HomeMy WebLinkAboutPermit Building 2007-8-3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00856
ISSUED: 08/03/2007
APPLIED: 06/12/2007
EXPIRES: 02/03/2008
VALUE: $ 60,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54i-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 640 A ST
ASSESSOR'S PARCEL NO.: 1703353103500
Springfield
TYPE OF WORK: Interior
PROJECT DESCRIPTION: Interior remodel
TYPE OF USE: Remodel
Commercial
Owner: LANE COUNCIL OF GOVERNMENTS
Address: 99 E BROADWAY STE 400
EUGENE OR 97401
I CONTRACTOR INFORMATION.,
Contractor Type
General
Mechanical
Plumbing
Contractor License
MCKENZIE COMMERCIAL CONTRACTOR 45539
HARVEY & PRICE CO 77
HARVEY & PRICE CO 77
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
B Height of Structure: uX, \NQ~"
Type of ~,~t. \r \-r\ \S ~()\
JdnC~~ ~\1~.t~~\s' \'t.~~~ fO~
,\,\\S \'t.\'\\tt.~ ~~~~UO~€
f\\y~\,\Q~,,\C~ ~(~"~ilding: nla
(,i~t\I\1;;~. u.~ r~~\\J
\1~~'1r nmvEtoPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-687-1434
Expiration Date
07/21/2009
10/31/2008
10/31/2008
Phone
541-343-7143
541-746-1621
541-746-1621
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
A NTION' Oregon law requIres you toSidewalk Type:
lie.. Util~
follow rules adopted by the Oregon ownspouts/Drains:
Notification Center. Those rules are set fo
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pace 1 of 3
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00856
ISSUED: 08/03/2007
APPLIED: 06/12/2007
EXPIRES: 02/03/2008
VALUE: $ 60,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
60,000.00
Estimate
Tvpe of Construction
Estimate
Total Value of Project
~
Value
Date Calculated
$60,000.00
$60,000.00
06/12/2007
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/lnd/Public $266.27 6/12/07 1200700000000000748
+ 10% Administrative Fee $50.67 8/3/07 2200700000000001232
+ 5% Technology Fee $25.33 8/3/07 2200700000000001232
+ 8% State Surcharge $40.53 8/3/07 2200700000000001232
Add, Alter, Extend Circ $43.00 8/3/07 2200700000000001232
Add, Alter, Extend Circ Ea Add $9.00 8/3/07 2200700000000001232
Building Permit $409.65 8/3/07 2200700000000001232
Miscellaneous Plumbing $45.00 8/3/07 2200700000000001232
Plan Review Fire & Life Safety $163.86 8/3/07 2200700000000001232
Total Amount Paid $1,053.31
I Plan Reviews'
Fire Department Review
06/19/2007
07/14/2007
OK
GRG
Initial Review
Plan Review Comments
06/13/2007
06/14/2007
07/19/2007
APP LLH
10 JMP
Plannine Review
06/19/2007
06/29/2007
APP EMM
Public Works Review
06/29/2007
06/29/2007
APP JHJ
Paee 2 of 3
Plans Review: Minor remodel of
LCOG owned building housing
ODOT offices. Job
#COM2007-00856.
Maintain fire extinguishers with a
minimum rating of2-A:I0-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2007 Springfield Fire Code
906).
WE. Received incomplete responses
from Danny Klute. StilI waiting for
the contractor's valuation.
Note vision clearance triangles
marked on plan at the corners of the
street intersection and alley
intersection.
Attached SDC Worksheet. No New
SDC's. (JHJ)
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00856
ISSUED: 08/03/2007
APPLIED: 06/12/2007
EXPIRES: 02/03/2008
VALUE: $ 60,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
06/14/2007
07/13/2007
WE
JMP
Received 6/19/2007 with four more
applications and a heavy backlog.
See attached documents for 4
structural comments faxed to
Gerald McDonnell.
Received contractor's valuation.
JMP faxed energy code forms from
Danny Klute to Jack Foster.
See JMP's attached structural
comment 1 requesting the energy
code forms and information.
Structural Review
SUB Review
08/0112007
07/19/2007
08/0112007
07/23/2007
APP
APP
JMP
JF
SUB Review
06/19/2007
07/13/2007
WE
JF
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.
I Reouired InsDections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Final Fire Department. After all requirements of the Fire Department have been met.
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.
SUB Final: After all required energy inspections have been requested and approved.
SUB Ceiling Grid: Interior Lighting
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
timesnng construction. () () If
~)(J,oj (f XteA f?- 3-d?
"-' v -
Owner or Contractors Signature Date
Pa2e 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-00856
NAME OR COMPANY: Lane Council of Goverments
LOCATION: 640 A St.
MAP & TAX LOT NUMBER: 17 03 35 31 03500
DEVELOPMENT TYPE: Interior Remodel ofODOT Building
NEW DEVELOPED AREA (SF):
EXISTING DEVELOPED AREA (SF):
TOTAL IMPERVIOUS SURFACE (S.F.):
L STORM DRAINAGE
IMPERVIOUS SQ. FT.
