HomeMy WebLinkAboutPermit Building 2000-12-07ctTY oF SPRINGFTELD, OREGOTV
SPlIINGFIELD
Job# 00-01431-01
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
Job Number: 00-01431 -01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 00500
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 201 S 0001Bth St Spr
AssessorsMap#: 17033600
Lot: Block: Addition
Owner: Springfield SchoolDistrict Phone Number: 541-744-6375
Address: 525 MillStreet Gity/State/Zip: Springfield, OR97477
Scope Of Work: lnterior Alteration Value: $102,089
Men's locker room renovation
Relocating Men's locker room to the previous office area to the east (next to the new Women's
locker room).
Gontractor Type Contractor Registration # Expiration Date Phone
Architect Robertson/Sherwood 541-342-8077
132 E Broadway, Eugene, OR 97401
GeneralContr AllOregon Construction Co 541-687-5826
4420 Fox Hollow Road, Eugene, OR
97405
ElectricalContr JKG Electric 45129 412412002 541-746-4656
2157 Don Street, Springfield, OR97477
Mechanical Contr Emerald Valley Sheet Metal lnc 141229 31112002 541-465-3989
87528 Oak HillDr, Eugene, OR 97402
Plumbing Contr Sixel Plumbing & Mechanical lnc 141071 212312002 541-896-3964
Po Box 70617, Eugene, OR 97401
Office Use
-
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
t ,,Land Use:
Zoning Gode:
(VN) wood Frame , ::[::r='
# Of Buildings: 1
Occupancy Group: General Business
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at726-3769.Aili
a.m. will be made the same working day, inspections requested after
working day.
Masonry
Framing
Drywall
Ceiling Grid
Final Fire
ions requested before 7:00
m. will be made the following
Required lnspections
Buitding I
-Steel location, bond beams grouting or verticals in accordance with UBC 2415
-Prior to cover.
-Prior to taping.
-When all Fire Department requirements have been met.
Final Building
Rough Electrical
Final Electrical
Underfloor Plumbing
Rough Plumbing
Shower Pan
Final Plumbing
Rough Mechanical
Final Mechanical
Construction Types(VN) Wood Frame
Occupancy Groups: General Business
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory Total:
Job# 00-01431-01 Page 2 of 3
Required lnspections
Buildin
-When all required inspections have been approved and the building is complete.
Electrical I
-Prior to cover.
-When all electricalwork is complete.
-Priortoinsrl"tio#
-Prior to cover.
-*n"n all plumbing work is complete.
Mechanical
-Prior to cover.
-When all mechanicalwork is complete.
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
11t06t2000 3708Public Plan Review
Total Plan Check
102,089 $28s.84
$285.84
Building Permit
State Surcharge For Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Building Administrative Fee
Total Building
Buildinq
12107t2000
11t16t2000
1210712000
11t16t2000
1210712000
3991
3805
3991
3805
3991
102,089 $439.75
$.00
$30.78
$.00
$13.19
$483.72
Electrical
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
State Surcharge - Electrical
Administrative Fee - Electrical
Administrative Fee - Electrical
Total Electrical
1210712000
11t16t2000
12t07t2000
1111612000
1210712000
3991
3805
3991
3805
3991
5 $43.00
$.00
$3.01
$.00
$1.29
$47.30
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
State Surcharge - Plumbing
Administrative Fee - Plumbing
Plumbi
1210712000
12107t2000
11t16t2000
1210712000
1111612000
$.00
$100.00
$.00
$7.00
$.00
3991
3991
3805
3991
3805
10
# Of Stories: 2 Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Job# 00-01431-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Administrative Fee - Plumbing
Total Plumbing
Plumbing
12t07t2040 3991 $3.00
$110.00
Minimum Mechanical Permit
Administrative Fee - [Vlechanical
Administrative Fee - Mechanical
Less than 100,000 BTU
ApplianceVent (Not Covered in Schedule
Mechanical lssuance
State Surcharge - Mechanical
State Surcharge - Mechanical
Total Mechanical
Mechanical
12t0712000
1111612000
1210712000
12t07t2000
1210712000
12t0712000
1111612000
12t07t2000
3991
3805
3991
3991
3991
3991
3805
3991
1
1
$4.50
$.00
$.45
$6.00
$4.50
$10.00
$.00
$1.05
$26.s0
Sanitary Sewer
MWMC Administrative Fee
SDC Administrative Fee
Miscellaneous MWMC
Total System Development
System Development
11t16t2000
11t1612000
11t16t2000
11t16t2000
3805
3805
3805
3805
11 $548.46
$10.00
$32.21
$85.80
$676.47
B6
Grand Total
Plan Check Type
Engineering-C/l/P
Structural-C/l/P
Fire Marshal-ClllP
Checked By
Pam Ownby
Don Moore
AlGerard
Date Gompleted
10/03/2000
1110612000
10/05/2000
$1,629.83
Comment
verify that extinguishers are within 75'
schedule fire alrm acceptance test with deputy
prior to final.
