The URL can be used to link to this page

Home My WebLink AboutPermit Miscellaneous 2005-9-7 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01098 ISSUED: 09/07/2005 APPLIED: 08/15/2005 EXPIRES: 03/07/2006 VALUE: $ 29,812.00 II . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '* SITE ADDRESS: 4765 MAIN ST . ASSESSOR'S PARCEL NO.: 1702320000102 Springfield TYPE OF Paving TYPE OF USE: Alteration Public PROJECT DESCRIPTION: Install catch basin and valve and some paving. Owner: SPRINGFIELD CITY OF Address: 344 NORTH A ST CITY HALL SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Confi1m!ibil'/ON' Ore License VO~I1WMlUlll~~~~!aw requIres you t041805 :~o~~a;~n CentlffBma;;~':L;;~FbW1J10NI . 2-D01-DLnUihrou h . Br fJ.lll , # of Units: 0090.. You may obtain ~i~Y'li~{' 952-001. Primary Occupancy Group: call1n9 the center. (t.MlW::~~f e rules by Secondary Occupancy number tor the ore9.fi,~ lfi.ohone I'rimary Construction Type Center is 1-80 . a I ~~ ~!ficat;on Secondary Construction ;j i?$: # of Bedrooms: Energy Path: Sprinkled Contractor Type Plumbing n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Sethack: Solar Sethacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: NOTICE: I HI0 f'tRMIT SHIPUBLIeIIMPROYrEMENTSI Street ~~~~E~~~~~~lJl~~~~~;5RMIT /S NOT Storm Sewer Available: ANY 180 DAY PER/DO NED FOR Special Instruction: . Expiration Date 04/04/2006 Phone 541-485-0551 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains Notes: I Valuation Descrintion , Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction 1 of 3 Value Date Calculated . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate Fee Description Plan Review CommlIndlPubllc + 10% Administrative Fee + 7% State Surcharge Fixture Paving Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC Sanitary/Storm Admin Total Amount Fire Department Review 08/17/2005 Initial Review Plan nine Review Public Works Review 08/17/2005 08/17/2005 08/17/2005 Structural Review Structural Review 08/17/2005 09/06/2005 $1.00 29,812.00 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01098 ISSUED: 09/07/2005 APPLIED: 08/15/2005 EXPIRES: 03/0712006 VALUE: $ 29,812.00 $29,812.00 $29,812.00 08/15/2005 Total Value of Project Fees Paid I Amount Paid Date Paid Receipt Number 2200500000000001088 1200500000000001309 1200500000000001309 1200500000000001309 1200500000000001309 1200500000000001309 1200500000000001309 1200500000000001309 1200500000000001309 1200500000000001309 GRG Plans Review: Install new catch basin, valving, and repaving. Job #COM2005-01098. Plans appear to meet code requirements. $164.87 $35.47 $7.07 $42.00 $253.65 $45.00 $171.59 $225.66 $14.00 $19.86 8/15/05 9/7/05 9/7/05 9/7/05 9/7/05 9/7/05 9/7/05 9/7/05 9/7/05 9/7/05 Public works will be maintaining contact with Mark Walker, AIC Operations, the BCOs office, and thE station captains to coordinate maintainance of access to Main Street. SDCs added for two sanitary fixtures (Solids Interceptor and Oil/water interceptor). LDAP not required, per Billy 9/2105. Received final internal reviews. To Request an inspection can 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. win be made the following work day. $979.17 I Plan Reviews , 09/0212005 OK 08/17/2005 08/31/2005 09/0212005 APP SKG APP EMM APP SB 08/23/2005 09/06/2005 WI JMP APP JMP 2 of 3 . . CITY OF SPRli"ljt.1<1ELD Building/Combination Permit PERMIT NO: COM2005-01098 ISSUED: 09/07/2005 APPLIED: 08/15/2005 EXPIRES: 03/07/2006 VALUE: $ 29,812.