HomeMy WebLinkAboutPermit Miscellaneous 2008-12-10
Status
Issued
CITY OF ~r KlNGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01550
ISSUED: 12/1012008
APPLIED: 10/2012008
EXPIRES: 06110/2009
VALUE: $ 39,800,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 225 5TH ST
ASSESSOR'S PARCEL NO,: 1703353103300
Springfield TYPE OF WORK: Interior
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Interior remodel- Public Works Office remodel
Public
Owner: CITY OF SPRINGFIELD
Address: 225 5TH STREET CITY HALL
SPRINGFIELD OR 97477
,
Phone Number: 541-726-3761
Contractor Type
Architect
General
Electrical
Mechanical
, I CONTRACTOR INFORMATION'
ContractorTlCE: License
DAVID JONESERM
2G INc,l,i/rHORI~F'T,SHAll EXPIRE IF THE~~K
SCOFIF2}fHJ,~,hFi1iTT~Il-!IVOER THIS PERMIT 1~8PRJT
COMFQRT- Flml~ ~_R IS ABANDONED Frt1{io
~ - ...,,, . . (~" " .
I BUILDING INFORMATION'
Expiration Date
04/1712010
12/2112009
I
06/2712009
Phone
541-342-6511
541-689-3850
541-686-8612
541-726-0100
# 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:
ATTa;""GW,p6th:
.!~!~~w~~!J1J~80'y~'lfId~~~eg~~:~J'?~"to
---..'-',,\........"".. 1':'- ~ -'''Hl
I ~Ji)~\\El>OPMF..N;rAl~1:0RM~'PI0N1tt iorth
VU;;;1U, YOU may obtain - -;.::1"' '-"rln t102-001~
cal/inn thp or,', _ copies of the rules b
numbiPveHny Dj~~ (Not~:, the telephone Y
~Stre~\8:rgees'JRqd: t!lay Notifl'catl'
emQ.. Ie'; 1 .....",.... on
ave(/'DnveRqdi332-2344),
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutsfDrains:
Notes:
Paee I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax ,
541-726-37691nspection Line.
Descrh)tion Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review CommlInd/Public
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 12 % State Surcharge
+ 5% Technology Fee.
Building Permit
Plan Review Fire & Life Safety
Total Amount Paid
Initial Review
Public Works Review
10/2112008
10/2112008
Plannine: Review
10/2112008
SUB Review
10/2112008
Structural Review
1012112008
CITY OF SPRIN\jl'lELD
BuildingfCombination Permit
PERMIT NO: COM2008-01550
ISSUED: 12i10/2008
APPLIED: 10/20/2008
EXPIRES: 06/10/2009
VALUE: $ 39,800.00
I Va.!u'Mion I?.~~criotion I
$ Per Sq Ft
or multiplier
$1.00
Amount Paid
$235.42
$7,00
$8,40
$3.50
$50.00
$20,00
$35,55
$42,66
$17.78
$355,53
$144;87
Square Footage
or Bid Amount
39,800,00
Value
Date Calculated
$39,800.00
$39,800,00
12/10/2008
Total Value of Project
. F~rf rqi1J
11103/2008
Date Paid
ReceiptNumber
2200800000000001529
2200800000000001651
2200800000000001651
2200800000000001651
2200800000000001651
2200800000000001651
2200800000000001729
2200800000000001729
2200800000000001729
2200800000000001729
2200800000000001729
10/20/08
11/18/08
11118/08
11/18108
11/18/08
. 11/18/08
12/10/08
12/10/08
12/10108
12/10/08
12/10/08 '
Energy forms sent to Springfield
Utility Board with plan set. No
energy issues, no energy inspections.
to be conducted. See attached
documents
APP CJC
Architect contacted 10/28108- will
provide revision to address .
accessable clearances for door from
room 105, Revisions approved
10/31108
T.
I
,
Paee 2 of 4 1
-Gi~~I!:l~IiI.m;~:"",,,,,,,,.
!~ '\'~'" '" ," r':""
-If
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01550
ISSUED: 12/10/2008
APPLIED: 10120/2008
EXPIRES: 06/10/2009
VALUE: $ 39,800,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
1012112008
1111412008
APP GRG
Plans Review: office remodel;
relocate interior non-bearing walls.
Job #COM2008-01550, Occupancy
Classification: B, Construction
Type: V-B Sprinklered,
Plan Sheet al.l, Division
10-Specialties notes requirements
for fire extinguishers, Will verify on
inspection.
Plan Sheet al.l, Division 21-Fire
Suppression notes existing sprinkler
system, If more than 20 sprinkler
heads are added or require
relocation, submit sprinkler plans
and calculations to the City of
Springfield Development Services
Division Building Permit Technician
for Springfield Fire Marshal's Offic,
review and approval. If less than 20
sprinkler heads are relocated,
provided submittal showing
relocation of sprinkler heads and
ensure system maintains compliance
with NFPA 13 requirements,
To Request an inspection caIl the 24 hour recording at 726-3769, AIl inspections requested before 7:00
a,m, will be made the same working day, inspections requested after 7:00 a,m, will be made the foIlowing
work day, .
~~,npptio~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Ceiling Grid: After drywall approval but prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
P~2e 3 of 4
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01550
ISSUED: 12110/2008
APPLIED: 10/20/2008
EXPIRES: 0611012009
VALUE: $ 39,800,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state and agree, that I have carefully exami,ned 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 oflhe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he 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 pr6perty, and the approved set of plans will remain on the site at all
times during construction.
