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HomeMy WebLinkAboutPermit Building 2004-04-01Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00193ISSUED: 0410112004APPLIEDz 0211812004 EXPIRESz 1211612004VALUE: $ 104,565.20 SITE ADDRESS: 195 39TH ST ASSESSORTS PARCEL NO.: 1702314101300 PROJECTDESCRIPTION: Office/shopaddition. Springfield TYPE OF WORK: Manufacturing TYPE OF USE: Addition Industrial PhoneNumber: 541-744-9652Owner: Address BARR JIM W & KELLY A 2624 CHUCKANUT ST EUGENE OR 97408 Contractor Type General Electrical Engineer Mechanical Plumbing Contractor RANDY LYNN HORNER NEWWAY ELECTRIC INC KEVIN M. PETERSON ENGINEERING, P.C. MARSHALLS INC CHAPIN ENTERPRISES INC License 157414 s1088 25790 Expiration Date 10t20t2005 06t27t200s 12t23t200s 05/06/2008 Phone 541-607-6441 541-686-236s 541-501-4459 541-747-744s 541-485-1146 CONTRACTOR INFORMATION 8 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: o( Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 2,172 Path I nla REQUIRED PARKING Total: Handicapped: Compact: \S r0R 1H\S Notes: Page 1 of4 P 1s0 Dh\ Street Improvements: Storm Sewer Available: Special Instruction: a{B et rw the 28.33 Status Issued 225 Fifth Streef Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00193ISSUED: 0410112004APPLIED: 0211812004EXPIRES: 1211612004VALUE: $ 104,565.20 Description Tvpe of Construction VN VN Use Bid Amount $ Per Sq Ft or multiplier $37.60 $68.10 $1.00 Square Footage or Bid Amount 1,500.00 672.00 2,402,00 Value $56,400.00 $45,763.20 $2,402.00 $104,565.20 Date Calculated 02n8t2004 02n8t2004 06t0U2004 Industrial Offices Paving Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7o/o State Surcharge Building Permit Curbcut - Overwidth Appl Fixture Furnace - Unit Ileater Minimum/Adj ustment Mechanical Planning Final Occy Inspection Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtl 100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Vent Fan Water Line - lst 50 Feet Water Line - Each Addtl 100' + l0oh Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Value of Project Date Paid 2n8t04 4nt04 4nt04 4nt04 4nt04 4nt04 4nt04 4nt04 4nt04 4nt04 4nt04 4nt04 41u04 4nt04 4n|04 4nt04 4nt04 4nt04 4flt04 411,104 4nt04 4nt04 4t1t04 4nt04 4flt04 4nt04 6n7t04 6tr7t04 6t17t04 6n7t04 Receipt Number 22004000000000001s6 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 1200400000000000919 1200400000000000919 1200400000000000919 1200400000000000919 Amount Paid $374.01 $10.00 $83.94 $s8.76 $575.40 $35.00 $56.00 $36.00 $3.00 $143.00 $45.00 $120.47 $158.48 $14.00 $10.00 $41.13 $60.41 $19.71 $13.6s $185.36 $42.02 $49.30 $45.00 $6.00 $45.00 $14.00 $s.80 $4.06 $43.00 $15.00 tr'ees Peid Total Amount Paid $2,312.50 Paee2 of 4 L Valuation Descriotion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00193ISSUED: 0410112004APPLIED: 0211812004EXPIRES: 1211612004VALUE: $ 104,565.20 Plan Reviews Fire Department Review 0211812004 0311912004 OK GRG Initial Review Planning Review Planning Review Public Works Review Public Works Review Structural Review Structural Review Structural Review SUB Review SUB Review SUB Review APP 04t2812004 04t30t2004 APP See attached document for lire department plan review comments. Shop No LDAP needed. Project to be built per Site plan Review conditions DRC2003-00072 SHop addition. Ensure gutters attach and flow back towards existing building. SDCs added for shop addition. Received from Randy Horner revised Drawing 2 with changes to mechanical system and a cost valuation agreement. shop. See attached fax sent to Jim Barr asking for special inspection forms and cosUvalue verilication of building. 