HomeMy WebLinkAboutPermit Building 2005-12-14
,.-
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01616
ISSUED: 12/14/2005
APPLIED: 11/15/2005
EXPIRES: 06/14/2006
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 840 BELTLINE RD 210
ASSESSOR'S PARCEL NO.: 1703153000900
Springfield TYPE OF WORK: Office
I CONTRACTOR INFORMATION I
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TYPE OF U~.E:": Alterittfon,' ~n law (!;QWjn~!'cj~lJ t)
11 ,)',IIUIC" ""-'o~ ","', 'h
_ ,_", .", v Ol.i :~l" ,J~I [ e Oregon UtTi
1'1" ':arlon Center, T;~osa II V
::' ,7,' '~" _ ' ~ rules are SAt fn 1h
'.... ~ ,," . ,,,"'''- -uu I-UlJl U thr.n" ,b 0 ^ Q
rm.~O \P.l~pp'e-Number: 5<tl~7'l6-841l4152-0( 1-
'. v Ilay UUlaln copies of the rules! I
~UJng the center. (Note: the telephone Y
/Il'lli'mber for the OrA(lnn Ilt:);h, ~1_A'r- ,,'
Center is 1-aOO-332.2344),:"v..."'UI'
PROJECT DESCRIPTION: Tenant infill to create 3 offices
! Owner:
Address:
SYCAN B CORP
840 BEL TLINE RD STE 202
SPRINGFIELD OR 97477
Contractor Type
General
Contractor
SYCAN B CORP
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
License
72619
BUILDING INFORMATION'
# of Stories: NOTICE' Lot Size:
Height of Strucl\lr.\\' tl..9,..lf~ 1st Floor:
Type of Heat: I NI~ PERMIT SHALL rs\(nttnWffIHi-WORK
Water Type: AUTHORIZED UNDER 'RQISt~qnts NOT
Range Type: COMMENCED OR IS A&ANOONfseffQRport
Energy Path: ANY 180 DAY PERIOD,Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Expiration Date
03/25/2008
Phone
541-746-8444
VB
I DEVELOPMENT INFORMATION I
',; Front yard Setback:
, Side 1 Setback:
Side 2 Setback:
. Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal?:e 1 of 4
~$..PAJN...GF.I.. :L..!n..~. ,.,'.,..'..
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
Plan Review CommlInd/Public
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Miscellaneous Mechanical
Plan Review Fire & Life Safety
Total Amount Paid
CITY OF SPRINGFIELD. '
Building/Combination Permit
PERMIT NO: COM2005-01616
ISSUED: 12/14/2005
APPLIED: 11/15/2005
EXPIRES: 06/14/2006
VALUE: $ 10,000.00
$1.00
10,000.00
Total Value of Project
$10,000.00
$10,000.00
11/15/2005
~
Amount Paid Date Paid Receipt Number
$69.81 11/15/05 2200500000000001584
$10.00 12/14/05 3200500000000000694
$15.24 12/14/05 3200500000000000694
$10.67 12/14/05 3200500000000000694
$107.40 12/14/05 3200500000000000694
$45.00 12/14/05 3200500000000000694
$42.96 12/14/05 3200500000000000694
$301.08
I Plan Reviews I
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2005-01616
225 Fifth Street, Springfield, OR ISSUED: 12/14/2005
APPLIED: 11/15/2005
541-726-3753 Phone EXPIRES: 06/14/2006
541-726-3676 Fax
541-726-3769 Inspection Line VALUE: $ 10,000.00
Fire Department Review 11/23/2005 12/02/2005 OK GRG Plan Review. Tenant in fill to create
3 offices. COM2005-01616.
Provide or maintain address
numbers in contrasting color from
the background positioned plainly
visible and legible from the street or
road fronting the property. The
back door of each tenant space
should have the numerical address
and the store name on or above the
door that faces an alley or road.
(2004 Oregon Structural Specialty
Code 501.2 and 2004 Springfield
Fire Code 505.1).
Provide fire extinguishers with a
minimum rating of 2-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 (2004 Springfield Fire Code
906).
Provide means of egress ilIuminatioIl
meeting requirements of 2004 OSSC
1006.
Above the main exit door, provide
'" sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware is employed (2004 OSSC
1008.1.8.3, exception 2.2).
mfechtel/ggordon
Initial Review 11/16/2005 11/16/2005 APP LLH
Plan nine Review 11/23/2005 11/28/2005 APP EMM Plans state that this is an interior
remodel with no change of use. Doe!
not require planning review.
