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Home My WebLink AboutPermit Building 1999-01-24SPRINGFIELD Job# 99-01492-01 PUBLIC PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 Job Number: 99-01492-01 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: ctTY oF SPRfiNGFfiELq OREGOTV Owner: City Of Springfield Address: 225 Fifth Street Scope Of Work: lnterior Phone Number: City/State/Zip: Remodel 541-726-3700 Springfield, OR97477 Value: $160,975 REMODEL LUNCH/SHOWER ROOMS Contractor Type GeneralContr Designer Electrical Contr Plumbing Contr Contractor Jm&SConstructionLlc 110 Third St Se, Albany, OR 97321-489'l Robertson/Sherwood 132 E Broadway, Eugene, OR 97401 Eaton Electric lnc Po Box 1911, Corvallis, OR 97339-1911 Brass Plumbing lnc Po Box 427, Albany, OR97321-0121 Registration # 123293 Expiration Date 6/5/00 Phone 541 -926-8693 541-342-8077 s41 -929-s368 541-926-2727 67211 41141 6/6/99 1t9t01 Quad Area: # Of Units: Constr. Type: Water Heater: 2PSW (VN) Wood Frame Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Asmb w/o stage 3 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 Underground Plumbing Framing Special Footing Slab Masonry Framing - Prior to filling the trench. - Prior to cover. -See Plan Review and/or lnspectors Notes. Bui! -After trenches are excavated. -To be made after all inslab building service equipment, conduit piping, and other equipment iter -Steel location, bond beams grouting or verticals in accordance with UBC 2415. - Prior to cover. Drywall Special Bolts installed in concrete Ceiling Grid SUB - lnsulation/Vapor Barrier SUB - Final Final Fire Final Building Rough Electrical Low Voltage Final Electrical Underfloor Plumbing Rough Plumbing Sanitary Sewer Line Final Plumbing Rough Mechanical Special Final Mechanical Job# 99-01492-01 Page 2 of 3 Required lnspections Buildins I - Prior to taping. -See Plan Review and/or lnspectors Notes. -To be done by a State Certified Special lnspector, Provide inspection test reports to City Buildir -To be called for at the same time as the SUB framing inspection -When all Fire Department requirements have been met. -When all required inspections have been approved and the building is complete Electrica! -Prior to cover -When all electricalwork is complete Plumbing -Prior to insulation or decking. - Prior to cover. - Prior to filling trench. -When all plumbing work is complete. Mechanical Construction Types:(VN) Wood Frame Occupancy Groups:Asmb w/o stage 300- General Business Storage # Of Buildings: 1 # Of Stories: 2 Height (feet): # Of Bedrooms: Current Units: Proposed Units: Handicap Access? f Census Code: Does not apply Area (Sq. Feet) Main Accessory:Total: Fee Paid On Receipt# Value/Quantity Fee Amount Transfered Records Plan Check Fee Total Transfered Records 0112412000 0000338 $.00 $.00 Plan Check 01t2412000 0000338Public Plan Review Total Plan Check 160,975 $370.66 $370.66 Buildins Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 01t24t2000 01t24t2000 0112412000 0000338 0000338 0000338 160,975 $570.25 $39.92 $1 7.1 1 $627.28 Electrical Branch Circuits WO Feeder or Service Restricted Energy 01t24t2000 03t29t2000 0000338 1077 13 $59.00 $36.001 - Prior to cover. -See Plan Review and/or lnspectors Notes. -When all mechanicalwork is complete. Job# 99-01492-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical State Surcharge For Electrical Permit State Surcharge For Electrical Permit Electric Administrative Fee Electric Administrative Fee Total Electrical 0112412000 0312912000 0112412000 0312912000 0000338 1077 0000338 1077 $4.13 $2.52 $1.77 $1.08 $104.50 Plumbin Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Sanitary Sewer Footage Plumbing Administrative Fee Total Plumbing 0112412000 01124t2000 0112412000 01t24t2000 0112412000 10 12 $.00 $100.00 $8.75 $25.00 $3.75 $137.50 [t/inimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct UniVHeater Mechanical lssuance State Surcharge For Mechanical Permit Tota! Mechanical Mechanical 0112412000 01t24t2000 0112412000 01124t2000 01124t2000 01t24t2000 0112412000 0000338 0000338 0000338 0000338 0000338 0000338 0000338 2 1 1 $.00 $.63 $12.00 $3.00 $6.00 $10.00 $1.47 $33.10 System Development Sanitary Sewer MWMC Administrative Fee SDC Administrative Fee Miscellaneous MWMC Total System Development 01t24t2000 0112412000 0112412000 01124t2000 0000338 0000338 0000338 0000338 20 1 197 $965.40 $10.00 $58.60 $196.57 $1,230.57 Grand Tota! Plan Gheck Type Checked By Date Completed Received Date Lorne Pleger Structural-C/l/P Lorne Pleger 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 allwork 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 co $2,503.61 a Signature Date 0000338 0000338 0000338 0000338 0000338 ORF.GOA'CITY OF SP.-.rlGFlELD zoning, and does not approval c u Zoning -7 6n Al{T RE[D:2 $ 95.00 PERHIT Wfoi225 TTYIfl STREBT SPRINGPIELD, OREGON INSPECTION REQTJBST: OFPICE z 726-3759 97 471 Date 7 26 -37 ftfirhorrzed Si gnature 1. LOCATION OF INST ON ot s, 1 9a Sf{LD A o JOB DE PTION Nu-mber 3. COHPLBTB tr'BE SCMDULE BELOV Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included: I tems Cos t L000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder s 8s.00 s 1s.00 s 40.00 B Services or Feeders Installation, Alterations or ReLocation: 200 amps or lessioi "tni" to 400 amPs -401 amps to 600 amPS - 60L amps to 1000 amPs- 0ver 1000 amPs/volts - Reconnect 0n1Y E :001 Sum Permi ts are non-trans if vork is not starte of issuance or if vor Electrical Contract or Son 16A l^.,-IOU Udy5. 2. CONTRACTOR INSTALLATTON ONLY ferable and exPire d vithin 180 daYs k is suspended for itrol Se cur tt v EN 60 100 130S S s 00 Address P.O. Box 21009 00 00 00 00 00 s 40.00 s 55.00 s 80.00 see ttBttabove City E uqene Phone 46 1 - 5678 Expiration Date C. Super,,'i sor Lr cense Number 300. 40. TemporarY Services or Feeders Insiallaiion, Alteration or Relocation 200 amps or lessioi "rit to 4Oo amPs -0ver 401 to 600 amPs - Over 600 amPS or 1000 volts Branch Circui ts Nev, Alteration or Extension Per PaneL s 35.00One Ci rcui t Each Addi t ional Circuit or vith Service or Feeder Permi t s 2.00 SUBTOTAL OF ABOVE V"/ State Surcharge 32 Administrative Fee TOTAL Constr Contr Number 65149 ExpLration Date 6-28-00 Sicna L.. ing tricianture of .S\pe D flvners Name Address JAI 5 17 s'{. ci ty SP*LD vnone '7J/t-j71,/ OIINER INSTALI.ATION The installation is being made on nr^np!'r'.'l ovn vhich is not intended F'-r-- _. for saIe. lease or rent' Ovners Signature: DATE: RECEI RECEI Miscellaneous ( Service/ feeder not included -Each installation Punp ot irrigation S 40'qq 3igizoutiine Lighting- : i9'q9Liilit"a Energy/Res S 2o'oo - -\ VED B 5 oo Job# 99-01492-01 Paoe 1 of3- TRANSil:01--0000i38 DATE:JAN 24 2Ot]O rll'lT RECD:I $ 1168.54 IHAi.JEE: IASHIER:059 !sPFINGFIELD PUBLIC PERMIT City Of Springfield Gommunity Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 201 S 00018th St Spr AssessorsMap#: 17033600 Lot: Block: Addition: Job Number: 99-01492-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 00500 Subdivision: ctTY oF SPR|NGF|ELD, OREGON Owner: City Of Springfield Address: 225 Fifth Street Scope Of Work: lnterior Phone Number: City/State/Zip: Remodel 541-726-3700 Springfield, OR97477 Value: $160,975 REMODEL LU NCH/SHOWER ROOMS Contractor Type GeneralContr Designer ElectricalContr Plumbing Contr Contractor Jm&SConstructionLlc 110 Third St Se, Albany, OR 973214891 Robertson/Sherwood X,X,X Eaton Electric lnc Po Box 1911, Corvallis, OR 97339-1911 Brass Plumbing lnc Po Box 427, Albany, OR 97321-0121 Registration # 123293 Expiration Date 6/5/00 Phone 541-926-8693 541-726-3753 541 -929-5368 541-926-2727 67211 41141 6/6/99 1t9t01 Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Asmb w/o stage 3 Heat Source: Sq. Footage: To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00 a.m. witt be made'the same working day, inspectiohs requested after 7:00 a.m. will be made the following working day. Footing Slab Masonry Framing Drywal! Bolts installed in concrete Ceiling Grid SUB - lnsulation/Vapor Barrier Required lnspections Building -After trenches are excavated. -To be made after all inslab building service equipment, conduit piping, and other equipment ite -Steel location, bond beams grouting or verticals in accordance with UBC 2415. - Prior to cover. -Prior to taping. -To be done by a State Certified Special lnspector. Provide inspection test reports to City Buildin -To be called for at the same time as the SUB framing inspection Job# 99-01492-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing Administrative Fee Total Plumbing 01124t2000 0000338 $3.75 $137.50 Mechanical Minimum Mechanical Permit Mechanical Ad ministrative Fee Less than 100,000 BTU Vent Fan to One Duct UniUHeater Mechanical lssuance State Surcharge For Mechanical Permit Tota! Mechanical 01t24t2000 01124t2000 01t24t2000 01t24t2000 01t24t2000 01t24t2000 01t2412000 0000338 0000338 0000338 0000338 0000338 0000338 0000338 2 1 1 $.00 $.63 $12.00 $3.00 $6.00 $10.00 $1.47 $33.10 Sanitary Sewer MWMC Administrative Fee SDC Administrative Fee Miscellaneous MWMC Total System Development 01t24t2000 01t24t2000 01t24t2000 01t24t2000 0000338 0000338 0000338 0000338 20 1 197 $965.40 $10.00 $s8.60 $196.57 $1,230.57 Grand Total $2,464.01 Plan Check Type Ghecked By Date Completed Received Date Lorne Pleger Structural-C/l/P Lorne Pleger 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 SUB - Final Final Fire Final Building Rough Electrical Final Electrical Underfloor Plumbing Rough Plumbing Sanitary Sewer Line Final Plumbing Rough Mechanical FinalMechanical Job# 99-01492-01 Page 2 of 3 Required lnspections Building -When all Fire Department requirements have been met. -When all required inspections have been approved and the building is complete. Electrica! -Prior to cover. -\tr/hen all electrical work is complete. - Prior to insulation or decking. - Prior to cover. -Prior to filling trench. -When all plumbing work is complete. Mechanical Construction Types(VN) Wood Frame Occupancy Groups:Asmb w/o stage 300- General Business Storage # Of Buildings: 1 # Of Stories: 2 Height (feet): # Of Bedrooms: Current Units: Proposed Units: Handicap Access? [ Census Code: Does not apply Area (Sq Main Accessory:Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Fee Total Transfered Records 01t24t2000 0000338 $.00 $.00 Plan Check 01t24t2000 0000338Public Plan Review Total Plan Check 160,975 $370.66 $370.66 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 01124t2000 01t24t2000 01t24t2000 0000338 0000338 0000338 160,975 $570.25 $39.92 $1 7.1 1 $627.28 Electrical Branch Circuits WO Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 01t24t2000 01t24t2000 01t24t2000 0000338 0000338 0000338 13 $59.00 $4.13 $1.77 $64.90 Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Sanitary Sewer Footage 01t2412000 01t24t2000 01t24t2000 01t24t2000 0000338 0000338 0000338 0000338 10 $.00 $100.00 $8.75 $25.0012 - Prior to cover. -When all mechanicalwork is complete. CIIY OF SPRINGFIELD 225 FTFTH SIREET SPRINGFIELD, OR 97477 (541 )726-3753 HAPPY NEIil YEAR!!!! !! !! REG-RECEIPT:01-0000338 C:JAN 24 2000 CASHIER ID:059 12:]7 pm A:JAN 24 2000 1OO2 BUILDING PERI.IIT J0Bs r 99-0 1 492-0 1 IO99 STATE SURCHARGE(7X) J0B$ : 99-01 492-0'l 1Og8 ADi4IN FEE(3X) JOBs :99-0 I 492-01 I006 MECHANICAL PERI'IIT J0B* : 99-0 1 492-0 I 1099 STATE SURCHARGE(7X) J0B$ : 99-0'l 492-0 1 1098 AD}.