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Home My WebLink AboutPermit Building 2002-04-30GITY OF SPRTNGFIELD, OREGON SPRINGFIELD 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 2080 AssessorsMap#: 17032524 Lot: Block: Owner:New Life Center Address:2080 1gth Street Scope Of Work: Modular Gontractor Type GeneralContr GeneralContr ElectricalContr Plumbing Contr Job# 01-01441-01 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety 0001gth St Spr Addition: Phone Number: Gity/State/Zip: 32039 65401 8699 Page 1 of 5 Job Numbe rz 01-01 441 -01 !ns; Tax tt$cf) C{I co (so .E oz = :f o.C o o oo6 o ! o o -o u)(I) 5 L o.C oo(t) I ooIc{ tJ)(') E, o o o @ o CU @o =-ct Office: 726-3?54 5i=pection Line:726-3@F 'nOqE {6Lot#: OO1OO a o Su ivisionbd !(,) =o 0) C o)o 6 .g oco() (l)L-coNew lnstall 1 modular classroom building. South facing modular beino moved from 150 Davis Street. Euoene. Contractor Schoap lnc Po Box 2768, Eugene, OR 97402-0309 Kelly King 485 Nicholas Dr, Springfield, OR 97477 Lr Brabham lnc 68 W Q St, Springfield, OR 97477-2142 Vos Plumbing lnc Po Box 2189, Eugene, OR 97402-0061 Registration 41 805 (,) .E (tto Loo E5 C 4t28t2002 4t27t2003 12t18t2002 4t4t2002 541 -344-8833 541-741-0460 541-747-6638 541-485-055'1 Quad Area: # Of Units: Constr. Type: Water Heater: 2CNW (VN)Wood Frame Office Use - Land Use: Church - Religious Zoning Code: LDR Bedrooms: Range: # Of Buildings: 1 Occupancy Group: School 50- Heat Source: Sq. Footage: 1568 To request an inspection callthe 24hour recording a|726-3769. 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 Bui Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Framing Walllnsulation Drywal! Final Fire -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Priortodecking. ----"9 N0TICE: -Prior to cover. THIS PERMIT sHAtL EolRE f IHE w0RK -Prior to cover. AUTHSRTZED U;{DER T}ffi pg1ttrt lS NgI-Prior to Cover -prior to tapins. COMMENCED 0R lS ABAt{Dotf;0 fm -when all Fire Department requirement. nr'fu\fJ,flflr&AY PEBI00' Value: $71,456 .( (! E fo o oo oc)INroo, io C 0)o lC(l)ooEda -9f Job# 01-01441-01 Page 2 of 5 Required lnspections Building -After all requirements have been met for Minimum Development Standards or from the Develop -When all required inspections have been approved and the building is complete. Plumbing -Prior to insulation or decking. -Prior to cover or placement of concrete. -Prior to cover. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. Mechanical -Prior to insulation or decking. - Prior to cover. -When all mechanicalwork is complete. Permits w/o Srchg House Move Gomplete -After structure has been moved and all required conditions have been met. Final Site Plan FinalBuilding Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Mechanical FinalMechanical Zoning: LDR FloodPlain? [l Wetlands? i Journal numbers 1: 99-1 1-0277 Comments: 4 3: Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA Land Use: Church - Religious Pave Driveway? [ ] Overlay District: # of Street Trees: 2 Planner: Lauren Lezell Urban Growth Boundary?l ll Glenwood Area? l l Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types(VN) Wood Frame Occupancy Groups: School 50- # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main: 1568 Accessory: # Of Stories: 1 Height (feet): Gurrent Units: Proposed Units Census Code: Does not apply Total:1568 Moving Length: 56 Moving Width: 28 Dolly Height: 15 # of Sections Moved: 1 Begin Move Datetime:0510512002 06:00:00 tt I End Move Datetime: 0510512002 09:00:00 tt r Structure Moved To: 2080 1gth Street, Springfield Moved To Taxlot: 1703252400100 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Commercial Plan Check 12131t2001 7656 35,000 $183.89 Job# 01-01441-01 Page 3 of 5 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 04t08t2002 8550Commercial Plan Check Total Plan Check 36,456 $191.49 $37s.38 Building Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 04t08t2002 04t08t2002 04t08t2002 8550 8550 8550 71,456 $456.45 $31.95 $36 52 $s24.92 Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage 8% Administrative Fee - Plumbing Total Plumbing Plumbing 04108t2002 8550 04t08t2002 8550 04108t2002 8550 04t08t2002 8550 04t08t2002 8550 04t08t2002 8550 04t08t2002 8550 4 40 60 40 $00 $s6 00 $14.35 $45 00 $59.00 $45 00 $16.40 $23s.75 Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Miscellaneous Mechanical Mechanical lssuance State Surcharge - Mechanical Total Mechanica! Mechanical 0410812002 04t0812002 04108t2002 04t08t2002 04t08t2002 04t08t2002 04t08t2002 8550 8550 8550 8550 8550 8550 8550 1 1 1 $26.00 $3.60 $12.00 $6.00 $1.00 $10.00 $3.1 5 $61.7s lmpervious Surface Area - Storm Church - MWMC Church - Reimbursement Church - lmprovement MWMC Administrative Fee SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development System Development 04t08t2002 04t08t2002 04t08t2002 04t08t2002 04t08t2002 04t08t2002 04t08t2002 04t08t2002 8550 8550 8550 8550 8550 8550 8550 8550 094 2 2 2 1 7 7 2 $571.53 $164.72 $232.27 $1,024.91 $10.00 $113.34 $149 59 $1 13.68 $2,380.04 Final Site Plan lnsp for Occy Total Planning Planning 04t08t2002 8550 1 $100.00 $100.00 Building Move Permit Fee Total Permits w/o Srchg Permits w/o Srchg 04t30t2002 8769 1 $232.00 $232.00 Grand Total Plan Gheck Type Structural-Res lnitial Review-C/l/P Checked By Tom Max Lisa Hopper Date Completed 03t11t2002 01t03t2002 Comment revised plan submitted on 3-8-02 $3,909.84 Plan Check Type Engineering-C/l/P Engineering-C/l/P Planning-C/l/P Structural-Cil/P Structural-C/l/P Fire Marshal-ClllP Checked By Pam Ownby Pam Ownby Liz Miller Tom Max Tom Max AlGerard Fire Marshal-ClllP AlGerard Move Structure - lnitial Lisa Hopper Job# 01-0'1441-01 Date Completed 01t04t2002 01t07t2002 01t08t2002 03118t2002 01t29t2002 01t10t2002 02t08t2002 04t25t2002 Page 4 of 5 Comment Memo faxed asking for more information 114102 Mel Oberst will be doing final site inspection for Lauren Lezell. Discretinary Use/Site Plan 1999-1 1-0277 Plans sent back to architect to be re-drawn. 1-14-02 waiting on engr. report Plan review - Permit #01-01441-01, lnstallation of modular building to be used as Day Care/Classrooms with a walkway cover. Building=1440 sq ft, Type VN, E3 occupancy, Note: Primary use is listed as "Classroom" on the plan set but described as "Daycare" on Planning Commission approval - The submittal will be reviewed as a Daycare unless I am otherwise advised. Move Structure - Engr Bob Kettwig 04t30t2002 1. Provide occupancy separation in accordance with the Building Code (Oregon Structural Specialty Code) between this structure and the storage/recreation structure to the west. 2. Each "classroom" shall be provided with 2 exits conforming to the exiting requirements of Chapter 10 of the OSSC. 3. A fire extinguisher rated a minimum of 2A-10B:C shall be mounted in the building, on the wall with the handle section no higher than 5' and no lower than 3'. 4. The main exit door of the building shall swing "out" in the direction of egress. Revised plans require "re-review" of previously approved plan review. Verified withg applicant that this will not be used as a daycare therefore the occupancy class will be E2 approx 1440 sq ft, vn construction, see plan review dated 1110102. 1) Provide occupancy separation per the 2000 OSSC between this structure and the storage/recreation structure to the west. 2) A fire extinguisher rated a minimum of 2A-10B:C shall be mounted in the building, on the wall with the handle section no higher than 5; and no lower than 3'. Received callfrom Ed at SUB. Building Height is okay for their lines. No issues from SUB electrical Department for move 4126102 All damage incurred to private or publid property shall be restored to as good or better condition promptly. Should damage occur to public property contact Art lreland at Springfield Maintenance 953-3428 Plan Check Type Move Structure - Plan I further address Ghecked By Liz Miller Move Structure - Struc Lisa Hopper Job# 0t-01441-01 Date Completed 0412612002 04t3012002 Page 5 of 5 Comment No planning issues for move. Modular unit approved under original modular placement DRC approvalwhich was reviewed and approved with foundation permit (same job number) Permit for foundation issued and permits being conducted under same permit number. Modular structure being relocated from 150 Davis Street. Permit okay to issue provided copy of ODOT permit is provided to City at time of issuance. )a-a, Move Structure - Traffic Dean Bishop 0412912002 ODOT permit required for Pioneer Parkway and Main Street prior to issuance. 