HomeMy WebLinkAboutPermit Building 2007-7-12
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00780
ISSUED: 07/12/2007
APPLIED: 05/30/2007
EXPIRES: 0111212008
VALUE: $ 22,801.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 100 INTERNATIONAL WAY
ASSESSOR'S PARCEL NO.: 1703140001003
Springfield
TYPE OF WORK: School
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Remodel Learning Tree Day School.
Owner: RICHARD H GUDEMAN LIVING TRUST
Address: 100 INTERNATIONAL WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor License
MCKENZIE COMMERCIAL CONTRACTOR 45539
JB ELECTRIC 104929
JOHN THE PLUMBER INC 107810
BUILDING INFORMATION I
Expiration Date
07/21/2007
03/14/2008
07/24/2007
Phone
541-343-7143
541-687-5770
541-686-4888
# 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
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
ATTEf\rrro' ',' ~'--'( ~
Street Impft9lr~wefltS. N: OregO _-' 1 JC~,jdewalk Type:
N t.. rUUes ad n law req ~ . 1<; Pi' "
Storm s,~Pf/f{~~hlfjentOPted by the 0 u res You to ,.. 'J I' ci).91rps~p.uts/Drains:
Special IOb~tfe'ii&u2-001_0er. Those rUle fegon Utility 10' l lORIZED U tiALL EXpl
o. You m 010 throu s are set,o l.I MMEN NDER IRE IF Jj
Notes: : calling the ~~ Obtain COPi~sh OAR 9S2-o07~ liNy 180 CED OR IS THIS PERM HE WORK
nUmber for then;;r. (Note: th~~t'e rules by DAY PERIODABANDONf.D'T IS NOr
Center is [egon Utility N e ephon& . FOR
-B00-332-2344)~lf/catlOIt
Page 1 of 3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2007-00780
ISSUED: 07/12/2007
APPLIED: 05/30/2007
EXPIRES: 01112/2008
VALUE: $ 22,801.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
22,801.00
Value
Date Calculated
Description
Total Value of Project
$22,801.00
$22,801.00
06/28/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $69.81 5/30/07 1200700000000000651
+ 10% Administrative Fee $34.78 7/12/07 2200700000000001120
+ 5% Technology Fee $17.39 7/12/07 2200700000000001120
+ 8% State Surcharge $27.82 7/12/07 2200700000000001120
Add, Alter, Extend Circ $43.00 7/12/07 2200700000000001120
Add, Alter, Extend Circ Ea Add $9.00 7/12/07 2200700000000001120
Building Permit $208.80 7/12/07 2200700000000001120
Fixture $42.00 7/12/07 2200700000000001120
Miscellaneous Plumbing $45.00 7/12/07 2200700000000001120
Plan Review Comm/Ind/Public $65.91 7/12/07 2200700000000001120
Plan Review Fire & Life Safety $83.52 7/12/07 2200700000000001120
Total Amount Paid $647.03
I Plan Reviews I
Fire Department Review 06/01/2007 06/28/2007 OK GRG Plans Review: Remodel of
swimming pool room to classroom.
Job #COM2007-00780. Plans appeal
to meet code requirements.
Initial Review 05/31/2007 05/31/2007 APP LLH
Plan Review Comments 06/18/2007 10 JMP WE. Received incomplete responses
from Lonny King. Still waiting on
energy code forms.
Planning Review 06/01/2007 06/04/2007 APP EMM
Public Works Review 06/04/2007 06/04/2007 APP JHJ Attached SDC Worksheet. No New
SDC's. (JHJ)
Structural Review 05/31/2007 06/13/2007 WE JMP See attached documents for 9
structural comments faxed to Donna
Stalie.
Structural Review 07/12/2007 07/12/2007 APP JMP Received final internal approval.
SUB Review 07/12/2007 07/12/2007 APP JF
SUB Review 06/01/2007 06/13/2007 WE JF See JMP's attached documents for
Item 6 requesting the energy code
forms and information.
Page 2 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00780
ISSUED: 07/12/2007
APPLIED: 05/30/2007
EXPIRES: 01/12/2008
VALUE: $ 22,801.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
06/20/2007
06/28/2007
10
JF
JMP faxed the lighting energy code
forms from JB Electric to Jack
Foster. JMP called Lonny King to
request the balance of the energy
code forms and information.
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
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Firewall: Located and constructed according to plans.
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.
Rough Mechanical: Prior to Cover
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 Ceiling Grid: Interior Lighting
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.
I l\ . (\ r, 1 CL.
/~~i\A':Vl ) U':lf )"PJfJ.uIA' /"7"1 lG'LCG
"'
Owner or Contractors Signature
7/1"d- /D7
I
Date
Page 3 of 3
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225 ~u 111 STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELEl-l1dCAL PERMIT APPLICATION
City Job Number CoM 'Ulo"( - ao'le::> Date ~ ~. 'l8-~'"
1.
3.
lee> (~-re~~t-..T l" o-tAL (tj~-(
LEGAL DESCRIPTION
l'1 0'> l ~ 00 0 t e oa
JOB DESCRIPTION
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
-r~t-t~~"t'" t~f>\~"e M.'E-e-t"tS
$ 19.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$50_00
B.
2.
Electrical Contractor JB Electric, Inc.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Address 4685 Isabelle Street
City Eugene
Phone 687-5770
c.
Supervisor License Number 2708-S
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Expiration Date 10/1/07
$ 50.00
$ 69.00
$100.00
Constr. Contr. Number 37587C
Expiration Date 7/1/06
(CCB 104929 3/14/08)
Over 600 Am s or 1000 Volts see "B" above.
D.
. SirrA8,E\!:J.
y
New Alteration or Extension Per Panel
One Circuit (
Each Additional Circuit or with t2
Service or Feeder Permit . ~
43
~
$ 43.00
$ 3.00
Owners Name G.ut>1!-~~ L\.\l (t(,<:' \.tl-c}$"(
Address (00 It-lLt::.~^\\ON.~\.... ~~'(
City Setz<'fJ.G.. E LE.<-1> Phone ~
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
mli'amlOillt~lJeR~tsJ$45.00 +,Surcharges
folio -
No'li S-z.. OC)
In OA "z... bO
0090. ~$MV ~~pies of the rules by ~: lb
nC:~'w'1fl~f~~~~~r,~~: ~~~t~~:n 5, U)
T6~ Is 1-80Q-332-2344}. b -; . ~ '==>
OWNER INSTALLATION
The installation is being made on property I own which
is not intended f?r sale, lease or rent.
Owners Signature:
NOTICE:
THiS FcnMli SftAll [X.pmE If TP.E WORK
\UTHORIZED UNDER THIS PERMIT IS NOT
Iii'S~tGa:I&~9l0NED FOR
..NY 180 DAY PERIOD. .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-00780
NAME OR COMPANY: Learning Tree Day School
LOCATION: 100 International Way
MAP & TAX LOT NUMBER: 17 03 14 00 01003
DEVELOPMENT TYPE: Learning Tree Day School Remodel
NEW DEVELOPED AREA (S_F_):
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (SF):
L STORM DRAINAGE
IMPERVIOUS SQ_ FT
2_ SANITARY SEWER-CITY (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFU's -5
B. IMPROVEMENT COST:
NUMBER OF DFU's -5
o
o
4_ SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
5_ ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
Jesse Jones
Civil Engineer, Ell
I*No New SDC's* I
ITE:
ITE:
LOT SIZE (S.F.):
x
No New Impervious Area
$ 0.336 PER SF
TOTAL STORM DRAINAGE SDC:'
Net removal of fixtures
x $ 26.03 PER DFU
x $ 19_79 PER DFU
TOTAL LOCAL W ASTEW A TER SDC:' $
x
$ 19_81 PER TRIP
x
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
o
NTF
x
$ 87_39 PER TRIP
x
o
NTF
x
$ 19_81 PER TRIP
x
o
NTF
$0_00 I
$0_00 I
$0_00 I
$ 87_39 PER TRIP x 0 NTF $0.00 I
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:I $
No New Building Square Footage
x
0_00
#N/A
PER FEU
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)
x
0_00
#N/A
PER FEU
x
x
#N/A PER FEU
x
#N/A PER FEU
$0_00 I
$0_00 I
$0_00 I
$0_00 I
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDc:1 $
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I
$
I
$0.00 I
x 5% I $0_00
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
TOTAL SDC CHARGES
6/4/2007
DATE
$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)
Learning Tree Day School Remodel
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB
CLOTHES W ASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC.
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 LA VATORY/RESIDENTIAL BAR
URINAL, ST ALUW ALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDD'S*
FIXTURES UNIT
NEW OLD EQUIVALENT
3
I
3 3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
DRAINAGE
FIXTURE
UNITS
o
o
-9
o
o
o
o
o
o
o
o
o
o
o
o
o
1
o
o
3
o
TOTAL DRAINAGE FixTURE UNITS = I -5
*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 $1,000
ASSESSED VALUE
$529
$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 AP.PLICABLE .
IMPROVEMENT (IF AFTER ANNEXA TI0N 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 Fifth St'reet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00780
COM2007-00780
COM2007-00780
COM2007-00780
COM2007-00780
COM2007-00780
COM2007-00780
COM2007-00780
COM2007-00780
COM2007-00780
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
2200700000000001120
Date: 07/12/2007
Description
Fixture
Miscellaneous Plumbing
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Building Permit
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SPRINGFIELD LEARNING
TREE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
3346
In Person
Payment Total:
Page 1 of 1
2:I5:I2PM
Amount Due
42.00
45.00
65.91
83.52
208.80
43.00
9.00
17.39
27.82
34.78
$577.22
Amount Paid
$577 .22
$577.22
7/12/2007