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Home My WebLink AboutPermit Building 2006-7-21 . .CITY VI' M'K11'l\J1'1J1..LD . Building/Combination Permit PERMIT NO: COM2006-00764 ISSUED: 07/21/2006 APPLIED: 06/21/2006 EXPIRES: 01/21/2007 VALUE: $ 577,000.00 Status lssued 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 110 INTERNATIONAL WAY ASSESSOR'S PARCEL NO.: 1703154000100 Springfield TYPE OF WORK: Paving TYPE OF USE: Addilion Commercial PROJECT DESCRIPTION: Parking lot expansion for Pacific Source Contractor Type Geueral Electrical PACIFIC HOSPITAL ASSOCIATION' \ Vol requireS yOU \0 Phone Number: 541-686-1242 PO BOX 7068 :TiENTION: Oregon a Oregon Utility EUGENE OR 97401 ~"n\'" ru\e~ adopte~,b_y_~;,,\P's are set lort~ e:;......!ttion L,;enltil. ~':,-._. ,"'h OAK 'dOG-v.... . ~od ,GON'FR:A:€-WR'INFORMA'fIONUIIS bY In 90 You may uu'''''' - -, e' tQe telepnune Contractor 00 iling the center. tNotUtil\~-'J~jl.!l_s~atiO\Expiration Date 1996 LLC ~~ ber!ortheoregon 2!!~~S.~. 05/3012007 BUILDERS ELECfRr2! IN.t;€nter is l-BOO-33 4296 12/10/2007 I BUILDING INFORMATION I Phone 541-687-9445 541-485-0922 Owner: Address: # of Unils: Primary Occupancy Group: Secondary Occupancy Group: Primary Conslruclion Type Secondary Conslruction Type: # of Bedrooms: B # of Slories: Heighl of Structure Type of Heal: Waler Type: Range Type: Energy Palh: Sprinkled Building: Lol Size: Sq FI Ist Floo r: Sq FI 2nd Floor: Sq Ft Basemenl: Sq FI Garage/Carporl Sq FI Other: Occupant Load: lIB n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Selback: Side 2 Setback: Rearyard Setback: Solar Selbacks: Overlay Disl: # Slreel Trees Rqd: Paved Drive Rqd: % of Lol Coverage: Tolal: Handicapped: Compacl: Noles: I PUBLIC IMPROVEMENTS I WOR\<. \"'" vc,nC \l'1\-\E .,. "01 "... .,. cUl\ll ENSmewalkl:r,yp.e:NO, I'tR\'J\\' v" \-lIS I'\:""'~\ \ ':: 1\-\\'0 0012EO UNOER 1 DownsI?o\!tflD'fains: I\Ul\-\ " CEO OR IS I\BPJ-lUU' ~ CO\'J\\IfIEN OI\'II'ERIOl'1. I\N'I '\ 80 Slreet Improvemenls: Slorm Sewer Available: Special Instruction: Paee I of3 . . CITY OF ~nuNGFIELD Building/Combination Permit PERMIT NO: COM2006-00764 ISSUED: 07/21/2006 APPLIED: 06/21/2006 EXPIRES: 01/21/2007 VALUE: $ 577,000.00 Status Issued 225 Fifth Slreet, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769Inspeclion Line I Valuation Descriotion I Description Eslimate Tvpe of Construclion Eslimale $ Per Sq FI or multiplier $1.00 Square Footage or Bid Amounl 577,000.00 Value Date Calculaled Tolal Value of Project $577,000.00 $577,000.00 0612112006 ~ Fee Descriplion Amount Paid Date Paid Receipt Number Plan Review Comm/lndlPublic $1,375.34 6123106 1200600000000000958 + 10% Adminislralive Fee $224.49 7121/06 1200600000000001128 + 8% State Surcharge $10.32 7121106 1200600000000001128 Fixlure $56.00 7/21/06 1200600000000001128 Paving $2,115.90 7121/06 1200600000000001128 SDC SanitarylSlorm Admin $1,252.66 7/21106 1200600000000001128 Slorm Drainage Impervious Area $25,053.23 7121/06 1200600000000001128 Storm Sewer - 1st 50 Feel $45.00 7121/06 1200600000000001128 Slorm Sewer Each AddIIIOO' $28.00 7121106 1200600000000001128 Total Amount Paid $30,160.94 I Plan Reviews I Initial Review 06/27/2006 0612712006 APP LLH Plan Review Commenls 07/1012006 10 JMP WI. Brian Erickson delivered the valuation. Plannine Review 06/27/2006 07/0312006 APP EMM to be built per approved Site Plan Review DRC2002-03095 Public Works Review 06/27/2006 0711212006 WI SB LDAP applicalion received. Hold this permit for issuance of LDAP. Impervious surface SDCs added Slruclural Review 06/2712006 0710612006 WE JMP Left voice mail for Brian Erickson al Chambers Conslruction to verify Ih, valuation. Slructural Review 0711212006 0711212006 APP JMP Received final approval. May be issued after LDAP is issued. SUB Review 06/27/2006 07103/2006 APP JF No energy code is~ues or inspections. 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. Paee 2 of3 . . CITY OF SPRINGFIELD- Building/Combination Permit PERMIT NO: COM2006-00764 ISSUED: 07/21/2006 APPLIED: 06/21/2006 EXPIRES: 01/21/2007 VALUE: $ 577,000.00 Status Issued 225 Fiflh Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 In spec lion Line ~ired Insnections I Rough Grading: After gravel is in place hul prior to placing concrete. Final Paving: After paving is complele. Slorm Sewer Line: Prior 10 filling trench, Rough Plumbing: Prior 10 cover and including required lesting. Final Plumbing: When all plumbing work is complete. By signature, 1 slate and agree, Ihall have carefully examined Ihe compleled applicalion and do hereby cerlify Ihal all information hereon is Irue and correct, and 1 furlher certify that any and all work performed shall be done in accordance with Ihe Ordinances of Ihe City of Springfield and Ihe Laws of Ihe Slale of Oregon perlaining to the work described herein, and Ihat NO OCCUPANCY will be made of any slructure withoul permission of the Community Services Division, Building Safety. 