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*