HomeMy WebLinkAboutPermit Building 2005-4-13
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
*
. CITY OF ~rK1j~\.JNJi,~D
Building/Combination Permit
PERMIT NO: COM2005-00302
ISSUED: 04/13/2005
APPLIED: 03/16/2005
EXPIRES: 10/1312005
VALUE: $ 6,000.00
(t
Status
Issued
SITE ADDRESS: 611 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353109200
Springfield TYPE OF WORK: School
TYPE OF USE: Alteration
Public
PROJECT DESCRIPTION: Add a truss canopy
Owner:
Address:
SPRINGFIELD SCHOOL DlST #19
525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Engineer
Contractor
OWNER *-
BRANCH ENGINEERING .",'0'<',,\
.~ ,.....
I BUILDING INFORMATION I
. S<.. ,. ~,.~ \'J"
# of Units: :f,~ ~<.v~~f-Stories: Lot Size:
Primary Occupancy Group: ~v~ '\~S ~~Height of Structnre Sq Ft 1st Floor:
Secondary Occupancy Group: 0"'Y', S<..~ ~'Y' Type of Heat: Sq Ft 2nd Floor:
Primary Construction TYlte<:.. ~ V!l) f> 'Y' . Water Type: Sq Ft Basement:
Secondary Construction~yjJe:(o.~ <<.-<V '\) <v~ ~'0<V Range Type: Sq Ft Garage/Carport
# of Bedrooms: ~~ oJ? ~~<f:."0 ~<.v<V ~<(; Energy Path: '-'>....0;;\ Sq Ft Other:
"'..;;::., ,,\";;::' . ....<.v~ <v~ Sprinkled Building: :l\'rt/a# ~qccupant Load:
to..'\J ....~".(\. ,,'? ....'V-~,o....,
. ~\)~"'v I DEVELOPMENT1NFORM&ti@N"f:i;"~');" "''Q.....
'Y' ~ -},," g;.. OJ ~0 >;-0 REQUIRED PARKING
>;-''1> '$'0 ~0 O~ ",,0 ~ ~o ~O~
Overlay Dist: ~~'Q40 ",0 ~ ~ 2S '" W0<<~~'I>
# Street Tr~%(J",:~P ~OoS ,.0<0 ~0 '" j'f
n....'in c" ., 'S' R' "'" ,- ~.
Paved :~.Y..!\"d~:,<.......C) cP ...i' .~-; ~
% of~t~v(,@117j) ...1i~ -to -vX:; a?
,,<() ,oS >;- ~ 0<> ~. 0<:0 ~":>
~ "~~ ,;,,0 nj:! ^o\. ,:,,0" ,0C$."C)
, .
I PUBLlcli\fflt\QviWtNiS:r". fo "'v
\J ' \ I ~'\;
, 'OS' &:JOJC)' ~~U; rt;- ,v'i' Sidewalk Type:
<::s (,'1> ~ C; ,
, ~~<$' Downspoutsmrains:
License
Expiration Date
Phone
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
"
Street Improvements:
Storm Sewer Available:
Special1nstruetion:
Notes:
Paee 1 00
i
.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00302
ISSUED: 04/13/2005
APPLIED: 03/16/2005
EXPIRES: 10/13/2005
VALUE: $ 6,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Estimate
TVDe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
6,000.00
Value
Date Calculated
Description
Total Value of Project
$6,000.00
$6,000.00
03/16/2005
Fpp<, PiIi4J
Fee DescriDtion
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
Receipt Number
$49.53
$7.62
$5.33
$76.20
3/16/05
4113/05
4/13/05
4/13/05
2200500000000000299
2200500000000000424
2200500000000000424
2200500000000000424
Total Amount Paid
$138.68
I Plan Reviews I
Initial Review
Plannine Review
03/17/2005
03/18/2005
03/18/2005
03/3012005
APP LLH
APP EMM
No improvements on private
properly portion. Public Works will
make determination rcgarding
encroachment over sidewalk.
No SDC's, even tbough this is the
first Permit for this location and
change In use. Proposed use Is in the
same SDC category.
Received review set from Gilhert in
Fire-no issues.
Public Works Review
03/1812005
03/30/2005
APP SB
Structural Review
04/07/2005
04/07/2005
APP JMP
Structural Review
03/18/2005
03/29/2005
WI
JMP
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 J?prwillt' Tn,~
Roofing: Prior to installing any roof covering.
Framing Inspection: Prior to cover and after all rough in inspections have been approvcd.
Final Building: After all required inspections have been requested and approved and the building Is complete.
Paee 2 of3
.
,
.
