HomeMy WebLinkAboutPermit Building 2004-5-7
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
~
SITE ADDRESS: 6900 Main St
ASSESSOR'S PARCEL NO.: 1702353205317
Springfield
. Lil f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00241
ISSUED: 05/07/2004
APPLIED: 03/02/2004
EXPIRES: 11/07/2004
VALUE: $ 30,389.00
TYPE OF WORK: Site Work Only
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Site Preparation for Espresso Stand for River City Coffee. 4/26/2004 Added state
inspected building.
SDCs not included for kiosk.
Owner: GIBSON & GIBSON
Address: 668 GREENWOOD ST JUNCTION CITY OR 97448
Phone Number: 541-998-2388
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
EUGENE SAND & GRAVEL
C & SELECTRIC
TWIN RIVERS PLUMBING INC
License
44524
3849
17695
Expiration Date
02/23/2005
09/01/2004
03/11/2005
Phone
541-683-6400
541-741-2236
541-688-1444
I BUILDING INFORMATION I
~
# of Units: ~~"lJ(~ Stories: 1 Lot Size:
Primary Occupancy Group: ,~ "..'might of Structure 1 0.50 Sq[Ft ,1st Floor: 128
,\'\" ,\.J r:.""" .,~
Secondary Occupancy Group: ~ ~ ;+):pe of Heat: Electric ~ -\.S~Ff2~a Floor:
Primary Construction Type ~<<., r:J:-~ ~ ~Water Type: Electri~~~ J>q ~t'B~sPnent:
Secondary Construction Type: #- fo ~ ';::,~~ Range Type: ,0~ (),0Q)Sql1t.Garag1/Carport
# of Bedrooms: ~" '\~ ",'\5 Energy Path: ,'Jilltmr~... ~~~Jntti~rf.>
,,-,,,'" ~ ~~ ~' ~' ~,,~~<l'(~ 0' ~
":>" "'<<; ~ ",0 '0'\ 0 ,oS ~ R\'~I~US ,Sjrface Area:
,.. .... .~ .C..0'" ~ _'" .Cll " ~,0 d,Oi
(\..'\~~<<.,((;.~~"x..~ ~ ~~~~~v I DEVELOPMENTlNFORMA<rib~ i~V~~0~ ~0 .~~~.
SETB~~I\S ,')..~<$:- -'<::';~::I. ~. ~~"~0<O' 0~l!~, ~~(J_'0'\.0:'~~\CjaQUIRED PARKING
,\'\' ~'\'.0~ ~~ .''':v ,oS C; ~ ~w ~ ~v W
Frontyard Setback:~ ~~. 'O~ Overlay Dist,~()~ ,':;,o~ 5:>\;) ~ o~. ~Cl ~ Total:
Side 1 Setback: <::.;<::) ~ " # Street TrC!"'~qd: 0;<';''1; ~'I> v0~ Q''l'J !Q\;)<::J Handicapped:
Side 2 Setback: ~ Paved Drive~q'd:t 4.0'> ~0 ~0.{>'" Compact:
',<;0 v o.\;)' . ~Q, \0' -...0'
Rearyard Setback: % of Lot Covera$e: .jf ~0' (l'~
Solar Setbacks: (j ,:,<$'
<:'
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Notes:
Pal!e 1 of3
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
To Storm Sewer
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Pavin2
Tvpe of Construction
Estimate
Use Bid Amount
Fee Description
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Paving
Planning Final Occy Inspection
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addlll 00'
Storm Drainage Impervious Area
Water Line - 1st 50 Feet
Water Line - Each Addlll00'
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Total Amount Paid
Initial Review
03/03/2004
Initial Review
Plannin2 Review
04/26/2004
04/26/2004
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
15,000.00
15,389.00
Total Value of Project
Fpp, PiWIJ
Amount Paid
$100.23
$27.22
$8.26
$31.00
$154.20
$143.00
$45.00
$14.00
$620.31
$45.00
$14.00
$95.16
$14.64
$10.25
$146.40
$120.47
$158.48
$10.00
$117.98
$309.43
$17.91
$167.79
$2,413.45
$547.08
$37.12
$5,368.38
Date Paid
3/2104
4/12/04
4/12/04
4/12/04
4/12/04
4/12/04
4/12/04
4/12104
4/12/04
4/12/04
4/12/04
4/26/04
5/7/04
5/7/04
5/7/04
5/7/04
5/7/04
5/7/04
5/7/04
5/7/04
5/7/04
5/7/04
5/7/04
5/7/04
5/7/04
I Plan Reviews I
03/05/2004
04/26/2004
04/27/2004
APP LLH
OK RJB
APP EMM
Pa2e 2 of3
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00241
ISSUED: 05/07/2004
APPLIED: 03/02/2004
EXPIRES: 11/07/2004
VALUE: $ 30,389.00
Value
$15,000.00
$15,389.00
$30,389.00
Date Calculated
04/26/2004
03/02/2004
Receipt Number
1200400000000000264
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000348
2200400000000000402
2200400000000000491
2200400000000000491
2200400000000000491
2200400000000000491
2200400000000000491
2200400000000000491
2200400000000000491
2200400000000000491
2200400000000000491
2200400000000000491
2200400000000000491
2200400000000000491
2200400000000000491
Held to discuss addressing with Fire
Department
CITY OF ~rKlr\iLd!lJ!,LU
Building/Combination Permit
"
.