/Z-z-6t
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. I further state 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 the project address is readable from the 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 construction.
Signature Date
1
,'/ (-
s;Pnr' .tr!e.Lt,
I
DEvELoPi/,ENr sEPyrcEs DEffib+l&{HsproJeo as submirred
zontng, and does not
approval
has the
require specific land us
?to
225 FIFTH STREET
SFNNGTELO, OR 97477
(54r) 726_3753
F/LY (54t) 726 3659
Sunr
Zoning
225 PIYTE STREET
SPBJNGTIEI.D, OREGON
INSPECTION REOUEST:
OFPICB: 726-3759
1. LOIATIoN 0F INSTA[nTrotl__zel__s- /e-a 6n A. New Reslrlentlal-Sirrgle orHrrlti-Pami ly per duelling unit.
Service J,rrc.Iuded:
I t em^s Cos t
ELESIRICAL PIiRT{IT AfPLICATIOT{
oll Nrrmbor
3. c0t{pl.p,'il( pr.B sGtrilruui tsstoH
L000 sq.ft. or less
Each additiorral 500sq. ft or portion
thereof
Each Manuf td llome or
--'Hodular Dvellirrg
Service or Feeder
s 85.00
s 15.00
$ 2.0.00
Services or feedersInstallation, Alterat j_ons
or Relocatlon:
12,- -J -ao
9t4
7 ")Slgnature
JOE DBSCRIPTION
Pernits are non-transferable and expirelf vork is nor srarted vithin 1gO diysof issuance or if uork is suspended ior180 days.
2, COI{TRACTOR INSTALI,ATION ONLT B
Electrtcal conrracror Ql\L et Uf rf.16
DESCRTPTTON-11o-
Address Zt -1 n 6f
Ci ty Phone '7 *bSlp
Supervisor License Number tst.{-5
Expiration Date lo - t -Ol
constr conrr. Number <lS, z-1
Expilation Dare a{ - Z-*-of
Signaturc Superwisi ng Elcctriciuu
orrners Name Ct
Address
Ci ty Ph o,,"/2(e_-Z/22
OIJNER INSTALLI\TION
The irrstallation ls being hade onproperty f own vhiclr is not intendedfor sale, lease or rent.