. CITY OF ~rKll~\:"'lJ!,LJ)
Building/Combination Permit
PERMIT NO: COM2005-00302
ISSUED: 04/13/2005
APPLIED: 03/16/2005
EXPIRES: 10/1312005
VALUE: $ 6,000.00
"
,
.,
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 1 tiave 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 hcrein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safely.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 during construction.
~tl th6vtt:,,-pr J'tJ'#/Y'
-1-1'3 - Cl)-
v
Owner or Contractors Signature
Date
Paee 3 of3
j
A IT ACHMENT A
.. CITY O~GFIELO SYSTEMS DEVELOPMENT CHARGE .SHEET
JOURNAL OR JOB NUMBER C0M2:ZO-302
NAME OR COMPANY: McKENZIE PHOTOMETRJCS
LOCATION: 611 Main SI
MAP & TAX LOT NUMBER: 17 03 05 34 09200
DEVELOPMENT TYPE: Photo Shop. Moved in last year. no nermits
NEW DEVELOPED AREA (S.F.): 3,720.00 ITE: 814
EXISTING DEVELOPED AREA (S.F.): 3.720 ITE: 814
TOTAL IMPERVIOUS SURFACE (S.F.): LOT SIZE (S.F.):
&I"
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u:'" :..
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I STORM DRAINAGE
IMPERVIOUS SQ. FT.
x
$ 0.290 PER SF
TOTAL STORM DRAINAGE SDC:! $
1070
2 SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DNs
B. IMPROVEMENT COST:
NUMBER OF DNs
(SEE REVERSE SIDE)
o
x
$ 22.64 PER DFU
, $
1$
1091'
o
x
$ 17.21 PERDFU
1$
I $
1092
TOTAL LOCAL WASTEWATER SDC:I $
3 TRANSPORTATION
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRJP FACTOR
NEW ;.
A. REIMBURSEMENT COST:
3.720 x 40.67 x $ 17.23 PER TRIP x 0.75 NTF 1$ 1.955.08 I
B. IMPROVEMENT COST:
3.720 x 40.67 x $ 76.01 PER TRJP x 0.75 NTF 1$ 8.624.80 I
EXISTING
A. REIMBURSEMENT COST:
.3.72 x 40.67 x $ 17.23 PER TRIP x 0.75 NTF 1$ (1.955.08)1
B. IMPROVEMENT COST:
.3.72 x 40.67 x $ 76.01 PER TRJP x 0.75 NTF 1$ (8.624.80) I
TOTAL TRANSPORTATION REIMBURSEMENT SOC:I $ , 1093
TOTAL TRANSPORTATION IMPROVEMENT SOC: $ :'1094
$
DOWNTOWN REDEVELOPMENT CREDIT TOTAL TRANSPORTATION SDC:' $ I
4 SANITARY SEWER. MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 3.720 x $89.89 PER FEU 1$
B. IMPROVEMENT COST:
NUMBER OF FEU's 3.720 x 561.21 PER FEU 1$
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 3.720 x 589.89 PER FEU 1$
B. IMPROVEMENT COST:
NUMBER OF FEU's 3.720 x $61.21 PER FEU 1$
.MWMC CREDIT IF APPLICABLE (SEE REVERSE)
334.41 I
227.69 I
'.
334.41 I
227.69 I
$
TOTAL MWMC REIMBURSEMENT FEE: $
TOTAL MWMC IMPROVEMENT FEE: $
MWMC ADMINlSTRA TlVE FEE: $
TOTAL MWMC SDq $
1054
1054
1055
1056
SU'BTOTAL(ADD ITEMS 1,2,3, & 4)
, $
~INlSTR ATIVE FEES'
BASE CHARGE (SU'BTOTAL ABOVE)
5
x 5% S
TOTAL TRANSPORTATION ADMINISTRATION FEE:'
TOTAL SEWER ADMINISTRATION FEE:'
#DIV/O!
#DIV/O!
1078,
11079 '
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stevev.. w. l>ealA.dY"tj "BoCl:rv.,es
~
3/3012005
DATE
TOTAL SDC CHARGES
I NONE
JULY 200 .
225 Fifth. Street
Springfield, Oregon 97477
~ 541-726-3759 Phone
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Job/Journal Number
COM2005.00302
COM2005.00302
COM2005.00302
Payments:
Type of Payment
Cash
l)
l)
"
4/13/2005
.
RECEIPT #:
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
STEVE ANDERSON
a!'~..~!~_'!~~ _._. __ 1"
Wir. .
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~y of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200500000000000424
Date: 04/13/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp In Person
Payment Total:
Page 1 of 1
I:03:5IPM
Amount Due
76,20
5.33
7.62
$89.15
Amount Paid
$89.15
$89.15