HomeMy WebLinkAboutPermit Mechanical 2007-7-5
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-00686
ISSUED: 07/05/2007
APPLIED: 05/14/2007
EXPIRES: 01/05/2008
VALUE: $ 126,187.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 425 10TH ST
ASSESSOR'S PARCEL NO.: 1703351411200
Springfield
TYPE OF WORK: School
TYPE OF USE: Alteration Public
PROJECT DESCRIPTION: Replacing/upgrading mechanical systems and associated other work.
Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST
SPRINGFIELD OR 97477
Phone Number: 541-726-3246
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
Architect SOLARC 541-349-0966
Electrical OWNER
Mechanical FM SHEET METAL INC 8971 0 03/15/2009 541-726-3000
Plumbing TWIN RIVERS PLUMBING INC 17695 03/11/2008 541-688-1444
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
E
# 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:
VB
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:
Notes:
I PUBLIC IMPROVEMENTS L
~I IC.nlON: :=:~ltf
follOW ~....., ~........fodIt
Notmcatlon ..,...... ...... ._......
in OAR 952-001-001014. of"'.....'"
0090. You may obtain copI~th teIePhOft8
calling the center.~. · NotIftoatlon
number for the or~~14).
Center la 1
Sidewalk Type:
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
THIS PERMIT SHAll EXPIRE lF THE WO ~K
AUTHORIZED UNDER THIS PERMIT IS N IT .~
COMMENCED OR IS ABANDONED FOR .~r
ANY 180 DAY PERIOD.
Pal.!e 1 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00686
ISSUED: 07/05/2007
APPLIED: 05/14/2007
EXPIRES: 01105/2008
VALUE: $ 126,187.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Type of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
126,187.00
Value
Date Calculated
Description
Total Value of Project
$126,187.00
$126,187.00
07/03/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $316.97 5/14/07 2200700000000000744
Plan Review Fire & Life Safety $195.06 5/14/07 2200700000000000744
+ 10% Administrative Fee $8.80 6/25/07 1200700000000000813
+ 5% Technology Fee $4.40 6/25/07 1200700000000000813
+ 8% State Surcharge $7.04 6/25/07 1200700000000000813
Add, Alter, Extend Circ $43.00 6/25/07 1200700000000000813
Low Voltage - Commercial Indus $45.00 6/25/07 1200700000000000813
~Mechanical Issuance Fee~ $10.00 7/5/07 2200700000000001086
+ 10% Administrative Fee $86.04 7/5/07 2200700000000001086
+ 5% Technology Fee $43.02 7/5/07 2200700000000001086
+ 8% State Surcharge $68.83 7/5/07 2200700000000001086
Backflow Device $14.00 7/5/07 2200700000000001086
Boiler/Comm Over 50 HP $75.00 7/5/07 2200700000000001086
Boiler/Comp Up To 100,000 btu $12.00 7/5/07 2200700000000001086
Building Permit $653.40 7/5/07 2200700000000001086
Fixture $14.00 7/5/07 2200700000000001086
Furnace - Unit Heater $24.00 7/5/07 2200700000000001086
Gas Outlets 1-4 $4.00 7/5/07 2200700000000001086
Gas Outlets 4+ $2.00 7/5/07 2200700000000001086
Minimum/Adjustment Plumbing $17.00 7/5/07 2200700000000001086
Not Covered Mechanical $45.00 7/5/07 2200700000000001086
Plan Review Comm/lnd/Public $107.74 7/5/07 2200700000000001086
Plan Review Fire & Life Safety $66.30 7/5/07 2200700000000001086
Total Amount Paid $1,862.60
I Plan Reviews I
Fire Department Review 05/16/2007 06/28/2007 OK GRG Plans Review: Replacement boiler.
Job #COM2007-00686. Plans appeal
to meet code requirements.
