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Home My WebLink AboutPermit Building 2000-05-31Job# 99-01042-01 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 TRANSS:01-0001960 DffTE:HAY 31 ?OOO AHT RE[D:2 $ 58.40 IHAi.JEE: IAEHITR: O04 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2423 00007th St Spr AssessorsMap#: 17032343 Lot: Block: Addition: Job Number: 99-01042-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 02101 Subdivision: ctrY oF SPRfiNGF1EL4 OREGON Owner: Gateway Jehovahs Witness Address: CIO 713 Scotts Glen Drive Scope Of Work: Church Gateway Jehovahs Witness/Storm Sewer Phone Number: City/State/Zip: New Springfield, OR97477 Value: $279,000 Contractor Type GeneralContr Designer ElectricalContr MechanicalContr Plumbing Contr Contractor Great Western Homes lnc 5024 Main St, Springfield, OR 97478-6058 Peterson Eng X,X,X Xl Electric lnc 581 Lancaster Dr Se Suite 50, Salem, OR 97301 Mountain House Heating & Cooling, lnc Po Box 447, Sisters, OR 97759 Christiansen Plumbing x, Creswell, OR Registration # 46472 Expiration Date 11112199 Phone 541-726-2171 503-391-91 13 541-549-3423 109432 1 21 869 12t4t99 4116101 Quad Area: # Of Units: Constr. Type: Water Heater: 2CNW Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection callthe 24hour recording a1726-3769. All inspections 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 working day. Required lnspections Transfered Records - Prior to cover. - Prior to filling trench Buitding I I Underground Electrical Storm Sewer Line Verify Ground Rod - lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i Job# 99-01 042-01 Page 2 of 4 Required lnspections Building -After trenches are excavated. -After forms are erected but prior to concrete placement. -To be made after all inslab building service equipment, conduit piping, and other equipment iter -Prior to cover. -Before covering sheathing with finish materials. -Prior to cover. -Prior to Cover -Prior to taping. -To be done during construction by State Certified Special lnspector. Provide inspection test res - ln excess of 2500 psi. To be done during construction by a State Certified lnspector. Provide r -To be done by a State Certified Special lnspector. Provide inspection test reports to City Buildir -Before covering sheathing with finish material. -To be made after insulation and required vapor barriers are in place, but prior to any wall coveri -To be called for at the same time as the SUB framing inspection. -*n"n all Fire Department requirements have been met. -After all requirements have been met for Minimum Development Standards or from the Develo6 -After paving is complete. -When all required inspections have been approved and the building is complete. Electrical - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. Plum - Prior to filling the trench. -Prior to insulation or decking. - Prior to cover. - Prior to filling trench. -Prior to filling trench. - Prior to filling trench. -After device is installed but before backfilling trench -When all plumbing work is complete Mechanical - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When all gas work is complete. -When all mechanicalwork is complete. Permits w/o Srchg I -After gravel is in place but prior to placing concete. -After paving is complete. -- l Footing Foundation Slab Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall StructuralWelds Structura! Concrete Bolts installed in concrete Roof Sheating/Nailing Vapor Barrier/lnsulation Ceiling Grid SUB - !nsulation/Vapor Barrier SUB - Final Final Fire FinalSite Plan Final Paving Final Building Rough Electrical Electrical Service Final Electrical Underground Plumbing Underfloor Plumbing Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Backflow Device SUB - Plumbing FinalPlumbing Rough Gas Rough