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. agree to ensure that all required inspections are requested at the proper time, that each from the street, that the permit card is located at the front of the property, and the n on the site at alltimes during construction Date '225 LEGAL DESCRIPTIONaa hasrequire specific tf T:'726. ,\ and does not Nerv D. Br JOB DESCRIPN6ilP uJroe Multi-FamilY Per drvelling unit. Service Included: the followino rand usdooo sq.ft. or less Items Cost Su .,, $106.00 -.--- s 19.00 $ s0.00 ... s o roval 710 \t tZ- Each ailditional 500 ft or portion thereof ,late Permit s are non-trans,fefflPJfi if work is not started within explre ct-) Eacn Manufd Home or if work is susPended for Dwelling Service or Feeder INSTALLATION ONLY Installation' Relocltion: r,4ta sJ 200 amps or less r 201 amps to 400 600 ailps Reconnect Date Electrician of issuance 180 days. 2 Electrical' City S Over 600 rBrr |{r One Each or Feeder Circuit or with CT tz1 | notE q1 -,t d It(Linited 4. SUBTOTALOTABOVE 7Vo Slile Surcharge 8% Arlministrative Fee _-'$so.o0 $25.00 ection Fee is $45.00 * Surcharges 3l s6-7 ,l'l TOTAL ? tu a,.... B. Services or Feeders 401 amPs amPS \s MEMORANDUM CityofSpringfield April25,2002 TO: FROM STIBJECT: Sfucture Move Police Department Fire Deparhrent Springheld Utility B oard Lisa Hopper, Building SafetY Community Services Division Attached is an application and proposed route for a structure move scheduled for Sunday, May 5,2002. The move is schiduled to begin at 6:00 a.m. and is scheduled to be completed by 9:00 a'm. on that same date. This structure is an approximate 1568 square foot modular and will be moved in one section. This structure is being moved aom tSO Davis Street, Eugene, and is being relocated to 2080 19ft Street, Springfield. Ifyou have any concerns, please phone me at726-3790 as soon as possible so I can either get you the information that you need, or direct you to the appropriate person' Thank you! ! cc: Sanipac US West TCI Cable 911 Dispatch US Postal Service NW Natural Gas att th ,oO"*rro\$P fi OEPANTilENT ^^.BUILDNG MOVNG PEWIT COMMI.NITY S E RVI CES D IWS I ON * FIFTH STREET SPBINGFTELD,oR 97477 (54U 726_37s3 FAX64r'726-36as w.c/.spnngflb,/dorus CITY ASSIGNED JOB NUMBER: Structure Bcing Movedl'iro-\ \Lane County Reference Structure Being Moved *r\ Lane Reference Tax Lot tf\ State: Building o*nr. NP\rJ Mailing \iQ- 0en\er Cell Phone Number: Phone Number: pl,on"Nuru". 3A.Bb33 I'lumbing coritractor: \irr -Phone zip: Moving Mailing Construction Contractors Registration --- ---l Construction Contractors Registration cetl Phone Numb".,lQ-q qfl-\O of Building to be Moved; \5\98 uovinglength: 5L0' Moving # of Sections Being Moved:-\-- Type of Square Footage: I-leight on I e/roolly: \ IJ V Square Footage:- Living Ur Value of Structure(s): Proposed Date of Completion Date Move:Beginning Ending Description of Proposed Route (Plcase map with routc outlined with directional arrows): 'E:The CommunitY Division will route copies of this application to all appropriate divisions, NOTIFICA'TION OF if involved ln the proposed move.In departrnents and agencies.However,the applicani must contact property owners trees secule the approval of ail appropriate municipal,county and state authorities should the move originate addition,the applicant musf the the county within the Citys boundaries. terminate outside the City of Springfield,or along any street owned by state or receiving permit to move a buildine the City of Springfield,the