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Home My WebLink AboutPermit Building 1996-10-03SPRINGFIELD 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 1550 28TH ST Assessors l"tap #t a703254L h, COIdMERCIAI./ IIIDUSTRIAI, PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: COMMI'NITY SERVIEES DIVTSION BUII.DING SAFETY Office: Inspection Line: Page 1 961L47 726 -37 59 726 -37 59 Tax Lot #: 00100 SPilNGFIELD,CTTT OF Owner: BARRY KOSORIS Address: 22LO SANDY DRIVE Phone #: 344-323:-. city/state/zip: EUGENE, oREGON 974O1- NEW VaLueDescription Of Work: INDOOR SOCCER FIELD 0.00 Architect Name GALEN OHMART Address Phone General Contractor ESSEX GENERAL 0054531 PO Box 5251 Eugene OR 974050000 Conat. Contractor #Expires la/:-0/e6 Phone 343 - 57 65 PLT,IIIBING No 20 Fee Charge 200.00 130.00 55.00 115.00 40.00 20.00 550.00 Single Fixture Sanitary Sewer Water Service Storm Sewer FTRE LINE 2 BACKFLOW DEVICES TOTAL PERMIT 726 198 606 ft. fr. fr. HANDICAP ACCESS: Y # OF BLDGS: 1 -- OFFICE USE -- QUAD AREA: 2CNW ZONING CODE: LMI LAND USE: 5300 Item Sq. FEg Main TOTAI. VAI.UE OF PROiIECT Square Feet L9204 x $/Square Feet Value 400, 000 . 00 400, 000 . 00 PIan Check Fee:720.20 Rec #: 22955 DaEe: 08/22/95 Rec By: DoN MooRE BUlLDING Surcharge/aamin MECTIANf CAL 1, 108 . 00 88.64 0.00 SPFINGFIELD Zft, Job Number: 96LL47 OTT OF SPilNGFIEI-O, Page 2 Surcharge/admin PAVING VALUE PLUMBING Surcharge/admin FENCE VALUE SIDEWALK CURBCUT fN LfEU ASSMT SUBTOTAL PERMITS SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLI'DING EI.ECTRICAL 77, 000 . 00 300.00 0.00 364.00 550.00 44.80 s.00 19.50 19.50 8,858.30 l.l.,o77.94 23, OO3 .ffi f4 34,08L.#fo --- REQUTRED TNSPECTIONS --- It is the responsibility of the permit holder to see that all inspecEions are made at the proper time. To request an inspection, caLl- 726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you wil-I be ready for inspection. RequesEs received before 7:00 a.m. will be made Ehe same working day, requests made afEer 7:OO a.m will- be made the following work day. Special Inspections: In accordance with Section 305 of the State Specialty Code a special inspector shall be employed by the Owner/Contractor during construction of any following "*" work. A copy of the special testing reports shal1 be furnished to Building Safety. In addition to the inspections specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. WATER LINE - Prior to filling trench. SAI{ITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling Erench. I,NDERGROI,ND ELECTRICAL - PTiOT LO COVCT. FOOTING - After trenches are excavated. SLAB - To be made after all insLab building servj-ce equipmenE, conduit piping, and other equipment items are in place but prior to concrete ROUGH GRADING - After gravel is in place but prior to placing concrete ROUGH PLITMBING - Prior to cover. ROUGH DIECIIANICAL - Prior to cover. ROUGH EI,ECTRICAL - PTiOT TO CO\rET. ELECTRICAL SERVICE - MusE be approved to obtain permanent power. FRAUING - Prior to cover. INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover DRYVIALL - Prior to taping. HIGH STRENGTH BOLTING - To be done during constr by SLate Certified special Inspector. Results provided to City Building Division. STRUCTURAL WELDS - To be done during constr by State Cert Special Inspector. Results of inspection/test to City Building Inspector. BOLTS INSTALLED IN CONCRETE - To be done by StaEe Certified Special Inspector. Provide inspection/test reports to City Building Inspector INSUL-V.B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT MECH/SI'B: FOLLOITIING ROUGH MECIIAIiIICAL APPROVAI,, PRIOR TO COVER FINAL/SUB FINAL FIRE - When all Fire Department reguirements have been met. been