HomeMy WebLinkAboutPermit Building 2007-6-22 (2)
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00715
ISSUED: 06/22/2007
APPLIED: 05/17/2007
EXPIRES: 12/22/2007
VALUE: $ 53,670.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3360 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703221202000
Springfield
TYPE OF WORK: Church
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Parking lot paving and storm sewer.
Owner:
Address:
KOREAN CENTRAL COVENANT CHURCH . you to
28325 W 11TH N Oregon law requires
EUGENE OR 97402ATiENTIO : d by the Oregon Utility
. "..., ...\p"" adopte '_ _ __~ oatlnrth
.......- r: ter '"U~\J ,.....--
N tlcation .An . . ~,,.., ",,".nM.
. 0 I ~R 952. MlONIIRA"<!:T""- mr.u"-JyJAHON I
In 0 obtain ~Uf',~., .. '
QnQn You may . the telepht'1':11l
Contractor',. . the center. (Note. . . LIcense
MCKENZIE1EXC, A v AUN(,NNG Utility Notil1Cf26290
mhe! 101"",- '" . - 2.34A\
SS & W Itlie - EN.G!N,Ii:~!!s\ .800.332 . 'V'.
I BUlL""'" INFORMA nON.
Phone Number: 541-741-9649
Contractor Type
General
Engineer
Expiration Date
11/21/2007
Phone
541-689-3085
541-485-8383
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
O..REQUIRED PARKING
.,,,"'11"'.=' IOElt:l\-1E'N ~I\.
Oy!,riay 'Dlst~ ':T \; "'LL EX\' l'\ r tlfytal:
# sm1~ \fftleslRqd:\-I ER 1\-11S PERM\1 \S Handicapped:
Pa'a~~\~Rr.~\I!!ia: UNO B'NOONED 1"0\\ Compact:
% oH;otSo~erage:JR IS '" ,.,
COM,,,t\ u\..~ RIOD
..." ,ll.I"\ Il"'Y \'1: .
, PUBLIC IMPROVElI<lI'"l' 1" I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Miscellaneous Plumbing
Paving
SDC SanitarylStorm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl1 00'
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00715
ISSUED: 06/22/2007
APPLIED: 05/17/2007
EXPIRES: 12/22/2007
VALUE: $ 53,670.00
I Valllatino Descriotioo I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
53,670.00
Total Value of Project
FpP~ Pqi'\J
Amount Paid
Date Paid
$251.06
$63.33
$31.66
$19.76
$28.00
$90.00
$386.25
$104.88
$2,097.65
$45.00
$84.00
5/17/07
6/22/07
6/22/07
6/22/07
6/22/07
6/22/07
6/22/07
6/22/07
6/22/07
6/22/07
6/22/07
$3,201.59
I Plan Reviews I
Initial Review 05/18/2007 05/18/2007 APP LLH
Plan Review Comments 06/08/2007 10 JMP
Plan nine: Review 05/22/2007 05/30/2007 APP EMM
Public Works Review 06/01/2007 06/04/2007 APP JHJ
Structural Review 05/18/2007 06/04/2007 WE JMP
Structnral Review 06/12/2007 06/12/2007 APP JMP
SUB Review
05/22/2007
06/01/2007
APP JF
Value
Date Calculated
$53,670.00
$53,670.00
05/17/2007
Receipt Number
3200700000000000278
2200700000000001013
2200700000000001013
2200700000000001013
2200700000000001013
2200700000000001013
2200700000000001013
2200700000000001013
2200700000000001013
2200700000000001013
2200700000000001013
WI. Received valuation from John
H. Baker.
To be built per approved Site Plan
Review DRC2006-00007.
Attached SDC Worksheet. (JHJ)
Received 5/22/2007. Called John
Baker. He agreed to fax the
valuation.
Gilbert says that because Fire can
reach the building from the Public
Way he is deleting his review and
not requiring that the parking lot
have the capability of supporting a
truck.
No energy code issues or inspections.
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. .
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00715
ISSUED: 06/22/2007
APPLIED: 05/17/2007
EXPIRES: 1212212007
VALUE: $ 53,670.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Rel1l1ired IlIsn~
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 reqnired testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing 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.
gJV( iJ-A b~
~er or Contractors Signattre
6/>>/07
Date
Paee 3 00
. '
.
.
CITY OF SPRINGFIELD SYSTEMS DEVEWPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-00715
NAME OR COMPANY: Korean Central Covenant Church
LOCATION: 3360 Game Farm Rd.
