HomeMy WebLinkAboutPermit Miscellaneous 2009-1-23
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01816
ISSUED: 01/23/2009
APPLIED: 12/31/2008
EXPIRES: 07/23/2009
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2816 MAIN ST
ASSESSOR'S PARCEL NO.: 1702310002800
Springfield TYPE OF WORK: Restaurant
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Add Outdoor Smoking Deck
Owner:
Address:
SHAMA JOHN L TE
PO BOX 180
WALTERVILLE OR 97489
I CONTRACTOR INFORMATION I
I
Contractor Type
. General
Contractor
RCS INC
License
181608
BUILDING INFORMATION I
Expiration Date
04/16/2010
Phone
541-896-3262
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A2
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I sf Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
'Occupant Load:
196
VB
nla
1 DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Storm Sewer Available:
Speciallnstruction:rlCE
IIJU II' :
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZFD IINnFR THIS PFRMIT 1<; ~Im
COMMENCED OR IS ABANIJUNtU tUK I
ANY 180 DAY PERIOD. I. ValuatIOn Description
,
Notes:
I PUBLIC IMPROVEMF!Nii;S;I-';u'lleUs'~:duretgon law requires you to
, - a op ed by It 0
, '"orlTlCatlon Siilewalk1'Fype: Ie regon.Utility
. In OAR 952-001-0010 t ,.:-~,~~:e~ are selforth
0090. You nDownspounlDrains:AR 952-001_
'"'t UU.arn cop I h
calling the center (N t JeS 0 t e rules by
number lor the or~gonO ~iil:~e telephone
Center is 1 800 Y Notlllcatlon
- -332-2344),
Street Improvements:
Description
Type of Construction
$ Per Sq Ft
or, multiplier
Square Footage
or Bid Amonnt
Value
Date Calculated
Pa2e 1 of 3
_~~~@~I,~~Q"ti:J"',~,~1!~M,..., '
: " "'CO"" ",,"',., ,. .~::';!'."""'; "
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541_726-3769 Inspection Line
Bid Amount
Use Bid Amount
F.ee Description
***+ 100/0 Administrative Fee***
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Non-Residential
Fire SF Fee - Non-Residential
Plan Review CommlIndlPnblic
Plan Review Fire & Life Safety
Plan Review Minor - Planning
Total Amount Paid
Initial Review
Puhlic Works Review
12/30/2008
12/31/2008
Structural Review
12/31/2008
Plannine: Review
12/31/2008
Amount Paid
$12.66
$10A9
$10.32
$87.44
$19.60
$19.60
$56.84
$34.98
$119.00
$370.93
$1.00
Total Value of Project
Frr F,1\lU
Date Paid
1/23/09
1/23/09
1/23/09
1/23/09
1/23/09
1/23/09
1/23/09
il23/09
'I/P/09
Plan Reviews ,
12/31/2008
12/31/2008
APP
APP
01/05/2009
APP
01/06/2009 .
. APP
Paee 2 of3
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2008-01816
ISSUED: 01/23/2009
APPLIED: 12/31/2008
EXPIRES: 07/23/2009
VALUE: $ 6,000.00
6,000.00
$6,000.00
$6,000.00
12/31/2008
Receipt Number
2200900000000000093
2200900000000000093
2200900000000000093
2200900000000000093
2200900000000000093
2200900000000000093
2200900000000000093
2200900000000000093
2200900000000000093
LLH
EW
No new SDC's
DLM
Requested info from contractor for
anchorage of structure to teh
ground, including footing designs
1/5/08dlm
Information provided 01/22/09 cjc
EMM
Zoning is HI. Deck addition.
approved per Tara Jones in this
zone. No parking permitted on
unimproved portion of lot. Strip an
additional two parking spaces with
wheel stops on paved portion of site
, as shown on plan to replace spaces
in area of deck. Call Liz Miller at
726-2301 for Final Site Inspection.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01816
ISSUED: 01/23/2009
APPLIED: 12/31/2008'
EXPIRES: . 07/23/2009
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
12/31/2008
01/21/2009
OK
GRG
Plans Review: addition of 196 sq. ft.
smoking deck to existing tavern. Job
#COM2008-01816. Occupancy
Classification: A-2.
Provide fire extinguishers with a
minimum rating of2-A:I0-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
1100r (2007 Springfield Fire Code
906).
To Request an inspection call the 24 hour recording at 726-3769. All 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 following
work day.
Reouired Insnectiolls I
,
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Roof Sheathing
,
Final Building: After all required inspections have been requested and approved and the building is complete.
By signature, 1 state and agree, tbat I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinances ofthe 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 aily structure without permission of the Community Services Division, Building Safety.
I further certify that ollly contractors and employees who are in compliance with ORS 701.005 will be used 011 this project.
I further agree to ensure that all required inspecdons are requested at the proper time, that each address is readable from the
street, that t~. n.:. _~. . located at the front of the property, and the approved set of plans will remaill on the site at all
timermg constructio . /-c:s ~ 9
OWller or Contractors Signature
Date
Page 3 00
CITY OF SPRINGFIELD SYSTEMS DEYELOPMENT CHARGE WORKSHEET
*No New SDC's*
JOURNAL OR .IOB NUMBER COM2008-01816
NAME OR COMPANY: John Shama (OK Lounge)
LOCATION: 2816 Main SI.
