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Home My WebLink AboutPermit Building 2004-8-25 -. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00922 ISSUED: 08/25/2004 APPLIED: 07/23/2004 EXPIRES: 02/25/2005 VALUE: $ 40,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 F.ax 541-726-3769 Inspection Line SITE ADDRESS: 1625 HENDERSON AVE ASSESSOR'S PARCEL NO.: 1703344313302 Eugene TYPE OF WORK: Accessory Building TYPE OF USE: PROJECT DESCRIPTION: Expansion and remodel Rec. Center for Midway Manor Addition Commercial Owner: KENNETH GARCHOW Address: 6944 SW 12TH DR.IVE PORTLAND OR 97219 Phone Number: 503-799-7071 I CONTRACTOR INFORMATION , Contractor Type General Engincer Contractor R.ICHAIID RAYMOND DOSS MORTIER License 128582 Expiration Date 08/23/2006 Phone 541-344-2987 541-484-9080 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Sccondary Occupancy Group: Primary Constrnction Type Sccondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: SJlri~ed Building: .\t'\.'<' " I DEVEGlJ~JENT INFORMATION I , . ~ \' ~" \)~ ~~ ~~ 0.<.( Front yard Sctback: \.~ ~S 'X ~'(\~overlay Dist: . Total: Side I Sethack: ~~",,~ .<,;0(1. ~\j # Street Trees Rqd: ~ ~~ Handicapped: Side 2 Setback: ~. ~ S ~'V~ ~<Q~ Paved Drive Rqd: ~rJ!;~ ~~~ O~Compact: Rearyard SetbaC\),\\" ~~~ \.'V '0 'V~ '? ~'V. % of Lot Coverage: ~:~ 0r:t' <,,0'''1 f:>t;;)" Solar Setbacks: ~ ''oI.S 'X I'\~~ \.'V o~~ ''b-~ 00\ 71>0 fb":;'/: 10 'Q'\ ,0('0 ,\.}.\J ,,'\\1 ~I '\ f~ 1l~ ,~~ ~~ ~0_ ~\) ~~~\\) \)" I PUBLIC IMPROVEl\lENiS~ V~<,,0:<f v~ ~0 ~~,<::.o\~o~ " ~ 'v' ~. 1,\~ ~O. 1';0 ,0~ .S,\0'lJ' Street Improvements: ~~ ~_~'\~ 1';'lJ.0 '10.0\' ~t;;)\'SI~.Its1'y~.!'i" ~v .,$-0 G0~ Rlt;;) .~v '10.0' ''10.'\ 1>)' Storm Sewer A\'ailable: ~ ~O-:tl \ . O~ Rlt;;)" :o\.~D~sP.ji~t~;>ains: Special Instruction: \~ 's.\0~ OJ,,:;'/: 'lJ.,\ 0 ~\.0\' ~o~ ~~'l; ~o~ 'to<?- ,:, ~ 00 0\0 ~t;;)t;;)' . 0 -{O ~0 ~0. " ,<:- f:>Ojt;;). . ~Q, \0\ ~ \'<1 I:i r~~ ~0\ _D~\.0 . A-3 VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla REQUIRED PARKING Notes: ~ I Valuation Descrirition I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 4 '. Status IsslIed 225 Fifth Street, Springfield, OR 541-726-3753Phnne 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate Fcc Description Plan Review Cnmm/lndlPublic + 10% Administrative Fcc + 7% State Surcharge Building Permit Plan Review Firc & Life Safety Plan Review Minnr - Planning SDC MWMC Administration SDC MWMC Improvement SDC MWMC Rcimbursement SDC Transpo Admin SDC Transpo lll1provcment SDC Transpo Reimbursement Total Amount Paid Fire Department Review 07/26/2004 . Amount Paid $202.90 $31.22 $21.85 $312.15 $124.86 $59.00 $10.00 $303.80 $28.80 $53.60 $602.84 $136.65 $1,887.67 $1.00 Total Value of Project 40,000.00 F'pp<, Pqitl I I Plan Reviews I 08/03/2004 Date Paid 7123/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 OK Paee 2 of 4 . Uli' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00922 ISSUED: 08/25/2004 APPLIED: 07/23/2004 EXPIRES: 02/25/2005 VALUE: $ 40,000.00 $40,000.00 $40,000.00 07/23/2004 Receipt Number 2200400000000000966 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 GRG Plan Review: Remodel portion of accessory recreational building and pool site for senior retirement community. Job #COM2004-00922. Provide or maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (Oregon Structural Specialty Code 502 and Springfield Uniform Fire Code 901.4.4). Provide fire extinguishers with a minimum rating of 2-A:I0-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished noor (Springfield Uniform Fire Code 1002.1). Provide illuminated exit sign age meeting requirements ofOSSC 1003.2.8 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00922 ISSUED: 08/25/2004 APPLIED: 07/23/2004 EXPIRES: 02/25/2005 VALUE: $ 40,000.00 _S~~!~~,~.t:l~~ ~1,L_.,- J' -.j . Status Issucd 225 Firth SII'eet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeelion Line I nilial Review 0712612004 0712612004 API' SKG I'lannin1! Review 07/26/2004 07/28/2004 API' EMM Public '''orks Re"iew 07/26/2004 07/28/2004 API' SB Structural Re"iew 07/26/2004 07/27/2004 WE JMP Structural Re"iew 08/04/2004 08/04/2004 WE JMP Structural Review 08/06/2004 JMP 08/06/2004 WE Structural Re"iew 08/1112004 08/1112004 WE JMP SUB Review 07/26/2004 08/0212004 API' JF Visited site - Demo in progress - expansion docs not extend into parking or access areas. SDCs added. See attached structural comments faxed to Bradley R. Meyers. David Miller submitted response to structural comments. Still waiting for a contractor with an active license. Also asked for structural changes to be submitted in writing. Reviewed structural revisions from Bradley R. Meyers-columns, beams, and geometry. David Miller says that confirmation of license renewal should come next week. Discussed with David Miller the need to make the toilet rooms accessible. Received fax from David Miller stating that the rest rooms will be remodeled to make them accessible. Still waiting for confirmation of license renewal. To Rcqucst au iuspcction 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 )?prwjrptlln<npl'tio.l!i.l Footing: A ftcr trenches are excavated. Slab: To he made after all inslab building service equipment, conduit pipiug and other equipmcnt items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. \Valllnsul:ltion: Prior to cover. Ceiling Insuhltion: Prior to cover. Rooling: Prior to installing auy roof covering. Drywall: Prior to taping. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Iluilding Inspector. Structural Concrete: In excess of 2500 psi. To be done during coustruction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/Nailing: Before covering sheathing with finish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. 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. SUlllnsnlalinn Vapor Barrier: To be called for at the same time as the SUB framing inspection. Paee 3 of 4 -1....p.~c ~'~~F.III~ ,~- '.. lJIi:: .: ._~ : . , ~ .. . '.' ,- . _.'.~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00922 ISSUED: 08/25/2004 APPLIED: 07/23/2004 EXPIRES: 02/25/2005 VALUE: $ 40,000.00 Status Issued 225 rifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 ras 541-726-3769 Inspection Line SUB rinal: After all required energy inspections have heen requested and approved. By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify that all informatiou hcreoo 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 thai NO OCCUPANCY will be made of any structure without permission ofthe Community Services