HomeMy WebLinkAboutPermit Building 2008-5-9
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00228
ISSUED: 05/09/2008
APPLIED: 02/1512008
EXPIRES: 11/09/2008
VALUE: $ 26,500.00
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
SITE ADDRESS 3636 GAME FARM RD
ASSESSOR'S PARCEL NO 1703153301100
SPRINGFIETYPE OF WORK Modular Umt
TYPE OF USE' New
Commercial
PROJECT DESCRIPTION. Installation of coffee kiosk
Owner JENNIFER L MATTHEWS REVOCABLE TRUST
Address 450 FUL VUE DR
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Electncal
Mechamcal
Plumbmg
Contractor
KH CONSTRUCTION LLC
TBD
TBD
TBD
License
172777
ExpiratIOn Date
10/27/2008
Phone
541-858-6777
~ILDING.INF.~TION I
ON' Oregon aW I~4U" ~;n Utl\lty
# of U mts f1, \TENT\ ~dopted byt. ~R;I~ set forth
Pnmary Occupancy Groupfollow ru'~'6enter. ThomiiHl~ ~l()\t1.
Secondary Occupancy Grob\fttlflcat\~-;Q01_0010th~~. 0 ~1u\eS bY
Pnmary Construction Typl!n OAR 9)U Rtay obtalO CWQ~\ "y$ephone
Secondary Construction TyPQ90. 'YO the center. (tWi~% ~t ;~Md'cat'on
# of Bedrooms ca\h~~r for the OregCl!h '~~JJ1.
num Center IS 1-aQij; m tedBuddmg
1
Lot Size.
Sq Ft 1st Floor.
Sq Ft 2nd Floor.
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other.
Occupant Load
172
1
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback'
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage.
REQUIRED PARKING
Total
Handicapped
Compact
Street Improvements
Storm Sewer A vadable
SpeCial InstructIOn
PUB BPVEMENTS THE WORK
THIS PER 1~ If
AUTHORIZED UNDER THIS ~m\~ TSINOT
COMMENCED OR IS ABAN9~<liOODrams
ANY 180 DAY PERIOD.
Notes
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00228
ISSUED: 05/09/2008
APPLIED: 02/15/2008
EXPIRES: 11/09/2008
VALUE: $ 26,500.00
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
I ValuatIOn Descriution I
DescnptlOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multIpher
$100
Square Footage
or BId Amount
1,500 00
Value
Date Calculated
Foundation Onlv Use BId Amount
Total Value of Project
$1,500.00
$1,500 00
02/15/2008
~
Fee DescnptIon Amount PaId Date PaId ReceIpt Number
Plan RevIew Comm/Ind/Pubhc $3250 2/15/08 1200800000000000139
+ 5% Technology Fee $675 3/7/08 2200800000000000297
Encroachment PermIt $135.00 3/7/08 2200800000000000297
+ 10% AdmmIstratIve Fee $55.74 5/9/08 1200800000000000447
+ 12% State Surcharge $64.83 5/9/08 1200800000000000447
+ 5% Technology Fee $27 01 5/9/08 1200800000000000447
Addressmg AssIgnment $3500 5/9/08 1200800000000000447
Backflow DevIce $16 00 5/9/08 1200800000000000447
FIre SF Fee - Non-ResIdential $1720 5/9/08 1200800000000000447
FIXture $3200 5/9/08 1200800000000000447
Manufactured Home Conn - Plmb $50 00 5/9/08 1200800000000000447
Modular BUlldmg $260 22 5/9/08 1200800000000000447
Samtary Sewer - 1st 50 Feet $50 00 5/9/08 1200800000000000447
Samtary Sewer - Improvement $142.83 5/9/08 1200800000000000447
Samtary Sewer - ReImbursement $187 83 5/9/08 1200800000000000447
SDC MWMC AdmmIstratIon $1000 5/9/08 1200800000000000447
SDC MWMC Improvement $1,316.12 5/9/08 1200800000000000447
SDC MWMC ReImbursement $158.36 5/9/08 1200800000000000447
SDC Samtary/Storm Admm $25 92 5/9/08 1200800000000000447
SDC Transpo Improvement $3,79951 5/9/08 1200800000000000447
SDC Transpo ReImbursement $861 38 5/9/08 1200800000000000447
SDC Transportation Admm $365 36 5/9/08 1200800000000000447
Storm Dramage ImpervIOus Area $1,34948 5/9/08 1200800000000000447
Storm Sewer - 1st 50 Feet $50 00 5/9/08 1200800000000000447
Storm Sewer Each Addtll00' $16.00 5/9/08 1200800000000000447
Water Lme - 1st 50 Feet $50 00 5/9/08 1200800000000000447
Water Lme - Each Addtll00' $16 00 5/9/08 1200800000000000447
Total Amount PaId $9,131 04
I Plan Reviews I
ImtIal ReVIew
02/20/2008
02/20/2008
APP NJM
Pa2e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2008-00228
225 Fifth Street, Spnngfield, OR ISSUED: 05/09/2008
541-726-3753 Phone APPLIED: 02/15/2008
541-726-3676 Fax EXPIRES: 11/09/2008
541-726-3769 InspectIOn Lme VALUE: $ 26,500.00
Plannm!! Review 02/20/2008 02/21/2008 WI EMM Needs Site Plan Review decslOn,
Fmal Site Plan and Development
Agreement
PublIc Works Review 02/20/2008 02/26/2008 APP JHJ Attached SDC Worksheet ( JHJ)