applicant or their PLANS,FEES,AND CHARGES:Prior to a representative shall: Submit two (2)copies of site or Plot plan for new site. Submit two (2)coples ofthe foundation plan for the relocated building applicable Pennit alld system develoPment fees shail be paid prior to any moved a AII sanitary or septic and fiu Any appiicable permits and for sewer I ..rrifY thot ,t t oUo" I also understand thatBy my signature belowi I information is true the minimum time authoilations obtainEd. by the CitY of Springfre\d,is seven ('l) vrorking daYs' and correct, that all required contacts have been made and ;;;;,ilhit, becausuof the number of agencies notified ,Tax Lot Number: - e*pi,.,,_4L.B.o(o ,t' [o'-OO 1"hp'. or into Co n nunity Se rv ices D iv ision Foundation/Site -Plan 'Peimit Nudber: Moving Pennit Approved Engineering Division Report: 9*l.t(sl AND Contractor(s) are both responsible for any- damages td private or public property. Moving Permit Approved By: ; Datp: Traflic Division Report: Contractor is responsible for a safe, eflicient relocation operation. All signal systems shall be monitored to ensure they are functioning properly. Any damage to or malfunctions ofthe kaffic signal system shall be reported immediately to Cary Weck, Signal Technician,713434902 or Gene Butterfield, Maintenance Supervisor, at 99P-34f7.. ' ' . t- I .r. Moving Permit Apgoy.ed: .. . Date: Historical Moving Permit Approved By: Required lnspectionsi An inspection ofthe property is required at the following indicated stages ofthis project. ,/ - SepticTankPumpedandFillert -sanitarySewerC{nne.!' jFinalMove i Certiflcate from + bqnded Capped within frve (5) - ; .r To be made once structure has been registeredcontractorwilimeet ofthepropertyline'ivith. ':: rnou"if'ornsiteandalldebrishasbeen this inspection requirernent, .," tPproved materials' " . ]' ' .''"Io."d'. To request an inspection, please call 726-3769. Inspections called in before 7 am will be made the same working day, inspections called in after 7 am will be mJe the following wori<ing day. Please leave your city designated job number, job address, type of inspection and when you will be ready for inspection' not need the Sa$itary sewer capped or the septic tark pumped and fliled' deduct applicab\e permit feQ $.60 per block TOTAL $Subtotal Total Number: Date (if ProPertY does Flood Application fee FOR OFFICE USE ONLY Permit Slwr Capi$,c6tic PumP and Fill 5% Sta-feiturcharge [\ l^ 3% d6inishtiva{e. t t /[A--, $ $ $ ksfl rsVo /fi Moving Sanitary ryp. orconstr: V[\-) occY GrouP:- l5-D Datlts LuGa:oL 1-22 JOE2 d, lg'!541(5 f,aBl3 ScaaaP CL/\S!(?oiLt\ AOr'€. SpruDdtt lh4f 5 tb *a.- "la*- a8'N €b't' 15'x t :l$i Irf \ 97405 :l- -- 99go_- SPFINGF!ELD Job# 01-01441-01 COMMERCIAL PERMIT Gity Of Springfield Community Services Division Building Safety Page 1 of4 Job N umber: 01 -01 441 -01 Office: 726-3759 !nspection Line: 726-3769 Tax Lot #: 00100 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 2080 0001gth St Spr AssessorsMap#: 17032524 Lot: Block: Addition: ctTY oF SPRINGFTELD, OREGOI' Owner: New Life Center Address: 2080 19th Street Scope Of Work: Modular Phone Number: City/State/Zip: New 541 -746-6896 Springfield, OR97477 Value: $71,456 lnstall 1 modular classroom building. South facing modular is 1440 square feet Contractor Type GeneralContr Electrical Contr Plumbing Contr Gontractor Kelly King 485 Nichilas Dr, Springfield, OR 97477 Lr Brabham lnc 68 W Q St, Springfield, OR 97477-2142 Vos Plumbing lnc Po Box 2189, Eugene, OR gz46Bil0$fi: 1211812002 541-747-6638 4t4t2002 541-485-0551 Registration # 65401 Expiration Date 412712003 Phone 541-741-0460 8699 41 805 IZEDTIDER THIS PERMIT IS NOT Quad Area: # Of Units: Constr. Type: Water Heater: 2CNW (VN) Wood Frame Land Usg 6 M IlgNUtf $Rl SoAB Rtt D 0 lffgf mnd i n ss : 1 Z_onins cnfif, f bBbly pERlgD. occupancy Group: School 50- Bedroonidl" Heat Source: Range: Sq. Footage: 1568 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. Footing Foundation Post and Beam FIoor lnsulation