HomeMy WebLinkAboutPermit Land Drainage Alteration 1997-5-12
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SPRINGFIELD
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 970627
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 2885 OLYMPIC ST
Assessors Map #: 17023000
Tax Lot #: 02000
Owner: KRC ROLLS, INC
Address: 2885 OLYMPIC ST
Phone #: 726-5014
City/State/Zip: SPRINGFIELD, OR 97478
Description Of Work: LAND ALT/DRAINAGE NEW Value: 369,496.00
Const.
Contractor Contractor # Expires Phone
General:
CENTERLINE CONS 0098191
800 S 18th St ,Springfield OR 974770
04/27/96
747-1213
PLUMBING
No.
Fee
Charge
55,00
U5.00
145,00
Sanitary Sewer
Water Service
Storm Sewer
207
586
843
ft.
ft.
ft.
TOTAL PERMIT
315.00
QUAD AREA: 3 CNC
-- OFFICE USE --
LAND USE: 5300
Item
Square Feet
x
$/square Feet
=
Value
TOTAL VALUE OF PROJECT
0.00
Plan Check Fee:
2,233.00 Rec #: 25572 Date: 05/01/97 Rec By:
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
SIDEWALK
CURBCUT
XTRA PLAN REVIEW FEE
0.00
0.00
0.00
315.00
25.20
22.60
22,60
78.75
SUBTOTAL PERMITS
SYSTEMS DEVELOPMENT
464.15
26,498.20
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
26,962.35
SPRINGFIELD
Job Number: 970627
Page 2
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
made at the proper time, To request an inspection, call 726-3769
(recorder), state your City designated job number, job address, type of
inspection requested and when you will be ready for inspection. Requests
received before 7:00 a.m. will be made the same working day, requests made after
7:00 a.m will be made the following work day.
Special Inspections: In accordance with
a special inspector shall be employed by
construction of any following 11*11 work.
shall be furnished to Building Safety.
Section 306 of the State Specialty Code
the Owner/Contractor during
A copy of the special testing reports
In addition to the inspections specified, the Building Official may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
WATER LINE - Prior to filling trench,
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench,
SPECIAL
--- ADDITIONAL COMMENTS ---
THIS PERMIT IS FOR SITE UTILITIES ONLY, EXCLUDING ELECTRICAL.
ADD'L PERMITS WILL BE REQUIRED FOR PAVING AND OTHER SITE IMPROVEMENTS WHEN
ADEQUATE PLANS ARE SUBMITTED,
Plans Reviewed By: DON MOORE
Building Site Reviewed By:
Date: 05/14/97
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 ORB 701.055 will be
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that project address is readable from the street, that the
permit card is located at the front of the property, and the approved set
~ ~ ;;~te at all times during constr/O~ //Cf /90
Signature Dtte
Date Paid:
--- VALIDATION
2')S<~7)
,C)-/2 J:1_7
;)95: 77(" .22
w/
Receipt Number:
Amount Received:
Received By:
SPRINGFIELD
/:tl'~
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
COMMERCIAL / INDUSTRIAL
Developer: KRC ROLLS, INC
Mail Address: 2885 OLYMPIC ST
Tax Lot #: 1702300002000
Subdivision:
SPRINGFIELD, OR 97478
Project Address: 2885
Lot: Blk: Eng.
Job No.: 970627
Phone #: 726-5014
OLYMPIC ST
Rev. No.: Book:
Street Gravel Ac Mat
2885 OLYMPIC ST
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
'I
5 FEET
12:1 FLAIRS
Existing Curbcut: 'I
Comments: SEE PLANS
width:
Ft Flairs:
Ft
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvement Agreement: N
Easements: 'I Where: SEE JO. NO. 97-01-01
COMMENTS: COMPLY WITH LAND USE DECISION 97-01-01
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Available: 'I Stubbed Out To Property Line: YSize of Line: 8 In.
