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Home My WebLink AboutPermit Building 2005-7-29 (3) . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2005-00573 ISSUED: 07/29/2005 APPLIED: 05/16/2005 EXPIRES: 01129/2006 VALUE: $ 446,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2820 Olympic St ASSESSOR'S PARCEL NO.: 1702300001936 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Marcola Substation Owner: Address: SPRINGFIELD UTITLITY BOARD 1001 MAIN STREET SPRINGFIELD OR 97477 I.. '\' 0" . ','l. ,\ \\\" ,:.. \~- . ~'~.",\ .\.CONTRACTOR INFORMATION I ...;}."". ~'<.-0'\)" Contractor Type p'Qn1rtl!=to~v0\"''' License General _;.;. .,~ c}2<?)!Nc;.~r' 40559 ElectricaL ,-' . . . ,,:. ., ., (O\\;'NER,. c. ~ - '-- ,,\ v 0.\~ ,\~.J c.\\\ .' v \l'<....'~ ,\,' . \- : '--'\. :...\.. ... ~\ \. .~.>- 'VI" # of Units: 'I' ~\,,',\..j ,\u-J PrImary Occupancy Group: y'. Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: , # of Bedrooms: Expiration Date 04/17/2006 Phone 541-689-3850 BUlLDINl. ",..uKJ>1ATION'IP l\.-\ '" ~ -v~' fS' . .~e ~ ".0 v # of Stories: 0..,,' ~o ",e' ",\l Lot Size: HeIght of Struc6l're),e ~,e n.~'1: ,_'0-\ Sq Ft 1st Floor: '7>- e v -J ~e~ Type of ~t: \$' .s-e'" O~~ ,\:I ~e Sq Ft 2nd Floor: Watea:~tYpe:'O-\ roe \ ^~ ,'S'e n^~o i:-o<Sq Ft Basement: U ,e- 0 ~"J 0' }.'Y".(j~ !ftN:e(\T-)1I~:\'\' ~\o ,eo'" e ,e i$-' Sq Ft Garage/Carport _{<Energy~atb:,\\l~ (jo<::i n'\$' .\~o .,\, Sq Ft Other: <(...~ \.e; .~, =,,\' ^ ~'U. ~~" ~I,)l.' ~-<;, .\Sjir'f-liled,)Joil<<!!ng:~O -v~!lta Occupant Load: ~ .....~ .".(\ ,,\) ,,'0. .(\ .../L Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DE\T.EEOPMEl'.. 1l~..ORMAl'ION I \. V' ,- ~\.- ~\-'0' ,~ "<!l\l'.,,t-~ ,\0\ l\.e\' l:OvlO,rlay,Dist:e<:' - ,..,.... v # Sl{eet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: HandIcapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: . Notes: Paee 1 00 Status Issued 225 Flftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlon Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description + 10% Administrative Fee + 7% State Surcharge Temp Power 200 amps or less Plan Review CommflndlPublic + 10% AdministratIve Fee Fixture Inspections - Investlg. Plumb Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll 00' + 10% Administrative Fee Encroachment Permit Site Work Storm Drainage Impervious Area Total Amount Paid Initial Review Plan nine Review Public Works Review Structural Review Structural Review 07/14/2005 07/14/2005 07/14/2005 07/14/2005 07/29/2005 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00573 ISSUED: 07/29/2005 APPLIED: 05/16/2005 EXPIRES: 01/29/2006 VALUE: $ 446,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 446,000.00 Total Value of Project Fpp< PIiaJ Amount Paid Date Paid $5.00 $3.50 $50.00 $1,098.60 54.50 $14.00 545.00 545.00 $56.00 $169.02 $130.00 $1,690.15 $3,526.24 5/16/05 5/16/05 5/16/05 7/14/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/29/05 7/29/05 7/29/05 7/29/05 $6,837.01 I Plan Reviews I 07/14/2005 07/20/2005 APP SKG APP EMM 07/20/2005 APP SB 07/2112005 WE JMP 07/29/2005 APP JMP Paee 2 of3 Value Date Calculated $446,000.00 $446,000.00 07/14/2005 Receipt Number 2200500000000000586 2200500000000000586 2200500000000000586 1200500000000000998 3200500000000000435 3200500000000000435 3200500000000000435 3200500000000000435 3200500000000000435 2200500000000001014 2200500000000001014 2200500000000001014 2200500000000001014 To be built per approved Final Site Plan - DRC2004-00015 SDCs added for Impervious surface. Application for Encroachment Permit required before tapping Stormwater line In Olympic Street. Encroachment fee added. LDAP already Issued. See attached document for request for special Inspection form completion faxed to Raymond Meduna. Received the Special Inspection forms. I . . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2005-00573 ISSUED: 07/29/2005 APPLIED: 05/16/2005 EXPIRES: 01129/2006 VALUE: $ 446,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~tion~1 Temporary Electric: Approval required prior to Utility Company energizing pole. Storm Sewer Line: Prior to fIlling trench. Special: See Plan Review and/or Inspector Notes. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for Inspection In conjunction with footing and/or foundation Inspection. Foundation: After forms are erected but prior to concrete placement. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide Inspection test reports to City Building Inspector. Final Building: After all required inspectIons bave been requested and approved and the buildIng 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 certify tbat any and all work performed shaU be done In accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe 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 wltb 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 wUl remain on the site at all 9tu~.i:c:nstrli;~nKI A ) ( ol~LULU7.-UJU V(1.;;;2C(. ()~ ......J ~ Owner or Contractors Signature Date Paee 3 of3 if.? Co t-I\ 'Z.Oo 5 - 00 Building Permit II N\." ~COL.'" ,- ~a.-cS"' Date :.ri)Jcc:t .:';l~e s..,'\!.s."t"'""\\.O~ City of Sprlngfield Commu."\ily 5~1~.~~~' Divi~i\irI 22S .Filth Street . Springfield, OR 97411 Telepllone: (S41) 726-37S9 Fox: (541) 726-3689 Special Inspection And Testing -z. ~ '2.0 0 \.. --< M. f> l c.. . S\:'\;!.E E.~ Project Address To appl icants of proj.cts requiring special inspection or testing as per Sectioll 1701.5 of the Oregon Structural Specialty Code; Please revielv.the information below. When you have finished, acknowledge an understanding ofthe information by signing below, Illld return thu form to the City. BEFORE A PERMIT CAN BE ISSUED: The O',Vllor or owner's representative, on the advice oftbe responsible Project Engineer or ArCbitecl, shall complete, sign, and submil to the City for review and appmva I this form completed on both tlte front and back. The Owner and General Contractor, wbere applicable, shall also acknowledge the following conditfons appllcable to Special Inspection and/or Testing. I. Contracto I' is ,",ponsi!>le for proper nOI ilicatlon for the Inspection or Testing of Items listed. 2. Testing laboratory sholl take appropriate samples and transport them to theIr laboratory for proper evaluation or tesling. . Copies of 011 laboratory reports ond Inspeclions are 10 be sent to the City by lite Tesling Agency. 