Mechanical Gas Service SUB - Mechanical FinalGas FinalMechanical Rough Grading FinalPaving Gonstruction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: Job# 99-01042-01 # Of Stories: Current Units: Gensus Code: Does not apply Height (feet): Proposed Units: Page 3 of 4 Accessory:Total: Fee Paid On Receipt# Value/Quantity Fee Amount Transfered Records Plan Check Fee Plumbing Permit Total Transfered Records 07/30/1 999 0B/1 3/1 999 35223 35223 455 160 $455.49 $160.00 $615.49 Buitdinq Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0211112000 02t11t2000 0211112000 0000580 0000580 0000580 219,000 $700.75 $49.05 $21.02 $770.82 Electrical Permanent: 200 Amps or Less Permanent: 201to 400 Amps Branch Circuits With Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 05/19/2000 05/19/2000 0511912000 05/1 9/2000 05/1 9/2000 1805 1 805 1 805 1 805 1 805 2 1 23 $100.00 $60.00 $46.00 $14.42 $6.18 $226.60 Plumbinq Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Water Service Footage Sanitary Sewer Footage Backfl ow Prevention Device Plumbing Administrative Fee Total Plumbing 02t11t2000 02t11t2000 02t11t2000 02t11t2000 02t11t2000 0211112000 02t11t2000 0000580 0000580 0000s80 0000580 0000580 0000580 0000580 $.00 $150.00 $16.80 $40,00 $40.00 $10.00 $7.20 $264.00 15 B5 117 1 Mechanical One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Miscellaneous Mechanical Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 05t31t2000 05i31/2000 05/31/2000 05/31/2000 05t31t2000 05/31/2000 05t31t2000 0513112000 1 960 1 960 1 960 1 960 1 960 1 960 1960 1 960 1 $2.00 $.oo $1.32 $18.00 $6.00 $18.00 $10.00 $3.08 $58.40 3 2 1B lmpervious Surface Area - Storm Church - MWMC Church - Transportation Sanitary Sewer SDC Administrative Fee Total System Development 0211112000 02t11t2000 02t11t2000 02t11t2000 0211112000 0000580 0000580 0000580 0000580 0000580 ,046 5 5 43 $12,306.67 $380.57 $1 ,615.84 $2,075.61 $818.93 $17,197.62 53 Job# 99-01042-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Paving Total Permits w/o Srchg Permits w/o Srchg 0211112000 0000580 60,000 $313.00 $313.00 Grand Total By signature, I state and agree, that I have 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 herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I 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 set of plans will remain on the site at alltimes duri ng construction. Signature Date $19,445.93 ,9^V/-OO S ,IN(;FIEL() 1000 sq.ft. or less Each additional 500sq. ft or portion t hereo f Each Hanuf ,d Home or- --Modular Dvelling Service or Feeder 200 anps 'or less 201 amps to 400 amps Over 401 to amps 0ver r lUUU vo-L t, RE[D:? $ ?I6'.i]0 IHAI.JGT: [ft$HIEft:05q Sum s 15.00 h, 1 225 FI[-I'H STRNET SPRINGFIELD, OREGON 97477 INSPECII0N REQUEST: 726-3769 OI'PICE: 726-3759 EI-ECTRICAL PI]RXIT A?PLICATION City Job Nr.r-mber ?. OtoqXq COMPLETE FEE SCHXDULE BELOH Nev Resj.dential--Single orMulti-Family per dweJ-ling unirservice rncluded: r tems Cos t 8s.00 .11 ON QE INSTAi,LATIONlY^- af L(zt 3 A ---)il6 FiE t,7 j5 47 o LlolCRIPTION JOB DESCR-IPTION S3R$tc Ferm j. ts ar e oorr- Lransf erabie an<i expireif vork j.s not started vithin 180 daysof issuance or if vork is suspended for 180 days.$ 40.00 2. CO}ITRATTOR INSTALT.ATION ONLY Elec t r i. cal con r rac t or XL Z1I45T) Cr -JI'JC, ;rddt CSS B. Services or Feeders Ins tal-lation, Altera t iorrs or Rel-oca t i on : 200 amps or l-ess - S 50.00 2U1 amps to 400 arps -- S 60.00 ,401 amps to 600 amps 5100.00601 amps t o 1000 anrps- S 130 . O00ver 1000 amps/volrs S3O0.0O C- 1'emporary Services or Feeders Instal]ation, Alteration or Relocatiorr w_w TEm \ll tr, Pltorre l Supervrsor i,icense N uni be r Expiration Date tO C)\ Constr Conrr. Number lt.(.J= Expirarion Dare \Z-CWn Sigrrat ur of Su 0vnerS N.ime.- EIec trician Extension Per s3s r.00 .00 .00ttgtr uffi!" Panel .00 40. 