Ceiling lnsulation Framing Walllnsulation Drywall Final Fire FinalSite Plan Fina! Building -After -After -Prior -Prior -Prior -Prior -Prior -Prior -When all Fire Department requirements have been met. -After all requirements have been met for Minimum Development Standards or from the Develop -When all required inspections have been approved and the building is complete. Build Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Mechanical Final Mechanical Job# 01-01441-01 Required lnspections Plumbi -Prior to insulation or decking. - Prior to cover or placement of concrete - Prior to cover. -Prior to filling trench. - Prior to filling trench. -Prior to filling trench. -When all plumbing work is complete. Mechanical - Prior to insulation or decking. - Prior to cover. -When all mechanicalwork is complete. Page 2 of 4 Zoning: LDR FloodPlain? f l Wetlands? [] Journal numbers 1:99-11-0277 2: Gomments: Overlay District: # of Street Trees:4 3 Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Land Use: Church - Religious Pave Driveway? . t, Planner: Lauren Lezell Urban Growth Boundary? Glenwood Area? I I Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types(VN) Wood Frame Occupancy Groups: School 50- # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main: 1568 Accessory: # Of Stories: 1 Height (feet): Gurrent Units: Proposed Units: Gensus Code: Does not apply Total:1568 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check CommercialPlan Check CommercialPlan Check Total Plan Check 1213112001 0410812002 7656 8550 ,000 ,456 35 36 $183.89 $191 .49 $375.38 Building Building Permit State Surcharge For Building Permit B% Building Administrative Fee Total Building 04t08t2002 04t0812002 04t08t2002 8550 8550 8550 71,456 $456.4s $31.95 $36.52 $s24.92 Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Water Service Footage 04t0812002 04t08t2002 04t08t2002 04t08t2002 8550 8550 8550 8550 4 $.00 $56.00 $14.35 $45.0040 Job# 01-01441-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Sanitary Sewer Footage Storm Sewer Footage 8% Administrative Fee - Plumbing Total Plumbing Plumbing 0410812002 04t08t2002 04t08t2002 8550 8550 8550 60 40 $s9.00 $45.00 $16.40 $235.7s Mechanical Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Miscellaneous Mechanical Mechanical lssuance State Surcharge - Mechanical Total Mechanical 0410812002 0410812002 0410812002 0410812002 0410812002 0410812002 0410812002 8550 8550 8550 8550 8550 8550 8550 1 1 1 $26.00 $3.60 $12.00 $6.00 $1.00 $10.00 $3.1 5 $61.7s Develo lmpervious Surface Area - Storm Church - MWMC Church - Reimbursement Church - lmprovement MWMC Administrative Fee SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Devetopment 0410812002 04t0812002 0410812002 0410812002 04t0812002 04t0812002 0410812002 04t08t2002 8550 8550 8550 8550 8550 8550 8550 8550 094 2 2 2 1 7 7 2,$571.53 $164.72 $232.27 $1,024.91 $10.00 $1 13.34 $149.59 $1 13.68 $2,380.04 Final Site Plan lnsp for Occy Tota! Planning Planning 0410812002 8550 $100.00 $100.00 Grand Total Plan Check Type Structural-Res lnitial Review-C/l/P Engineering-C/l/P Engineering-C/l/P Planning-C/l/P Structural-C/l/P Checked By Tom Marx Lisa Hopper Pam Ownby Pam Ownby Liz Miller Tom Max Date Completed 0311'12002 0110312002 0110412002 0110712002 01t08t2002 0311812002 $3,677.84 Comment revised plan submitted on 3-8-02 Memo faxed asking for more information 114102 Mel Oberst will be doing final site inspection for Lauren Lezell. Discretinary Use/Site Plan 1999-1 1-0277 Plans sent back to architect to be re-drawn. 1-14-02 Structural-C/l/P Tom Marx 0112912002 waiting on engr. report 1 Plan Check Type Fire Marshal-ClllP Checked By AlGerard Job# 01-01441-01 Date Completed 0111012002 Page 4 of 4 Comment Plan review - Permit #01-01441-01, lnstallation of modular building to be used as Day Care/Classrooms with a walkway cover. Building='1440 sq ft, Type VN, E3 occupancy, Note: Primary use is listed as "Classroom" on the plan set but described as "Daycare" on Planning Commission approval- The submittal will be reviewed as a Daycare unless I am otherwise advised. 