HomeMy WebLinkAboutPermit Building 2006-5-24 (3)
.
eLll l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00411
ISSUED: OS/24/2006
APPLIED: 04/06/2006
EXPIRES: 11/24/2006
VALUE: $ 41,046.00
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 250 A ST
ASSESSOR'S PARCEL NO.' 1703353202700
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Backup Generator.
Owner:
Address:
::<-*-
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.ry....,v ,S'~
I CONTRA€.TOR INFORMATION I
w i<.:<' 0l
Contractor 0/ {:? '<.'N'0~ Lice~e '" }xpiration Date Phone
OWNER ~ "'~:t ",,0 ~ l".
CHRISTEr!SQI\l:'EdfcTRIC INC 4,~ii' ~<:--0 ~:-,O c?..... _",05/01/2007
~<!.i,'~~ 1Y -.::,''0'<:- ',:,1;BuILDlNG INFORMATION:I~0~;)~,,,, r5'> ^
'~ Q,,'<; # (y Q,,"'- ,'IT' '$'~ ~<u 0"" "eo ~ ,,", y
# of Units: ~ "'.:;? ~~<0 ~\.3 ""~ # of Stories, ^6?<:-,,'Q"" 00' ~ (y",,:/'~ot Size,
Primary Occupancy Group:'J _~~ "'\::U Height ofStructure<:-O ,0-0, r!? .{O ,:' Sq Ft 1st Floor,
'?' ",^",' ......'" v Q' '" ~ ',>' '., ' \
Secondary Occupancy Group::}' _~ Type of Heat:) ~, ",'" cG' ,';' . ,;,.\ r ,Sq Ft 2nd Floor:
::-...__ !:::\, J').,V 0 Jo.",'V ,...1" r J
Primary Construction Type '?' VB, Wat~';:TYJ'e~0~ ,," ,if ~ J,~ _' '"' Sq Ft Basement'
Secondary Construction Type: R,~ge:~y~~,J D...... (f" <>,. .c'." ,j:? Sq Ft GaragelCarport
# of Bedrooms, Energy P~th:J;'<;5 'IT"" 0"" 0'''''<>'' Sq Ft Other,
":-.;:- ,.<b- ~ :<:' (j ,,-
Sprinkled.Building:, ~0, 0 nla Occupant Load:
'_~'~' .j,O~~' .'\: ,'"
SPRINGFIELD UTILITY BOARD
250NAST
SPRINGFIELD OR 97477
Phone Number, 541-744-3776
Contractor Type
General
Electrical
541-688-6121
Frontyard Setback:
Side I Setback,
Side 2 Setback,
Rearyard Setback:
Solar Setbacks:
I DEVELOPMEN11'\NFORMA;rION I
- v ~.
<:--0
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,
DownspoutslDrains,
Notes,
Pa~e I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Use Bid Amount
Estimate
Pavine
Fee Description
Plan Review CommlInd/Public
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Paving
Plan Review CommlIndlPublic
SDC SanitarylStorm Admin
Storm Drainage Impervious Area
Total Amount Paid
Fire Department Review
Initial Review
Plan Review Comments
Plan Review Comments
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00411
ISSUED: OS/24/2006
APPLIED: 04/06/2006
EXPIRES: 11/24/2006
VALUE: $ 41,046.00
I Valuation Deseriotion ,
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
38,707.00
2,339.00
Total Value of Project
Fpp<, PiWLI
Amount Paid
Date Paid
$161.07
$35,91
$24.50
$306.30
$52,80
$89,03
$0,97
$19.40
4/6/06
5/24/06
5/24/06
5/24/06
5/24/06
5/24/06
5/24/06
5/24/06
$689.98
I Plan Reviews I
04/1112006
OK
GRG
OS/24/2006
04/07/2006
04/1112006
04/26/2006
LLH
JMP
APP
10
05/16/2006
10
JMP
Page 2 of3
Value
Date Calculated
$38,707.00
$2,339.00
$41,046.00
04/26/2006
04/26/2006
Receipt Number
1200600000000000425
2200600000000000650
2200600000000000650
2200600000000000650
2200600000000000650
2200600000000000650
2200600000000000650
2200600000000000650
Plans Review, back-up generator.
