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Home My WebLink AboutPermit Building 2019-09-19SPRINGFIELO ,# OREGON w€b Mdr€ss: www.springfield-or'qov Building Permit Commercial Structural Permit Number: 811-19-OO2126-STR IVR Number: 811036847621 CitY of Springfield DeveloPment and Public Works 225 Fifth Street SPringfield, OR 97477 541-126-3153 Email a.,dress: permitc€nter@spnngfield'or'9ov Proiect: Benchmark PT Permit Issued: September 19, 2019 category of Constructionl Commercial submitted ,ob valuei $35,000 00 Description of work: I I No change in Type gf Work: Tenant ImProvement egress, occupancy or structure are anticipated in this scope of work al estate office to Ph ical Thera Addin one sink &one clothes lvasher worksite Address 5707 MAIN ST Springfield, OR 97478 Parcel 1702334400800 Owneri address: MCKENZIE CROSSING PARTNERSHIP LTD PO BOX 1328 EUREKA, CA 95502 Business Name D]C CONSTRUCTION LLC - Primary License CCB License Number 155416 Phone 503-949 -37 7 B Inspection 1999 Final Building 1260 Framing 1540 Gypsum Board/Lath/Drywall 1600 Ceiling Grid lnspection GrguP Struct Com Struct Com Struct Com Struct Com SCHED ULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of $/ork Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project' Schedule or track inspections at www buildingpermits oregon-gov Call or text the word "schedule" to l-888-299-232l use IVR number: 811036847621 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store ,*' l TYPE OF WORK ]OB SITE INFORMATION INFORMATIONPROFESSIONALLICENSED Inspestion Status Pendinq Pending Pending Pending permits €xpire it work is not started within 1ao Days of issuatrce or if work i5 susPended for 1ao D.ys or long€r depending on th€ issuing agenry's PolicY. A[ provisions of taws and ordanances governing this type of work will be complled with whethet sPecifi€d herein or not. cranting of a p€rmit do6 hot prEsume to giv€ authority to violat€ or cancelthe provisions of anv other stat€ or local law regulatlhg construction or the Performance of construction. aTTEtiTTON: Or€gon taw requires you to follow rules adopted by the oregon utility Notlfication center. Those rules are set forth in OAR 952-oor-OOlO through OAR 9s2-OO1-OO9O. You may obtain copies of the rules bY calling the Center at (5O3) 232-1947. aI persons or entities performing work under this permit are required to b€ licensed unless exemPt€d bY ORS 701 O1O (structrr.allMechanical), OBS 479.540 (Electrical), and ORS 693.O10-O2O (Plumbing)' prnredon: e/1el1s pagelor2 C:\myReports/reports//prodlcton/01 STANoARD Permit Numbe.: al 1-19-OO2r26-STR Page 2 ot 2 Fee Description Technology Fee SDC: Total Sewer Administration Fee SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater Structural plan review fee Strudural building permit fee State of Oregon Surcharge - Aldg (12ok of applicable fees) 50.9 6a2 335.96 Quantity Fee Amount $41.37 $s0,90 $682.00 $33s.96 $325.98 $501.50 $60.18 91,997.89Total Feesi C :\myReports/reports//producnon/01 STANOARD PERMTT FEES Worksrte address 5707 MA|N ST, Sp ngtretd OR 97478f atcEt 1702334400800 SPRINGFITID t3 0ntc0N www.springfield_or. gov 9119t19 9t19t19 Transaction Receipt 811-19-002126-5TR Receipt Number: 472440 Receipt Date: 9/.19/19 City of Springfield Development