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Home My WebLink AboutPermit Building 2002-10-15 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 01-01399-01 ISSUED: 10/15/2002 APPLIED: 12/19/2001 EXPIRES: 04/15/2003 VALUE: $ 826,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1920 Henderson Ave B ASSESSOR'S PARCEL NO.: 1803032002800 Eug TYPE OF WORK Automotive TYPE 0 FUSE: New PROJECT DESCRIPTION: Land Use: Govt & Public Admin, Zoning: LMI, Shop bldg B Owner: Oregon Department of Transportation Address: 885 Airport Rd SE bldg X Salem OR 97310 Phone Number: (503) 986-4338 Contractor Information I Contractor Type Architect General Electrical Mechanical Owner Plumbing .> Contractor BBT Architects JOHN HYLAND CONSTRUCTION CRAWFORD ELECTRIC CO INC '10\)\0.... WESCOLD eO,\)"es ~'U~\\\l~~ Oregon Department of Transportation ~\~"" 0,e9P ey,0\~\. JONES CONTRACTORS INC ..n\eQP ~ ....~\~e .\eS ~'... 0,<:;,'1; . ~ 'O'i I 8U lLDlN{; INfiUR1\1:A'llbi; 1f0~~; ~~os"'o:~~ U~\~e '';~\\e i""~ 1Il~(,'. c,e\\\0' ~O\~' ~0S0 \e\e9. f>\\0\\ # of Stor~~.~ c~\\O\\ ~O\-O~\i\\\fOleJ..~'S~\\\\C Height of\O\\\~ ~ 9':J'1; ",~'1 0 ~e" ~ ~\m ~or: Type of H,~r-: -(O\) ~e aa\\ o\e~O\\ ~?:ind Floor: Water TYPS<;)90~\\\\Q,~ o,\~e.s \-~C\C\Sq Ft Basement: , Range Type: C ~'Oe'\ e(l\0\ \ Sq Ft GaragelCarport Energy Path: \\1): G Sq Ft Other: Impervious Surface License Expiration Date Phone (541) 382-5535 541-726-8081 541-812-1300 503-235-3193 (503) 986-4338 541-607-6163 .' # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: S-3 H-4 VN 12,600 .. _..~. SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION' . . . ~RED PARKING Overlay Dist: \~~ \T ""~ ,,&'1;)" # Street Trees e. u~\.\. ~~ ~ \l~~\ot.~ f!l\\ilIicapped: Paved ~t&!~b.~\' 451' 'i:Jt.~ '\"\~~'Vol\altompact: % of Lor~'3'~it.'V ~~~ \S ~Yl~' . ,,\\,\"\~,..\('.~'V ~'1'\Oo. IPUBLIC IMPROWDMI1.111;f~~' r P.\" . .. Sidewalk Type: Downspouts/Drains Stree t Storm Sewer Available: Special Instruction: Notes: I of 9 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Desc ription Type of Construction . . CITY OF SPRINGt<lJi.LU Building/Combination Permit PERMIT NO: 01-01399-01 ISSUED: 10/1512002 APPLIED: 12119/2001 EXPIRES: 04/15/2003 VALUE: $ 826,000.00 I Valuation Description I $ Per Sq Ft Square Footage Value Date Calculated Total Value of Project Fees Paid I Fee Description Amount Paid Date Receipt Num ber Received By Gas Outlets 1-4 $4.00 10/15/2002 1200200000000000076 dib Gas Outlets 4+ $9.00 10/15/2002 1200200000000000076 djb -Mechanical Issuance Fee- $10.00 10/15/2002 1200200000000000076 djb Backflow Device $14.00 10/15/2002 1200200000000000076 dib Adiusted Public Plan Review $25.30 10/15/2002 1200200000000000076 dib Plan Review/Com,Ind.Pub Hourly $45.00 10/15/2002 1200200000000000076 dib Vent Fan $48.00 10/15/2002 1200200000000000076 dib Appliance Nt Listed Mechanical $56.00 10/15/2002 1200200000000000076 dib Fixture $154.00 10/15/2002 1200200000000000076 dib + 7% State Surcharge $224.29 10/15/2002 1200200000000000076 dib + 8% Administrative Fee $256.33 10/15/2002 1200200000000000076 dib Plan Review CommlIndlPublic $378.14 10/15/2002 1200200000000000076 dib Plan Review Fire & Life Safety $1,170.06 10/15/2002 1200200000000000076 dib Building Permit $2,925.15 10/15/2002 