HomeMy WebLinkAboutPermit Building 2004-7-19 (2)
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00149
ISSUED: 07/19/2004
APPLIED: 02/05/2004
EXPIRES: 01/19/2005
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 Springfield TYPE OF WORK: Office
ASSESSOR'S PARCEL NO.: 1703271008401 I \N requireS 'lou to
ATTENTIONlC'VPE1&1? USE: Ore~<t~ijI))'it'l Commercial
PROJECT DESCRIPTION: Addition of office and storage b'6,'~,"g~leS 3~IOI)ted by me les are set torth
-1 C t'r Those ru 01
tl....tifi('~tion en U ' I _ "r,h ()fiR Q52-0 -
Owner: KEIZER RUSSELL J & LINDA P In OAR 952-001-uU ~~nLl~;P;;s of the rules bY
Address: 90016 MANION DR WARRENTON OR 971460090, YoU may o~t ~ (Note: the telepho~s
,.~\Iino the cen e . LIW:~" I\ln~itica.t!Oi'1l
rim the UI~~V" e .. ,
I CONTRACTOIt"~~J(i)N\\fOO-332-2~4}o
Contractor Type
General
Electrical
Engineer
Mechanical
Plumbing
Contractor License
ERIC GAMBEE CONSTRUCTION INC 105085
P B ELECTRIC INC 85896
RICH SILKETT-BENCHMARK ENGINEERIl'
JET HEATING INC 3944
TWIN RIVERS PLUMBING INC 17695
I BUILDING INFORMATION.
Expiration Date
03/22/2006
01/27/2006
05/31/2005
03/11/2005
Phone
503-638-0170
503-786-4499
503-659-9371
503-363-2334
541-688-1444
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
2
# of Stories: ri.\\1~t~: 2 LotS~\:hHE WORK
Height ofStr~~ture RMll ~Mn!l E)slt\Ff~st.~\oor5 N01
Type of Heat:fHIS PI: _E&lec~ric R 1s.(f..FPZ8d FI'o.\rR
Water Type: AUl HORIL ~\~,rT~s A~/q\'fIDB~~lJi.
Range Type: COM\\f\ENCiEl~ctpc 100 Sq Ft Garage/Carport
Energy Path: ~N'( 180 OF\'PafihPt Sq Ft Other:
Sprinkled Builtling: n/a Occupant Load:
37,450
B
R-3
VN
1,800
;8,852.00
I DEVELOPMENT INFORMATION.
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:
11"uJSLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
Curb and Gutter
Notes:
Pae:e 1 of 4
"
~u.., ~G~;-~._,..
.... /-
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwelline:s
Offices
Pavine:
Warehouses
Warehouses
V Wood Frame
VN
Use Bid Amount
II or V N
II or V N
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
Furnace - up to 100,000 btu
Heat Pump
Paving
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
Planning Final Occy Inspection
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Vent Fan
Water Line - 1st 50 Feet
+ 10% Administrative Fee
+ 7% State Surcharge
Perm ServlFdr 200 amps or less
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00149
ISSUED: 07/19/2004
APPLIED: 02/05/2004
EXPIRES: 01/19/2005
VALUE: $ 1,284,564.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$92.40
$68.10
$1.00
$27.50
$27.50
Square Footage
or Bid Amount
1,575.00
225.00
44,337.00
1,800.00
37,450.00
Value
Date Calculated
$145,530.00
$15,322.50
$44,337.00
$49,500.00
$1,029,875.00
$1,284,564.50
02/05/2004
02/05/2004
03/29/2004
04/08/2004
02/05/2004
Total Value of Project
~
Amount Paid
$2,672.41
$136.24
$10.00
$531.63
$348.24
$4,273.90
$6.00
$9.00
$266.00
$12.00
$12.00
$341.40
$198.58
$1,630.52
$143.00
$68.84
$90.56
$10.00
$1,139.09
$1,672.96
$962.20
$383.65
$5,599.30
$1,269.25
$17,067.08
$45.00
$294.00
$12.00
$45.00
$25.20
$17.64
$252.00
Date Paid
2/5/04
2/5/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
4/14/04
5/26/04
5/26/04
5/26/04
Pae:e 2 of 4
Receipt Number
2200400000000000098
2200400000000000098
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
~200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
2200400000000000363
1200400000000000814
1200400000000000814
1200400000000000814
'\
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00149
ISSUED: 07/19/2004
APPLIED: 02/05/2004
EXPIRES: 01/19/2005
VALUE: $ 1,284,564.00
$21.90
$15.33
$156.00
$63.00
$4.50
$3.15
$45.00
6/9/04
6/9/04
6/9/04
6/9/04
7/19/04
7/19/04
7/19/04
$39,853.57
I Plan Reviews I
Fire Department Review 02/05/2004 03/05/2004 OK GRG
Initial Review 02/05/2004 02/05/2004 APP RJB
Planninl! Review 02/05/2004 04/09/2004 APP DW
Public Works Review
Structural Review
Structural Review
Structural Review
Structural Review
Structural Review
Structural Review
SUB Review
02/05/2004
03/11/2004
03/25/2004
03/29/2004
04/08/2004
02/05/2004
02/25/2004
02/05/2004
04/01/2004
03/11/2004
APP SB
10 TCM
1200400000000000874
1200400000000000874
1200400000000000874
1200400000000000874
2200400000000000944
2200400000000000944
2200400000000000944
See attached document dated 3-5-04.
