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Home My WebLink AboutPermit Miscellaneous 2009-2-10 L11 l' OF SrK11~L.111J!,LD Building/Combination Permit Status Issued PERMIT NO: COM2009-00I43 ISSUED: 02/10/2009 . APPLIED: 01/30/2009 EXPIRES: 08/10/2009 VALUE: $ 8,000.00 225 Fifth Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Contractor Type General Mechanical Springfield T~ ~F WORK: Tenant Infill ",-:,,0 \);;s.'<' ~>IS' ,:,\~e, :!Wp,E'nR"VSE: New e,<:X. e,~ ","'" ,).j~ ;\ ~ ~ O~ ~e, Q,<,'l; ",-<;> \'1> :<:-'0 '0'" :?- ~'O '0 ,,'0 _,\ ~ ~\~ ^~ 0.' ._C'l"\' 3\. '!-.'Q'-'..J 0.'" ~'<J ~\: ~,~ ~e"'r :0........- SCHULZ DANA R & BARBARA A 10'.0 0'<''0 '\";.0 ~o\:i. '0'" 0'0''0 Jl' 95950 N BANK RD ~\O '().~ ~'O~' r::; >is'vo'<' ,>is' v.O ",. GOLD BEACH OR 97444 ,,,,<,<__: (~~~ (j~~"r::;~~"iP ~0;'0\.~~\."''><'>< '~~,\v<~.('~"-~...~Z:--^0-'\ - ^\.e"'-~oF~v""'$:\:o- IceONTRA<1TOR'INFQR-MA TlON I . \<0 "Rll) , ",:\,~ -\0\ '~~~ ,- Contractor 1)\5 vi>' 'f)'O~'(j'O'" License ,,-0 D BAR & COMPANY CONSTRUCTION, INC. HOME COMFORT HEATING & AIR 84164 BUILDING INFORMATION) Commercial SITE ADDRESS: 790 30TH ST ASSESSOR'S PARCEL NO.: 1702312200500 PROJECT DESCRIPTION: OllicelBreakroom space A-5 Owner: Address: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secoudary Construction Type: # of Bedrooms: B Expiration Date Phone~.. 541:~,\!\79 (d 06/25/201 I ~~l~38 &,~. '# ~<::>~ ~~<x~~<::><(. Lot SiZ~~<O s:><::>~ Sq F~~~<l~~ ~~,~~~~~~~~. ~ 'k,> <x ~~' . l(.()a~'Larport '\~ ~~ Wer: n/a~Y:J.....~ ffiiP'i'nt Load: ...'" \" I D~VELOPME~T INFORMATION ,I ~ # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: IIB REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBL,~C IMPROVEMENTS I Street Improvements: Storm Sewer A vaHable: Special Instructiou: Sidewalk Type: DownspoutslDrains: Notes: Pa2e 1 of3 _.\i!~~~!ilIP.;, , 'T :.',';"'.; _;'_W ,. ,- . '" ~".,,~, , CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00143 ISSUED: 02/10/2009 APPLIED: 01/30/2009 EXPIRES: 08/10/2009 VALUE: $ 8,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection'Line I V,ahJat!on Descrip,tion , Bid Amount Use Bid Amouut $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 8,000.00 Value Date Calculated Descriotion Tvpe of Construction Total Value of Project $8,000.00 $8,000.00 01/30/2009 I, rpfr.~J'1.i\1.1 Fee Descriotion + 12 % State Surcharge + 5% Technology Fee 1 st Appliance Building Permit Fixture Miuimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Amount Paid Date Paid Receipt Number $30.42 2/10/09 2200900000000000161 $12.68 2/10/09 2200900000000000161 $79.00 2/10/09 2200900000000000161 $]]6.50 2/10/09 2200900000000000161 $38.00 2/10/09 2200900000000000161 $20.00 2/10/09 2200900000000000161 $84.15 2/10/09 2200900000000000161 $]]0.66 2/10/09 2200900000000000161 $9.74 2/i 0/09 2200900000000000161 Total Amount Paid $SOI.I5 I' Plan Reviews I Public Works Review Structural Review 01/30/io09 