Fire Department Review 02/20/2008 03/13/2008 APP GRG Plans Review coffee kIOsk
Occupancy ClassificatIOn B
Construction Type. V -B 172 sq ft
Provide address numbers m
contrastmg color from the
background posItioned plamly
vIsible and legible from the street or
road frontmg the property (2007
Oregon Structural Specialty Code
501 2 and 2007 Spnngfield Fire
Code 505 1)
Provide fire extmgUlshers with a
mmlmum ratmg of2-A:10-B C
every 75 feet of travel distance The
top of the extmgUlsher(s) shall be
between 3 and 5 feet above finIshed
floor (2007 Spnngfield Fire Code
906)
SUB Review 04/14/2008 04/14/2008 10 LLH Requested energy forms per subs
request See attached documents fOI
copy of letter
Structural Review 04/28/2008 04/30/2008 APP LLH Reviewed by Mlck Nolte With the
BUlldmg Department under contract
With the City of Sprmgfield
PlannIn!! Review 05/01/2008 05/01/2008 APP EMM
InItial Review 05/02/2008 05/02/2008 APP LLH Revised site plan Forwarded to LIz
Miller and Steve Graham
Plannm!! Review 05/02/2008 05/06/2008 APP EMM Revised Site Plan
Structural Review 05/02/2008 05/06/2008 APP LLH Revised site plan routed and
approved
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same workmg day, inspections requested after 7:00 a.m. will be made the following
work day.
Pa!!e 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00228
ISSUED: 05/09/2008
APPLIED: 02/15/2008
EXPIRES: 11/09/2008
VALUE: $ 26,500.00
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
I Reauired Insnections I
Encroachment After Item(s) have been removed to mspect condition of publIc nght of way
Footmg. After trenches are excavated
Foundation After forms are erected but pnor to concrete placement.
Fmal Fire Department After all reqUirements of the Fire Department have been met
Fmal Modular Set Up After all reqUired mspectlOns have been requested and approved and project IS complete.
Water Lme Pnor to fillIng trench and mcludmg reqUired testmg
Samtary Sewer Lme Pnor to fillIng trench and mcludmg reqUired testmg
Storm Sewer Lme Pnor to fillmg trench
Backtlow Device Pnor to covermg and provide a copy of the test report on site at the time of mspectlOn
Manuf Home Plumbmg After home has been connected to water and sewer.
Fmal Plumbmg. When all plumbmg work IS complete.
By signature, I state and agree, that I have carefully exammed the completed applIcation and do hereby certify that all
mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance with
the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure without permission of the Commumty Services DIvIsion, BUlldmg Safety
I further certify that only contractors and employees who are m complIance with ORS 701 005 wIll be used on this proJect.
I further agree to ensure that all reqUired mspectIons are requested at the proper time, that each address IS readable from the
I street, that the permit card IS located at the front of the property, and the approved set of plans wIll remam on the site at all
/:~rtngcon't;T~~;/ _-- I
,-/-/ !." V'~ .// ~ - 7- ~
pw~er or Contractors sll~re Date
Pa!!e 4 of 4
225 Fifth Street
Sprmglit!ld, Oregon 97477
541-726-3759 Phone
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
COM2008-00228
Payments
Type of Payment
Check
cRecemtl
RECEIPT #:
1200800000000000447
Date: 05/09/2008
DescrIptIOn
Storm DraInage ImperVIous Area
Sanitary Sewer - ReImbursement
Sanitary Sewer - Improvement
SDC Transpo ReImbursement
SDC Transpo Improvement
SDC MWMC ReImbursement
SDC MWMC Improvement
SDC MWMC AdmInIstratIOn
SDC Sanitary/Storm AdmIn
SDC Transportation AdmIn
Modular BUIldIng
FIre SF Fee - Non-ReSIdentIal
FIxture
Sanitary Sewer - 1st 50 Feet
Water LIne - 1st 50 Feet
Water LIne - Each Addtl 100'
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addtl 100'
Manufactured Home Conn - Plmb
Backflow DeVIce
AddressIng ASSignment
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
Paid By
LARISA MORRIS
Item Total
Check Number AuthOrIzatIOn
ReceIVed By Batch Number Number How ReceIved
dJb
1138
In Person
Payment Total
Page 1 of 1
9 54 OlAM
Amount Due
1,349 48
187 83
142 83
861 38
3,79951
158 36
1,316 12
10 00
2592
365 36
260 22
1720
3200
5000
5000
1600
5000
1600
5000
1600
3500
2701
6483
5574
$8,956 79
Amount PaId
$8,956 79
$8,956 79
5/9/2008