HomeMy WebLinkAboutPermit Building 2004-12-8
~
Status
Issued
.
. CITY OF SPRIN\.JNJ!,LlJ .
Building/Combination Permit
PERMIT NO: cOM2004-01395
ISSUED: 12/08/2004
APPLIED: 11/1212004
EXPIRES: 06108/2005
VALUE: $ 93,673.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2425 HARVEST LN
ASSESSOR'S PARCEL NO.: 1703243300200
Springfield TYPE OF WORK:. Church
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Parking lot addition.
Owner: NORTHWOOD CHRISTIAN CHURCH
Address: 2425 HARVEST LN SPRINGFIELD OR 97477
Contractor
ARBOR SOUTH ARCHITECTURE
JOHN HYLAND CONSTRUCTION INC
NEW WAY ELECTRIC INc.~
.\'\' ,(
EMERALD EXCA V AJ:IlSG.:I~C
.. ..~- --
~I 'BUlLDlNG INFORMATION I
~<v k,'<:-' ~ ' .
# of Units:.. <v~ f.> 'X ~~<;;::# of Stories: Lot Size:
Primary Occupancy Group: ,,,~'v 'X:- '\~,p'V Height of Structure Sq Ft 1st Floor:
Secondary Occupancy 9.roup: S'" ~<;;:: ~. Type of Heat: Sq Ft 2nd Floor:
Primary Construction-.:type~ '\ .:::,~ 0. f,> "''\). Water Type:. o~ 'O~Ft Basement:
"'~ ,,""'~ ("~ \:J'''' ~'V ...\' .~\:
Secondary Constrliction)Type:~ <V'\) k,"<' Range Type: e;"" -v~ t Garage/Carport
# of Bedrooms: "'~~S ~\)~~~\.J ~ 'X . .Energy Path: o..:f ",,0<:- .,e;' ipther:
....:::,'" .~~ ~ '\) Sprinkled Building: ~ \e; o<jjla~e; 'l>~'l:ic~iijl'\lRt Load:
\' ("\~' A<O ,'l). .....0 _0, 0.. .~e, ,.,.
\J ~ --. ... .~ 0' 0' 0:' ~
'?-~ I DEVELOPI\....". '''.I!\:1N''~TION~.. .oiS' nff'_".~o .
'It ,.1 0' ~"u 'v
~.- o~'- '\\"~O-'e;" e;,e;~, REQUlREDPARKlNG
-<;;,0 '/}?j e;\' \:,'1 o~'.oiS' ~O
Over~f.1JIs!:, e;0'1 R>\:''\ .~G o,e;. .~,-\ ~tM. Total:
# S~etJ'r~es,R!ld~: ~,7Y ~ ^-0''",ofl; Handicapped:
r N~ .\.,. ~J'W 0'" \ 0'- ~;)'"
Pav~~~ve&9d~'/}-\ ~,e; '~e;<:$ Rl~ Compact:
% ofJ;ot Coverage:e; ve; e; 0 ,9:,<:5
'" Or 'I." oiS' oiS' ',<; .
"<:-."'l>\:",,,<:-Q) .\0\ _,e;\
Contractor Type
Architect
General
Electrical
Plumbing
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
License
Expiration Date
Phone
344-3332
541-726-8081
541-686-2365
541-345- t 505
46071
51088
14173
07/11/2008
06/27/2005
07/14/2008
I PUBLIC IMPROvt;.)\l'...j' . ~ I
Sidewalk Type:
DownspoutslDrnlns:
Paee I of4
'.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. Description
Estimate
Pavine
Tvpe of Construction
Estimate
Use Bid Amount
Fee Description
Plan Review ComrnlIndlPublic
Building Permit
Curbcut Permit
Fixture
Paving
Plan Review ComrnlIndlPubllc
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Total Amount Paid
Initial Review
Plan nine Review
11/15/2004
11/15/2004
.
.
\.:11 r OF ~nUl'1ul'1.t.LD .
Building/Combination 'Permit
PERMIT NO: cOM2004-01395
ISSUED: . 12/08/2004
APPLIED: 11/1212004
EXPIRES: 06/08/2005
VALUE: $ 93,673.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
12,266.00
81,407.00
Value
Date Calculated
Total Value of Project
$12,266.00
$81,407.00
$93,673.00
1112212004
11122/2004
Fpp<, PIilLI
Amount Paid.
