HomeMy WebLinkAboutPermit Building 2005-12-1
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. CITY OF ~rKll'lu1'lJ!.L1J .
Status Issued
: 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*
Building/Combination Permit
PERMIT NO: COM2005-01575
ISSUED: 12/0112005
APPLIED: 11/07/2005
EXPIRES: 06/0112006
VALUE: $ 74,000.00
SITE ADDRESS: 5709 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334103100
Springfield TYPE OF WORK: Office
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant Infill.
Owner: MCKENZIE CROSSING LTD
Address: 2811 EST
EUREKA CA 95501
Phone Number: 707-445-9601
t
, Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
MCKENZIE COMMERCIAL CONTRACTOR4SS39
SCOFIELD ELECTRIC 38702
PACIFIC AIR COMFORT INC 39237
TWIN RIVERS PLUMBING INC 17695
BUILDING INFORMA nON I
Expiration Date
07/2112007
1212112005
03/25/2006
03/1112007
Phone
541-343-7143
541-686-8612
541-672-9510
541-688-1444
# 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
~
nla
I DEV"'LvrlyJENT INFORMATION I
REQUIRED PARKING
I Frontyard Setback:
- Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street.Irees Rqd: Handicapped:
~l 'I-f\,-nn~,
Paved D. rive Rqil:: Oregon law requ' Compact:
""'('\v,' n ,/ Ires you t
%,ofLot Coverage:opted by the 0 0
" . '.It,cation Center, Th regon Utility
, '\n -1!;;t') Ar.", __ ase rules are .~Q.t f........L,.
I PUBLIC IMPROVEMENTS:"; ""uugn OAR 952-001_
,. , . copIes of the rules b
Street Improvement~:CE r ' ' c cc;n. ter, (NotSidewalk,T):p.e: y
N( 11 . ., '[h6 0 "V'v'cf.",une
Storm Sewer A~ ~~ERMIT SHALL EXPIRE IF THE WORK" ~. fer ['s ;~go~n ID~~it~poiijslI!l'j\ips:
Special InstructAutHORIZED UNDER THIS PERMIT IS NOT t -332-2344),
Notes: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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Pal!e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
Plan Review Comm/IndlPubllc
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 70;. State Surcharge
Building Permit
Fixture
Minimum/Adjustment Plumbing
Miscellaneous Mechanical
Planning Final Occy Inspection
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbunement
SDC SanltarylStorm Admin
Total Amount Paid
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
74,000.00
Total Value of Project
Fpp< P\WIJ
Amount Paid
Date Paid
$301.76
$10.00
$55.43
$38.80
$464.25
$14.00
$31.00
$45.00
$143.00
$57.20
$75.22
$6.62
1117105
121l/0S
12/1105
121l/0S
121l/0S
121l/0S
121l/0S
121l/0S
121l/0S
121l/0S
121l/0S
121l/0S
$1,242.28
I Plan Reviews I
Pal!e 2 of 4
. CITY VI' ~rKll'\juI'IELD
Building/Combination Permit
PERMIT NO: COM2005-01575
ISSUED: 12/0112005
APPLIED: 11/07/2005
EXPIRES: 06/01/2006
VALUE: $ 74,000.00
Value
$74,000.00
$74,000.00
Date Calculated
1lI07/200S
Receipt Number
2200500000000001546
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
. . CITY OF ~rlUl'iGFIELD.
Building/Combination Permit
Status Issued PERMIT NO: COM2005-01575
225 Fifth Street, Springfield, OR ISSUED: 12/0112005
541-726-3753 Phone APPLIED: 11/07/2005
541-726-3676 Fax EXPIRES: 06/0112006
541-726-3769 Inspection Line VALUE: $ 74,000.00
Fire Department Review 1lI101200S 1lI211200S OK GRG Plan Review - Tenant infilI. Oregon
Community Credit Union.
COM200S-01S7S. Construction type
VB. Occupancy Type B.
Provide or maintain address
numbers in contrasting color from
the background positioned plainly
vislhle and legible from the street or
road fronting the property. The
back door of each tenant space
should have the numerical address
and the store name on or above the
door that faces an aUey or road.
(2004 Oregon Structural Specialty
Code 501.2 and 2004 Springfield
Fire Code 505.1).
