HomeMy WebLinkAboutPermit Plumbing 2007-6-28
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-00813
ISSUED: 06/28/2007
APPLIED: 06/05/2007
EXPIRES: 12/28/2007
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 770 Harlow Rd
ASSESSOR'S PARCEL NO.: 1703223402800
Springfield
TYPE OF WORK: Paving
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Paving 8 additional spaces
Owner: SUN RETIREMENT CORPORATION
Address: 735 COMMERCIAL ST SE
SALEM OR 97301
Phone Number: 503-871-0243
1 CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Contractor
RICHARD PARKER
BOAZINC
License
170957
Expiration Date Phone
503-636-4938
07/03/2008 541-968-9673
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat: .
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
Downspouts/Drains:
A, I clmON: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001.0010 through OAR 952-001-
0090. You may obtain copies of the rules by
cafllng the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332~2344).
Pa2e 1 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00813
ISSUED: 06/28/2007
APPLIED: 06/05/2007
EXPIRES: 12/28/2007
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
10,000.00
Value
Date Calculated
Description
Total Value of Project
$10,000.00
$10,000.00
06/05/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $69.81 6/5/07 1200700000000000702
+ 10% Administrative Fee $10.74 6/28/07 2200700000000001041
+ 5% Technology Fee $5.37 6/28/07 2200700000000001041
Paving $107.40 6/28/07 2200700000000001041
SDC Sanitary/Storm Admin $22.98 6/28/07 2200700000000001041
Storm Drainage Impervious Area $459.65 6/28/07 2200700000000001041
Total Amount Paid $675.95
I Plan Reviews I
Fire Department Review 06/19/2007 06/20/2007 APP GRG No code issues or inspections.
Initial Review 06/06/2007 06/07/2007 APP LLH
Plannin2 Review 06/12/2007 06/12/2007 APP EMM To be constructed per approved Site
Plan Modification DRC2007-00002.
Public Works Review 06/19/2007 06/19/2007 APP JHJ Attached SDC Worksheet. (JHJ)
Structural Review 06/07/2007 06/19/2007 WE JMP Received 6/19/2007 with four more
applications and a heavy backlog.
Left voice mail requesting plumbing.
lighting, and valuation information.
Structural Review 06/21/2007 06/21/2007 APP JMP Received requested information
from Mike.
SUB Review 06/19/2007 06/21/2007 APP JF No energy code issues or inspections.
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00813
ISSUED: 06/28/2007
APPLIED: 06/05/2007
EXPIRES: 12/28/2007
VALUE: $ 10,000.00
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 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.
'-f?Jy/#w;/Yl lh/J//bA
Owne~ or Contractors Sign~tu;e -- d
(pbJY/o7
I .
Date
Paee 3 of3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-00813
NAME OR COMPANY: Sun Retirement
LOCATION: 770 Harlow Rd
MAP & TAX LOT NUMBER: 17 03 22 34 02800
DEVELOPMENT TYPE: Sun Retirement Parking Lot Expansion
NEW DEVELOPED AREA (SF):
EXISTING DEVELOPED AREA (SF):
TOTAL IMPERVIOUS SURFACE (SF):
L STORM DRAINAGE
IMPERVIOUS SQ. FT.
2, SANITARY SEWER-CITY (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
o
o
4, SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
1,368
o
o
x
ITE:
ITE:
1,368 LOT SIZE (SF):
New Paving 19' * 72' = 1368 sf
$ 0.336 PER SF
x $ 19.79 PER DFU
TOTAL LOCAL WASTEWATER SDC:' $
3, TRANSPORTATION No New Building Square Footage
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW:
A. REIMBURSEMENT COST:
0,00 x 0
B. IMPROVEMENT COST:
0.00 x
EXISTING:
A. REIMBURSEMENT COST:
0.00 x 0
B. IMPROVEMENT COST:
0.00 x
TOTAL STORM DRAINAGE SDC:J
No New Fixtures
x
$
26.03 PER DFU
x
o
$0.00 I
$0.00 I
x
$ 19.81 PER TRIP
NTF
NTF
$ 87.39 PER TRIP
x
o
x
x
$ 19.81 PER TRIP
x
o
$0.00 I
NTF
$ 87.39 PER TRIP x 0 NTF $0.00 I
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRA~;~P?RTATION SDC:' $ I
No New Building Square Footage
x
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0,00
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
Jesse Jones
Civil Engineer, EIT
0.00
#N/A
$0.00 I
$0.00 I
x
PER FEU
0.00
#N/A
PER FEU
x
x
#N/A PER FEU
$0.00 I
$0.00 I
x
#N/ A PER FEU
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:1 $
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I
$
I
$459.65 I
459.65 x 5% , $22.98 '
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
6/I 9/2007
DATE
TOTAL SDC CHARGES
$482.63 I
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
Sun Retirement Parking Lot Expansion
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETG.
INTERCEPTORS FOR SANDI AUTO W ASH/ETC.
LAUNDRY TUB
CLOTHES WASHER/MOP SINK
CWTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETG.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETG.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR
URINAL, STALL/WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S*
FIXTURES UNIT
NEW OLD EQUIVALENT
3
1
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
5
6
3
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
TOTAL DRAINAGE FIXTURE UNITS = I 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day
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
1990
1991
RATE PER $1,OQO
ASSESSED VALUE
$5.29
$5.19
$5,12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER $1,000
ASSESSED VALUE
x
x
CREDIT TOTAL
$1.45
$1.25
$1.09
$0.92
$0.72
, $0.48
$0.28
$0.09
$0.05
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
225 Fifth Street
Springfield, Oregon 97477
54'1 ~ 726-3759 Phone
Job/Journal Number
COM2007-00813
COM2007-00813
COM2007-00813
COM2007-00813
COM2007-00813
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001041
Date: 06/28/2007
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Paving
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
SPRING VALLEY LIMITED
PARTNERSHIP
Item Total:
Check Number Authorization
Received By Batch Number Number How Receiyed
ddk
16397
In Person
Payment Total:
Page I of I
8:58:57 AM
Amount Due
459.65
22.98
107.40
5.37
10.74
$606.14
Amount Paid
$606.14
$606.14
6/28/2007