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Home My WebLink AboutPermit Building 2004-11-5 LIlt U.r ~r.KI1"lu.rI.r..,L.u BUh~ing/Combination Permit PERMIT NO: COM2004-01251 ISSUED: 11/05/2004 APPLIED: 10/08/2004 EXPIRES: 05/05/2005 VALUE: $ 144,634.00 Phone 541-485-1003 541-915-8877 541-343-7297 541-461-4821 541-726-9854 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 219 42nd St ASSESSOR'S PARCEL NO.: 1702323200500 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: Alteration PROJECT DESCRIPTION: Sitework. Owner: ROBIN MERRELL Address: 1293 18TH, SUITE B SPRINGFIELD OR 97477 Phone Number: 541-726-8628 1 CONTRACTOR INFORMATION. Contractor Type Architect General Electrical Mechanical Plumbing Contractor ROWELL BROKAW ARCHITECTS BLUE SKY MAINTENANCE & INVESTMEN1158994 REYNOLDS ELECTRIC 17252 " COMMERCIAL AIR I~~ 110075 . \~ >( BARNES HIGH T~.,.cH ~41J'MBING INC 83311 ~<..:~-~l\BU~DING INFORMATION. '9.~ k.,~ \:) \ # of Units: 'v <(y ~<<f0~<<:' # of Stories: ,0 Lot Size: Primary Occupancy Group::-0~ ~ '\tJ-l~\) Height of Structure 9.~~ ~~ 1st Floor: Secondary Occupa~y' G~~fi:;1:~\)<<; S ~ Type of Heat: .~0t::;) ~.;s ~~nd Floor: Primary Constr.lfC'iion""~~e'\'\) ~ '\ v,~. Water Type: r>~ r>~0 r>t::;)%"':~t &\ement: ^~ ~ <,..,\' ,:.,V, \S o...~ \V O~v ~'<J 'd?Y TflJ~- Secondary ~-!!str~C(i'6~~yp~) Q..V' Range Type: # CO ~ flj ~~~~. ~{tr~e/Carport # ofBedrooms~~ ~Y;.\S &-~\j ~\ Energy Path: ~'" ~~ ,,:s0 O':f ~,~~f~~V: ~ ~~~ -0'0 \) Sprinkled BUildin~~ -o'Q s%~~~ &~~~t Load: ,,(\ ," ("'i ..0 <''f'0 .0 'rrC:> o. ,N: '-' \' ' ~~ . -~' ~. '\" '\ -- ;'\. ~ 1 DEVELOPMENT l.E~~= to ~0' .~~ ~ <v~ :s0 (J ~(!) ~'lYl ~O ~~'~Cf;rv REQUIRED PARKING ~ ~ ~ ~~ & &. ~O ?> Overlii(Y ~~: rf.~Cf; fb.~ i~0. 0...0 9;)~~ # Stree~r~~t1,; ~ ~ CO C; ~e ~ Paved D~eia~d:4.0 ~ ~~ i.~ od4~. Q> ~p ~<lJ % of Lot cS'\)~t~,#e" v0~ ~v License Expiration Date 03/0912006 02/08/2005 12/18/2005 02/17/2008 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: 0......,...... 1 ",,&,'" Commercial 107 L.l.ll' UJ:1 ~rK.ll"llJJ:1.lJ:1.,L.lJ Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line BUhding/Combination Permit PERMIT NO: COM2004-01251 ISSUED: 11/05/2004 APPLIED: 10/08/2004 EXPIRES: 05/05/2005 VALUE: $ 144,634.00 I Valuation Descriotion I Estimate Estimate Pavinl! Type of Construction Estimate Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 Square Footage or Bid Amount 9,000.00 1,700.00 133,934.00 Value Date Calculated Description Total Value of Project $9,000.00 $1,700.00 $133,934.00 $144,634.00 10/29/2004 10/29/2004 11/0112004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $347.39 10/8/04 2200400000000001259 + 10% Administrative Fee $118.24 11/5/04 1200400000000001575 + 7% State Surcharge $35.43 11/5/04 1200400000000001575 Add, Alter, Extend Cire $43.00 11/5/04 1200400000000001575 Add, Alter, Extend Circ Ea Add $3.00 11/5/04 1200400000000001575 Backflow Device $42.00 11/5/04 1200400000000001575 Building Permit $115.20 11/5/04 1200400000000001575 Fixture $56.00 11/5/04 1200400000000001575 Paving $676.15 11/5/04 1200400000000001575 Plan Review Comm/Ind/PubHc $115.35 11/5/04 1200400000000001575 Sanitary Sewer - 1st 50 Feet $45.00 11/5/04 1200400000000001575 Sanitary Sewer