met. SPTTINGFIELD afr, Job Number: 951-1,47 OF SPT?INGFIELI', ONEGON Page 3 FINAL SITE PLAI{ - After all requirements have been met for Minimum Development Standards or from the Development AgreemenL. FINAL BUIIJDING - When all required inspections have been approved and the buil-ding is complete. --- ADDITIONAI, COMITTENTS --- DRC #95-08-158, PLANNER IS LAUREN LEZELL ,fOITRNAL #95-08-158, LAUREN LEZF.LL, PLANNER PLans Reviewed By: LORNE PLEGER Building Site Reviewed By: Date: Lo/02/96 By signature, I state and agree, that f 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 shal-l- 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 Lhi-s project. I further agree to ensure that al-I required inspections are reguested at the proper time, that projec! address is readabfe from the sLreet, that the permit card is located a the front of the property, and the approved set of pI t l_n he site at af1 times during construction. /O- 3-" e Signature Date Receipt Number: Date Paid: Amount Received Received By: --- VALIDATION --. ozTq s = 7y.e8/.la - /*V^5 Z" 225 FIT'TH STREET SPRINGFIEI^D, OREGON 97 417 INSPECTT0N REQUEST:. 726-37 OFFICE: 726-3759 ...thrcFlELO PERHIT APPLICATION City Job Numbe r COHPLETE FEE SCffiDTILE BELOV Nev Residential-Single or Multi-Family per dvelling unit Service fncluded: I tems Cos t s 8s.00 /7 N 3 A JOB DESCRTPTION,*,r Tf -f,-+- LEGAL DESCRIPTIONoa Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days 2. CONTRACTOR INSTATI.ATTON ONLY Electrical Contractor Address Ci ty aunLno-Phone 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or - Modular Dvelling Service or Feeder 's 15.00 s 40.00 B Services or Feeders Installation, Alterations or Relocation: 200 amps or less ? 201 amps to 400 amps 401 amps to 600 amps - 601 amps to 1000 amps- Over 1000 amps/volts - Reconnect Only C Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 201 amps to 400 amps - S 55.00 over 401 to 600 amps - S 80.00 0ver 600 amps or 1000 vofts see rrBrr ame D. Branch Circults Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Addi tional Circuit or vith Service or Feeder Permi , /7 S 2.00 3{ Miscellaneous ( Servi.ce,/ feeder -Each i.ns tal1a t ion Pump or i.rrigation S Sign,/0utIine Lighting- S Limi ted Energy,/Res - S Li mi ted Energy,/Comm S 6-License Number Sum included ) $ s0.00 s 60.00 $100.00 s130.00 s300.00 s 40.00 Supervisor Expiration Date \n\ Constr Contr. Number \r Expiration Date Signa ture of Su pervising Electrician 0 s Name Address 2 Ci ty Ynone7 // J2)/F OIINER INST I-A The installation is being made on property I own vhich is not intended for sale, lease or rent. Orrners Sigrrature: DATE: /Z- 74 RECEIPT *: 2 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL E 5 not 40. 40. 20. 36. 00 00 00 00 RECEIVED BY: a-E,r 1. LOCATION OF INSTAILATION/6Sa 7Et,4 4* , 85, ry approvsl. ZZ5 f1.yIE STREET Airii:ortied SPRTNGFTELD, OREGoN 97477 fNSPECf,ION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF €rC I^EGAI JOB DESCRIPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INST ONLY Electrical Contractor Address Ci ty Supervisor cense Number Expiration Date Sr-..lhrGFIELO CAL PERHTT A?PLICATION Nev Residential-Single or Multi-Family per dvelling unir. Service fncluded: I tems Cos t 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf'd Home or -Modular Dvelling Sertice or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders Installation, Alterationsor Relocation: 3 A Sum B Constr Contr. Number Expiration Date Signature of Supervising Electrician Name Mr%eu ,?nsn),t \r Add re-s-s 2z/o Zr\D- Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps - 401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/voIts -Reconnect Only 200 amps''or less t/ 201 amps to 400 amps -Over 401 to 600 amps -Over 600 amps or 1000-7ofTs One Circui t Each Addi tional Circuit or vith Service or Feeder Permit Miscellaneous (Service/feeder -Each i.ns tal1a t ion Pump or irrigation SSign/0utline Lighting- S Limi ted Energy/Res - SLimited Energy/Comm S SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL s 50.00 s 60.00 s100. 