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Home My WebLink AboutPermit Miscellaneous 2004-7-28 (2) . 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2003-01196 COM2003-01196 COM2003-0 1196 COM2003-0 1196 COM2003-01196 . COM2003-01196 COM2003-01196 COM2003-0 1196 COM2003-0 1196 COM2003-0 1196 COM2003-01196 . fig'!!!1I~~!~i. ~ RECEIPT #: 2200400000000000981 Description Planning Final Occy Inspection SDC Sanitary/Storm Admin Storm Drainage Impervious Area Plan Review CommJInd/Public Paving Fixture Storm Sewer - 1st 50 Feet Water Line - 1st 50 Feet Backflow Device + 7% State Surcharge + 10% Administrative Fee 1IitY of Springfield Official Receipt .elopment Services Department Public Works Department Date: 07/28/2004 10:46:45AM Amount Due 118.00 , 525,02 10,500.32 133.93 666.40 14.00 45.00 45,00 14.00 8,26 78.44 $12,148.37 Payments: Type of Payment Paid By Check FERGUSON ENTERPRISES Item Total: Check Number Authorization Received By Batch Number Number How Received Jmp 09962941 In Person Payment Total: . 7/28/2004 Page I of I Amount Paid $12,148,37 $12,148.37 . . ATTACHMENT A . CITY OLGFIELD SYSTEMS DEVELOPMENT CHARGE SHEET JOURNAL OR JOB NUMBER C0M2003-01196 NAME OR COMPANY: FAMILIANNW LOCATION: 3322 COMERCIAL MAP & TAX LOT NUMBER: 17 02 31 21 02500 DEVELOPMENT TYPE: PAVED STORAGE AREA NEW DEVELOPED AREA (S.F.): EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S,F.): , 810.00 37,018 ITE: ITE: LOT SIZE (S.F,): ,812 . o , 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 36,208 x $ 0,290 PER SF TOTAL STORM DRAINAGE SDq $ 10,500,32110;7.0 2, SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B, IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) o x $ 22.64 PER DFU 1$ , $ I o x $ 17.21 PER DFU TOTAL LOCAL WASTEWATER SDC:' $ 3. TRANSPORTATION: . BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0.00 x 39.71 x $ 17,23 PER TRIP x B. IMPROVEMENT COST: 0.00 x 39,71 x $ 76.01 PER TRIP x EXISTING A. REIMBURSEMENT COST: -0.81 x 0 x $ 17,23 PER TRIP x B. IMPROVEMENT COST: ~ -0,81 x 0 x $ 76,01 PER TRIP x 0.75 NTF 1$ NTF 1 $ 0.75 o NTF '$ NTF 1$ o (I TOTAL TRANSPORTATION REIMBURSEMENT SDC: $ , I TOTAL TRANSPORTATION IMPROVEMENT SDC: $ TOTAL TRANSPORTATION SDC:' $ I 4, SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: . NUMBER OF FEU's 0.00 B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 x $89.89 PER FEU 1$ 1$ x $61.21 PER FEU EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's B, IMPROVEMENT COST: NUMBER OF FEU's -0.81 x $0.00 PER FEU 1$ 1$ I I $ $ $ $ I 10,500.32 , I. -0,81 x $0,00 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC:' $ SUBTOTAL (ADD ITEMS 1,2,3, & 4) , $ 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) $ 10,500.32 x 5% = $ 525.02 TOTAL TRANSPORTATION ADMINISTRATION FEE: .$ TOTAL SEWER ADMINISTRATION FEE: $ 525.02 steveV\. w, lSeClucirl::)lSClt'V\.eS 12/8/2003 c~9~ob9-6VW~Uit~AN NW, 3322 COMMERCIAL.xPsATE TOTAL SDC CHARGES 1$ 11,025.34 , JULY 2001 ''; . . CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: cOM2003-01196 225 Fifth Street, Springfield, OR ISSUED: 07/28/2004 APPLIED: 12/02/2003 541-726-3753 Phone EXPIRES: 01/28/2005 541-726-3676 Fax 541-726-3769 Inspection Line VALUE: $ 131,000.00 Structural Review 12/03/2003 12/03/2003 WE JMP 12/3/2003 JMP called Brenda at Branch. She said that the contractor information requested will probably be provided next week. 12/22/2003 JMP followed up with Rene Fabricant. Rene says the client is still dealing with sticker shock but that he will let me know when contractors are selected. Structural Review 03/26/2004 03/26/2004 APP JMP Received updated value and contractor information SUB Review 12/03/2003 12/29/2003 APP DH No code issues. To Request an inspection call the 24 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 . Re~uire~ InsoectionsJ Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: After all erosion measures are in place. 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. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Storm Sewer Line: Prior to filling trench. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Water Line: Prior to filling trench and including required testing. 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. // .. / ~~ r!Z-(J!f94 Owner or Contractors Signature Date Pae:e 3 of 3 -~"'~m!!il~~:.~ _, _ , . , . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-01196 ISSUED: 07/28/2004 APPLIED: 12/02/2003 EXPIRES: 01/28/2005 VALUE: $ 131,000.00 '0' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . I Valuation Description I Description Tvpe of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 . Square Footage or Bid Amount 131,000.00 Value Date Calculated Total Value of Project $131,000.00 $131,000.00 03/26/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $299.23 12/2/03 2200200000000001823 + 10% Administrative Fee $78.44 7/28/04 2200400000000000981 + 7% State Surcharge $8.26 7/28/04 2200400000000000981 Backflow Device $14.00 7/28/04 2200400000000000981 Fixture $14.00 7/28/04 2200400000000000981 Paving $666.40 7/28/04 2200400000000000981 Plan Review Comm/Ind/Public $133.93 7/28/04 2200400000000000981 Planning Final Occy Inspection $118.00 7/28/04 2200400000000000981 SDC Sanitary/Storm Admin $525.02 7/28/04 2200400000000000981 Storm Drainage Impervious Area $10,500.32 7/28/04 2200400000000000981 Storm Sewer - 1st 50 Feet $45.00 7/28/04 2200400000000000981 Water Line -1st 50 Feet $45.00 7/28/04 2200400000000000981 Total Amount Paid $12,447.60 I Plan Reviews I Fire Department Review Initial Review 12/03/2003 12/03/2003 12/22/2003 12/03/2003 OK GRG APP LLH Plan nine Review 12/03/2003 12/04/2003 APP EMM See Attached Documents. . See attached document for memo from Planner Jim Donovan regarding project and DRC information. Jim Donovan Planner DRC2003-00042. No combustible storage until the hydrant is in and keyed acces is provided in the gate. Applicant can delay paving the 18 X 20 driveay pad at Commerical until after the 24' curb cut is provided in the street project. Impervious surface SDCs only Public Works Review 12/03/2003 12/08/2003 APP SB Paee 2 of3