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing 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 carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I further certity 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 wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certity 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 wiD remain on the site atallti~on?76 9h~~ Owner ~ntractors Signature Date . . 3 of 3 '. 225 Fi(th Street Springfield, Oregon 97477 541-726-3759 Phone Job/Joornal Number COM2005-0 1098 COM2005-0 I 098 COM2005-0 I 098 COM2005-0 1 098 COM2005-0 I 098 COM2005-0 1098 COM2005-0 1 098 :I COM2005-01098 \ COM2005-01098 .. Payments: 1'1e of Payment Check :1 L, ,; ~, ;i ;1 L, 'i ;, ;j 9/7/2005 . ap~m_N~~BH?' ..'~,-'-l Wi;: , _.' j .-~- '.'-.-- ~ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 1200500000000001309 Date: 09/07/2005 Description Paving Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Paid By VOS PLUMBING INC Received By djb 1 of I Item Total: LheckNumber AuthorizatIon Batch Number Number How Received 26980 In Person Payment Total: 9:21:59AM Amoont Due 253.65 42.00 45.00 14.00 7.07 35.47 225.66 171.59 19.86 $814.30 Amount Paid $814.30 $814.30 . SPRING, FIEL:;:1' I, . , ' iii :....atJ -.', . ..... .C- '... --..... ~ ~ co t-J\ '2..E>o S - 0 ~ 0 ~ e, Building Permit N <\-\-05 Date , City of Springfield Com:~~uni!i' S'i''':~~5 Di"'!:;;vil 225 Fifth Slreet . Springfield, OR 97477 Telephone: (541) 726-3759 Fax: (541) 726-3689 Special Inspection And Testing :'roJect ":":t::: FIRE. - STAIJON tl-a WAS~ llo~,.J SYffGNl Pd.-otf 66 l/7t,5 MAIN sr: SP~11J6~,Gt.-D, 0,2. 97</18 Project Address To applicants of projects requiring special inspection or testing as per Section i 701.5 of the Oregon Structural Specialty Code: Please review.the information below. When you have finished, acknowledge an understanding of the information by signirig below, and return this form to the City. . BEFORE A PERMIT CAN BE ISSUED: The ol;Vner or owner's representative, on the advice of the responsible Project Engineer or Architect, shall complete, sign, and submit to the City for review and approval this form completed on both the front and back. The Owner and General Contractor, where applicable, shall also acknowledge the following conditions applicable to Special Inspection and/or Testing. .-.:; 1. Contractor is responsible for proper notification for the Inspection or Testing of items listed. 2. Testing laboratory shall take appropriate samples and transport them to their laboratory for proper evaluation or testing. . Copies of alf laboratory reports and inspections are to be sent to the City by the Testing Agency. 3. Specinllnspeclion Agency is to submit names and qualifications of on-site Special Inspectors to the City for approval. 4. Special Inspector shall provide inspection reports to the building official of all inspection activities. 5. Contractor is responsible to review the City approved plans for additional. inspection or testing requirements that may be noted. BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED: The Special Inspection Agency shall submit to the Building Official a statement that all items requiring' ._ inspection have been fulfilled and reported and were to the best of the inspector's knowledge, in conformance with the approved plans, specifications and applicable workmansH, provisions. Those items not tested and/or inspected shall be noted b the statement. The report is to be submitted to the City prior to a request for fir.al inspections. ACKNOWLEDGMENTS ....c..:.:t.., ..of" JA".