1200200000000000076 dib Total Amount $5,319.27 Impervious Surface Area - Stor Commercial Plan Check Miscellaneous MWMC Sanitary Sewer SDC Reimburseme Sanitary Sewer SDC Improvement Transportation SDC Reimburseme Transportation SDC Improvement SDC Administrative Fee MWMC Administrative Fee Total Fees Paid Prior to 9/30/02 $3,439.80 $1,523.21 $1,058.92 $598.36 $454.72 $6,438.23 $28,409.77 $2,020.49 $10.00 $43,953.50 03/28/2002 1211912001 03/28/2002 03/28/2002 03/28/2002 03/28/2002 03/28/2002 03/28/2002 03/28/2002 8439 7568 8439 8439 8439 8439 8439 8439 8439 I Plan Reviews I 2 of 9 Status: Issued . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 01-01399-01 ISSUED: 10/15/2002 APPLIED: 12/19/2001 EXPIRES: 04/1512003 VALUE: $ 826,000.00 01/23/2002 Wait PO Building B cannot discharge maintenance area drainage without oil/water separator before entering pulic sanitary sewer system.The following items need to be addressed prior to issuing the building permit: I. A cut-off valve shall be provided in Building B to contain any spill within that building and not allow it to enter the sanitary sewer system. The valve must be readily accessible within the building with aD attached key and clear instructions on its operation. 2. An oil-filtering device shall be installed at the inlet of the pump lift station. Please resubmit plans showing compliance with the above items. If you have any questions, please call me at (541) 736-1028. 02/04/2002 Appr PO 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Enl!ineerinl!-CIIIP Enl!ineerinl!-CIIIP 3 of 9 . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued PERMIT NO: 01-01399-01 225 Fifth Street, Springfield, OR ISSUED: 10/15/2002 541-726-3753 Phone APPLIED: 12/19/2001 541-726-3676 Fax EXPIRES: 04/15/2003 541-726-3769 Inspection Line VALUE: $ 826,000.00 Fire Marshal-CIIIP 01/1512002 Appr AG Plan review - Maintenance facility- 3 buildings total sq footage is 30,053 sq ft. Building A - 6853 sq ft, B occ, Type VN. Building B = 12,600 sq ft, (h4=1800 sq ft, s3=10,800 sq ft), Building C 10,600 sq ft, S2(storage) t. Electric gates will be required to be equipped with Knox keyed switches for fire dept access- obtain Knox application from deputy Fire Marshal AI Gerard 726-2294 2. All hydrants and underground fire lines shall be pressure tested, flushed and flow tested in the presence of the Deputy Fire Marshal prior to beginning of combustible construction. 3. building B-1 hour occupancy waU shall have openings rated at I hr. (door schedule not included with plan set) 4. A 2A-IOB:C fire extinguisher shall be provided for every 75' of travel in all buildings 5. Provide alarm system submittal to Fire Marshal's office for review and approval - system shall comply with the provisions set forth in NFP A 72 1996 ed. 6. Building shall be marked with the letter B in 12" (or larger) letters contrasting in color with it's background - visible from Henderson Initial Review-CII/P 01/03/2002 Appr LH Plannine-CIIIP Wait LM LDAP and copies of DSL and US Corps of Engineer permits need to be submitted prior to construction per Site Plan Review done by Gary Karp (Jo. no. 2000-10-0199). If any building needs temporary occupancy prior to completion of entire site plan bonding will be required. Plannine-CIIIP 06/04/2002 Appr LM LDAP complete. Received letters from DSL and Army Corp. See note below regarding temp. occupancy Revised Plan Review - Stru 09/30/2002 10 LLH Fed Ex'd additional revisions to Tom Rogers Structural Review 10/09/2002 10/09/2002 APP TR approved as noted 4 of 9 1JIr"'~"'~' 1........."