512012004 See attached fax sent by JMP to Randy Horner after first fax was lost. Received special inspection forms and cosUvaluation information. Left voice mail for Pamela Hillstrom asking for information on trusses. Randy Horner delivered truss information. JMP called Custom Plumbing, and Marshall's for information on plumbing and mechanical work, and called Randy Horner for agreed upon value of work. Left messages for all waiting for information. Lighting failure. Questions about HVAC have been asked of the engineer. Need envelope code forms shop. 02fi8t2004 04t28t2004 02n8t2004 02n812004 04t28t2004 06t0u2004 02n8t2004 03t2912004 03n9t2004 02n8t2004 02n8t2004 04t28t2004 02t24t2004 02t24t2004 04t30t2004 06t0u2004 02t20t2004 03t30t2004 03t19t2004 02t23t2004 RJB EMM EMM APP APP APP APP APP APP JMP WE JMP WE JMP SB SB Revised Plan Review - Str 0410112004 04t0u2004 APP JMP Structural Review 04t28t2004 04t30t2004 wE JMP DH DH DH WE To Request an inspection call the24 hour recording at 726-3769. AII inspection 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 work day. Paee 3 of4 LD Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00193ISSUED: 0410112004APPLIEDz 0211812004 EXPIRESz 1211612004VALUE: $ 104,565.20 Reorr Curbcut - Overwidth: After forms are erected but prior to placement of concrete. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Footing: After trenches are excavated. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Drywall: Prior to taping. Roof Sheathing/l{ailing: Before covering sheathing with finish material. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Underground Plumbing: Prior to filling the trench and including required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to lilling trench and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. SUB Exterior Lighting Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 OCCUPAI\CY 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 701.005 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 all times during construction. Owner or Contractors Signature Pase 4 of 4 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone rity of Springfield Official Receipt -velopment Services Department Public Works Department RECEIPT#: 1200400000000000919 Date: 0611712004 8:23:00AM Job/Journal Number coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0% Adminishative Fee Amount Due 43.00 15.00 4.06 5.80 Item Total:$67.86 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard NEW WAY ELECTRIC djb 000413 097039 In Person $67.86 Payment Total: -$6763- 6/17 /2004 Page I of I aDttratlj.o City of Springfield 225 Fifth Street, Springfield, OR97471' 54.1-726-3759 Phone 541-126-3676Fax June 30, 2005 BARR JIM W & KELLY A 2624 CIIUCKANUT ST EUGENE OR Job Number: Location: 97408 coM2004-00193 195 39TH ST Project:Office/shop addition. Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 195 39TH ST which is set to expire on 711112005. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 54L-726-3769. If you do not request an inspection prior to the expiration dgte, your permit(s) will expire and additional pemrit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790 Sincerely, Lisa Hopper Building S afety S upervisor \ruiu, ATTACHMENTA CITY OF NGFIELD SYSTEMS DEVELOPMENT CHARGE W l93a .SHEET JOURNAI, OR JOB NUMBER NAMEORCOMPANY: LOCATION: BARR MACHINE SHOP 195 39TH MAP & TAX LOTNUMBER: 17 023141 01300 DEVELOPMENT TYPE NEW DEYELOPED AREA (S.F.): EXSTING DEVETOPED AREA (S.F,): TOTAL IMPERVIOUS SURTACE (S.F.): I. STORM DRAINAGE IMPERVIOUS SQ. FT 2. SANITARY SEWER-CITY A- REIMBURSEMENTCOST: NUMBER OF DFU's B. IMPROVEMENTCOST: NUMBEROF DFU's (SEE REVERSE SIDE) 1.s00.00 x $ 0.290 PER SF ITE: ITE: LOT SIZE (S.F.):0 TOTAL STORM DRAINAGE SDC: $93.79 $ 413.76 NTF $ $ SHOPADDITION 3. TRANSPORTATION BLDG AREA TGSF X TRIP RATE X COST PER ADT XNEWTRIP FACTOR NEW A. REIMBURSEMENTCOST: 1.500 x 3.82 x $ 17.23 PERTRIP x B. IMPROVEMENTCOST: 1.500 x 3.82 x $ 76.01 PER TRIP x E>CSTING A. REIMBURSEMENTCOST: 0.000 x 0 x $I7.23PERTRIP x B. IMPROVEMENTCOST: 0.000 x 0 $ 22.64 PERDFU x $ 17.21 PER DFU TOTAL LOCAL WASTEWATER SDC: 0.95 NTF NTF0.95 0 x 0 0 TOTAL TRANSPORTATION REIMBURSEMENT SDC TOTAL TRANSPORTATION IMPROVEMENT SDC TOTAL TRANSPORTATION SDC:$ 507.s5 $89.89 PER FEU $ 134.84 x $6I.2I PER FEU $91.81 x $O.OO PER FEU $O.OO PER FEU TOTAL MWMC REIMBURSEMENT TOTAL MWMC IMPROVEMENT MWMC ADMINISTRATIYE TOTALMIYMC SUBTOTAL (ADD ITEMS I, 2. 3, & 4)$ 744.20 PERTRIP X O NTF x 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENTCOST: NUMBEROF FEU's E)CSTING: A. REIMBURSEMENTCOST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU's 5. ADMINISTRATTVE FEES : BASE CHARGE (SUBTOTAL ABOVE) Stevew W. eeaudrg BaYwes t$BG@ffifflHl?Q&ooe.xs x $ 76.01 1 500 1.500 0.000 0.000 x MWMC CREDIT IF APPLICABLE (SEE REVERSE) $744.20 x 5"4 37.21 TOTAL TRANSPORTATION ADMINISTRATION FEE: TOTAL SEWER ADMINISTRATION FEE: 4/28/2004 $ $ $ Irc $ 93.79 $ 413.76 $ $ 134.84 $ 91.81 $ 10.00 $ 37.21 | 1o?8 1.41 DATE TOTAL SDC CHARGES JULY 2OO.I op oo 1091 1092 1093 1094 1054 1054 1055 1056 1070 :$ 225 friiirh Street Springfield, Oregon 97477 541-726-3759 Phone rty of Springfield Official Receipt , .cvelopment Services Department Public Works Department RECEIPT #: 2200400000000001332 Date: 1012512004 2:45:1tpM Job/Journal Number coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 Description SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin Plan Review Comm/Ind/Public Paving + l0% Administrative Fee Amount Due 93.79 413.76 134.84 91.81 10.00 37.21 34.32 52.80 5.28 Item Total:$873.8r Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check JIM BARR CAS 7639 In Person Payment Total: $873.81 -MET 10125/2004 Page I of I rr 225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 o FAX: E LE CTRI CAL P ERMIT AP P LI CATI ON City Job Number COm otl Date 1 3. i 9f 3?+t^ sl LEGAL DESCRIPTION A. 14( afioa oafe zoning 'il:,f,l:!^n Authorized Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $s0.00 or less $ 63.00 $ 75.00 s125.00 $163.00 $375.00 $ s0.00 to 400 Amps to 600 Amps to 1000 Amps AmpsA/olts Only Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per t/3One Circuit Each Additional Circuit or Service or Feeder Permit 3.00 JOB DESCRIPTION {rx L C-r aua-r k Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. .L ,'t' 1 Electrical Contractor Address City Supervisor License N Expiration Date Constr. Contr. Number Expiration Date 1, -d7^n 5 of Owners Name Tr,,". l?