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Home My WebLink AboutPermit Building 2004-6-15 (2) , . . . \....11 i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00546 ISSUED: 06/15/2004 APPLIED: 05/07/2004 EXPIRES: 12/15/2004 VALUE: $ 75,000.00 Status. Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3270 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703222002001 Springfield TYPE OF WORK: Store TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Shell only improvements. Owner: SPRINGFIELD V LLC Address: 1420FIFfHAVESTE2200 SEATTLE WA 98101 , CONTRACTOR INFORMATION I Contractor Type Architect i General ' Electrical Contractor OBJECT + SPACE L TD EXPRESS COMPANIES INC BILLS ELECTRIC License Expiration Date Phone 206-937-5222 09/19/2007 541-747-3025 04/28/2006 541-501-5650 157010 21351 , BUILDING INFORMATION I ,~~ # of Units: ~ifo@tories: Lot Size: Primary Occupancy Group: M '\~<<., ,~)tght of Structure Sq Ft 1st Floor: Secondary Occupancy Group: ~ ~ .$- ~ of Heat: Sq Ft 2nd Floor: Primary Construction Type V~ <x<<"~ 0~-;ter Type: ,)~Ft Basement: Secondary Construction Type: 'v <;J ~S ~\J~ Range Type: ~ ,(l~~"it,inarageJCarport # of Bedrooms: -x-~ ~ "\ ~~ Energy Path: ~ o~ W~@~fr: ,_, ~ ~ _~<<; c... ~ Sprinkled Building: .,\~f~J'lJ$ ~~.mp~Load: ~....' _}, '~~.''''' ('\. ~... " _'1Jl",~r"0 go ~.....~'\ '-4(~,,\,<<.,'o,)~\J \;>~<<"~"'I DEVELOPMENT INFO~ior',t~~ O:~l/) ~~~O".il>o~ ',\~S"-.~r::s (~\J ~ . V' <,>''<J-,\~v Ov~ fOO ,~~-&tEQUIRED PARKING ~' ~v~~ O~. 00'< ~ ~,0;sol/) ~O Frontyard Setback: ~ \J~ ,<() Overlay Dist,~ e. '1Jl ~fl,\''i:)'''', cP 1.0' ,~'(:\ rI''Total: Side 1 Setback: \J ~ # Street<'l.1;fr.-~\~~d:j0 ...}j ~,~<:- ~o -\:)'S a;t'f; Handicapped: Side 2 Setback: ~ Paved I)rive1Rndf' n5:l'" .,0 .fl,\' ,...0<:-,,11> Compact: . ,,- (I~ ~v ~, ~... 0'!J ~ Rearyard Setback: % of LotfC'tte~~~e: ,::, ~ CI<O <0 0\ ,~\j . Solar Setbacks: ~o O'f -1,0 ;sofl, ~ >IS' ',c; '.(\. ......C\.. A.~ ..0 ~(),\ 'PUBLIC IMPROVEMENis-f CJfl," " Sidewalk Type: Street Improvements: Storm Sewer Available: ~pecial Instruction: DownspoutslDrains: Notes: Paeelof3 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00546 ISSUED: 06/15/2004 APPLIED: 05/07/2004 EXPIRES: 12/15/2004 VALUE: $ 75,000.00 .. . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 75,000.00 Estimate Tvpe of Construction Estimate Total Value of Project ~ Fpp< PIilU Fee Description Plan Review CommllndlPublic + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid $304.30 $46.82 $32.77 $468.15 5/7/04 6/15/04 6/15/04 6/15/04 Total Amount Paid $852.04 I Plan Reviews I Initial Review Structural Review 05/11/2004 05111/2004 05111/2004 05/12/2004 OK RJB WE JMP Structural Review 06/08/2004 06/0812004 WE JMP Structural Review 06/11/2004 06/11/2004 APP JMP Value Date Calculated . $75,000.00 $75,000.00 05/0712004 Receipt Number 1200400000000000682 2200400000000000779 2200400000000000779 2200400000000000779 See attached fax sent to Todd Bertollotti requesting missing information. Received fax from Bob Tate with contractor information and entered new data into database and job me. See attached fax to Bob requesting special inspection forms and cost/value. Received special inspection forms from Boh Tate. 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. L..Bsnailfd Tn~nl~lrtilnllLl Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have heen approved. Roofing: Prior to installing any roof covering. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Pa2e 2 of3 0. . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line. . CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2004-00546 ISSUED: 06115/2004 APPLIED: 05/07/2004 EXPIRES: 12/15/2004 VALUE: $ 75,000.00 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 structUlre 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. rSt, aJ -"~ ~1;::J:s- Owner or Contractors Signature Page 3 of3 (pj tSf ()J; . Date ... '" '" (jJ .!;j ... .. "' . .. .. .., " " '" .... ~ ., .... '" " c.oM. 'l,Dod,- - IX> 54-'=> Bulld"'8 Prlmll' , o b- ll- od,- Dllt SP~/N6Pt6LO V(LL,4G8 '" " l'roJccl lid. .", ... .. '" : '" , ... lil ... A o City or Spr1Jt1l1eld ComtCUl1i!y s.~'!~!o Clv'~klfl Z2Hlllh ,I'OcI Sprln;fldd. OR 97417 TJIIJIIl~no~ (S4I) ?16.J7J9 I'mcr (141) 115-3489 Spe~l~l Inspection And TOlfln Il To JPJllitRnIl 0 r projecll'''luiri n Q fpU 1.11"~P5ollo" 0 r lllllns 41 pu Sll<111m I7Q 1.$ oflh~ 0''1011 S IIUllUraI SflCclatly Code. Pluso '<view .Ih~ Inr.rmallllll b1lol'. .....1lt" )'flu bw. O"IIII'~, ac:kr.o..I~daa In undtrJl,,"d'n~ Dr ClI lalilnnallon. by flil nl"glN IGw, and roCum (hI! ro m to tho CIIJ'. UYOll ~ " PEnlll!1" CAN DIlIIlll U~ D, 'rho .~ncc .,.own~r' I u2reocn1llh.. 01\ I!lt itdv($e 0 r Ill. rUponlllllO'rliltCl EnJlnm or Art'lJltecl, lhlll CGIlIplcle, lig n, and IU bm II .10 the Cll'f rGr rev,,", and .pp"...llhlJ tbJm COOlIpI.IOIlQ" balh !he hunl.nhaek, 'Ihe OwMr lOll ClC'lorol C~I'oI~r, whe,. .ppl~!bf~.1 hllllln IIJ:k."wl.dga Ih a fullow InS ""ndlll>>nuw!loDbl. tAl Sp.ollll ",!'Collo. Il1Idf.r Tt1llne_ ], Con'mlor It ~lpOllll~lo rorpropOll\lltlli'lflfon for Ih~ Inlpccllon ~r Talll1tl or koms Ihled. 