_. ,! "',_r. .. 1. ".. ,'_ ='-'--.P l ',... ,-- - .....- ~...;.;:; , Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural-CII/P Structural-CIIIP . 01/22/2002 02/19/2002 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 01-01399-01 ISSUED: 10/15/2002 APPLIED: 1211912001 EXPIRES: 04/15/2003 VALUE: $ 826,000.00 Wait TR General comments for entire project: Provide a copy of the geotechnical report for review. All detailes in the spec book need to be stamepd and signed by the arch or . engineer responsible for that portion of the work, and a special inspection form is required to be completed, signed and returned to the City. Specific comments for this building: t. Please verify that the H-4 occupancy is located only between grids A and C and the remainder of the building is classified as S-3 (exchange of parts or maintenance with no open flame or welding). 2. Please clarify if exit signs are intend of the center section (grid CoN) of the building. 3. The structural review cannot be completed until plans and calculations for the manufactured building are provided. Fed Ex'd information to Tom Roger! from Architect regarding plan review comments. See job file. Packet too large to list. Info LH 5 of 9 -li"'~~ i . . CITY OF SPRINGFIELD l ,. .... i- ., 1 -='" & Building/Combination Permit I, ! " ~."'.'.._".. ...,t"~"" .,,~', Status: Issued PERMIT NO: 01-01399-01 225 Fifth Street, Springfield, OR ISSUED: 10/15/2002 APPLIED: 12/19/2001 541-726-3753 Phone EXPIRES: 04/15/2003 , 541-726-3676 Fax 541-726-3769 Inspection Line VALUE: $ 826,000.00 Structural-CIIIP 03/19/2002 Info LH Fed Exed information to Tom Rogers from ODOT from Barber Barrett Turner Architects, Todd Turner Information included I) Accessible Stall drawing 2) Accessible ramp 3) Van Sign Detail 4) Sidewalk joints 5) Typical curbs 6) Truck wash trench 7) Catch basin and grate 8) Type 2 grate and frame 9) Slab edge garage door 10)Bollard 11) Retaining wall12)Dumpster ramp I3)Pavement Edge 14) slab edge 15) CMU sill at wall 16) Fascia/eave detail 17) exterior soffit detail 18) Rake flashing 19) Ridge flashing 20) Wall system 21) Louvered Vent - Head 22) Louver Sill 23) Threshold 24) Jamb at exterior door 25) Head at Exterior door 26) Jamb typical interior door 27) base, interior relite 28) jamb typical interior relite 29) alum window at cmu sill 30) sill, exterior window 31) jamb, exterior window 32) head, exterior window 33) jamb 34) head/sill35) base cabinet single drawer unit 35) typical cabinet upper 36) base cabinet wtih sink 37) counter 38) bench at shower 39) bench at locker room 40) locker base 41) Ihr non bearing partition 42) non bearing partition 43) one hour wall 44) non bearing wall 45) overhead door 46) head exterior door jamb, similar 47) Ihr wall at steel col, maintenance building b 48) Ihr wall at roof beam maintennace building b. Structural-CIIIP 08/12/2002 Info DM Received 2 sets anchor bolt layout drawing and column reactions from John Hyland Const. Forwarded one set to Tom Rogers via FedEx. 