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Home My WebLink AboutPermit Building 2001-12-26 ii' j :J...r . I Job# 01-01236-01 I . Page 1 of 3 TRANS#:01-0007613 DA TE : DEC 26 2001 AMT RECD:2 $ 4552.08 CHANGE: CASHIER: 061 ~ 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01236-01 Office: 726-3759 Inspection Line: 726-37~. Tax Lot#: 01900 ~ Subdivision: Location Of Proposed Site: 4211 Main St Spr Assessors Map#: 17023232 Lot: Block: Addition: Owner: Address: Chris Stewart 31610 Glenfiddich Way Phone Number: 541-345-2263 City/State/Zip: Eugene, OR 97405 Value: $10,000 Scope Of Work: Commercial New Dutch Brothers Coffee - espresso stand Modular coffee stand. This permit does not include electrical. Jt-J.. To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:0~<(';~ S~p'\ a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the fOJ!e~in9..~~ l?- working day. #~ 'X<(,'(<o\~<(0 R . d i t' .\\.0 ~<;;, -('\~ equlre nspec Ions c,'V' <;;,'0' fri' ~;; I Building I ~O"~ f?~~ ~'\)~\j \<;;,r{t) -After forms are erected but prior to concrete PIBC~~~.~1-~ ~~o'?- ~p~' - Prior to cover. ~.,<<.O ~v <:?<(,<(I. - When all Fire Department requirements have beeil-"rti~,~~<? ~~ -After all requirements have been met for Minimum [liiW~~ent Standards or from the Develoi -When all required inspections have been approved a~he building is complete. Contractor Type General Contr I . I Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Foundation Framing Final Fire Final Site Plan Finai Building Rough Eiectrical Electrical Service Final Electrical Water Line Contractor Chris Stewart 31610 Glenfiddich Way, Eugene, OR 97405 Emk Mechanicallnc 4290 W 11th SuiteA, Eugene, OR 97402-2718 Office Use 3CSC Land Use: Zoning Code: Bedrooms: Range: Electrical Registration # Expiration Date .,\0 "c.' ,.,., 541-345-2263 ..,~r,.,u\.\'\""':\\ rf"'~s..' ..':)<,,\ . ,/\...\,,\: _'1'~,(. ...,-""o\t) e(j';:)" 1\.C'Il..' \;" .",' ("'J' " r0':' '., 'X\ll .. OJ 'i).'", ~<:i'" _.;,'01 , Il..~,~ ~';)'~ 'C~~ '2:'3:.re" ~u\~~4J -683-3715 . J ,~\,..,.- ,'.l~~ ....."(\c 0.\;.).' ~'\.\\ ~O\. 1'\ <"}'" .' f' ....,. . \ . ~o .. ... \J ~eQ ~\O\ AV~'l ,,,.::J.. v.......)..e.. I, ()\'{'\ ..i.~.,) e\0 ~~\c'l) P '_.rI \ \., ...... G~'. ~~'.,) '\ . ", ~:P~ ,,' "$\ h\O"'\ r .......' _:\\v' --:\.I' 'f."..r ~~v~ .~'." -"1 ~ PI). ,v . ..-1. ~r,,\J ..t 0"; , ~ \)....,'\ I'" '?:lo1 "..J;'\"-c.~~"" ~\\e.l <~~2" .....)\. fl'...'('....... \ o"'~' ~ rC' ,'.'.'" \'\. ,~.'~O \.\,S .~"'er#~f~Buildings: (J($d ~\'(\9, ~'O\ ;~"'~Occupancy Group: (\U~'Oe CI;'. Heat Source: Sq. Footage: Phone - Prior to cover. -Must be approved to obtain permanent power. - When all electrical work is complete. I Piumbing -Prior to filling trench. w .' v . . I Job# 01-01236-01 I Required inspections I Plumbing -Prior to filling trench. Sanitary Sewer Line Zoning: FloodPlain? D Wetlands? D Journal numbers 1: 2001-10-0208 2: Comments: Planner: Sam Gollah Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Overiay District: # of Street Trees: 3: Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) Main: Accessory: Fee Commercial Plan Check Total Plan Check State Surcharge For Building Permit Modular Building Administrative Fee Total Building Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Administrative Fee - Plumbing Totai Plumbing Encroachment Permit - Commercial Total Public Works MWMC Administrative Fee SDC Administrative Fee Restaurant - Fast Food - Reimbursemen Restaurant - Fast Food - Improvement Flood Plain FEMA: # Of Stories: Current Units: Census Code: Does not apply Page 2 of 3 Land Use: Pave Driveway? 0 Height (feet): Proposed Units: Total: Paid On Receipt# Pian Check 11/07/2001 7200 Value/Quantity Buildin!! 12/26/2001 7613 12/26/2001 7613 12/26/2001 7613 Plumbing 12/26/2001 7613 12/26/2001 7613 12/26/2001 7613 12/26/2001 7613 12/26/2001 7613 Public Works 12/26/2001 7613 System Development 12/26/2001 7613 12/26/2001 7613 12/26/2001 7613 12/26/2001 7613 10,000 10,000 130 145 1 1 Fee Amount $69.81 $69.81 $7.52 $107.40 $8.59 $123.51 $.00 $8.26 $59.00 $59.00 $9.44 $135.70 $85.00 $85.00 $10.00 $195.23 $627.05 $2,766.95 i/ . Job# 01-01236-01 . Page 3 of 3 Value/Quantity Fee Amount .