The URL can be used to link to this page

Home My WebLink AboutPermit Building 2007-5-2 . Status Issued (), U' "Lib/] G/IP- 0~ fC' .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00609 ISSUED: 04/2712007 APPLIED: 04/26/2007 EXPIRES: 10/27/2007 VALUE: $ 12,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2400 Hartman Ln ASSESSOR'S PARCEL NO.: 1703223300600 Springfield TYPE OF WORK: Interior TYPE OF USE: Alteration PROJECT DESCRIPTION: Oregon Urology - Partiton wall in existing space Commercial Owner: HARLOW UROLOGY CENTER LLC Address: 2400 HARTMAN LN 200 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General '. Electrical Mechanical Plumbing Contractor JEFFREY J TAYLOR SCOFIELD ELECTRIC HARVEY & PRICE CO TWIN RIVERS PLUMBING INC License 158664 38702 77 17695 Expiration Date 02111/2008 12/21/2007 10/31/2008 03/11/2008 Phone 541-990-0905 541-686-8612 541-746-1621 541-688-1444 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VB n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: . % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I NOnCE: Street Improvements: res you to TH ISidew~lkITy.pe:'All EX :1:ION'Oregon law requl ., v , ~11'" I ul1 PIRE IF THE WORK Storm Sewei-\Uf~I~: dopted by the Oregon Utility AUTDo~lt~PI'!!t~~Lat~nHIS PERMIT Special1nslr:il.ffi~h~Ule8 ant Those rules are setfortl COMMENCED OR IS IS NOT \Iotlficatlon Ce er. AR 952-001 . ABANDONED FOR Notes: In OAR952-001-001q,~hr()Hg~.Of th.... rules b ANY 180 DAY PERIOD Y obtain copies 0 to . 0090. You macenter. (Note: the telephone ca\1lng tfhethe Oregon Utility Notification number or 4) ". .. ,.,n"_"l,,??~4 . Paee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Estimate Tvpe of Construction Estimate Fee Description -Mechanical Issuance Fee-- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adjustment Plumbing Miscellaneous Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimhursement SDC Sanitary/Storm Admin Total Amount Paid Public.Works Review Structural Review 04/26/2007 04/26/2007 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00609 ISSUED: 04/27/2007 APPLIED: 04/26/2007 EXPIRES: 10/27/2007 VALUE: $ 12,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage . or Bid Amount 12,000.00 Value Date Calculated . Total Value of Project $12,000.00 $12,000.00 04/26/2007 Fpp< P..~ Amount Paid Date Paid Receipt Number $10.00 $25.90 $12.95 $20.72 $43.00 $3.00 $123.00 $14.00 $31.00 $45.00 $19.79 $26.03 $2.29 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4127/07 4127/07 4/27/07 4127/07 $376.68 I Plan Reviews I 04/26/2007 04/26/2007 Attached SDC Worksheet. (JHJ) APP JHJ APP DJB To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. UeolliretUnsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the huilding is complete. Rough Plumhing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 2 of3 . . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Drywall: Prior to taping. .ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00609 ISSUED: 04/27/2007 APPLIED: 04/26/2007 EXPIRES: 10/27/2007 VALUE: $ 12,000.00 By signature, I state and agree, that 1 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 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 10cH/;~ of the property, and the approved set of plans will remain on the site at all "~!i"' ""'ro,,, 4-1Jj;J'-~ 4- .'2.1. 7? 1 0(;. Contr ctors Signature AW:S- Paee 3 00 Date SPRINOt:"IELO 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION . / I City Job Number _COoN\ "'Z...C:> C:> -, _ 00 b 0 7 Date ~/ 2~ / 0 , liJbC;:ION~+:~V)[{~ 3. ..,(;tiMi?lEff<F!il3:$cijjf/JupJiIlEt9W LEGAL DESCRIPTION I?O] Z 'ZJ3 OObOO Z c-Irc...\-:tr Permits ar non.transfcrable and expire if work is not stllrted within 180 days of issuance or if work is Suspended for 180 days. . .....".:>\;. ,. ',,'.,_ "',t', ..,:", . 'CONTRACTOR INS1'ALLA TlON ONleY 2. ''-',',' "-, ,'" '~ , :0 " ,. Electrical Contractor SCOFIFI.l) ELECTRIC CO. Address PO BOX 2765 City ElI\iIDl1'. OR' 97402 Phone 686-86]2 Supervisor License Number 4218S Expiration Date 10/01/2007 Constr.C ontr. Number 38702 Expiration Date 12/21/09 ';e~":e#M Owners Name f/tr.a-~OIJoJ I.A (of. Cel,AFI\. Address 'Z. ~ec:> ~ TM-tA,1I c;t:'F\ City Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~ ',-' ,,', -,- ',' ,,' ',,',', ""','".,':' A. :;';~~,~: ~~s'id},?ti,~~.; S_i.~gi~.~.;~ i\l~~ti;.F~~W~'::p~f.:~'~~eHJ~t' ~'!lJ~. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 , .. ' . B. - Services or' Feede.rs:.;.;. J.hS.t!lHa.1_iOI~, Alter~tions ~r ~~eloclltjon: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375,00 $ 50.00 c. ,t ~~1!j PQt~ ft~~~.h:l~~s :9;.r'fe~~~.rs, Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. ": - "'-" " .,,'., ".".,,}. ,- D. Jlr,nJl~h,'C!~~c~'i~~,!