HomeMy WebLinkAboutPermit Building 2004-8-11 (2)
..
Status
Issued
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CITY OF SPRINGFIELD
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
Building/Combination Permit
PERMIT NO: COM2004-00873
ISSUED: 08/11/2004
APPLIED: 07/13/2004
EXPIRES: 02/11/2005
VALUE: $ 15,485.00
SITE ADDRESS: 1870 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364200800
Springfield TYPE OF WORK: Restaurant
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Remodel existing structure.
Owner: MONDRAGON SHARA
Address: 1748 RIVER POINTE LOOP EUGENE OR 97408
Phone Number: 541-338-4373
Contractor
WA STEVENS CONSTRUCTION INC
CAMPBELL ELECTRIC
GUARDIAN FIRE PROTECTION INC
TOM CHARPENTIER PLU1~t$l'lG INC
.~. -}:
I BUlcBINVINFORMA TION I
""~ ,- ~
# of Units: ~~ ~?li!-..~ries: Lot Size:
Primary Occupancy Group: B 9.~ ~~It&igitt of Structure ,0 Sq Ft 1st Floor:
Secondary Occupancy Group: <S- .p ~<!!fYpe of Heat: ~.::, ~~ ~ Ft 2nd Floor:
Primary Construction Type ~~ ~'" '?:>"?' Water Type: tb' t::-V l-,....~tJlasement:
Secondary Construction Type: cf ~~ '2:J "?' Range Type: r!" ,# 0 ~0 b~:~Garage/Carport
# of Bedrooms: <<:.. # ~ ~ '" ~<:::J' Energy Path: ~ 0" ~ ~ C!)-~<lj?!;9t~er:
~ ~ ~ >:> ~ o<ff Sprinkled Building: ,t/;s-0 !JI'C O~ ~qQ~fl"aRt Load:
c-. <1 ""' ~'<. .... ,~.\ "........ ~ ,0 "'iY
~ <~~.y:-'-J.ff"~ ~1 i DEVELOPMENT IN~lab~r'0~.~0""~~~.
~ \:)~ ,,'l:l -iifo' 'Oo~~. \::)' v(,~~. '~nnr REQUIRED PARKING
~~ C.~~~~~~
"?' Overlay RAf:~ (l'C:> ,,<:5~. ~ 0<:- ~O;)'J; Total:
#Stre~~eY.~..;})\::) ~o #'~0<Sj~<:J Handicapped:
PavedlDri~e ~di~ ~:1> v0 00 " Compact:
% of L~2,a'hm~~~'::' ;s-0 ~>S' ~{>
~ 0"(" . Q, ,0 l-,0
.~ ,,OJ\::) js,C:>._r8 (''I'C:>
, . ,
'I J'''' /
I PUBLIC IMPROvEMEIl/iJ'S I
Contractor Type
General
Electrical
Mechanical
Plumbing
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer A vaUable:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
License
89150
73995
100355
112138
Expiration Date
03/1112005
05/24/2008
06/23/2006
03/2612005
Phone
541-579-4426
541-744-0705
541-726-7287
541-895-4517
Sidewalk Type:
DownspoutslDrains:
Paee 1 00
_WtrSe@I:~!lI~" .
. . .
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Use Bid Amount
Use Bid Amount
Bid Amount
Pavinf!
