HomeMy WebLinkAboutPermit Building 2010-7-23
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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: COM2010-00976
ISSUED: 07/23/2010
APPLIED: 07/23/2010
EXPIRES: 01/23/2011
VALUE: $ 2,000,00
SITE ADDRESS: 322 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353106800
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: TI Change of use fromM gun shop to B beauty salon- no interior cunstruction except
sinks/desks '
f~iZ~N~ION: Oregon d"CO~TRACTOR INFORMA TlON I
Not,'f' tru es adopted by the 6'~" ',' ~,u,~u ,
C 'E~ Ion rcnt^ Th ' ,egon Utility .
ontractor Typein OA11m~~a' torr, ose ru/es'~re s~t f ' LIcense
Plumbing 0090, J'ft~~~., NCST1\!~ough.OA8 _ orth ' , 169047
n~a ~ng the center. (Not, !iiI RMATION
m er for the Oregon Utilit ' ,
# of Units: , . Center is 1-800-332.l1~/'~FJlfif!l1 :
Primary Occupancy Group: ' . B H~ght of Structure
Secondary Occupancy Group:, ' Type of Heat:
Primary Construction Type VB ". Water Type:
Secondary Construction Type: ,Range Type:
# of Bedrooms: Energy Pittb: .
Sprinkled Building: n/a
Owner: DNL PROPERTIES LLC
Address: 1657 DELROSE AVE
SPRINGFIELD OR 97477
Expiration Date
03/14/2012
Phone
541-683-7535
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
NorlCE:' .. " . I DEVELOPMENT INFORMATION .
Front yard s;~I~rn;ERMIT SHALL EXPIRE IF THEcWPr'i!.~ Dist:
Side 1 Setba.<;~: I RIZED UNDER THIS PERMIT IPSHOJ; Trees Rqd:
Side 2 Setbal~k\MMENCED OR IS ABANDONED F{i'\tved Drive Rqd:
Rearyard sttb':Ycu:80 DAY PERIOD. % of Lot Coverage:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Speciallnstructiou:
I PUBUC'IMPROVEMENTS I
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Notes:
I V aluati~n Description ~
Description
$ Per Sq Ft
or multiplier
Square Footage
" 'or Bid Amount
Type of Construction
~~; ;~::{:'!~~' j
Jr' .
Paee 1 of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00976
ISSUED: 07/23/2010
APPLIED: 07/23/2010
EXPIRES: 01123/2011
VALUE: $ 2,000.00
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~.'Total Value of Project
~
Amount Paid Date Paid Receipt Number
$16.08 7/23/10 2201000000000000865
$6.70 ,7/23/10 2201000000000000865
$58.00 7/23/10 2201000000000000865
$76.00 7/23/10 2201000000000000865
$160.73, .. 7/23/10 2201000000000000865
$329,30,,- 7/23/10 2201000000000000865
$10.00 7/23/10 2201000000000000865
$502.95 7/23/10 2201000000000000865
$38.46 7/23/10 2201000000000000865
$52.07 7/23/10 2201000000000000865
$1,250.29
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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.
~e(]lIireCUnsnections _
Rough Plumbing: Prior to cover and including required testing..
Final Plumbing: When all plumbing work.is complete~. .
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Final Building: After all required inspetii~ri~ have been requested and approved and the building is complete.
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00976
ISSUED: 07/23/2010
APPLIED: 07/23/2010
EXPIRES: 01/23/2011
VALUE: $ 2,000.00
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 LaiV.s of,th~ ~tate of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any struCltir.~;,;Yitti,ou*;permis.sion 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 onstr0
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Date
;Structural Permit Application
1_
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
DEPARTMENT USE ONLY
10
Permit noCJO - 97 (P
Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
,;\;i~,,;,'1i0~Ali;l3QY~@Mi:N1}i'~FiJj'i~QVA~t]~1)#;;i:tt~1t*J:l
This project has final land-use approval.
Signature: Date:
This project has DEQ approval..
