HomeMy WebLinkAboutPermit Building 2003-5-30
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00302
ISSUED: 05/30/2003
APPLIED: 04/24/2003
EXPIRES: 1113012003
VALUE: $ 12,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 770 S A St
ASSESSOR'S PARCEL NO.: 1703354208600
Springfield TYPE OF WORK: Restaurant
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Espresso Building
Owner: GREG COLEMAN
Address: 35647 HIGH RANCH DRIVE SPRINGFIELD OR 97478
Phone Number: 541-741-3456
Contractor Type
General
Role Type Null
Electrical
Mechanical
Owner
Plumbing
I CONTRACTOR INFORMATION I
Contractor AT'bicense',"uExpiratioq,Date Phone
-........... '0. 1.....~-"'.avvlcUUI,.esyDI'TI"\
DAVE HOY CONSTRUCTION 101Icl.51,-759.s adopteo06/07j/2004 e 5"111~689-0303
-..... uy ~ 11:1 ur gon t ,. ,."v
QUICK DESIGN Notification Center. Those r,,'''S are s~~liJ~-5305
NEW WAY ELECTRIC INC in OA510882-001 001 0 06/27/2003)AR 9541-686-2365
.......... - IlIJljlll1n, ~?~'J"'"
DAVE HOY CONSTRUCTION 0090 151-759nay obtal'n06/07120041 h '541~89-0303
. 'VC>, Luples 0 t e n"~<' b'
GREG COLEMAN callina the center (Nnt . tho 5~41'7"1-3456
STEVEN DOUGLAS JACKSON nurrPJW9..tho ,.,.~_9.~~~I~Q04.t~'epr54~f683-7535
'OJ - .....; . ......"........U....ll
BUILDING INFORMATION'lenter is 1-800-332-2344).
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
1
10.50
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
176
VN
SETBACKS
I DEVELOPMENT INFORM*TlON I,
, '''J , ~""'" "3HALL EXPIRE~;l;\1itMlQIiXRKING
. ,UTHORIZED UNDER THIS P~MIT IS NOr
Overlay Dlst:,O t . FOR
# Street Trees R<id:MMENCED OR IS ABAND lli'IJicapped:
Paved Drive Rqd:NY 180 DAY PERIOD. Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Notes:
Pal!e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Pavine
Restaurants
Tvpe of Construction
Use Bid Amount
VN
Fee Description
Plan Review Comm/IndlPuhlic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Building Permit
Encroachment Permit
Fixture
Minimum/Adjustment Mechanical
Paving
Plan Review Comm/IndlPuhlic
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Impron'llIcnt
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimburscmeut
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo ReimbursC'ml'l1t
Storm Sewer - 1st 50 Fc"l
Vent Fan
Water Line - 1st 50 Fect
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Fa Add
Perm ServlFdr 200 amps ur less
Sign - Outline Lighting Each
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
$1.00
$79.40
Square Footaee
12,000.00
176.00
Total Value of Project
F pp~ tiJJ.IIJ
Amount Paid
Date Paid
$90.09
$10.00
$52.56
$28.18
$8.00
$138.60
$120.00
$84.00
$39.00
$123.00
$79.95
$45.00
$117.53
$154.63
$10.00
$25.22
$424.06
$16.38
$119.49
$1,619.08
$366.95
$45.00
$6.00
$45.00
$14.90
$10.43
$36.00
$63.00
$50.00
4/23/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/29/03
5/30/03
5/30/03
5/30/03
5/30/03
5/30/03
$3,942.05
I Plan Reviews I
Paee 2 of 4
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00302
ISSUED: 05/30/2003
APPLIED: 04/24/2003
EXPIRES: 11130/2003
VALUE: $ 12,000.00
Value
$12,000.00
$13,974.40
$25,974.40
Date Calculated
05/19/2003
04/24/2003
Reeeipt Number
1200200000000001052
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000956
2200200000000000963
2200200000000000963
2200200000000000963
2200200000000000963
2200200000000000963
-~~i
.
. CITY OF ~nuNGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00302
ISSUED: 05/30/2003
APPLIED: 04/24/2003
EXPIRES: 11130/2003
VALUE: $ 12,000.00
225 Fifth Street, Springlidd. OR
541-726-3753 Phonc
541-726-3676 Fax
541-726-3769Inspcelion Line
Fire Department Rt.'\'il'w
04/29/2003
05/07/2003
OK
GRG
Plan Review: Espresso stand. Job
#2003-00302. B-occupancy; V-N
construction; approximately 70
square feet.
