HomeMy WebLinkAboutPermit Mechanical 2003-7-15
. LIt l' OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2003-00445
ISSUED: 07115/2003
APPLIED: 06/02/2003
EXPIRES: 0111512004
VALUE:
..
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2787 OLYMPIC ST 12
ASSESSOR'S PARCEL NO.: 1703254100500
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE:
PROJECT DESCRIPTION: Ambassador Piping Mechanical permit with plumbing
Owner: f\HS+~~'~~\f~~J.{~: Itl4UII"; Y~J~1 iV
Address: NIi'f't>i:\'NiPrc-s!t ~(;,Qf.'t~?>R ~UY~,7
Notification Center. ose ru~es are 88tll911
in OAR 952.{)Ol.UUl u mrougn u....n '::I;)d:"'UV
0090. You may obtain copies 01 roNlf~~OR INFORMATION I
calling the center. (Note: the telepnone
Contracto^,J.W.\T fOr ~wrn!!gU!f Utility Notification License
General Cent~~~~p. INC 121469
Electrical MCDIARMID CONTROLS INC 77023
Mechanical AMBASSADOR PIPING INC 121469
Owner WESTERN INVESTORS
Plumbing DOUGLAS LEE JONES 104606
NOTICE: I BUILDING INFORMATION I
# fTHJIS.PERMIT SHALL EXPIRE IF THE WORI{. fSt .
o DB' i!j~!lS: I ''II 0 ones:
Prinfa61 ~Wcu~ffhl~~~: THIS PE~'IT IS NOT Height of Structure
Secol,;~\a\WMc~ i.nMJ,-'l;".f\BANOQNEO FOR Type of Heat:
Prinill'Jj' i:l6illtB ~iicllEitWeJ. VN Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
SETBACKS
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay nist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
New
Commercial
Phone Number: 541-726-2903
Expiration Date
03/27/2005
10/24/2004
03/27/2005
Phone
541-465-4737
541-726-1677
541-726-5723
541-726-2903
541-747-1254
02/17/2005
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Fixture
Gas Outlets 1-4
Gas Outlets 4+
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Planning Final Occy Inspection
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fpp< P~;,ll
Amount Paid
Date Paid
$10.00
$9.00
$6.30
$30.00
$14.00
$4.00
$1.00
$10.00
$31.00
$118.00
$100.74
$132.54
$11.66
$4.90
$3.43
$43.00
$6.00
7/11/03
7/11/03
7/11/03
7/11/03
7/11/03
7/11/03
7/11/03
7/11103
7/11/03
7/11/03
7/11/03
7/11103
7/11/03
7/15/03
7/15/03
7/15/03
7/15/03
$535.57
I Plan Reviews I
Pal!e 2 of4
. CITY OF 1)rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2003-00445
ISSUED: 07/15/2003
APPLIED: 06/02/2003
EXPIRES: 01/15/2004
VALUE:
Value
Date Calculated
Receipt Number
1200200000000001748
1200200000000001748
1200200000000001748
t200200000000001748
1200200000000001748
1200200000000001748
1200200000000001748
1200200000000001748
1200200000000001748
120020000000000t748
1200200000000001748
1200200000000001748
1200200000000001748
2200200000000001247
2200200000000001247
220020000000000t247
2200200000000001247
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00445
ISSUED: 07115/2003
APPLIED: 06/02/2003
EXPIRES: 01115/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Fire Department Review
06/03/2003
06/30/2003
OK
GRG
Plan Review: interior remodcl.
B-Occupancy. V -N Construction.
550 sq. ft.
Plans call out for one 2-A:tO-B:C
fire extinguisher. (Springficld
Uniform Fire Code 1002.1). Will
verify on inspection.
Plans call out for posting of sign age
per Oregon Structural Specialty
Code 1003.3.1.8. Will verify on
inspection.
Site visit verified address (suite)
numbers posted on door. Will verify
on inspection that this is maintained.
Initial Review
Plannine: Review
06/03/2003
06/03/2003
. 06/03/2003
07/0112003
APP LLH
APP EMM
See enclosed Land Use
Compatability Statement written by
Ashley Deforest
CALLED WESTERN
INVESTMENTS FOR PRIOR USE
OF THE SPACE. WAITING FOR
CALL BACK.