Location From N, S, E, W Property Line: SEE DRAWING & FIELD LOCATE
Make Connection: PER PLUMBING CODE
Comments: NEW TAP TO PUBLIC SEWER WILL NEED A PUBLIC WORKS PERMIT
STORM SEWER
Available: 'I
Pipe Downspouts And Drains To: STORM SYSTEM
Pipe Parking Lot Drainage To: STORM SYSTEM
SIDEWALK AND DRIVEWAY INFORMATION
New Curbcut Appr.: Y INDUSTRIAL Width: 30 Ft Flairs: 6 Ft
Sidewalk Permit: 'I Width: 5 Ft Length: 84 Ft
Curbcut Permit: 'I width: 84 Ft
Handicap Ramp: N
Comments: SEE STANDARD DRAWING 3-10 (INDUSTRIAL TYPE)
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: 'I CONTACT ENGINEERING DIVISION AT 726-3753
Sanitary Sewer In Lieu Of Assessment: N
Comments: NEED PUBLIC WORKS PERMIT FOR ANY NEW TAP TO THE PUBLIC SEWER
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: TROY MCALLISTER
Date: 05/13/97
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
.
. . . JUtl NU. Q7()raz.7 c.
r, . ATTACHMENT B . .
CITY OF SPRINGFIELD SYSTEMS'DEVEIMENT CHARGE
WORKSHEET
, ..
. '
.. "
NAME OR COMPANY:
~ 1< C. 'KoLLe; I~c..
r,
.
LOCATION:~'2g8) CJLYh1tc.. ~T
DEVELOPMENT TYPE:
BUILDING SIZE:
I ()T SIZF '
SQ, Ft.
1- STORM rJRATNAC;~
IMPERVIOUS SQ, FT:
, ,
2. SANTTARY,SFWER-r.TTY
NO, OF PFU'S 4().
(See Reverse Side)
3, TRANSPORTATION
X $0.216 PER SQ. FT. $ -e-
X $44.75 PER PFU.
$ I) 790, n1
NO OF UNITS X TRIP RATE X COST PER TRIP,
;:',t:.ot:> X' 0, 7c;O X $451. 26
$ 2. z-.; ""l, 73
X
X $451,26
$
X
X $451. 26
$
4. SANTTARY SFWFR-MWMr.
NO. OF PFU'S x$20.69 PER PFU+$10 MWMC/ADM FEE $ e
(Use PFU Tota 1 From Item 2 Above) ,
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAl -MWMr. SrJr, $
SUBTOTAL (ADD ITEMS 1:2.3 & 4)1...1.. D2..~-75
5, ~OMTNrSTRATTVF FF:S
BASE CHARGE (SUBTOTAL ABOVE) X .05
$
2.01,lq
fU'
Date:-8.::.r~ -'17
TOTAl snr. $ 4) zz48Z-
SDC'Coordinator
\
. '"' I VI ,.... V,., I V'""'...."'.....,....I"""\. 1"",,,1. . ~___. l'tUI1IUCI UI I"c;.~ I,....".. __,) ....."" '-"1U11H"llCIH
(NOTE: For remodels, calculate on...e NET additional fixtures)
.' . . NUMBER OF, UNIT
FIXTURE TYPE NEW FIXTURES EQUIVALENT
a7l"
- I ,^\...,,;: Vl"~;) .
, .
FIXTURE .
UNITS
. ,
Bathtub....... ,.",...."""."".....:,..........,.,.............,..,.."..
Drinking Fountain.."".......".....,. .... ...."...............".,..
Floor Drain,...."" ...........,...,. ..,..:..,..,.......",......,.."..,..
Interceptors For Grea~e/9iI/Solids/Etc.. ,.. '...........
Interceptors For SandlAuto Wash/Etc......,............
Laundry Tub/Clotheswasher...............,..... .............:
Clotheswasher - 3 Or More..............,......................
Mobile Home Park Trap (1 Per Trailerl...................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Sing!e StalL"........ '..... ,.........,....,..... ...'.......
Shower, Gang ................,......... ........,.."..,......... ... ....
Sink: Bar, Commercial, Residential Kitchen........................
