HomeMy WebLinkAboutPermit Building 2006-2-7 (4)
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-0I78I
ISSUED: 02/0712006
APPLIED: 12/2912005
EXPIRES: 08/07/2006
VALUE: $ 203,808.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
" 541-726-3676 Fax
. 541-726-3769 Inspection Line
SITE ADDRESS: 1084 POSTAL WAY
ASSESSOR'S PARCEL NO.: 1703222002605
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Tenant improvement of existing offices
~,ot'C~: "0 LI:. ev:",ac II: 'Tl-lf WORK
Owner: STATE FARM MUTUAL AUTO INS 1HIS Pt;R"'Z\V1~~ UNDER 1H\lYql6BM1t~.t!lO!09-766-4116
Address: ONE STATE FARM PLAZA AUTHO ABANDONED FOR
BLOOMINGTON IL 61701 COMMENCED OR IS
. \-" "tV a!:RIOO.
t\1'it vQ - T_
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
; Mechanical
: Plumbing
Contractor
R & H CONSTRUCTION CO
REYNOLDS ELECTRIC
COMMERCIAL AIR INC
TWIN RIVERS PLUMBING INC
License
38304
17252
110075
17695
Expiration Date
12/23/2007
02/08/2007
12/18/2007
03/11/2007
Phone
503-246-5502
541-343-7297
541-461-4821
541-688-1444
# of Units:
PrImary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
I BUlLDlN" ",ruKl>1ATlON I
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy J.l.~t~ENTION: Oregon law req~qr!'.! p.!!!e.rJ
SprinklF.!\!l!\ljlflJ!\g: adopled~~ the oQ.c~!!p'a.9ttyad:
VB
Frontyard Setback:
~ Side 1 Setback:
Side 2 Setback:
" Rearyard Setback:
, Solar Setbacks:
.,,, """ -...'" . --. ,.-. .. "J-'C IUIt;;~ ale; ~c;l IUIUI
I, DEVELOPMEN,,",mr.uJUYlA1;ION'lrough OAR 952-001-
0090. You may obtain copies of the rul!}l'gpIRED PARKING
Overlay DiSt:1g the center. W:Jle: tlE' telephlTotal:
# StreetrTrees'Rljd: the 0,. ron L::;!:t" r!o!lf:crHandicapped:
Paved Drive Rq!!:' 'ter is 1.e_~',::;;<. 2;:";4). Compact:
% of Lot Coverage:
1 PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
DownspoutslDrains:
To Storm Sewer
Notes: InterIor remodel replacing fixtures SDC credits given 1/13/2006 CAS
Pal!e 1 of4
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Line
::-
Description
Estimate
Pavlne
Tvpe of Construction
Estimate
Use Bid Amount
Fee Description
Plan Review CommlIndlPubllc
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Furnace - np to 100,000 btu
Gas Outlets 1-4
Paving
_' Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
Fire Department Review
01/03/2006
Initial Review
Plannine Review
Public Works Review
01/03/2006
01/03/2006
01/03/2006
Structural Review
01/03/2006
-' Structural Review
01/19/2006
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CITY VI' ~rKll~ul'l~LU
Building/Combination Permit
PERMIT NO: COM2005-01781
ISSUED: 02107/2006
APPLIED: 12/29/2005
EXPIRES: 08/07/2006
VALUE: $ 203,808.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
203,508.00
300.00
Total Value of Project
]?pp< PlW\J
Amount Paid
$587.37
$361.46
$10.00
$118.27
$79.63
$903.65
$182.00
$48.00
$4.00
$45.00
$114.40
$150.44
$13.24
$2,617.46
Date Paid
12/29/05
12/29/05
2/7/06
2/7/06
2/7/06
2/7/06
2/7/06
2/7/06
2/7/06
2/7/06
2/7/06
2/7/06
2/7/06
01/20/2006
I Plan Reviews ,
01/03/2006
01/06/2006
01/13/2006
01/06/2006
01/19/2006
OK
GRG
APP
APP
APP
SKG
EMM
CAS
WE
JMP
IO
JMP
Paee 2 of 4
Value
Date Calculated
$203,508.00
$300.00
$203,808.00
01/31/2006
01/31/2006
:
Receipt Number
1200500000000001866
1200500000000001866
2200600000000000177
2200600000000000177
2200600000000000177
2200600000000000177
2200600000000000177
2200600000000000177
2200600000000000177
2200600000000000177
2200600000000000177
2200600000000000177
2200600000000000177
See attached Fire Department
comments
Interior remodel only 6 fixtures
added: credits for replaced fixtures
1/13/2006 CAS
See attached documents for 8
structural comments faxed to Ross
J. Gould.
WE. Received partial response to
structural comments. Waiting on
Items 6 & 7 (subcontractors and
value) from R & H Construction.
