HomeMy WebLinkAboutPermit Building 2004-10-11
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 10/06/2004
APPLIED: 07/02/2004
EXPIRES: 04/12/2005
VALUE: $ 561,450.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 526 Harlow Rd
ASSESSOR'S PARCEL NO,: 1703220002607
Springfield TYPE OF WORK: Retail
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: New Image Car Wash
Owner: ROBERT DIENS
Address: 41230 SE 149TH PL NORTH BEND W A 98035
Phone Number: 425-888-5849
... .
I CONTRACTOR.JNF,ORMATlON ,
I .~ii'
~\e~ . \J" Q.'0"
Contractor 0\ \"p->S ~e~Q: 'be' 'i. ,1:I1:l'tticense
PACIFIC NORTHERN~{l~~~1!'~~~~7s140
SUNSET ELECT~~'\ 0 \JI. 'S- O~ 'S-~ \~ ~<1'S81!59
DEAN M. SC[8lI>"(~~"0 '\.~Q"~o~~ r<>Q'~ ",,\'?,fV~r;;.ifJ'l33
VOS PL~~\..~() ~ ~<>~\0 ,'('.0 ':....o'l)'~ 41805
t-\d" ':o~ vJ('lBliIDDiNoi~lloiOO(TION I
"^" '1J.v ,.., 'AI " .
..... ~\r;. ~"~'1J."" ~,,'O' eQ,v~ ~~~
~o O~~ ~o~ ~ec<>;i e~~~
~~. ~\~~ 'I. ".0\ 'j[~~lit of Structure
c# ~'Qe\ vef.ype of Heat:
VN~.;s Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Contractor Type
General
Electrical
Mechanical
Plumbing
Expiration Date
12/05/2005
02/27/2006
02/23/2005
04/04/2006
Phone
503-423-2245
541-915-4883
541-767-0626
541-485-0551
Lot Size:
Sq Ft 1st Floor: 6,973
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq' Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
19.00
nla
~*-
~<,:~~U1RED PARKING
~~~~ ~~"I:
d!- ~~~ ~<iir~dicapped:
~"I. ~~ ~$ Compact:
,,<() ~~ ~
c..~~<3:. ~~
I PUBLIC IMPROVE~:rS:t'~ ~'~~ ~<:::>'V.
~'\:>:..C;) '{ ;~~~~~~Ik Type:
,,~#~~~~ 'b~wnspoutslDrains:
,,<::S ~"
.f'
I DEVELOPMENT INFORMATION ,
FrDntyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Constrnction
Estimate
Estimate
Use Bid Amount
Estimate
Estimate
Pavine:
Fee Description
Plan Review CDmmlIndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee- .
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Annexed 1996
BackfIow Device
Building Permit
Fixture
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Paving
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00t
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 Addtll00t
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each Addtll00t
+ 10% Administrative Fee
+ 7% State Surcharge
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 10/06/2004
APPLIED: 07/0212004
EXPIRES: 04/12/2005
VALUE: $ 561,450.00
I Valuation Descrintion ,
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
298,380.00
120,000.00
143,070.00
Value
Date Calculated
$298,380.00
$120,000.00
$143,070.00
$561,450.00
07/0212004
07/02/2004
09/28/2004
Total Value of Project
Fpp< PiWiJ
Amount Paid
$1,022.55
$629,26
$10,00
$298.11
$159.07
$31.00
$-181.24
$56.00
$1,602.40
$224.00
$24.00
$9,00
$708,65
$321.10
$197.60
$45,00
$676,36
$889.48
$70,00
$10,00
$1,536,49
$2,256,61
$526,40
$1,325,28
$19,493,88
$4,419,45
$7,932.59
$45.00
$84.00
$12.00
$45,00
$56,00
$5,00
$3,50
Date Paid
Receipt Number
7/2/04
7/2104
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
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10/6/04
10/6104
10/6104
10/6104
10/6/04
10/6/04
10/6104
10/12/04
10/12/04
Paee 2 of6
2200400000000000892
2200400000000000892
2200400000000001249
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2200400000000001249
2200400000000001249
2200400000000001249
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2200400000000001249
2200400000000001249
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2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
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2200400000000001249
2200400000000001249
2200400000000001249
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2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
1200400000000001460
1200400000000001460
. . CITY OF ~rKll'lGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2004-00814
225 Fifth Street, Springfield, OR ISSUED: 10/0612004
541-726-3753 Phone APPLIED: 07/02/2004
541-726-3676 Fax EXPIRES: 04112/2005
541-726-37691nspection Line VALUE: $ 561,450.00
Temp Power 200 amps or less $50,00 10112/04 1200400000000001460
Total Amount Paid $44,593.54
Plan Reviews I
Fire Department Review 07/07/2004 OK GRG Plan Review: new automated car
wash and detached retail shell
building. Job #COM2004-00814.
Occupancy classification: D.
Construction type: V-No Car wash:
1590 sq. ft. Retail shell building:
2000 sq. ft.