Provide fire extinguishers with a
minimum rating of 2-A: 10-B:C
every 75 feet of travel distance. The
top of the extlnguisher(s) shaU be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Provide illuminated exit sign age
meeting requirements of2004 OSSC .
1011.
Provide means of egress illumination
meeting requirements of 2004 OSSC
1006. A special inspector's report
verifying emergency egress
illumination meeting 2004 OSSC
1006d.
Review done by MF, Signed oITby
GRG.
Initial Review 1lI08/200S 1lI101200S APP LLH
Plannlnl! Review 1lI10/200S 1lI17/200S APP EMM See Attached LUCS form.
Screening of dumpsten required
before occupancy.
Public Works Review 1lI10/200S 11118/2005 APP SB SDCs added for one new fixture.
Change-of-use Within Shopping
Center. Interior remodel. SDCs
previously paid.
Structural Review 11110/2005 11/18/2005 WE JMP See attached documents for 6
structural comments faxed to
Jonathan StaITord and Todd Glenz.
Pal!e 3 of 4
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. CITY OF SPKll'llj1'lJ!..LD
Building/Combination Permit
PERMIT NO: COM2005-01575
ISSUED: 12/01/2005
APPLIED: 11/07/2005
EXPIRES: 06/01/2006
VALUE: $ 74,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
11123/2005
1113012005
APP JMP
Received response from Jonathan
StaITord and Todd Glenz.
No code Issues or Inspections.
SUB Review
1lI10/200S
1lI18/200S
APP DH
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 Renuirerl '\&mPrfionsJ
Framing Inspection: Prior to cover and after ali rough in inspections have been approved.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumhlng 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.
By signature, I state and agree, that I have carefuUy 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 shali 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 al required inspections are requested at the proper time, that each address is readable from the
street, that the permitJ;rd Is 10 ated at the front ofthe property, and the approved set of plans wiU remain on the site at all
ti\:~(. 1211/0~
O~ or contractors~gnature Date
Pal!e40f4
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AITACHMENT A
CITY OF SPRINGFIELD SYSlEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2005-0 I 575
NAME OR COMPANY: ~on Community Credit Union
LOCATION: 5709 Main St
MAP & TAX LOT NUMBER: 17 02 3341 03100
DEVELOPMENT TYPE: New Credit Union '"PlaciD.< Medical clinic
NEW DEVELOPED AREA (S,F,): 1.320,00
EXISTING DEVELOPED AREA (S,F,): 1,320,00
TOTAL IMPERVIOUS SURFACE (S,F,):
.. <m~"1 DRAINAGE
llE:
llE:
LOT SIZE (S,F,):
822
822
IMPERVIOUS SQ, IT,
x
$ 0,323 PER SF
TOTAL STORM DRAINAGE SDC:,
2 SANITARY SEWFR..r.rrv
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B, IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
3
x $ 25,07 PER DFU
3
x $ 19,07 PERDFU
$ 44.14
TOTALWCALWASTEWATERSDC:, $
132.42 I
3 TRANSPORTATION
BLOO AREA TGSF x TRIP RA lE x COST PER ADT x NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST:
1.32 x 67,91
B. IMPROVEMENT COST:
1.32 x 67,91
EXISTING
A REIMBURSEMENT COST:
-1.32 x 67,91
B. IMPROVEMENT COST:
-1.32 x 67,91
x
$ 19,09 PER TRIP
x
0,45 NTF $769,94 ~
0.45 NTF $3,396,14 ~
0.45 NTF ($769,94l~
0,45 NTF ($3,396.14)l
x
$ 84,19 PER TRIP
x
x
$ 19,09 PER TRIP
x
x
$ 84.19 PER TRIP
$ 103,28
x
TOTAL TRANSPORTATION REIMBURSEMENT SDq
TOTAL TRANSPORTATION IMPROVEMENT SDC:'
TOTAL TRANSPORTATION SDC:I $ I
$75,22
$57.20
$132.42
$0,00
I
$0.00
$0,00
$0.00
4 SANITARYSEWF~-~
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 1.32 x $46,98 PER FEU $62,01 ~
B. IMPROVEMENT COST:
NUMBER OF FEU's 1.32 x $495.30 PER FEU $653,80 ~
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's -1.32 x $46,98 PER FEU ($62.0 I l~
B, IMPROVEMENT COST:
NUMBER OF FEU's -1.32 x $495,30 PER FEU ($653,8Ol!