{ 3?kl"'sF S.P FA Phone g{ B. D. E. $.e .s\o $9 '9 Address City $ s0.00 $ s0.00 s 25.00 $ 4s.00 OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. Owners Signature: Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 58 (t06 4 Limited Limited 1Yo State Surcharge 10% Administrative Fee TOTAL 5Ev 6'7wInspection Request: 726-3769 Shared Drive(T:),Euilding Forms/Electrical Permit Application l-03.doc t{ Pump CITY OF SPRIN Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00193ISSUED: 0410112004APPLIEDz 0211812004EXPIRES: 10/0112004VALUE: $ 102,163.20 SITE ADDRESS: 195 39TH ST ASSESSOR'SPARCELNO.: 1702314101300 PROJECT DESCRIPTION: Office/shop addition. Owner: BARR JIM W & KELLy A Address: 2624 CHUCKANUT ST EUGENE OR 97408 Springfield TYPE OF WORK: Manufacturing TYPE OF USE: Addition Commercial PhoneNumber: 541-744-9652 Contractor Type General Electrical Engineer Mechanical Plumbing Contractor RANDY LYNN HORNER NEW WAY ELECTRIC INC HILL & DALE ENGINEERING, LLC License 157414 51088 Expiration Date 10t20t2005 06t27t200s Phone 541-607-6441 541-686-2365 541-868-0667 541-747-7445 541-48s-1146 CONTRACTOR INFORMATION MARSHALLS INC CHAPIN C # of Stories: # Paved Drive o/o of Lot Coverage: 25790 8r994 12t23t2005 0st06t2004 # of Units: Primary Occupancy Group: Secondary Occupancy Primary Secondary #of q SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Floor: Garage/Carport Surface Area: REQUIRED PARKING Total: Handicapped: Compact: 672 6 Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Pase I of4 Type of Heat: Water Type: Range Energy ..c Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00193ISSUED: 0410112004APPLIEDz 0211812004EXPIRES: 10/0112004VALUE: $ 102,163.20 Description Industrial Offices Type of Construction VN VN $ Per Sq Ft or multiplier $37.60 $68.10 Square Footage or Bid Amount 1,500.00 672.00 VaIue $56,400.00 $45,763.20 $102,163.20 Date Calculated 02n8t2004 02n8t2004 Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l0%o Administrative Fee + 77o State Surcharge Building Permit Curbcut - Overwidth Appl Fixture Furnace - Unit Heater Minimum/Adj ustment Mechanical Planning Final Occy Inspection Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtl 100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Vent Fan Water Line - lst 50 Feet Water Line - Each Addtl 100' Total Amount Paid Total Value of Project Date PaidAmount Paid $374.01 $10.00 $83.94 $58.76 $575.40 $35.00 $56.00 $36.00 $3.00 $143.00 $45.00 $r20.47 $158.48 $14.00 $10.00 $41.13 $60.41 $19.71 $r3.6s $185.36 $42.02 $49.30 $45.00 $6.00 $4s.00 $14.00 $2,244.64 Receipt Number 2200400000000000156 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 3200400000000000023 2t18t04 4tu04 4nt04 4n/04 4nt04 4nt04 4nt04 4nt04 4nt04 41u04 4nt04 4nt04 4nt04 4ty04 4n104 4nt04 41U04 4lt/04 4nt04 4nt04 4nt04 4nt04 4n/04 4n/04 4nt04 4/U04 f,'ees Paid Plan Reviews Fire Department Review Initial Review 02fi8t2004 02fi&12004 03n9t2004 02118t2004 OK GRG APP RJB See attached document for lire department plan review comments. Paee 2 of 4 Valuation Descrintion I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00193ISSUED: 0410112004APPLIEDz 0211812004EXPIRES: 10/0112004VALUE: $ 102,163.20 Plannins Review Public Works Review Revised Plan Review - Str Structural Review Structural Review SUB Review SUB Review 