Urinal. Stall/WaiL",...."",.,....,. .........,..,.,.""..,..... ... ..:
Wash Basin/Lavatory, Single...,..... .....,..,.............,.,
Toilet, Public Installatiofj..,.,.,.............".,.....,.."......
Toilet, Private,...............".."..,................. ,......,.,...
Miscellaneous:
,.
....
'3
'Z.
~
I
':2,
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
=
I
h
"
t
,
IR
.1<JJ
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates,
If
Rate per $ 1 ,000
.Assessed Value
Year
Annexed
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
1985
1986
$3.72
3.64
3.58
3.45
3.30
3.15
2.96
2.68
1987
1988
1989
1990
1991
1992
1993
1994
1995
Rate per $1,000
Assessed Value
1
$2,34
1.95
1.53
1.11
0.73
0.5.6
0.44
0.27
0.13
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
=
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purp.oses Only)
Residential...... .......... ........... 0.4
Commerical..........,.............. 0,9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE.X RUNOFF COEFFICIENT
SPRINOFIELD
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / INDUSTRIAL)
Name or Company: KRC ROLLS, INC
Location: 2885 OLYMPIC ST
Developement Type: C Building Size: 40300
Job No.: 970627
Lot Size:
Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft 1.0 X 53690
X
0.216
Per Sq Ft =
$11,597.04
2. SANITARY SEWER
Number Of PFUs
(see Page 2)
- CITY
1.0 X
~ pt.(lM'\OIN~ WIt-/.. ee. wI FcJTIJ;:Z6 ,d~1 r
o X 44.75 Per PFU = $0.00
3. TRANSPORTATION
Number Of Units
1.0 X 40.300 X
X Trip Rate
0.750 X
X
Cost Per Trip
451. 26 =
$13,639.33
Transportation Total
$13,639.33
4. SANITARY SEWER - MWMC
Number Of PFUs
o
X
X
Per PFU + MWMC Admin Fee
20.690
=
$0.00
MWMC CREDIT If Applicable (see Page 2)
$0.00
TOTAL - MWMC SDC
$0.00
SUBTOTAL - (Add Items 1, 2, 3 & 4)
$25,236.37
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
$1,261. 82
TOTAL SDC
$26,498,19
Reviewed By: TROY MCALLISTER
Date: 05/13/97
, '
SPRINQFIELD
Job Number: 970627
Page 2
FIXTURB UNIT CALCULATION TABLB
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
Number of
New Fixture
Unit
Equivalent
Fixture
Units
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
2
1
6
4
o
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately,
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0.00 =
0.00
o
0.00 =
X
0.00
CRBDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)
q 10(,2.1
Building Penn it #
~'I'S. 91
Date
It-~G. ~~\h "'vll...f)I...!c,
Project Title
Z. 6PJ{ en..'( t1P,,- 4-('. C;PJZ-/.Jl.F 1&LD
Project Address
City of Springfield
Community Services Division
225 ,Fifth Street
Springfield, OR 97477
Telephone: (541) 726-3759
Fax: (541) 726-3689
Special Inspection And Testing
To applicants of projects requiring special inspection or testing as per Section 1701.5 of the Oregon Structural Specialty Code, Please review.the information below, When you
have finished, ackno\vledge an understanding of the information by signing below, and return this form to the Ciry.
BEFORE A PERMiT CAN BE ISSUED: The owner or owner's representative, on the advice of the responsible Project Engineer or Architect, shall complete, sign, and SU.
to the Ciry 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 andlor Testing,
I. 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 all laboratory repons and inspections are to be sent to the City by the Testing Agency.
3, Special Inspection Agency is to submit names and qualifications of on-site Special Inspectors to the City for approval.
4, Special Inspector shall provide inspection repons to the building official ofall 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 reponed and were to the best of the inspector's knowledge, in confonnance with the approved plans, specifications and applicable workman_
provisions, Those items not tested andlor inspected shall be noted in the statement. The report is to be submitted to the Ciry prior to a request for final inspections, .