Date Paid
Receipt Number
$221.91
$130.80
$75.00
$56.00
$495.45
$130.55
$347.89
$6,957.70
$45.00
$70.00
11/12/04
1218/04
12/8/04
12/8/04
12/8/04
12/8/04
12/8/04
12/8/04
12/8/04
12/8/04
2200400000000001401
1200400000000001709
1200400000000001709
1200400000000001709
1200400000000001709
1200400000000001709
1200400000000001709
1200400000000001709
1200400000000001709
1200400000000001709
$8,530.30
I Plan Reviews I
11/15/2004 APP SKG
11/17/2004 APP EMM
To be constructed as per approved
Site Plan Review and Development
Agreement. Planner was Ashely
Deforest. Discretionary Use Site
Plan Review ZON2003-00039
Paee 2 of 4
. . CITY VI' ~r1Ul'\j\J1'l~L1J .
, Building/Combination Permit
Status Issued PERMIT NO: cOM2004-01395
225 Fifth Street, Springfield, OR ISSUED: 12/08/2004
541-726-3753 Phone APPLIED: 11112/2004
541-726-3676 Fax EXPIRES: 06/08/2005
541-7i6-3769 Inspection Line VALUE: $ 93,673.00
Public Works Review 11/15/2004 12107/2004 APP SB LDAP ISSUED. ADDED
CURBCUT AND SDC'S FOR
STORM DRAINAGE. "TAPPING"
THE 12" STORM LINE IS NOT
ALLOWED. TWO 12" X 8" WYE
CONNECTIONS ARE REQUIRED.
STEVE GRAHAM WILL
CONTACT EMERALD
PLUMBING TO ENSURE
CORRECTNESS, NO WORK
OTHER THAN CURBCUT IS
ALLOWED IN THE PUBLIC
ROAD RIGHT-OF-WAY OR
WITHIN PUBLIC UTILITY
EASEMENTS, WITHOUT AN
ENCROACHMENT PERMIT
APPLICATION.
Structural Review 11/15/2004 11/17/2004 WE JMP Called John Hyland. He said that
Tim will fax the value of the job and
the electrical contractor when he is
chosen.
Structural Review 11/22/2004 11/22/2004 IO JMP WE. Received revised valuation.
Still waiting on electrical contractor
data.
Structural Review 11/24/2004 11/24/2004 10 JMP WE. Brad delivered light pole
base/foundation drawings. Still
need electrical contractor data.
Structural Review 12/07/2004 12/07/2004 10 JMP WI. Met with Tim Harshbarger and
he gave me the electrical contractor
data.
Structural Review 12/08/2004 12/08/2004 APP JMP Received Public Works and SUB
approvals.
SUB Review 12/08/2004 12/08/2004 APP JF
SUB Review 11/30/2004
SUB Review 11/16/2004 11/19/2004 WE JF JMP called Brad at Arbor South to
request energy code forms and
information. Brad said that a
Church member will be supplying
this Information In the near future.
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 I?pn~1 """>"~
Foundation: After forms are erected but prior to concrete placement.
Rough Grading: After gravel Is in place but prior to placing concrete.
Final Paving: After paving is complete.
Rough Plumbing: Prior to cover and including required testing.
Paee 3 of 4
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.
"
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2004-01395
ISSUED: 12/08/2004
APPLIED: 11/1212004
EXPIRES: 06108/2005
VALUE: $ 93,673.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
SUB Final: After all required energy inspections have been requested and approved.
SUB Exterior 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 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
~:'-'~S\~. ~b.... _~ _
Owner or Contractors Signatu~
\.1..-~ - 0,-\
Date
Paee40f4
.'
. ATTACHMENT A _
CITY RING FIELD SYSTEMS DEVELOPMENT CHARG~SHEET
JOURNAL OR JOB NUMBER: C0M20.04-0.1395
NAME OR COMPANY: NORTHWOOD CHRISTIAN CHURCH
LOCATION: 2425 HARVEST LANE
MAP & TAX LOT NUMBER: 17 0.3 24 33 0.0.20.0.
DEVELOPMENT TYPE: CHURCH PARKING LOT
NEW DEVELOPED AREA (S.F.): PAVING ONLY
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
.
.
lTE:
lTE:
LOT SIZE (SF):
:S t to.
