HomeMy WebLinkAboutPermit Building 2004-11-5
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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
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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
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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. .
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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.
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EiP~)}<y,~~\J "'~ / LfJ/ IJ S- ln~llJl<?~~n~~~~on
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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