HomeMy WebLinkAboutPermit Building 2008-9-15
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01227
ISSUED: 09/15/2008
APPLIED: 08/18/2008
EXPIRES: 03/15/2009
VALUE: $ 49,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1881 2nd St
ASSESSOR'S PARCEL NO.: 1703262401101
Springfield TYPE OF WORK: Tenantlnfill
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant inlill1l66 sq-ft
Owner: R KEEPERS INVESTMENTS LLC
. Address: PO BOX 703
PLEASANT HILL OR 97455
Phone Number: 541-729-3418
, I CONTRACTOR INFORMATION ~
Contractor Type
Architect
General
Contractor License
NAGAO PACIFIC ARCHITECTURAL P.c.
COLBERG COMMERCIAL INC 91666
I, BUILDING INFORMATION ~
Expiration Date, Phone
541-687-9600
07/08/2009 541-221-30 I 3
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
No
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Scthacks:
,r! ,r,~\ ,';>1,,:'; "."~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEM~NTS I
qlllreS YV\.J W
Street Improvements: \0'1' Or~gO\'\ law ra ,,' Utility
ATTENT I', ". b tile Olegon
Storm Sewer A"ail~ble:"s ad~,Dt6d y utes are set torth
-IiJUV' . - ,. 'r Those r 001
Special Instr'\~ti~,~,(;ation Cen,~ ' 0 through O/'.R 952- -
. O^R 952-001-(.,01 , 'res ot the lu\eS by
In " btaln cop " e
Notes: 0090. You may 0 (Note' the tel~p"on
, calling tile centel. on Utility NotiticatlOn
numbellol the, O~~~00_332-2344).
Centel IS 1
. Sidewalk Type:
Down~pouts/Drains:
NOTICE: K
THIS PERMIT SHALL EXPIRE IF THE WOR
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
I
I
,'. I"
,.,.,
Page I of 4
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I
Status
Issued
225 Fifth Street, Springtield,OR
541-726~3753 Phone
541-726-3676 Fax
541-726"3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review Comm/lnd/Public
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Not Listed
Building Permit
Fixture
Minimum/Adjustment Mechanical
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01227
ISSUED: 09/15/2008
APPLIED: 08/18/2008
EXPIRES: 03/15/2009
VALUE: $ 49,500.00
I v al~ation De~.~riRtio~ I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
49,500.00
Value
Date Calculated
08/18/2008
$49,500.00
$49,500.00
Total Value of Project
F~I~.\tiIW
Amount Paid
Receipt Number
Date Paid
$274.32
$21.00
$55.90
$67.08
$27;95
$11.00
$422,03
$85.00
$41.00
$378.66
$497.97
$10.00
$336.20
$32.6[
$48.53
$2,162.84
$490.34
$146.90
1200800000000000876
1200800000000000967
. 1200800000000000967
1200800000000000967
1200800000000000967
1200800000000000967
1200800000000000967
1200800000000000967
1200800000000000967
1200800000000000967
1200800000000000967
1200800000000000967
[200800000000000967
1200800000000000967
1200800000000000967
1200800000000000967
1200800000000000967
1200800000000000967
8/18/08
9/15/08
9/15/08
9/15/08
'9/15/08
9/15/08
9/15/08
9/15/08
911 5/08
9/15/08
, 9/15/08
9/15/08
9/15/08
911 5/08
9/15/08
9/15/08
9/15/08
9/15/08
. $5,109.33
I Plan Reviews 1
Initial Review. 08/27/2008 08/28/2008 APP LLH
Public Works Review 08/29/2008 09/03/2008 APP RP
SUB Review 08/29/2008 09/05/2008 APP JF No energy issues per Jack Foster,
Plan review approved.
Paee 2 of 4
CITY OF SPRINGFIELD ,
Building/Combination Permit
Status Issued RERMIT NO: COM2008-01227
225 Fifth Street, Springfield, OR ISSUED: 09/15/2008
. APPLIED: 08/1812008
541-726-3753 Phone EXPIRES: 03/15/2009
541-726-3676 Fax
541-726"3769 Inspection Line VALUE: $ 49,500.00
Fire Department Review 08/29/2008 09/08/2008 OK GRG Plans Revie)\': Tenant in fill for Dr.
Snell Fontus on 2nd lloor, north
side, Job #COM2008-01227.
Occupancy Classification: B.