Initial Review 05/15/2007 05/15/2007 APP LLH
Planninl.! Review 05/16/2007 05/18/2007 APP EMM
Public Works Review 05/16/2007 05/18/2007 APP JHJ Attached SDC Worksheet. No New
SDC's. (JHJ)
Pal.!e 2 of 3
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00686
ISSUED: 07/05/2007
APPLIED: 05/14/2007
EXPIRES: 01/05/2008
VALUE: $ 126,187.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review 05/15/2007 OS/22/2007 WE JMP See attached documents for 4
structural comments faxed to John
C. Yousey.
Structural Review 07/03/2007 07/03/2007 APP JMP Received responses from Jack
Yousey.
SUB Review 05/1612007 OS/21/2007 APP JF
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.
I Reouired Insoections I
Foundation: After forms are erected but prior to concrete placement.
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.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Final: After all required energy inspections have been requested and approved.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
Low Voltage: Prior to cover.
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 durj.n~nstruction.
{'?/ Jl _
Lh-7)lT~.
Owner ~fjnrs Signatnre
7/ ~/o?
I ,
Date
Pal.!e 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-00686
NAME OR COMPANY: Springfield School District
LOCATION: 425 10th S1.
MAP & TAX LOT NUMBER: 17 03 35 14 11200
DEVELOPMENT TYPE: Boiler Replacement - Brattain Elementary
NEW DEVELOPED AREA (S.F.):
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
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
INo New SDC's
ITE:
ITE:
LOT SIZE (S.F.):
x
No New Impervious Area
$ 0.336 PER SF
TOTAL STORM DRAINAGE SDC:I
No New Fixtures
o
$
26.03 PER DFU
x
o
x
$ 19.81 PER TRIP
$0.00 I
$0.00 I
o
NTF
x
x
$ 87.39 PER TRIP
x
o
NTF
x
$ 19.81 PER TRIP
$0.00 I
o
NTF
x
x
$ 87.39 PER TRIP x 0 NTF $0.00 I
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:I $
4. SANITARY SEWER - MWMC No New Building Square Footage
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 I
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 I
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 I
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I $
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I
I
$0.00 I
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
x $ 19.79 PERDFU
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:
~OO x 0
B. IMPROVEMENT COST:
0.00 x
EXISTING:
A. REIMBURSEMENT COST:
~OO x 0
B. IMPROVEMENT COST:
0.00 x
Jesse Jones
Civil Engineer, EIT
$
x 5% , $0.00
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
TOTAL SDC CHARGES
5/18/2007
DATE
I'...',......'
$0.00
$0.00 ,
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)
Boiler Replacement - Brattain Elementary
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDSfETC
INTERCEPTORS FOR SAND/AUTO WASH/ETC
LAUNDRY TUB
CLOTHES W ASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (l PER TRAILER)
RECEPTOR FOR REFRlGERA TOR/W A TER ST A TION/ETC
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERJETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LA V A TORY
SINK: SINGLE LAVATORY/RESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
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
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 = , 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 SEPARATELY
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER $1,000
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
,.
IMPROY,EMENT (IF ~TER ANNE.XA tlON DATE)
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER $1,000
ASSESSED VALUE
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
$0.00
$0.00
$0.00
x
x
CREDIT TOTAL
$0.00
$0.00
$0.00
225 ~i.ftb Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00686
COM2007-00686
COM2007-00686
COM2007-00686
COM2007-00686
COM2007-00686
COM2007-00686
COM2007-00686
COM2007-00686
COM2007-00686
COM2007-00686
COM2007-00686
COM2007-00686
COM2007-00686
COM2007 -00686
COM2007-00686
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001086
Date: 07/05/2007
Description
Fixture
Backflow Device
Minimum/Adjustment Plumbing
Furnace - Unit Heater
Boiler/Comp Up To 100,000 btu
Boiler/Comm Over 50 HP
Gas Outlets 1-4
Gas Outlets 4+
Not Covered Mechanical
-Mechanical Issuance Fee-
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SPFD SCHOOL DIST 19
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
57057
In Person
Payment Total:
Page 1 of I
11:25:35AM
Amount Due
14.00
14.00
17.00
24.00
12.00
75.00
4.00
2.00
45.00
10.00
107.74
66.30
653.40
43.02
68.83
86.04
$1,242.33
Amount Paid
$1,242.33
$1,242.33
7/5/2007