HomeMy WebLinkAboutPermit Building 2007-4-26
:ITY OF SPRINGFIELD
/
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00332
ISSUED: 04/26/2007
APPLIED: 03/07/2007
EXPIRES: 10/26/2007
VALUE: $ 75,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1701 S A ST
ASSESSOR'S PARCEL NO.: 1703360000600
Springfield
TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Generation plant conversion
Owner:
Address:
SPRINGFIELD UTILITY BOARD
223 A ST
SPRINGFIELD OR 97477
Phone Num~~~1-746-8451
\~ \~~ \S ~~
~'lQ~~ ('?-~.y../(\~
~\. \-- ~S {v ~~\) \ -
I CONTRACTOR INFQ~MA T~~~ ~~ '\'(\ ~~\:J
~\) ~ \.\';~ ~\) s ~~~
Contractor '\~\S ~\~~~~ \)~E~ation Date Phone
OWNEE, ':0,\~"0 ~\;~ ~~~
BRANCH ENGINEERING ~"'(\~~~l"\ \)~
d ., f..,!
I BUILDlNGINFORMA~
Contractor Type
General
Engineer
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
S-1
541-746-;.Q637
\:
~ ~~~-:~{\~
~0 '"''' .IO~
o..~'\ 0'(\ fa\.... -,
# of Stories: Lot Size: ~ ~0 Ot0f:S ~0 <:I f/fJO \.
Height of Structure: Sq Ft 1~~0 ~0~ ~ ~ C?J~ ~etb
Type of Heat: _~~. ~~~~lO"~^\, O~ ~0 ~\'o'(\~c;\
Water Type: U"lf b"t-..~V'<'~~~,:,:,~ F.I 0 ~0T. ~
Range Type: <i.:~'\~ ~~t~~~J:J~j~\\,0 \.~\O~,\\Ci
Energy Path: ~ ~~~~tf2!~k~'(\ 0\.0' ~{cl''''rJr\.
Sprinkled Building: ~O. ~~ &l~l!P()~O~~ ~ ~~l)'?~
~'ili.\Ci - 01 (1"0--' J'~ -f4::0 n:
I DEVELOPMENT INFORMATION t O~~~o\} ~0 ~~0 ~\: c,<.'" '
\)\)~ ,f\'(\~ ~\O'\t~QUIRED PARKING
Ci ..n.'00 r
Overlay Dist: '(\~T'. Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
VB
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pal!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 Comm/Ind/Public
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fixture
Minimum/Adjustment Plumbing
Total Amount Paid
:ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00332
ISSUED: 04/26/2007
APPLIED: 03/07/2007
EXPIRES: 10/26/2007
VALUE: $ 75,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
75,000.00
Value
Date Calculated
Total Value of Project
$75,000.00
$75,000.00
03/0712007
~
Amount Paid Date Paid Receipt Number
$304.30 3/7/07 3200700000000000135
$51.32 4/26/07 1200700000000000461
$25.66 4/26/07 1200700000000000461
$41.05 4/26/07 1200700000000000461
$468.15 4/26/07 1200700000000000461
$14.00 4/26/07 1200700000000000461
$31.00 4/26/07 1200700000000000461
$935.48
I Plan Reviews I
Pal!:e 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
04/14/2007
OK
04/1412007
Initial Review
Public Works Review
03/0812007
03/0912007
APP
APP
03/08/2007
03/0912007
Structural Review
03/08/2007
03/11/2007
APP DJP
:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00332
ISSUED: 04/2612007
APPLIED: 03/07/2007
EXPIRES: 10/26/2007
VALUE: $ 75,000.00
GRG
Plans Review: Removal of natural
gas generator control equipment,
convert to truck shop. Job
#COM2007-00332. This submittal
was reviewed under the 2004
Oregon Structural Specialty Code
and 2004 Springfield Fire Code.
Occupancy Classification: S-1.
Construction Type: V-B.
Approximately 3950 sq. ft.
This occupancy is classified by
NFP A 10 Standard for Portable Fire
Extingushers 2002 edition as an
Extra (High) Hazard occupancy.
Provide fire extinguishers with a
minimum rating of 4-A:40-B:C
every 30 feet of travel distance or
4-A:80-B:C every 50 feet of travel
distance. The top of the
extinguisher(s) shall be between 3
and 5 feet above finished floor (2004
Springfield Fire Code 906).
Smoking is prohibited by the order
of the Fire Chief. "NO SMOKING"
signs shall be posted in the areas
noted. (SFC 310.3)
LLH
JHJ
Attached SDC Worksheet. No New
SDC's. (JHJ)
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.
~eouiredJnsnections I
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results 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.
Pa!!e 3 of 4
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: COM2007-00332
ISSUED: 04/26/2007
APPLIED: 03/07/2007
EXPIRES: 10/26/2007
VALUE: $ 75,000.00
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.