0O) 40. Offi s40 sss SBO S SEE > tlJ uol D. t.. .ddI-,:s:,: ci ryQZr\&QA\ Phone ufC\Lo,\qI C $Bsr* OVNl:I{ -TNSl'ALt-A'I'ION 'l'he ins tallat ion is being made on property I ovn which is not i.ntended for saLe, Lease or rent. 0vrrer:s Signa.ture: DATE: RECEIPT #: I{ECEIVED B ditional Ci rcui t or vi th Serv i ce or Feeder Perrni t -_ l--, S 2.00 ' il- I t' aHl j\ MisceLlaneous ( Service,/f eeder -Each instal-lation Pump or irrigation S Sigrr/Ou tl ine Ligh t ing- S Limi ted Energy,/Res - S Limi ted Energy/Comm S no t included ) 0to oH 13 *{Fff--I) I>-+;=-rrlLD..--:EE- cf,P IC}C}(:) IJ m(3 LN 5 SUBTOTAL OF ABOVE nz state Surcharge 32 Admini.strative Fee TOTAL 4)a '-) )(\ 36. .i3 r.J :E}-< SPRINGFIELD Job# 99-01042-02 COMMERCIAL PERMIT Gity Of Springfield Community Services Division Building Safety. Page 1 of 2 Job Number: 99-01042-02 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 02101 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2423 00007th St Spr AssessorsMap#: 17032343 Lot: Block: Addition crTY oF SPRTNGFIELD, OREGOTV Owner: Gateway Jehovahs Witness Address: ClO713 Scotts Glen Drive Scope Of Work: Sign This is a copy with a new Sequence Number Phone Number: City/State/Zip: New Springfield, OR97477 Value: $2,500 Contractor Type Sign Contr Gontractor Haugland and Sons 2535 Henderson Avenue, Eugene, OR 97403 Registration # 13811 Expiration Date 10t1t2001 Phone 541-343-9030 Quad Area: # Of Units: Gonstr. Type: Water Heater: 2CNW Office Use - Land Use: Church - Religious Zoning Code: LDR Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection callthe 24hour recording at726-3769. All inspections 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 working day. Required lnspections Si Sign Location -To verify location of the proposed sign. Sign Footing/Attachment -Footing: After excavation and forms are in place, but prior to concrete. Final Sign -After all required inspections are conducted and approved and the sign installation is complete. 900 00'0, $ 000e r0 Nnr 066T000-T0: $NUUI Zoning: LDR FloodPlain? [ Wetlands? ! Journal numbers 1: Commentsr Planner: Urban Growth Boundary? Quantity Of Filt: Supplier: Drainage: Floodway FEMA: Job# 99-01042-02 Overlay District: # of Street Trees: 3: Additional Requirements: Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA: Page 2 of 2 Land Use: Church - Religious Pave Driveway? E 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (Sq. Feet) Main:Accessory: # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: Sign District: Sign Dimensions Vertical:4 Horizontal:8 Church Type of Sign: Free Standing Thickness: Face Type: Double Face Height (Above Grade):4 Sqr. Footage: 32. lllumination? Comments: From Grade To Bottom:0 Sign Material: Granite Approved under section 8.240 (4) of the Springfield City Code Fee Paid On Receipt# Value/Quantity Fee Amount Sign Permit - 0 - 35 Square Feet Totalsign Sign 06/01/2000 0000 2,500 $40.00 $40.00 Grand Total Plan Check Type Sign Checked By Lisa Hopper Date Gompleted 06/01/2000 $40.00 f. , (,d\ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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 herein. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the it card is located at the front of the property, and the approved set of plans lremain at all times during the installation of the sign(s). Date SPRINGFIELD Job# 99-01042-03 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 TRANSS:01-0001990 DATE:JUN 01 2OOCI Al'1T RE[D:2 $ 80.00 IHANGE: CASHIER:005 Job Number: 99-01 042-03 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2423 00007th St Spr AssessorsMap#: 17032343 Lot: Block: Addition: Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 02101 Subdivision: crTY oF SPRTNGF7ELD, OREGOTV Owner: Gateway