8'- .i II
E~b' if~
OO~ =_
l..SIQBM nRAIN~
IMPERVIOUS SQ. FT. 22444.2
$ 0..310 PER SF
x
TOTAL STORM DRAINAGE SDC:'
2 SANITARYSEWER.CITY
A REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
x
$ 24.04 PER DFU
x
$ 18.28 PER DFU
TOTAL WCAL WASTEWATER SDC:' $
3 TRANSPORTATION
BLOO AREA TGSF x TRIP RATE x COST PER ADTx NEW TRIP FACTOR
NEW
A REIMBURSEMENT COST:
0..0.0.0. x 0. x $ 18.30. PER TRIP x 0. NTF 1$
B. IMPROVEMENT COST:
0..0.0.0. x 0. x $ 80..72 PER TRIP x 0 NTF 1$
EXISTING
A. REIMBURSEMENT COST:
0..0.0.0. x 0. x $ 18.30. PER TRIP x 0. NTF 1$
B. IMPROVEMENT COST:
0..0.0.0. x 0. x $ 80..72 PER TRIP x 0. NTF 1$
TOTAL TRANSPORTATION REIMBURSEMENT SDC:' $
TOTAL TRANSPORTATION IMPROVEMENT SDC:' $
TRANSPORTATIONSDC:' $ 1$
4 SANIT/1'?Y SEWER. MWMC
NEW:
A REIMBURSEMENT COST:
NUMBER OF FEU's 0.0.0.0. x $0..0.0. PER FEU 1$
B. IMPROVEMENT COST:
NUMBER OF FEU's 0..0.0.0. x $0..0.0. PER FEU 1$
EXISTING:
A REIMBURSEMENT COST:
NUMBER OF FEU's 0..0.00 x $0..0.0. PER FEU 1$
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00.0 x $0..0.0. PER FEU 1$
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
,
I
$
TOTAL MWMC REIMBURSEMENT FEE: $
TOTAL MWMC IMPROVEMENT FEE: $
MWMC ADMINISTRATIVE FEE: $
TOTALMWMCSDC:' $ '$
$6,957.70 1070.,
,
$0.00 1091
$0.00 1092
I $
1093
1094
10.54
10.54
1055
10.56
SUBTOTAL (ADD ITEMS 1.2,3, & 4)
I $
6.957.70 ~
~AnMINISTR~IVF. FF.F.S~
BASE CHARGE (SUBTOTAL ABOVE)
$
6,957.70. x 5% '$ 347.89
TOTAL TRANSPORTATION ADMINISTRATION FEE:' $
TOTAL SEWER ADMINISTRATION FEE:' $
10.78
347.89 10.79
sttVt..... w. 'RotQuc;trl::j 'RoQr~S 1217120.04
J,~ObW!W~mWOOD CHURCH. 2425 HARvI?NEN.x1S
TOTAL SDC CHARGES
, $
7,305.59 l
1 JULY 2004
Lane ~ounty ~ LMD - pennilonnation
Lane County, Oregon
.
Page I of 1
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Sanitation Permit SP047399
Permit SP047399 Date Applied
Number
Parcel 1703243300200 Date Approved
Number
Site Address 2425 HARVEST LN , SPRINGFIELD Date Issued
Date Finaled
Permit Type Sanitation--Permit Date Permit Expires
AL T/REL MAJOR
Location HAYDEN BRIDGE RD & HARVEST Date of Expiration
LN Warning
Work Desc MAJOR ALTERATION
Permit Status ISSUED
~QProval Activit}'
Activity Description
Logging Approval
Planning Dept Approval Approval
Sanitarian Review Approval
On Site Sewage Approval Approval
Date
1 0/14/2004
1 0/14/2004
10/14/2004
10/14/2004
If you have Questions or comments about this site e-mail Lane County Land Manaaement
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Copyrighll!:> Lane County. Oregon. All rights reserved.
http://www.co.lane.or.us/lmdpennits/PennitDetail.asp?pennit=SP04 7399
09/23/2004
10/14/2004
10/14/2004
10/14/2005
~ontaclll~
11/17/2004
.
~~
225 Fifth Street
.; Springfield,'Oregon 97477
. 541~726-3759 Phone
. \
'-
Job/Journal Number
COM2004-01395
COM2004-01395
COM2004-01395
COM2004-01395
COM2004-01395
COM2004-0 1395
COM2004-0 1395
COM2004-0 1395
COM2004-0 I 395
Payments:
Type of Payment
Check
12/8/2004
RECEIPT #:
_ty of Springfield Official Receipt
1IIIIIIB'evelopment Services Department
, Public Works Department
1200400000000001709
Date: 12/08/2004
Description
Fixture
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addti 100'
Building Permit
Paving
Plan Review Comm/Ind/Public
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Curbcut Permit
Paid By .
JOHN HYLAND CONST. INC.
Received By
jmp
Page I ofl
Item Total:
Check Number Authorization
Batch Number Number How Received
92670
In Person
Payment Total:
10:59:42AM
Amount Due
56.00
45.00
70.00
130.80
495.45
130.55
6,957.70
347.89
75,00
$8,308.39
Amount Paid
$8,308.39
$8,308.39