~~',,';.','~ .:,' '. ..', $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel / One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit ?,J ] / $ 3.00 E. '.:Mis"eH,in~olls (S~rvicetf~e.<Ietnoi jil_d~de<l) ;-.E:ic~ .lnstnl,lation ~'."" " "" -. -''',' '.,..".', .,., . ' . ' '. . Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is S45.00 + Surcharges lib 3bB IIbD iSb ~ Z'30 Shared Dnve(f YBulldmg ~PPhcatlon 1-06 doc 4. SUiifOTAf, OF~9VE 8% State Surcharge 10% Administrative Fee ':),... Te'Z.l+ Fe!'f:~ TOTAL . . CrIY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET - - - JOURNAL OR JOB NUMBER C0M2007-00609 NAME OR COMPANY: ~on Urnlo"" LOCATION: 2400 Hartman MAP & TAX WT NUMBER: 17 03 22 33 00600 DEVEWPMENT TYPE: Add Exmo Sink NEW DEVEWPED AREA (S.F.): EXISTING DEVEWPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): 1 STORM DRAINAGE IMPERVIOUS SQ. FT. ITE: ITE: WT SIZE (S.F.): x No New Impervious Area S 0.336 PER SF TOTAL STORM DRAINAGE SDC:I 2 SANITARY SFWFR-CIT'( (seerev= side) A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's x S 26.03 PER DFU , I 45.821 x S 19.79 PER DFU TOTAL LOCAL WASTEWATERSDC:' S .l...I&ANSPOR~ No New Building Square Footage BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEWTRlP FACTOR NEW: A. REIMBURSEMENT COST: 0.00 x 0 B. IMPROVEMENT COST: 0.00 x EXISTING: A. REIMBURSEMENT COST: 0.00 x 0 B. IMPROVEMENT COST: 0.00 x 0 x S 19.81 PER TRIP x o NTF SO.OO I SO.OO I o S 87.39 PER TRIP x o NTF x x S 19.81 PER TRIP x x S 87.39 NTF' PER TRIP x 0 NTF , SO.OO I TOTAL TRANSPORTATION REIMBURSEMENT SDq TOTAL TRANSPORTATION IMPROVEMENT SDC:' TOTAL TRANSPORTATION SOC:' S I o SO.OO I 4 SANITARV SEWER - MWM!; No New Building Square Footage NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.00 x #N/A PER FEU SO.OO ~ B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 x #N/A PER FEU SO.OO ~ EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.00 x #N/A PER FEU SO.OO I B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 x #N/A PER FEU SO.OO I MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SOC:, S SUBTOTAL (ADD ITEMS 1.2,3. & 4) , , $45.82 L i....AOM1NISTRATIVE FEES. BASE CHARGE (SUBTOTAL ABOVE) s 45.82 x 5% , S2.29 TOTAL SEWER ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: S Jesse Jones Civil Engineer, Ell 4/2612007 DATE TOTAL SOC CHARGES " b 8 8 ~ .~~ E ~ ti l:l U 0 Q:Jl.I..LLl "'~ SO.OO SO.OO 1178 - S26.03 1183 S19.79 1184 $45.82 J SO.OO 1173 SO.OO 1094 SO.OO SO.OO 1054 SO.OO 1186 SO.OO 1187 SO.OO 1189 SO.OO - S2.29 1175 1190 0-- $48.11 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) Add Exam Sink FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN. FLOOR SINK INTERCEPTORS FOR GREASElOIUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO WASHlETC. LAUNDRY TUB CWTHES W ASHERlMOP SINK CWTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TORIW A TER ST A TlONIETC. RECEPTOR FOR COMMERCIAL SINK! DlSHWASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIOOUBLE LA V A TORY SINK: SINGLE LAVATORYIRESIDENTIAL BAR URINAL, ST ALUW ALL TOILET. PUBLIC INSTALLATION TOILET. PRIVATE INST ALLA TION MISCELLANEOUS: NUMBER OF EDU'S' FIXTURES UNIT NEW. OLD EOUIV ALENT 3 1 3 3 6 2 3 6 12 I 3 2 2 3 2 2 I 5 6 3 TOTAL DRAINAGE FIXTURE UNITS ~, .EDU (Equivalent DwellinR Unit) is a dischaIl!.e eQuivalent to a sinlde family dwelling (20 DFU) set at 167 gallons per day CREDIT CALCULA TlON TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AITER ANNEXATION DATE IN TABLE. CALCULATE CREDITS SEPARATELY YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER SI.OOO ASSESSED VALUE S5.29 S5.]9 S5.12 $4.98 $4.80 $4.63 $4.40 $4.07 S3.67 S3.22 S2.73 S2.25 SI.80 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AITER ANNEXATION DATE) YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 . 2001 2002 2003 2004 RATE PER SI.000 ASSESSED VALUE x x CREDIT TOTAL SI.45 SI.25 SI.09 SO.92 SO.72 SO.48 SO.28 SO.09 SO.05 SO.OO SO.OO SO.OO " ~~ DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o o o o I o o o o SO.OO SO.OO SO.OO . . 225 Fifth Street Sp,ringfield, Oregon 97477 541-726-3759 Phone .~A~..; Wit. . _. - ., ---. - - - C~f Springfield Official Receipt "opment Services Department Public Works Department Job/Journal Number COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: 2200700000000000600 Date: 04/27/2007 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement . SDC Sanitary/Storm Admin Building Permit Fixture Minimum/Adjustment Plumbing Miscellaneous Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By LINN WEST Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 043786 In Person Payment Total: Page I of I 9:48:40AM Amount Due 26.03 19.79 2.29 123.00 14.00 31.00 45.00 10.00 43.00 3.00 12.95 20.72 25.90 $376.68 Amount Paid $376.68 $376.68 4/27/2007