MAP & TAX LOT NUMBER: 17-02-31-00-02800
DEVELOPMENT TYPE: Smoking Deck
NEW DEVELOPED AREA (S.F.):
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
1. STORM nRAINAG.~
IMPERVIOUS SQ. FT. x
MWMC:
MWMC:
ITE:
ITE:
LOT SIZE (S.F.):
No New Impervious Area
$ 0.357 PER SF
_TOTAL STORM DRAINAGE SDCj
No New Fixtures
2. SANITARY SF.WRR-C.ITY (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
o
x $ 27.67 PER DFU
o
x $ 21.04 PER DFU
$ 48.70
TOTAL lOCAL WASTEWATER SDC:, S
3. TRA NSPORT A nON
BLOG AREA TGSF x TRJP RATE x COST PERADT x NEW TRIP FACTOR
NEW:
A. REIMBURSEMENT COST:
0.00 x 0
B. IMPROVEMENT COST:
0.00 x .
EXISTING:
A. REIMBURSEMENT COST:
0.00 x 0
B. IMPROVEMENT COST:
0.00 x
o
NTF
$0.00 ,
$000 J
x
$ 21.06 PER TRIP
x
o
S 92.89 PER TRIP
x
o
NTF
x
x
NTF ,
$ 92.89 PER TRIP x .0 NTF , $0.00 !
s 113.95 TOTAL TRANSPORTATION REIMBURSEMENT SDC:I
TOTAL TRANSPORTATION IMPROVEMENT SOC:
TOTAL TRANSPORTATION SDC:, $ L
$ 21.06 PER TRIP
o
$0.00 !
x
o
x
::,.~,:tf ~'!-
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 ~;h~]
$0.00 1'!~~~;
$0.00 k- ..
4. SANITARY SRWRR - MWMC.
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x $0.00 PER FEU $0.00 I
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x $0.00 PER FEU $0.00 I
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x $0.00 PER FEU $0.001
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x $0.00 PER FEU SO.OO l
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
r TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I $
SUBTOTAL (ADD ITEMS 1,2,3,&4) I
I
$0.00 I
~~;;~
;,;~.
$0.00 "1054
;~\.lJ'"
$0.00 ;;1186'
w..,_..~,..
$0.00 '1.182-
$0.00 1189'
$0.00 k''...,~
I..
$
~. AIlMJNISTRATrvE FF:F:S=
BASE CHARGE (SUBTOTAL ABOVE)
x 5% , $0.00
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
TOTAL SDC CHARGES
Eric Walter
Civil Engineer
12131/2008
DATE
#OIV/O!
#DlV/O!
'<1175'1
,- ,,",",,'^'\'
11190'
$0.00
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
Smoking Deck
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN. FLOOR SINK
,INTERCEPTORS FOR GREASElOIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC,
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 AnON/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHWASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL. RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIOOUBLE LA V A TORY
SINK: SINGLE LAVATORY/RESIDENTIAL BAR
URINAL. ST ALUW ALL
TOILET. PUBLIC INSTALLATION
TOILET, PRJVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S'
FIXTURES UNIT
NEW OLD EQUIVALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
TOTAL DRAINAGE FIXTIJRE UNITS ~, 0
*EDU (Equivalent DwellinJ:!; Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE. CALCULATE CREDITS SEPARA TEL Y
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER SI.OOO
ASSESSED VALUE
m~I~<I~'?~?'!i;i
F~;:;~
','$4,98 '
[~~.,~:~f~,~:~
:', $4.40
W~~;i
jj""-~<,r ,,- ,. j~~
:.',';S~.22'-
r S2.73
,. 'S2.25
i\SI.80,-'
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AfTER ANNEXA TION DATE)
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER SI.OOO
ASSESSED VALUE
, SI.25 .
SI.09o
S022
. SO.72~
SO.48"
SO.28 .
'SO.09,
..J"
SO.05
SO.OO
SO.OO
SO.OO'
x
x
CREDIT TOTAL
SO.OO
SO.OO
SO.OO
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
D.evelopment Services Department
Public Works Department
Job/Journal Number
COM2008-01816
COM2008-01816
COM2008-01816
COM2008-01816
COM2008-0 1816
COM2008-01816
COM2008-01816
COM2008-01816
C0M2008-01816
Payments:
Type of Payment
Check
. cRcceintl
RECEIPT #:
Date: 01123/2009
2200900000000000093
Description
Plan Review Cornmllnd/Public
Plan Review Fire & Life Safety
Fire SF Fee - Non-Residential
Plan Review Minor - Planning
Building Penn it
Fire SF Fee - Non-Residential
+ 5% Technology Fee
+ 12% State Surcharge
***+ 10% Administrative Fee***
Paid By
RSI, INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
1207
In Person
Payment Total:
nJrn
Page 1 of 1
2:08:44PM
Amount Due
56.84
34.98
19.60
119.00
87.44
19.60
10.32
10.49
12.66
$37U.93
Amount Paid
$370.93
$37U.93
1/23/2009