2, To.II"li 10 b.rM. I'Y ,~dI18ke ""propri'l. IIlmpl~ul1d I..nspolt Ihem lD Ihllr IBDnrll!1lr)' Illr p ropeuv8hl ulan or I"I.!III, . Cnpi.. ornlll!borlllorneponnnd IJUjlllCll.anuN 10 b, ..01 to 1110 Cliy !>yd.. TUlbll Aa.~ey, ], Sp.,lllln.pe,U." ^leDey iflHYbrnil II1Im~ul1dqll.lllfl.allonIOrn,,-dll SlIteialll1SplitlOlllothe CI1}' fhrspflmval .4. Sp!<ll.llllll"','.r 'MII pn>vidt 1.ll'ulioo 'rpOrlllO Ilia b~lIdjn':nmDiel.f.llloq>iulQn a'ltvi!lQ. S'. COlllr.IlD' illUjlOnllbllto ,0'11..,lIu Chy IIlP'Dyad p[wlllIr Iddillou{ Inlpet:lwnOrl!:l11ng l'!~"Wmenlt thAt m~l' be not.d, -:; '2. 7 0 ~T5'WA Y .r,-,z.eer I'toj '~l Add".. .. ... .. ... ., .., .. .. " N BIlFOlUl" CBltTII'ICA Tll 0 P OCCUPANCY WILL BS ISSUIlD: 111. SptCiIJlDJp"llcn A~.JlQ~ ilIali subrolllo lITallulldlrc Omclal a Illlllnent mOl ulllllml rell.nlrtn~ Inljl.CIlon hIVe bn~ [,,!nll.d Md rtpOlled Illd IWfllto Ih. ba.!l of IbllIllo!Iptctor's knowlClip, ill CD.1Ironnll\~ wllh 1116 8pproveripllllJ, IVlellT'alWnllnd IJIpl I<:lh I. woikmolUhlp provl,loDL Tho.lllllenl8 ()l1t1lsled Indlar IlIl\ltCled Jhnll ~a nalcrih 1t.B!lfIIl:mlll~ The rep~J1.11 wbuubmll1ld to (~~ Cit)' pl~r 10 & rlquell ror fir,,) 1n1s=1illl1S, ACKNOWLEDGMENTS UAAJ< Mc./)o/JA-LO ~~ D\fl1cr Nem.(l"tlnled) Own.r lill/lllUrIO (PtJ;IW1VH G{lf61,uEe14ft.{'C:;~~ En"ll1nrarAr'i1[leliFlmr(~rial<d)' En&ln04....Al'Chlll~rO- . , 5"p,a.es.J CQ'-1 P,4IJ/ EJ' O.n. ~ FInn NrmB IPl!nrtd) ~eove R.... owe/J _~~t/'C,(e'?VD/,v~tv6 / Spa:1oI fDlpll:llan ~my Na"5IPri~ Spte. A&tney ~p Si... \:~. t _,.10.\\.04- ~'o~11 Building O!Tlt:I.1 Slgnllllfr& TllIlI1g LobOl81lllY IhmalPrlnlrl!i TlJliAS ~lbortrDIY Rtp SI~JlIItUI. --- :r '" '" ,~ "" '- Q> '" ..... '" .' I '" .... .. co '" tII " '" '" e r ." ..... g '" .0. ~ '" .. 0 ~ '" tJ1 .... 1/1 .. "', ..., III ro ;.- ..., III ~ '" '" '" '" "" <<> '" '" , '" . UJ '" ~ o 0- ~ co " rt + '" '" E> '" C " ~ : ~ g fTl Z G. H .' ~ 'U ~ i1'l ~ 1'1 '" . '" 0 '" " 0;;. I";' Rfl'nr.RCd Coonel., Cun"c, emu! and M..rar: Ctmi:~ G\D1iire l...(lmnl r Mm:mt \~ -l . ~ \ - , I're.a.lIPrwlreuocl Concrete: PIle.. IPo!l-Te.. I P",..T.... I CIsddr"B 1 I -', Il. 1\"- 1\" .- !\J I ! I . 1 I SPECIAL INSPECfION AND TESTING SCHEDULE 4"r.e...q,.~ Te.'it of MIx n~n R.einmn:inv T~d ~'t' n/l'd'in-Wali!hmltrCut.t ~c.lnrnci"r PlaccmeJll C<:lnlinlHlus SIkh PI... "">' '~Specl Placinll Ca.. S"'l)pl.. S'",pl.. lPfclrnpll1.livero;fl r.mnpR!..uinn Te.'