HomeMy WebLinkAboutPermit Building 2019-10-08SPRINGFIELD
web Address: www.springfield-or.gov
Building Permit
Commercial Structural
Permit Number: 81 1-18-001932-STR
IVR Number: 811091155876
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
Email Address : permitcenter@springfield-or.gov
Permit Issued: October 08, 2019
Category of Construction: Commercial
Calculated Job Value: $689,625.00
Description of Work: New Warehouse Building Shell
Type of Work: New
Worksite Address
4107 INDUSTRIAL AVE
Springfield, OR 97478
Parcel
Unknown
Owner:
Address:
LULU LLC
PO BOX 2266
EUGENE, OR97402
Business Name
DORMAN CONSTRUCTION INC
License
ccB
License Number
68801
Phone
541-984-0012
Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on
the issuing agency's policy.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not,
Granting of a permit does not presume to give authoriw 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 Notafication Center. Those rules are set
forth in OAR 952-OO1-OO1O through OAR 952-001-OO9O. You may obtain copies of the rules by calling the Center at (503)
232-t987.
All persons or entities performing work under this permit are reguired to be licensed unless exempted by ORS 701.O1O
(Structural/itechanical), ORS 479.54O (Electrical), and ORS 693.010-O2O (Plumbing).
Printed on: 10/8/19 Page 1 of 3 C:\myReports/reports//production/01 STANDARD
$-{ -e"'/
t?r/
TYPE OF WORK
IOB SITE INFORMATION
LICE NSED PROFESSIONAL IN FORMATION
PENDING INSPECTIONS
Permit Number: 81 1-1a-OO1932-STR
Inspection
1999 Final Building
6300 On-site Stormwater Facility
6301 On-site Stormwater Facility-Dig Out/Piping
6302 On-Site Stormwater Facility-Soil and
Plantings
6303 Final On-Site Stormwater Facility
8999 Final Fire
1260 Framing
LO2O ZoninglSetbacks
1110 Footing
1150 Slab/Flatwork
1160 UFER Ground
1530 Exterior Shearwall
1540 Gypsum Board/Lath/Drywall
8675 Overhead Sprinkler Systems
Inspection Group
Struct Com
Public Works
Public Works
Public Works
Public Works
Fire
Struct Com
Struct Com
Struct Com
Struct Com
Struct Com
Struct Com
Struct Com
Fire
Page 2 of 3
Inspection Status
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Printed on: 10/8/19
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: 811091155876
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Page 2 of 3 C ;\myReports/reports//prcduction/0 1 STAN DARD
SCHEDULING INSPECTIONS
Permit Number: 81 1-18-OO 1932-STR Page 3 of 3
Fee Description
Technology Fee
Address assignment - each new or change requested externally, per each
SDC: Compliance Cost - MWMC Regional Wastewater SDC
SDC: Improvement Cost - Local Wastewater
SDC: Reimbursement Cost - Local Wastewater
SDC: Total MWMC Administration Fee - Local
SDC: Reimbursement Cost - Storm Drainage
SDC: Improvement Cost - Storm Drainage
SDC: Reimbursement - Transportation SDC
SDC: Improvement - Transportation SDC
SDC: Reimbursement Cost - MWMC Regional Wastewater SDC
SDC: Improvement Cost - MWMC Regional Wastewater SDC
SDC: Total Sewer Administration Fee
SDC: Administrative Fee - MWMC Regional Wastewater SDC
SDC: Total Storm Administration Fee
SDC: Total Transportation Administration Fee
Fire SDC - New Com Construction Sq Ft fee - enter sq ftg
Structural building permit fee
Structural plan review fee
State of Oregon Surcharge - Bldg (LZo/o of applicable fees)
Quantity
1
73.35
2283.t2
4635.t2
282.r
7482.3
10790.8
L509.62
28689.9
423.9
5134.73
345.91
10
913.6
1509.98
1 1250
Total Fees:
Fee Amount
$338.79
$52.00
$73.3s
$2,283.t2
$4,635.L2
$282.10
$7,482.30