Jehovahs Witness Address: ClO713 Scotts Glen Drive Scope Of Work: Sign This is a copy with a new Sequence Number Phone Number: City/State/Zip: New Springfield, OR97477 Value: $2,500 Contractor Type Sign Contr Contractor Haugland and Sons 2535 Henderson Avenue, Eugene, OR 97403 Registration # 13811 Expiration Date 101112001 Phone 541-343-9030 Quad Area: # Of Units: Constr. Type: Water Heater: 2CNW Office Use - Land Use: Church - Religious Zoning Code: LDR Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. All inspections 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 working day. Required lnspections Sign I Sign Location -To verify location of the proposed sign. Sign Footing/Attachment -Footing: After excavation and forms are in place, but prior to concrete. Final Sign -After all required inspections are conducted and approved and the sign installation is complete Zoning: LDR FloodPlain? f] Wetlands? [ Journal numbers 1: 2: Comments: Planner: Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: 3: Additiona! Requirements tr Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA: Job# 99-01042-03 Page 2 of 2 Land Use: Church - Religious Pave Driveway? f] Area (Sq. Main:Accessory # Of Stories: Height (feet): Current Units: Proposed Units Census Code: Does not apply Total: Sign District:Church Type of Sign: Free Standing Face Type: Double Face Sign Dimensions Vertical:4 Height (Above Grade):4 Sqr. Footage: 32 Illumination? Comments: Horizontal:8 Thickness: From Grade To Bottom:0 Sign Material: Granite Sign approved under Section 8.240 (4) of the Springfield City Code Fee Paid On Receipt# Value/Quantity Fee Amount Sign Permit - 0 - 35 Square Feet Total Sign 06/01/2000 0000 2,500 $40.00 $40.00 Grand Total Plan Check Type Checked By Date Completed Sign Lisa Hopper 06/01/2000 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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 herein. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from street, that the $40.00 card is located at the front of the property, and the approved set of all times during the installation of the sign(s). 6,t .oa plans remain th at Date Overlay District: # of Street Trees: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? [ KINGDOM HALL OF JEHOVAHS WITNESSES 2423 TTIT ST SPRINGFIELD, OR LOAD DISTRIBUTION: PANEL'A' NC (5 TON) Alc (5 TON) A/C (s roN) PARKING LOT PARKING LOT TOTAL PANEL'B' FURNACE I FURNACE 3 6 RECEPTACLES 6 RECEPTACLES WATER T{EATER LIG}TTING LTGFTrING LICFilING SIGN 3l 31 31 ll 5 3l 3t 31 ll 5 LINE I IO9 AMPS LINE I 7.2 7.2 9 I l9 NELIRAL NEUTRAL 7.2 7.2 9 9 84 4 AMPS 84.4 AMPS t2 t2 7 t3 12 t2 9 t3 LTNE 2 I09 AMPS LINE 2 7.2 9 3 19 6 t2 t2 9 I 86.2 AMPS I95 2 AMPS 60,& /ao.o e (/, oa FURNACE 2 SPARE 6 RECEPTACLES COMPUTER WATER HEATER EXHAUST FAN LIG}I'TING LIGTITING LIGHTING FOI"]NTAIN TOTAL 95.4 AMPS TOTAL CONNECTED LOAD: 204.4 AMPS /- ?o*e 7 /*"/s 4u*e4f P7?4' Car<-ahd6*. ?c. oe /{, {A,/tr pftL .a 5, t,..lc oM\,lot \ oF \) cr\oYA H5 VJ 'rrue-sse-s?Azz -iw s 5ruruaRa_n,, oR t:"rq( Crte L-r^.L R,s=n- 7 7-Zlosctt xu l- )+ ^,oA. 1- sP c'r l- t.p<* 4"1 cuN,pu-i'r,() b\ Ll'l-tui't J Dqa6 RaNA, Z {f 1<q /OO;. y i ['nr.re- L Cc FoLlil DATr oN iiEt,ef<. r\r{9 (Pg12 W,t,af< t'!b f Z4o,t lA 3w ,li-9n rJc,m. 5?oA c*ar. 2oo4 n O O- I |\NLL \a. LSOt<LtilNa I- 3+AL er( Z- l<1, c* t-1,4c.,t +l i" <tt, Job# 99-01042-01 Paoe 1 of3- TRA 1 DATE: F AHI RE[D:? SPNINGFTELD rft6Hfi '..r1 ll ll I .IJ GE: T1 4 COMMERCIAL PERMIT City Of Springfield Gommunity Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2423 00007th St Spr AssessorsMap#: 17032343 Lot: Block: Addition: Job Number: 99-01 042-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 02101 Subdivision: crTY oF SPR7NGFTELD, OREGOI' Owner: Gateway Jehovahs \Mtness Address: CIO 713 Scotts Glen Drive Scope