08/12102 dim Structural-ClIIP 08/07/2002 Info LH Fed Ex'd anchor bolt drawings for building B, Engineering and product data, and column reactions from John Hyland Const. - Ih 6 of 9 ---.~[Ql~" ~} . . -1Ifirt - CITY OF SPRINGFIELD =-- Building/Combination Permit '. j'..... Status: Issued PERMIT NO: 01-01399-01 225 Fifth Street, Springfield, OR ISSUED: 10/15/2002 541-726-3753 Phone APPLIED: 12/19/2001 541-726-3676 Fax EXPIRES: 04/15/2003 541-726-3769 Inspection Line VALUE: $ 826,000.00 Structural-CIIIP 08/22/2002 Wait TR Supplemental information from Star Building Systems has been completed. The following information is needed in order to complete the review. I) Only the structural calculations from star building systems were submitted for this building. Provide drawings for the manufactured building. 2) Provide structural calculations for the foundation. Note that the manufactured building calculations show portal frames at the front wall, which are not shown on the foundation plan. . See plan file for original letter which was faxed to Rich Scanlan at ODOT on 8/23/02-lh Structural-CIIIP 09/09/2002 Wait TR Letter from Tom Rogers to ODOT stated in part the following. See plan file for original letter. I) Only the structural calculations from Star BuildingSystems were submitted for this building. Provide drawings for the manufactured building. Plans for the building have not been received at this time. 2) Provide structural calculations for the foundation. Note that the manufactured building calculations show portal frames at the front wall, which are not shown on the foundation plan. The recently submitted calculations appear to be a portion of the original calculations using the assumed loads. The calculations must be stamped by the engineer and identified as to which building the calculations apply. Neither the calculations or foundation plans show the portal frames as listed in the manufactured building calculations. Provide calculations and a foundation plans specific to the manufactured building. SUB - CommlInd 01/24/2002 Wait JF Requesting form 3a, 3b and applicable worksheets. Requesting form 4a. Faxed request to BBT Architect requesting forms 1-28-02. L Hopper 7 of 9 . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: 01-01399-01 ISSUED: 10/15/2002 APPLIED: 12/1912001 EXPIRES: 04/15/2003 VALUE: $ 826,000.00 SUB - CommlInd 03/26/2002 Wait JF Pass building envelope and lighting portions. The person completing the code forms indicated that the building did not call for an HV AC system. Per the plans, infrared radiant gas heaters are shown to be installed. I have placed a call to Todd Turner with BBT Architects t~ inquire which is correct. If the building is indeed heated, a limited temperature t-stat can be installed t~ bring the system into compliance. Todd is on vacation and not expected back until 4/1/02. 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 Required Inspections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. S High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. 6 Final Fire Department. After all requirements of the Fire Department have been met. 7 Final Building: After all required inspections have been requested and approved and the building is complete. 