Construction Type: V,B. Infill space
to use 1,166 sq. ft. out 01'3,888 sq. ft.
on second lloor (total building: 7,77c
sq. ft.). Estimated occupant load: II.
Provide suite numbers in
'contrasting color from the
background as discussed.
Provide fire extinguishers with a
minimum ratingof2-A:10-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
'~
between 3 and 5 feet above finished
lloor (2007 Springfield Fire Code
906).
Provide illuminated exit sign age
meeting requirements 01'2007 OSSC
1011 for Door 4.
Door 4 will swing in the direction of
egress travel per discussion on
9/8/08.
Door 4 will be provided with panic
hardware per discussion on 9/8/08.
Structu ral Review 08/29/2008 09/08/2008 APP CJC Plans approved as noted in plan
review letter. Fire and structural
review occured with ,applicant
9/8/08.
Plannioe: Review 08/29/2008 09/12/2008 APP TA:J No Planning issues. Building has
been constructed per the Site Plan
Approval DRC2006-00083, Medical
Offices are an allowable use in the
CC district.
To Request an inspection call the 24 hour recording at 726-3769. A'1l inspections requested before 7:00
a.m. will be made the same working day, inspections requested aft~'r 7:00 a.m. will be made the following
work day. .
i
Page 3 of 4 ,
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CITY OF SPRINGFIELD
Building/Combination Permit
,
Status
Issued
EERMIT NO: COM2008-01227
ISSUED: 09/15/2008
A:PPLIED: 08/18/2008
EXPIRES: 03/1512009
VALUE: $ 49,500.00
,
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726-3769InspectionLine
I Rerllli.red Insnectiims ,
i',
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping,
. ~
Final Building: After all required inspections have been requested and approved and the building is complete.
I
Rough Plumbing: Prior to cover 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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Ceiling Grid: After drywall approval but prior to cover.
By signature, I state and agre~, 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 p'~rtaining 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 wit~ ORS 701.ilO5 will be used on this project.
I further agr,\e to .ensure .that all required inspections are requested at the propel-time, that each address is readable from the
street, that the permit ca'd is located at the front of the property, and the approved set of plans will remain on the site at all
timeSdU~oronr~ ','. Iflrt~ I' 11/)!of)
owndntractors ~re{/ Da:te / (
Page 4 of 4
CITY OF SPRlNGFIELO SVSTEMS DEVELOPMENT CHARGE WORKSHEET
_ __ _J.9U~~L O~ JOB NUMBER C0M2008-01227
iC-"'-":'~'.""";"- NAME OR COMPANY: Dr. Snell Fontus
LOCATION: 1881 2nd Sl
MAP & TAX LOT NUMBER: . 17-03-26-24-01100
DEVELOPMENT TYPEi Tenant Jrpll
NEW DEVELOPED AREA (S.F.):
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
814
Change in use from general,office to . ~.
medical. Credits applied from COM200T.
1,166.00
1,166.00
MWMC:
MWMC:
630 ITE:
710 ITE:
LOT SIZE (S.F.):
630
710
1."STORM DRAINAr.E
IMPERVIOUS SQ. IT.
, No New Impervious Area
x
$ 0.357 PER SF
TOTAL STORM DRAINAGE SDq
2_ SA NIT A RY SRWER-CrTY (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFlJs 18 x $ 27,67 PER DFU, , $497,97
,
B. IMPROVEMENT COST:
NUMBER OF DFU's 18 x $ 21.04 PER DFU , $]78.66
$ 48,70
TOTAL LOCAL WASTEWATER SDC:' $ 876,63 I $876,63
3_ TRANSPORTATION
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW:
A. REIMBURSEMENT COST:
1.17 x 31.45
B. IMPROVEMENT COST:
1.17 x 31.45
. EXISTING:
A. REIMBURSEMENT COST:
-1.17 X' 11.01
B. IMPROVEMENT COST:
-1.17 x 11.01
x
$ 21.06 PER TRIP
x
0.95
NTF
$733.66 I
x
$ 92.89 PER TRIP
x
0.95 !,
NTF
$3,236.11 I
x
$ 21.06 PER TRIP
x
NTF
($24332)1
0,9
x
$ 92.89 PER TRIP x 0,9 NTF ($1,073.27)1
$ 113.95 TOTAL TRANSPORTATION REIMBURSEMENT SDC:I '
TOTAL TRANSPORTATION IMPROVEMENT SDC:1
. '
TOTAL TRANSPORTATU,lN SDC:, $ 2,653.18 I
4_ SANITARY SF.WER _ MWM(;
NEW:
A. REIMBURSEMENT COST:'
NUMBER O~ FEU's. 1.17
B. IMPROVEMENT COST:
NUMBER OF FEU's 1.17
$83,91 ,
x PER FEU I
x $865.00 PER FEU
x $55.94 PER FEU '
x $576:67 PER FEU!
