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Home My WebLink AboutPermit Building 2019-10-01OIIEGON Web Address: www.springfield-or. gov Building Permit Commercial Structura! Permit Number: 811-19-O01879-STR IVR Number: 811031904497 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.9ov SPRINGFIELD & Permat Issued: October Ol,2OL9 Category of Construction: Commercial Type of Work: Tenant Improvement Submitted Job Value: $100,000.00 Description of Work: Nail Salon TI (expanding into old eyeglass building) Worksite Address 5723 MAIN ST Springfield, OR 97478 Parcel 1702334400800 Owner: Address: MCKENZIE CROSSING PARTNERSHIP LTD PO BOX 1328 EUREKA, CA 95502 LICENSED Business Name HOANGS CONSTRUCTION LLC' Primary License CCB License Number 222838 Phone 360-909-9180 Inspection 1999 Final Building 8999 Final Fire 1260 Framing 1540 Gypsum Board/Lath/Drywall 1600 Ceiling Grid Inspectaon Group Struct Com Fire Struct Com Struct Com Struct Com Inspection Status Pending Pending Pending Pending Pending Various inspections are minimally required on each project and often dependent on the scope of work. 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 1-888-299-2821 use IVR number: 811031904497 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started wathin 180 Days of issuance or if work is suspended for 18O Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work wall be complied with whether specified h€rein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center' Those rules are set forth in OAR 952-OO1-OO1O through OAR 952-001-OO90. You may obtain copies of the rules by calling the Center at (5O3) 232-L947. All persons or entities performing work under this permit are required to be licensed unless exemPted by ORS 7O1'O1O (Structural/Mechanical), ORS 479.54O (Electrical)r and ORS 693.01O-O20 (Plumbing)' printed on: 1Ol1/19 Page 1 of 2 C:\myReporLs/reporG//production/01 STANDARD TYPE OF WORK JOB SITE INFORMIITION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: 81 1-19-001879-STR Page 2 of 2 Fee Descriptaon Technology Fee SDC: Total Sewer Administration Fee SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater Structural plan review fee Structural building permit fee State of Oregon Surcharge - Bldg (12olo of applicable fees) Printed on: 10/1/19 Quantity 127.25 1705 839.9 Total Fees: Fee Amount $80.55 $L27.25 $1,70s.00 $839.90 $634.60 $976.30 $117.16 $4,48O.76 Page 2 of 2 C : \myReports/reports//production/0 1 STANDARD PERMIT FEES SPRINGFIELD ti OREGON www. sp ri n g fi eld-or. g ov Transaction Receipt POS - 39840 Receipt Number: 472556 Receipt Date: l0/1119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 541-726-3753 permitcenter@springfield-or. gov Fees Paid Transaction date 10t1t19 Units 2.00 Ea Description PW Sign permit - public ROW - over the street banner (201 I 481 O0 I ) Account code 201 -00000-481 001 -0000 Fee amount $300.00 Paid amount $300.00 Payment Method: Check number: 32391 Payer: Oegon Riders Society Payment Amount:$300.00 Transaction Comment: Springfield Christmas Parade Cashier: Katrina Anderson Receipt Total:$300.00 Printed:'10/1/19 2:19 pm Page 1 of 1 F I N_Tra nsaclion Receipt_pr [,r. 5PRINGFIELO {6 Transaction Receipt 81 1-19-001879-STR Receipt Number: 472557 Receipt Date: 10/1/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 perm itcenter@ springfield -or. g ov OREGOI,I www. sp