ovners Signature:
DATB:
200 amps or less
201 anps to 4O0 aups
401 a.mps to 600 aurps --601 amps to 1000 anrps-
Over 1000 arups,/vol ts
Rec<.rrurec t 0nIy
C Tcmpor:ary Services or FeedersInstallation, Alteratiolr or Relocati,on
200 anps or less S 40.00
2oL arps to 400 amps
-
s 55.000ver 401 to 600 aups =- S 80.00
Over 600 amps or 1000loli.s see rg,r of,[[[-
D. Brauch Circuits
B
5. SUtsTOTAL O['AUOVC
7/q State Surcharge
3Z Administrative Fee
TOTAL
Nev, Alteratiorr or Extcnsion per panel
orreCircuit _4 S35-00 35Each Addi tiorralCircuit or vith Serviceor Feeder perrni t 4 S 2. OO g
-----4
Miscellaneotrs (Service/feeder not inclucled)
-Each installat ion
Punp or irrigatiorr
Sign/Out1ine Lighting
Limited Energ5r/ResLinited Energy./Comm
s 40.00
s 40.00
s 20.00
$ 36.00
RECEIVET)BY:
oa
s 50.00
s 60.00
s 100. 00
$130.00
s100.00
$ /rO. 00
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER
NAME ORCOMPANY:
LOCATION:
TAX LOTNUMBER
DEVELOPMENT TYPE:
City of Springfield
00-01431-01
201 S. lSth Street
17-03-36-00 00500
Maintenance Division - Locker Rooms
usE # I NEW DEVELOPED BUILDING AREA (S.F.)
usE # 2 EXIST DEVELOPED BUILDING AREA (S.F.)
TOTAL DEVELOPED BUILDING AREA (S.F.)
945.0 TYPE OF USE: GeneralOffice
945.0 TYPE OF USE: Auto Repair
LOT SrZE (S.F.):
I. STORM DRAINAGE
TMPERVTOUS SQ. FT.x $0.240 PER SQ. FT0 $0.00
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
x $49.86 PER PFU11 $548.46
3. TRANSPORTATION
NUMBER OF TRIPS X TRIP RATE X COST PER PM PEAK HOUR TRIP
USE # I 0.945 x 1.49 x $502'79 PER TzuP
USE#2 0.945 x -3.3 8 x $502.79 PER TRIP
TOTAL TRANSPORTATION SDC $0.00
s707.95
(sl,605.e6)
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
USE # I NUMBER OF FEU's 0.945
USE#2 NUMBER OF FEU's 0.945
B. IMPROVEMENT COST
USE#I NUMBER OF FEU's 0.945
USE#2 NUMBER OF FEU's 0.945
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
$138.72 PER FEU
.$55.49 PER FEU
$12.60 PER FEU
$5^04 PER FEU
TOTAL MWMC SDC
x
x
s131.09
$52.44)
sl 1.91
($4.76)
00
s10.00
$9s.80
x
x
SUBToTAL (ADD ITEMS 1,2,3, & 4)$644.26
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $32.21
Pamela J. Ownbeyffi l l/15/00 $676.47
DATE
TOTAL SDC CHARGES
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x LINIT EQUIVALENT = PLUMBING FIXTURE TJNITS
(NOTE: FOR REMODELS,CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURES
NEW OLD
UNIT
PLUMBING
FIXTURE
LINITSFIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLI DS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB/CLOTHESWASHER/MOP SINK
CLOTHESWASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFzuGERATOzuWATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBEROF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALL/WALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
ALENT
I
2
I
2
J
6
2
6
6
I
J
2
I
2
2
I
6
4
0
0
2
0
0
0
0
0
0
0
4
0
0
02
2
2
2
0
42
0
0
0
TOTAL PLUMBING FIXTURE UNITS:ll
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATE
YEAR
ANNEXED
RATE PER SI,OOO
ASSESSED VALUE
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
1979 orbefore
1980
l98l
1982
1983
I 984
1985
1986
1987
1988
1989
94.74
s 4.6s
$ 4.s9
$4.46
s 4.30
s 4.14
$ 3.93
$ 3.63
93.26
$ 2.8s
s2.40
1990
t99l
1992
1993
1994
1995
1996
r997
1998
1999
$ 1.96
s r.ss
s 1.36
s 1.23
$ 1.05
s 0.90
$ 0.7s
$ 0.57
s 0.3s
$ 0.1s
$0.00
$0.00
$0.00
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE-
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
CREDIT TOTAL