Each Addtl 100' $28.00 11/5/04 1200400000000001575 SDC Sanitary/Storm Admin $360.75 11/5/04 1200400000000001575 Storm Drainage Impervious Area $7,214.94 11/5/04 1200400000000001575 Storm Sewer - 1st 50 Feet $45.00 11/5/04 1200400000000001575 Storm Sewer Each Addtll 00' $56.00 11/5/04 1200400000000001575 Water Line - 1st 50 Feet $45.00 11/5/04 1200400000000001575 Water Line - Each Addtll00' $28.00 11/5/04 1200400000000001575 Total Amount Paid $9,374.45 I Plan Reviews I Fire Department Review 10/11/2004 10/26/2004 OK GRG Site plan submitted separately. See DRC comments dated 9/14/04. Initial Review Planninl! Review 10/11/2004 10/11/2004 10/11/2004 APP SKG WE EMM Sarah Summers Planner - still needs easement document then development agreement o.....,......"t .....&'.4 L.ll}' Ul1 ~rKll"1\JJ11~L.u Bu.t..~ing/Combination Permit Status: Issued PERMIT NO: COM2004-01251 225 Fifth Street, Springfield, OR ISSUED: 11/05/2004 541-726-3753 Phone APPLIED: 10/08/2004 541-726-3676 Fax EXPIRES: 05/05/2005 541-726-3769 Inspection Line VALUE: $ 144,634.00 Public Works Review 10/11/2004 10/14/2004 APP SB Sitework only. Close one curbcut, add one new. No Encroachment Permitted. Submit Encroachment Permit application if work is required within City Right-of-Way or Public Utility Easements. LDAP already issued. Structural Review 10/11/2004 10/12/2004 WE JMP See attached structural comments faxed to Chad Kirkpatrick. Structural Review 10/25/2004 10/25/2004 10 JMP WE. Mike Sanders faxed value of sitework. Requested a breakout for the value of structures--trash enclosure and lighting. Also asked for calculations and details on lighting foundations. Structural Review 10/29/2004 10/29/2004 10 JMP WE. Jack Reynolds caUed and gave a value for the light poles with foundations. Mike Sanders faxed a value for the trash enclosure. Chad Kirkpatrick faxed that egress illumination will be provided and he supplied Drawing El of lighting fixture foundation. Waiting for clarification from Mike on total value for fee calculation. Structural Review 11/01/2004 11/01/2004 10 JMP WI. Mike Sanders said to deduct the values of the trash enclosure and site lighting from the total project value to obtain the portion for site work. Structural Review 11/04/2004 11/04/2004 10 JMP WI. Received electrical permit application. Completed it and entered data and fees. Structural Review 11/05/2004 11/05/2004 APP JMP Received final site plan approvals. SUB Review 10/11/2004 10/15/2004 APP DH 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. Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: After aU erosion measures are in place. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after aU rough in inspections have been approved. Roofing: Prior to installing any roof covering. Masonry: Final Building: After all required inspections have been requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. n.............-:J ....S"..4 Lilt U.r ~rKll"l\J.rI~L.u Bu~ng/Combination Permit Status: Issued PERMIT NO: cOM2004-01251 ISSUED: 11/05/2004 APPLIED: 10/08/2004 EXPIRES: 05/05/2005 VALUE: $ 144,634.