*No New SDC's (JHJ)
ITE:
ITE:
LOT SIZE (SF):
x
No New Impervious Area
$ 0,336 PER SF
TOTAL STORM DRAINAGE SDC:I
Net removal of fixtures
;?, SANITARY SEWER-CITY (see reverse side)
A. REIMBURSEMENT COST:
NUMBER OF DFU's -43
B. IMPROVEMENT COST:
NUMBER OF DFU's -43
x $ 26.03 PER DFU
x $ 19.79 PER DFU
TOTAL LOCAL WASTEWATERSDC:I $
$ 87.39 PER TRIP x 0 NTF $0,00 I
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:I $
No New Building Square Footage
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:
QOO x 0
B, IMPROVEMENT COST:
0,00 x
EXISTING:
A. REIMBURSEMENT COST:
0,00 x 0
B. IMPROVEMENT COST:
0,00 x
x
$ 19,81 PER TRIP
x
o
NTF
o
$ 87.39 PER TRIP
x
o
NfF
x
x
$ 19,81 PER TRIP
x
o
NfF
o
x
$0,00 I
$0.00 I
$0,00 I
4, SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
0.00
#N/A
PER FEU
x
0.00
#N/A
PER FEU
x
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0,00
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
x
#N/A PER FEU
x
#N/ A PER FEU
$0.00 I
$0,00 I
$0.00 I
$0,00 I
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 I
5, ADMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
$
x 5% , $0.00
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
TOTAL SDC CHARGES
Jesse Jones
Civil Engineer, EIT
6/29/2007
DATE
$0.00
$0,00
$0,00
$0,00
$0.00
$0,00
$0,00
$0.00
$0,00
$0,00
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)
Interior Remodel of ODOT Building
FIXTURE TYPE
BATHTUB
DRINKING FOUNT AlN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIllSOLIDS/ETC,
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC,
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC,
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LAVATORY/RESIDENTIAL BAR,
URINAL, ST ALUW ALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S*
FIXTURES UNIT
NEW OLD EQUIVALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
4 2
I
I 5
5 6
3
. ,
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
-8
o
-5
-30
o
o
TOTAL DRAINAGE FIXTURE UNITS =, -43
*EDU (Equivalent Dwelling Unit) is a discharge equivalent 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 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 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
spnlNCF~;Zl~.O
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRIL"AL PERNIITAPPLICATION
City Job Number ( P5YY\) l\Ol ,..()()8~ DJ; l 0- {J-,
3. ;,tp.(;jJf,f.?~~ffJfJ/ftil/f;'$,f0I1j;~'Pl:/Aif'1JIt~'Q~Y: '.' ,,' "
v & 7 New Alteration or Extension Per Panel 'I
. /~/- .' One Circuit $ 43,00
, , - (lcl~ ~(){Y" cJ L Each Additional Circuit or with \5
J fl n-../. ~ .'_ _ ~ '.....u I\. ..:'\ Service or Feeder Permit $ 3,00 ,
Owners Name ~ _~ ~ (')nve;rQJ1J~.J"."", '.,
:~:L:TIO:~~~ E.~~iJ;!~~~~:r:~:~:.~q~,""!\Mjij~1it~rt"'."'!I'!i..
Limited Energy/Commercial $ 45,00
1.E@C,,'ftioNOFINSTALLATf(jN),(:"
.:y',:
--
~~'
,,'.:,"',
Co\JO
~
LEGAL DESCRIPTION
JOB DESCRIPTION
norrr- \-o\Ht5lV rum~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.iqq~i:l~~4:(b;fl~~;tJ\(~l~1~!J~~f9/Y;'~~{f}~"
Electrical Contractor
SCOFIELD ELECTRIC CO.
Address PO BOX 2765
City ElLGENF.. OR' Phone
97402
fiRfi..,..Rfi12
Supervisor License Number
4218S
, Expiration Date
10/01/2007
Constr.C ontr. Number
38702
Expiration Date
12/21/09
Signature of Supervising Ele rician
Jl.r
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
NOlICE: HALL EXPIRE 'f THE WORK'
~~~~r~6~o~ fmS'P2RMIT IS NOT
COMMENCED OR'S ABANDONED FOR
ANY 180 DAY PERIOD.