Fee Description
Plan Review Comm/IndlPublic
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 70/0 State Surcharge
Building Permit
Curbcut Repair
Curbcut Repair
Exhaust Hoods
Fixture
. MinImum/Adjustment Mechanical
Paving
Planning Final Occy Inspection
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Sewer - 1st 50 Feet
Vent Fan
Total Amount Paid
Fire Department Review
07/14/2004
Initial Review
Planninf! Review
07/14/2004
07/14/2004
Public Works Review
07/14/2004
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
6,335.00
9,150.00
Total Value of Project
Fpp< p"W
Amount Paid
Date Paid
$100.23
$10.00
$36.54
$18.06
$84.00
$10.00
$10.00
$9.00
$84.00
$30.00
$107.40
$143.00
$10.00
$694.97
$2,302.70
$330.47
$2,936.14
$665.65
$45.00
$6.00
7/13/04
8111104
8111104
8/11/04
8111104
8111104
8111104
8111104
8111104
8111104
8111104
8/11/04
8/11104
8/11/04
8111104
8111104
8111104
8111104
8111104
8/11104
$7,633.16
I Plan Reviews I
07/22/2004 OK
07/1412004
07/15/2004
OK RJB
APP EMM
07/22/2004
APP SB
Paf!e 2 of 3
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\..,11 l' OF ~rKJ1'lljt<1~L1J
Building/Combination Permit
PERMIT NO: COM2004-00873
ISSUED: 08/11/2004
APPLIED: 07/13/2004
EXPIRES: 02/11/2005
VALUE: $ 15,485.00
Value
Date Calculated
$6,335.00
$9,150.00
$15,485.00
08/10/2004
08/10/2004
Receipt Number
2200400000000000920
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
2200400000000001034
GRG
See attached document for Fire
Department Plan Review comments.
To be built per approved MDS
(DRC2004-00021) and sIgned
Development Agreement
Sidewalk repair permits required
for 2 closures. SDCs added. (New
rates 7/1/04)
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.
CITY OF ~rKll"\juJ'1ELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00873
ISSUED: 08/1112004
APPLIED: 07/13/2004
EXPIRES: 02/11/2005
VALUE: $ 15,485.00
'i
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review 07/14/2004 0712112004 WE JMP See attached structural review faxed
to Shara MonDragon.
Structural Review 08/10/2004 08/10/2004 APP JMP Shara MonDragon responded to
structural comments.
SUB Review 07/15/2004 08/0212004 APP JF BE passes. HV AC and Lighting wlll
be provided when available.
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 R"nuir"rlln.n"~tin'\LI
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
Ceiling Grid: After drywall approval but prior to cover.
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 plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
SUB]nsulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Storm Sewer Line: Prior to filling trench.
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 contracto'rs 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.
C4\.() fI fA V(:~~;),~
Owner or Contractors Signature
"6 - \ \-oL\-
Date
Pal!e 3 00
.. AITACHMENTA
CI~GFIELD SYSTEMS DEVELOPMENT CHARGE .HEET
JOURNAL OR JOB NUMBER C0M2004-00873
NAME OR COMPANY: Sb8J1lMon<!nu<on
LOCATION: 1870 Main SI
MAP & TAX LOT NUMBER; 17 03 36 42 00800
DEVELOPMENT TYPE: Fast Food Restaunmt, No drive tbru
NEW DEVELOPED AREA (S.F.): 960.00
EXISTING DEVELOPED AREA (S.F.): 960.00
TOTAL IMPERVIOUS SURFACE (S.F.):
lTE:
ITE:
LOT SIZE (S.F.):
933
840
o
".
~.I: t
~ ~ t' - ~
E-i'~ f!l~
OO"j
1 STORM OR A TN An~
IMPERVIOUS SQ. FT.
$ 0.310 PER SF
TOTAL STORM DRAINAGE SDC:' $
x
2 SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's 0
B. IMPROVEMENT COST:
NUMBER OF DFU's 0
(SEE REVERSE SIDE)
NTF 1$
x $ 24.04 PER DFU , $
x $ 18.28 PER DFU , $
TOTALWCALWASTEWATERSDC:' $
URANSPORl:AIl(lli
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST:
0.960 x 151.2
B. IMPROVEMENT COST:
0.96 x 151.2
EXISTING
A. REIMBURSEMENT COST:
-0.96 x 41.9
B. IMPROVEMENT COST:
-0.96 x 41.9
x
$ 18.30 PER TRIP
x
0.5
x
$ 80.72 PER TRJP
x
0.5
x
$ 18.30 PER TRIP
x
0.9
NTF 1$
1,328.141
5,858.33 1
NTF 1$
(662.49) 1
$ 80.72 PER TRIP x 0.9 NTF 1$ (2,922.19)1
TOTAL TRANSPORTATION REIMBURSEMENT SDC:' $
TOTAL TRANSPORTATION IMPROVEMENTSDC:' $
TOTALTRANSPORTATJONSDC:' $ 3,601.791
x
665.65
2.936.14
1$ (18.00)1
I $ (189.87) 1
$
TOTAL MWMC REIMBURSEMENT FEE: $
TOTAL MWMC IMPROVEMENT FEE: $
MWMC ADMIN1STRA TIVE FEE: $
TOTALMWMCSDC:, $ 3,007.671
SUBTOTAL (ADD ITEMS 1,2.3, & 4) , $ 6,609.46 1
4 SANITARY SEWER, MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.96 x $2.417.40 PER FEU
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.96 x 5921.71 PER FEU
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's -0.96 x $18.75 PER FEU
B. IMPROVEMENT COST:
NUMBER OF FEU's -0.96 x $197.78 PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