$10,790.80
$ 1,509.62
$28,689.90
$423.90
$5,t34.73
$34s.91
$ 10.00
$913.60
$1,509.98
$t,237.50
$4,075,06
$2,648.79
$489.01
$72,925.58
Construction Type
VB
Printed on: 10/8/19
Occupancy Type
S-1 moderate
hazard
Unit Amount
11,250.00
Page 3 of 3
Unit
Sq Ft
Unit Cost
$61.30
Total Job Value:
Job Value
$689,625.00
$689,625.00
C : \myReports/reports//production/0 1 STANDARD
PERMIT FEES
VALUATION INFORMATION
SPRINGFIETD
,h
OREGON
www. sp ri n g field -o r. gov
Transaction Receipt
81 1 -l 8-001 932-STR
Receipt Number: 472627
Receipt Date: 10/8/19
Cig of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54t-726-3753
permitcenter@sprin gfield-or. gov
Worksite address: 4107 INDUSTRIAL AVE, Spri ngfield, OR 97478
Fees Paid
Transaction date
10t&t19
10t9t19
1018t19
10t8119
10t8t19
1018t19
10t8,t19
10tgt't9
10t8t19
10t8t19
10t8.t19
10t8t19
10t&t19
Units
1.00 Ea
1.00 Ea
7,482.30 Amount
'10,790.80 Amount
1,509.62 Amount
28,689.90 Amount
423.90 Amount
5.134.73 Amount
73.35 Amount
10.00 Amount
913.60 Amount
1,509.98 Amount
282.10 Amount
Account code
224-00000425602-1 030
821 -00000-21 5004-0000
6 1 7-00000-448029-8800
6'l 7-00000-448028-8800
434-00000-448026-8800
434-00000-448027-8800
433-00000-448024-88 1 0
433-00000-448025-88 I 0
433-00000426607-881 0
61 1 -00000-426604-8800
7 19-00000426604-8800
7 1 9-00000-426604-8800
7 1 9-00000-426604-8800
Fee amount
$4,075.06
$489.01
$7,482.30
$10,790.80
$1,509.62
$28,689.90
$423.90
$5,134.73
$73.35
$10.00
$913.60
$1,509.98
$282.1 0
Paid amount
$4,075.06
$489.01
$7,482.30
$10,790.80
$1,509.62
$28,689.90
$423.90
$5,134.73
$73.35
$10.00
$913.60
$1,509.98
$282.10
Description
Structural building permit fee
State of Oregon Surcharge - Bldg (12% of
applicable fees)
SDC: Reimbursement Cost - Storm Drainage
SDC: lmprovement Cost - Storm Drainage
SDC: Reimbursement - Transportation SDC
SDC: lmprovement - Transportation SDC
SDC: Reimburcement Cost - MWMC
Regional Wastewater SDC
SDC: lmprovement Cost - MVryMC Regional
Wastewater SDC
SDC: Compliance Cost - MWMC Regional
Wastewater SDC
SDC: Administrative Fee - MWMC Regional
Wastewater SDC
SDC: Total Storm Administration Fee
SDC: Total Transportation Administration Fee
SDC: Total M!{/MC Administration Fee -
Local
Printed: l0/8/19 1:08 pm Page 1 ol 2 Fl N_Tra nsaclion Receipt_pr
lr
Transaction Receipt
811-18-001932-STR
Receipt number: 472627
Transaction date Units
1018119 11,250.00 SqFt
Fees Paid
Description
Fire SDC - New Com Construction Sq Ft fee -
enter sq ftg
Address assignment - each new or change
requested externallY, Per each
Technology Fee
SDC: Reimbursement Cost - Local
Wastewater
SDC: lmprovement Cost - Local Wastewater
SDC: Total Sewer Administration Fee
10t8119
10t8t19
1 0/8/1 9
10t8t19
1018119
1.00
1.00
4,635.12
2,283.12
345.9'l
Ea
Automatic
Amount
Amount
Amount
Account code
1 00-00000-424005-1 091
224-00000425602-0000
1 00-00000425605-0000
61 1 -00000-448024-8800
61 1 -00000448025-8800
7 1 9-00000-426604-8800
Fee amount
$1,237.50
$52.00
$338.79
$4,635.12
$2,283.12
$345.91
Paid amount
$1,237.50
$52.00
$338.79
$4,635.12
$2,283.12
$345.91
Check number 7847 Payer:Divine & Hammer LLC Payment Amount:$70,276.79Payment Method
Cashier: Katrina Anderson Receipt Total:s70,276.79
Printed: '10/8/19 l:08 Pm Page 2 of 2 Fl N_TransactionReceipt_pr
Crv or SpRrNcrIELD, oREGoN
Structural Permit Application H#225 Fifth Street r Springfield.OR97477 .PH(541)726-3753 . FAX(541)726-3689
This permit is issued under OAR 918-460-0030. Permits expire if work is not started vrithin 180 davs
suspended for 180 days.