Job #COM2006-00411.
Letter from Jack Foster stated this
generator is not to be used for
backing up of emergency egress
lighting. It will only be used for
regular lighting back up, Therefore,
NFPA 110 does not apply.
Cut sheets submitted verifying
generator to be powered by natural
gas. No diesel tank installation will
occur. Also, cut sheets indicate
generator built to UL2200 listing.
WE. Received response from Jack
Foster. Called him to request item
2 (the structural design) which was
not supplied.
WI. Received the special inspection
forms.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00411
ISSUED: OS/24/2006
APPLIED: 04/06/2006
EXPIRES: 11124/2006
VALUE: $ 41,046.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannin~ Review
04/1212005
APP
EMM
041ll/2006
Public Works Review
Structural Review
SB
JMP
04/1112006
04/11/2006
05/03/2006
04/21/2006
APP
WE
Structural Review
10
JMP
05/1212006
05/1212006
Structural Review
SUB Review
JMP
JF
OS/24/2006
04/1812006
APP
APP
OS/24/2006
04/11/2006
Screen as showu ou piau with subtle
color to blend with surrounding
vegetation,
Added SDCs for impervious surface
See attached documents for 5
structural commeuts faxed to Jack
Foster.
WE. Received structural
calculatious aud design package.
Called Jack Foster to request the
special inspection forms.
Received final internal review.
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 Re/lllired InsnectionsJ
Foundation: After forms are erected but prior to concrete placement.
Final Fire Departmeut. After all requirements of the Fire Department have been met.
Final Buildiug: After all required inspectious have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project,
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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.
adL~
~er or Contractors Signature C
S-/CXV Hi::
Date / I
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City of Springfield
Community Services Division
225 Fifth Sheet
Springfield, OR 97477
Telephone: (541) 726-3759
Fa,>;: (541) 726-3689
Com ;lOo~- oo..!:l.L( S/'~(O'
Building Pennit # [hIe
cl>>era p"c..X G1:~e.ro~J6~
" Projec-t Tille
~SO "19 - .s'7"',,~~T', Sp".,;','f,'el IL
Project Address'
Sp<<iallnspectio. ~nd Testing
To an>licanls of projetU """uiring 'pecial impectioo or testing os per Seclioo J 704 of the Oregoo Slm<tural Specialty Code. PI...., review !he informalion below. When you bave
finished, oc:mowledgc on ~laJ>ding of the infonnatioo by signing below, aDd return lhis fc>nn 10 !be City,
BEFORE A PERMIT CAN BE ISSltED, The owner or owner's rep<cscDtative, on lhe advice ofthe responsible Project Engineer or Architec!, sball complete, siJ;n, and ,UbmitIO.
eily for !?,view and approvallhis ful1ll completed on both lbe front and back.
lllt: o"ner and General Conlractor, wh= applicable, ,han also acknowledge the following conditions applicable to Spceiallospe<:lioo and/or Testing,
I. CoolJrfor is responsible for proper notification for the Inspect;.,n or T..ring of items lislcd.
2. Testing labonllory ,haJl lake appropriate samples and IrnnspOTllbem 10 lbeir lab()/'3lory for proper .valualioll or testing.
. Copies of alllabornlory "'ports and inspcclioos are 10 be senl to the City by the Testing Ageocy.
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3. Speciallospeclioo Agency is to submit names ""d qualifJcaljon, of on-,ile Speciallnsp<ctors to the City fo< "",",val,
4. Spocialln'peCloi shan provide inspeclion re.ports 10 the building official of.lI ~ activities,
5, Contractor is responsible to review the City awroved plans for additional inspeUion or testing requiremeols thaI may be noted,
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Bl:FORE A CERTIF1CA TE OF OCCUPANCY WILL BE ISSUED: The SpeciallllSJl<'ction Agency shan ,ubmit to the Building Official. 'Ialement that .11 items requiring .
mspeelioo ba'le been fulfilled:and repolled:and Wer'e to the best of the in'peclor's knowledge, in conform:mce with the "l'Proved pl.ns, specifical;ons and applicable worbnanship
p<ovisioN. Those item, notle.Sced andlor inspe<:led ,hall be noted in the statement. The reporl is to be submitted to the City p<iar to a "'quest for fio.l inspeclions.