Left voice mail for J. B. Skopil
requesting this information as well
as the special Inspection forms.
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CITY OF ~r.K..ll'llJl'lJ!.LD
Building/Combination Permit
PERMIT NO: COM2005-01781
ISSUED: 02/07/2006
APPLIED: 12/29/2005
EXPIRES: 08/07/2006
VALUE: $ 203,808.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
01/31/2006
10 JMP
01/31/2006
Structural Review
02/0212006
APP JMP
02/0212006
SUB Review
SUB Review
01/31/2006
01/19/2006
APP JF
10 JF
01/3112006
01/20/2006
SUB Review
01/0312006
01109/2006
WE JF
WE. Received fax from J. B. Skopil
with contractors, valuation, and
signature page of the special
Inspection forms. Called J. B. to
inform him that we still need the
second page of the speclallnspcction
forms.
Received second page of special
inspection forms and mechanical
counts and sizes.
Received energy code forms. Still
waiting on HV AC worksheets.
JMP requested energy code
Information In item #3 of the
structural comments in the attached
documents.
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.
I Rp_t1ln.npl't~
Framing Inspection: Prior to cover and after all rough In Inspections have been approved.
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 Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
Pa!!e 3 of 4
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01781
ISSUED: 02/0712006
APPLIED: 12/2912005
EXPIRES: 08/07/2006
VALUE: $ 203,808.00
By signature, 1 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 ofany structure without permission of the Community Services Division, Building Safety.
1 further certify tbat only contractors and employees who are in compliance with ORS 701.005 wlJl be used on this project.
,." I further agree to ensure that all required Inspections are requested at tbe 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 wlJl remain on the site at all
, times during constr ction.
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Paee40f4
Date
J I {)1 /fJV
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225 Fiftb Street
Springfield, Oregon 97477
541'-726-3759 Phone
Job/Journal Number
COM2005-01781
COM2005-0 1781
COM2005-0 1781
COM2005-01781
COM2005-0 1781
COM2005-01781
COM2005-0 1781
COM2005-0178 I
COM2005-0 1781
COM2005-01781
COM2005-0 1781
Pilyments:
Tlpe of Payment
qeck
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2/7/2006
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_ity of Springfield Official Receipt
~evelopment Services Department
Public Works Department
RECEIPT #:
2200600000000000177
Date: 02/07/2006
Description
Fixture
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Paving
Furnace - up to 100,000 btu
Gas Outlets 1-4
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
R & H CONSTRUCTION CO.
Item Total:
Check Number Authorlzatioo
Received By Batch Number Number How Received
ddk 129217 In Person
Payment Total:
Page 1 of 1
9:48:31AM
Amount Due
182.00
150.44
114.40
13.24
903.65
45.00
48.00
4.00
10.00
79.63
118.27
$1,668.63
Amount Paid
$1,668.63
$1,668.63
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVEWPMENT CHARGE WORKSHEET
JOURNAL OR lOB NUMBER C0M2005-Q1781
NAME OR COMPANY: State Farm Mutual Auto Insunmce
LOCATION: 1084 Postal Way
MAP & TAX WTNUMBER: 17-03-27-20-02605
DEVEWPMENT TYPE: Interior Remodel
NEW DEVELOPED AREA (S.F.):
EXISTING DEVEWPED AREA (S.F.):
TOTAL IMPERVlOUS SURFACE (S.F.):
I STORM DRAJNAGE
9.799.00
9.799.00
lTE:
lTE:
WT SIZE (S.F.):
715 '
715
64349
IMPERVlOUS SQ. FT.