ringfield-or.gov Worksite address: 5723 MAIN ST, Spdngfield, OR 97478 Parcrl: 17Q2334400800 Fees Paid Transaction date 10t1t19 10t1119 10t1t19 10t1t19 1011119 1011119 Units 1.00 Ea 1.00 1.00 1,705.00 839.90 127.25 Ea Automatic Amount Amount Amount Description Structural building permit fee State of Oregon Surcharge - Bldg (12o/o of applicable fees) Technology Fee SDC: Reimbursement Cost - Local Wastewater SDC: lmprovement Cost - Local Wastewater SDC: Total Sewer Administration Fee Account code 224-00000-425602-1 030 82 1 -00000-21 5004-0000 1 00-00000-425605-0000 61 1 -00000-448024-8800 61 1 -00000-448025-8800 71 9-00000426604-8800 Fee amount $976.30 $117.16 $80.55 $1,705.00 $839.90 $127.25 Paid amount $976.30 $117.16 $80.55 $1,705.00 $839.90 $127.25 Payment Method: Check number: 1115 Payer: New Perfect Nails Payment Amount:$3,846.16 Cashier: Katrina Anderson Receipt Total:$3,846.16 Printed: '10/1/19 2:25 pm Page I of 1 Fl N_TransactionReceipt_pr Cny or SpnnrcFIELD, oREGoN Structural Permit Application 225 Fifth Street o Springfield, OR 97477 I PH(54 I )726-3753 . FAX(54 I )726-3689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of suspended for 180 days. or if work is ENG oK' 6Aqsx chn'tga otr-uSE 1'xEGLAss sA\€-s To \{atu DEPARTMENT USE ONLY Perrnit ,r,l14Otb71; Oate: b tq lr 1 LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature:Date: Date: This project has DEQ approval Signature: Zoningapproval verified: I Yes E No Property is within flood plain: ! Yes E No CATEGORY OF CONSTRUCTION E Residential ! Government ECommercial JOB SITE INFORMATION AND LOCATION Job site address: citv: CDri r\Ok\eld State: ffi zIv:ff'lll SubdivisiLn: '-\ r Lot no. raxrot:110L391Reference: PROPERTY OWNER. Name: Address: State: CA--zrPa(slCity: € Ufd<A Fax: E-rnail Building Owner or Owner's agent authorizing this application: Sign here: E fhs installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION Business name:C- Address:I State: y) f--zt{fi$,City:\fivn1;;y;6' Fax:Phone: E-mail: CCB license no.: Signature:J P.int nurn": -h(r- -[ sUa-coNrnAcTOR INFORMATION Name CCB License #Phone Electrical Vr{.ln-ha.t1r5rl 1q t3G") )72-tlqW";*a- a,rFJermnp Plumbing t1t16l frLs*llo, r*rt *ln dTo- Mechanical FEE SCHEDULE\) l. Valuation information (a) Job description:t Occupancy Construction Square feet:I Cost per square foot:I Other information Type of Heat: Energr Path: E new Ealteration E addition (b) Foundation-only permit? ! Yes E No $ ll{)kTotal valuation: 2. Building fees $(a) Permit fee (use valuation table): $(b) Investigative fee (equal to [2a]): (c) Reinspection ($ perhour): (number ofhours x fee per hour)$ (d) Enter 12% surcharge (.l2xl2a+2b+2cl):s (e) Subtotal offees above (2a through 2d):$ 3. Plan review fees (a) Plan review (65% x permit fee [2a]):sl-94.100 (b) Fire and life safety (65% x permit fee [2a]):$ (c) Subtotal offees above (3a and 3b):$ 4. Miscellaneous fees $(a) Seismic fee, l%o (.01 x permit fee [2a]): (b) Tech fee,5% (.05 x permit fee[2a]+PR fee [3c])$ $tr'OTAL fees and surcharges (2e+3c+44+b): Last edited 5-5-2019 BJones P-t+lo S*urz nJ 4n0ffi. \JW TtE . ?