{IN FEE(3X) J0B$ :99-0'1492-01 1 087 I'.IECHANICAL ISSUANCE J0B$ r99-01492-01 1OO5 PLUI.IBING PERMIT J0BS : 99-0'l 492-0 1 1099 STATE SURCHARGE(7X) JOBs : 99-01 492-0'l 1098 ADI'1IN FEE(3X) J0BS :99-0 1 492-01 1060 PLAN CHECK/COM}{ JOBt:99-01492-01 $570 ,25 $39 . s2 $17.11 $21.00 $0 ,63 $1.47 $10,00 $125,00 $8.75 $s .75 $370 .66 TOTAL DUE RECEIVED FROII: Jt',l & S CONSIRUCTION CHECK:$1,168,54 TOIAL TENDERED $] , 168,54 CHANGE DUE $0 ,00 $'l , 168 ,54 *Pay NAMC :JM & S CONSTRUCTION tMail Addr :'110 3RD AVE SE *CtylStlZ :ALBANY 0R 97321 *Site Addr :201 S 'l8TH ======:============:=================:== THANK YOU! ! ! ! ! ! JOURT{AL\ .JOB xo. 7Q'i e^ ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COIvIPANY LOCATION: DEVELOPMENT TYP 0 */, F+ 1 \ rt/e/ "laa,rea-8:a'^-o4to/7/'-^y'2,- uaa- TMPERVTOUS SQ. FT._ X$0.232 PER SQ. FT $* 2. SANITARY SEWER-CITY NO. OF PFU'S ,qo X $48.27 PER PFU x _ x $486.73 PER TRIP /- ,S <r7- BLIILDING SIZE Ll {tU, =I B.COST: ice- =,6A /-tu in' NO. OF FEU'S x MWMC CREDiT IF APPLICABLE (SEE MWMC ADMiNISTRATME FEE SZE-SQ. Ft. (See Reverse Side) 3. TRAIISpoRTATIoN ^ /e,l .h'1.eo-eo' F**, /a/nL/z '/Ar"/ +: 'h o-4'z< a/a-u' NO OF UMTS X TRIP RATE X COST PER PM PEAK HOUR TRIP X $486.73 PER TRIP 4. SANITARY sEwER-MwMC //"f +,.r+*z F*n VaLir/" eta*/f 6, *,412"" . x s " uY;ff'Hi# 92t*u,4. =fu' /? f,i'"a';e'?'o^ No. oF FEU',s x - pER FEU ( t rY.to. zl -4q rr) + (.ii(r/. c/) &a $ 10.00 s ,LoAC &s5fr /:eo{/s,rg PER FEU ?ll "60-5 o/)S il,g ./.€3 )(Y-zo) TOTAL-MWMC SDC SLTBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (ST.IBTOTAL ABOVE) X .0s ,/,, la DC ATTACH'A. Date: TOTAL SDC $ /,{b * q.7 $ l, /'7/- s f {'/a FIXTURE UNIT CALC-'T,ATION TABLE: Number of Neu (NOTE: For remodels, calculate only tr*..lET additional fixtures) NUMBEROF FIXTURE TYPE NEW FIXTURES Bathnrb........ Drinking Fountain...... Floor Drain.. Interceptors For Grease/OiUSolidslEtc. Interceptors For Sand/Auto Wash./Etc.. Laundry Tub/Clotheswasher/Ivlop Sink.................... Clotheswasher - 3 Or More............ Mobile Home Park Trap (1 Per Trailer).. Receptor For Refri geratorAVater S tation/Etc........... Rec eptor For Commerc ial S ini</D ishwasher/Etc...... Shower, Single Stall.. Shower, Gang. S ink: Bar, Commercial, Residential Kitchen............ Urinal. S tallrTVall..... Wash Basin/Lavatory, SingIe...,....... Toilet, Public Installation,.. a Toiiet , Private. Miscelianeous: ,] TOTAL FIXTIIRE LTNITS .ures X Unit Equivalent = Fixture Units UNIT FIXTURE EQUTVALENT LINITS TI 2 I 2 J 6 2 6 6 I 3 2 -r-aT Z 7- T 7- - .2 I lAlead 2 2 rl 6 4 CREDIT CALCULATION TABLE:Based on assessed value. If improvements occurred after anaexation date in table, calculate credits Year Annexed Credit for Parcel or Land Only If Applicable X $ _ = _ (Rate X Assessed Value) Improvement (if after annexation date)x$ (Rate X Assessed Value) Rate per S 1,000 Assessed Value CREDIT TOTAL = S Year Annexed Rate per $ 1,000 Assessed Value 1979 or before 1980 l98i 1982 I 983 1984 198s 1986 1987 1988 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 s4.47 1 989 1990 1991 1992 I 993 1994 1995 1996 1997 1998 2.18 1.75 1.35 1.17 1.03 0.86 0.71 0.57 0.39 0.18 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) R pcirlenti:l Commerical. Industrial..... Governmental...................... 0.4 0.9 0.5 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT rs Address:2O1 S l8th St Owner: Gity Of Springfield Job: 99-01492-01 FEE SUMMARY Received: 121071199 Unit: BLDG:FLR: Type Amount Due Amount Paid Building Subtotal Administrative Fee Surcharge Total Electrica! Subtotal Administrative Fee Surcharge Total Mechanical Subtotal Administrative Fee Surcharge Total Plan Check Subtotal Total Plumbing Subtotal Administrative Fee Surcharge Total System Developmen Subtotal Total 570.25 17.11 39.92 627.28 59.00 1.77 4.13 64.90 31.00 0.63 1.47 33.10 370.66 370.66 125.00 3.75 8.75 137.50 1,230.57 1,230.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 r/rrr. F /2" 4;2"82 */a277 a/V 7/Z ,2c fE-= FEE SUMMARY Type Amount Due Amount Paid Transfered Records Subtotal Total 0.00 0.00 0.00 0.00 Grand Total 2,464.01 0.00Zrl" mf,-lz3SZ l2?7,/v -6*[.? //,69 ,