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\,Engineeo)o~ileel Fi.on (printed) EngineerOf' ArMiitect Signature ~ Soeeia' 1~6\ _) II..Ill.!'~(Printed) p~i, '''J :\~.
~ \c.t.~~,t..,~\~, /7 ~ \;> _
..a-r Tt'STIIJ(.:,.d- SP. ,/},~ '-- \ ~...., ,
Testing LabOf3tory N~me (Printed) Tesling Lab ory Rep. Signa1JJre Building Olficial Name (Prinled) Building Otlici~l- Signature '
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SPECIAL INSPECTION AND TESTING SCHEDULE
I Reinforced Soncrete. Gunite. Grout ancl Mortar:
I Concrete Gunite I Grout Mortar
I I
I
I
I
Precast/Pre-stressed Concrete:
Piles Post-Tens Pre-Tens
Cladding
SMOKE CONTROL:
Leakage testing
Control Verification
ROOFING,
Insulation installation/R-Value"
Test strips/seams
Ag.gregate Test of Mix Design
Reinforcing Test
Mix Design-Weighmaster Cert. *
Reinforcing Placement
Continuous Batch Plant Inspect.
Inspect Placing
Cast Samples
Samples (Pickup/Delivered)
Compression Test*
Ag1<regate Tests
Reinforcing Tests
Tendon Test
Mix Desip;ns*
Reinforcing Placement
Insert Placement
Concrete Batching
Concrete Placement
Installation Inspection
Cast Samples
Pick-up Samples
Compression Tests
FIREPROOFING:
. Placement inspection
Density tests
Thickness tests
Inspect batching
ADDITIONAL INS RUCTIONS, OTHER TEST, & INSPECTIONS:
f'er Srr'N.7v"'A-1 CAk. tf).PDt>,r, OS/O"/Ol.
GRADING, EXCA VA TlON, AND FILL
Acceptance tests" PSF
Establish final grade
Fill placement inspection/continuous
Soil Density
STRUCTURAL STEEL/WELOING:
Sample and test (list specific members below)
Shop material identification (mill cert)
Weld inspection _Shop_Field
Ultrasonic inspection _Shop _Field
High Strength Bolting_Shop _Field
A325 N X
- -
A490 N X
- -
Metal deck welding inspection
Reinforcing Steel welding inspection
Reinforcing steel mill certificate
Metal stud welding inspection
Concrete insert welding inspection
Moment resisting steel frames
F
F
.
STRUCTURAL WOOD,
Shear wall nailing inspection
Shear wall anchors
Inspection ofGIu-lam fab. " T/C psi
Inspection of truss joist fab,
Sample and test components
Fabrication welding of steel accessories
.
MASONRY
Special inspection stresses used" fm fg
Preliminary acceptance tests (masonry units, wall prisms)
Subsequent tests (mortar, grout, field wall prisms)
Placement inspection of units, and reinforcement
Masonry, mortar, grout, and reinforcing steel certificates
Fonn Completed by: J,q.c.-Ic.- Fo./nr Date ~-J';l.1()6
Chewr,'CAI "qdAe.fi~e. /}"J.D'" T".I7A.I/,g.r;~
'PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALUES
.
.
AITACHMENT A
CITY OF SPR!NGFIEW S,!:?TEMS DEVEWPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2006-00411
NAME OR COMPANY: SUB
LOCATION: 250 A Sl
MAP & TAX WTNUMBER; 1703353202700
DEVEWPMENTTYPE: C__~..