4-/-ov 1. Provide occupancy separation in accordance with the Building Code (Oregon Structural Specialty Code) between this structure and the storage/recreation structure to the west. 2. Each "classroom" shall be provided with 2 exits conforming to the exiting requirements of Chapter 10 of the OSSC. 3. A fire extinguisher rated a minimum of 2A-1OB:C shallbe mounted in the building, on the wall with the handle section no higher than 5' and no lower than 3'. 4. The main exit door of the building shall swing "out" in the direction of egress. Fire Marshal-ClllP Al Gerard 0210812002 Revised plans require "re-review" of previously approved plan review. Verified withg applicant that this will not be used as a daycare therefore the occupancy class will be E2 approx 1440 sq ft, vn construction, see plan review dated 1110102. 1) Provide occupancy separation per the 2000 OSSC between this structure and the storage/recreation structure to the west. 2) A fire extinguisher rated a minimum of 2A-1OB:C shallbe mounted in the building, on the wall with the handle section no higher than 5; and no lower than 3'. 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 70'1.055 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 approved set of plans will remain on the site at alltimes during construction. Signature Date ATTACHMENTA CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET 0l-0144r-0r NEW LIFE CENTER JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: MAP & TAX LOTNUMBER: DEVELOPMENT TYPE: 2O8O I9TH STREET 17-03-25-24 00100 CHURCH NEW DEVELOPED BUILDING AREA (S.F.): EXISTING DEVELOPED BUILDING AREA (S.F.): TOTAL DEVELOPED BUILDING AREA (S.F.): 1. STORM DRAINAGE IMPERVIOUS SQ. FT r,568 ITE: ITE: LOT SrZE (S.F.): 560 2,094 2. SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENTCOST: NUMBER OF DFU's (SEE REVERSE SIDE) x $ 21.37 PER DFU x $ 16.24 PER DFU 3. TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT X NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 1.568 x 9.ll x $ 16.26 PERTRIP B. IMPROVEMENT COST: 1.568 2,094 x $ 0.273 PER SF TOTAL STORM DRAINAGE SDC TOTAL LOCAL WASTEWATER SDC: NTF x $ 71.75 PER TRIP x I NTF TOTAL TRANSPORTATION REIMBURSEMENT SDC TOTAL TRANSPORTATION IMPROVEMENT SDC TOTAL TRANSPORTATION SDC 7 7 x x 9.ll 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU'S B. IMPROVEMENT COST: NUMBER OF FEU'S 1.568 1.568 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) PanLeLaJ. owwb ey) SDC COORDINATOR TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS I , 2, 3, &. 4) x t/7t02 $ 2,380.04 DATE x x $95.10 PERFEU $9.95 PER FEU 232.27 149.12 113.34 Ire IL@II@ w H O1-01441-O'I, NEW LIFE CENTER, 2O8O 1gTH STREET 0.05 TOTAL SDC CHARGES JULY 2OO1 1070 1091 1092 t093 1094 DRAINAGE FIXTURE LINIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES X UNIT EQUIVALENT: DRA]NAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDI'fIONAL FIXTURES) UNIT FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LATNDRY TUB CLOTHES WASHERA4OP SINK CLoTHES 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 BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, STALL/WALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S* 0 0 0 TOTAL DRAINAGE FIXTURE UNITS: *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwell ing (20 DFU) set at 167 gallons per day CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE 1979 or before 1980 l98l 1982 1983 1984 t98s 1986 1987 1988 1989 I 4.92 $ 4.83 $ 4.77 $ 4.64 $ 4.47 $ 4.30s 4.09 $ 3.78 $ 3.41s 2.98 $ 2.s2 1990 l99l 1992 1993 1994 I 995 1996 1997 r 998 1999 2000 s s $ $ $ $ s $ $ $ $ 2.06 1.64 t.45 L3l 1.13 0.97 0.82 0.63 0.41 0.22 0.04 FIXTURES NEW OLD ALENT DRAINAGE FIXTURE LTNITS J I ) J 6 2 J 6 t2 I 3 2 2 J 2 2 I 5 6 J 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0/ 0 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x $0.00 $0.00 $0.00CREDIT TOTAL 7 01.0'1441-01, NEW LIFE CENTER, 2O8O 1gTH STREET JULY 2OO1 I