Status
Issued
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2004-00241
ISSUED: 05/0712004
APPLIED: 03/02/2004
EXPIRES: 1110712004
VALUE: $ 30,389.00
Plannine Review
WE
EMM
03/09/2004
Plan nine. Review
04/09/2004
04/09/2004
APP
TAJ
Public Works Review
03/09/2004
03/26/2004
APP
SB
Public Works Review
04/26/2004
04/28/2004
APP
SB
Structural Review
Structural Review
04/26/2004
03/05/2004
04/27/2004
03/19/2004
APP
APP
JMP
JMP
Waiting for Final Plot Plan and
Development Agreement.
Final site plan received and
approved, signed develoment
agreement received on 4/9/2004.
SITE WORK ONLY. SDCs FOR
KIOSK NOT ADDED.
SEE SDC CALCULATION SHEET
ATTACHED.
SDC's for building added. Talked to
requester and they are proposing to
attach a three compartment sink, a
mop sink and one ice maker to the
sanitary system. (Not on plans)SWB
Received 3/9/2004.
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 ReoIJired I nsnections I
1 Rough Grading: After gravel is in place but prior to placing concrete.
2 Final Paving: After paving is complete.
3 Water Line: Prior to filling trench and including required testing.
4 Sanitary Sewer Line: Prior to filling trench and including required testing.
5 Foundation: After forms are erected but prior to concrete placement.
6 Rough Plumbing: Prior to cover and including required testing.
7 Final Plumbing: When all plumbing work is complete.
8 Final Building: After all required inspections have been requested and approved and the building is complete.
9 Backnow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
By signature, 1 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.
~
Owner or Contractors Signature
Date
Paee 3 of3
'5/1/04
.. AITACHMENTA A
CITY_~GFIELD SYSTEMS DEVELOPMENT CHARGE ~SHEET
JOURNAL OR JOB NUMBER COM2004-00241
NAME OR COMPANY: RIVER CITY COFFEE
LOCATION: 6900 Main Sl.
MAP & TAX LOT NUMBER: 17023532 05317
DEVELOPMENT TYPE: Coffee Kiosk
NEW DEVELOPED AREA (S.F.):
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
128.00
lTE:
ITE:
LOT SIZE (S.F.):
1 STOR M I)RAINAGE
IMPERVIOUS SQ. FT.
S 0.290 PER SF
TOTAL STORM DRAINAGE SDq $
37.12 1070
128
x
7. SANITARY SEWF.R-f:lTY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
8. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
7
x
S 22.64 PER DFU
x
S 17.21 PER DFU
7
TOTAL LOCAL WASTEWATER SDC:' $
~ANSPORT~
834
.
~ t
t~t'
Ecc
OO~
.
.
