HomeMy WebLinkAboutPermit Building 2004-7-19
. CITY OF SPRINGFIELD ·
Building/Combination Permit
PERMIT NO: COM2004-00149
ISSUED: 07/19/2004
APPLIED: 02/05/2004
EXPIRES: 02/03/2005
VALUE: $ 1,284,564.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 633 SHELLEY ST
ASSESSOR'S PARCEL NO.: 1703271008401
Springfield TYPE OF WORK: Office
TYPE OF USE: Addition Commercial
PROJECT DESCRIPTION: Addition of office and storage buildings. Temporary certificate of occupancy issued
080404. Temp occupancy valid for 30days from date of issue. db
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: C~ct:
% of Lot Coverage: ~~~ ~ t\.\~\
rlfl\'fA~?rg.~\'\ ~~ ,~
_,n 1.!~,J . t$
I PUBLIC IMP~~~~"~~~~ \\,\\~~~(}~~\) \)
Fully Improved ,~\~ ~~\1.t.~ ~~Wtlle~~ Type:
Yes ~~\~~~~C,~~ ?~poutslDrains:
C~~'t \ ~~ ~
Owner: KEIZER RUSSELL J & LINDA P
Address: 90016 MANION DR W ARRENTON OR 97146
I CONTRACTOR INFORMATION I
Contractor License
ERIC GAMBEE CONSTRUCTION INC 105085
P B ELECTRIC INC 85896
RICH SILKETT-BENCHMARK ENGINEERll'
JET REA TING INC 3944
TWIN RIVERS PLUMBI~GJNf@~ '\~ 17695
~~1jJ.~'i~~ATION I
~ ~<;J ~n~ ~~~~~~
. ~osJ'o ~~\'!JlJ ~.~~fii:p.(),~'2. ~
# ofUmts: 7-\ iJ\l v- ~ o~~~~t"-\Ur4l!sies '()~
Primary Occupancy & ~j<Jt;::;:>~o ~@~~etf.h.'t\(jf(s~r~re
Secondary occupanc~~~ D -~~ @@~\~~~ ~~ ~\Ofi.
Primary constructio~~, ~ cC~ 0 ~~ ~()'\.~Ier~'?~
Secondary Constructi~ - e~~~~ ~~ '6'B\\~e:
# of Bedrooms: ~C)J' \\~~G01~(Q,1G~~~~~th:
~~\%1" 3\0~~ Sprinkled Building:
,--..(<0,....-/ r.::>~
~
I DEVELOPMENT INFORMATION I
Contractor Type
General
Electrical
Engineer
Mechanical
Plumbing
2
22.00
Electric
Electric
Electric
Path 1
n/a
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pae:e 1 of 5
Expiration Date
03/22/2006
01/27/2006
Phone
503-638-0170
503-786-4499
503-659-9371
503-363-2334
541-688-1444
05/31/2005
03/11/2005
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
37,450
1,800
;8,852.00
REQUIRED PARKING
Curbside 5'
Curb and Gutter
.
_ CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00149
ISSUED: 07/19/2004
APPLIED: 02/05/2004
EXPIRES: 02/03/2005
VALUE: $ 1,284,564.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
Dwellines V Wood Frame $92.40 1,575.00 $145,530.00 02/05/2004
Offices VN $68.10 225.00 $15,322.50 02/05/2004
Pavine: Use Bid Amount $1.00 44,337.00 $44,337.00 03/29/2004
Warehouses II or V N $27.50 1,800.00 $49,500.00 04/08/2004
Warehouses II or V N $27.50 37,450.00 $1,029,875.00 02/05/2004
Total Value of Project $1,284,564.50
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $2,672.41 2/5/04 2200400000000000098
Plan Review Fire & Life Safety $136.24 2/5/04 2200400000000000098
-Mechanical Issuance Fee- $10.00 4/14/04 2200400000000000363
+ 10% Administrative Fee $531.63 4/14/04 2200400000000000363
+ 7% State Surcharge $348.24 4/14/04 2200400000000000363
Building Permit $4,273.90 4/14/04 2200400000000000363
Dryer Vent $6.00 4/14/04 2200400000000000363
Exhaust Hoods $9.00 4/14/04 2200400000000000363
Fixture $266.00 4/14/04 2200400000000000363
Furnace - up to 100,000 btu $12.00 4/14/04 2200400000000000363
Heat Pump $12.00 4/14/04 2200400000000000363
Paving $341.40 4/14/04 2200400000000000363
Plan Review CommlIndlPublic $198.58 4/14/04 2200400000000000363
Plan Review Fire & Life Safety $1,630.52 4/14/04 2200400000000000363
" Planning Final Occy Inspection $143.00 4/14/04 2200400000000000363
Sanitary Sewer - Improvement $68.84 4/14/04 2200400000000000363
Sanitary Sewer - Reimbursement $90.56 4/14/04 2200400000000000363
SDC MWMC Administration $10.00 4/14/04 2200400000000000363
SDC MWMC Improvement $1,139.09 4/14/04 2200400000000000363
SDC MWMC Reimbursement $1,672.96 4/14/04 2200400000000000363
SDC Sanitary/Storm Admin $962.20 4/14/04 2200400000000000363
SDC Transpo Admin $383.65 4/14/04 2200400000000000363
SDC Transpo Improvement $5,599.30 4/14/04 2200400000000000363
SDC Transpo Reimbursement $1,269.25 4/14/04 2200400000000000363
Storm Drainage Impervious Area $17,067.08 4/14/04 2200400000000000363
Storm Sewer - 1st 50 Feet $45.00 4/14/04 2200400000000000363
Storm Sewer Each Addtll00' $294.00 4/14/04 2200400000000000363
Vent Fan $12.00 4/14/04 2200400000000000363
Water Line - 1st 50 Feet $45.00 4/14/04 2200400000000000363
+ 10% Administrative Fee $25.20 5/26/04 1200400000000000814
+ 7% State Surcharge $17.64 5/26/04 1200400000000000814
Perm ServlFdr 200 amps or less $252.00 5/26/04 1200400000000000814
Paee 2 of 5
.