'1<. MJJ :tJM Ifkt;!;)(j{) r
Owner or Contractors Signature
Pal!:e 4 of 4
Date
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-00332
NAME OR COMPANY: SUB Generation Plant Conversion
LOCATION: 1701 SA St.
MAP & TAX LOT NUMBER: 17 03 36 00 00600
DEVELOPMENT TYPE: SUB Generation Plant Conversion
NEW DEVELOPED AREA (S.F.):
EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
L STORM DRAINAGE
IMPERVIOUS SQ, FT.
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:
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
o
*Remodel/Conversion - No New SDC's
rTE:
rTE:
LOT SIZE (S.F.):
x
No New Impervious Area
$ 0.336 PER SF
TOTAL STORM DRAINAGE SDCt
No New Fixtures
x $ 26.03 PER DFU
x $ 19.79 PER DFU
TOTAL LOCAL WASTEWATER SDC:I $
x
$ 19.81 PER TRIP
$0,00 I
$0.00 I
o
NTF
x
x
$ 87.39 PER TRIP
x
o
NTF
x
$ 19.81 PER TRIP
$0.00 I
o
NTF
x
x
$ 87.39 PER TRIP x 0 NTF $0.00 I
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:I $
4, SANlT AR Y SEWER - MWMC No New Building Square Footage
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 I
B. IMPROVEMENT COST:
NUMBER OF FEU's 0,00 x #N/A PER FEU $0.00 I
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 I
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU $0.00 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5, ADMINlSTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
Jesse Jones
Civil Engineer, EIT
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I $
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I
I
$0.00 J
$
x 5% , $0.00
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
TOTAL SDC CHARGES
3/9/2007
DATE
,
L
I
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)
SUB Generation Plant Conversion
FIXTURE TYPE
BATHTUB
DRlNKlNG 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 (1 PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHWASHER/ETC.
SHOWER., SINGLE STALL
SHOWER., GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLE LA V A TORY
SINK: SINGLE LA V A TORY /RESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INST ALLA TION
MISCELLANEOUS:
NUMBER OF EDU'S*
FIXTURES
NEW OLD
UNIT
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 = , 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
$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 APPLICABLE
IMPROVEMENT (IF AFTER 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
. ~~ J .Q">. eV~:1 ~ ............... .... u-
S ~~ ,!fl!l {r~.~ ifF ~ ~f:_~ n~~~~:~r~~;:;~~:~~j:f:~~~~;::~H~:;
t~; n~
.11~iii!~~~~1:~~lf~JI~llm
'-.'...LH':..'....":'1~""",.- I~ 4"Ci'nx~.,
ll~jm!~.i~~h~, .j -~~~l~~;'~
City ofSprLngfield
Community Services Division
225 Fin h Street
Sprjngfield, OR 97477
Telephone: (541) 726-3759
Fax: (54l) 726-3689
Q1<)Q~ ~.1.D'7
Buildiug Pcnnit # . Date.
6~Qr\ V~-\- CIx\Ver5\l:t\
\r"\D\ ~~~Ie~ <..J\\eef
P.rojecl Address
Spe<:ial JasLl<<(iOB and Testing
To apjllic,ll'Il.'i of pf<ljtC is requiring ~pcci,1l jn~pecl iou or It:sling I1S per Sl'CtiOll 1704 of tbe Oregon Structural Speci nIt y COOll. l'!eljS€ review the infonnatioll below.
When YQlI h~vc
fini3hed. ~hlo\\1edge ~m lJllderSfllnding ofthe infommlLon by signing b~l()\\', and rclum Ihis form (0 the Ci1r.
BEFORE A PERMIT CAN BK ISSUED: 'nle o\\'})e~ or O\lncr's repre~~~l(<1[jve. on the lith-ice of the les~onsible project EngillEef or Architecl.., shall C<lmplete, sign, and submi( to the:
City for review nnd ~ppro\'al this l'onn COOlll[clcd on both 'Ile front and b~ck, '
The O\.\'Tlcr 'doo Ger\efal ConlrnctOJ _ \v'here applicnble, slulll alS(l acknowle{)ge the ,'oUowwg condition!> ~PfJlic.1b1e to Speciallnspec1ion allllkf Te.'ifing.
L Con[racl<lr is respo[).<;;blc lor prolJernolifLC!llioo for I.he lnspe~.tion (}of Testing Qf i fems listed,
2. Testing l~bo.rotoTY ~bllU lnke 3pproprlate samples and 1l'3f1s~rt them 10 lheir 1 Iiooro\ ory for proper CVOlUlltioll or \esllllg.
. Copies of alllaoornlOl1' ~s and inspecliom arc to be senl to the City by (be TCs4il1~ Agl~nCr.