01/30/2009 01/30/2009 01/3012009 APP RP APP CJC as submitted 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. ~r<'nprt~ Rough Plumbing: Prior to cover and including required testing. Rough Mechauical: Prior to Cover Rough Electric: Prior to Cover Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Plumbing: When all plumbing work is complete. Final Mechanical: When all mechanical work is complete. Final Electric: When all electrical work is complete. Final Buildiug: After all required inspections have been requested and approved and the building is complete. Page 2 of 3 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectiou Line CITY OF SPRINGFIELD I . Building/Combination Permit PERMIT NO: COM2009-00143 ISSUED: 02/10/2009 APPLIED: 0113012009 EXPIRES: 08/10/2009 VALUE: $ 8,000.00 By signatnre, I state and agree, that I have carefidly examined the completed application and do hereby certify that all iuformation hereon iS,trne aud correct, and I further certify that any and all work performed shall he done in accordance with the Ordinauces of the City of Springfield and the Laws of the State of Oregon pertaiuing to the work described herein, and that NO OCCUPANCY will be made of any structure without permission ofthe Community Services Division, Building Safety. I further certify that only contractors and employees who are iu 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 ti,mes during construction. /' o~dzftf:.~/ Pa.ee 3 of3 Jv:r {1../ oq , Date CITY OF SPRINGFIELD SYS~MS DEVELOPMENT CHARGE WORKSHEET JOURNALORJOB NUMBER COM2009-00143 NAME OR COMPANY: D-Bar Slo"",e LOCATION: 790 30th SI MAP & TAX LOT NUMBER: DEVELOPMENT lYPE: Interior Remodel NEW DEVELOPED AREA (S.F.): EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): 3. TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW: A. REIMBURSEMENT COST: 0.00 x 0 x S 21.06 PER TRIP x 0 NTF SO.OO I B. IMPROVEMENT COST: 0.00 x 0 x S 92.89 PER TRIP x 0 NTF SO.OO I EXISTING: A. REIMBURSEMENT COST: 0.00 x 0 x S 21.06 PER TRlP x 0 NTF SO.OO , B. IMPROVEMENT COST: 0.00 x 0 x S 92.89 PER TRIP x 0 NTF SO.OO , S 113.95 TOTAL TRANSPORTATION REIMBURSEMENT SDC:I SO.OO TOTAL TRANSPORTATION IMPROVEMENT SDc:1 SO.OO TOTAL TRANSPORTATION SDC:/ S I SO.OO MWMC: MWMC: ITE: ITE: LOT SIZE (S.F.): L STORM ORAINAGF. IMPERVIOUS SQ. Fr. x S 0.357 PER SF TOTAL STORM DRAINAGE SDCJ 2. SANITARY SF:W~:R-rITV (see reverse side) A. REIMBURSEMENT COST: NUMBER OF DFU's 4 B. IMPROVEMENT COST: NUMBER OF DFU's 4 x S 27.67 PER DFU x S 21.04 PER DFU S 48.70 TOTAL LOCAL WASTEWATERSDC:, S 194.811 4. SANITARY SF.WF.R - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEUs 0.00 x #N/A PER FEU SO.OO I B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 x #N/A PER FEU SO.OO' EXISTING: A REIMBURSEMENT COST: NUMBER OF FEU's 0.00 x #N/A PER FEU SO.OO' B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 x #N/A PER FEU SO.OO I 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 ].2.3. & 4) I SI94.8] I 5_ ADMINISTRATlVF: F'F.F.S~ BASE CHARGE (SUBTOTAL ABOVE) S 194.81 x 5% I $9.74 .TOTAL SEWER ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: S Richard Perry Civil Engineer in Training 1/3012009 DATE TOTAL SDC CHARGES -l~ ;f]' S'.""';u ../ILl.'0; O:;::J11u.; ;!iO:::tU SO.OO SO.OO SIIO.66 S84.15 S194.81 'ij-,,- , t~~*,; ,,', .h_ ~.~'" SO.00'(054. so.oo 1':11,86 SO.OO 1187 /';q,;;;,~'. SO.OO Qj~9 SO.OO . .: :~",. ."?!jz;:-'". S9.74 1175 idL5:e., '1190, S204.55 DRAINAGE FIXTURE UNIT (DFU) CAL.CULATION TABL.E NUMBER OF NEW FIXTURES x UNIT EQUIV AL.ENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXrURES) #REF! FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN. FLOOR SINK INTERCEPTORS FOR GREASElOIUSOLIDS/ETe. INTERCEPTORS FOR SAND/AUTO WASHlETC. LAUNDRY TUB CLOTHES W ASHERlMOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRlGERA TORIW A TER ST A 1l0N/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETe. 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 TORYIRESIDENTIAL. BAR URINAL, ST ALUW ALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INST ALLA TlON 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 ..0 o o o o o I o o 3 o TOTAL DRAINAGE FIXTURE UNITS ~ I 4 *EDU (Equivalent Dwel1jng__~nit) is a disc.harge equivalent to a single familv dwelling (20 DFU) set at 167 gallons per day CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AITER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER $1.000 ASSESSED V AWE fi:'~~:~-~J ~i $512;' I:' $4.98< :.:t_~.80a ~:~~:6~ i'~~1 { $322 ;,' $2 73~ '~;}1: . -f . ;$2.25 ~:$1.80 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 $0.05 $0.00.' $0.00 . $0.00, x x CREDIT TOTAL $0.00 $0.00 $0.00 Structural Perniit Application '1!i~~~fiiitfFliQ~![~~11 225 Fifth St"et. Springfield. OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 Pennitno.: 61 ~/"i3 I Date: This permit is issued under OAR 918-460-0030,'Permits expire if work is not started within 180 days of issuance or if work is suspcnded for.180 days. -, 1~~~J,-Q..GAt~O:VERNMj;N;r::41~RRO\tA~~ I This project has final land-use approval. Cr'. _:~. .,.!rOO!. -nil' ."'lDI31l'!!:" ..,jj\~'-- '.Ii" 'W'-._ ..... --r"'_ ';'!11""'."!Z''''j'2I' .'Jii: "", ....~~"'.'1! ~- " I Signature: Date: !!;"'1l"SI"1.1I,1!J1"fl!I!'Jiit1:!J,~Ji,E,Ej1:~,!;"IcIE':D,1;Jt;.EJ~i!iii'!&~;\1l',~~ '1 ~;~~;e~ct has DEQ approval. Date 1~:~~~~:J:~~~f~J=:~~1 I Zoning approval verified: 0 Yes 0 No I Occupancy p I I Property is within flood plain: 0 Yes 0 No I Construction type::rf'.6 1~~~4f~:~t~~Q~~IQ~&W~Ji~]~mffif~]~~ik1!I~~J I' Square feet I D Residential I D Government I 0 Commercial I Cost per square foot: 1~~~:Q[~~iJ;~~II!fiQR.NI~~IQNlgNQ~9:.G.~TJQN~~~~ I Other information I Job site address: 7'10 ~C...... f>4, I City: 5t>ft~fnJJ- J State: In... I ZIP'fN78 II I Subdivi;ion: ~6 &jt. 6:vrJ,.."c.t. PtL'I1J Lot no.: 51>0 I I Energy Path: I L" . 