02n8t2004 02t24t2004 APP EMM No LDAP needed. Project to be built per Site plan Review conditions DRC2003-00072 Received from Randy Horner revised Drawing 2 with changes to mechanical system and a cost valuation agreement. Left voice mail for Pamela Hillstrom asking for information on trusses. Randy Horner delivered truss information. JMP called Custom Plumbing, and Marshall's for information on plumbing and mechanical work, and called Randy Horner for agreed upon value of work. Left messages for all waiting for information. Lighting failure. Questions about HVAC haye been asked of the engineer. Need envelope code forms 02n8t2004 04t0u2004 02fi8t2004 03t29t2004 03n912004 02n812004 02t24t2004 04t0u2004 02t20t2004 03t30t2004 03n9t2004 02t23t2004 APP APP SB WE WE APP WE JMP JMP JMP DH DH To Request an inspection call the24 hour recording at 726-3769. All inspection 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 work day. I 2 3 4 5 6 7 Curbcut - Overwidth: After forms are erected but prior to placement of concrete. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Footing: After trenches are excavated. SIab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling lnsulation: Prior to cover. Roofing: Prior to installing any roof covering. Drywall: Prior to taping. Roof Sheathing/l{ailing: Before covering sheathing with finish material. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Underground Plumbing: Prior to filling the trench and including required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backlill. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Pase 3 of4 8 9 10 11 12 13 l4 15 16 t7 l8 t9 20 Reouired fnsnections E T F Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 54l-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00193ISSUED: 0410112004APPLIED: 0211812004EXPIRES: 10/0112004VALUE: $ 102,163.20 2l Final Plumbing: When all plumbing work is complete. 22 Rough Mechanical: Prior to Cover 23 Final Mechanical: When all mechanical work is complete. 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 701.005 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 all times during Signature Dateor Page 4 of4 CITY OF ATTACHMENTA .NGFIELD SYSTEMS DEVELOPMENT CHARGE V SHEET JOURNAL OR JOB NUMBER COM2OO4.OOI93 NAMEORCOMPANY:BARRMACHINE SHOP LOCATION I95 39TH ST MAP & TAX tOT NLIMBER: r7 023141 01300 DEVELOPMENT NEW DEVELOPED AREA (S.F.): E)(ISTTNG DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): I. STORM DRAINAGE IMPERVIOUS SQ. FT, 2. SANITARY SEWER-CITY A. REIMBI.IRSEMENT COST: NUMBEROF DFU's B. IMPROVEMENTCOST; NUMBEROFDFI.IS (SEE REVERSE SIDE) 4. SANTTARY SEWER - MWMC NEW: A REIMBI.]RSEMENT COST: NLIMBER OF FELrs B. IMPROVEMENTCOST: NUMBEROFFEU's E)flSTING: A REIMBURSEMENTCOST: NIIMBER OF FEU's B. IMPROVEMENTCOST: NUMBER OF FEU's 5. ADMIMSTRATIVEFEES: BASE CHARGE (SI.]BTOTAL ABOVE) sLevew w. Beaudrg BaYwes r $BE&9fi fi tJNdIP"&ooa *r" MACHINE SHOP-MANUFACTURING 672.00 170 x $ 0.290 PER SF ITE: ITE: 140 LOT SZE (S.F.)0 TOTAL STORM DRAINAGE 7 $ $ x 22.64 PER DFU 17.21 PERDFU7x TOTAL LOCAL WASTEWATER SDC:$ 278.95 3. TRANSPORTATION BLDG AREA TGSF x TRIP RATE X COST PERADTX NEW TRIP FACTOR NEW A REIMBURSEMENT COST: 0.672 x 3.82 * @PERTRIP x B. IMPROVEMENTCOST: 0.672 x 3.82 x $ 76.01 PERTRIP x E)(ISTING A. REIMBURSEMENT COST: 0.00 x 0 $ 17.23 PER TRIP x B. IMPROVEMENT COST: 0.00 