8 SUB Final: After all required energy inspections have been requested and approved. 9 Underfloor Plumbing: Prior to insulation or decking. 10 Rough Plumbing: Prior to cover and including required testing. II Final Plumbing: When all plumbing work is complete. 12 Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 13 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 14 Rough Mechanical: Prior to Cover 15 Final Gas: When all gas work is complete. 16 Final Mechanical: When all mechanical work is complete. 17 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 18 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 19 Firewall: Located and constructed according to plans. 20 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. 21 High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. 8 of 9 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 01-01399-01 ISSUED: 10/15/2002 APPLIED: 12/19/2001 EXPIRES: 04/15/2003 VALUE: $ 826,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ofthe 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 structore 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 wiD 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 fr~ th.leFPfrty, and the approved set of plans will remain on the site at all times during construction.khNv\u ~~ \'D/Il/7 fV1-- Owner or Contractors Signature 0 Date I L 9 of 9 . . AlTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 01.01398.01 NAME OR COMPANY: OREGON DEPARTMENT OF TRANSPORTATION LOCATION: 1920 HENDERSON AVENUE MAP & TAX LOT NUMBER: 18.03.03.20 02800 DEVELOPMENT TYPE: OFFICE BUILDING NEW DEVELOPED BUILDING AREA (S.F.): NEW PAVING AREA (S.F.): TOTAL DEVELOPED BUILDING AREA (S.F.): 6,853 179.748 ITE: ITE: LOT SIZE (S.F.): J. STORM DRAINAGE IMPERVIOUS SQ. FT. $ 0.273 PER SF 179,748 x TOTAL STORM DRAINAGE SDC: 2. SANITARY SEWER.CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 715 1$49,071.20 73 x $ 21.37 PER DFU I $ 1,560.01 73 x $ 16.24 PER DFU P 1.185.52 TOTAL LOCAL WASTEWATER SDC: p 2,745.53 - 3. TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 6.853 x I 1.57 x $ 16.26 PER TRIP x B. IMPROVEMENT COST: 6.853 x I 1.57 x $ 71.75 PER TRIP x 0.9 NTF 0.9 NTF TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TOTAL TRANSPORTATION SDC: 4. SANITARY SEWER. MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 6.853 B. IMPROVEMENT COST: NUMBER OF FEU's 6.853 MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: x $190.20 PER FEU x $19.90 PER FEU TOTAL MWMC SDC: SUBTOTAL (ADD ITEMS 1.2.3. & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 PClll\A.tLClj. ow",b ti::j SDC COORDINATOR 1/4/02 DATE TOTAL SDC CHARGES ComBuildSDC2001 1$ 1.160.32 1$ 5,120.10 $ 1,160.32 $ 5.120.10 $ 6,280.42 I .. ~ ~ .~ 4.1 ..'" .. '" 0::(:1 I I $ 1.303.47 I $ 136.37 1$ I $$ 1,439.84 10.00 1$ 1,449.84 I $ 59,546.991. I $ 2,977.35 ~ / $ 62,524.341 JULY 2001 . . DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) DRAINAGE FIXTURE UNITS o 2 12 o o o 3 o o o 6 4 o 3 o 2 2 15 24 o UNIT EQUlV ALENT 3 1 3 3 6 2 3 6 12 I 3 2 2 3 2 2 1 5 6 3 FIXTURES NEW OLD FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OILiSOLlDSIETC. INTERCEPTORS FOR SANDIAUTO WASHIETC. LAUNDRY TUB CLOTHES WASHER/MOP SINK CLOTHES WASHER. 