Of Work: Church Gateway Jehovahs Witness/Storm Sewer Phone Number: City/State/Zip: New Springfield, OR97477 Value: $279,000 Contractor Type GeneralContr Designer ElectricalContr MechanicalContr Plumbing Contr Contractor Registration # Great Western Homes lnc 46472 5024 Main St, Springfield, OR 97478€058 Peterson Eng x,x,X Xl Electric lnc 109432 581 Lancaster Dr Se Suite 50, Salem, OR 97301 Mountain House Heating & Cooling, lnc 121869 Po Box 447, Sisters, OR 97759 Christian Plumbing lnc 42671 23172 Sw Stafford Rd, Tualatin, OR 97062-6785 Expiration Date 11t12t'.t999 1214t1999 4t1612001 6t22t2000 Phone 541-726-2171 503-391 -91 1 3 541-549-3423 503-638-8231 Quad Area: # Of Units: Constr. Type: Water Heater: 2CNW Office [Jss - Land Use: Zoning Gode: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at726-3769. All inspections 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 working day. Required lnspections Transfered Records Storm Sewer Line -Prior to filling trench. ]f,r =:J Footing Foundation -After trenches are excavated. -After forms are erected but prior to concrete placement. 77 -{mt5-rf:D Dc3-{z.. mcDI'J " {+r: T1 -.D T#rrloc.D l:tr H -HtF-rrfmF(frn :T LN F.O:tJ D +- (f.. zLnr.JO(:)(tr. (}Lnom+.(f,cr,F. .. {s- (3 S. Buildinl Slab Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall StructuralWelds Structural Goncrete Bolts installed in concrete Roof Sheating/Nailing Vapor Barrier/lnsulation Ceiling Grid SUB - lnsulation/Vapor Barrier SUB - Final Final Fire FinalSite Plan FinalPaving FinalBuilding Job# 99-01042-01 Page 2 of 3 Required lnspections Building -To be made after all inslab building service equipment, conduit piping, and other equipment ite -Prior to cover. -Before covering sheathing with finish materials. -Prior to cover. -Prior to Cover -Prior to taping. -To be done during construction by State Certified Special lnspector. Provide inspection test res -ln excess of 2500 psi. To be done during construction by a State Certified lnspector. Provide r -To be done by a State Certified Special lnspector. Provide inspection test reports to City Buildin -Before covering sheathing with finish material. -To be made after insulation and required vapor barriers are in place, but prior to any wall coveri -To be called for at the same time as the SUB framing inspection. -*n"n all Fire Department requirements have been met. -After all requirements have been met for Minimum Development Standards or from the Develop -After paving is complete. -When all required inspections have been approved and the building is complete. Underfloor Plumbing Rough Plumbing Water Line Sanitary Sewer Line Backflow Device SUB - Plumbing FinalPlumbing Rough Grading FinalPaving Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (Sq. Feet) Main: -Prior to insulation or decking. -Prior to cover. -Prior to filling trench. -Prior to filling trench. -After device is installed but before backfilling trench. -Following City Rough Plumbing inspection approvaland prior to cover -When all plumbing work is complete. Permits w/o Srchg -After gravel is in place but prior to placing concete -After paving is complete. # Of Stories: Height (feet): Current Units: Proposed Units Census Gode: Does not apply Accessory:Tota!: u Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Fee Plumbing Permit Total Transfered Records 07/30/1 999 08/1 3/1 999 35223 35223 455 160 $455.49 $160.00 $615.49 Br.rilding Building Permit State Surcharge For Building Permit 02t11t2000 02t11t2000 0000580 0000580 $700.75 $49.05 219,000 Job# 99-01042-0f Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Building Administrative Fee Total Building 02t11t2000 0000580 $21.02 $770.82 ng Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Water Service Footage Sanitary Sewer Footage Backflow Prevention Device