~ (.~d O"'n'~ame (Printed) . ,ALIf'" /thq~ Engineer or Architect Firm (Printed) v?1\ Testing Laboratory Name (Printed) J//-q A L/C?.-.5 . ~~ -// a/a Owner Signatuf".Al, -:'.- r _:-t? oen. Contractor Firm Name (Printed) ~?u--~ v'b\ ' - .tn~nee~ or Archi~ <:'!!~1t"rt ~ _ _ SP"..cial Inspection Agen::y Name (Printed) V \..1 '.: -'1Frem ~. -Y~'~'::-J~' ) ~.f)~1 ~ ,-.:...... 'P \\ ~ Ai'.\. ~ Testing Laboratory Rtp Signature . Bu'i1ding Official Name (Printed) a 7~o-o aeneral Contractor Signature, ~fLt .QSl. Special Insp. Agency Rep Sign. ~- "~~., ~~ ~C"I SIgnature .' " Reinforced Concrete, Gunite, Grout and Mortar: CWl.krete ctll~ (trnllt Mor1a.r " \r.-:., ....'. r: ~~':\'_' 'X 'I I I I v PrecasVP-e-stressed Concrete: Pilp..,; Pn~t- "U:nc:. Prf':_ T'IDS.. C:lrtck1.ing , SMOKE CONTROL: Leakage testing Control verification ROOFING Insulation installation/R-value' Test strips/scams -. ., SPECIAL INSPECTION AND TESTING SCHEDULE . ....., ,,\' ,... ~-' ';~' ,~,"'~.....' A~~regate Test of Mix Desir", ." 'R.einforcil\~ Teci;t ..~!I','~~'..v~~..... Mix Desig.n:Weighmstr Cert_. R.einfocirl,i'Placemetit":' ~. Continuous Batch Plantlnsp - Tn.<;nr:r.t PI.iJ..k}n'p r.., ~"!llllle< ~"'11ples (PickuplDelivered) r"rn~~n TP..<;f* A ~qree8te Tf';dC! Rp.infnrr.i':'l1 Tp.l;.to:: Tf':ru.1.Q.nTf'!l:1,t Mix nP.c:.ign!;;* Rl"':inf'orcine Placemer'lt Insert Placemef1t t:oncrete Batching rnnr.rf':tf': Plar.p.mp.nt \nc:tallation Tr'/c.~f':r.'i.Qf' r.., ~"~ Pkk-lln %unJ2ke rn'11pression Tec:t.c: FIREPROOFING: Placement inspection Density Tests Thickness tests Inspect batching ADDITIONAL INSTRUCTIONS, OTHER TEST, & INSPECTIONS: \ '."-:J ., ..' GRAP,ING, EXCA V A TION, AND FILL '=-. Acceptance tests' PSF Establish final grade . . Fill placement inspection/continuous Soil Density ..- STRUCTURAL STEELlWELDING: Sample and test (list specific members below>. Shop material identification (mill cert) Weld inspection Shop , Ullrasonic inspcction Shop High strength bolting Shop A325 N X A490 N X Metal deck welding inspection Reinforcing Steel welding inspection Reinforcing steel mill certificate Metal stud welding inspection Concrete insert welding inspection Moment resisting steel frames . Field Ficld Field F F STRUCTURAL WOOD: Shear wall nailing inspection Shear wall anchors, Inspection ofGlu-lam fab. . T/C psi , Inspection of truss joist fab. Sample and test components Fabrication welding of steel accessories MASONRY: Special inspection stresses used' Pm Pg Preliminary acceptance tests (masonry units, wall prisms) Subsequent tests (mortar, grout, field wall prisms) Placement inspeclion of units, and rcinrorccmcl1l Mosonary, mortar, grout, and reinforcing steel certificates . ~. \ .. .. \ .. .', '. . ~ I"lo .'_'" , . ." :-Form completcd.by:' .-....'.. \~.' y- t"_.-......~.-...J '\ .. "_' .': ~_l:1 '" '. .... ') .,.... ' '. " ' " ,~_.. D...te~/---.:.l1.Q " t_ --:' ~,.~ :J c ~~ ".:,__- ..... ..; ~ . ,"",f . _."",' ."", :~.~: ';.J...