00 s130.00 s300.00s 40.00 C s s s SE 40 55 BO e 00 00 00rrBn abovle ry 7 D. Branch Circui ts New, Alteration or Extension Per Panel s 35.00 tu, Ci ty -( Phone J#-32'/ OIINER INSTALLATION The installation is being made on property I ovn vhich is not intendedfor sa1e, lease or rent. O'.'ners Signa ture: DATE: s 2.00 E not 40. 40. 20. 36. included ) 00 00 00 00 )oo ao RECETVED 0- 11- 20 85, city Job *u^ae, ?O,//y'7 COHPLETE FEE SCffiDIILE BELOV 'n""" 341:12q1 \n\ 5 tu I 9ti6:,J41 CITY OF SPRINGFIELD IMPROVEMENT AGREEMENT AND APPLICATION FOR SEWER HOOKUP We, the undersigned propgrty owners, request permission to connect the following described property to the sanitary sewer owned and maintained by the City of Springfield, hereinafter re6rred as the 9ity. Yg therefore agree to pay a charge of $0.28 per square foot of the benefiting property for the first 150 I'cct o[ dcpth as a deposit agaittst future assessnrents for salritary sewer. Area- in'exciss of the above mentioned 150 feet of depth is charged $0. 14 per square foot. J'ax Lot No. I 7 03 25 41 00100 Receipt No Address 4__ Beginning at the Southeast corner of Lot 4 SOUTHERN PACIFIC INDUSTRIAL PARK NO.l , as platted and recorded in Book 67,Page23,Lane County Oregon Plat Records; thence North l" 53'25" f,astilZ.Q+ I'eettoa_pointbearingSouth 1" 53'25" West386.9l feetfromtheNorthwestcornerof said Lot4;thence Nortlr 88' 03'30" West 368.20 feet; thence South I " 53'25" West 172.04 feet; thence South 88" 03' j0" East 368.20 feet to the Point of Beginning, in Lane County, Oregon. PROPERTY DESCRIPTION Fee Calculation: 0 Sq Ft. at $0.28 63.345 So. Ft. at $0.14 $ 0.00 $ 8.868.30 $ 8,868.30 (Name - Title): 83E!0CI.11'?6fl05REC. gE8e0cT.11'96S0WFUN0 per Sq. Ft. per Sq. Ft. 'l'otal . This agreem-ent does not include the cost of a house connection to said City Sewer, sewer user charges, connectiott fees, plumbing permits or other such costs to be assumed by the property owner. lT IS UNDERSTOOD that Applicant this agreement is enforceable by the State of Oregon, Lane County or the City. It is further underitood that the ipplicant agrees to sign any andail waivers,"petitions, consents and all other documents necessary to obtain the above said sanitary sewer improvement-under any improvement act-or proceeding of the State of Oregon, Lane County orih" City aimay be proposed o-r adopted. The applicant agrees.to waive all right to remonstrate againsian improveinerrt project'foisanitary sewer to be duly ilritiated b^ythe City Council, but not the right to protest the arnount or manner of spreading the assessntent thereof, if the same shall appear to Applicant to bear inequitabty or unfairly upon saii property of Applicant. Applicant's acceptance of the non-remonstrance condition is in corrsideration for theCity's waiver of the requirernent for the imrnediate construction of the public improvements that the development necessitates. The improvement agreement waives the properiy owner'i right to file written retnonstratrce. It does.not waive a property owners right to speak on the pioposed distr-ict or any related matters orally or in writing NOW THEREFORE, th.e Cjty 1g-regs that if Applicant complies with the terms of this agreement, Cha,pter 2, Article l0 of th^e Springfield Code and Ordinance 5584 along with all other applicabie laws oi the.State of Oregon, Lane