Public Works Review
07/01/2003
07/09/2003
WE PJO
Public Works Review
Structural Review
SUB Review
07/09/2003
06/03/2003
06/03/2003
07/09/2003
06/30/2003
06/12/2003
APP PJO
APP JMP
APP JF
No energy code issues.
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'ponirp:rt rn~~
1 Final Fire Department. After all requirements of the Fire Department have been met.
2 Rough Plumbing: Prior to cover and including required testing.
3 Final Plumbing: When all plumbing work is complete.
4 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
5 Rough Mechanical: Prior to Cover
6 Final Gas: When all gas work is complete.
7 Final Mechanical: When all mechanical work is complete.
8 Special: See Plan Review and/or Inspector notes.
9 Rough Electric: Prior to Cover
10 Final Electric: When all electrical work is complete.
Paee 3 of 4
-~
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00445
ISSUED: 07/15/2003
APPLIED: 06/02/2003
EXPIRES: 01/15/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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 tbe proper time, that eacb address is readable from the
street, that the permit card is located at tbe front of the property, and the approved set of plans will remain on the site at all
times during construction.
/~LL-
O.:.:e,,(. Contractors Signature
7-/'7 -03
Date
Pal!e 4 of 4
.'- " . ."'225 FIFTIl STREET -, . ,,,...,-'-.,, '"",,",,,, ,,,. -"-' . .c' .
': ,.';' ';<:\:'.. .,' ,:,::\ ("'.'.~~ ';Ii '!,"C'U;' ,"';' I~,,;;?':.:, ELE~ -.PERMIT ~PLICATION. ".,' .
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~,~'\'..\, ;;lJNSP?_CT~ciN REQVSST,: 726:~7ft~,:, fj(~ *11..'Y'C:' ~4. ~iCiiY;Job l'i~iii.b~? '':' ~' .,..~t.:I~t.:>:\:::~ . ;, .:tFf5
~.<.,; .~::' r...,t:'OFFICE~:t726-.3759 -;s~::'. ~. ..;: ;'.~* "Jt::~:.:...~ ~ (~~;'l~::! ~:~ ~~ ~1t ~~~";\:i~;.:'~4.<.ti.it-:r:~-",...,;.~ t~-';1~")":':;~'~ ;:.' ,,-~:.J., -.~"'- ':
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"-'.' ':" ".( "';"",,-,1 :.~;" "..., ,,' ,e::., .~., ,':;; :~,:".._. 3~..COMI'LETE FEE'SCHEDULE BELOW .';\. ;.';"~;:.;j,', ,~i'J ,..'c....
. .. .....'_~ ~". ;~...~ .~~ ::>;,'1" .. . '~'i":J .. . -. J;:. '-' t'_~ :-~';";:';:~';;'.:4 :5i/:~~"\~ 1"'~'i-.,i,:' :t"<~ ,:-",;:;.,,,,!,;,,. _;~. .-_', ",.; :_.;. ,\""~f.'t"-;:'!.
::-'.:,~.""~,"~;:~~:
~l . :_~~:... ~.~\ 1. LOCATION OF INSTALLATION :': -. f~(;(?,~,;"'~ \~~~~1~ ~~~,:;;~~~i..;,' ~f5fi-;~!q;,1~;)it~,:,~~:~I;:~f:':\~'~~fi;~~~l"d::~;"~"t"...' ''l~.:'
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. , \ - ,.~- \..:.
~1!1I"URIY'per dwelling unit. :;'~ .".,',
~ . \'3-~ .. .""\0'"
""W . e Included' '.,.;1':;,
slJ'o. 15 ':"~~",
~~~0 O~ ~~~ S~
. ~Q\ ",0\ /., / ,".f
~!,J' ~\o-tl\{\ aoes " \I . .".,-" .:
~'j\,..~ J~E~~RIP~ION .exJ.l..J ~ ~~~t#0~~ es 0 $106.00":,<
~lf~Y Permits are lion-transferable and expte "''e/eT.5 '7..0 ",\VI~{' ~Of ortion $ 19.00 : :.'::'.