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
~~~i~i~;~;~y];~1)~~T.~9~QRy;[q.FJ[G_Q-~s;fB1J:Ckl9J~li~~1.i~~Jl;;,~;4~)h'~'
o Residential 0 Government Commercial
1;'1';; ~""i~'tiQ13:;:SI:rELiNffo~MA:fIO-N~;AN~'~OCAj"iQNM:~t;;i~;(;;i'I
ZIP:
Reference:
.,
Name:
Address:
ri? u;-~<-
State:t'"Z.---
Fax:
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
. . <;ONTRAC!;OR ,1~ST;AttA 'f1I:lNc
City:
Phone.
E-mail:
Print name:
Signature:
It;~~['~0-!:;-~:i_C7}4it;;;t;5S_l;JB-~_~qNI~AGIOR-;JN_~_(:tRMAfl:QJ<li~h~~~i~W~J~~t;;t
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
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(a) Job description:-:1\-~ I,
Occupancy (w.;\ S VIA ,.)()vJ R)
Construction type: VB
Square feet:
Cost per square foot: .
Other information:
Type of Heat:
Energy Path:
0 new c;rafteration 0 addition
(b) Foundation-only permit? 0 Yes 0 No
Total valuation: ~DO $
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(a) Permit fee (use valuation table): $ '6 <2!2
(b) Investigative fee (equal to [2a]): $
(e) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (12 x [2a+2b+2c]): $ {, 9'(,
(e) Subtotal of fees above (2a through 2d): $
~1~-;~:~J~1)lW~yj~W:'f~~~~~t~~~~t~~.01ttl~\~~f~~~1~~~li~~f~
(a) Plan review (65% x permit fee [2a]): $ ~
(b) Fire and life safety (40% x permit fee [2a]): $
(c) Subtotal of fees above (3a and 3b), $
~4YJM~~^~~li~:fi19Jf$lf~~~;::;<tj;:~&;';(',~-~,;':t;d;\i)J:t;t~{;;t;$:t%'~~~:;,:~::.-.:,:;,:,;r:-:E'_J#:~-;;,:
(a) Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $ /P? f'-
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Plumbing Permit Application
'-i':':,,<' DEP ARtMENTUS{ON[~1,,7;2C
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225 Fifth St<eet . Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689
Pennit no :c:::7/ t9 - 17 (,
Date:
10
This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
'C1l:;'Ji;'i'{I;:t,,,,i'O'C'A",f.GO'V'E R' N" M" EN:"'fA' '......RO, V' A'(f,ll!)l\~)i,'iJl"'tl;i,";'
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Zoning approval verified? D Ves D No
Sanitation approval verified? D Ves D No
CATEGORY' OF, CONSTRUCTION'
o Residential 0 Government Commercial
0;ii~:;~2JOB:SI7J7E ,INFORMA:nIClNl\ANDi~IIOCATION!~1'l,4,:::'-i
City:
ZIP:
Reference:
::;&;?~-~~~$:;'~j::~di,J~::t,~DESCRIF?~T;ION~~:Ot:}iW.OR-K~-~~;~'pj11t~{~\~~r~\:";:itt~'
T ",., ,PROP"ERTY;}OVVNE'R~~~/{-;?~f1t\;!;J;~\~W<;~~'~:TIRl~~
. Name:
Address:
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family, and is
exempt from licensing requirements under OAR 918-695-0020,
Signature:
, CONTRACTORJNSTALLATION
'0
E-mail:
CCB license no,:
Plumbing license no.:
Print name:
Signature:
440-2500-) (I 1/08/COM)
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.:,\:;::~' -"'{, \;~l"'J.;J:Yi',,~I.,';,tJf':"~'~-~':--':':!?:'?-.~",,"',,> ',--,:';0, ,;...'C.t'\.>:'~-T '("1",'r
!'iDescription-t,'j:~:~. ',,?!:.:'li.t,~';..~,-h~~1l~~:o;ii'~4~ Qtf \:,~I " ,.9~" :;~'~ iK _03"D
f.:i ~"'~.. '-~:~,",s~;,"";:'\;~0Yi~~"~!,;~~~;A~-;.'1/!}i&\.Yri!{1{i ~".J.,<~' :';i'.:t~~.Si1';f~ ~t,_~c_{)~t}~:-~
New residential .
