primary oc~~. cy[&o:iP:y~ \S f<,~~ Height of Struct~.f~''l> O~ '" ~~<(-- Oj'0 .s-'l>"" \..Sq Ft 1st Floor: Secondary o~\~ih~t?:r~1ip: c\ ~ Type of Heat:,';-'" '$' ,.s-'l> o'?' 1('co <. 1('o".~_q'Ft 2nd Floor: Primary Construclj()!1,%fP.e, ~'?' VB Water TypeP 0'0.... ",'l> ~ (y '" n,\'l>q "v~Sq Ft Basement: '("- r.-N' o:i<)..,'\,J rr.....'.... ~ 0 "v ~ ,'V ~,,, Secondary Constr..<'tlon '"ype: Range,.'ype:~ ",-'" ~v ','l> ,,,'l> ~o Sq Ft Garage/Carport . ~-~" -' ,"~ "'. R ~ " ""V # of Bedrooms: ..,- Energy P,ath:co" ,,\) vO .c. .,~ ,,-b<~ Sq Ft Other: '" ^ " ~... ,,~ ~ '\, 'f::- 0"" ",'~ (f..J Sp'r1nkled,Buildlng:i>' \~ ,ii/a;'" Occupant Load: _-<.."'\'/ {V' ""v <,," -')~ . '-.: ",\;,- ,.,~v . Expiration Date 01/26/2007 02/27/2006 02/27/2006 Phone 541-388-7110 541-915-4883 541-915-4883 FrDntyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .. I DEVEIlOPMENT INFORMATION I ~O"O~" 4.0- -s-V ,-s-- ~-f.> ^ ~~, .re, ,0 ",co Ove~ay J)Jst~e1- (?-" # Street Trees'Rqd: ,v 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: Page I of3 '.' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount : .' Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend tire Add, Alter, Extend Circ Ea Add Plan Review CommlIndlPubllc -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Building Permit Furnace - up to 100,000 btu Gas Outlets 1-4 ., Minimum/Adjustment Mechanical SDC MWMC Administration ;; SDC MWMC Improvement SDC MWMC Reimbursement SDC TranspD Admin SDC TranspD Improvement SDC Transpo Reimbursement Total Amount Paid . . L11 r OF ~rKli'\j\'l'mLD' Building/Combination Permit PERMIT NO: COM2005-01760 ISSUED: 02/08/2006 APPLIED: 12/21/2005 EXPIRES: 08/08/2006 VALUE: $ 11,450.00 I Valuation Descriotion , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 11,450.00 Value Date Calculated Total Value of Project $11,450.00 $11,450.00 0111712006 Fpp< P"\lLI Amount Paid Date Paid Receipt Number $5.80 $4.06 $43.00 $15.00 579.95 $10.00 $16.80 513.44 $123.00 $12.00 $4.00 $29.00 $10.00 $144.26 $13.68 $108.55 $1,632.93 $370.20 12/21105 12/21/05 12/21/05 12/21/05 1/17/06 2/8/06 2/8/06 2/8/06 2/8/06 2/8/06 2/8/06 2/8/06 2/8/06 218/06 2/8/06 2/8/06 2/8/06 2/8/06 1200500000000001846 1200500000000001846 1200500000000001846 1200500000000001846 1200600000000000046 2200600000000000183 2200600000000000183 2200600000000000183 2200600000000000183 2200600000000000183 2200600000000000183 2200600000000000183 2200600000000000183 2200600000000000183 2200600000000000183 2200600000000000183 2200600000000000183 2200600000000000183 $2,635.67 I Plan Reviews I Fire Department Review 01/1812006 01120/2006 OK GRG See attached for Fire Department comments Initial Review 01/18/2006 01/18/2006 APP SKG Plannlne Review 01/1812006 01/19/2005 APP EMM Public Works Review 01/18/2006 01/31/2006 APP SB SDCs added. New tenant infill. Structural Review 01/1812006 01/2712006 WE JMP See attached documents for 8 structural comments faxed to Richard L. Morris. - Structural Review 02/0612006 02/06/2006 10 JMP WI. Received structural response . from Richard Morris. Structural Review 02/07/2006 02/0712006 APP JMP Received final internal approval, SUB Review 01/1812006 02/07/2006 APP JF Paee 2 of3 , . . . CITY OF ~t'tOl'lu1<1~LD Building/Combination Permit PERMIT NO: COM2005-01760 ISSUED: 02/08/2006 APPLIED: 12/21/2005 EXPIRES: 08/08/2006 VALUE: $ 11,450.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line , 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. IRp.ou~ Rough Electric: Prior to Cover Final Electric: When all electrical work Is complete. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Ceiling Grid: After drywall approval but prior to cover. 