HomeMy WebLinkAboutPermit Building 2001-10-29SPRINGFIELD
Job# 01-00649-01
PUBLIC PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of 3
Job Number: 01-00649-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00500
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 202 S 0001Bth St Spr
AssessorsMap#: 17033600
Lot: Block: Addition
ctrY oF SPRfiNGFfiELq OREGOfi|
Owner: Springfield Utility Board
Address: 202 South l8th Street
Scope Of Work: Garage
Metalgarage and concrete dock
Phone Number:
City/State/Zip:
New
541-726-2396
Springfield, OR97477
Value: $40,001
Gontractor Type
GeneralContr
GeneralContr
Engineer
Contractor
SUB Springfield Utility Board
250 A Street, Springfield, OR97477
Metal Building Systems
33470 Chinook Plaza PMB 150,
Scapoose, OR 97056
Pacific Northwest Engineering lnc
4242 Silver Falls Dr N, Silverton, OR
97381
Registration # Expiration Date Phone
541-744-3726
503-543-2217
109872 11t9t01 503-873-3184
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use: Electric/Power Companie # Of Buildings:
Zoning Code: PLOS Occupancy GroupBedrooms: Heat Source:Range: Sq. Footage:
To request an inspection catt the 24 hourrecording at zzo-sffiIlfi before 7:00
a.m. will be made the same working day, inspections
working day.
Footing
Foundation
Slab
Framing
High Strength Bolting
Fina! Fire
Fina! Building
irifaUeTfiE l&'fthifig
AUTHORIZED UNDER THIS PEHMIT IS NOT
Buildins I
-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.
-To be done during construction by a State Certified Special lnspector. Provide inspection resul
-When all Fire Department requirements have been met.
-when all required inspections have been approved and the building is complete.
-Priortofillingtr"#Storm Sewer Line
Job# 01-00649-01 Page 2 of 3
Required lnspections
Drywell
Zoning: PLOS
FloodPtain? [ Wetlands? [
Journal numbers
1:2001-04-0092
Comments:
Planner: MelOberst
Urban Growth Boundary?[
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Plumbi
- Engineered Drywell is required
Overlay District:
# of Street Trees:
Glenwood Area? [
Land Use: Electric/Power Companies
Pave Driveway? E
Additional Requirements
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Public Plan Review
Hourly Plan Review
Total Plan Check
0612512001
1012912001
5948
7114
40,001
3
$157.63
$120.00
$277.63
Buildin
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
1012912001
1012912001
1012912001
7114
7114
7114
40,001 $242.50
$16.98
$7.28
$266.76
Plumbinq
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Storm Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
1012912001
1012912001
10t29t2001
10t29t2001
10t29t2001
7114
7114
7 114
7114
7 114
1
30
System Development
lmpervious Surface Area - Storm
MWMC Administrative Fee
SDC Administrative Fee
Miscellaneous Transportation
Utilities - MWMC
10129t2001
1012912001
10t29t2001
1012912001
10t29t2001
7114
7114
7114
7114
7114
1,782
1
1,289
3
$482.92
$10.00
$131.28
$1 ,289.10
$526.52
3:2:
$.00
$10.00
$2.4s
$25.00
$1.05
$38.50
Job# 01-00649-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Transportation SDC Reimbursement
Total System Development
System Development
1012912001 7114 317 $317.01
$2,756.83
Grand Total
Plan Check Type
Initial Review-C/l/P
Engineering-C/l/P
Structural-C/l/P
Structural-C/l/P
Checked By
Lisa Hopper
Pam Ownby
Tom Rogers
Lisa Hopper
Date Completed
07t03t2001
08/08/2001
07t19t2001
09t11t2001
$3,339.72
Comment
plan review notes mailed to Pacific North West
Engineering, Mak Ellingson,4242 Silver Falls
Drive, North, Silverton, Oregon 97381
7120101. Permits cannot be issued until
additional information is received, reviewed
and approved.
Faxed letter and calcs from Ken Cerotsky to
Tom Rogers regarding additonal requested
plan information. See plan folder for original
faxed information.
Structural-C/l/P Tom Rogers 1011112001 Fed Ex'd revised plans. Faxed plan review
notes for revisions to Ken Cerotsky 10111101.
th
Structural-C/l/P Tom Rogers 0911712001 Faxed letter from Tom Rogers to Ken Cerotsky
for supplemental information needed to
complete plan review.
Structural-C/l/P Tom Rogers 1012412001 approved as noted on plans
Fire Marshal-clllP Al Gerard 1012512001 Revised Drawings
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 at the front of the property, and the approved set of plans will remain on the site at all times
d construction
Signature Date
105.67
429.70
161.74
13.76
323.48
27.52
ESTIMATE
CITY . . SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE'v..[ TIEET
fJOURNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
MAP & TAX LOT NUMBER.
