HomeMy WebLinkAboutPermit Building 2007-5-22
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: COM2006-01665
ISSUED: 05/22/2007
APPLIED: 12/28/2006
EXPIRES: 11/2212007
VALUE: $ 25,000.00
SITE ADDRESS: 2575 Olympic St
ASSESSOR'S PARCEL NO.: 1703254101000
Springfield TYPE OF WORK: Restaurant
\.\lre5 yOU to
-r'ON'ore~<JJ~ 0}t\1e8\!. N~'h Utility
ATTEN , . db the Qregv
tonow ru\e~~~~~;eTh:5e rule.: ~~ ;:~~g
\l0~~;~~2..o01-()01? thrO~~B' ~as ~41-840-5061
\~090. You may obtain ~~~: the tele.~ho~e
"'.I\lmQ the ceo6r: ~~n IltiliN NotificatIon
_. ...nhAf for tn~ I v....;I"\..,,~?_2344).
I CONTRACTOR ll'uORMA TION'I .
PROJECT DESCRIPTION: Walk-in cooler building.
Commercial
Owner:
Address:
LARIOT CORPORATION
390 EAST MCANDREWS
MEDFORD OR 97501
Contractor Type
General
Electrical
Engineer
Contractor License
DA VID BLAIN CONSTRUCTION INC 51382
JB ELECTRIC 104929
POAGE ENGINEERING & SURVEYING, INC
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Expiration Date Phone
05/0712009
03/14/2008 541-687-5770
541-485-4505
B
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVEL~1tlNFORMA nON I
T IS PERMIT SHALL EXPIRE IF THE WOf\WQUIRED PARKING
ovelj.ll~ ~~t7J::nJJNDER THIS PERMIT IS NOPtal:.
# g\f.Ufl ~~~~ 0: R IS ABANDONED FOR HandIcapped:
PaOOll\ilM~cidl Compact:
% Amo~ g@\@At'M?ERIOD.
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Pa!!e 1 of 3
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01665
ISSUED: 05/2212007
APPLIED: 1212812006
EXPIRES: 11/22/2007
VALUE: $ 25,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
25,000.00
Value
Date Calculated
Description
Total Value of Project
$25,000.00
$25,000.00
12/28/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $145.86 12/28/06 2200600000000001759
+ 10% Administrative Fee $26.94 5/22/07 2200700000000000796
+ 5% Technology Fee $13.47 5/22/07 2200700000000000796
+ 8% State Surcharge $21.55 5/22/07 2200700000000000796
Building Permit $224.40 5/22/07 2200700000000000796
SDC MWMC Administration $10.00 5/22/07 2200700000000000796
SDC MWMC Improvement $824.11 5/22/07 2200700000000000796
SDC MWMC Reimbursement $98.41 5/22/07 2200700000000000796
SDC Transpo Admin $192.88 5/22/07 2200700000000000796
SDC Transpo Improvement $2,384.58 5/22/07 2200700000000000796
SDC Transpo Reimbursement $540.55 5/22/07 2200700000000000796
Total Amount Paid $4,482.75
I Plan Reviews I
Initial Review 01/05/2007 NJM
Planninl! Review 01/05/2007 WI EMM Minor Site Plan Review not yet
complete. Forwarding to
Engineering 1/9/07.
Planninl! Review 02/01/2007 02/01/2007 APP EMM Tara Jones is planner
DRC2006-00087
Public Works Review 01/05/2007 01/11/2007 APP JHJ Added SDC Worksheet (JHJ).
Spoke with David Blain about
building S.F. He confirmed 110 S.F.
(Called on 1/11/07 @ 8:30 am)
Structural Review 01/05/2007 01/29/2007 WE JMP See attached documents for 7
structural comments faxed to David
Blain.
Structural Review 03/06/2007 03/02/2007 APP DLM Approved as submitted with
additional documentation provided
by the applicant.