MWMC CREDIT IF APPUCABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMlNISTRA TIVE FEE:
TOTAL MWMC SDC:, $0.00
SUBTOTAL (ADD ITEMS 1,2,3. & 4) $132,42 I
5 ADMlNISTRA TIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
$ 132,42 x 5% , $6.62
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
TOTAL SEWER ADMlNISTRA TION FEE: $
Steven W. Beaudry Barnes
SDC COORDINATOR
1111812005
DAlE
TOTAL SDC CHARGES
C0M2005-01575, OCCU, 5709 Main 51.xls
$0,00
$0,00
$0,00
$0,00
$0,00
-
IUS
6,62 N90
$139,04
1 JULY 2004
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DRAINAGE FIXTURE UNIT (DFU) CALCULA TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS_ CALCULATE ONLY mE NET ADDITIONAL FIXTIJRESI
Or<l!on Communitv Credit Union
FIXTURE TYPE
BAmTIlB
DRINKING FOUNT A1N
FLOOR DRAIN
INTERCEPTORS FOR GREASElOlllSOLIDSIETC,
INTERCEPTORS FOR SAND/AUTO W ASHlETC,
LAUNDRY TIlB
CLOTIlES WASHERlMOP SINK
CLOTIIES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERA TOR/W A TER ST A TIONIETC,
RECEPTOR FOR COMMERCIAL SlNKI DISHW ASHERlETC,
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL. RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIOOUBLE LAVATORY
SINK: SINGLE LA V A TORY /RESIDENTIAL BAR
URJNAL, STAUJWALL
TOILET. PUBLIC INSTALLATION
TOILET. PRIVATE INSTALLATION
MlSCELl..ANEOUS:
FIXTURES
NEW OLD
UNIT
EQUIVALENT
3
1
3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
NUMBER OF EDU'S'
TOTAL DRAINAGE FIXTURE UNITS-
'EDU (Equivalent Dwellin~ Unit) is. discb~e equivalent 'B_~ single family dwelling (20 DFU) set at 167 gallons per day
CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFJ'ER 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
1990
1991
RATE PER 51,000
ASSESSED VALUE
:,'> ~5,29,
it 55.19::
:,5512;
. $4,98.
~: ~ "$4."80,,,
"$4:W,
i(~~o~
-"'$4,07"
: ,., 53,67.~
;~~~;~,1
}."~.25,:~
,~j ~ Sl.B!):
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
'.'::":~':?!}~::
't '~ ~~_;"'.~~. $O.~?:~
".,::/'::<~ ~~;~: i
< -~',G~~~:
>:::: :~;~!I~~~~
, ',',j:;' ~., .50,00.
,: ,',... .50.00.'
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFJ'ER ANNEXATION DATE)
x
x
CREDIT TOTAL
COM2005-01575, OCCU, 5709 Main 5t.xts
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
3o
o
o
o
o
o
o
o
o
3
$0,00
50,00
$0,00
1 JULY 2004
~25 Fif.th Street
SprlngfiellI, Oregon 97477
541-726-3759 Phone
.
~~~."!'!-!'!'-i.
~
_..._ 'lfi
Joh/Journal Number
CpM2005-01575
CpM2005-0 1575
CpM2005-0l575
CgM2005-0l575
COM2005-0 I 575
COM2005-o 1575
COM2005-01575
COM2005-01575
COM2005-0l575
COM2005-ol575
COM2005-o 1575
Payments:
T,ype of Payment
Check
'I
:'
:.
'(
:,
,
h
'f
;\
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.c
"
"
121112005
RECEIPT #:
tllliitJ.ty of Springfield Official Receipt
Wlvelopment Services Department
Public Works Department
3200500000000000676
Date: 12/01/2005
Description
Planning Final Occy Inspection
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC SanitarylStorm Admin
Building Permit
Fixture
Minimum/Adjustment Plumbing
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MCKENZIE COMMERCIAL
Received By
Ikw
Page I of I
Item Total:
Check Number Autbortzatlon
Batch Number Number How Received
64642
In Person
Payment Total:
11:44:00AM
Amount Due
143,00
75.22
57,20
6,62
464.25
14,00
31.00
45.00
10,00
38,80
55.43
$940.52
Amount Paid
$940.52
$940.52