1 furlher cerlify thaI only contraclors and employees who are in compliance wilh ORS 701.005 will be used on this project., 1 furlher agree to ensure Ihal all required inspections are requesled at Ihe proper time, Ihal each address is readable from Ihe 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 C01~lion. ~(~~~ 7-01-0-0 Owner or Conlractors Signalure Dale Paee 3 of3 -.1 .. . . . A IT ACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER COM2006-00764 NAME OR COMPANY: PacificSource LOCATION: 110 International WaV_ MAP & TAX LOT NUMBER: 1703154000100 DEVELOPMENT TYPE: Mediacl Offi", - Parlcin. Area OnIv NEW DEVELOPED AREA (S.F,): EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S,F,): 77.485 J STnRMnR~ IMPERVIOUS SQ, IT, 77,485 x S 0,323 PER SF lTE: 715 ITE: LOT SIZE (S,F,): TOTAL STORM DRAINAGE SDC:, 2 SANIT4~Y__<;;J:WFR.c.rTV A, REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) o x S 25,07 PER DFU o x S 19,07 PER DFU S 44,14 TOTAL WCAL WASTEWATER SDC:, SO.OO I >> 88 >>IJ ,,~:g E~~ \.10 0::>,,- tli 0: U S25,053,23 S25,053,23 1178 SO,OO 1183 SO,OO 1184 SO,OO l TRANSPORT.AIJQl,! BLOO AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A, REIMBURSEMENT COST: 0,00 x 11.57 B, IMPROVEMENT COST: 0.00 x 11.57 EXISTING A. REIMBURSEMENT COST: 0,00 x 0 B, IMPROVEMENT COST: 0,00 x 0 x S 19,09 PER TRIP x 0,9 NTF x S 84.19 PER TRIP x 0,9 NTF x S 19,09 PER TRIP x o NTF x S 84,19 PER TRIP S 103,28 x o NTF SO,OO I SO,OO I SO,OO ~ SO,OO ~ TOTAL TRANSPORTATION REIMBURSEMENT SDq TOTAL TRANSPORTATION IMPROVEMENT SOC:' TOTAL TRANSPORTATION SDC:, S I 4 SANITARYSEWFR.MWMr NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 0,00 x $46,88 PER FEU SO,OO ~ B, IMPROVEMENT COST: NUMBER OF FEU's 0,00 x $494.46 PER FEU SO,OO I EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's 0,00 x SO,OO PER FEU SO,OO I B. IMPROVEMENT COST: NUMBER OF FEU's 0,00 x SO,OO PER FEU SO,OO I MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC:, S SUBTOTAL (ADD ITEMS 1,2,3, & 4) -.rs25,053,23 l ,LAOMINISTRllIVE FEES. BASE CHARGE (SUBTOTAL ABOVE) S 25,053,23 x 5% , SI,252,66 TOTAL TRANSPORTATION ADMINISTRATION FEE: S TOTAL SEWER ADMINISTRATION FEE: S &.... trd. ~ a..... SOC COORDINATOR 7/1212006 DATE TOTAL SDC CHARGES C0M2006-00764, PadficSource Parking, 110 International Way.xls SO,OO so,oo 1 so,oo 1173 1094 SO,OO so,oo so,oo so.oo so,oo 1054 1186 1187 1189 1175 1,252,66 1190 S26,305.89 1 JULY 2004 225 Fifth Str,eet 0" .-. Sprmgfield, Oregon 97477 541-726-3759 Phone · iii~ C& of Springfield Official Receipt .Iopment Services Department Public Works Department JoblJournal Numbe, COM2006-00764 COM2006-00764 COM2006-00764 COM2006-00764 COM2006-00764 COM2006-00764 COM2006-00764 COM2006-00764 Payments: Type of Payment Check CreditCard JoblJou,nal Number COM2006-00764 COM2006-00764 COM2006-00764 COM2006-00764 COM2006-00764 COM2006-00764 COM2006-00764 COM2006-00764 Payments: Type of Payment Check CreditCa,d cReceintl RECEIPT #: Description Paving Sto,m Drainage Impe,vious A,ea SDC S~nitarylSlorm Admin Fixtu,e Sto,m Sewe, - 1st 50 Feet Sto,m Sewe, Each Addll 100' + 8% State Su,charge + 10% Administrative Fee Paid By PACIFIC SOURCE JOHN BRAMWELL Description Paving Storm D,ainage Impervious Area SDC Sanitary/Storm Admin Fixture Storm Sewer - 1 st 50 Feet Storm Sewe, Each Addtl 100' + 8% State Su,cha'ge + 10% Administ,ative Fee Paid By PACIFIC SOURCE JOHN BRAMWELL 1200600000000001128 Date: 07/21/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2234 In Pe,son djb 828212 In Pe,son Payment Tolal: Item Total: Check Number Authorization Received By Batch" Number Number How Received djb 2234 In Person djb 828212 In Person Paymenl Total: Page I of I 2:27:30PM Amount Due 2,115.90 25,053.23 1,252.66 56.00 45.00 28.00 10,)2 224.49 $28,785.60 Amount Paid $28,729.60 $56.00 $28,785.60 Amount Due 2,115.90 25,053.23 1,252.66 56.00 45,00 28.00 10.32 224.49 $28,785.60 Amount Paid $28,729.60 $56.00 $28,785.60 7121/2006