$97.84 ~
$1,008.59 ~
EXISTING:
A. REIMBURSEMENT COST:
'NUMBEROFFElJs -1.17
B.-IMPROVEMENT COST:
NUMBER OF FEU's ,1.17
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
($65.23)1.
($67240)1
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL ~C IMPROVEMENT FEE:
MwMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I $ 378.81 I
SUBTOTAL (ADD ITEMS 1,2,3, &4) '$3,908.621
"
5. ADMINISTRATIVIi: FF.F.S=
BASE CHARGE (SUBTOTAL ABOVE)
$
3,908,62 x 5%, , $195.4]
TOTAL SEWER ADMINISTRATION FEE:
.TOTAL TRANSPORTATION ADMINISTRATION FEli: $
Richard,Perry
Civil Engineer in Training
9/3/2008
DATE
TOTAL S!>C CHARGES
$49034
$2,162.84
$2,653.18
$0.00
$32,61
$336.20
$10.00
$378.81
$48,53
146.90
$4,104.05
DRAtNAGE FIXTUR.E UNIT (DFIJ) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ~ DRAINAGE FIXTIJRE UNITS
(NOTE: FOR.REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) .
#REF'
FIXTURE TYPE
BATHTUB
DRJNKINGFOUNT ATN
FLOOR DRAIN, FLOOR SINK ,
INTERCEPTORS FOR GREASElOIUSOLlDS/ETC
INTERCEPTORS FOR SAND/AUTO WASH/ETC
LAUNDRY TUB
CLOTHES W ASHER/MOP SINK
,CLOTHES "YASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRJGERATOR/W A TER STA TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC
,SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LA V A TORY
STNK: SINGLE LAVATORY/RESIDENTIAL BAR
URTNAL. STALUWALL
TOILET, PUBLIC INST ALLA TION
TOILET, PRIVATE TNST ALLA TION
MISCELLANEOUS:
NUMBER OF EDU'S'
FIXTURES UNIT
NEW OLD EQUIVALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
4 3
2
2
I
5
6
3
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
0'
o
12
o
o
o
o
.6
O.
o
TOTAL DRAINAGE FIXTURE UNITS ~ I 18
*EDU (Equival~t.nweUing Unit) is a discharge eauivalcntto a single family dwelling (20 DFU) set at 167 gallons per day
CREDIT C,ALCUlA TlON TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE TN TABLE, CALCULATE CREDITS SEPARATELY-
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
198,6
1987
1988
1989
1990
1991
RATE PER $1,000
ASSESSED VALUE
529,
~~1!2:~
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $],000.
ASSESSED V ALUE
x
x
, CREDIT TOTAL
$0,00
$0.00
$0,00
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-01227
COM200S-0 1227
COM200S-01227
COM200S-0 1227
COM200ScO 1227
COM200S-0 1227
COM200S,O 1227
COM200S-0 1227
COM200S,0 1227
COM200S-0 1227
COM200S-0 1227
COM200S-01227
COM200S-0 1227
COM200S-0 1227
COM200S-01227
COM200S-01227
COM200S-0 1227
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200800000000000967
Description
Fixture
Appliance Not Listed
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
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 Transportation Admiri
Building Permit
Paid By
NA THAN JOEL KEEPERS
, City of Springfield Official Receipt'
Development Services Department
Public Works Department
Date: 09/i5/2008
8:07:56AM
[,
,.
Amount Due
S5.00
] 1.00
21.00
41.00
27,95
67.0S
55,90
497,97
378,66
490.34
2,I62,S4
32,61
336.20
10.00
4S,53
- 146,90
422.03
$4,835,UI
, Item Total:
t:heck Number ;Authorization
Received By Batch Number Number How Received
nJm
Page I of I
2430
Amount ~aid
In Person
Payment Total;
$4,S35,OI
$4,835.UI
(
9/15/200S