0~{.:.' if work is not started within 180 days \)0,0 ,1.00 <;;,.."' Each Manuf'd Home or
,::c,..' OA~~'€N'fl~lif:~~~I1R!1WIA9~Wres YOUlM"OI Modular Dwelling , '
~f~t~;; WR6W'fules'adopted by the Oregon Utility Service or Feeder
.':'.":,<,:.,' N2t1~~~.er. Those rules are set IQrt'
~;:;~ in 0 , ~ -&I~T~~'a~~~~.{)o
'if.; . o@~gt):i't5\l '~~1Xtg~} is!
~E;: ~~. 8:en,,~ ~ty NOlili!t~t~l1",..
~..~.~ ~Tir i~" t' . U-~~l!-J!~.Jl~l~~~Wc~r.!.
~A~',t City ~1:~!(': ~if~~~lOne 7.~!.=~~?!~~~~'
;.;;:::,,-,~, '. .t,~'~I\~-i ",~(,:e;.,;: ri:.~~I>'iJJ., !l>ff.
t:~:S,-~:: Supervisor'~~i6biise:Niimber (..'" ,o~'-~<<\
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1~~~.".;11~,~i~':;7v.t..I~~. _ . '" C:<i, '.
r~~,~;)~;,.r:~~:I\~Sign';lturc'of Supcn.ising Electrician
'1 "~;!: '~""'~~.'"'''' -'1 - ' ~., "... .....'1>>
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':', ....~~.,~:....~.. '.:,_, : '~"'_;:>\:,~>(:'<_~~:_l;?~\.~;
_ '~OWNER L'ISTALLATION ':.;'::':-
:':The iiistallation is being:made on . ....
.\' 'propt:rtyI (Jim which is not intended'
.' ':for sale, . lease or renC" ',:. . .. "".- ~::,:,:
~EGAL D,ESCRIPTIONj ,,~"\
/7(")5 d5 &:/ OO<...>uu
.. Owners Signature:
...:,.,-
-;;1;0,.
$ 50.00
E.
,-
1--'r-:<
. ':~..
..'..'
'-
:.:, ;('"L
,
, ..-.--
.
Minimum Electd~Permitlnspection Fee is 545.00 + Surcharges
4. SUBTOTAL ~;'~BO~~ Lj 1. ~
70/0 State Su.rchiirge
8% Administratiye Fee.
, ..
~~~: ,"~' ....;.
",:
TOTAL
57.
.5.:5'
'.:- .
.:-' ~.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00445
COM2003-00445
COM2003-00445
C0M2003-00445
Payments:
Type or Payment
CreditCard
~-~"'~.'~-'~<".". -.;.;.
'-,,",~- ..- ,
"' i
..t _ -,
'-"""""",, ..'. . ""-~
Receipt #: 2200200000000001247
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
nJm
Check Number
Batch Number Authorization Number
Paid By
MCDIARNID CONTROLS
000120 613281
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/15/2003 1I:23:21AM
Amount Paid
Item Total:
43.00
6.00
3.43
4.90
$57.33
How Received
In Person
Payment Total:
Amount Paid
$57.33
$57.33
.
.
.. ATTACHMENT A . M~a
CITY ~NGFIELO SYSTEMS DEVELOPMENT C~KSHEET
JOURNAL OR JOB NUMBER COM2003-00445
NAME OR COMPANY: WESTERN INVESTORS
LOCATION: 2787 OLYMPIC #12
MAP & TAX LOT NUMBER: 17-03-25-41 500
DEVELOPMENT TYPE: RETAIL
NEW DEVELOPED AREA (S.F.):
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
881.50
881.50
ITE:
ITE:
LOT SIZE (S.F.):
814
814
~ u ...
u ~ ::
......t' VI t:
Eo;; i"8
OOIoiJ cr::t.J
I. STORM DRAINAGF
PREVIOUSLY PAID
IMPERVIOUS SQ. FT.