-tu-/ Fur)l- r f':r. n O MWMC: 820 LOT SIZE ITE:840.00 ACE .F EXISTING DEVELOPED AREA (S.F.): TOTAL IMPER TOTAL STORM DRAINAGE SDC: x x $ $ 0.303 PER SFVIOUS SQ. FT REIMBURSEMENT COST: IMPERVIOUS SQ. FT IMPROVEMENT COST: SQ. FT $0.00 $0.000.437 PER SF 0.740 $l 705.00 $ REIMBURSEMENT COST: NUMBER OF DFU's IMPROVEMENT COST: NUMBEROF DFU's l0 t0 x $ 170.50 PER DFU (see reverse side) x $ 83.99 PER DFU s 254.49 TOTAL LOCAL WASTEWATER $0.00 $0.00 $0.00 AREA TGSF x TRIP RATE x COST PER ADT X NEW TRIP FACTOR $733.36 s 397.26 0.35xx x x 0.3s x x x TOTAL TRANSPORTATION SDC: NTF NTF $ 19.86 PER TRIP $ 377.40 PER TRIP S 19.86 PER TRIP x 0.35 NTF REIMBURSEMENT COST: -0.84 x 125.6 IMPROVEMENT COST: -0.84 x 125.6 REIMBURSEMENT COST: 0.84 x 125.6 IMPROVEMENT COST: 0.84 x 125.6 S 377.40 PER TRIP 0.35 NTF TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: s65.24 $778.01 $ 10.9s I@ s77.67 $ 13.04 $77.67 $ l 3.04 SUBTOTAL 0.84 0.84 $926.20 0.84 s926.20 ITEMS x x x x x x MWMC ADMINISTRATIVE TOTAL MWMC & PER FEU PER FEU PER FEU PER FEU PER FEU PER FEU REIMBURSEMENT COST: NUMBER OF FEU's IMPROVEMENT COST: NUMBER OF FEU's COMPLIANCE COST: NUMBER OF FEU's TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: TOTAL MWMC COMPLIANCE FEE: REIMBURSEMENT COST: NUMBER OF FEU's -0.84 IMPROVEMENT COST: NUMBER OF FEU's -0.84 COMPLIANCE COST: NUMBER OF FEU's -0.84 CREDIT IF APPLICABLE (SEE REV-E[3EJ- II@ -u@ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER I9-OO1879.STR NAMEORCOMPANY:MCKENZIE CROSSING LTD LOCATION:5723 MAIN ST MAP&TAxLoTNUMBER: 1702334400800 DEVELOPMENT TYPE: 2,s44.90 x 5% STORM DRAINAGE ADMINISTRATION SEWER ADMINISTRATION TRAN SPORTATION ADMINISTRATION LOCAL MWMC ADMINISTRATION 0.00 127.25 0.00 0.00 5 2,672.15 BASECHARGE(SUBTOTALABOVE) $ 9t6/2019 TOTAL SDC CHARGES $13,936.02 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE I.INITS NOTE: FORREMODELS.CALCULATE ONLY THE NET ADDITIONAL FIXTURES) #REF!DRAINAGE FIXTURE LTNITS FIXTURES NEW OLD UNIT FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAI.INDRY TUB CLOTHES WASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWE& SINGLE STALL SHOWE& GANG (NUMBER OF HEADS) SNK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, STALUWALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: ALENT 0 0 0 0 0 0 0 0 0 3 I 3 3 6 2 J 6 12 I 3 2 2 3 2 2 1 5 6 3 0 0 0 0 0 0 0 10 10 NUMBEROF EDU'S* TOTAL DRATNAGE FTXTURE trNrTS: t r0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day 0 0 0 0 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE. CALCULATE CREDITS SEPARATELY YEAR ANNEXED RATE PER ,000 VALUE $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 $0.00 $0.00 $0.00 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x RATE PER $1.OOO ASSESSED VALUE YEAR ANNEXED $5.29 $s.1 9 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.2s $1.80 1992 1993 t994 l 995 t996 1997 I 998 1999 2000 2001 2002 2003 2004 1979 I 980 l98l 1982 l 983 l 984 1 985 1 986 1987 r 988 I 989 I 990 1991 or before CREDIT TOTAL f so.oo SPRINGFIELD & OREGON www.springfi eld-or. gov Worksite address: 5723 MAIN ST, Springfield, OR 97478 Parcp-l: 1702334400800 Transaction Receipt 81 l-19-001879-STR Receipt Number: 472046 Receipt Date: 8/14l19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 permitcenter@spri n gfield-or. gov Fees Paid Transaction date 8t14t19 Units 1.00 Ea D,escription Structural plan review fee Account code 224-00000425602-1 030 Fee amount $634.60 Paid amount $634.60 Payment Method: Check number: 't095 Payer: new perfect nails Payment Amount:$634.60 Cashier: Katrina Anderson Receipt Total $634.60 Printed: 8/1 4/1 9 | 1 :36 am Page 1 of 1 Fl N_TransactionReceipt_pr [,] .*,,^ I