and Public Works 225 Flfth Street springfield. oR 97477 541-126-3753 permitcenter@springfl eld-or.9ov Paid amount $501.50 $325 98 $60 18 Units 1.00 Ea 1.00 Ea 1.00 Ea Fee amount $501.50 $325.98 $60.18 Doscription Structural buitding permit fee Structural plan review fee State of Oregon Surcharge - Btdg (.12% of applicable fees) Technology Fee SDC] Reimbursement Cost _ Local\ ,,astewater SDC: lmprovement Cost _ Local Wastewater SDC: Total Sewer Administration Fee Payer. DJC CONSTRUCTTON LLC Account code 224-00000425602_1030 224-00000425602-1030 821-00000-2 1sOO4_0ooo 1 00-00000-425605_0OOO 61'1 -00000-448024-8800 6't 1 -00000-448025-8800 7 1 9-00000-426604_8800 1.00 Automatic 682.00 Amount 335.96 Amount 50.90 Amount Credil card authorization 003520 $41 37 $682 00 $41.37 $682 00 E33s.96 $50.90 $335.96 550.90 9t19t19 9/19/19 Payment Method Cashieri Katrina Anderson Payment Amount: Receipt Total: $1,997.89 $1,997.89 Pnnted 9/19/19 I 54 an FIN_TransactionR€,cerPt-Pr Fees PaidT.ansaction date 9t'19t19 9119t19 9t19t19 Structural Permit Application LH 225 Fiffh Street. Springfield, OR 9477. PH(541)726-3753 . FAx( 541 )?26-3689 This permit is issued under OAR 9lE-460-0030. Permits expire if work is not started within I t0 days of suspended for lE0 days. uanc or if uork is R"Ao&A'!+ fl-tJr^3:- a d.^-."tF.. DEPARTMENT USE ONLY permirno.: g-D1al2ka I rq {qDate: Q LOCAL GOVERNMENT APPROVAL This project has final land-use approval Signature:Dale This project has DEQ approval Signature:Datc Zoning approval verified: ! Yes E No Properry is,rithin flood plain: EYes Etto CATEGORY OF CONSTRUCTION E Residenlial ! Govemment JoB srrE TNFoRMATToN aHo lociiror Job site addressJTl, 'l /1 A r\ 9f ciq.9^y .-. /)-.1.t staterA ztPElql Subdi{ision: s LolDo. Reference:Taxlol: PROPERry OWNER Name: Address Cily:Statc ZIP: Phone Fax E-mail Building Owner or Owner's agent authorizing this application Sign here: E This installation is being made on residential or farm properry owned by nrc or a mcrnber ofmy immcdiatc family, and is cxempt from licensing requirements undcr ORS 701.010. CONTRACTOR INSTALLATION Business namc Address: Ciry:.So L r-Stale:a<ztPj I3 / - Phonet&\}9 tfi <a?A Fax t Co /L.\E-mail: C CCB license no.: 7 /C'Pirt Dame:. l)a2 i. Signarurc: SUB4ONTRACTOR INFORMATION ((Bl,icense# Electric*l Plumbing Itlcrhrni(al FEE SCHEDULE l- Valuation information Occupancy Cosl per square foot Square feet 'l t.'pe of Hcat: Energy Pelh I new flalteration ! addition (b) Foundation-only permit? E Yes E No Totrl,t^llntio jr, OOO s 2. Building fees (a) Permil fee (use valuatiotr table)S (b) Invesligative fee (equal to [2a])5 S (d) Enter l2% surcharge (.12 xl2a+2b+2c)\:) (e) Subtotrl ol fees above (2a through 2d):! 3, Plan review fees (a) Plan review (650/0 x permit fee [2a])s (b) Fire and life safety (65% x permil fee [2a]),i (c) Subtotxl of fees ebove (3r r d 3b):s 4. Miscellaneous fees (a) Seismic lee, l% (.01 x permit fee [2a])$ (b) Tech 1!e, 57o (.05 x permir fe€[2a]+PR fee [3c])s JOTAL fees rnd surchrrges (2ef3c+4a+b)'lofi-].9 t sl cditcd 5-J-2019 BJones l '=Bb.i53[r- CrrY oF SPRTNGFTELD. oREGoN Commercial (a) Job descriplion: Conslruction O?e: Other information: (c) Rcinspection ($ per hour): (number ofhours x fee per hour) JOURNAL OR JOA NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER. DEVELOPMENT TYPE] NEW DWELLINC UNITS IMPER\'IOUS AT(EA CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET Benchmark Th 'tenanl Infill 0 0 Srn I STORM DRAINAGE A REIMBL'RSEMENT COS]' IMPERVIOUS S F 000 B IMPRO\€MENTCOST IMPERVIOUS S.F 000 NtIMBER OF DrUs B IMIIROVLM[NT COS t I B IMPRO\TMENT COST COST PER S F s0 i0r COST PER S F t0117 CoS']' PER DIU s t70 50 COST PER DFU sEl 99 0 0 COST PER FEU $ll5 9l COS] PER FEU $ t.620 85 COSI PER FE'- $22 8l ADM, FEE RATE 5%.- AREA DRAINING TO DRYWELL 0 CH RGE $0 00 CHARGE s0 00 NEW TRIP FACTOR NEW TRIP FACTOR t00 ITEM I TOTAL. STORM DRAINAGE SDC 2 SANITARY SEWER. CITY A REIMBT,IRSEMENT COST ITf,M 2 TOTAL. CITY SANI'IARY Sf,Wf,R SDC ] TRANSPORTATION A REIMBLRSEMENT COST ADT TRIP RATE sl.ol7.96 COST PER TRIP l9 E6 COS]' PER TRIP st77.t0 s0.00 s0.u) $r,017.96 CHARGE $5094- I t }j]!l I TOl AL _ Tta{NSpoRTA-I.t0:\ sD( N A REIMBURSEMENT COST NI]MI]ER OF FEU'S 0 t] IMPR O!TMENT COST NUMI]ER OF FEUS C COMP LIANCE COST N UMtsER OF FEU s MWMC CREt) SUBTOTA]- $ r,0 t7.96 IT IF APPI-ICAI]l-E (SLl: Rl,VI.RSt ) MWMC ADMINIS]'RA]'IVE FEE I'I[}T { TOTAI,. MWI}IC SANITARY Sf,I}ER SDC TOTAL STORM ADMT},{ISTRATION FEE TOTAL SEWER ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE TOTAL MWMC A DMINISTRAT 0 SIZU (SF)0 LOT S|ZE (0 MAX,l59"0 MAX 35% s0.ut s0.fir s{,82.(X) $.1.)5.96 s0.00 s0.00 s0.00 s0.01) s0.0t, s0.00 50.90 s0.00 30.00 st,068.86 aC F! 1070 l0q I 1091 l09l tu9t 1055 1054 I016 1079 1077 l07E E ruI PREPARED BY Steven Perersen ION FEI] . LOCAL DA l-ll 9/19/2019 TOTAL SDC CIIARGIiS DIREC'T RI'NOFF TO CIIY S'IORM SYS'IEM NUMAER OF UNrTs NUMBER O} UNI-- t00 957 St,BTOTAL (ADD I,If,MS t, 2, J, & 4) s0.00- J0.00 NLMBER OF D[U's ADT TRIP RA]'E DRAINAG E FIXTURE UNIT CALCULATIO N TABLE NUMBER OI:NEW FIXTTIRES X TINIT EQUIVALENr = orl.nece FIXTURE UNITS NoIE: FOR RhMODELS.CALCULATE ONL Y THE NET ADDITION AL FIXTURES) NO, OF Frxtunr.s T-INIT UIVALENT DRAINAG FIXTURE TNITS L, 0 1979 Ftx TURE ]'YPE MISCELLANITOTIS IlFti .IYPE NI]MI]F]R OI' EDI.-]'S TOTAL DRAINAGE FIXTURE UNI'I'S NEW OLD E 20 dwelll 20 DFUs IS LAND ELGIBLE FOR ANNEXATTON CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX' CREDIT? (Entcr I for Yes. 2 lbr No) BASE YEAR CREDIT FOR LAN D (IF APPI,ICABLI-) 0 +EDU (urvalenl Dwelli Unrr $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 0 VALUE / IOOO $0.00 CREDIT RATE $5.29x CREDIT FOR IMPROVEMENT OF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 0000BATHTUB1000NAIT]NToFGRTNKIND 300 0FLOOR DRAIN 00 0STCELSODIoILSERI]AGFORRSPTOE.IERCIN 00 0CETIISUTOSRANDSRFOCEP'TORINTE 200 LATJNDRY TUB 330IPoINKSuRMASHCLO IIIES 0600REEAoRMoI]RH lSLASLOTHC 01200ELRERPTRAII1 RAPAI{KPtlEMoEoMIBL 0100EICONtlt''IER SGRERRIFOTFORCERl-l P 0300ECIIIERSKIDHSINSMCOORFEPTORREC]0200LCINSILEWEoSIIR.S 0200MBT]R O},' HEADSSHOWER, CANG 03001lHNTKICDIENTIALAL/RESlMMERCCOINKS 0200SINK: COMMERCIAL BAR 0200ATORLAUoLBEASBIDINSHSINK110,|ARBTIALDENRS/RE ILATOSKCI,EININS 050I-IRINAL.STAIL / WALL 000ALLoTINILINCTSILETUPulo000ONTIl-ATAI-SIVR1EINPo'I LETI 4 aRxDIr RATE/$l,ooo ASSESSED VALUE YEAR ANNEXED BEFORE ]979 1979 I9EO t98l l98l 1981 $0.00t985 1986 1987 r988 01989 t990 l99l $0.00t99l t993 t991 t995 1997 1999 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 3 6 0 3 t982