2/- c, " I 0 new 0 alteration 0 addition' Reference: Taxlot: /1///)7 r2)() CvOv . . . I'''__'''''~_!_;;,-~.'''' j~'---"'~'''''' -'~'~'f.lm1'~,,"'~. i" -'''''''''''~''I I (b) FoundatIon-only permit? 0 Yes 0 No ~""m'1'llil-;jrMT,'''' I1ROP.ERTIt,' ;.OWNER,;e. """ ..,. ,2""." .'c/,p . , ." ,-... ..."...,... .~:-_.--~' -"'.'''. . ....,..,.'."n I Total valuation: lmD YO(k::l8"'" [$ ~6X>o"l I Name. ~ ... I~b.,..;a S:..u-......-v-- I 1:e2'i'B-"':I'd''''"''!',o",.,.!l:t'''"!'li;'!'''M!?:'";''!''i'w'0..M!\~,."'~~"mit\lJ,;t,,!,~')\ifl)1 I Address: tpifS;" A- ~I. Ii'..,. UL!lJgJ~~~~~,iJj'i1~~,*.l"'m!;!:,,~m;''2'11m.1,.~!~~'';l~i;f.~It; 'I C' ./ . I '/I. 1 S n-A I 'C1r1Jf 71'71' I (a) Permit fee (use valuation table): $ I Ity: -:>f-fWuC. ~ tate: cr K- ZIP: l'T C> I .. I I Phone: 'hlv-g"-15ifv Fax:<;"4//'LI1 O~U," I, (b) InvestIgatlvefee(equal to [2a]): $ I . I (c) RemspectIon ($ per hour): ; "i' E-mail: I (number of hours x fee pe~ hour) $ ~ This installation is be in? made, on resi~ential 0: farm property ~wne~ by I (d) Enter 12% surchar e C. 12 x [2a+2b+2c)): I me or a member of my Immediate family, and 15 exempt from licenSing g $ requirements ~nder ORS n.010. / . IJ~,~~~=~~':.:~=_~~,~a t;;;;hr,:~~< '~>>'il'-". '"~~~~, :_' _~_ ) Sign here: ~(~ / [t;3.i)'P,laq!!:e..Y!~~J~.\'~~~,~_",4~~,;i~~~1 I"""_~"'~" ~".c" ~."c,~,~. -~,-.,~... . "CIi""-. "_.,,,~. "'.iWll~"""~' "1 I Ca) Plan revIew (65% x permIt fee [2a]): $ I ~" .. ,I . "".CONifRAC;rOR~INS Iil:tATION'j;.. "~!COll"',,",,;;., I-=:siness nam:~ i5 {~ita..';.C;,-.~;;;.;t;;. :;;;.:-' '[ I (b) Fire and life safety (40% x permit fee [2a]): $ I I Address: 1'{o ~11..,:'; I 11;~c)'~~~~~~'~~;;~:~/~~:;~"~:~~~~~''''!.''_\1\\-,$~J~'!ii~,,_,,1 : ~~:~);q~~J?131 '1 ~:e:; 7f)~;;J~7gll'1~;~:;~~;~ai:~:o;~:;e;;!~~~:;~~::;~~;~~~,*,~~~~"~#II ! E-mail: I I TOTAL fees and surcharges (2e+3c+4a): $ I CCBlicenseno.;" (~'7S-tf7 I Print name: JYt,N ~ 5t..i1-u / Z-- I Signature:~~./ --- ~ 1~~~~~!,J!'l'c:,QN[I':B~~Qr{i[NKOr{M~:tlqN~~~ii~]\\~1 I Name C~B License NUl!1ber. . Phone Number ! I Electrical f/-nI/t. 4?tt~/f; 'f3'i'- ~~3g I I Plumhing I I Mechanical I Type of Heat: 225 Fifth Street , . . . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00143 COM2009-00143 COM2009-00143 COM2009-00 143 COM2009-00143 COM2009-00143 COM2009-00 143 COM2009-00143 COM2009-00 143 Payments: Type of Payment Check cRcceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000161 Date: 02110/2009 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Fixture Minimum/Adjustment Plumbing Building Permit 1st Appliance + 5% Technology Fee + 12% State Surcharge Paid By D-BAR & CO. CONSTRUCTION INC Item Total: Check Number Authorization Received By Batch Number Number How Received kr 2171 In Person Payment Total: Page I of I IO:55:5ZAM Amount Due 110.66 84.15 9.74 38.00 20.00 116.50 79.00 12.68 30.42 $501.15 Amount Paid $501.15 $501.15 211 0/2009