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER ST A TIONiETC. RECEPTOR FOR COMMERCIAL SINK! D1SHW ASHER/ETC. SHOWER. SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL. RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLE LAVATORY SINK: SINGLE LA V A TOR Y IRESIDENTIAL BAR URINAL. STALL/WALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 2 4 2 2 I 2 3 4 NUMBER OF EDU'S* o o o TOTAL DRAINAGE FIXTURE UN1TS= 73 ~EDU (EQu~alent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXA nON DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR' ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 RATE PER $1,000 ASSESSED V AWE $ 4.92 $ 4.83 $ 4.77 $ 4.64 $ 4.47 $ 4.30 $ 4.09 $ 3.78 $ 3.41 $ 2.98 $ 2.52 RATE PER $1,000 ASSESSED V AWE - $ 2.06 $ 1.64 $ 1.45 $ 1.31 $ 1.13 $ 0.97 $ 0.82 $ 0.63 $ 0.41 $ 0.22 $ 0.04 x =1 $0.00 x =1 $0.00 CREDIT TOTAL $0.00 YEAR ANNEXED 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXA TION DATE) JULY 2001 ComBuildSDC2001 . . AlTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 01.01400.01 " NAME OR COMPANY: OREGON DEPARTMENT OF TRANSPORTATION LOCATION: 1920 HENDERSON A VENUE MAP & TAX LOT NUMBER: 18.03.03.20 02800 DEVELOPMENT TYPE: WAREHOUSING NEW DEVELOPED BUILDING AREA (S.F.): AUTO WASH (V.P.): TOTAL DEVELOPED BUILDING AREA (S.F.): 10.600 I I D.600 ITE: ITE: LOT SIZE (S.F.): 150 847 I STORM DRAINAGE IMPERVIOUS SQ. FT. $ 0.273 PER SF 10.600 x TOTAL STORM DRAINAGE SOC: '$ 2.893.80 2_ SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 6 x $ 21.37 PERDFU 6 x $ 16.24 PER DFU , $ 128.22 , $ 97.44 TOTAL LOCAL WASTEWATER SOC: , $ 225.66 3 TRANSPORTATION BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 10.6 x 4.96 x $ 16.26 PER TRIP x B. IMPROVEMENT COST: 10.6 x 4.96 x $ 71.75 PER TRIP x 0.95 NTF 0.95 NTF TOTAL TRANSPORTATION REIMBURSEMENT SOC: TOTAL TRANSPORTATION IMPROVEMENT SOC: TOTAL TRANSPORTATION SDC: 1$ 812.14 1$ 3.583.71 $ 812.14 $ 3,583.71 $ 4,395.85 4_ SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 9.60 x $190.20 PER FEU 1$ 1.825.96 B. IMPROVEMENT COST: NUMBER OF FEU's 9.6 x $19.90 PER FEU 1$ 191.04 EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's x $951.02 PER FEU 1$ 951.02 B. IMPROVEMENT COST: NUMBER OF FEU's x $99.50 PER FEU 1$ 99.50 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 1$ TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SOC: SUBTOTAL (ADD ITEMS 1.2.3. & 4) 5 ADMINISTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) x 0.05 I '$$ 3,067.52 , 10.00 '$ 3.077.52 , -;;0.592.831_ , $ 529.64 ~ TOTAL SDC CHARGES p~",,"eL~J. OWl'\.O etl SDC COORDINATOR DATE ComBuildSDC2001 , $ 11,122.47 , JULY 2001 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTI1RE UNITS (NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL F1XTIJRES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElOIUSOLlDSIETC INTERCEPTORS FOR SANDIAUTO W ASHIETC. LAUNDRY TUB CLOTHES W ASHERlMOP SINK CLOTHES WASHER. 