I bathroomfI kitchen (includes: firsr
lOOfeel of water/sewer lines, hose $238,00 $
bibs, ice maker, under floor low-point
drains and rain-drain packages)
2 bathrooms/l kitchen $374,00 $
3 bathrooms/l kitchen $439,00 $
Each additional bathroom (over 3) $95.00 $
Each additional kitchen (over I) $95,00 $
Residential fire sprinklers (includes plan review)
o to 2,000 square feet $58,00 $
2,001 to 3,600 square feet $116.00 $
3,601 to 7,200 square feet $174.00 $
7.201 square feet and greater $232,00 $
Manufactured dwelling or pre-fab (circle one)
Connections to-building sewer and $58,00 $
water supply
Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee I $58,00 $
Each fixture $19.00 $
Miscellaneous fees
100' storm, sewer, water line $76:00 $
Each fixture, appurtenance, and piping If $19.00 $ 'lG
Storm water retention/detention facility $19,00 $ -~
Irrigation systems $19.00 $
Piping or private storm drainage $19,00 $
svstems exceeding the first 100 feet
Specialty fixtures $19,00 $
Reinspection (no. of hrs. x fee per hr.) $58.00 $
Special requested inspections (no. of $58,00 $
hrs. x fee per hr.)
Each additional inspection: (1) $58,00 $
~M;df~~Iig~~irpiJri6gt~7i;~R~:~Jft'i'~iZ~~ Minimum fee $
Enter value of installation and equipment $
Enter fee based on installation and equipment v~
(A) Enter subtotal of above fees $ ?(,-
(Minimum Permit Fee $58.00)
(B) Investigative fee (equal to [A]) $
(C) Emer 12% surcharge (.12 x [A+B]) $ 'i~
(D) Technology Fee (5% of[A]) $ 2'!'~
TOTAL fees and surcharges (A through D): $ 'Z~"I
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER Com 2010-00976
NAME OR COMPANY: DNL Properties
LOCATION: 322 Maio
MAP & TAX LOT NUMBER:
DEVELOPMENT TYPE: Tenant lnfill
NEW DEVELOPED AREA (S.F.):
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVlOUS SURFACE (S.F.):
I. STORM DRAINAGE
NEW IMPERVlOUS SQ. FT.
A. REIMBURSEMENT COST.
IMPERVlOUS SQ. FT.
B. IMPROVEMENT COST:
IMPERVlOUS SQ. FT.
600.00
600.00 .
MWMC:
MWMC:
493 lTE: .
800 lTE:
LOT SIZE (S.F. .
492
814
x
$ 0.231 PER SF
x
$ 0337 PER SF
SF~ $ 0.567
50% Downtown Credit Applied
TOTAL STORM DRAINAGE SDC:
Cost
2. SANITARY SEWER-CITY (see reverse side)
REIMBURSEMENT COST.
NUMBER OF DFU's
B. IMPROVEMENT COST:
NUMBER OF DFU's
5
x
$
131.72 PER DFU
5
$ 64.29 PER DFU
$ 196.01 50% Downtovro Credit Applied
TOTAL LOCAL WASTEWATER SDC: $ 490.02
. TRANSPORTATION
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRlP FACTOR
W:
REIMBURSEMENT COST.
0.60 x 32.93
B. IMPROVEMENT COST:
0.60 x 32.93
EXISTING:
REIMBURSEMENT COST.
