HomeMy WebLinkAboutPermit Building 2005-09-28Status Issued
225Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Eax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01146ISSUED: 0912812005APPLIEDz 0812412005
EXPIRESz 0312812006VALUE: $ 100,000.00
SITEADDRESS: 68036THST
ASSESSOR'S PARCEL NO.: 1702312102900
PROJECT DESCRIPTION: Add parking and landscape areas
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: Addition
Phone Number:541-736-4049
)AR 952-001-
Public
Phone
541-465-4721
541-998-6456
541-344-3561
541-998-8361
Owner:
Address:
Contractor Type
Architect
General
Electrical
Plumbing
WILLAMALANE PARI(& REC
2OO S MILL ST
SPRINGFIELD OR 97477
Expiration DateContractor ti''":"
SATRE ASSOCIATES, PC
MIGSON CONTRACTING LLC
EUGENE ELECTRIC SERYICE INC
]VIIGSON CONTRACTING LLC
C
159500
90200
04n3t2006
03n7t2007
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Lot Size:
Ft Other:
nla Occupant Load:
K
T
REQUIRED PARKING
Total:
Handicapped:
Compact:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Page I of3
Center. Tlrose
ou to
1-0010 throug
the
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
, Solar Setbacks:
I
City of Springfield
225 Fifth Street, Springfield, OR97417
541-726-3759 Phone
541-726-3676 Fax
March 30,2006
WILLAMALANE PARK & REC
2OO S MILL ST
SPRINGFIELD OR 97477
Job Number:
Location:
coM2005-01146
680 36TH ST
Project:Add parking and landscape areas
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 680 36TH ST which is set to expire on
412612006. 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 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
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 Safety Supervisor
Lzt
roject
225 FIFTH STREET o SPRINGFIELD, OR97477 . PH:(541)726-3753
E LE CTrtI CAL P ERMIT AP P LICATTON
cityJobNumber CS - O tlq6 Date
1. ..LOCATTON AF INSTALLATION '3. COMPLE'rE FEE SCHED*JLE
6,b 36-r^St
o FAX: (54Tf726-16@caas noi
u1t ltt Qv 3l
LEGAL DESCRIPTION
I L3I ZI OZ?oo
Z
Permits are non-transferable and expire if work is
' not started within 180 days of issuance or if work is
Suspended for 180 daYs.
^ CO,IVTRACTOR INSTALLATION ONLYL.
Electrical Contractor Eucle-v\3- Et{(+rie sri((.L r\*)
Address i? 0 t1y'lc.in<.o.rn SA
City F-ua r m--r-Phone 3tl q-
A.
C.
Service Included
1000 sq. ft. or less
Each additional500 sq. ft. or
401 Amps to 600 AmPs
601 Amps to 1000 Amps
Over 1000 AmPs/Volts
Reconnect OnlY
$ 106.00
JOB DESCRIPTION
ZooAn{ur,
----6-
$12s.00
$163.00
$37s.00
$ 50.00
Supervisor License Number
Expiration Date
Constr. Contr. Number €AA rrnr
Owners Name
OWNERINSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Ownen Signature:
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
4. SUBTOTALOFABOW
lVo State Surcharge
l0% Administrative Fee
TOTAL
Minimum Electric Permit Inspection Fee is $45-00 * Surcharges
$ 45.00
L?
tt 8)
,o
80z3
or Relocation
ALL EXPIRFTH++E
ER THISfEftIt*I{
IS ABA
Expiration Date $'ry*fdg.*" "B" above-
Signature of Supervising Electrician D.