x
$ 0.282 PER SF
TOTAL STORM DRAINAGE SDq $
1070
1. SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
6 x $ 22.09 PER DFU 1$ 132.54 1091
6 x $ 16.79 PER DFU I $ 100.74 1092
TOTAL LOCAL WASTEWATER SDC,' $ 233.28 I
~_ TRANSPORT A TION
BLOG AREA TGSF x TRIP RATE x COST PERADT x NEW TRlP FACTOR
NEW
A. REIMBURSEMENT COST:
0.88 x 40.67 x $ 16.81 PER TRIP x 0.75 NTF 1$ 451.991
B. IMPROVEMENT COST:
0.88 x 40.67 x $ 74.17 PER TRlP x 0.75 NTF 1$ 1.994.281
EXISTING
A. REIMBURSEMENT COST:
-0.88 x 40.67 x $ 16.81 PER TRlP x 0.75 NTF 1$ (451.99)1
B. IMPROVEMENT COST:
-0.88 x 40.67 x $ 74.17 PER TRlP x 0.75 NTF 1$ (1.994.28)1
TOTAL TRANSPORTATION REIMBURSEMENT SDC:' $
TOTAL TRANSPORTATION IMPROVEMENT SDC:' $
TOTAL TRANSPORTATION SDC:' $
1093
1094
4_ SANITARY SEWER - MWMr.
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.88 x $95.10 PER FEU 1$ 83,831
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.88 x $9.95 PER FEU 1$ 8.771
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's -0.88 x $95.10 PER FEU 1$ (83.83)1
B. IMPROVEMENT COST:
NUMBER OF FEU's -0.88 x $9.95 PER FEU 1$ (8.77)1
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 1054
TOTAL MWMC REIMBURSEMENT FEE: $ 1054
TOTAL MWMC IMPROVEMENT FEE: $ 1055
MWMC ADMINISTRATIVE FEE: $ 1056
TOTAL MWMC SDC" $
SUBTOTAL (ADD ITEMS 1,2,3. & 4)
p
233.28 ~
s. AOMINISTRA TIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
$
233,28 x 5% $ II .66
TOTAL TRANSPORTATION ADMINISTRATION FEE:' $
TOTAL SEWER ADMINISTRATION FEE:' $
1078
11.66 1079
~
PQVl<.tLQJ. ow""b tl:J 7/1012003
c5~~Nfl.lfmRN INVESTORS, 2787 Ol VMPIt1la2.xls
TOTAL SDC CHARGES
, $
244.94 ~
JULY 2001
.
-
DRAINAGE FIXTURE UNIT (DFU) CALCULA TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS'
(NOTE, FOR REMODELS. CALCULA TE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLlDS/ETC
INTERCEPTORS FOR SAND/AUTO WASH/ETC
LAUNDRY TUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERA TORIW A TER ST A TlONIETC
RECEPTOR FOR COMMERCIAL SINK! D1SHW ASHER/ETC
SHOWER. SINGLE STALL
SHOWER. GANG (NUMBER OF HEADS)
SINK, COMMERCIAL. RESIDENTIAL KITCHEN
SINK, COMMERCIAL BAR
SINK, WASH BASIN/OOUBLE LA V A TORY
SINK, SINGLE LA V A TORY/RESIDENTIAL BAR
URINAL. STALUWALL
TOILET, PUBLIC INST ALLA TlON
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS,
NUMBER OF EDU'S~
FIXTURES UNIT
NEW OLD EQUIVALENT
3
I
3
3
6
2
3
6
12
I
3
2
3 2
3
2
2
I
5
6
3
TOTAL DRAINAGE FIXTURE UNITS=
"'EDU (Equivalent Dwelling Unit) is a discharge equivalent 10 a sin~le 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
6
o
o
o
o
o
o
o
o
6
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 AFTER ANNEXATION DATE)
COM2003-00445. WESTERN INVESTORS, 2787 OLYMPIC #12.xls
YEAR
ANNEXED
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
RATE PER $1,000
ASSESSED VALUE
$ 2.06
S 1.64
$ 1.45
S 1.31
$ 1.I3
S 0.97
S 0.82
$ 0.63
S 0.41
$ 0.22
$ 0.04
x
x
CREDIT TOTAL
$0.00
$0.00
SO.OO
JULY 2001