Public Works Review 11/23/2005 12/02/2005 APP SB Change in office occupant, no
change in use. No SDCs
Structural Review 11/16/2005 11/30/2005 WE JMP Received 11/23/2005. See attached 6
structural comments faxed to Betsy
Jones.
Structural Review 12/02/2005 12/02/2005 10 JMP WI. Received faxed response from
Betsy Jones. Faxed energy code
forms to Jack Foster for his
approval.
Structural Review 12/0512005 12/05/2005 APP JMP Received final internal review.
Paee 3 of 4
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01616
ISSUED: 12/14/2005
APPLIED: 11/15/2005
EXPIRES: 06/14/2006
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
SUB Review
12/05/2005
11/23/2005
12/05/2005
APP JF
No energy code issues or inspections.
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 Reouired Insoections I
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 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.
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
. tlm'a::;;;cll\o//'UJ) 1'2 -1 L/-D5
Owner or contra~rs ~ature Date
Pae:e 4 of 4
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2005-01616
NAME OR COMPANY: SYCAN-B Development
LOCATION: 840 Be1tline Rd, Suite 210
MAP & TAX LOT NUMBER: 17031530 00900
DEVELOPMENT TYPE: Change of tenant, Office Building
NEW DEVELOPED AREA (S.F.): 861.00
EXISTING DEVELOPED AREA (S.F,): 861.00
TOTAL IMPERVIOUS SURFACE (S,F.):
1. STORM DRAINAGE
3. TRANSPORTATION PREVIOUSLY PAID ON Permit 98-0156
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A REIMBURSEMENT COST:
0.86 x 11.01
B. IMPROVEMENT COST:
0.86 x 11.01
EXISTING
A. REIMBURSEMENT COST:
-0.86 x 11.01
B. IMPROVEMENT COST:
-0,86 x 11.01
IMPERVIOUS SQ. FT.
2, SANITARY SEWER-CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
B, IMPROVEMENT COST:
NUMBER OF DFU's
(SEE REVERSE SIDE)
4 SANITARY SEWER - MWMC
NEW:
A REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
ITE:
ITE:
LOT SIZE (S.F.):
710
710
x
$ 0.323 PER SF
TOTAL STORM DRAINAGE SDC:I
o
x $ 25.07 PER DFU
o
x $ 19.07 PER DFU
$ 44.14
TOTAL LOCAL W ASTEW A TER SDC:I $
x
$ 19,09 PER TRIP
0,9 NTF $162,84 J
0,9 NTF $718.29 1
0,9 NTF ($162,84)1
0.9 NTF ($718.29)1
x
x
$ 84,19 PER TRIP
x
x
$ 19,09 PER TRIP
x
x
$ 84.19 PER TRIP
$ 103.28
x
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:I $
PREVIOUSLY PAID ON Permit 98-0156
0,86 x
$46,88 PER FEU $40,36 ,
$494.46 PER FEU $425,73 I
$46.88 PER FEU ($40.36)'
$494.46 PER FEU ($425,73)1
0.86 x
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's -0,86 x
B. IMPROVEMENT COST:
NUMBER OF FEU's -0,86 x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
Steven W, Beaudry Barnes
SDC COORDINATOR
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDq $
SUBTOTAL (ADD ITEMS 1,2,3, & 4) $0,00 I
$
x 5% I $0.00
TOTAL TRANSPORTATION ADMINISTRATION FEE:
TOTAL SEWER ADMINISTRATION FEE:
TOTAL SDC CHARGES
12/2/2005
DATE
COM2005-01616, SYCAN B OFfices, 840 Beltline Suite 21O,xls
#DfV/O!
#DfV/O!
NONE
1 JULY 2004
225 Fifth Street'
Spr~ngfield, Oregon 97477
541-726-3759 Phone
~:~
,....~ty of Springfield Official Receipt
;velopment Services Department
Public Works Department
Job/Journal Number
COM2005-01616
COM2005-01616
COM2005-01616
GOM2005-01616
CCJM2005-01616
COM2005-01616
Payments:
Type of Payment
Check
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12/14/2005
, ,~
RECEIPT #:
3200500000000000694
Date: 12/1412005
Description
Miscellaneous Mechanical
-Mechanical Issuance Fee-
Plan Review Fire & Life Safety
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SYCAN B DEVELOPMENT
CROP
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 22455 In Person
Payment Total:
Page I of 1
2:48:06PM
Amount Due
45.00
10.00
42.96
107.40
10.67
15.24
$231.27
Amount Paid
$231.27
$231.27