_ CITY OF SPRINGFIELD.
Building/Combination Permit
Status Issued PERMIT NO: COM2004-00149
225 Fifth Street, Springfield, OR ISSUED: 07/19/2004
541-726-3753 Phone APPLIED: 02/05/2004
541-726-3676 Fax EXPIRES: 02/03/2005
541-726-3769 Inspection Line VALUE: $ 1,284,564.00
+ 10% Administrative Fee $21.90 6/9/04 1200400000000000874
+ 7% State Surcharge $15.33 6/9/04 1200400000000000874
Add, Alter, Extend Circ Ea Add $156.00 6/9/04 1200400000000000874
Perm ServlFdr 200 amps or less $63.00 6/9/04 1200400000000000874
+ 10% Administrative Fee $4.50 7/19/04 2200400000000000944
+ 7% State Surcharge $3.15 7/19/04 2200400000000000944
" Low Voltage - Commercial Indus $45.00 7/19/04 2200400000000000944
Temporary Occy CommlIndustrial $427.39 8/4/04 1200400000000001184
Total Amount Paid $40,280.96
I Plan Reviews I
Fire Department Review 02/05/2004 03/05/2004 OK GRG See attached document dated 3-5-04,
Initial Review 02/05/2004 02/05/2004 APP RJB
Plannine Review 02/05/2004 04/09/2004 APP DW Waiting for Site Plan Review
(DRC2004-00004) Decision to be
issued, Final Site Plan submittal and
Development Agreement to be
signed. An LDAP will also be
required. Denise Walters is planner.
Public Works Review 02/05/2004 04/01/2004 APP SB
Structural Review 03/11/2004 03/11/2004 10 TCM Talked with Terry Wellner and
faxed him correction list.
Structural Review 03/25/2004 03/25/2004 10 TCM Received amended site plan and
foundation plan for residence.
Structural Review 03/29/2004 03/29/2004 APP TCM Still need bid amount for paving,
talked with Terry on 3-29. Revised
structural and final site plans where
submitted. Site plan approval
subject Pearson's approval.
Structural Review 04/08/2004 04/08/2004 APP JMP Received fax from Terry Wellner
with truss for office/residence, and
agreement with Eric Gambee.
Structural Review 02/05/2004 02106/2004 WE JMP Called Terry Wellner and asked for
a breakout by the Contractor
between buildings and site work.
Also asked for the truss engineering
"by others" that is missing.
4/5/2004 Called Terry and reminded
him that I still need these requested
items.
Structural Review 02/25/2004 02/25/2004 10 TCM Talked with Rich Silkett project
engr. and faxed him a copy of
corrections and concerns as of 2-25
SUB Review 02/05/2004 02/13/2004 APP JF
Paee 3 of 5
-WIi
, -.. . .
.
It CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2004-00149
ISSUED: 07/19/2004
APPLIED: 02/05/2004
EXPIRES: 02/03/2005
VALUE: $ 1,284,564.00
II'
~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
Final Mechanical: When all mechanical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Low Voltage: Prior to cover.
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: After all erosion measures are in place.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
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.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Final Building: After all Conditions have been completed as required on Development Agreement.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Final Fire Department. After all requirements of the Fire Department have been met.
Underslab Plumbing: Prior to filling the trench and including required testing.
UnderOoor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Paee 4 of5
.
-Wi
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: COM2004-00149
ISSUED: 07/19/2004
APPLIED: 02/05/2004
EXPIRES: 02/03/2005
VALUE: $ 1,284,564.00
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.
~~~~;L!.~
Paee 5 of 5
~-L{~4
Date
225 Fifth Street
Springfield, Oregon 97477
541-126-3759 Phone
RECEIPT #:
.
j~':~
wr "'
"t of Springfield Official Receipt
elopment Services Department
Public Works Department
1200400000000001184
Job/Journal Number Description
COM2004-00149 Temporary Occy CommlIndustrial
Payments:
Type of Payment
CreditCard
8/4/2004
Paid By
KEVIN HOWARD
Received By
djb
Page 1 of 1
Date: 08/04/2004
Item Total:
Check Number Authorization
Batch Number Number How Received
000462
021459 In Person
Payment Total:
1:07:44PM
Amount Due
427.39
$427.39
Amount Paid
$427.39
$427.39