I $ 2,320.70 1
I $ 884.84 1
2,302.70
694.97
10.00
5 ADMINISTRA TTVE PEP-C;;.
BASE CHARGE (SUBTOTAL ABOVE) $
.
, $
~"I
ll079
6,939.93
6,609.46 x 5% $ 330.47
TOTAL TRANSPORTATION ADMINISTRATION FEq $
TOTAL SEWER ADMIN1STRATION FEE:' $
steve",- W. 1!.eo,<<;lrel1!.or...es
c8iEo~~cTn<;/~gon. 1870 Main St.xI.
712012004
DATE
TOTAL SDC CHARGES
JULY 2001
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIX11JRE UNITS
(NOTE: FOR REMODELS. CALCUI.A TE ONLY TIlE NET ADDmONAL FIXTURES)
Sban MDDdra~oD
FIXTURE TYPE
BA TII11JB
DRINKING FOUNT Am
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO WASHlETC.
LAUNDRY TUB
CLOTIlES W ASHERlMOP SINK
CLOTIlES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRJGERA TORIW A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINKI DlSHWASHERlETC.
SHOWER. SINGLE STALL
SHOWER. GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLE LAVATORY
SINK: SINGLE LA VA TORY /RESIDENTIAL BAR
URINAL, STALUWALL
TOILET. PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S'
FIXTURES
NEW OLD
UNIT
EOUN ALENT
3
1
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
2
1 2
2
TOTAL DRAINAGE FIXTIJRE UNITS=
-EOU (Equivalent Dwc:llinl:l. Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
3
o
4
-I
o
-6
o
o
o
o
o
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR
ANNEXED
1979 '" bef=
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
RATEPERS1,000
ASSESSED VALUE
S 4.92
$ 4.83
S 4.77
S 4.64
S 4.47
S 4.30
S 4.09
S 3.78
S 3.41
S 2.98
S 2.52
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
COM20D4-00873. mondragon, 1870 Main 5t.xls
YEAR
ANNEXED
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
RATE PER SI,OOO
ASSESSED VALUE
S 2.06
$ 1.64
S 1.45
S 1.31
S 1.13
S 0.97
S 0.82
S 0.63
S 0.41
S 0.22
$ 0.04
x
X
CREDIT TOTAL
SO.OO
SO.OO
SO.OO
JULY 2001
225 Fifth Street
. Springfield, Oregon 97477
.541-726-3759 Phone
.
....~,AJNCl........ .".' ___ .:
It;r:'
, ".. !
---'.-- . ..',"
.y of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
COM2004-00873
Payments:
Type of Payment
Check
8/1112004
RECEIPT #:
2200400000000001034
Date: 08/11/2004
Description
Planning Final Occy Inspection
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Transpo Admin
Curbcut Repair
Curbcut Repair
Building Permit
Paving
Fixture
Storm Sewer - 1st 50 Feet
Vent Fan
Exhaust Hoods
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge.
+ 10% Administrative Fee
Paid By
SHARA MONDRAGON
Item Total:
Check Number Authorization
Received By Batch Nnmber Number How ReceIved
Jmp 1004 In Person
Payment Total:
Page I of I
11:37:51AM
Amount Due
143.00
665.65
2,936.14
2,302.70
694.97
10.00
330.47
10.00
10.00
84.00
107.40
84.00
45.00
6.00
9.00
30.00
10.00
18.06
36.54
$7,532.93
Amount Paid
$7,532.93
$7,532.93