~ Fee Paid On Receipt# System Development 12/26/2001 7613 12/26/2001 7613 12/26/2001 7613 $274.98 6 $128.22 6 $97.44 $4,099.87 Fast Food Restaurant - MWMC Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC Improvement Totai System Development Final Site Plan Insp for Occy Total Planning Planning 12/26/2001 7613 1 $100.00 $100.00 Address Assignment Total Permits w/o Srchg Grand Total Plan Check Type Permits w/o Srchg 12/26/2001 7613 1 $8.00 $8.00 $4,621.89 Checked By Date Completed Comment Initial Review-C/I/P Lisa Hopper 11/20/2001 Needed addressing information. Inspector Bob Barnhart made site visit to development area to record all addresses being used on site because they were not submitted with application. Needed information for addressing purposes. Information was not submitted to Building relating to planning approval for placement of coffee stand. Needed to track information. Engineering-C/I/P Planning-C/I/P Pam Ownby Liz Miller 12/20/2001 11/26/2001 Sam Gollah Planner. Will need to do final site inspection. Structural-C/I/P Fire Marshal-C/I/P Tom Marx Dennis Shew 12/20/2001 11/28/2001 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 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 employess who are in acompliance with ORS 701.055 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 stret, that the permit card is Icoated at the front of the property, and the approved set of plans will remain on the site at all times during construction. C4,iIS,.\).CLJA.e-C /2-2&-01 Signature Date " . . ." ATIACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 01-01236-01 NAME OR COMPANY: DUTCH BROTHERS COFFEE LOCATION: 42" MAIN STREET MAP& TAX LOT NUMBER: 17-02-32-32 1900 DEVELOPMENT TYPE: EXPRESSO STAND USE# I NEW DEVELOPED BUILDING AREA (S.F.): EXIST DEVELOPED BUILDING AREA (S.F.): TOTAL DEVELOPED BUILDING AREA (S.F.): 107.7 ITE: ITE: LOT SIZE (S.F.): 833 I STORM DRAINAGF IMPERVIOUS SQ. IT. o x $ 0.273 PER SF TOTAL STORM DRAINAGE SDC: I $ I 2_ SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 6 x $ 21.37 PER DFU , $ 128.22 6 x $ 16.24 PER DFU , $ 97.44 TOTAL LOCAL W ASTEW A TER SDC: , $ 225.66 ,. TRANSPORTATION SLOG AREA TaSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0.10772 x 716 x $ 16.26 PER TRIP x B. IMPROVEMENT COST: 0.10772 x 716 x $ 71.75 PER TRIP x 0.5 NTF 0.5 NTF TOTAL TRANSPORTATION REIMBURSEMENT SDe: TOTAL TRANSPORTATION IMPROVEMENT SDe: TOTAL TRANSPORTATION SDC: 4. SANIT AR Y SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.1077 B. IMPROVEMENT COST: NUMBER OF FEU's 0.1077 MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: x $2.409.46 PER FEU x $143.28 PER FEU TOTAL MWMC SDC: SUBTOTAL (ADD ITEMS 1.2.3, & 4) 5_ ADMINISTRATIVE FEES- BASE CHARGE (SUBTOTAL ABOVE) x 0.05 iZ'.-.6?' (J.J." SDC COORDINATOR I illO/O I DATE TOTAL SDe ellARGES 01-01236-01. DUTCH BROTHERS COFFEE, 4211 MAIN STREET 1$ 627.05 1$ 2,766.95 $ 627.05 $ 2,766.95 $ 3,394.00 1 $ 259.55 1 $ 15.43 1$ , $ 274.98 , '$ 10.00 , $ 284.98! '$ 3,904.64l_ , $ 195.23 ,~ , $ 4,099.87 ~ JULY 2001 . . "'-., DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES, UNIT EQUIVALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) .. ~ FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLlDS/ETC. INTERCEPTORS FOR SAND/AUTO WASHlETC. LAUNDRY TUB CLOTHES WASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC. RECEPTOR FOR COMMERCIAL SINK! D1SHW ASHERlETC. SHOWER, SINGLE STALL SHOWER. GANG (NUMBER OF HEADS) SINK: COMMERCIAL. RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL. ST ALUW ALL TOILET, PUBLIC INSTALLATION TOILET, PRIV ATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD UNIT EQUIVALENT 3 I 3 3 6 2 3 6 12 I 3 2 2 3 2 2 I 5 6 3 1 NUMBER OF EDU'S" TOTAL DRAINAGE FIXTURE UNITS= . .EDU (Equivalent Dwelling Unit) is a discharge eauivalent to a sini[e family dwellinK (20 DFU) set at 167 gallons per day DRAINAGE FIXTURE UNITS o o o o o o o o o I o o o 3 o 2 o o o o o o o 6 CREDIT CALCULA nON TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXA nON 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 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 $ 1.3 I $ 1.13 $ 0.97 $ 0.82 $ 0.63 $ 0.41 $ 0.22 $ 0.04 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x CREDIT TOTAL 01-01236.01, DUTCH BROTHERS COFFEE, 4211 MAIN STREET :1 $0.00 $0.00 $0.00 JULY 2001