//4.-
/~/l- '7;.i/ :Jf~
7. ,,"V V
Ownerp€ontractors Signature
/;;L/I D/OP.
f
Date
Paee 4 of 4
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER COM2008-01550
NAME OR COMPANY: City Hall
, LOCATION: 225 Fifth St
MAP & TAX LOT NUMBER: 17-03.3531-03300
DEVELOPMENT TYPE: Interior Remodel
NEW DEVELOPED AREA (SF):
EXlSTlNG DEVELOPED AREA (SF):
TOTAL IMPERVIOUS SURFACE (SF):
"'No New SDC's'"
MWMC:
MWMC:
ITE:
ITE:
LOT SIZE (S,F.):
r':::~:~~t~' ~~~;'
._~:. 80.^.'7~,,.., '", ""~U
;:::':J::r ~~"~'-;E ~~~';-g
'Jff:O:~h,~.. "ur ;Y~'iU
NTF ,
S 92.89 PER TRIP x 0 NTF , SO,OO I
5 113.95 TOTAL TRAN,SPORTATION REIMBURSEMENT SDC:I SO,OO ~:jl.73
TOTAL TRANSPORTATION IMPROVEMENT SDC: SO.OO ::1094,
t',', _:&
TOTAL TRANSPORTA nON SllC:p I SO.OO ~:: ,;,,~;.
No New Building Square Footage
L STORM DRAINAGE
IMPERVIOUS SQ. FT.
No New Impervious Area
5 0.357 PER SF
50,00
TOTAL STORM DRAINAGE SDC:, SO,OO
No New Fixtures
x
2_ SANITARY SIo~WF.R-C.ITV (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFU's
8. IMPROVEMENT COST:
NUMBER OF DFU's
o
x S 27.67 PER DFU
o
x 5 21.04 PER DFU
5 48.70
TOTAL LOCAL WASTEWATER SDC:' S
],TRANSPOIUATION
BLOG AREA TGSF x TRIP RATE x COST PERADTx NEW TRIP FACTOR
NEW:
A. REIMBURSEMENT COST:
0.00 x 0
8. IMPROVEMENT COST:
0.00 x
EXISTING:
A REIMBURSEMENT COST:
0,00 x 0
8. IMPROVEMENT COST:
0.00 x
No New Building Square Footage
x
S 21.06 PER TRIP
x
o
NTF
SO.OO I
50,00 I
o
S 92.89 PER TRIP
x
o
NTF
x
o
SO,OO I
x
S 21.06 PER TRIP
x
o
x
4. SANITARY SF.W"~R _ MWMf:
NEW:
A REIMBURSEMENT COST:
NUMBER OF FEU's
8. IMPROVEMENT COST:
NUMBER OF FEU's
0.00
x #N/A: PER FEU SO.OO ~
x #N/A PER FEU 50.00 ~
x #N/A PER FEU 50,00 I
x #N/A PER FEU 50,00 I
0,00
EXlSTING:
A REIMBURSEMENT COST:
NUMBER OF FEU's 0.00
8. IMPROVEMENT COST:
NUMBER OF FEU's 0,00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I S
SUBTOTAL (ADD ITEMS 1,2,3. &4)
I
SO.OO L
.1;. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
5
x 5% ~ I SO,OO I
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRA TlON FEE:) S
TOTAL SDC CHARGES ,
Richard Perry
Civil Engineer in Training
1012112008
DATE
SO,OO
50.00
SO,OO
SO.OO
50.00
SO.OO
SO.OO
SO.OO
~'~l:"
SO.OO
,iI7S"
" .~, - -,
i4'f~20;
SO.OO
DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULA TE ONLY THE NET ADDITIONAL FIXTURES)_
#REF!
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASElOIUSOLlDSIETC.
INTERCEPTORS FOR SAND/AUTO W ASHlETC
LAUNDRY TUB
CLOTHES W ASHERlMOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRJGERA TORIW A TER ST A TlONIETC
RECEPTOR FOR COMMERCIAL SINK! DlSHW ASHERlETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN!DOUBLE LAVATORY
SINK: SINGLE LA V A TORY/RESIDENTIAL BAR
URINAL, ST ALUW ALL
TOILET, PUBLIC INST ALLA TION
TOILET, PRJVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
, UNIT
EQUIVALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
I
I
I
TOTAL DRAINAGE FIXTURE UNITS ~ ,
,
" .
i
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 OFU) set at 167 gallons per day
-.-
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE I
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARA TEL Y
NUMBER OF EDU'S'
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990,
1991
RATE PER SI,OOO
ASSESSED VALUE
cS5.29"'
~'!!~'$5':"'i 9:':::
~l'j:$51}~:t
;,:E{~j
!'T~$4.40'U
r!!!;i::~~-~ :_~7,,;~
'-'S3.67
i(':;""", """,_"j,
I, 0$3.22 .
1;~T~:$26.3'::
l~'~~~2~,~:5'"
"" SI.80:'
RATE PER SI,OOO
ASSESSED VALUE
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 AITER ANNEXATION DATE)
x
x
CREDIT TOT A~
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
SO.OO
SO,OO
SO.OO
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-0 1550
COM200S-0 1550
COM200S_0 1550
COM200S-0 1550
COM200S-0 1550
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
2200800000000001729
Description
Plan Review Fire & Life Safety
Building Penn it
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
1
,
Paid By
JESSE ELLIOTT
Received By
cjc
t:heck Number
Batch Number
Page I of I
City of Springfield Official Receipt
Development Services Department
Publ:ic Works Department
Date: 12IHl12008
Item Total:
Authorization
Number
"
How R~ceived
010220 In Person
Payment Total:
1O:03:47AM
Amount Due
144,S7
355,53
35,55
42,66
17,7S
$596,39
Amount Paid
$596.39
$596.39
12/1 0/200S