-'" '~.;,:"l:"'\"! -, , .PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF. VALUES ..t- i'J ,;; '-' c'.. ';,.. (-;:Jo ',~,. f-! ...... i--'. " ATTACHMENT A CITY oAmGFIEW SYSTEMS DEVEWPMENT CHARGE ~HEET JOURNAL OR JOB NUMBER COMllr.Ol098 ..- NAME OR COMPANY: Fire Station # 2 LOCATION: 4765 Main St MAP & TAX WT NUMBER: 17 02 32 00 00102 DEVEWPMENT TYPE: Wash Down system upgrade NEW OEVEWPED AREA (S.F.): EXISTING DEVEWPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): ITE: lTE: WT SIZE (S.F.): 733 L STORM ORAlNAGE IMPERVIOUS SQ. FT. x $ 0.323 PER SF TOTAL STORM DRAINAGE SIX:I 2 SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF OFU's (SEE REVERSE SIDE) 9 x $ 25.07 PER OFU 9 x $ 19.07 PER OFU $ 44.14 TOTALWCALWASTEWATERSDC:' $ 397.26 I 3 TRANSPORTATION BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0.00 x 27.92 x $ 19.09 PER TRIP x 0.9 NTF $0.00 I B. IMPROVEMENT COST: 0.00 x 27.92 x $ 84.19 PER TRIP x 0.9 NTF $0.00 I EXISTING $ 103.28 A. REIMBURSEMENT COST: 0.00 x 0 x $ 19.09 PER TRIP x 0 NTF $0.00 I B. IMPROVEMENT COST: 0.00 x 0 x $ 84.19 PER TRIP x 0 NTF $0.00 I TOTAL TRANSPORTATION REIMBURSEMENT SIX:' TOTAL TRANSPORTATION IMPROVEMENT SIX:' TOTAL TRANSPORTATION SDq $ I $0.00 .1 $225.66 $171.59 $397.26 $0.00 $0.00 $0.00 4 SANIT ARY SFWP~ - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.00 x $46.88 PER FEU $0.00 ~ B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 x $494.46 PER FEU $0.00 ~ EXISTING: 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 MWMC CREOIT IF APPUCABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC:I SUBTOTAL (ADD ITEMS 1,2,3,&4) $0.00 I $397 .26 ~ $0.00 $0.00 $0.00 $0.00 $0.00 . ,,:00_1 $417.12 , 1 JULY 2004 $ 5 ADMINISTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) 397.26 x 5% -, $19.861 TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOTAL SEWER ADMINISTRATION FEE:' $ steve.... w. "R.e.",,;'1:j "R..",..es c~~~. #2, wash down system.xls 91212005 DATE TOTALSDCCHARGES . . DRAINAGE FIXTURE UNIT (DFU) CALCULA TION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVAlENT - DRAINAGE FIX11JRE UNlTI (NOTE: FOR REMODJ;[.S, CALCUl.A TE om Y mE NET ADDmONAL FIXTURES) Fire Station # 2 FIXTURE TYPE BA TIITUB DRJNKJNG FOUNTAIN FLOOR DRAIN lNfER"r,r ,v><5 FOR GREASFJOIlJSOLIDSfETC. lNfERCEPTORS FOR SAND/AUTO WASIllETC. LAUNDRY TUB CWTIlES WASHERlMOP SINK CWTIlES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RE"r,r 'v... FOR REFRlGERA TORfW A TER ST A TIONfETC. RE"r,r 'v... FOR COMMERCIAL SINK! DISHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINfDOUBLE LAVATORY SINK: SINGLE LAVATORYfRESlDENTlAL BAR URlNAL, STALUWALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCEllANEOUS: NUMBER OF EDU'S' FIXTURES NEW OLD UNIT EQUIVALENT 3 I 3 3 6 2 3 6 12 1 3 2 2 3 2 2 1 5 6 3 TOTAL DRAINAGE FIXTURE UNITS= -mu (EQuivalent Dwellin~ Unit) is a discharge eauivalent to a single family dweUing (20 OFt]) set at 167 ~Ions per day DRAINAGE FIXTURE UNITS o o o 3 6 o o o o o o o o o o o o o o o o o o 9 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER 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 VALUE ,$5.2!:r ,$5.19 ' . $5.12' ,:$4.98" $4.80: .$4:63: "$4.40 ,'$4.07 ;$3:67 $3.22 ~ ::,$2.73 ( . '$2.25" $1:80; CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) COM2005-01098, Fire Stn. #2, wash down system.xls YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 RATE PER $1,000 ASSESSED VALUE x X CREDIT TOTAL I SO.OO $0.00 $0.00 1 JULY 2004