. . GRADING, EXCAVATION, AND PII.L i\' Acc"l'laIICe lUIS' .PSF I!sllbfish IiMl grade ~ ~ Fill plaeemenl inspecllonkanlinuGU' I Sail DelHil)' srnUCTURA L STIlIlI.JWELDING: S.mple anclteJ1 (Hst Illedfic cnemben below) Shop matemlldentirlcal<<m (mill cen) Weld '.'p<<li.n Shop _ Ul!msOflic in5jlmiCII Shop ~&h S1unglh bolt!n! 51.op ~ A32S _ N _ X A4'ro N X Me.,l cleek welding inspecll.n Roinr.relog Slcel weldinll.lnso<:cllon Reinforcing lleel mUl Cerlirtcale Metal 'Iud welding "'.pecd.n Conc!1:le insert Welding inspecllGn Mam.nt "'" bring sleel fiames "'RII~8le Te.t, ~elnfbrcinf T...r. -:"'...IlJUII -;~... TVI~y l'ksJane9 llelnfOrclnv Placemept Tn!'l:~rt Pt&:cemt!nt r.ll:"CI'ete BA~tJil1" ""-.Onc:re~ Platl!mem r'l!fllUlltrnn 'n~pecliDn ~"I.S'nlpl.. fI!,":!,:.l"::'::,~ rcmpr~~inn Test!ll STRUCTURAL WOOD: S~t..wallnailiag IMpcclioo =t~ Sflcor wall oneho... ~........ IllSJlUlion of Ght-I"", fab. . '\' Inspcellon of...."" joist tab. _ Sample llItd lau ro"'p...onl< Fabric.llon welding or <Icel accessories MASONRY: ~SPCci'lillSJlecllOQSlreS!e.use<!". I"m_rg ;I Prellmin!lly .cceplnncal..LJ (mas",,/')' .oh., VI.II prisms) ~ SuIIsc'luent <as!! (mortar, graul, field wall prbnu) - _ P!al:cmenl in5Jlcttloo ohnil', 1lO\(I..inf'b,ccmcl1( _ ~so..ry,morl8l. !lJolJI.a~ng.teelcerllfi..lU ~ .-, ~ '"\ 01..200+ 'ADI>]TIOf'!AI..ltlSTRUCTIfrS. OTHER lE~1 & INSPECTIONS:{ b. 'o,m Cllmplelcd b~~ "-- \o.ht ~/~ ""pe~a\ l"'''P"L On rC1"'~ fPr"'~ (J rf'_ ~ t.>.-u1 rl"~"'r ~, SMOXE CONTROL: Lellkake te..ling Conlrol verifocatiM ROOFING Inrulalion Inslall.l!onlR-vnl"e' Test slrlp.lheams FIREPROOFING, Placemcnlln'Pe,li<ln Drnsity Test! ThIckness ICSllI IlUpecl barchlng Field Field field F F TIC p.,; 'PROVIDE STRUlGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRAC1" DOCUMIll'tT LOCATION OF VA LUllS I eo '" ~ ~ ~ ;' '8 ;:::- lol 0.... It.I I--" :It i 5? '7'T\:r. -.... ~ ,. 11- OV "t ~ ~~J1\0"'~ ~ I"'JC..,JZ '1J I V ~,g eo -\S-~1:;t" OJ ~V ~2' ::i I I 1 ~t\J.C\ al ~ (t\.9 ~ ~ O\l _. '" ~~~ iJl ~ ~&O .~ W ~ ~t ~ ~ -l) ..J j.\ :r~. ~'~j~ , ~i r ollo <;, ~ 3 71 8- .Jl 0 I\J... oC'l ::;-- /.1. [) C 1> Z --< C 3: m z Gl H ,~ "' ... ru "" ~ '" '^' ~ ... lJ D 1) ii1 ru , eo fU ~ 225 Fifth Street Springfield, Oregon 97477 '. 541-726-3759 Phone . Job/Journal Number COM2004-00546 COM2004-00546 COM2004-00546 Payments: Type of Payment Check 6/1512004 RECEIPT #: Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By SHARON TATE iii~ Jijj,.ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200400000000000779 Date: 06/15/2004 Item Total: (:heck Number Authorization Received By Batcb Number Number How Received j~ l~ ~~m~ Payment Total: Page 1 of 1 1:35:21PM Amount Due 468,15 32.77 46,82 $547.74 Amount Paid $547.74 $547.74