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, SUB Final: After all required energy inspections have been requested and approved. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 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 describcd 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 durin construction. L,~ L ~'O(p tractors S~ ~ Date Palle 3 of3 . . ATIACHMENT A i CITY OF SPRINGFIELD SYSTEMS DEVEWPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER C0M2005-o1760 NAME OR COMPANY:. ~9?jd Refllllnk LOCATION: 528 Harlow Rd MAP & TAX WT NUMBER: 17 03 22 00 02607 DEVEWPMENT TYPE: TOlant Inflll - Specialty Retail NEW DEVEWPED AREA (S,F.): 583.50 ITE: 814 EXISTING DEVEWPED AREA (S.F.): ITE: TOTAL IMPERVIOUS SURFACE (S.F.): WT SIZE (S,F,): STORM DRAINAGE PREVIOUSLY PAID WITH C0M2004-00814 IMPERVIOUS SQ. IT, $ 0.323 PER SF x TOTAL STORM DRAINAGE SDC:L- ALL BATHROOM FIXTURES PAID ON C0M200S-01147 2 SANITARY SEWER-cra A. REIMBURSEMENT COST: NUMBER OF DFU', B. IMPROVEMENT COST: NUMBER OF DFU', (SEE REVERSE SIDE) 0 x $ 25.07 PER DFU $0.00 0 x $ 19.07 PER DFU $0.00 $ 44.14 TOTAL LOCAL W ASTEWA TER SDC:, $0.00 I $0,00 3 TRANSPORTATION BLOO AREA TGSF x TRlP RATE x COST PER ADT x NEW TRlP F AcrOR NEW A. REIMBURSEMENT COST: 0.58 x 44.32 B. IMPROVEMENT COST: 0.58 x 44.32 EXISTING A REIMBURSEMENT COST: 0.00 x 0 B, IMPROVEMENT COST: 0.00 x 0.75 NTF $370,20 ~ $1,632.93 ~ x $ 19.09 PER TRlP x x $ 84.19 PERTRlP x 0.75 NTF o NTF $0.00 , $0.00 I x $ 19.09 PER TRlP x o $ 84.19 PER TRlP S 103.28 x o NTF x TOTAL TRANSPORTATION REIMBURSEMENT SDC:' . TOTAL TRANSPORTATION IMPROVEMENT SDC:' TOTAL TRANSPORTATION SDC:I $ 2,003,13 I 4 SANITARYSEWER-~ NEW: A. REIMBURSEMENT COST: NUMBER OF FEU, 0.58 x $23.44 PER FEU $13.68 , B. IMPROVEMENT COST: NUMBER OF FEU, 0.58 x $247.23 PER FEU $144.26 , EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU, 0.00 x $0.00 PER FEU $0,00 , B. IMPROVEMENT COST: NUMBER OF FEU, 0.00 x $0.00 PER FEU $0.00 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTALMWMCSDC:, $ 167,94 SUBTOTAL (ADD ITEMS 1,2,3,&4) $2,171.061 $370.20 $1,632,93 $2,003,13 $0.00 $13.68 $144.26 $10.00 $167,94 5 ADMINISTRA TIVE FEF_~' BASE CHARGE (SUBTOTAL ABOVE) $ 2,171.06 x 5% , SI08,55 TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOTAL SEWER ADMINISTRATION FEE: $ I &.... [{(? &...&, e..- . SDCCOORDINATOR 113112006 DATE TOTAL SDC CHARGES COM200s-.D1760, Rapid Refill Ink, 528 Har10w Rd.x1s 108.55 0,00 I . 1- 1 JULY 2004 . 225 Fifth Street Springfield, Oregon 97477 ,.~ 541-726-3759 Phone . ~~~ '. ..." Job/Journal Number COM2005.0 1760 COM2005.0 1760 COM2005.0 1760 COM2005.0 1760 COM2005-0 1760 COM2005-0 1760 COM2005.0 1760 COM2005-0 1760 COM2005-0 1760 COM2005.0 1760 COM2005.0 1760 , COM2005-01760 C6M2005-0 1760 Poyments: T~pe of Payment Check ;, ;. I;l :t '.~l; ~. :, :, 1 ~l. :i '1\, " 2/8/2006 RECEIPT #: Jiiily of Springfield Official Receipt "elopment Services Department Public Works Department 2200600000000000183 Date: 02/08/2006 Description Furnace - up to 1 00,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee-- SOC Transpo Reimbursement SOC Transpo Improvement SOC MWMC Reimbursement SOC MWMC Improvement SOC MWMC Administration SOC Transpo Admin Building Permit + 8% State Surcharge + 10% Administrative Fee Paid By CASH CARD PLUS Received By jmp Page I of I Item Total: Check Number Authorization Batch Number Number How Received 2364 In Person Payment Total: lO:20:26AM Amount Due 12,00 4,00 29,00 10,00 370.20 1,632,93 \3,68 144,26 10,00 108,55 123,00 .13,44 16,80 $2,487.86 Amount Paid $2,487,86 $2,487.86