SUB Review 03/15/2007 03/15/2007 APP JF Received Energy Code forms and
hand delivered to Jack Foster
3/15/07dlm No energy code issues,
OKjf
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01665
ISSUED: 05/22/2007
APPLIED: 12/28/2006
EXPIRES: 11/2212007
VALUE: $ 25,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
01/08/2007
03/06/2007
WE
JF
See Item #1 of the attached'
structural comments for JMP's
request of the energy code forms
and information. Confirmed wi JF
the no froms were received. Called
David Blain who said he had already
faxed the forms to JF. I asked him hl
fax the forms to me for delivery to
JF. 3/1/07dlm Called David Blain
again & faxed blank forms to him,
He will complete and return to me s(
we can obtain JF's approval and
issue the permits. 3/6/07dlm
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.
LReQuired Insoections I
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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 Electric: Prior to Cover
Final Electric: When all electrical 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.
~~~ ~ p,-';),-(,'l
Owner or Contractors Signature
Date
Pa!!e 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2006-0] 665
NAME OR COMPANY: Lariot Corporation (KFC)
LOCATION: 2575 Olympic St.
MAP & TAX LOT NUMBER: 17 03 25 41 01001
DEVELOPMENT TYPE: Restaurant Walk-In Cooler
NEW DEVELOPED AREA (S.F.): ] ] 0.00
EXISTING DEVELOPED AREA (S.F,):
TOTAL IMPERVIOUS SURFACE (S.F.):
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
3. TRANSPORTATION
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW:
A. REIMBURSEMENT COST:
O.II x 496.]2
B. IMPROVEMENT COST:
O.II x 496.12
EXISTING:
A. REIMBURSEMENT COST:
0.00 x 0
B. IMPROVEMENT COST:
0.00 x
2. SANITARY SEWER-CITY (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFU's 0
B. IMPROVEMENT COST:
NUMBER OF DFU's 0
o
]0' * II'
ITE:
ITE:
LOT SIZE (S.F.):
934
No Change In Impervious Area
x $ 0.336 PER SF
TOTAL STORM DRAINAGE SDC:I
No New Fixtures
x $ 26.03 PER DFU
x $ ]9.79 PERDFU
TOTAL LOCAL WASTEWATER SDC:' $
x
$ ]9.8] PER TRIP
$540.55 ,
$2,384.58 ,
0.5
NTF
x
x
$ 87.39 PER TRIP
x
0.5
NTF
x
$ ]9,8] PER TRIP
$0.00 ,
o
NTF
x
x
$ 87.39 PER TRW x 0 NTF $0,00 ,
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:I $ 2,925.121
4. SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's O.II x $894.65 PER FEU $98.4] ,
B. IMPROVEMENT COST:
NUMBER OF FEU's O.II x $7,491.88 PER FEU $824.]] ,
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 ,
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 ,
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I $ 932.521
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I $3,857.64 I
$
3,857.64 x 5% I $]92.88
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
Jesse Jones
Civil Engineer, EIT
TOTAL SDC CHARGES
]11 I!2007
DATE
$4,050.52
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)
Restaurant Walk-In Cooler
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO WASHlETC.
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 TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLELAVATORY/RESIDENTIALBAR
URINAL, ST ALUW ALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S*
FIXTURES UNIT
NEW OLD EQUIVALENT
3
1
3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
TOTAL DRAINAGE FIXTURE UNITS = I 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day
CREDIT CALCULA TION 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
$5.29
$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 APPLICABLE
IMPROVEMENT (IF AFfER ANNEXATION 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
22~ Fifth.Street
Spr-ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1665
COM2006-0 1665
COM2006-0 1665
COM2006-0 1665
COM2006-0 1665
COM2006-0 1665
COM2006-01665
COM2006-0 1665
COM2006-0 1665
COM2006-0 1665
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Transpo Admin
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DA VID BLAIN
CONSTRUCTION
CHv of Springfield Official Receipt
dopment Services Department
Public Works Department
2200700000000000796
Date: 05/22/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
12195
In Person
Payment Total:
Page I of I
9:29:23AM
Amount Due
540.55
2,384.58
98.41
824.11
10.00
192.88
224.40
13.47
21.55
26.94
$4,336.89
Amount Paid
$4,336.89
$4,336.89
5/22/2007