NEW DEVEWPED AREA (S.F,);
EXISTING DEVEWPED AREA (S,F.);
TOTAL IMPERVIOUS SURFACE (S.F);
STORM O'RAlNAGE
lTE:
lTE;
WT SIZE (S,F,);
IMPERVIOUS SQ, IT,
60
$ 0.323 PER SF
x
TOTAL STORM DRAINAGE SDC:,
2 SANITARY SEWER-CITY
A. REIMBURSEMENT COST;
NUMBER OF DFU's
B. IMPROVEMENT COST;
NUMBER OF DFU's
(SEE REVERSE SIDE)
o
x $ 25,07 PER DFU
o
x $ 19.07 PER DFU
$ 44,14
TOTAL LOCAL WASTEWATER SDC:,
$0,00 I
f': -':,<~ -,X
, 8.0 ';>0
'.'.' > .~iO u::l
~ . <0;;;, Ul 'G),C;:
f.- ,'~~O-::>_~:U.l.
':'-.
B ~
.~ ~
~,o
oo:u
$19.40
$19.40 1178
$0.00 'li83
: "
$0,00 1184
"
$0,00
-
:LIR A NSPORl:AI!QJ:,!
BLOG AREA TGSF X TRIP RATE X COST PER ADT X NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST;
0,00 X 0 X $ 19,09 PER TRIP X 0 NTF $0.00 I
B. IMPROVEMENT COST;
0.00 X 0 X $ 84.19 PER TRIP X 0 NTF $0.00 I
EXISTING
A. REIMBURSEMENT COST:
0,00 X 0 X $ 19,09 PER TRIP X 0 NTF $0,00 I ,
B. IMPROVEMENT COST;
0.00 X 0 X $ 84.19 PER TRIP X 0 NTF $0,00 ,
$ 103.28
TOTAL TRANSPORTATION REIMBURSEMENT SOC:'
TOTAL TRANSPORTATION IMPROVEMENT SOC;'
TOTALTRANSPORTATIONSDC:I $ I
4 SANITARY ~F:WER - MWMC;
NEW:
A, REIMBURSEMENT COST;
NUMBER OF FEU's 0,00 X $0,00 PER FEU $0.00 I
B. IMPROVEMENT COST;
NUMBER OF FEU's 0,00 X $0,00 PER FEU $0.00 I
EXISTING;
A. REIMBURSEMENT COST;
NUMBER OF FEU's 0,00 X $0,00 PER FEU $0.00 I
B, IMPROVEMENT COST;
NUMBER OF FEU's 0,00 X $0,00 PER FEU $0.00 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL MWMC REIMBURSEMENT FEE;
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTALMWMCSDC:' $
SUBTOTAL (ADD ITEMS 1,2,3,&4) $19.40 I
5 ADMINlSTR A TTVF FEES;
BASE CHARGE (SUBTOTAL ABOVE)
$
19,40 X 5% I $0.97
TOTAL TRANSPORTATION ADMINISTRATION FEE: $
TOTAL SEWER ADMINlSTRA TlON FEE; $
&:.... PI ~ 8.-
SOC COORDINATOR
51312006
DATE
TOTAL SDC CHARGES
COM2006-00411, SUB generator, 250 A 5t.xls
$0.00 'lf73
$0,00 1094
I' };
$0,00
,,','
.,,,
$0,00 '1054
$0,00 118/(
$0,00 U87
$0.00 1189
$0,00
;::::--::-
, . ~ . ;
r--
. 1.f75
0.97 ,1l90
~
$20,37 '
1 JULY 2004
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
. ~}:-~;~
Wit.
Caof Springfield Official Receipt
_lopment Services Department
Public Works Department
Job/Journal Number
COM2006-00411
COM2006-00411
COM2006-00411
COM2006-00411
COM2006-00411
COM2006-00411
COM2006-00411
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200600000000000650
Date: OS/24/2006
Description
Paving
Building Pennit
Plan Review CommllndWublic
+ 8% State Surcharge
+ 10% Administrative Fee
Stonn Drainage Impervious Area
SDC Sanitary/Stonn Admin
Paid By
SUB
Item Total:
t.:heck Number Authorization
Received By Batch Number Number How Received
jmp 155718 In Person
Payment Total:
Page I of I
2:05:56PM
Amount Due
52,80
306,30
89,03
24,50
35,91
19.40
0,97
$528.91
Amount Paid
$528.91
$528.91
5/24/2006