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Home My WebLink AboutPermit Building 2002-11-29 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: 02-01128-01 ISSUED: 11/27/2002 APPLIED: 09/20/2002 EXPIRES: OS/27/2003 VALUE: $ 37,200.00 SITE ADDRESS: 3957 Hayden Bridge Rd ASSESSOR'S PARCEL NO.: 1702190003300 Spr TYPE OF Tank(s) TYPE OF USE: PROJECT DESCRIPTION: Land Use: Pumping Station-Domestic, Zoning: PLOS, New Public Owner: EWE B Address: 500 East 4th Ave Eugene OR 97440 Phone Number: (541) 484-2411 I CONTRACfOR INFORMATION' Contractor Type General Electrical Owner Plumbing Contractor Slayden Construction Inc EWEB EWEB EWEB License Expiration Date Phone (503) 769-1969 (541) 484-2411 (541) 484-2411 541-341-1867 BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: H-7 Lot Size: Sq Ft Ist Floor: ,0 Sq Ft 2nd Floor: 0-::' _$$,q ~! Basement: ~(l'" ~~..S~ !I.~~K' G~rage/Carport ~ ~o ~1O~gwt .~ther: ~,fl) 0,0 ~IO c{I~lfttv.ious Surface A~ea: ,1:; ,^IO ,f>f?J....<(:\. '{v _.r.~ ^ !. I DEVELOPMENT INFQJ~MAiiQN~fUd-.~:IO~:v~v ' ~~ o~.....~ ",,'\'-~\)- .",IO~"f'\.IO'~# REQUIRED PARKING -:.,0 ~ 10'- f\:)"'\) o~ ,~. ~\ ~- $',- . Overlay Uist. ro~ ~ s;:)1'\ ~G ~0'.~ ~ Total' ,~... ~<z (Jo ~ ~ ~o -\j~ ~ . # Str~t~~~e.sC\<, s;:)~ ~~ :\~ 0" ()l!:Jf); Handicapped: Pave'(J. ~,l:JIV~t.Rqd~~ ~ ~IO ~IOC$ f:j\S-.:J Compact: d. ,0 _~,Ci Oj'O ~ 00 0 !() , ' ~" % Of~$~Gr_~g'l:~1O ~~IO i:f,J~ , :;/ ~~ ~'\ .~ ~\:) ~<'C>.> ,0 ~0 ",.' ~~~ ~ ~ ~(:\ ....~ "'-;,.(?~ ~o~ - ~<r ~-V ~ IPUBLIC IMPROVEl\WNTSI ~~ ~~~ ~~ \(. ~~ ~~ Sidewalk T~ '\~ ~<:;j ~\f~~~~tIJ~~ ~()'\~ ~~~ ~~~ ~ ~~~~~<). '\~~ ~~~ ~~~ ~ ~ ~~ ~~~ ~ <)"f. ~~ ~ ,Cij ~~ # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: S tree t Storm Sewer Available: Special Instruction: Notes: 1 of 4 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Bid Amount Estimate Type of Construction Use Bid Amount Estimate Fee Description Public Plan Review Plan Review Comm/Ind/Public Fixture + 7% State Surcharge + 8% Administrative Fee Minimum/Adjustment Plumbing Plan Review Fire & Life Safety Building Permit Total Amount Enl!ineerinl!-C/I/P CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-01128-01 ISSUED: 11/27/2002 APPLIED: 09/2012002 EXPIRES: OS/27/2003 VALUE: $ 37,200.00 I Valuation Description I $ Per Sq Ft $1.00 $1.00 Square Footage 36,524.00 676.00 Total Value of Project Value $36,524.00 $676.00 $37,200.00 Date Calculated 11/21/2002 11/21/2002 I Fees Paid' Amount Paid Date Receipt Number Received By $388.58 9/20/02 10671 djb $-193.29 11/27/02 1200200000000000305 djb $14.00 11/27/02 1200200000000000305 djb $24.18 11/27/02 1200200000000000305 djb $27.64 11/27/02 1200200000000000305 djb $31.00 11/27/02 1200200000000000305 djb $120.18 11/27/02 1200200000000000305 djb $300.45 11/27/02 1200200000000000305 djb $712.74 10/14/2002 Plan Reviews' WE PO Telephone call to Ron Wilson regarding sump outlets, 2 of 4 Status: Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: 02-01128-01 ISSUED: 11/27/2002 APPLIED: 09/20/2002 EXPIRES: OS/27/2003 VALUE: $ 37,200.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Marshal-C/IIP 11/12/2002 OK GRG Plan Review of Indoor Above Ground Tank Installation for Sodium Hydroxide solution NFPA 704: Health=3; Flammabilty=O; Reactivity=1 Dot: Corrosive Piping, valves and connections shall be welded or brazed throughout (UFC 8001.4.3) Sign meeting requirements for UFC 79-3 (NFP A 704) shall be mounted or placed at the entrance of the building (UFC 8001.7) Submit MSDS and HMMP documents (KUFC 8001.3.2 and 8001.6) Post NO SMOKING signs inside building and outside within 