3. Speellllln.peolioll Agenoy is to submit names and qualification. of on-.i1e Special Inspectors to the C!ly for approval. 4. Specln1lnsp.ctor shall provide Inspeclion reports to the building official of all inSpeclion activides. S. Conlractor is responsible 10 review the City approved plans foradditional inspection or testing requirements Ihal may be noted. BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED: The SpeciallnspectioD Agency shall submillo the Building Official a statemenlthatall items requiring inspection have been fulfilled and r.ported and were to lhe besl oethe inspector's la\owledge,ln conformance with lhe approved plans, specifications and applicable workmanship provisions. Those Items not tested and/or Inspected shall be noted I:, the slalement The report is 10 be submilted to lhe City prior to a request for fiul inspections. ACKNOWLEDGMENTS S/.le, - KA'71'iOllb l1c:Dw~11 Owner Name (Printed) "TA,M"..A S lAA? - J Dr/ IV.:;"u Engineer or Architect Firm (Printed)" 1>1) \ Testing Laboratory Name (Prinled) ~.~ ~ ~... S'~ . ~~ 'l (" . c..g",~.+ Gen. Conlractor Firm Name (Printed) Owner Signature ">~ Enginee; or Architect . OalUre . .y K KJL~ Testing Laboratoty Rep Signa"!re. i0\: Special Inspeclion Agency Name (printed) 11~~ ~~p Building Official ~a~ ., -t ~ "- IV -... "- IV '" -JSJ U1 '" '" '", A ..... IV . o H -< -< ~ Ul " . H fTl r t:l ~. ~ L# ,s;(ne~ontractor SignalUre . -\!1(~fJ.QQ ~ r;;::C"s" ~~ ;. ~,~~~ GRADING, EXCAVATION, AND FILL Acceptance tests . PSI' Establish final grade Fill placement inspection/continuous Soil Density co '" -.... IV ...... -.... IV co ..~ SPECIAL INSPECTION AND TESTING SCHEDULE I Reinforced -:;onerete. Gunile. Grout and Mortar: I Concrete Gwlite Groul Mortar I i x ~ X Precast/Pre. ".tressed Conl'~te: Piles Post-Tens Pre-Teos Claddine SMOKE CONTROL: Leakage testing Cootrol Verification ROOFING: Insulation insta1lationJR-Value. Test strips/seams Ael!T_eeale Test of Mix DesilUl Reinforc!nR Test Mix Desien-WeWun....tcr Ccrt.. Reinforcine Placement ContinlWus Batch Plant InSllect. !!>meet Placin!! Cast S_liIIll'lcs SamDles (PickuolDeliveredl COIDcression Test. AliRI:.el1.ate Tesls Reinforcin!! Tesls Tendon Test Mill Desiens. Reinforcine: Placement Insert Placement Concrete Batchine Concrete Placement Installation Iosoection Cast SamDles Pick-uo SalTl1>les Comoression T esls FIREPROOFING: Placement inspection Density tests Thickness tests Inspect batcbiDg co U) ,.. co '" STRUCTURAL STEELIWELDING: Sample and test (list specific members below) Shop material identification (miU ccrt) Weld inspection _Shop _Field Ultrasonic inspection _Sbop Field High Strength Bolting_Shop Field A325 _N _X _F A490 ___'II _X ----" Mellll deck welding inspection Reinforcing Steel welding inspection Reinforcing steel mill certificate Metal stud welding i!Upection Concrete insert welding inspection Moment resisting steel frames '" IV . STRUCTURAL WOOD: Shear wall nailing inspection Sbear wall BDchorn Inspection of Gill-lam fab. · _ TIC psi Inspection oftrwsjoist fab. Sample and test components Fabrication welding of stecl accessories () H -< < ~ (Jl i H fTl r eo MASONRY Special inspection stresses used.. f'm f'g Preliminal)' acceptance tesls (masonry units, wall prisms) Subsequent lesls (mortar, grout. field wall prisrm) Placemenl inspection of units, and reinforcement Masonry, mortar, grout, and reinforcing steel certificates ADDmONAL INSRUCTIONS, OTHER TEST, & INSPECTIONS: 5pri(\cl.'efd [,(bility {)oavd r,t'A;n'~ .;1.9 r~v d . .. I ,.",V\u.de -F<>...."'d~,f,'ol'lS. FormCompletedby:&hot'aS AM<U\'l...-- Dale 7-;).7-05 t.;.,}d ~assloV/ ":!trTh1ti-1 (J~ ::l5oo ~i; /:.;.. "'!i"~,,,b~-- "U 1> Gl fTl " 'PROVlDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCm-IENT LOCA nON OF VALUES co (J1 . ATIACHMENTA _ CITY R1NGFIELD SYSTEMS DEVELOPMENT CHARG~HEET JOURNAL OR JOB NUMBER C0M2005-00573 NAME OR COMPANY: SUB- Marro!. Substation LOCATION: 2&20 Olympic Sir MAP & TAX LOT NUMBER: 1702300001936 DEVELOPMENT TYPE: Paving and StOImwatalincs NEW DEVELOPED AREA (S.F.): 47.926.00 EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): 3.134 lTE: ITE: LOT SIZE (S.F.): 170 1 STORM DRAINAGE IMPERVIOUS SQ. IT. $ 0.323 PER SF TOTAL STORM DRAINAGE SDq $ 3,526.24 1070 10,906 x 2 SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) o x $ 25.07 PER DFU o x $ 19.07 PER DFU $ 44.14 TOTAL WCALWASTEWATER SDC:, $ . ;:.l 1:: ~ 4I.\.J.o >. 1i: tl E-a~ ~-g O.O~ =r: u o 1091 o 1092 :l..Il!.l' ""P()~T.A:IlQH BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0.00 x 2.5 x $ 19.09 PER TRIP x NTF $0.001 B. IMPROVEMENT COST: 0.00 x 2.5 x $ &4.19 PER TRIP x NTF $0.001 EXISTING $ 103.2& A. REIMBURSEMENT COST: 0.00 x 0 x $ 19.09 PER TRIP x 0 NTF 01 B. IMPROVEMENT COST: 0.00 x 0 x S &4.19 PER TRIP x 0 NTF 01 TOTAL TRANSPORTATION REIMBURSEMENT SDC:I $ TOTAL TRANSPORTATION IMPROVEMENT SDC:I $ TOTAL TRANSPORTATION SDC:, $ 1093 1094 4 SANITARY SFWRR. MWIill: NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 47.93 x $0.00 PER FEU B. IMPROVEMENT COST: NUMBER OF FEU's 47.93 x $0.00 PER FEU EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.00 x $0.00 PER FEU B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 x $0.00 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) 01 01 01 01 $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC ADM1N1STRA TIVE FEE: $ TOTAL MWMC SDC:I $ 10.00 I SUBTOTAL (ADD ITEMS 1.2,3.&4) '$ 3,536.241 5 ADM1N1STRA TIVE FEES. BASE CHARGE (SUBTOTAL ABOVE) $ 3.536.24 x 5% S 176.&1 TOTAL TRANSPORTATION ADMINISTRATION FEE:I $ TOTAL SEWER ADM1N1STRA TION FEE: $ 1054 1054 ]OS5 10.00 ]056 1078 176.81 ]079 steve"" w. ]!.eoL<~rij ]!.Or>\LS 7/812005 c8Ja!io~1fI,Il, Substation, 2820 Olympic.x1s DATE TOTAL SDC CHARGES 3,713.05 1$ 1 JULY 2004 225 Fifth Street Springfit!ld, Oregon 97477 541-726-3759 Phone . .j:~~~ ~ Job/Journal Number COM2005-00573 COM2005-00573 COM2005-00573 COM2005-00573 Payments: Type of Payment Check 7/29/2005 RECEIPT #: 2200500000000001014 Description Encroachment Permit Storm Drainage Impervious Area Site Work + 10% Administrative Fee Paid By SUB ReceIved By jmp Cbeck Number Batch Number Page 1 ofl 150987 .ity of Springfield Official Receipt Development Services Department Public Works Department Item Total: Authorization Number Date: 07/29/2005 2:47:15PM Amount Due 130.00 3,526.24 1,690.15 169.02 $5,515.41 How ReceIved Amount PaId In Person Payment Total: $5,515.41 $5,515.41