County, and the City, the said Applicant shall6e entitled to connect the existing residence to the public sewer systems. Tlte covenatrts herein contained shall run with the land herein described, and shall be binding upon the heirs, executors, assigns, administrators, and successors of the parties hereto, and shall be constiued to be a benefit and a burden upon the property herein described. This igreement shall be recorded in the Lane County Deed Records. WHEREFORE, the parties have set their hand and seal this 3 day of Ocronez,lg% CITY OF SPRINGFIELD By vo-a Di of Public Works - Title) STATE OF OREGON) couNry oF LANE ) )ss On this 3 day of Oc-ro$€L ,197A the applicant personally appeared before me and signed the above document. Notary Public for Oregon My Comrnission expires - .t zoJ Zooo F inance Department Information Trunk Sewer Lateral Sewer RETURN TO: CI'|Y OF SPRINGFIELD - PUBLIC WORKS DEPT - 225 FIFTH STREET -SPzuNGFIELD, OREGON 97477 @ 'htifim-ldi, ,Hi;i,h 00 m E rJ 10 Page 1 CITY OF SPRINGFTELD SYSTEITS DEVELOPIiEITT CIIARGA (COMUERCIAI. / INDI'STRIAIJ) Name or Company: BARRY KOSORIS Locatsion: 1650 28TH ST Developements Tlpe: C Building Size: Job No. : 96L147 Lot Size: 53345 Sq FU 1. STORII DRAINAGE Impervious Sq Ft 1.0 X 33504 2. SA}IITARY SEWER - CITY Number Of PFUg L.0 X 47 (see Page 2) X 0.2L6 Per Sq Ft = X 44.75 Per PFU = x Cost Per Trip 4SL .26 = gt-l- , g4O .76 Trip Rate r_.380 x PeT Pl'U 20.690 + MWMC Admin Fee + 10.00 $7 ,258.46 $2,L03.25 $11, 840 . 76 $982 .43 $276.84 $70s. s9 $21,908.05 $1, 095 .40 3. TRAI{SPORTATION Number Of Units 1.0 x 19.014 X x Transportation Total 4. SAIIITARY SEWER - ITWUC Number Of PFUs 47 x x MIIMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SITBTOTAL - (Add Itsemg 1, 2, 3 & 4) 5. }DIIINISTRATIVB FEES Base Charge (Subtotal Above) x 0.50 TOT}L SDC Reviewed BY: TROY MCALLISTER Datre: o8/27/95 $23, 003 .45 Job Number: 95]-]-47 Page 2 FIXTI'RE I'NIT CALCUIJATION TABLE Fixture Tlpe Number of New Fixture Unit Eguivalent Fixture Units BaUhtub Drinking Fountain Floor Drain Interceptors For Grease/Oi1/Sol-ids/etc IntecepEors For Sand/Auto wash/Etc Laundry Tub/clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/water Station/Etc Receptor for Commercial Sink/DishwasherlEtc Shower, Single Stall Shower, Gang Sink, Bar, Commerciaf, Residential Kitchen Urinal, Stall/waI1 Wash Basin/Lavatory, Single water Closet, Pub1ic Installation Water Closet, Private Miscellaneous TOTAI FIXTT'RE UNITS = CREDIT CAICUI,ATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: L969 Credit For Parcel Or Land Only If Applicable: 79,'780 X 3.47 = 276.84 Improvement (if after annexation date): 0 x 3-47 = 0.00 CREDIT TOTAL = $276.84 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) 1 2 3 6 2 5 l- 3 2 2 2 l_ 6 4 0 1 2 0 0 0 0 0 0 2 0 3 2 4 4 0 0 0 1 4 0 0 0 0 0 0 4 0 6 4 4 24 0 0 47 City of i,.p.:;i,Lg.j.i ,g"Ldfr225 Fifth Street, Springfield, Land And Drainage"Alteration permi t D 3 Date of Applicati on B- z?-9G City 9-7 Expiration Date: Property Owner Address :ate: O\<Zip a; phoneS..^ C-A./L*r/ .(- /Tax Map No: l-7 . O ^: - zi- , Springfield, OregonSite Address:tr ucB Tax Lot: lt) t) Destination: Project Supervisor . tr trx {',Ea f EXCAVATION, Ouantity D Phone -1+ GRA nOuaDING, Supplier Address iir'.