Plumbing Administrative Fee Total Plumbing azn1t200o 02t11t2000 02t11t2000 02t11t2000 02t11t2000 02t11t2000 02t11t2000 0000580 0000580 0000580 0000580 0000580 0000580 0000580 15 $.00 $150.00 $16.80 $40.00 $40.00 $10.00 $7.20 $264.00 85 117 1 System Development lmpervious Surface Area - Storm Church - MWMC Church - Transportation Sanitary Sewer SDC Administrative Fee Total System Development 02t11t2000 02t11t2000 02t11t2000 02t11t2000 02t11t2000 0000580 0000580 0000580 0000580 0000580 046 5 5 43 53 $12,306.67 $380.57 $1,615.84 $2,075.61 $818.93 $17,197.62 Paving Total Permits w/o Srchg Permits w/o Srchg o2t11t2000 0000580 60,000 $313.00 $313.00 Grand Total approved plans will rema on the site at all during construction $19,160.93 B,51frott 2-// 'oo Date ATTACHMENT A CITY OF SPRINGFIELD YS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 991042 NAME ORCOMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: Kingdom Hall, Jehovah's Witnesses 2423 Tthsteet 17032343 TL 02101 New Church Building BUILDING SIZE:5,030 LOT SIZE 99,505 l. STORM DRAINAGE -- Fromtable onplans IMPERVIOUS SQ. FT. 53,046 x $0.232 PER SQ. FT $12,306.67 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) -- No New Fixtures 43 x $48.27 PER PFU $2,015.61 NUMBER OF TRIPS X TRIP RATE X COST PER PM PEAK HOUR TRIP 5.03 x 0.66 x M86.73 PER TRIP x x V86.73 PER TRIP $ 1.615.85 $0.00 TOTAL TRANSPORTATION SDC $ 1,615.85 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 5.03 -- No connection to sanitary sewer,water 1S x$69.36 PER FEU 6.30 PER FEU TOTAL MWMC SDC on site. $348.88 $31.69 $ (10.30) $ 10.00 $380.27 B. IMPROVEMENT COST: NUMBER OF FEU's 5.03 x $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE suerorel (ADD ITEMS l, 2, 3, & 4) | $t6,lz8.+O I 5. ADMNISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) ,4,* u*,u,il/a/qs $818.92 $17,197.32 x 0.05 w @ryT DAfE/ 2423-7th.xls TOTAL SDC CHARGES 3. TRANSPORTATION PLUMBING FIXTURE LINIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES X UNIT EQUIVALENT = PLUMBING FIXTURE LNITS FIXTURES NEW OLD L]NIT PLUMBING FIXTURE UNITSFIXTURE TYPE BATHTUB DRINKING FOLINTAIN FLOOR DRATN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LATINDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER. 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFzuGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL STNK/ DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBEROF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 30 0 0 0 TOTAL PLUMBING FIXTURE LNITS 43 ALENT 2 I 2 J 6 2 6 6 I ) 2 I 2 2 I 6 4 2 0 I I 0 2 0 0 0 0 0 0 2 4 44 0 5 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY 1979 or 1980 198 I 1982 r 983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) 0.57 x x $ 18.07 $ 10.30 $ 10.30CREDIT TOTAL YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE refr $ 4.47 $ 4.38 $4.32 $4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 I 989 1990 l99l t992 1993 1994 1995 t996 1997 1998 $ 2.18 $ 1.75 $ 1.35 $ 1.17 $ 1.03 $ 0.86 $ 0.7r $ 0.57 $ 0.39 $ 0.18 2423-7th.xls ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: 991042 Kingdom Hall, Jehovah's Witnesses 2423 TthStreet 17032343 TL 02101 New Church Building BUILDING SIZE 5,030 LOT SIZE 99,50s l. STORM DRAINAGE -- Fromtable onplans IMPERVIOUS SQ. FT. 53,046 x s0.232 PER SQ. FT $ 12,306.67 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) -- No New Fixtures 43 x $48.27 PER PFU $2,075.61 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP 5.03 x 0.66 x M86.73 PER TRIP x x M86.73 PER TzuP $ l,6l s.8s $0.00 TOTAL TRANSPORTATION SDC $ 1,615.85 4. SANITARY SEWER - MWMC -- No connection to sanitary sewer, wash water is recycled on site. A. REIMBURSEMENT COST: NUMBER OF FEU's 5.03 x$69.36 PER FEU 6.30 PER FEU TOTAL MWMC SDC $348.88 $31.69 $0. $ 10.00 $380.27 B. IMPROVEMENT COST: NUMBER OF FET.]'S 5.03 x$ MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS I,2,3,&4) | $rO,IZA.