r New Alteration or Extension Per Panel
$ 43.00
t);l il^Al*,vg Z $ 3'oo L
Address ZOO S ruil E. Nfiscellaneous (service/feeder not furcluded) -Each lnstallation
City slpr\ Phone 736_ qoq 1
200
20r
401
$ s0.00
$ s0.00
$ 25.00
Inspection Requesh 726-37 69
Shared Drivc(T:)/Building Fonns/Electrical Pennit Application l -03'doc
portion thereof
Each
Modular
Services
Temporary Sen'ices or Feeders
or less the Oregon U
201Amps to 400 Amps
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: COM2005-01146ISSUED: 0912812005
APPLIEDz 0812412005
EXPIREST 0312812006VALUE: $ 100,000.00
Description
Estimate
Fee DescriDtion
Plan Review Comm/Ind/Public
+ l0Yo Administrative Fee
+ 77o State Surcharge
Curbcut Permit
Fixture
Minimum/Adj ustment Plumbing
Paving
Plan Review Commfl nd/Public
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ l0o/o Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Type of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 100,000.00
Total Value of Project
Amount Paid Date Paid
Value
$100,000.00
$100,000.00
Date Calculated
08t29t2005
$243.46
$61.07
$3.1s
s80.00
$28.00
$17.00
$s6s.6s
$124.21
$91.37
$1,827.46
$6.90
$4.83
$6.00
$63.00
8t24l0s
9t20105
9t20t05
9t20tos
9t20t05
9t20tos
9t20tos
9t20t05
9t20t05
9t20los
9t28t05
9t28t05
9t28105
9t28l0s
Receipt Number
1200s00000000001233
1200500000000001365
1200500000000001365
1200500000000001365
120050000000000136s
1200500000000001365
120050000000000136s
1200500000000001365
1200s0000000000136s
1200500000000001365
2200500000000001348
2200500000000001348
2200s00000000001348
2200s00000000001348
$3,122.10
Plan Reviews
Fire Department Review 0812512005 09/01/200s oK GRG
APP
08/31/200s 08/31/2005 APP VRJ
Plans Review: Site work-repaving
and addition ofgate. Job
#COM2005-01146. Plans appear to
meet code requirements.
Full review submitted 8/24105 and is
under review. $920.00 due at permil
issuance. Tagged parcel.
LDAP permit is ready to issue and
at the front counter. $920.00 due at
permit issuance. Please leave LDAP
tag on parcel until the LDAP has
been issued. Jake Risley of
Willamalane has been notilied that
his permit is ready andis planning to
pick up the permit 9lll05.
Initial Review
LDAP Review
08t2s12005
08t24t2005
08t2st2005
08t24t200s IO
LLH
VRJ
LDAP Review
Page 2 of 3
["}.i
Valuation Descrintion I
1( ees Pard 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: COM2005-01146ISSUED: 0912812005APPLIEDz 0812412005EXPIRES: 03/2812006VALUE: $ 100,000.00
Planning Review
Public Works Review
Structural Review
Structural Review
SUB Review
08t25t2005
08t25t2005
08t2st2005
08t29t2005
08t2512005
08/31/2005
09t20t200s
08t26t2005
09n6t200s
08t26t200s
APP JMP
APP DH
APP
APP
WE
EMM
SB
JMP
To be built ss per approved Major
Mod to Site Plan DRC2004-00045
SDCs added. Curbcut required.
LDAP Issued.
See attached documents for 3
structural comments faxed to Jeff
Bond.
WI. Received responses to
structural comments 8129 105.
No energy code issues or inspections.
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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Footing: After trenches are excavated.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Reouired Insnections
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 construction.
ffisignature
Page 3 of3
Date
U\-
22-SFifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 2200500000000001348 Date: 0912812005 11:13:23AM
Job/Journal Number
coM2005-01146
coM2005-01146
coM2005-01146
coM2005-01146
Description
Perm ServiFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ l0% Administrative Fee
Amount Due
63.00
6.00
4.83
6.90i-Item Total:$80.73
Fayments:
" Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard RUSS ROBINS nJm 028441 Phone $80.73
Payment Totat:
-SET.73-
c
..i
:
{,,
I
I
rt
1,
i,
*-$I
91281200s Page I of I
,*tta**:l3.D
FIIl.lt
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676I.rx
541:7 2G37 69 I nspe ction Line
F SPRINGFIELD
Buildin g/Co mbination Permit
PERMIT NO: COM2005-01146ISSUED: 0912012005
APPLIEDz 0812412005E)GIRESz 0312012006VALUE: $ 100,000.00
SITE ADDRESS: 680 36TH ST
ASSESSOR'S PARCEL NO.: 1702312102900
PROJECT DESCRIPTION: Add parking and landscape areas
Springfield TYPE OF
TYPEOF USE:
Site Work Only
Addition Public
Contractor Type Contractor License Expiration Date Phone
Architect SATRE ASSOCIATES, PC 541465-4721
General MIGSON CONTRACTING LLC 159500 0411312006 541-998-6456
Ptumbing MIGSON CONTRACTING LLC 541-998-8361
Owner:
Address:
# of Unib:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setbaclc
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
WILLAMALANE PARK & REC
2OO S MILL ST
SPRINGFIELD OR 97477
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
PhoneNumber: 541-736-4049
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
nla
CONTRACTOR INFORMATION
DEYELOPMENT INFORMATION
Notes:
I of 3
OAR 952-001'
oh of Lot
|,UIL.L'II\U 11\I L'I(-IYIA I IIJ].\
i
lttrLIl
Status: Issued
225 Fifth Street, Springfield, OR
541:72G3753 Phone
541-7263676Fa'x
S4l:7 2G37 69 Ins pe ction Lin e
Building/Co mbination Permit
PERMIT NO: COM2005-01146ISSUED: 0912012005
APPLIEDz 0812412005
E)PIRESz 0312012006VALUE: $ 100,000.00
Descriptfun
Estimate
Type of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 100,000.00
Total Value of Project
Amount Paid Date Paid
Value
$100,000.00
$100,000.00
Date Calculated
08t29t200s
Fee Description
Plan Review Comm/Ind/Public
+ l0o Administrative Fee
+ aloh State Surcharge
Curbcut Permit' Fixture
Minimum/Adj ustment Plumbing
Paving
Plan Review Comm/Ind/Public
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Total Amount
$243.46
$61.07
$3.1s
$80.00
$28.00
$u.00
$565.65
$124.21
$91.37
$1,827.46
$3,041.37
8t24t05
9t20105
9t20t05
9t20t05
9t20t05
9t20/0s
9120105
9t20tos
9t20t05
9t20t05
Receipt Number
1200s00000000001233
1200500000000001365
120050000000000136s
120050000000000r365
120050000000000136s
1200s00000000001365
1200500000000001365
1200500000000001365
1200s00000000001365
1200500000000001365
Fees Paid
Plan Reviews
Fire Department Review 0812512005 0910112005 OK GRG
0812512005
08t24t2005
APP
08/31/2005 APP
APP
Plans Review: Site work-repaving
and addition ofgate. Job
#COM2005-01f46. Plans appear to
meet code requirements.
Full review submitted 8/24105 and is
under review. $920.00 due at permil
issuance. Tagged parcel.
LDAP permit is ready to issue and
at the front counter. $920.00 due at
permit issuance. Please leave LDAP
tag on parcel until the LDAP has
been issued. Jake Risley of
Willamalane has been notified that
his permit is ready andis planning to
pick up the permit 9lll05,
To be built as per approved Major
Mod to Site Plan DRC2004-00045
SDCs added. Curbcut required.
LDAP Issued.
Initial Review
LDAP Review
LDAP Review
Planning Review
Public Works Review
08t25t2005
08t24t2005
08t25t200s
08t2st2005
IO
LLH
VRJ
EMM
SB
08/3U2005 08/31/2005 APP VRJ
09t20t2005
2of3
*
Valuation Descriotion I
\FTTLD
Status: Issued
225 Flfth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:1 2637 69 Inspection Line
Building/Combination Permit
PERMITNO: COM2005-01146ISSUED: 0912012005APPLIEDz 0812412005E)PIRESz 0312012006VALUE: $ 100,000.00
Structural Review
Structural Review
SUB Review
08t29t200s
08tzs1200s
09n6t200s
08t26t2005
08t25t2005 08t26t2005 wE JMP See attached documents for 3
structural comments faxed to Jeff
Bond.
WI. Received responses to
structural comments 8129 105.
No energy code issues or inspections.
APP
APP
JMP
DH
' To Request an inspection call the 24 hour recording at726-3769. 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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Footing: After trenches are excavated.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
nsnecfions
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 certiS that any and all work performed shall be done in accordance
with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structwe without permission of the Community Services Division,
Building Safety. I further certiff 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 liom
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
1/r- lc{
or Contractors Signature
3 of 3
"*1-1
(
ATTACHMENTA
CITY ( RINGFIELD SYSTEMS DEVET,OPMENT CHARGE:
JOURNAL OR JOB NUMBER COM2OO5-OI 146 -
NAMEORCOMPANY:WILLAMALANE PARK SERVICE CENTER
,KSHEET
LOCATION 680 36TH St
MAP & TAX LOT NLJMBER: 17 02 31 21 02900
DEVET.OPMENT TYPE:and areas
5,652 x $ 0.323 PER SF
NEW DEVELOPED AREA (S.F.):
EXSTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
I. STORMDRAINAGE
IMPERVIOUS SQ. FT,
2. SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBEROFDFU's
B. IMPROVEMENTCOST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
4. SANITARYSEWER-MWMC
NEW:
A. REIMBURSEMENTCOST:
NUMBER OF FEU's
B. IMPROVEMENTCOST:
NIIMBEROF FEU's
E)flSTING:
A. REIMBURSEMENTCOST:
NUMBEROFFEU's
B. IMPROVEMENTCOST:
NUMBEROF FEU's
ITE:
ITE:
LOT SIZE (S.F.):
TOTAL STORM DRAINAGE
0 x $ 25.07 PER DFU
x $ 19.07 PER DFt.)
$ 44.14
TOTAL LOCAL WASTEWATER
3. TRANSPORTATION
BLDGAREA TGSF xTRIP RATE x COST PERADT xNEWTRIP FACTOR
NEW
A. REIMBURSEMENTCOST:
0.00 x 27.92 x $ 19.09 PERTRIP x
B. IMPROVEIVIENT COST:
0.00 x 27.92
E)ASTTFIC
A. REIMBURSEMENT COST:
0.00 x 0
-e.rN,PRovErtG,NTCos-if
-0.00 x 0
x $ 84.19 PER TRIP
$ 103.28
x $ 19.09 PER TRIP x
x $ 84.19 PER TRIP x
0.9 NTF $0.00
x 0.9 NTF $0.00
0 NTF $0.00
0 NTF $0.00
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:
$46.88 PERFEU $0.00
$494.46 PERFEU $0.o0
$O.OO PERFEU $0.o0
$O.OO PER FEU $0.00
TOTAL MWMC REIMBURSEMENT
TOTAL MWMC IMPROVEMENT
MWMC ADMINISTRATI\IE
TOTALMWMC
5Yo
TOTAL TRANSPORTATION ADMIMSTRATION
TOTAL SEWER ADMIMSTRATION
0.00 x
0.00
0.00
0.00
x
x
I\,fWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBToTAL (ADD rTEMS t, 2, 3, & 4)
5. ADMINISTRATTVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)$1,827.46 x
Stevew W. Zeau-drg Barn es 9/15/200s
827.46
00
00
00
$
EIE
1,918.83
-W
-@
I-E
-@
""$ffiffiD,fMfrAene Serv. Ctr. parking, 680 36thRSTE
TOTAL SDC CHARGES
1 JULY 2OO4
l0?0
0
225 Fifth Street
Springfietd, Oregon 97 477
541:725-3i59 Phone
City of Springfield Official Receipt
:velopment Services Department
Public Works D epartment
RECEIPT#: 1200500000000001365 Date: 0912012005 1:40:11PM
Job/Jurnal Number
coM2005-01146
coM2005-01146
coM200s-01146
coM2005-01146
coM2005-01146
coM2005-01146
coM200s-01146
coM200s-01146
coM2005-01146
Description
Plan Review Comm/Ind/Public
Paving
Fixture
Minimum/Adjustment Plumbing
+ 7Yo State Surcharge
+ l0% Administrative Fee
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Curbcut Permit
Amount Due
124.21
565.65
28.00
17.00
3.15
61.07
1,827.46
9t.37
80.00
Item Total:$2,797.91
Payments:
$pe of Payment Paid By Received By
Check Number
Batch Number
Aulhrization
Number How Received Amount Paid
WILLAMALANE PARK AND
REC
djb 59282 In Person
Payment Total:
$2,797.91
$2,797.91
\
].
I
9120/2005 lofl
ra8atrtE aS.rt
C ieck