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Home My WebLink AboutPermit Building 2010-7-8 Status Iss u ed -' . , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00907 ISSUED: 07/08/2010 APPLIED: 07/08/2010 EXPIRES: 02/0612011 VALUE: $ 400.00 <~~~~~:t~ "~:i); ~~.~~...-. .' :' .. : : ~ ;,':' . ;.?. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 498 Harlow Rd ASSESSOR'S PARCEL NO.: 1703220002800 Springfi~'ld TYPE OF WORK: Interior TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Add 2 circnits - suite 5 Owner: SKYHA WK PROPERTIES LLC Address: 32671 SKYHA WK WAY EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor ,., -:'" .License JB ELECTRIC ;.... 104929 BAXTER PLUMBING &;-ROOTER.LLC 169028 BUILDING INFORMATION . Expiration Date 03/14/2012 03/13/2012 Phone 541'687-5770 541-935-6696 # of Units: #.of Stories: Primary Occupancy Group: Height of Structg/i,\o Secondary Occupancy Group: Tyye %l!.tlililP '11j\ili\'l Primary Construction Type . Ote901W1lfWil01890n e\ 101\n Secondary Construction Type: l>>i\€.t-lI\~~~d09\ecR'IlWI~fI~~5Z'OO~' # of Bedrooms: '0110'-11 t';l cen\el. 1hP~{~gn.M . lule5 '0'1 . tlO\ilica\\~~_OO~-OO~'W~l'l\'>lltdllt{tf/Rll\one n/a 0090. '(O~ ';0 ~ RMATION callin9 101 \ .' .--800- nUll\pet \al \8 ' . Frontyard Setback: cen Overlay nist: Side I Setback: # Streer,Trees Rqd: Side 2 Setback: Paved Drive Rqd: . Rearyard Setback: % of Lot Coverage: Solar Setbacks: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: .... " ,~'iiJ::.;/<\',~ Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC-IMp,ROVEMENTS I :,;"tt':j;ijii~~Cl\\Cl\i. . '. Sidewalk,;r~t:.e. ~ \~ ~ .';", \:;:.l:':' r.'" ." ~~<;>\\\~~~yCl\\ ~r:" \\O~\c.~~~\\ c;,~~\l'i:.\\ ~~\lCl~ .,. ,::"f .1,-" \\\\'0 <;>;\\\t'i:.\l \) (J\\ \~ ~ \>.\l\'(\ x.~c.'i:.'V <;>'t,\\\Cl . (}J~>J\ \) \l~ \>.~'\ ,\'0 Notes: . r,"l:,: ',. "", ....,.....,... -:;.\;t" '1,;. .,' , I 'Paee I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion Tvpe of Construction Mechanical C/I Use Bid Amount Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Fixture Mechanical-Value Minimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid ~: ;,::(;;'.:.-. '~j~~'~ "::~~~~'~1;;'? ~'t~,h.', .'., ~ " "_";;.1 I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00907 ISSUED: 07/08/2010 APPLIED: 07/08/2010 EXPIRES: 02/06/2011 VALUE: $ 400.00 ,if. I Val~~tion Description ~ Square Footage or Bid Amount 400.00 Value Date Calculated $ Per Sq Ft or multiplier $1.00 $400.00 $400.00 08/06/2010 Total Value of Project "" ' \ Date Paid Receipt Number ~, AmountPaid" ' $7.32 $3.05 $55.00 $6.00 $ 13.92 $5.80 $19.00 ".:,. $58.00,:i(i-;; 'l11~~~'()-:':' i $39.0'O,'.L_,,,,~..t, ~!Jird~ ':'..~.'1'" "-" '''.'''''~ " $192.8:?_,:: ie, .. .,,; !.. . $395.157:"-- $29.40 . $824.51 7/8/10 7/8/10 7/8/10 7/8/10 8/6/10 8/6/10 8/6/10 ;'.,8/6/10 " 8/6/10 8/6/10 8/6/10 8/6/10 2201000000000000807 2201000000000000807 2201000000000000807 2201000000000000807 2201000000000000931 2201000000000000931 2201000000000000931 2201000000000000931 2201000000000000931 2201000000000000931 2201000000000000931 2201000000000000931 Plan Reviews I To Request an inspection call the 24 hour r!!c.ording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day;,hispections requested after 7:00 a.m. will be made the following work day. l....f.eo,liredJnsnec~ Rough Electric: Prior to Cover Final Electric: When all electrical work is co'mplete. Rough Plumbing: Prior to cover and includi~'h~;~'J~i';}J~~t~si~Jg. ", , -""'"" ." Final Plumbing: When all plumbing work'lt,".~..i:nple.t.e:,:. .',<:;r.; ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Pa!!e 2 of3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued .~. , PERMIT NO: COM2010-00907 ISSUED: 07/08/2010 APPLIED: 07/08/2010 EXPIRES: 02/06/2011 VALUE: $ 400.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line t.~ \ ,;. , By signatnre, 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 Laivs of.the State of Oregon pertaining to the work described herein, and . that NO OCCUPANCY will be made of any structui.E2',~it~~.Jh~ernii!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 inspecti&h~:~l-e'r~qiiested 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 711';J~ ~b-IO Owner or ~ctors Signature Date .... ", '.( : "he:> ; ~t:d' ,1\','':;,'' I \i:'._.;._ "",...", ",',:" ~l!i~:;"i rt\'i~'hhi~'!' . ';~.:. ~!,;'1 , .IH\ J., ":' '~l~k'H\ ':t~ti.,~ J "'Y1 ".;:., ','-t,' ;".;'~' " , , '~,'. ',' ~. ;';, ',. ('I ~j, . I " ;,~,,),~~ ;';,~\~''''-';';<' -,. r.' .....Pa~e 3'of 3 !: ~_. :. 'h!\~.'.:\ ~.;.t "! ", i~ JJI . C]TY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . Ji:lURNAL OR JOB NUMBER com20 I 0-00907 NAME OR COMPANY: Riverbend Dcnl1ll LOCATION: 498 Harlow MAP & TAX LOT NUMBER: DEVELOPMENT TYPE: Medical Office-New Washino machine NEW DEVELOPED AREA (S.F.): 1,000.00 MWMC: 630 ITE: 630 " /';t8'~':::~~"i' ! ^b' <,+ EXISTING DEVELOPED AREA (S.F.): 1,000.00 MWMC: 630 ITE: 630 - ~ .~ u , 'IE u,- g. ClI"'O' TOTAL IMPERVIOUS SURFACE (S.F.l: LOT SIZE (S.F.): "'0:')$8 Gi "u.'o ~t:.l ], STORM DRAINAGE <: NEW IMPERVIOUS SQ. FT. - A. REIMBURSEMENT COST: .' .~ IMPERVIOUS SQ. FT. - x $ 0.23] PER SF 50.00 B. IMPROVEMENT COST: .',.' ;. IMPERVIOUS SQ. FT. - x 5 0.337 PER SF 50.00 Cost ner SF= $ 0.567 TOTAL STORM DRAINAGE SDC:' 50.00 . 1178 2. SANITARY SEWER-CITY (see reverse side) : '. A. REIMBURSEMENT COST: '. '.. NUMBER OF DFU's 3 x $ 131.72 PER DFU I $395.15 1183 8. IMPROVEMENT COST: '!i- NUMBER OF DFU's 3 x 5 64.29 PER DFU I 5192.87 . 1184 $ ]96.0] ",,;,.- TOT AI. LOCAL W ASTEW A TER SDC:' 5 588.02 . 5588.02 ':,:~ . TRANSPORT' TION BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR '.!.~: NEW: .:,~,2~ A. REIMBURSEMENT COST: 1.00 x 31.45 x 5 51.94 PER TRIP x 0.95 NTF I 51,551.721 B. IMPROVEMENT COST: ::;' 1.00 x 31.45 x $ 189.29 PER TRIP x 0.95 NTF 1 55,655.41 I EXISTING: 1:1,;:'- . REIMBURSEMENT COST: -1.00 x 31.45 x 5 51.94 PER TRIP x 0.95 NTF I (51,551.72)1 !',' :' 8. IMPROVEMENT COST: ~ "~" -1.00 x 31.45 x 5 189.29 PER TRIP x 0.95 NTF 1 (55,655.41)1 $ 241.22 TOTAL TRANSPORTATION REIMBURSEMENT SOC: 50.00 .1 ]73 TOTAL TRANSPORTATION IMPROVEMENT SOC: 50.00 , 1094 TOTAL TRANSPORTATION SDc:1 5 - 50.00 ro: SANITARY SEWER - MWMC NEW: '. k REIMBU'RSEMENT COST: I ..,. NUMBER OF FEU's 1.00 x 587.40 PER FEU 1 587.40 1 '. 8. IMPROVEMENT COST: NUMBER OF FEU's 1.00 x 51,143.06 PER FEU 1 51,143.061 /.<; Ie. COMPLIANCE COST: NUMBER OF FEU's 1.00 x 519.40 PER FEU 1 519.40 I .:,.. ~'Oj;.. EXISTING: ", " A. REIMBURSEMENT COST: ", NUMBER OF FEU's -1.00 x 587.40 PER FEU I (587.40)1 8. IMPROVEMENT COST: I'. ,.' NUMBER OF FEU's -1.00 x 51,143.06 PER FEU 1 (51,143.06)1 C. COMPLIANCE COST: NUMBER OF FEU's -1.00 x 519.40 PER FEU I (519.40) MWMC CREDIT IF APPLICABLE (SEE REVERSE) 50.00 1054 TOTAL MWMC REIMBU'RSEMENT FEE: 50.00 1186 TOTAL MWMC IMPROVEMENT FEE: 50.00 1187 TOTAL MWMC COMPLIANCE FEE: 50.00 MWMC ADMINISTRATIVE FEE: 50.00 . 1189 TOTAL MWMC SDc:1 5 - 50.00 . SUBTOTAL (ADD ITEMS 1,2,3, & 4) 1$ 588.02 '.. 5, ADM]NISTRAT]VE FEES: " BASE CHARGE (SUBTOTAL ABOVE) 5 588.02 x 5% ~ I 529.40 TOTAL SEWER ADMINISTRATION FEE: 529.40 ips TOTAL TRANSPORTATION ADMINISTRATION FEE: 5 - 1190 8/612010 TOTAL SDC CHARGES 5617.42 DATE 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) Medical Office-New Washing machine FIXTURE TYPE FIXTURES NEW OLD DRAINAGE FIXTURE UNITS UNIT EQUIVALENT BATHTUB 3 0 DRINKING FOUNTAIN I 0 FLOOR DRAIN, FLOOR SINK 3 0 INTERCEPTORS FOR GREASPJOIUSOLlDSIETC. 3 0 INTERCEPTORS FOR SAND/AUTO WASH/ETC. 6 0 LAUNDRY TUB 2 0 CLOTHES WASHER/MOP SINK 3 0 CLOTHES WASHER - 3 OR MORE (EA) 6 0 MOBILE HOME PARK TRAP (I PER TRAILER) 12 0 RECEPTOR FOR REFRlGERA TORIW A TER ST A TION/ETC. I 0 RECEPTOR FOR COMMERCIAL SINK! DISHWASHER/ETC. I 3 3 SHOWER, SINGLE STALL 2 0 SHOWER, GANG (NUMBER OF HEADS) 2 0 SINK: COMMERCIAL, RESIDENTIAL KJTCHEN 3 0 SINK: COMMERCIAL BAR 2 . 0 SINK: WASH BASIN!OOUBLE LAVATORY 2 0 SINK: SINGLE LA VATORY/RESIDENTIAL BAR I 0 URINAL,STALUWALL 5 0 TOILET, PUBLIC INSTALLATION 6 0 TOILET, PRIVATE INSTALLATION 3 0 MISCELLANEOUS: 0 NUMBER OF EDU'S' TOTAL DRAINAGE FIXTURE UNITS = I -, 3 *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 AITER ANNEXA TION 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 SI,OOO ASSESSED VALUE RATE PER SI,OOO ASSESSED VALUE YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 SI.45 $1.25\ S1.09. SO.92" SO.72 :"S0.48' SO.28 SO:09' SO.05 so.oo' SO.OO SO.OO S5.19 S5.12 $4.98 ;I $4T80:~> S4:63 . $4.40 $4.07. $3:67 ' S3.22 S2.25 S(&O ] x x SO.OO SO.OO CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AITER ANNEXATION DATE) J CREDIT TOTAL SO.OO 225 Fifth S(reet Springfield, Oregon 97477 541-7i6-3759 Phone Iii- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000931 Date: 08/06/2010 10:13:34AM Job/Journal Number COM20 I 0-00907 COM20 I 0-00907 COM20 I 0-00907 COM20 I 0-00907 COM2010-00907 COM20 I 0-00907 COM20 I 0-00907 COM20 1 0-00907 Payments: Type of Payment CreditCard cRcceintl Description ",~f.~\ .'(;J ",:1.: t..'r:..,t. Fixture -.....,.... ... l... . . Minimum/Adjusunent Plumbing'i'}."" : ,i",I, ,. Mechanical-Value d,. " + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Paid By BAXTER PLUMBING , Check Number Received By Batch Number djb .;.-: '.: '~.; t["'\i- , ::. ~; :.,~~'" ,~~ '.'4i:.... " :f'!; ".:.[, I': . ~<!. .. dj ~. ".. ~ , , .... ."~. ~:: . .:u .' ., ,- ~ Page I of I Item Total: Authorization Number How Received Amount Due 19,00 39,00 58,00 13,92 5,80 395,15 192,87 29.40 $753.14 Amount Paid 005045 In Person Payment Total: $753,14 $753.14 816120 I 0