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. SUB Exterior Lighting By signature, I state and agree, that I have carefuny examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and an work performed shan 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 p!-e 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. (~ (j~~ Owner o'r Contractor~ SiJ~ature If /rKi tl'/ I / ' Date O....._.....,f .....&'.4 ATIACHMENT A CITY O. JNGFIELD SYSTEMS DEVELOPMENT CHARGE' JOURNAL OR JOB NUMBER C0M2004-01251 NAME OR COMPANY: MY COFFEE Site Work LOCATION: 219 42nd St. MAP & TAX WT NUMBER: 17 02 32 32 00500 DEVELOPMENT TYPE: Site Work Only NEW DEVELOPED AREA (S,F,): NEW DEVEWPED AREA (S,F,): TOTAL IMPERVIOUS SURFACE (S.F.): ',SHEET 714 21,000 OFFICE lTE: STORAGI lTE: LOT SIZE (S,F,): 1. STORM DRAINAGE IMPERVIOUS SQ, FT, 23,274 x $ 0.310 PER SF TOTAL STORM DRAINAGE SDC:I 2, SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B, IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) o x $ 24,04 PER DFU x $ 18.28 PER DFU o TOTAL LOCAL WASTEWATER SDC:I $ 3, TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0,000 x 7,98 x $ 18.30 PER TRIP x 0,9 NTF 1$ B. IMPROVEMENT COST: 0,000 x 7,98 x $ 80,72 PER TRIP x 0,9 NTF 1$ EXISTING A, REIMBURSEMENT COST: 0,000 x 0 x $ 18.30 PER TRIP x 0 NTF 1$ B. IMPROVEMENT COST: 0,000 x 0 x $ 80,72 PER TRIP x 0 NTF 1$ TOTAL TRANSPORTATION REIMBURSEMENT SDC: $ TOTAL TRANSPORTATION IMPROVEMENT SDC: $ TOTAL TRANSPORTATION SDC:I $ 4, SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 0,000 x $46,88 PER FEU 1$ B. IMPROVEMENT COST: NUMBER OF FEU's 0,000 x $494.46 PER FEU 1$ EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's 0,000 x $0,00 PER FEU 1$ B. IMPROVEMENT COST: NUMBER OF FEU's 0,000 x $0,00 PER FEU 1$ MWMC CREDIT IF APPLICABLE (SEE REVERSE) I I $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC ADMINISTRATIVE FEE: $ TOTAL MWMC SDq $ I $ SUBTOTAL (ADD ITEMS 1,2,3, & 4) , $ 7,214,94 J 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) $ 7,214,94 x 5% $ 360,75 TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOTAL SEWER ADMINISTRATION FEE: $ steveVv W, "g,wuoirij "g,arVves 10/14/2004 e~2~2Q/W~1W~nd st,Site work, MERRELL Kod?t.xTsE TOTAL SDC CHARGES I $ I $ 1$ I 7,575.69 I 1 JULY 2004 ~ 2.25 Fifth s,treet Springfield, Oregon 97477 ~ 541-726-3759 Phone Job/Journal Number COM2004-01251 COM2004-0 1251 COM2004-01251 COM2004-01251 COM2004-0 1251 COM2004-0 1251 COM2004-01251 COM2004-0 1251 COM2004-01251 COM2004-0 1251 COM2004-01251 COM2004-01251 COM2004-0 1251 COM2004-01251 COM2004-0 1251 COM2004-01251 COM2004-0 1251 Payments: Type of Payment Check 11/5/2004 n;ty of Springfield Official Receipt ~velopment Services Department Public Works Department RECEIPT #: 1200400000000001575 Date: 11/0512004 9:15:03AM Description Fixture Backflow Device Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Feet Water Line - Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Paving Plan Review Comm/IndlPublic Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Amount Due 56.00 42.00 45.00 28.00 45.00 28.00 45.00 56.00 7,214.94 360.75 115.20 676.15 115.35 43.00 3.00 35.43 118.24 $9,027.06 Paid By ROBIN MERRELL Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid ddk 1709 In Person Payment Total: $9,027.06 $9,027.06 Page 1 of 1 '. ,NOV-03-2.D04 WED 12: 56 PM ROV'- - ARCHITECTURE ." Ii' '~5414857344 p, 002/002 'f "'lo.I,.t:-ll:1-.:~I:r"i)L(J.,~;~';~":.)o.:"IC.,j"il"i' 1~~."rr\"_,-,,"~,:,,\',.