25 feet of building including filling areas (UFC 8003.1.2) Follow appropriate API standards for installation of storage tanks Call 726-2293 for witness of pipe pressure testing Initial Review-C/I/P Plannine;-C/IIP 09/23/2002 09/25/2002 Appr LH Appr LM Ok'd by Sarah Summers. Site Plan Review 2000-06-0124 Public Works Review Structural Review 10/21/2002 11/2212002 11/22/2002 APP APP PJO DLM OK to issue permit. See document for plan review comments. Need seismic restraint of tanks and piping components, and mechanical equipment information (to be deferred submittals). Panic hardware required on doors. SUB - Comm/Ind Pend DM 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. 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status: Issued PERMIT NO: 02-01128-01 ISSUED: 11/27/2002 APPLIED: 09/20/2002 EXPIRES: OS/27/2003 VALUE: $ 37,200.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I ReQuired Insnections . 1 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 2 Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector 3 Final Fire Department. After all requirements of the Fire Department have been met. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Rough Plumbing: Prior to cover and including required testing. 6 Final Plumbing: When all plumbing work 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 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. --~ ~ / '( ( // /// /(, / C L,. l ,t -, Owner or Contractors Signature II/?' I Iv ( Date 4 of 4 .. ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE \. ~KKSHEET JOURNAL OR JOB NUMBER 02-01128-01 NAME OR COMPANY: EWEB LOCATION: 3957 HAYDEN BRIDGE ROAD MAP & TAX LOT NUMBER: 17 -02-19-00 3300 DEVELOPMENT TYPE: UTILITY - PUMPING STATION REMODEL - NO NEW EXTERIOR BUILDING NEW DEVELOPED AREA (S.F.): EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): I, STORM DRAINAGE ITE: ITE: LOT SIZE (S,F,): IMPERVIOUS SQ. FT, x $ 0,282 PER SF TOTAL STORM DRAINAGE SDC: , $ 2, SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's 0 8. IMPROVEMENT COST: NUMBER OF DFU's 0 (SEE REVERSE SIDE) x $ 22,09 PER DFU , $ x $ 16,79 PER DFU P TOTAL LOCAL W ASTEW A TER SDC: P 3. TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0.00 x 6,97 x $ 16,81 PER TRIP x 0.95 NTF 8. IMPROVEMENT COST: 0,00 x 6.97 x $ 74,17 PER TRIP x 0.95 NTF EXISTING A, REIMBURSEMENT COST: 0,00 x 6,97 x $ 16,81 PER TRIP x 0.95 NTF B. IMPROVEMENT COST: 0.00 x 6.97 x $ 74.17 PER TRIP x 0,95 NTF 1$ 1$ TOTAL TRANSPORT A TION REIMBURSEMENT SDC: $ TOTAL TRANSPORTATION IMPROVEMENT SDC: $ TOTAL TRANSPORTATION SDC: $ 4, SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 0,00 x $190,20 PER FEU 8. IMPROVEMENT COST: NUMBER OF FEU's 0,00 x $19,90 PER FEU EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.00 x $190,20 PER FEU B. IMPROVEMENT COST: NUMBER OF FEU's 0,00 x $19.90 PER FEU 1$ 1$ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 1 $ TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE: $ MWMC ADMINISTRATIVE FEE: $ TOTAL MWMC SDC: , $ SUBTOTAL (ADD ITEMS 1,2,3, & 4) I $ 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) $ x 5% $ TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOTAL SEWER ADMINISTRATION FEE: $ 'PIA lM.eLlA J. owvd:J elj 10/22/2002 02-01l'2001;(xv~Bl,I~1<AAYDEN BRIDGE RD,xls DA TE TOTAL SDC CHARGES I $ 110 110 1$ 1$ 1$ 1$ JULY 2001 (. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULA TE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETe. INTERCEPTORS FOR SAND/AUTO WASH/ETe. LAUNDRY TUB CLOTHES WASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/WATER ST A nON/ETe. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETe. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, ST ALUW ALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S* FIXTURES NEW OLD DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o o o o o o o o UNIT EQUIVALENT 3 1 3 3 6 2 3 6 12 1 3 2 2 3 2 2 I 5 6 3 o o o TOTAL DRAINAGE FIXTURE UNITS= o YEAR ANNEXED 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 *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 RATE PER $ I ,000 ASSESSED VALUE $ 2.06 $ 1.64 $ 1.45 $ 1.31 $ 1.13 $ 0.97 $ 0.82 $ 0.63 $ 0.41 $ 0.22 $ 0,04 x X $0.00 $0.00 YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 I RATE PER $1,000 I 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) 02-01128-01, EWEB, 3957 HAYDEN BRIDGE RD.xls CREDIT TOTAL $0.00 JULY 2001 iht:i ,iQI..proiect as su~m illed h~.s the following teilltlg oes not require specific land use as!3tGV 0/1 4'\ 225 FIFTH STREET c , r VV ELE.... dCAL PERMIT APPLICATION SPRINGFIELD, OREGON ~m k~-~."-T- ._-~-- , ,-,,~,,', , to LO () - . t' -7- ".." INSPEC!ION RE~1':...q.g~m.. 9, - '-.', --- .. . '.....,-..etty Job Number ('~i - CJI (; 7 -,--..:; OFFICE. 726-3759Authori:We1 Sj(I(lSiUt~ .' _,__ __~_, _~_ '~~. - 3; COlvlPLETE FEE SCHEDULE BELOW 1. LOCATION OF INSTALLATION 3957 /-/-/J-YIJI-"/1/ ;(]~(LJ(.f k?cY+-f::? A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION Senice Included: i 7' OC'_ f 9"6 <::'":) -S '3 Cl 0 Items Cost SUl:n JOB DESCRIPTION /;;J 1000 sq. ft. or less 11:::7/1/1 ~ h:iL CC-.t?'$ Each addition~~O 1>\\lG)\\~t~: E)\P\~~ W~mlrt Permits are non-transferable anH'e,' '\'ERWrT SHALL . ~~ . . rT \5 NO\' if work is not started within l801ctlW R\2ED UNDER lH\~~~~;1()<f\Home or of issuance or if work is suspendM}fu\:\O ED OR. \5 ABI\*,~~mwelling 180 days. \GOMMENC Eel\OtL Service or Feeder l\\\W \80 DR~ Ih,DI 2. CONTRACTOR INST ALLA 1ro1\r ONLY B. Senices or Feeders Installation, Alterations or Relocation: $106.00 $ 19.00 $ 50.00 Electrical' Contractor r:;..cuU3 - Cc)e.;(,6.Mct( Address ')LC F '-j'('Z /IvL 200. amps,PtJ.e~&;~ ' . \~1~lj 'li.:;J'-.I~\-'" , p..,,,?1I'iHHTI S tQ;4pQ utnps 4" U'u _/.\",~,;~'1'l:r'. .i,,".',,)\:...., cit),/.cI~/ 'V '( Phone { U l , i' ~ "',~,:\(~4@t fllI)lPS'!.q i(),99r?Jllps" . Supervisor License 'Number 'Y'IY; C} <;~t;'\\L~"J (~~~t~,;;:\~;:,~~~~~~~t;~~i~S:,." , . _') - ',-~e~.Q!lm!ct.~ly " '.'- ,,'. , Expiration Date /' 6 c~ I (.) r{ -, , < ",(,..,'>,. '~:"'" ','. ii;' ,p~~Jlcilrptlb~EY, $({NICeS or Feeders . 'dfi~t'a1thlJoJl.i'Alfei'litiOn or Relocation $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Constr Contr. Number Signature of Supervising Electrician f-'-,.,,-,,- G-a-G-- t>U,9'CCL /J . #( ,d(-~ /L~>(( ?V~- 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "B" above $50.00 $69.00 )\... $100.00 Expiration Date ,,- '"--- D. Branch Circuits New Alteration or Extension Per Panel Owners Name C2LI!{,j Address "'fGlj t;/7' /"<"/1/"( One Circuit $43.00 ..,.... '" tC City /,L0(&..... ( Phone r!f'1~'II/ Each Additional Circuit or "vith Service or Feeder Permit $ 3.00 OWNER INSTALLATION The installation is being made on property I o\vn which is not intended for sale, lease or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump 'or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Conun $50.00 $50.00 $25.00 $45,00 Owners Signature: /0 J', /'/ // ~ ;(' / L "--'''"",.-1 '- G./ V LA._ / Minimum Electric Permit Inspection Fee is $45.00 + Surcharges -,!~t; 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee TOTAL 7C;;:- ,..",'t,I Y5<~ (! i/e<;~ ~ ," , " './\ ;.,.,