.0.60 x 44.32
B. IMPROVEMENT COST:
-0.60 x 44.32
x
$ 51.94 PER TRIP
x
$ 189.29 PER TRIP
x
$ 51.94 PER TRIP
x
x
0.85 NTF I $872.23 1
0.85 NTF I $3,178.941
0.75 NTF ($1,035.81)1
x
x
$ 189.29 PER TRIP x 0.75 NTF ($3,775.13)1
$ 241.22 TOTAL TRANSPORTATION REIMBURSEMENT'SDC:
TOTAL TRANSPORTATION IMPROVEMENTSDC:
TOTAL TRANSPORTATION SDC: $
x
50% Downtown Credit A lied
4. SANITARY SEWER - MWMC
W:
. REIMBURSEMENT COST:
NUMBER OF FEU's 0.60 x
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.60 x
. COMPLIANCE COST:
NUMBER OF FEU's 0.60 x
EXISTING:
. REIMBURSEMENT COST:
NUMBER OF FEU's -0.60 x
B. IMPROVEMENT COST.
NUMBER OF FEU's -0.60 x
C. COMPLIANCE COST:
NUMBER OF FEU's -0.60 x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$93.23 PER FEU $55.94l
$1,219.27 PER FEU $731.561
$20.69 PER FEU $12.41 l
$29. JJ PER FEU ($17.48)1
$381.02 PER FEU ($22861)1
$20.69 PER FEU ($12.41)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
TOTAL MWMC COMPLIANCE FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC: $ 551.40
SUBTOTAL (ADD ITEMS 1,2,3, & 4 $ 1,041.42
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
$
1,041.42 x 5% $52.07
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
Civil Engineer
7/23120 J 0
DATE
TOTAL SDC CHARGES
"
:City of Springfield
'. Oevelopment Services Department.
225 Fifth Street
Springfield, OR 97477
Planning Division Information She~t for Building Permits
Com mercial/Industria II Multi-Fa mily Residential
The Planning Division requires the following informatiqn for.Q.[l building permit submittals on'
properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial,
including new construction, expansions, and changes of use.
New construction, expansions, and changes of use to any building, parking, or development area in
these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100)
or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review
(SDC 3.3-100) may also be required, depending on the site.
NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building
Permit, Police or other permit approvals or inspections are not Planning approval. .
ReCluired~~~iect~IJlfoimation ~.. _ ." -~-''-:' :, :... -:. ;;'(Jtpplicant:complete this se~tion)
A
Phone:
Fax:
Address:
ASSESSOR'S MAP NO:
TAX LOT NO S
Address:
Description of the proposed work to be completed under this building permit:
. plv..l"'oif\..oj - o.c\el\ ""0 3. S"r'\.f!-S' (i.-vcrl H-ot v..x,,+eA ~ct..:kn
Has this development proposal been reviewed by the Planning Division
through an application process (i.e. MDS or Site Plan Review)? .
if yes, Case #:
If no, is this a change in use? DYes D No
Prior A roved Use: Pro osed Use:
DYes 0 No
" .
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. ' ,
Zonin TOTZ: Overla
The proposed project requires submittal and approval of the follOWing Planning applicatio!,!
prior to building permit approval: .
D DWP Overlay District Development 0 Statement Letter Regarding .DWP Exemption
D MDS D MDS Land Use Compatibility Statement
D Site Plan Review D Other:
Reviewed b :
Date:
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
2201000000000000865
10:38:04AM
Date: 07/23/2010
Job/Journal Number
COM2010-00976
COM2010-00976
COM20 I 0-00976
COM2010-00976
COM2010-00976
COM20 I 0-00976
COM2010-00976
COM2010-00976
COM201O-00976
COM20 10-00976
Payments:
Type of Payment
Check
cReceintl
Description
Building Permit
Fixture
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC SanitarylStorm Admin
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
58.00
76.00
329.30
] 60.73
38.46
502.95
10.00
52.07
16.08
6.70
$1,250.29
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.+.'
Paid By
MOTHER SHIP SALON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc 1007 In Person
Payment Total:
$1,250.29
$1,250,29
Amount Paid
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