" ~
,,~
~8
o
, $ 15B.48 t09t
, $ 120.47 1092
278.95 ~
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST:
0.128 x 496.12 x S 17.23 PER TRIP x 0.5 NTF 1$ 547.08 1
B. IMPROVEMENT COST:
0.128 x 496.12 x S 76.01 PER TRIP x 0.5 NTF 1$ 2.413.45 1
EXISTING
A. REIMBURSEMENT COST:
0.00 x 0 x S 17.23 PER TRIP x 0 NTF 1$
B. IMPROVEMENT COST:
0.00 x 0 x S 76.01 PER TRIP x 0 NTF 1$
TOTAL TRANSPORTATION REIMBURSEMENT SDC:' $
TOTAL TRANSPORTATION IMPROVEMENT SDC:' $
TOTAL TRANSPORTATION SDC:' $ 2.960.53 ~
547.08
2,413.45
1093
1094
4 SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.128 x S2,417.40 PER FEU 1$
8. IMPROVEMENT COST:
NUMBER OF FEU's 0.128 x S921.71 PER FEU 1$
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x SO.OO PER FEU 1$
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x SO.OO PER FEU 1$
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
309.43 1
117.981
1
1
$
TOTAL MWMC REIMBURSEMENT FEE: $
TOTAL MWMC IMPROVEMENT FEE: $
MWMC ADMINISTRATIVE FEE: $
TOTAL MWMC SDC:' $ 437.41 ~
SUBTOTAL (ADD ITEMS 1,2,3,&4)
2......AI!MfNISTRA TIVP. FEES-
BASE CHARGE (SUBTOTAL ABOVE)
S
1054
309.43 1054
117.98 IOS5
10.00 t056
, $
3.714.01l
3,714.01 x 5% S 185.70
TOTAL TRANSPORTATION ADMINISTRATION FEE:I $
TOTAL SEWER ADMINISTRATION FEE:' $
steVtll\. w. 'B-taL-tdt"'tj "t;Cln."",es
coWlfkYoWIW,iJ;i,~If{g~rln-691h & Maln,xI.
4/28/2004
DATE
TOTAL SDC CHARGES
167.79 1078
17.91 1079
, $
3,899.71
JULY 2001
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTlJRE'S x UNIT EQUIVALENT - DRAINAGE FIXl1JRE UNITS
(NOTE FOR REMODELS. CALCULATE ONLY mE NET ADDmONAL FIXTIJRES)
#RO'!
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLIDSIETC.
INfERCEPTORS 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 REFRIGERA TOR/W A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DlSHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL. RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIOOUBLE LA V A TORY
SINK: SINGLELAVATORvlRESIDENTIALBAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S.
FIXTURES UNIT
NEW OLD EQUTVALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
TOTAL DRAINAGE FIXTURE UNITS~
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwellinJt (20 DFU) set at 167 ~lons per day
.
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
3
o
o
I
o
o
o
3
o
o
o
o
o
o
o
o
o
7
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
RATE PER $1,000
ASSESSED VALUE
$ 4.92
$ 4.83
$ 4.77
$ 4.64
$ 4.47
$ 4.30
$ 4.09
$ 3.78
$ 3.41
$ 2.98
$ 2.52
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFfER ANNEXATION DATE)
coffee kiosk-john mdaughlin-69th & Main.xis
YEAR
ANNEXED
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
RATE PER $1,000
ASSESSED VALUE
$ 2.06
$ 1.64
$ 1.45
$ 1.31
$ 1.13
$ 0.97
$ 0.82
$ 0.63
$ 0.41
$ 0.22
$ 0.04
x
X
CREDIT TOTAL
$0.00
$0.00
$0.00
JULY 2001
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
.P~R,INQ,"no, .
~. ----,
~.
IfIIIi.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
.
Job/Journal Number
COM2004-0024I
COM2004-0024I
COM2004-0024I
COM2004-0024I
COM2004-0024!
COM2004-0024I
COM2004.0024I
COM2004-0024I
COM2004-0024I
COM2004-0024I
COM2004-0024I
COM2004-0024I
COM2004-0024I
Payments:
Type of Payment
Check
5/7/2004
RECEIPT #:
2200400000000000491
Date: 05/0712004
Description
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Improvement
SDC MWMC Administration
SDC SanitarylStorm Admin
SDC Transpo Admin
SDC MWMC Reimbursement
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
!UP INVESTMENTS
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
jmp 1023 In Person
Payment Total:
Page I of I
10:06:14AM
Amount Due
37.12
158,48
120,47
547.08
2,413,45
117.98
10.00
17.91
167.79
309,43
146,40
10.25
14.64
$4,071.00
Amount Paid
$4,071.00
$4,071.00