J. Spe>cial Jnspcc60n ^~nc}' is 10 ~bmi' llllnH~S ,md qUlIliIicillimls 0( on-~ill; Speciallnspectors to [he C;!y for itpprovlll.
4. ~pecial Inspec{or shnl1 provide iropeclion reporls 10 \he building ollicin! of !Ill iaspeclioo n-clivilics.
). C(lntmcloI' is respOllsible to re.\:ic\\' I lie Ci ty approved pbM for lIdd [bollal inspection or !t:~liDg n::qu ii~LUenls thut mllr be DOled.
B E.FOR E A CERTIFJCA TR OF OCCUP A NCV WILL BE ISm EO: The Speciallnspecti 011 Agency sh"U .:mbmit (0 the Build ing OlYlciaJ a ~tafcmeDt that all ilems requiring
impecLitlD liave been flllfi.lled ant.l rl'portoo and \\'l'.f'e to the besl of the iB:)~lor's knowledge, in l.:onformlIDCC' wiltl the approved plull.S, sptt,!IiC'aliOfl~ und applicable
workmonship
1)[{lI'j~iollS. Tl100e iklllx 001 k:sfl:l.l ~ULl/or inspecloo .sroll be noted in 11~, s1*H1<<l1. TIle report is to be ~ubnlilte<l 10 the City prior to 3 re.qws'l for (mnl inspections.
ACKNOWLEDGEMENTS
S~~~~\ lJ\~Ut"l ~A
Ch~ner N~e (Printed)
8~~ t~~lU\. .:J:N<.
Engineer 0(' f.JCZlj'"rlFinn (Printed)
~~
(},llner Signature Gen. Conlrnctur Finn Name (prinled) Gelleral Contractor Signature
7,.--. ~G) ',ti.,~ ~ ,FEI T f;$n...v- ~ ~. /1j:X r/~ _
EU~:~~~.."rre ~';~""~h:.el(~~~ c ~oiia~~~
Testing labor;(~l)' tiep. SigllClt\tIC Building OffLC i<1 I Narne (printed) . ~:i,,;..1 Stgil'lnlre :
I="e;r Tr;srJ).,l &- 'f/. Tel sP.
Tcslirlg LaboralDT} Name (Printed)
'TI
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SPECIAL INSPECTION AND TESTING SCHEDULE
Reinforced Concrete, Gunite, Grout and Mortar:
Concrete Gunite Grout Mortar
Aggregate Test of Mix Design
Reinforcing Test
Mix Design-Weighmaster Cert. *
Reinforcing Placement
Continuous Batch Plant Inspect.
Inspect Placing
Cast Samples
Samples (Pickup/Delivered)
Compression Test *
GRADING, EXCAVATION, AND FILL
Acceptance tests * PSF
Establish final grade
Fill placement inspection/continuous
Soil Density
Aggregate 'rests
Reinforcing Tests
Tendon Test
Mi:\ Designs*
Reinforcing Placement'
Insert Placement
Concrete 13atching
Concrete Placement
Installation Inspection
Cast Samples
Pick-up Samples
Compression Tests
STRUCTURAL STEEL/WELDING:
Sample and test (list specific members below)
Shop material identification (mill cert)
Weld inspection Shop
Ultrasonic inspection Shop
I-I igh Strength Bolting Shop
A325 N
A490 N
Metal deck welding inspection
Reinforcing Steel welding inspection
Reinforcing steel mill certificate
Mctal stud welding inspection;.
Concrete insert welding inspection
Moment resisting steel frames
Field
Field
Field
Precast/Pre-stressed Concrete:
Piles Post- Tens Pre-Tens
Cladding
x
X
F
F
SMOKE CONTROL:
FIREPROOFING:
STRUCTURAL WOOD:
Shear wall nailing inspection,.
Shear \yall anchors
Inspection ofGlu-lam fab, *: T/C psi
Inspection oftruss joist fab.,..
Sample and test components
Fabrication welding of steel accessories
Leakage testing
Control Verification
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 instaIlationfR- Value*
Test strips/seams
ADDITIONAL INSRUCTIONS, OTHER TEST, & INSPECTIONS:
1 N ';;yit lA.. kll b'\...i n? c..I:>\1!:;..M llkl) lh..1 C ~s
Fonn Completed b;i2/'!,u '(1 )
. V
Date 3.b. (91
*PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCA TION OF VALUES
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
CitlT of Springfield Official Receipt
I lopment Services Department
Public Works Department
Job/Journal Number
COM2007-00332
COM2007-00332
COM2007-00332
COM2007-00332
COM2007-00332
COM2007-00332
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000461
Date: 04/26/2007
Description
Building Permit
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SUB
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
161697
In Person
Payment Total:
djb
Page 1 of 1
9:25:49AM
Amount Due
468.15
14.00
31.00
25.66
41.05
51.32
$631.18
Amount Paid
$631.18
$631.18
4/26/2007