A. .,',~~\Vf{~,i\i,d;epn~l,jsi~,~Wq r 'lVlu Iti:'F~,~~il~Mr:~lt1ISrii!tng,'~!I!h", '
Service Included
1000 sq. ft, or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder '
$106.00
$ ]9,00
$50,00 '
B. "~~r~i ('~s!>rl;:eede~',s,i'!c;ih.~t~llilj! () 1!',Alt~r~tion ~o !,({;~Io ell Ii Oil:
200 Amps or less A"'o"3.$ 63,00
,,It...i1-,,gg.aog-'-i1 Jv,.. a -
20 I Amps to 4vlm s,,'o U069JO 8'41 Jot ~9'quJIflU '
40 1 A~M~ M.. ON) .JtWl~ e~,S6~\GD
60 I AF:~~~~~~"5~~OO Uf8lQO ^8W nAA3~C@OO
Over 1'1 ~~6noJ\."O~OO-lOO-Z~~P '"
Reoom.. ~i 8J1lS81nl OSOlU.ol8\ll1l() u~!RJION
, _,' " "\.I II U06~J09,,"'l^qp9ldOP~ S81n.l MOIlOJ
C.T'ehl^,.un;;s;;.;"'~~AKe~~JO.~NOI..LN.3.1J.V
".,'"""~flOl\',1lfelll,, '.,', """",."" ,,',',',',,' ','" " ," " ,
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 or 1000 Volts see "B" above,
D.
$ 50,00
$ 69.00
$100,00
43
~
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
5 =< . ()'>
~(I 1 <.0
b'~
2.- ~ fa
roT~ _
Sha;ed Drive(T:)/Building FormslElectrical Permit APPlicatio~-O~O~ ~
4. ,;$tJIJri;,J!I'~()Fjlijjl)VJjJ
8%State Surcharge
10% Administrative Fee
JUL-18-2007 13:23 FROM:GMR
5413448604
TO: 7263689
P.3
..
.:.~~.
ZON rY\lAG
INITIALS , N~
, DATE 26:)- ,..:..- e1
SOURCE V Y\~
CITY OF SPRfNGFIELD, OREGON '
'.P"INQ~IIILD 0:" ""1",
_ f.'
.,
Z2S FWfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)716-3689
ELEC1'R.ICAL PERMIT APPLICATION
City Job Number
COM2007-00856
l;OCATiONDPINSTJiLI..A.riONi, '
" .' -~"'. . I '~'.. . ' ;-'.. . . : i. ;.... .
640 A STREET
LEGAL DESCRIPTION:
I.
JOB DESCR1PTION:
ODOT 1ST FLOOR REMODEL
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for J 80 days. '
2. ,C~N!;~F~l~~{'lS;!AhI~n:cgNl)NL,Y,
Electrical Contractor SCOFIELD ELECTRIC CO.
Address PO BOX 2765
City EUGENE. OR Phone 686-8612
97402
Supervisor License Number
42185
Expiration Date
10-1-07
Constr. Contr, Number 38702
Expiration Date
12-21-09
Owners Name
Address
City
Phone
OWNER INSTALLATION
The installation is being made on property 1 own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726.3769
3.
Date 7-18-07
'C#!~pifp J.~.E $C~DqL14BE!:dw::
A.iN ~wReSid~Iitia}1~ SI~gI~)or ~~u I~" Fa~\IYtftc!' d~~11I n~ifin I;J~;- ,
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50,00
'!:' .>;~. ":':Y'":"" ." T.' ...~:'t.. :!':.';" . ,",-., ;..::; "- :" ... ........ .~.~ '".,,!.y'" ..:~ ~'..;'
B. (SerViccs'ol' Fe~ders-Jhstl1na tio'n,Alter.atioris;'6r R:et~cll tf"6il:
~. ..,..... s,:,:'" .....:. :.'~" ._':~' "-S:' --";;:",.(":;. ::~'." '.~":"'.." :~~.:.. ',"- .
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to, 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75,00
$]25.00
$163.00
$375.00
$ 50.00
C. <'Te~po~~h sen'.i~~;s ~i.F~~e~~
, .{~! .
~
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50,00
$ 69,00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D. ." Br!~c1;$i)l'imts:~~ff.:'!(~f '
New Alteration or Extension Per Panel
One Circuit 1 $ 43.00
Each Additional Circuit or with
Service or Feeder Permit 3 $ 3.00
43.00
9.00
. . ," ..... -
... '+~; .. ,"~ "
E. Miiicell~lIeous (Sehi'l:~mi~):te~!not"illchilled)}';l!;nc.b Inst~:IlH ti.on.
''f:~- .~.." .....:: ..~~",-. ~~.. :....:.!... '_-.If." '..::.:::.c*' ,.,,', ,~,.S" '~ ' ...:;_::.
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. '{UBf'l;>T4'!!lqrAljiJliE~:'~t.
8% State Surcharge
10% Administrative Fee
5% Technology Fee
52.00
4.16
5.20
2.60
TOTAL 61.q6
Shared Drive(T:)lBuilding FonnslElectricnl Pennit Application 8-06,doc
225 Fifth Street
,
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00856
COM2007-00856
COM2007-00856
COM2007-00856
COM2007-00856
COM2007-00856
COM2007-00856
COM2007-00856
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
2200700000000001232
Date: 08/03/2007
Description
Miscellaneous Plumbing
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Plan Review Fire & Life Safety
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MCKENZIE COMMERCIAL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
69442
In Person
Payment Total:
Page I of I
8:34:47 AM
Amount Due
45.00
43.00
9.00
163.86
409.65
25,33
40,53
50.67
$787.04
Amount Paid
$787.04
$787.04
8/3/2007