\},111 ,.?-J ',.,'I;"'V:-' 'H~. ~'I~"'1 "'~'~:" '"r"-l' "'\'I..~T' I" ';;'''l.r'l,:'l'.'~'--"" .~i u ~ 1''- i'",I';'~JI: ,', ,\'.]",,'1. ,,':';:,~"'- (S'my; ClE,SPRINGFlEII1:','OIH:iGON,:: ./',..', '/,!;.,',' ,".-" (,I '" ~i, ;:':j~(~:,~f:'f~':~llr~::',\~f.I~~ :~1.~'1~(~'1 ";" ~~ I..' 'J;t '~'" ,I \' {\ ,:: ~", I"J: ,I \":.{'~{ l t. .. 'I"' ,d .:..: 'j .~,~ : "~' ,\ \;~(I' _' .:-~. I,';;' ::r:, ,,,1: I~?I~':- '~. ,. 'I:' .; .... .,'!. . . ' 225 .l'J.lC JoB STREET . SPRINGFIELD, OR 97477 . PH:(S41)726.3753 . Fdo~~~689 ELECTRICAL pERMiT APPUCArrON, , " -</. 6,% ,iO.I O'o~\S'~"'c9~ City Job Number ,/ CO /J1 :;. dO if --. 0 I Z 5: I Date. v~or'" '/.1& S /oqy;,,~' . "C;l~,. "/1': It. . ~,!,t/1!~'(t,' 'JJ,rl1'!"~"""~~\~~',',"<".'IIll\l\lllJn!:1 ' m~~'''~.\.' -:-~," ,~, :1(', " II~' li"-oC;;ATLQ7:VDF!]N.~rrAr;J2i 3 : , 1MP, '':i,iS,; .', .' " ,I . '~~>J;}'i?~~;; 9 . ", ~~ ,,~. ,.." ~e' ,', LEGAL DESCRJPTION A. /702 3Z-3EC>5 00 JOB DESCRJPTION S'/k Lr'qt-t Ii VI "1/ Permits are non-transferable and exr&e Jf work Is ~. not started within 180 days of islluance or if work ,is Suspended for 180 day.. 2 ~~F~~i", .~&~""" Electrical Contractor /?e'f~()ld.s. \~~ ~ , r ~~'~~' Address .717r ~~~~~. ~'v ~~: '(.v City k~~~~~~;eJ~~~-?2-?? , (/ Y:--~'" Q-. " ~v ~~. ~ S,:~<:0~f.:> ~~. S~e~Bo[~ip~ N~~\)<:0 0I5;l CJ -- 5 c. ~ 'k> '< ~~ \,<:0 <:(.~ / ....fli ~fli ~0 B ~ EiP~)}<y,~~\J "'~ / LfJ/ IJ S- ln~llJl<?~~n~~~~on ~ \J~ ,'O~ , __ 0fjpl~~~f1~O~.;s-0'}.0~J>" constr.~~ Number /72, 5 2- . O~ ;~s ~Cl>'40Q,~~,0~ ~. 00 .Al'Olf'tn.~'CT~",~. / ,\ / A ~ ~{5 ~ 'lj ~~"'. i::-"V &ff"~~"'" ~ E~p:in1tion Date v / v ;> /~ .:s0 C; ~ o:H; !Jiolts see ",8" above. ~ ~^'..; * (. . O~'A; Signature of Supervising Eloctrician '" '$::.0 ~ b-v 1...0 .~(J C?) ....'_. ~~o~ ~ 4,,0'N ',~~'Or Extension Per Panel -",~, 7 ..~O P.>~' ~~'iGo~ " / - <)<:5 v~'i::dE ~ltiona.l Circuit or with I 1;... A " ~~crvice or Feeder Pennit era Name II Y\.J~ ~~<....L Address t'LC? ~ l'b ~ '3 \_H-1 z;;.... ~ City7t'(C.- Ct--l.6 FI..~L"Pho.nc 5' 4-\-72..lo-€>bL8 v' Service Included 1000 sq. ft. or less Each Bdditiona1500 sq. ft..or portion thereof . v' v Each Manufact'd Home Or Modular Dwelling Service or Fecder $50.00 200 Amps or less . , 201 Amps to 400 Amps 40 I Amp$ to 600 Amps " 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconncct Owy ~ ,0 _\ " .~~ '^ 'K" ........~ $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50,00 $ 50.00 $ 69.00 , $100.00 S 43.00 ~3~V . 3 ,"," ....-/ $ 3.00 E. Owners Slgnatutl':: Pump or irrigation $ 50.00 SignlOutiine Lighting $ 50.00 Limited Energy/Residential S 25.00 Limited Energy/Comwcrcial $ 4.5.00 Minimum ElectrIc: Permit Inspection Fee is 545.00 + Surcharges f~~,'lrlFlf'~m:\lJ):lr~~,s~~(~,;f''$I:i;l~'' ,~ _00 4 ~'SmJTu;r~ uE:ABO . ~:[jJ~;;I~\t;l\!lii!~~~!i~~jltFJ:l~ ': 7% Slate Surcharge ~ ~ 10% Administrative Fee I.).. ~ '" 53, ~2- TOTAL OWNER INST ALLA 1'1ON The installation is being made on property I own which is not intended for aate, lease or Tent. Inspection Rtqucst: 726-3769 Shared Prlve(T:)lBuildin~ FormslEllICtrlolll Permit AppliClltioll I-03.doo