+O I 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.0s $8 r 8.92 K"* U*,u,/t a $17,197.32 SM coomr|u$or DAfE/ 2423-7th.xls TOTAL SDC CHARGES PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES X LJNIT EQUIVALENT = PLUMBING FIXTURE UNITS NOTE: FOR REMODEIS. PLUMBING FIXTURES UNIT FIXTURE FIXTURE TYPE NEW OLD ALENT LTNITS BATHTUB DRINKING FOLNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LALINDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER - 3 OR MORE 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: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALL/IVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 30 0 2 I 2 3 6 2 6 6 I 3 2 I 2 2 I 6 4 0 0 0 0 2 0 0 0 0 0 0 2 4 4 2 4 5 0 0 0 TOTAL PLUMBING FIXTURE UNITS 43 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY 1979 or before 1980 198 l 1982 1983 1984 1985 1986 t987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) $ 10.30 0.57 x x $ 18.07 $ 10.30 YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE $ 4.47 $ 4.38 $ 4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 r989 1990 1991 1992 1993 1994 1995 r996 1997 1998 $ 2.18 $ 1.75 $ 1.35 $ 1.17 $ r.03 $ 0.86 $ 0.71 $ 0.57 $ 0.39 $ 0.18 2423-7th.xls CREDIT TOTAL I CO M M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 SPFINGFIELO JOB NUMBER ??/22, - INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WOFTK:z.qzv 7z 17, ASSESSORS MAP:TAX LOT:22^ L{1, $ ? zrzzolLZIP:STATE: E S ADDRESS: OWNER CITY; REMOOEL ADDITION DEMOLISH OTHER LC K GDESCRIPTION OF WORK: NEW ADDRESS PHADDRESS 9rzo ftAnAIb r Cqu,tG l?t x t-9 lo'7,/<q l't(lrzr+* CONST. NE ^) Rrcr++,<\ cJAsr, NlnaOTTtrt tfou,s€ X t- EtaTTZr c MECHANICAL: ELECTBICAL: NAME b-3-oa CONTRACTOR'S NAME ARCHITECT: :P3 - aE7 ^stNE o,{ P GENERAL: PLUMBING RE NO.FEE CHARGE Single Fixture Relocated Bld (new flx. addtl s ) Water Service *silIi ary sewer-----l!- ft. ,ror^ ""*"b?O ft ^/u.* Backf low Device TOTAL PERMIT Furnace/burner & vent BTUs Furnace/burner & vent BTUs Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Statlonary evap. cooler Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT ZONING - oFFrcE usE -HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: LAND USE: OCCY GROUP: g OF STORIES: QUAD AREA: S OF BLDGS: CONSTR. TYPE: HEAT SOURCE: * OF UNITS: VALUE$/SQ. FT.SQ. FT. 2V-*a -// TOTAL VALUE OF PBO.J x X x SO. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER pLAN cHEci( FEE {5s: /'4 acpro ?<42 oarc -'?ff DEMOLITIONPLUMBINGBUILOING PERMIT BY // .26')l- at9AV' State Surcharoe ' ' , State Su rcharge FENCEMECHANICAL SUBTOTAL PERMITSSIOEWALK FT.. State Su rcharoe SYSTEMS DEVELOPMENT CURBCUT FT. PAVING \CT V TOTAL PERMIT FEES EXCLUDING ELECTRICAL .-ttt 16.to Nr\ REQUIRED INSPECTIONS - It is thg responsiblllty of the permlt holder tg see that all lnspoctlon8 are made at the proper tlme, To rsquctt an lnspectlen, cell 726.3769 (recorde0, state your Clty deslgnated ,|ob number, job address, type of lnspection requested and when you will be ready for lnapaotlon. R.qua.t. rcoolvrd before 7:00 e,m, wlll be mede the eame worklng day, rsquests made after 7:00 e,m, wlll bc made the following work day. 31TE INaPICTIONT Tc b. ROUoH PLUMBINo, PAVINOT Aflrr gravcl le ln mado aftcr excavatlon, but ELECTRICAL & place but prlor to placlng prlor to setup of forms. MECHANICAL: No work ls to asphalt or concrete. be covered untll these UNDERSLAB PLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance ELECTRICAL & and approved. Sectlon 306 of the State Speciatty Code MECHANICAL: To be made ^_^_- , a speclal lnspector shall be employed before any work is covered. " -. {.rI9:P-FLil.9I"O-PS &,' I . *," oy ine }w'rteil Cohtractor duringCUXTAIN WALLS{ . cbnstructien of the foilowing w6rk. A FOOTTNGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prlor to placing be'furnished io the Building Division. excavated and forms are faclng materlals and before erected, all steel in place, but framing lnspection' STRUCTURAL CoNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (3OO a.1) coNcRETE SLAB: To be the roof' all framlng, fire made after au rnsrab buudrns 3l::5 ::."