or if ls
R€ & ue€D o
9
L
Buog- xlo gy o,Var,\c^-\s\e- -t., Jo
trr\aYo- {AUV^,J
DEPARTMENT USE ONLY
Permitno;18;lQ]t
oae,frlq ll8
LOCAL GOVERNMENT APPROVAL
This project has final land-use approval.
Sipnature:Date:
This project has DEQ approval.
Signature:Date:
Zoning approval verified: fl Yes n No
Property is within flood plain: ! Yes n No
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
Residential CommercialGovemment
Job site N0*?wJ4
city:)gs,t^ !^^'1 zrfr1Y1g
Lot no.:
Reference:raxrot:\?023t tlCOloO
PROPERW OWNER
Name
-71l/ C.Address
City: 1rr",,,state: AZ zP: q74()z
Phone Fax:
E-mail
authorizing this application :
szztA./
Building Owner
Sign here:
E This installation is being made on residential or farm propeny owned b1,
me or a member of ml,immediate family, and is exempt from licensing
requirements under ORS 70 I .01 0.
CONTRACTOR TION
Business name: --fbYt I
Address:
Ciw:State:ZfP:
Phone:Fax:
E-mail
CCB licensg ro.LBBO \
Print name:
Signature
FEE SCHEDULE
1. Valuation information
(a) Job description:
Occupancy
Constructionq?e: V-n
Square feet: ZZ {a O
Cost per square foot: 20
Other information:
Tvpe of Heat:
Energl'Path:
[t'n"* lalteration E addition
No(b) Foundation-only permit? fl Yes
Total valuation s(ot)t|,G;
2. Building fees
(a) Permit fee (use valuation table)$
(b) lnvestigative fee (equal to [2a]):$
(c) Reinspection ($ per hour):
(number ofhours x fee per hour)S
(d) Enter 120% surcharge (.12 xl2a+2b+2c)):S
(e) Subtotal of fees above (2a through 2d)S
3. Plan review fees
(a) Plan revievr'(650% x permit fee [2a])S
(b) Fire and life safety (6591, x permit fee [2a])S
(c) Subtotal offees above (3a ard 3b):s
4. Miscellaneous fees
(a) Seismic fee, 1%o (.01 x permit fee [2a]):S
(b) Tech fee,5Yo (.05 x permit fee[2a]+PR fee [3c])S
J'OTAL fees and surcharges (2e+3c+4a+b)8,,aa,
SUB-CONTRACTOR INFORMATION
Name CCB License #Phone Number
Electrical
Plumbing
Mechanical
Last edited 5-5-201 7 BJones
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
NAMEORCOMPANY:
LOCATION:
MAP & TAX LOT NUMBER:
DEVELOPMENT TYPE:
JOURNAL OR JOB NUMBf,R s18-001932
Hammer
4107 Hammer Industrial Sub
1-1 1-00100
Industrial Shell
BASECHARGE(SUBTOTALABOVE) $76,598.88 x 5%
STORM DRAINAGE ADMINISTRATION
SEWER ADMINISTRATION
TRANSPORTATION ADMINISTRATION FEE:
LOCAL MWMC ADMINISTRATION FEE:
LOT SIZE
130
184694
MWMC: 130 ITE:EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE
TOTAL STORM DRATNAGE SDC
25,450
Cost
25,450 x
sQ. FT,
REIMBURSEMENT COST:
IMPERVIOUS SQ. FT
IMPROVEMENT COST:
sQ. FT,
$7,482.30
$10,790.80
25,450 x S 0.294 PER SF
S 0.424 PER SF
SF= S 0.718 l0
REIMBURSEMENT COST:
NUMBEROF DFU'S
IMPROVEMENT COST:
NUMBEROF DFU's
No New Fixtures
9l
91
reverse
x
x $ 165.54 PER DFU
$ 81.54 PER DFU
s 247.08
LOCALWASTEWATER
$0.00
,90
t99.52
AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
$ 1,s09.62
$0.00
$ 385.69
x Ix
x NTF
$ 19.28 PER TRIP
x $ 366.41 PER TRIP x
x
x
$ 19.28 PER TRIP
NTFxI
TOTAL TRANSPORTATION REIMBURSEMENT
TOTAL TRANSPORTATION
TOTAL TRANSPORTATION SDC
IMPROVEMENT COST:
11.25 x 6.96
TING:
REIMBURSEMENT COST:
6.960.00 x
NTF
NTF
$ 366.4I PER TRIP
REIMBURSEMENT COST:
11.25 x 6.96
IMPROVEMENT COST:
0.00 x 6.96
199.s2
134.73
10.00
$1.98
$423.90
$5,134.73
$73.35
$0.00
$0.00
$37.68
SUBTOTAL ITEMS I
x
x $456.42
x $6.52 PERFEU
x
x
x
TOTAL MWMC REIMBURSEMENT
STING:
REIMBURSEMENT COST:
IMPROVEMENT COST:
COMPLIANCE COST:
CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE
TOTALMWMC
&4
PERFEU
PER FEU
$37.68 PERFEU
5456.42 PER FEU
$6.52 PER FEU
REIMBURSEMENT COST:
NUMBER OF FEU's 11.2s
IMPROVEMENT COST:
NUMBER OF FEU's 11.25
COMPLIANCE COST:
NUMBEROF FEU's 11.25
NUMBER OF FEU's 0.00
NUMBER OF FEU's 0.00
NUMBER OF FEU's 0.00
TOTAL MWMC IMPROVEMENT FEE:
TOTAL MWMC COMPLIANCE FEE:
-wmml@l
913.66
1,124.2t
1,509.98
282.1C
$ 80,428.82RI9/t2t2018 TOTAL SDC CHARGES
I
DRAINAGE FIXTTIRE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
#REF!
FIXTURES
NEW OLD
t4
LTNIT
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASFYETC.
LALTNDRY TUB
CLOTHES WASHER,/MOP SINK
cLorHEs WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC.
SHOWER, SINGLE STALL
sHowER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASTN/DOUBLE LAVATORY
SINK: SINGLE LAVATORY/RESIDENTIAL BAR
URINAL, STALT-/WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
7
3
1
3
J
6
)
3
6
12
I
3
2
2
3
2
.,
I
5
6
3
7
7
0
0
42
0
0
0
0
0
0
0
0
0
0
42
NUMBER OF EDU'S*
TOTAL DRAINAGE FTXTURE UNrTS: I 91
-eOU fEqrirA.rt O*
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR
ANNEXED
RATE PER r,000
ASSESSED VALUE
$1.45
$1.25
$1.09
$0.92
s0.72
$0.48
$0.28
$0.09
$0.05
$0.00
$0.00
$0.00
x
x
$0.00
$0.00
DRAINAGE
FIXTURE
UNITS
RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
1992
1993
r994
1995
1996
1997
r 998
1999
2000
2001
2002
2003
2004
t979
1980
198 l
t982
1983
1984
1985
1986
1987
1988
1989
1990
199 I
or before $5.29
$5. l9
$s.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.2s
$r.80
CREDI'I TO'fAL l- $o oo
0
0
0
0