DEVELOPMENT TYPE:
0 r -0c649-0 l
SPRJNGFIELD UTILITY BOARD
202 S l8TH
l7-03-36-00 00500
NEW BUILDING AREA (S.F,):
NEW BUILDING AREA (S,F.):
EXISTING AREA (S,F.):
NEW PARKING AREA (S,F,):
X $ 0.27I PER SF
990
I 980
1188
$ 16-I2 PERTzuP
S 65,55 PER TRIP
8/6/01
I. STORM DRAINAGE
IMPERVIOUS SQ. FT,1782
2. SANITARY SEWER-CITY
A. REIMBURSEMENTCOST
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
7--"d52 O--/./
ITE:
ITE:
ITE:
LOr SzE (S.F.):
110
0 x
x
TOTAL STORM DRAINAGE SDC:
$ 21.25 PER DFU
$ I6.I5 PERDFU
TOTAL LOCAL WASTEWATER SDC:
0
3. TRANSPORTATION
BLDG AREA TGSF x TRIP RATE X COST PER ADT X NEW TRIP FACTOR
NEW GARAGE
A. REIMBURSEMENTCOST:
0.99 x 6.97 x $ 16.12 PER TRIP x
B. IMPROVEMENT COST:
0.99 x 6.97 x $ 65.55 PER TRIP x
NEW STORAGE
A. REIMBURSEMENT COST:
198 x
B. IMPROVEMENT COST:
1.98 x
0.9s NTF
NTF0.9s
0.95 NTF
095 NTF
$ 2,756.82
6.97 x
6.9'7 x
x
x
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:
4. SANITARY SEWER. MWMC
NEW: GARAGE
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.99 $163.38 PER FEU
B, IMPROVEMENT COST:
NUMBER OF FEU's 0.99 $13.90 PER FEU
NEW: STORAGE
A. REIMBURSEMENT COST:
NUMBER OF FEU's 1.98 $I63.38 PER FEU
B, IMPROVEMENT COST:
NUMBER OF FEU'S 1.98 $13.90 PERFEU
TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTALMWMC SDC:
SUBToTAL (ADD ITEMS 1,2,3, & 4)
0.05
SDC COORDINATOR
x
DATE
TOTAL SDC CHARGES
DECEMBER 2OOO
UTILITIES - LIGHT INDUSTRIAL
x
U
L
ilo
1070
I 091
1092
1093
1094
1055
1056
1073
DT \AGE FIXTURE I,JNIT (DFU) CALCULATION TA
NUM jt.. _ NEW FIXTURES x UNIT EQUIV
(NO-l'E: FOR REMODELS. CALCULATE ONL
ALENT : DRAINAGE FIXTL:v:NITS
Y THE NET ADDITIONALiIXTURES)
FIXTURES
NEW OLD
LTNIT
LENTA
DRAINAGE
FIXTURE
I.JNITSFIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC,
INTERCEPTORS FOR SAND/AUTO WASH/ETC,
LAUNDRY TUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFzuGERATOzuWATER 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, STALLAA/ALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S*
3
I
3
3
6
2
J
6
l2
I
3
2
2
3
2
2
I
5
6
J
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL DRAINAGE FIXTURE UNITS:
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (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
1985
1986
r987
1988
1989
$ 4.'14
$ 4.65
$ 4.s9
$ 4.46
s 4.30
$ 4.14
$ 3.93
$ 3.63
$ 3.26
$ 2.85
$ 2.40
1990
t99t
1992
I 993
1994
1995
1996
1997
1998
1999
$
$
$
s
$
$
$
$
$
s
1.96
1.55
1.36
1.23
1.05
0.90
0.'75
0.57
0.35
0.15
CR-EDIT FOR PARCEL OR LAND ONLY IF APPLICABLE-
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
$0.00
$0.00
s0.00CREDIT TOTAL
0
DECEMBER 2OOO
Springfield OR
LEGAL DESCRTPTIONlzo336oo OO r-<>5
Multi-Family per drvelling unit.
Service Included:
Items Cost
$106.00
ftor
$ r9.00'WdHomeor
s 50.00
JOB DESCRTPTION- A a d 1- d oE Su ij - p a+qtr",qn ol:f ::?H3,[':'r*ft nffi [+$flu",,li}o oCircuits.
Permits are transferabi€'
if work is Started rvithin
ofissuance
180 days.
Electrical
Address
on Date 0
work is suqefrled:fiJr--
ec Srgnature -Service or Feeder
TALLATION ONLY B. Services or Feeders
acon Elect.ric Installation,
Relocation:
velt BI 200 amps or
201 amps to4
401 amps to.
1 amps
Electrician
nB,,ab
D. Branch
Board
4. SUB
7r/, s
80
b}\tth
rection Fee is 545.00 +
6.48
93.1 5m TorAr
-7 44-37 34