!fl 3,;:Ir.f,Hl3r, Ell5,Tyf3l,H5"ool',rrrz oservice equipment, condult, and vents are complete anclpiping, accessories and other incirrary equipment items are :i:H::l"",lt"ii:,.x,J#[3:H Bl?,lf],?:],?T,|"Bp,".lHx".in place but before any tightening operations. (306concrete is placed. lNsuLATloN & vApoR - a.6) \, BARRIER: To be made after allr'S UNOERGROUNO: Plumbing, insulation and requlred vapor SpRAyED ONelectrical. oas, sanitary sewer, barriers are ln place but FIREPROOFING: U.B.C.J-<.<f_Iirn sgYeT>ruater and before any lath or gypsum Standards 43_8.dralnagE-Tfnes. To be made board interior wall Covering isprior to covering or filling applied.trenches. ..Fts!'vv. SPECIAL GRAD|NG, ,NDEBFL..R: p,umbins [l1:,fl';'fm'J3l:gi"' EXiilTiiildil",SJ:'i],"a electrical, mechanical. To be accordlng to plans. Chapter 29) made prior to installation of floor lnsulatlon, decklng or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection floor sheathlng. BOARD: To be made after all Certificate by an approved lathing and gypsum board, agency, furnished to the City's pOST & BEAM: To be made lnterlor and exierlor, ls ln ' Building Division before prlor to lnstallatlon of floor place but before any beams are placed' (2501 U.BC. lnsulatlon, decklng or floor plasterlng ls applled or before S'I'DS' 25-10,11) sheathlng. - Sypsum board jolnts and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR TNSULATIoN & finlshed' a'7) VAPOR BARRIERS: To be made prlor to lnstallatlon of decking or floor sheathing. MASONRY: Steel location, bond beams groutlng or verticals ln accordance with uBc 2415. ROOF SHEATHING AND NAILING: Prlor to installlng any roof coverlng. SIDEWALK & DRIVEWAY: Required for all concrete paving withln street right of way, to be made after all excavatlng complete and form work and sub-base rnaterial in place. CURB ANO APPROACH APRONS: After forms are erected but prlor to placing concrete. 'ln addition to the inspec- tions specified, the Building Officlal may make or require other inspections of any construction work to ensure compliance with the Building, Clty or Development Code. By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby cerilfy that alt lnformailonhereln ls true and correct, and I further certlfy that any and all work performec, shall be done ln accordance with the Ordlnancesof the Clty of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUpANCywill be made of any structure without permission of the Bulldlng Safety Divlslon. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on thls project. Signature Date 9- /z'77 fu errth ree o en SU re alhat red n ect on Sag are re estedu eth ro tlspq hat ec ad rESSdppeme,proj darea b e mro h eitardcStreShatedet,he ro nt th e and eth ofset napropertv,provedap S re ma onnp he teSI amtidESunrucon VALIDATION E ( AMOUNT RECEI RECEIPT #RECEIVED BY: DATE PAID FINAL PLUMB]NG FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project condltions such as landscaping, parklng lot stri ping, etc. must be completed beforerequestlng thls I nspectlon. FINAL BUILDING: Requested after the final plumbing, etectricat, mechanical and Flre Department inspections are made and approved. No occupancy of the premises can be made until aCertiflcate of Occupancy has been lssued by the Building Divisionand posted on the premises. ADDITIONAL COMMENTS: -PLANS FIEVIEWED BY DATE 3_n"g? ",.|J