Division, Building Safety. I further certify thai only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fll!"th' b"C tucT1surc that all required inspections are requested at the proper time, that each address is readable from the stre ,that the ermit card is located at the front of the property, and the approved set of plans will remain on the site at all Ii I es during eo ?ft'J1lk 8 _ d 5-() <-f o\\~ Contractors SignaturJ Date Pa2e 4 of 4 225 Fift h Street Springfield, Oregon 97477 541-726-3759 Phone . WiL.~~''''NC!I;I,,!-!! -. .. i -'. " ". '. " , < . ...-.". . Jily of Springfield Official Receipt "elopment Services Department Public Works Department Job/Journal Number COM2004-00922 COM2004-00922 COM2004-00922 COM2004-00922 COM2004-00922 - COM2004-00922 COM2004-00922 COM2004-00922 COM2004-00922 COM2004-00922 COM2004-00922 RECEIPT #: 3200400000000000220 Date: 08/25/2004 Description Plan Review Minor - Planning SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin Plan Review Fire & Life Safety Building Pennit + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Check COMMONWEALTH REAL ESTATE SERVICE Item Total: Check Number Authorization Received By Batch Number Number How Received jmp 1665 In Person '. 8/25/2004 Payment Total: Page 1 of 1 8:56:30AM Amount Due 59.00 136.65 602.84 28.80 303.80 10.00 53.60 124.86 312.15 21.85 31.22 $1,684.77 Amount Paid $1,684.77 $1,684.77 :~:: 495 ... .~ ~ - ~ " -~ c ~~~; LOT SIZE (S.F.): E ''E =; -,;f:'"g: . oo'=' -o:f", TOTALSTORMDRAINAGESDq $0.00 I .. ATTACHMENT A CITY O~GFIELD SYSTEMS DEVElOPMENT CHARGE JOURNAL OR JOB NUMBER COM2004-00922 NAME OR COMPANY, MIDWAY MANOR lOCATION, 1625 HENDERSON AVE MAP & TAX lOT NUMBER, 1703 3443 13302 DEVElOPMENT TYPE: REC ROOM EXPANSION NEW DEVElOPED AREA (S.F.), 384.00 EXISTING DEVElOPED AREA (S.F.), TOTAL IMPERVIOUS SURFACE (S.F.): SHEET L STORM DRAINAGE IMPERVIOUS SQ. FT. $ 0.310 PER SF x 2 SANITARY SEWER-CITY A. REIMBURSEMENT COST, NUMBER OF DFU's B. IMPROVEMENT COST, NUMBER OF DFU's (SEE REVERSE SIDE) o x $ 24.04 PER DFU o x $ 18.28 PER DFU TOTAL LOCAL WASTEWATER SDC'I $ ~ $ 3. TRANSPORTATIOJ:i BLDG AREA TGSFx TRIP RATE x COST PERADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0.384 x 22.88 x $ 18.30 PER TRIP x 0.85 NTF 1$ 136.651 B. IMPROVEMENT COST: 0.384 x 22.88 x $ 80.72 PER TRIP x 0.85 NTF 1$ 602.84 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 SDC,' $ 739.49 I $ 136.65 602.84 739.49 $0.00 $0.00 ::W!?f II ----,.. 4. .f.\ANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST, NUMBER OF FEU's 0.384 x $75.00 PER FEU B. IMPROVEMENT COST: NUMBER OF FEU's 0.384 X $791.14 PER FEU EXISTING, A. REIMBURSEMENT COST, NUMBER OF FEU's 0.000 X $0.00 PER FEU B. IMPROVEMENT COST, NUMBER OF FEU's 0.000 x $0.00 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) I $ 28.80 I I $ 303.80 I 1$ I $ I $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC ADMINISTRATIVE FEE, TOTAL MWMC SDC'I $ 332.60 I $ 1,072.09 I SUBTOTAL (ADD ITEMS 1,2, 3, & 4) I $ 5. ADMINISTRATIVE FEES, BASE CHARGE (SUBTOTAL ABOVE) $ 1,072.09 x 5% $ 53.60 TOTAL TRANSPORTATION ADMINISTRATION FEq $ TOTAL SEWER ADMINISTRATION FEq $ steve.... w. 1!.eo"..r!:j 1!.OY1o\.tS ~.fC6~~l6o..xts TOTAL SDC CHARGES , $ 7/28/2004 DATE 28.80 303.80 332.60 53.60 0.00 1,125.69 1 JULY 2004