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.
Talked with Terry Wellner and
faxed him correction list.
Received amended site plan and
foundation plan for residence.
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.
Received fax from Terry Wellner
with truss for office/residence, and
agreement with Eric Gambee.
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.
Talked with Rich Silkett project
engr. and faxed him a copy of
corrections and concerns as of 2-25
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.
03/25/2004
10 TCM
03/29/2004
APP TCM
04/08/2004
APP JMP
02/06/2004
WE JMP
02/25/2004
10 TCM
02/13/2004
APP JF
Pal!e 3 of 4
~-:iQft~~
~...
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00149
ISSUED: 07/19/2004
APPLIED: 02/05/2004
EXPIRES: 01/19/2005
VALUE: $ 1,284,564.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L. Reouired Insoections I
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.
Underfloor 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
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.
S"--o. ,000G-cke~ ~,
Owner or Contractors Signature
1- ,~ -- 200 1-
Date
Pae:e 4 of 4
..
r"~Y ~ ~T 'I - CITY OF SL JNGFIELD, OREGON :'
u~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ~ ~
ELECTRICAL PERM, IT. APPLICATION
City Job NumbWfyl2c>bLf -' ("f) W3 Date '7- J q - ~ ( ) u 4
3. ~Q&1PLETE FEE SCHEDULE BELOW
'0 ....o~~"''O
",7>'" \S'\7>~0
0" 'v \A N
17. () 3 ,.2.7. /o:o~\\\:~i.J\""~ . e
Pad 'n' Lock Mini Warehouse ()9401 j7>"''''~(\~\~'O' _
~~O\e ~o\~~ I ~ \ 0'" I
~\~~ 000'" JV:~~'
0\\0 (\0 ~..., additional 500 sq, ft, or
Security Alann Installation ~'(\e ~,(\~, ~\, ,.['0.'" portionA!fef@ilTION: Oregon law requires yC$.I1~mO
. 1..~~0"'-. t.?". jllO\.IIJ r~ll~adooted by tile Oregon Utility
Permits are non-transferable amr expire If w Is~~e Each_ l.~~ta~t a Qme or
not started within 180 days of issuance ~is ModllUl''t)~,,00 ~~i~~. oJhose rules are set forth
Suspended for 180 days. \)7>\0 ,:/,00 Feed JiI OAR 952=-001-0010 through OAR 95~~o>P-
;;,,-(\o~\ 0090. You may obtain copies of the rules by
2. CONTRACTOR INSTALLATION ONLY B. . Serv~~i;.',~lUll'm'tnst(tU~~Jt)ji6" Relocation:
~umber 1m ~he Oregon Utility NotiflcaUoUil
200 Amps or I~nww i~ ~o80g-33202~~o$ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Reconne~~ gqly(.: ~: $ 50.00
C. Temp;;~~~~~~ Q~~~M~~PrRE IF THE WCHK
, ui\lUtK 1 HIS PERMIT IS NOT
Installa~~'Jl~*J Jffk~\bMft\NDONED FOR
200 Amps or less PERIOD, $ 50.00
201 Amps to 400 Amps $ 69,00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "8" above.
D. Branch Circuits
1.
LOCATION OF INSTALLATION
633 Shelley St
LEGAL DESCRIPTION
JOB DESCRIPTION
Electrical Contractor
Access Systems Plus, Inc
Address
5620 NE Gber Rd Suite H
City
Vancouver, W A
Phone 360-882-5493
Supervisor License Number ~ t; / .J-. t:: P7
Expiration Date
/0-/-05'
Constr. Contr. Number
37-908CLE
Expiration Date
1 % 1/2004
Signature of Supervising Electrician
~~~--7
- ~..
Owners Name
Kevin Howard Real Estate
Address 12033 NE Marx
City Portland
Phone 503-255-5621
OWNER INSTALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
esidential- Single or Multi-Family per dwelling unit.
$106.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50,00
$ 25.00
$ 45.00 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
45.00
7% State Surcharge 3.15
10% Administrative Fee 4.50
TOTAL 52.65
~h"r"el Oriv"(T')/Rllilelin,, Fonn~IF.'''''trir.,,1 P"nnit Annli""t;on 1-0. elo"
1-
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Wi~
JlLty of Springfield Official Receipt
~elopment Services Department
Public Works Department
RECEIPT #:
2200400000000000944
Date: 07/19/2004
3:38:20PM
Job/Journal Number
COM2004-00 149
COM2004-00149
COM2004-00149
Description
Low Voltage - Commercial Indus
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Check
Paid By Received By
ACCESS SYTEMS PLUS, INC. njm
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid
5763
In Person
Payment Total:
$52,65
$52.65
7/19/2004
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