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W ATER ST A TIONIETC RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC SHOWER. SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK, COMMERCIAL. RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LA V A TORYIRESIDENTIAL BAR URINAL. ST ALlJW ALL TOILET, PUBLIC INST ALLA nON TOILET. PRIVATE INST ALLA nON MISCELLANEOUS: FIXTURES NEW OLD NUMBER OF EDU'S' UNIT EQUIVALENT 3 I 3 3 6 2 3 6 12 1 3 2 2 3 2 2 I 5 6 3 TOTAL DRAINAGE FIXTURE UNITS~ -EDU (Equivalent Dwelling Unit) is n discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day DRAINAGE FIXTURE UNITS o o o o 6 o o o o o o o o o o o o o o o o o o 6 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXA nON DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y YEAR RATE PER $1.000 YEAR RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 or before $ 4.92 1990 $ 2.06 1980 $ 4.83 1991 $ 1.64 1981 $ 4.77 1992 $ 1.45 1982 $ 4.64 1993 $ 1.31 1983 $ 4.47 1994 $ 1.13 1984 $ 4.30 1995 $ 0.97 1985 $ 4.09 1996 $ 0.82 1986 $ 3.78 1997 $ 0.63 1987 $ 3.41 1998 $ 0.41 1988 $ 2.98 1999 $ 0.22 1989 $ 2.52 2000 $ 0.04 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE x ~I $0.00 IMPROVEMENT (IF AFTER ANNEXATION DATE) x ~I $0.00 CREDIT TOTAL $0.00 ComBuildSDC2001 JULY 2001 ..... o ~ ~ '; 11 _ . _S~II1IiG:Pi~P_~" _:;,; ;,-" -" - - ~ - ~ . -- i r~' .-;; ~,.~- , ':;~I~''L 01""" Cit}fnfSpringfield Community Services Division 225 Fifth Street Springfield, OR 97477 Telephone: (541) 726-3759 Fax: (541) 72Cr3689 '-," JlJ - b1~'f~ _0 f BuildingPcnnitt! . Dlitc P.u JL I}JA1G "p.," Project Tille 1'I-:l.O H:1i.ND':~. €/Jf:.~,...JF Project AddnlllB ~ -I oj, ~ :x G) ~ ~ l:> ,. SpedallDlpectlon 8.1111 Testing -, .' ;"1......,. To applicantJi ~(projDCtll: ~ special inspection or lIlIting Il& per Sec1ion 1701..1 of Ibe OrllgOD SlnIl:luIIIl SpeQaIt,y Code. PIcaic review !be illfolllllltiou-beiQw. - Wbco yvu bave 1iDiBbc:d, udauJwledge lIIlllRdmtandins oftbe infonnatiOll by sigWng below, and ",turn tlJiJ mnn 10 the CilY. . BEFORE A PI:RMlT CAN BE UlSUED: The owoor or owner'. repRlseDiulive. on !be advice of lhc Rl$PllDllbtD ProJoct llIlIioaer 01 An:hitQl;t, sha1I oOmplC1C,.sigD, and suhmQlO the at)' lOr MVIm9 -lIDd IIpJ)RlWJ !his fmm complded on both the front and back. . . -' . . . .. , ;':;'" OJ o "- o OJ "- .., o . The 0_ aod Geoend Cantnu:tor, where .pplicaolo, sllll11 also acknowledge !he following candiliorul opplicab1e Co Sf>odaI"pocdao lIDIlIorTestiog. ";. - . . "'.' J 'Tl i1' X VT o 'r \D ~ I 1I1 ~ J:> I. COtIlDl:lOr ill fllsponslbl~ lOr propor ootifU:ation for tho Inspection or TesIi:og of itoms listed. 2. Teslillg IIlbomlory shall1ake upproprilrle tomplQ and trnlISpon !haIl to Ibeir IaI>oRtory for proper evaluatlOll or leSliDg. u ~ ~ ~ ~ < <>: '" . Copies of all bboralmy tql(trtB and inlplction. m: lD be seol to tile City by \:be Testing AllCllC}'. 3. Spociallllspectiml A8cOOY Is 10 submit names BDd ljIlilificaWma of OO-6ile SpecioJ hupectol! (0 the City for approw1. 4. Special WpeclOr ahaII prov~ inspection repoIllllo Ibe buildfug official of all iospcctilln nctivitiCL 5.. Conlml:lor is respOllsible to review the City .....,.. .,J ,,1_ fm additiooal inspection or tCllting reqlliIemlllJIB Ihal may be nolzd: BEJORE A CERTMCATE OF OCCUPANCY wn.L BE ISSUED: ThCl SpcciaIlnspecnoo-Asewy shall submillo Cb BuHdlaa Qfticial,; ............tlbal..diii;;;',- ~ m,. .;;.._ have been MOOed lIDdn:pDlledand were 10 1ba bell oflhe iILlpector's knowledge, in confonD!IIlIlIl with Ihc appr0v04 pJsns,IJledfiaalioJll1lllll ,.,1' ~{lile.wurlnn...hip provisions. _Those ilmIS DOt tested andlor inspectrol.1hallle noted in the statement The ,.porl is III be wbmitted 10 !be City prigllo a request for fiDaJ inspeclio!l8'. . - - - ..... OJ o ~. ..... .. "' .. < "" ACKNOWLEDGEMENTS 0_ lJ_ o. r Owner NlIIDe (PriDtod) BBr ~RCH-I-rec.:r.5 _ Engineer << An:hi1eol Firm (printed) . Ps , L SPR.itJG.FIt::.d~ TCIting oonllory NllDIc (Printed) .., ..... .. ... o l:' :J ... ~ /oj ~ ... VI ... o CoDtriieOOr lJigJoalm1l --u R~Jv. A~~ i ID,ap; A cy Rcp Sip. . - Gen. Cll1l1nlctOI FinD Name (Printed) . ~~ !;pt2IAltf.F,t;;.LD . - Special spec1IDD AgeDey ~ (Prinllld) Bui1diD2- Official Sigp,ature Buildms Official Name (Printed) - Sbrcd Drive(T;)8oi1diDs FODDsISpeWI hilpeoIian and TaliDsl..o:ldn< '" o (gI . u ~ "" ~ ~ ~ -< "" '" .... ~. .... ... .... .... "' .. i:: .., .... .. ... o '" o "- o '" "- <0 o " SPECIAL INSPECTION AND TESTINGS........ULE l .1 Jt'!illf~ c.. - "', {hnile, Orom IIIIll Mlll1ar: CoIu:nllle ~lll GrOllI Mortar I I I f I I . II I Assregale Tellt of Mill DesigD Reinforcing Tost Mill D6Sil!n. W eighmasll'S CllI1. · Rcinlilrcing I'Ieccmcot Conlinu<M13 Batl:b PllIDll.ap~C1. Inspect Placing Casl Samples I Sam/llea (J'iekupIDolive:oo) Compression Tesl' ....- ./ Aggregalll Tealj./ RelnforojPl(I"esis Te~Tcsl j -Mill Designs- /" Reinforcing Placemeut ./ Insert Pla<ement ....../ Conere'" Batohing /" ConcrctePlaeemcnt ./ Ina\allahoolnqleetion /" Casl Samples ./ Piek-UIl Samples GompR3Sion Tesl> . v I ~Concmc: Piles Po.<!- Tens Prc.Tl:D! Cladding ./ .-/ , /" ~ ~ SMOKE CONTROL: Lcakall" testing Conlrol Verifiealian fIREPROOFING'. .~. ~_......,on TIliokDeM leslll rnapeo1 batching ROOFING: wala1loo Tuls . . a1u~ ...- ADDITIONAL INSlI.UCfION8, mBElt TEST, & INSPlk.,,:,"S; .. '8'il>,~".~,..L...., GRADING, EXCAVATItJN. ANDVJLI..,....; .,.... .'", A~.'II'.l...:otoi:&. 'SP- BlIIlbIIsh fiDlIl pdll Fill p1a.-of"" ~OIIinr..qnl"'IiB SoU DcosiIy '" . \ 1 1 I ~ I I 1 1 STRUCTURAL STEELlWELDING: . SamIIe IIlId lllIll (list specific inCmber. below} Sllop IDBtalaI_lificalioD (mill cent) Weld lnspcolioo ~SI!cP ....::...-fioI~ UIlnIoni<; iDspecl!on ----::~..;....,.A~,~ . IlighSIrmgtbBollillp ~p '.: 'i/'Fi1>ld . . A325 .' N . ......"'lC.". p A4,90 -:- N -:- X -1' McIIldock W\lIding illBpccliOD -. . - Reiitfim:ing SIlleI wddiDg ;......~11.., ". R.einfiming BloOI miU oorti&at.o .. Metal ,Iud weldiDg iospcolillll .... Cow::Iehl insert waldiIis inspeciiim' Momenl resisting.1ee! ~. . '" J II STRUCTURAL WOOD: '. '.-' Shcarwall oai1ing iDBpOCtioo SIu:.. wlII.l anchOl1 ID!poGtlQII of Glu-Iam JiJb. · InIpcaiooortrusajoistJiJb, ..,,,..,, . Sample iad !/:at oomponCnla FabricatiDD welding of steel ~~ 'Tic~i MASONllY ". .....:..,....; Special m"peclion -1Il!9!l'. . rm 'g "-,:...,- leIlli 1m......." . wan . .\ ..............lllOllep1mlOll ..~...~... .~. Sobtequ.eol toIIB (mortar, grout, field waIIpriBma)' . placcmJ:ot inlpeClion of1lllib, IIDd ramOltGDalt Masomy,IDOIfBt, grout, llIUI aeiDforciDg _ cartificaIl:I ~n I Fonn Complelcd by:~~C;-1l11 \J, \S Dote :',.1''''''- . 'PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGJNEER OR OON11\ACT DOCUMENT LOCATION OF V ALUliS ~ ~ ill ~ ~ lS 4::0. Pi )( U1 o '1' ~ 1I1 ~ J>o ~ .... -oJ '" a a '" .... 1I1 .... .... :u a 00