S 0.323 PER SF
x
TOTAL STORM DRAINAGE SDC:I
2 SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DWs
B. IMPROVEMENT COST:
NUMBER OF DWs
(SEE REVERSE SIDE)
6
x S 25.07 PER DFU
6
x S 19.07 PER DFU
S 44.14
TOTAL LOCAL WASTEWATER SDC:'
S264.84 I
>..IRl\N<PORTMlllli
BLDG AREA TGSF x TRJP RATE x COST PER ADT x NEW TRJP FACTOR
NEW
A. REIMBURSEMENT COST:
9.80 x 11.57
B. IMPROVEMENT COST:
9.80 x 11.57
EXISTING
A. REIMBURSEMENT COST:
-9.80 x 11.57
B. IMPROVEMENT COST:
-9.80 x 11.57
x
S 19.09 PER TRJP
x
0.9
NIT
SI,947.571
S8,590.59 1
x
S 84.19 PER TRJP
x
0.9
NIT
0.9
NIT
(SI,947.57)1
(S8,590.59)1
x
S 19.09 PER TRIP
x
x
S 84.19 PERTRIP
S 103.28
x
0.9
NIT
TOTAL TRANSPORTATION REIMBURSEMENT SIX:I
TOTAL TRANSPORTATION IMPROVEMENT SIX:'
TOTALTRANSPORTATIONSDC:' S I
4 SANITARY SEWER - MWMC
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 9.80 x $46.88 PER FEU $459.33 1
B. IMPROVEMENT COST:
NUMBER OF FEU's 9"80 x $494A6 PER FEU $4,845.23 1
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's -9.80 x S46.88 PER FEU ($459.33)1
B. IMPROVEMENT COST:
NUMBER OF FEU's -9.80 x $494.46 PER FEU ($4,845.23)1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTALMWMCSDC:, S
SUBTOTAL (ADD ITEMS 1,2,3, & 4) $264.84 L
5 ADMINlSTRA TIVE FEF~<'
BASE CHARGE (SUBTOTAL ABOVE)
S
264.84 x 5% I S13.24
TOTAL TRANSPORTATION ADMINISTRATION FEE: S
TOTAL SEWER ADMINISTRATION FEE: S
Steven W. Beaudry Bames
SIX COORDINATOR
1/6/2005
DATE
TOTAL SDC CHARGES
C0M2005-01781, 1084 Postal Way, State Farm.xls
>-
8;5 Jl ~
IEvvS'1l.-ll
o:;~ci1 ~8
SO.OO
SO.OO \178
S 150.44 1183
S1I4.40 1184
S264.84 ]
SO.OO H73
SO.OO 1094
SO.OO
SO.OO 1054
SO.OO 1186
SO.OO 1187
SO.OO 1189
SO.OO
-j-
1175
13.24 1190
~
S278.08
1 JULY 2004
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DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
State Farm Mutual Auto Insurance
FIXTURE TYPE
BATHTUB
DRlNKlNG FOUNTAIN
FWOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASElOIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO WASHlETC.
LAUNDRY TUB
ClOTHES WASHERfMOP SINK
ClOTIlES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (] PER TRAILER)
RECEPTOR FOR REFRlGERA TOR/W A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SlNK/ DISHW ASHER/ETC.
SHOWER, SINGLE STAll
SHOWER, GANG (NUMBER OF HEADS)
SINK; COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIOOUBLE LAVATORY
SINK: SINGLELAVATORYIRESIDENTIALBAR
URINAL, STAUJWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INST ALLA nON
MISCELLANEOUS:
NUMBER OF EDD'S'
FIXTURES
NEW OLD
I I
3 2
4 4
UNIT
EQUIVALENT
3
I
3
3
6
2
3
6
]2
I
3
2
2
3
2
2
]
5
6
3
TOTAL DRAINAGE FIXTURE UNITS=
'EDU (EQuivalent DwellinJ! Unit) is a disch~c equivalent to a single familv dwelling (20 DFU) set at 167 J!allons per day
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFfERANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR
ANNEXED
RATE PER $1,000
ASSESSED VALUE
; $5.29'
, $5.]9:
'.S5.']2'
:$4.98:
,::,,,$1,,80,,:,
,'$4.63'
S4.40'
.'~
,,$407,
:~ $3.'6~2'
(t,-r<S3.22~>
$2.73,
" $2)5'\
,',$1.80,
,1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
]989
]990
]99]
,
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFfER ANNEXATION DATE)
COM200~1781, 1084 Postal Way, State Farm.xls
YEAR
ANNEXED
1992
1993
]994
1995
]996
]997
]998
]999
2000
200]
2002
2003
2004
x
x
RATE PER $1,000
ASSESSED VALUE
',,'..
J".., ':i"'
. $1.45'
. SI.25 "
: ':' ""' $1.09"
" SO:9,2'
, " SO.72"
"I, ~.""SO.48:
"":""S028
" "SO.Q9'"
" /$0"05"'
$0.00"
SO.OO.
$0.00 "
,:"'.'r:.w"
'"
.r:
CREDIT TOTAL
DRAINAGE
FIXTURE
UNITS
o
o
3
o
o
o
o
o
o
o
o
o
o
3
o
o
o
o
o
o
o
o
o
6
=
$0.00
$0.00
$0.00
1 JULY 2004