ACKNOWLEDGMENTS
W/U//h?j11 ~R/I"'I?"'"
"Owner Name (Printed) 'J
~ ~~liJU
Engineer or Architect Firm (Printed)
~~ II-l~~"'~c..
Testing Laboratory Name (Printed)
Owner Signature
fter:J~ch~ure
~;i~~~n:~:/'7
{;>O~4.J t4.,)~"T10.J
Gen, Contractor Finn Name (Printed)
P1t4v...J lu~jt.~
Special Inspection Agency Name (Printed)
/),WE: PU5tYr
Building Official 'Name (Printed)
--
4tif~sjJt/<f'7
General Contractor Signature
{Jy . '-;( /2hU_ ~/;'.;' 7
Speciallnsp,'~~e~ Sign,
Bu~re ~M
SPECIAL INSPECTION AND TESTING SCHEDULE
Reinforced Concrete, Gunite, Grout and Mortar:
Concrete ~itf': GrOllt M..o.r:tar
x
}(
A~,:r~~tf': Tpc:;t of Mix Desi~n
Rp.inforcini Tp.c::t
Mix Opo.S.i..gn.Weip'hmc::tr rf':rt .
Reinfocin'r Placemp.nt
Continuous Batch Plant Inc:;~
'"-'meet Placing
rac;t Samnlf':C:
,C:;;:!mnlf':c; (Pir:klln/Of':livf':rf':O)
r.nrn,pression Tf':c:;t*
GRADING, EXCAVATION, AND FILL
D... Acceptance tests' PSF
Establish final grade
Fill placement inspectio1/continuolls
Soil Density
tl~"'Y'{ ~
. ~(/I8t?"
I
I
I
I
I
I
.recastlPre-stressed ~on~rete:
---E,ilf".c:. ~Tf':nc; ~Tf':nc;
AQ'prf':p::Itf': Tf':<:;tc;
Rf':infnrcina Tf':c:tc:
STRUCTURAL STEEL/WELDlNG:
Sample and test (list specific members below)
l{. Shop material identification (mill cert)
A Weld inspection Shop ~ Field
Ultrasonic inspcction Shop Field
.)l.. High strength bolting Shop K Field
A325 N X F
A490 N X F
Metal deck welding inspection
Reinforcing Steel welding inspection
k.. Reinforcing steel mill certificate
Metal stud welding inspection
Concrete insert welding inspection
..){ Moment resisting steel frames
)If.
r t" ill!.ing
I
I
I
I
~
~"
..
I
1....--
....-- I
I
....--
~
Tf':nrinn Tp.c::t ....--
Mix np.c:i.[''l~."~
~ru:ei1(.' Placemert
J ,f':rt PI;l:C':p.tnf':nt
_,.,-- rnn('~tchinp
rnncretf': Placf':mf':nt
~nc:;rallMinll.)nc;nf':ctinn
I (:l=l<:t ~amn'f':<:
I P;ck~1Jn ~~rurlec;'
j r.nmn;ec;c;in.n Te<:tc:
ROOFING
Insulation instaliation!R-vallle'
Test strips/scams
FIREPROOFING:
Placement inspection
Density Tests
Thickness tests
Inspect bat~hing
STRUCTURAL WOOD:
Shear wall nailing inspection
Shear wall anchors
Inspection of Glu. ab, ' TIC psi
Inspectio russ joist fab,
e and test components
Fabrication welding of steel accessories
.......--
AMOKE CONTROL:
-_ Leakage testing
Control verification
MASONRY:
Special inspection stresses used' 1 c;o r m r g
}(. Preliminary acceptance tests (masonry units, wall prisms).
.- Subsequent'tests (mortar, grout, field'Wall pti$liis) , - " ,
Placement inspect inn of units , and reinforcement
-X Mnsonary, mortar, grout, and reinforcing steel certificates
ADDITIONAL INSTRUCTIONS, OTHER TEST, & INSPECTIONS:
Form completed by: '71OJe:. ~T1~
Oate2J* il
'PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALUES