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Home My WebLink AboutPermit Building 2005-9-20 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01154 ISSUED: 09/20/2005 APPLIED: 08/25/2005 EXPIRES: 03/20/2006 VALUE: $ 120,000.00 if 225 Fifth Street, Springfield, OR " 541-726-3753 Phone ~' 541-726-3676 Fax ; 541-726-3769 Inspection Line ,'. SITE ADDRESS: 1190 Mohawk Blvd ASSESSOR'S PARCEL NO.: 1703253316400 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New PROJECT DESCRIPTION: Site and utility work for Pacific Cascade Federal Credit Union Commercial Owner: PACIFIC CASCADE FCU INC Address: 1075 OAK ST EUGENE OR 97401 ~ Contractor Type General :, Electrical i Mechanical Plumbing J, -. "',' tn ATTEN([~~6~r req 1\~~'O~lth . 10\\OW rUl~:;' (ld~ r ThOS~lv ~!2-001- Contractor Notification cent~~\'Q through O~i't~~~es bY Expiration Date MCKENZIE fO~Bta;~- Obitll~JM~i~W~9u e ne 07/21/2007 SCOFIELD Eb~mro may 0 r tNote: the~ihOtion 12/21/2005 COMFORT FL~\ing the cen~r'egon Uti\itV~tl'\ca 06/27/2007 ROBINSON PLWim~~~el_ ~ _A()O-332-2~6~24 07/13/2007 . , .J;'1.'~'i!! 1- r BUILDING INFORMATION I Phone 541-343-7143 541-686-8612 541-726-0100 541-345-6909 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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: 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: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMP:ROVEMENTS l 1\1E WORK I\: l" I l"" H \.J I\ll tXP\RE \I: ('\ 1\'01 L- J. C DCD\,A\1 Sr\t\ \c:SidewalklTlWei 1\-1\S r Ln,\!1 ER 1\1 u r\:IW" P-\.r'i\-\ORIIED U~~ \S P-B{\~8~h\SPdJtOOrains: COM\\^tNCE~ PER\OD. N~'{ '\ BO D~ Notes: ... ,. Pae:e 1 of 4 Status Issued ~ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review CommlInd/Public + 10% Administrative Fee + 7% State Surcharge Addressing Assignment Backflow Device Curbcut - Additional Driveway Curbcut - Additional Driveway Curbcut Permit Curbcut Repair Encroachment Permit Fixture Paving Plan Review CommlIndlPublic PW Disc - 2nd Permit (Street) PW Disc - 3rd Permit (Street) Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Sidewalk Permit + Addtl Sq Ftg Storm Sewer - 1st 50 Feet Storm Sewer Each AddtlIOO' Water Line -1st 50 Feet Total Amount Paid Fire Department Review 08/26/2005 Initial Review LDAP Review Planninl! Review 08/26/2005 09/13/2005 08/26/2005 I Valuation DescriDtion , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 120,000.00 Total Value of Project ~ Amount Paid $304.30 $93.37 $21.21 $31.00 $28.00 $80.00 $80.00 $80.00 $40.00 $130.00 $56.00 $630.65 $105.62 $-30.00 $-30.00 $45.00 $14.00 $102.40 $45.00 $70.00 $45.00 $1,941.55 Date Paid 8/25/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9120/05 9/20/05 I Plan Reviews , 09/01/2005 08/26/2005 08/31/2005 OK APP LLH APP EMM Pal!e 2 of 4 CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2005-01154 ISSUED: 09/20/2005 APPLIED: 08/25/2005 EXPIRES: 03/20/2006 VALUE: $ 120,000.00 Value Date Calculated $120,000.00 $120,000.00 08/30/2005 Receipt Number 1200500000000001245 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 GRG Plans Review: Site work. COM2005-01154. Refer to DRC comments for site plan review. CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2005-01154 ISSUED: 09/20/2005 APPLIED: 08/25/2005 EXPIRES: 03/20/2006 VALUE: $ 120,000.00 Status Issued 225 Fifth Street, Springfield, OR .. 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 08/26/2005 09/13/2005 APP SB Structural Review 08/26/2005 08/29/2005 WE JMP Structural Review 08/30/2005 08/30/2005 10 JMP Structural Review 09/02/2005 09/02/2005 10 JMP Structural Review SUB Review 09/13/2005 08/26/2005 09/13/2005 09/06/2005 APP APP JMP JF Site Work only. Curbcuts, sidewalks, and encroachment permil fees added. Submit Encroachment Permit Application 2-3 days prior to requirement to work in Right-of-way or within PUE. LDAP Required. Applicant notified 9/13/05. DO not issue until LDAP issued. See attached documents for 2 structural comments faxed to Eric Hall. WE. Received phone call from Todd at McKenzie Commercial saying that he will get the Special Inspection Forms completed and to me soon. He said there will be no site lighting at this time and that the site work does not include any paving at this time. WI. Received Addendum #1 addressing structural comments with the special inspection forms. Received final internal approval. No energy code issues or inspections, 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. ~eouiredJnsnections I Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. 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. Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Pa2e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01154 ISSUED: 09/20/2005 APPLIED: 08/25/2005 EXPIRES: 03/20/2006 VALUE: $ 120,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 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. Owncrit::&~?/ 7/~/o ) I Date Pae:e 4 of 4 c.,~< uH KSHEET ATIACHMENT A GFIELD SYSTEMS DEVELOPMENT CHARGE' JOURNAL OR JOB NUMBER -01154 NAME OR COMPANY: Pacific Cascade Federal Credit Union LOCATION: 1190 Mohawk Blvd MAP & TAX LOT NUMBER: 17032533 16400 DEVELOPMENT TYPE: Site Work for new Credit Union NEW DEVELOPED AREA (S.F.): 4,132.00 EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): 17,203 ITE: 1TE: LOT SIZE (S.F.): 912 26400 L STORM DRAINAGE Minus 24,000 s.t existing impervious IMPERVIOUS SQ. FT. (2,665) $ 0.323 PER SF TOTAL STORM DRAINAGE SDC: x 2. SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) o x $ 25.07 PER DFU o x $ 19.07 PER DFU $ 44.14 TOTAL LOCAL W ASTEW A TER SDC:I $ 1 TRA,NSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 4.13 x 246.49 x $ 19.09 PER TRIP x 0.55 NTF $10,691.97 I B. IMPROVEMENT COST: 4.13 x 246.49 x $ 84.19 PER TRIP x 0.55 NTF $47,161.52 I EXISTING $ 103.28 A. REIMBURSEMENT COST: 0.00 x 0 x $ 19.09 PER TRIP x 0 NTF $0.00 I B. IMPROVEMENT COST: 0.00 x 0 x $ 84.19 PER TRIP x 0 NTF $0.00 I - 61 ee~ ( Credits due for Gas Station a~d SUBW A 0 ~"'<4l1'e Hold for second Building Permit ~ii-~ TOTAL TRANSPORTATION SDC:' $ + =# ~ fJl/M fJJsl4. .v4. S TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU's 4.13 x $51.56 PER FEU x $543.91 PER FEU 4.13 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) AI e e,R L Credits due for Gas Station and SUBW A y~ S ~ (/a/l.J2. Hold for second Building Permit f f) () t~ . x $0.00 PER FEU x $0.00 PER FEU $213.061 $2,247.43 I $0.00 I $0.00 I TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC:' SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5 ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) $0.00 I $0.00 I x 5% , $0.00 TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOTAL SEWER ADMINISTRATION FEE: $ $ ste\leVl- W. 'B,eCluch'1:j 'B,ClY'Vl-es. C~6lIW~jF~1190 Mohawk.xls 8/24/2005 DATE TOTAL SDC CHARGES $10,691.97 $47,161.52 $57,853.49 $0.00 $213.06 $2,247.43 $10.00 $2,470.49 1 JULY 2004 "l o o '- "l o o ~ SPRDNGFllelLD J, ~ OJ "- u) I-' "- tV ~ ~ U1 ...- U1 .&;. (j1 U1 .&;. I-' cp OJ .,. W OJ U1 I-' CON\.woS-C L\'S~ 0)- \-;- oS . City of ~pri1igfkld Community Service..s Oivisiou , 225 Fl fth Slreel Sprlngfie!d, OR 97477 Teleppone: (541P26-3759 fax.: (541) 726-3689 auihlipg Perinit tl , ~ c.' ~ CU Dille S ct'E- ~t)~ ~ ON L.--'( Pfojf:i,;l Tille \ \ ~ 0 Mot:t-4\ lJ.J '(<.. ~\....\j Q . Proje.q Address Sfcdal Jnspedion and Testiqg '~o.al'flli'::1nts of project.'; n:qlJirill~ spe<.:bl i11;p<<lioll ~r lesli'1g as f1~" Secriun 110/.5 of ",e Ore~ol'l Sm,lCI\lral Speci~lIy Code, Pka~e Te\'k:W lhe illfonnalion bdow. Whc~ ~u ha\'e lllllst.ed, m:kn<>wkdge all utlLlcrstmll.lill~ of lhe jJ1fOnll~licill by si~ni/1g b;:l\>~~', :mu rellml Ihis for!,llo 1I1~ eil)'. BEFORE .\ PER.,lI1' C.~N BE. ISSUED: The OWI1U or o,,!,ner's represefll:llive, un lhe advice or lhe responsible Project En~incer ur Archilccl, so:!1I cmnplele, sign. am.! slIbmillo tlie City fllr revi,ew and approvalllm iorm COlliplcl~ on b011i lh.:: fronr ~lllllJf>ck. ' .' . ...l < - u ~ ~ o U ~"-l .'... N ~ ~ ~ 111;: owucr ~1l0 General Conrraclor. where applil:able, shall alSQ ild!lO\vlcdge Ih.: followi,ng conditions applicable 10 Specialln~pe<.:tion ;ulU/or Tesling. I. Cl)llfr>lctor i~ responsible (Or proper nolific:;\lion for Ihe l~spec,;riCln Ilr Tc:.tin$llt' hems li.Sletl. ::>, Te"ling labof':l~or)i shalll;v..e approJlriale j~mpks <lnd lr.lnSll<Jr! Ulcm 10 lheir laoor.ltory for pmper evaluation or resting.. . CCllieS of alllallor:llory rcporlS ;1Il1.1 ill5peclions are 10 be senllo thci CII) by II,e Teslil1g r\geney. ). Spc,;jaJ Inspectillll Agenc}' j~ 10 sublllllna!l1tS ,u,~ Qualilic::\\Iofl5 of OI)-tile Speda.llnsjXctOl!> 1\.l1t1e ell) h:Jr iJpprU'ial. 4 SI}l:cial In~~lor shall flm~ide inslleclilln repOlls 10 the ~Ilih.lillg offic,;inl of all inspection aClivilie~, j C:ulll1ac,;ll~ is ;c:>ponslbk 10 ~;:\'iew the City appru\'elJ pl3n~ for llllLlili\~l1al inspcttioll or tt~tHl~ re~uiremenls rlt.:ll 111<1)' b.:: riOl~L1. Bl~FP1~E A CERTInCA T.E: qr OC~UPi\NC" \YILL ~E lSSl.;1ID: The Spcci:1( OOI:eClion Agenc:y shall submit to the Building Oflic.ial a SllIlCll1ellllllal all ;t~Jl1S n:l!ulting ill~po:~liol1 Ii;!,;,\! bern lulfilleli and rl!pol1etl all~ wCre to I~e b~sl uf IJ~ inspeclor's knhwledg~. ill cQJlfarmanc:e with Ihe .1pprO\\:d plall!>, \pedlic,;aliollS illld applic:lbJ.: \\orKIl1:lllship pm\'!sians. Thusellem" 1l01IC~I<:c1 :lml/or 'I\spec'~d slTJli oc nuted in Ille !il<llCllte'nl. the 'repon i~ In ~ 5i1blllilleu tu 'lh~ City rhor'w a req\lc~1 fur IInal UlspeCliuris. CQ o ..., ..., ".., qo 0') ACKNO\VLEOGEI\UtNTS GJ~' ~ To:> 1.. 1.- ' . -;;:; ... 1".0. ~~v l ~ cz V I I j t( (' Ii / t'l/f'?//,;..;_.-J OWTler N<lme (PriIlLtd)' Owner Slgn:llure t::l1..,.... WoI\.i.L.- 1~1L.i.,j(11C.,:r<; Ilk. ~:;. ____ t Eh!!illl':er pI' Archilci:l Firm (Primedl" En!!llleeror Arcliile~l Sienulllre fEt TEsrJ~6~IN~P..' Ih'1~,-,'~'- Tesllng L<Jootalory Name Wrinitd) T~ling L;\boral~ Rep. SignalUrl! -u l> G) fT1 ..... .... OJ.') lto-:~/~~7 oen~~~~eJ>r Signal~ J11-X' /)I~--- "- \~." '''Y~~~ou Building Oft1d~g;<\~ f1 'tavl<L (.tU~,~ CQn1 Gen. COJllr.:tclor Firtn Name (Printed) . rC/'I -r:. '+: ci. .Lw..... ' I-- . 1 ~I' N c;. "t -41'15 r. Special Inspetlion Ag;:OI.:Y Namb {Primed} ~1~ ,\\m~f-, BUlILling Om\;i,~~'iOled) >~ -< "" ..... 11) 0') .... In Q <:> <"I '- ..... .... ...... CIO <0 (::;I tV ...... (::;I tV SPECIAL INSPECTION AND TESTING SCHEDULE. I Reinforced Concrete, Gunite, Grout and Mortar: 1 Concrete Gunite Grout Mortar , I 1 I I I I I I I I I I I I 1 PrecastlPre-stressed Concrete: I Piles Post-Tens I Pre- Tens I I I I I I I I I I I .1 I SMOKE CONTROL: I I I , I I I I I I I I .Leakage testing . Control Verification GRADING, EXCAVATION; AND FILL ~Acceptance tests * . 'pSF Establishcfinal-gnlde . .' :c Fill placement inspectio~:'1.::::':.:.:':80 fe.tfIi!>J.t.L. ^ . Soil Density -I I I I I I I I ~gregate Test of Mix Design 1 Reinforcing Test I Mix Design"Weighmaster Cert.* I Reinforcing Placement I Continuous Batch Plant Inspect. I Inspect Placing I Cast Samples I Samples (pickuplDelivered) I Compression Test* I I STRUCTURAL STEEL/WELDING: Sample and test (list specific members below) Shop material identification (mill cert) Weld inspection Shop Field Ultrasonic inspection Shop Field High Strength Bolting_Shop Field A325 N X F A490 N X F Metal deck welding inspection Reinforcing Steel welding inspection Reinforcing steel'mill certificate Metal stud welding inspection Concrete. insert welding inspection Moment resisting steel frames Cladding Aggregate Tests Reinforcing Tests I Tendon Test I Mix Designs * I Reinforcing Placement Insert Placement Concrete Batchinf1; I Concrete Placement' I Installation Inspection I Cast Samples I Pick-up Samples I Compression Tests I . STRUCTURAL WOOD: Shear waIl nailing inspection Shear:wall anchors Inspection of Ghl-Iam fab, * T/Cpsi Inspection of truss joist fab. . Sample and test components Fabrication welding of steel accessories FIREPROOFING: Placement inspection Density tests Thickness tests Inspect batChing . MASONRY Special inspection stresses used * f'm f' g Preliminary acceptance tests (masonry units, wall prisms) Subsequent tests (mortar, grout, field wall prisms) Placement inspection of units, and reinforcement Masonry, mortar, grout, and reinforcing steel certificates ROOFING: _ Insulation instaIlationJR- Value* .Test strips/seams ADDITIONAL INSRUCTIONS, OTHER TEST, & INSPECTIONS: . Form Completed by:. .. Date *PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCA TION OF VALVES 225, Fifth Str~et r Sp,.ringfield,Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department Job/Journal Number COM200S-011S4 COM200S-011S4 COM200S-011S4 COM200S-011S4 COM200S-011S4 COM200S-011S4 COM2005-011S4 COM200S-011S4 C'oM200S-011S4 (pM200S-011S4 QDM200S-0 11S4 . dbM200S-011S4 COM200S-01154 COM2005-0 1154 COM2005-01154 COM2005-01154 COM200S-01154 COM200S-01154 COM200S-01154J cj,bM200S-01154 RECEIPT #: 3200500000000000566 . Date: 09/20/2005 Description Addressing Assignment ' Plan Review CommlInd/Public Paving Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Feet Storm Sewer - 1st SO Feet Storm Sewer Each Addtl 100' Backflow Device + 7% State Surcharge + 10% Administrative Fee Sidewalk Permit + Addtl Sq Ftg Curbcut Permit Curb cut - Additional Driveway Curbcut Repair PW Disc - 2nd Permit (Street) PW Disc - 3rd Permit (Street) . ,Encroachmoot Permit Curb cut - Additional Driveway .' Payments: Type of Payment Paid By Check PACIFIC CASCADE FeU :' Item Total: Check Number Authorization Received By Batch Number Number How Received DJB 174481 In Person Payment Total: ,! if '~i~ " ','i ;. If;" '!,' "!:j ,~i f,,~ ,I iil 9120/2005 '~i Page 1 of 1 2:43:00PM Amount Due 31.00 105.62 630.6S 56.00 45.00 14.00 '4S.00 4S.00 70.00 28.00 21.21 93.37 102.40 80.00 80.00 40.00 (30.00) (30.00) 130.00 80.00 $1,637,25 Amount Paid $1,637.25 $1,637.25