MAP & TAX LOT NUMBER: 17 03 22 12 02000
,DEVELOPMENT TYPE: Replaced 5200 ,fparkin,lot with 11443 ,fparkin,lot
NEW DEVELOPED AREA (S.F.): ITE: J
EXISTING DEVELOPED AREA (S.F.): ITE:
TOTAL IMPERVIOUS SURFACE (S.F.): _'.=.., LOT SIZE (S.F.): _
1 STORM n~AGE Replaced 5200 sf parking lot with 11443 sf parking lot (net Dew 6243 sf)
IMPERVIOUS SQ. IT. 6,243 x S 0.336 PER SF
Information provided by John Stapleton @SSW(541-485-8383)
~ITARY SEWER-CITY (see reverse side) No New Fixtures
A. REIMBURSEMENT COST:
NUMBER OF DFU',
B. IMPROVEMENT COST:
NUMBER OF DFU',
TOTAL STORM nRAINAGE SDC:}
o
S
26.03 PER DFU
x
o
x S 19.79 PER DFU
TOTAL WCAL W ASTEW A TER SDC:I S
.l...1'RANSPORTATlO,,:! No New Building Square Footage
BLOG AREA TGSF x TRJP RATE x COST PER ADT x NEW TRJP FACTOR
NEW:
A. REIMBURSEMENT COST:
0.00 x 0
B. IMPROVEMENT COST:
0.00 x 0
EXISTING:
A. REIMBURSEMENT COST:
0.00 x 0
B. IMPROVEMENT COST:
0.00 x
x
S 19.81 PER TRJp
x
o
NTF
SO.OO \
x
S 87.39 PER TRJP
x
o
NTF
SO.OO I
x
S 19.81 PER TRJP
x
o
o
x
S 87.39
NTF ,
PER TRJP x 0 NTF , SO.OO I
TOTAL TRANSPORTATION REIMBURSEMENT SDq
TOTAL TRANSPORTATION IMPROVEMENT SDC:'
TOTALTRANSPORTATIONSDC:I S I
SO.OO I
~'-:>,:;:,>.. ....:...:
8
~uug
o:3~..tfl
~
.a~
~8
$2,097.65
S2,097.65 1178
SO.OO 1183
SO.OO 1184
SO.OO
SO.OO 11.73
SO.OO 1094
SO.OO l
4. SANITARY SFWER. MWMr. No New Building Square Footage
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU', 0.00 x #N/A PER FEU SO.OO I
B. IMPROVEMENT COST:
NUMBER OF FEU', 0.00 x #N/A PER FEU SO.OO I
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 x #N/A PER FEU SO.OO I
B. IMPROVEMENT COST:
NUMBER OF FEU', 0.00 x #N/A PER FEU SO.OO I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRA TlVE FEE:
TOTAL MWMC SDC:, S
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I
I
S2,097.65 l
5 ADMINISTRA TIVF FEES.
BASE CHARGE (SUBTOTAL ABOVE)
S
2,097.65 x 5% , S104.88
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRA nON FEE: S
Jesse Jones
Civil Engineer, EIT
6/412007
DATE
TOTAL SDC CHARGES
SO.OO 1054
SO.OO 1186
SO.OO 1187
SO.OO 1189
SO.OO L-
S104.88 1175
1190
S2,202.53
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULA TE ONL V THE NET ADDITIONAL FIXTURES)
Replaced 5200 sf parking lot with 11443 sfparkioR lot
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO WASHlETC.
LAUNDRY 1lJB
CLOTIIES W ASHERlMOP SINK
CLOTIJES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATIONIETC.
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: SINGLE LAVATORv/RESIDENTIAL BAR
URINAL, STAUJWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S'
FIXTURES UNIT
NEW 01.0 EOUIV ALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
I
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 equi~ent to a single family dwelling (20 DFU) set at 167 gallons per day
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN T ABLE, CALCULATE CREDITS SEPARA TEL Y
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATE PER 51,000
ASSESSED VALUE
55.29
55.19
55.12
$4.98
$4.80
$4.63
$4.40
$4.07
53,67
53.22
52.73
52.25
51.80
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXA DON DATE)
YEAR
ANNEXED
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER 5 I ,000
ASSESSED VALUE
51.45
51.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0,09
50,05
50.00
50.00
50.00
x
x
CREDIT TOTAL
r
$0.00
$0.00
50.00
225 Fifth Street
Spring.field, 0regon 97477
541-726-3759 Phone
.
iif~
Job/Journal Number
COM2007-00715
. COM2007-00715
COM2007-00715
COM2007-00715
COM2007-00715
COM2007-00715
COM2007-00715
COM2007-00715
COM2007-00715
COM2007-00715
Payments:
Type of Payment
Check
cReceinl1
RECEIPT #:
2200700000000001013
Description
Storm Drainage Impervious Area
SDC SanitarylStorm Admin
Paving
Fixture
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Miscellaneous Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By Received By
KOREAN CENTRAL CHURCH djb
Page I of I
JiiJ>' of Spring.field Official Receipt
"elopment Services Department
Public Works Department
Date: 06/22/2007
Item Total:
l.:heck Number Authorization
Batch Number Number How Received
3866 In Person
Payment Total:
2:51:10PM
Amount Due
2,097.65
104.88
386.25
28.00
45.00
84.00
90.00
31.66
19.76
63.33
$2,950.53
Amount Paid
$2,950.53
$2,950.53
6/22/2007