Provide one 2-A:IO-B:C rated firc
extinguisher mounted 4-5 feet above
finished floor.
Post address numbers visible and
legible from the street.
Initial Review 04/24/2003 04/24/2003 APP LLH
Planninl! Review 04/29/2003 05/09/2003 APP EMM
Public Works Review 04/29/2003 05/07/2003 APP PJO
Structural Review 04/24/2003 05/19/2003 APP JMP
SUB Rcview 04/29/2003 OS/28/2003 APP JF
SUB Review 05/08/2003 WE JMP
Minimum Development Standards
Application done by Ashley
Deforest.
See attached fax sent to Rick Paslay
on 5/8/2003 requesting energy forms
and worksbeets.
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the S:lllIl' working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rrn..ir~~ Tn~.nprtio.ui.l
1 Site Inspection: To he made after excavation but prior to setting forms.
2 Ufer Electrical (;rollnd: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inSpl't'1 iOll.
3 Slab: To be 1I""k arler all inslab building service equipment, conduit piping and other equipment items are in
place but prior 10 l"o!u:rt'lc.
4 Shear Wall Nailing, Berllrc eovering sheathing with finish materiats.
5 Framing Inspl,l:tiun: Prior to cover and after all rough in inspections have been approved.
6 Wall Insulation: Prior to rover.
7 . Ceiling Insulation: Prior 10 cover.
8 Roofing: Prior to insl:dling any roof covering.
9 Drywall: Prior 10 laping.
10 Bolts Installed in C"nrrele: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building IIl'ipt'l'lor.
11 RoofSheathing/;\'ailing: Before covering sheathing with finish material.
12 Hold Downs lnsl'dll'd: Speeiallnspection performed prior to placement of concrete. Provide report to City
Building Inspl"'lor.
13 Final Fire Dl'parllI:\'al. ,.\ft,'r all rcquirements of the Fire Department have been met.
14 Final Building: Arll'r all rl'quired inspections have been requested and approved and the building is complete.
15 SUB Final: After all reqllired cnergy inspections have been requested and approved.
16 Rough Plumhillg: Prior IOl'over and including required testing.
17 Water Line: Prior III filling trench and including required testing.
18 Sanitary Sewer I.int': Prior 10 tilling trench and including required testing.
Pal!e 3 of 4
_S~RIN~I;I~.~ .)
IIIrtf' J
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00302
ISSUED: 05/30/2003
APPLIED: 04/24/2003
EXPIRES: 11/30/2003
VALUE: $ 12,000.00
---.=
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Insprt,tion l.ine
19 Storm Sewer I -in,,: Prior tu tilling trench.
20 Final Plumhing: \\'hl'1l all plumbing work is complete.
21 Rough Eledric: Prior 10 Cover
22 Final Electric: \YLl'n :lii. ekl'trical work is complete.
23 Final Paving: Arkr p:I\'ing is complete.
By signature, I state and agree, I "at I have carefully examined the completed application and do hereby certify that all
information hereon is lnll.~ and l:orrcct, and I further certify that any and all work performed shall be done in accordance with
tbe Ordinances of .he C,,' or Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPA"CY \\ i:II,,' made or any structure without permission oftbe Community Services Division, Building Safety.
1 further certify thaI o'llv e"nlractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to l'lI\nrt: Ii:; I ali n.'quired inspections are requested at the proper time, that each address is readable from the
street, that tbe permit ,.,,,,,' ;, L.c..ted at the front oftbe property, and the approved set of plans will remain on the site at all
times during constnll.'lil,,J,
Owner or Contral'lors Si"n\~!llrc
Date
Pal!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00302
COM2003-00302
COM2003-00302
COM2003-00302
COM2003-00302
ements:
Type or Payment
Check
.
'.
5/30/2003
Wita;~~~,'I21~,_i~, "'",',_m,__, ';
,,' :
-Ii,".'
-----""''''''-'", -..
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 2200200000000000963
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
Sign - Outline Lighting Each
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
NEW WAY ELECTRIC INC
11:48:07AM ,
Received Uy
ddk
Date: 05/30/2003
Amount Paid
Item Total:
63,00
36,00
50.00
10,43
14.90
$174.33
{':heck Number Confirm No
How Received
In Person
Payment Total:
Amount Paid
174.33
$174.33
5237
Page 1 of I
cReceipt.rpt