|oil., }i:y,i{t Data:Quantitv ot m7ffi ',IBBBI.,J, ss;ral?,?,ffs: El,,gli,gro%,T"T"."0 ,-,*,rI[f]i',:t8#llsii,ffisJiffiLs;{l:i',",ssr,:s,','sJeit,ffH[is,"x,,r,,t"J,ihr;,;,, DRAINAGE, POLLUTTON AND EROSION CONTROL PLAN A tr tr tr tr tr CROSS SECTIONS, SOILS & GEOLOGY PLAN, ADDITIONAL INFORMATION, REPLANTING PLAN PHONE 7t CITY STATE PHONE STATE_- CITY COMPANY NAME: COMPANY NAME: PROJECT SUPERVISOR: ADDRESS: PROJECT SUPERVISOR: ADDRESS: FAX7^i ', ^OFFICE PHONE CONTRACTOR NAME: PROJECT SUPERVISOR PHONE Registration Number:Expiration Date: CITY: MOBILE PHONE: o)<_ , ztP: ADDRESS STATE: FI E4III O- zc IF d IJJFJ oz tII U Zr uo oz J By signature, I state and agree, that I have carefully examined the com.pleted application and do hereby certify that allinformation herein is true ahd correct, and l further'certity tnitinv;a-;-u'*";[;i,ii,i'.ii."ii Jnrrr i,;';;;, in accordance withthe ordinances of the citv of,springfield,.applicabte ciii'sianiaii.peiitiiaiions'una-oia*ings, ;,r;j;; taws of the state oforegon pertainins to the work oescTiula'r,e?Ein.l-iunr,i? i"nirvihafoniy-"inir".torc and employees who are in compliancewith ORS 701.055 will be used on this projecr, The City may inspoct the work site described in this permit at any time_during a one year period following the receipt by thsCity.of notice of completion of the described work and.spr"itv,_"i ins citv;i'sor" desecrarion, any additional rostoration workrequired to return the site to a.standard accep-table to th; ciri.'Th" pur.iitui*iil u. "i,titir',j'i" ,Jriii'""s'of any work requiredand will have thirtv (30) days from the date df the notico. to iompl"fe tn;'*"ri: \iv;;i'ili';il;k;iil'5t tne eha ot ih;i;irr;dpvs will be performed by the city and the costs will be bitied toin,i pijimittee. the proper time, that project address is readable from times during construction. all required inspections are requested at set of plans will remain on the site at allthe { I further agree to ensure that street, and the DateSignature 4EIz 3o uJ tsV' zIF 4ull- -t oz -l tal-ztlt E AI hh o ET =:)o ETE tal-z h -lflth z1ol UI col-U Fzou lll43F zIttt Fz o E &' F =o q :llr E o UIo o g. IF qb'q-t1t FILL, Ouantity lo,p z_T. , Source Location t.fa7n Supplier Et- ftu c n E .. r-zarr7rzr- Material 7, a,n,r*. t_,- EMERGENCY PHONE: tr DRAINAGE, E Storm, E Ditch, E culvert, O Natural FEMA Community Panel No.: FLOODWAY, FEMA Community Panel No.: , Date tr WETLANDS, Description du - at*tl/o cut tr tr FLOOD PLAIN, Zone: $20,00 $30.00 s40.00 $40.00 For the first 10,000 cubic yards, plus $20.00 for each additional 10,000 cubic yards or fraction thereof 9220.00 For the first 100,001 cubic yards, plus $20.00 for each additional 1 0,000 cubic yards or fraction thereof $340 For the first 200,00,l cubic yards, ptus $6.00 for each additional 1 0,000 cubic yards or fraction thereof. $30.00 $30.00 For tho first 1 00 cubic yards, plus $14.00 for each addirional 100 cubic yards or fraction thereof. $156.00 For the first 1,0O0 cubic yards, plus $l 2,00 for each additional 1,000 cubic yards or fraction thereof. $264.00 For the first '10,000 cubic yards, ptus $54.00 for each additionsl 10,000 cubic yards or fraction thereof $750.00 For the firsr 100,001 cubic yards, plus $30.00 for each additional 1 0,000 cubic yards or fraction thereof Received By:_ Date:_ c .Lc 1,001 TO 10,000 cuBtc YARDS 10,000 To 100,000 cuBtc YARDS @ Received by: PLAN CHECK FEES: UP TO 1OO CUBIC YAHDS 101 TO 1 ,OOO CUBIC YARDS 1,001 TO 10,000 cuBtc YARDS 10,000 To 100,000 cuBtc YARDS 100,001 To 200,000 2OO,OO1 CUBIC YARDS OR MORE GRADING PERMIT FEES: UP TO 1OO CUBIC YARDS 101 TO l,OOO CUBIC YARDS 100,001 To 200,000 Estimated Volume Plan Check Fee:Receipt: ZZ??f Date: Date: Receipt Date: Grading Permit fee: 4L1. to d EI M tr Plannin -% la 6SrfC u).G.K Date: Engineering Maintenance: Building: Date: Date: Date FI =u IIJ O- zc IF d, IIJFJ oz UJ U z I u,o oz J lssued by:Date:q? Date Date Final lnspections,. Date Date: Permit Number qZ,// Planning: Engineering: Building: Maintenance: Land And Drainage Alteration Permit EIu z 4o UJullJ- chzo-!- o-zoU oEI =ul ll4 tttzIl-(Jlrl CLt,z-IJ o4a. O. I F U) 6 & 3o o u,o 6