x 0 0.95 NTF 0.95 NTF $42.02 $ 185.36 $41.13 0x x NTF $ $ 76.01 PERTRIP x O NTF $ TOTAL TRANSPORTATION REIMBIIRSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TOTAL TRANSPORTATION 0.672 x $89.89 $60.41 0.672 PER FEU PERFEU MWMC CREDIT tr APPLICABLE (SEE REVERSE) x $61.21 $O.OO PER FEU $O.OO PER FEU TOTAL MWMC REIMBURSEMENT TOTALMWMC IMPROVEMENT MWMC ADMIMSTRATTVE TOTAL M14'MC SDC: $ 667.17 667.17 x 50h 0.000 x x0.000 SUBTOTAL (ADD ITEMS 1,2,3,&.4) $:$33.36 2t18D004 TOTAL TRANSPORTATION ADMIMSTRATION TOTAL SEWER ADMIMSTRATION $ 227.38 49.30 158.48 $ 42.02 $ 18s.36 $ $ 60.41 $ 41.13 $ 10.00 13.65 700.s3 $ $ 111.54 DATE TOTAL SDC CHARGES ----JUrtY{€€q DRAINAGE FfiruRE L}NIT (DFTD CALCTILATION TABLE NUMBER OFNEW FXTURES x UMT EQI,]TVAIENT:DRAINAGEFDffURE UMTS (NOTE: FOR REMODELS, CArcUra:TE ONLY THE NET ADDffiONAL FDfftIRES) BARRMACIIINE SEOP DRAINAGE FD(TLIRE TINITS LNIT FD(TI.IRE TYPE BATHTUB DRINKING FOTINTAIN FLOORDRAIN INTERCEPTORS FOR GREASUOIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AIJTO WASH/ETC, LAUNDRYTf]B CTOTHES WAS}IERA,IOP SINK CLoTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCI,AL SINK/ DISHWAS}IER/ETC. SHOWE& SINGLE STALL SHOWER GANG (NLMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCTIEN SINK: COMMERCIALBAR SINK: WASH BASTN/DOLIBLE LAVATORY SINIC SINGLE LAVATORY/RESIDENTIAL BAR URINAL, STALI-/WALL TOTT FT, PUBLIC INSTALLATION TOILET, PRTVATE INSTALLATION MISCELI-ANEOUS: 0 0 0 0 NUMBER OF EDU'S+ TOTAL DRAINAGE FIXTURE LINITS: .fOU fgqri""t"rt D*"ttitrg Urrit) i CREDIT CALCT]LATION TABLE: BASED ON ASSESSED VALUE iF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCI.ILATE CREDITS SEPARATELY FXTURES NEW OLD ALENT 0 0 0 0 0 0 6 0 J I 3 J 6 2 3 6 t2 I 3 2 2 5 2 2 I 5 6 3 0 0 0 0 0 0 0 0 0 YEAR ANNEXED 1990 t99t $ 2.r4 $ 1.71 CREDIT FOR PARCEL OR I.-AND ONLY IF APPLICABLE $O"OO IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $1,OOO ASSESSED VALUE 1.52 1.38 r.l9 L03 0.87 0.68 0.46 0.27 0.09 0.04 $0.00 $0.00 $0.00 0.000 $0.00 1992 1993 r994 t99s 1996 1997 1998 1999 2000 2001 2002 2003 2004 $ $ $ $ $ $ $ $ $ x x 7 RATE PER $1,OOO ASSESSED VALTIE YEAR ANNEXED 1979 1980 r 98l 1982 1 983 1984 1985 1986 1987 1988 1989 or before $ $ $ $ $ $ $ $ $ $ $ 5.04 4.95 4.88 4.75 4.58 4.41 4.20 3.50 3.07 2.60 3.88 $0.00 $0.00 1 SteveCOMBuildSDCdec2003.xls CREDIT TOTAL JULY 2OO1 0 I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receip Development Services Departmer Public Works Departmel 3200400000000000023 Date: 0410112004 2:51:04PIt Job/Journal Number coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 coM2004-00193 Description Planning Final Occy Inspection Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Curbcut - Overwidth Appl Fixture Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' Storm Sewer - lst 50 Feet Vent Fan Furnace - Unit Heater Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Building Permit + lYo Stale Surcharge + l0o/o Administrative Fee Amount Du 143.00 49.30 158.48 120.47 42.02 185.36 60.41 41.13 10.00 19.7t 13.65 35.00 56.00 45.00 14.00 45.00 14.00 45.00 6.00 36.00 3.00 10.00 575.40 58.76 83.94 Item Total $t,u70.63 Payments: Type of Payment Paid By cneckNumber Autnorization Received By Batch Number Number How Received Amount Pair Check RANDY L HORNER jmp 3841 In Person $1,870.63 Payment totat: -5ffi0.63 41U2004 Page I of I r*ilHnffi*