Provide address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (1998
Oregon Structural Specialty Code
502 and 1997 Springfield Uniform
Fire Code 901.4.4).
Provide lire extinguishers with a
minimum rating" of 2-A: 10-D:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
Door (Springlield Uniform Fire
Code 1002.1).
Provide illuminated exit sign age
meeting requirements of OSSC
1003.2.8
Retail shell building: Doors shall be
required to swing out as a second
exit door if occupant load of
proposed future inlill submittal
meets or exceeds OSSC Table 10-A
second exit requirements.
Initial Review 07/06/2004 07/06/2004 APP LLH
Plannine Review 07/07/2004 07/08/2004 APP EMM To be built as per approved Final
Site Plan Review and Development
Agreement
Public Works Review 07/07/2004 07/09/2004 APP SD Encroachment permit application
required prior to work in Public
Easments Dr CIty Right-of-Way.
SDCs added.
Paee30f6
. . CITY OF /)rKll'luFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2004-00814
225 Fifth Street, Springfield, OR ISSUED: 10/06/2004
541-726-3753 Phone APPLIED: 07/0212004
541-726-3676 Fax EXPIRES: 04/12/2005
541-726-37691nspectIDn Line VALUE: . $ 561,450.00
Revised Plan Review - Fir 07/13/2004 07/15/2004 OK GRG Revised Site Plan Submittal: new
automated car wash and detached
retail shell building. Job
#COM2004-00814. Occupancy
classification: B. Construction type:
V-No Car wash: 1590 sq. ft. Retail
shell building: 2000 sq. ft.
Site plan sheet C-3 shows location of
new hydrant. A three foot clear
space shall be maintained around te
circumference of the fire hydrant
(Springfield Uniform Fire Code
1001.7.2).
Revised Plan Review - Pia 07/13/2004 07/14/2004 APP EMM Must be built exactly as per
approved Final Site Plan Review
and Development Agreement
DRC2004-00018. Any modification
will require the submittal and
approval of a Land Use application -
Modification of Site Plan Review.
Revised Plan Review - Pu 07/13/2004 07/15/2004 APP SB No changes Impacting SDCs Dr
Permits
Revised Plan Review - Str 07/13/2004 07/16/2004 OK JMP Site work by Branch Engineering.
Revised Plan Review - SU 07113/2004 07/16/2004 OK JF Site work by Branch Engineering.
Structural Review 07/06/2004 07/07/2004 WE JMP See attached fax sent to Andrew
Montgomery requesting Special
Inspection forms and cost/value
verification. See additional fax of
structural comments sent on
7/16/2004.
Structural Review 07/23/2004 07/23/2004 WE JMP Received fax from Andrew
Montgomery addressing structural
review. Approved 4 additional
drawings, Still waiting for energy
code forms, special Inspection forms,
and contractor's bid.
Structural Review 08/02/2004 08/02/2004 OK JMP Received Special Inspection forms
from David Diens. Gave him and
Brad Rogers earlier a list of Items
that we are still waiting to receive.
Structural Review 09/22/2004 09/22/2004 WE JMP . Received email and fax from David
Diens. Changed general and
plumbing contractors, reviewed
special inspection forms and
building cost estimate. Called David
to remind him that we still are
waiting for the confirmation on site
work cost/value, energy code forms,
and mechanical data.
Page 4 of6
.
. Lll f OF ~rK11~uNELD
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 10/06/2004
APPLIED: 07/02/2004
EXPIRES: 04/12/2005
VALUE: $ 561,450.00
Structural Review
09/28/2004
09/28/2004
WE JMP
David Diens faxed site work
estimate. StlU waiting for energy
code forms and mechanical
Information.
Received SUBts approval and called
Dean Schultz for mechanical
equipment entries for Inspections.
JMP requested HV AC and Lighting
forms from Andrew Montgomery.
Structural Review
10/0412004
10/04/2004
APP JMP
SUB Review
07/07/2004
07/16/2004
WE JF
SUB Review
10/04/2004
10/04/2004
APP JF
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.
Ill'p~
Encroachment: After item{s) have been removed to Inspect condition of public rlgbt or way.
Site Inspection: To be made after excavation but prior to setting forms.
Backfiow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Temporary Electric: Approval required prior to Utility Company energizing pole.
Erosion/Grading Inspection: After all erosion measures are In place.
Ufer Electrical Ground: Install ground rod at footing and call for Inspection in conjunctlon'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.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to Installing any roof covering.
Drywall: Prior to taping.
Masonry:
High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide Inspection
results to City Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide Inspection test
results to City Building Inspector.
Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to
City Building Inspector.
Final Fire Department. After all requirements of the Fire Department have been met.
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.
Paee 5 of6
.
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 10/06/2004
APPLIED: 07/02/2004
EXPIRES: 04/12/2005
VALUE: $ 561,450.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspecllon Line
Final Paving: After paving Is complete.
Underslah Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and Including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
InformallDn 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 ofany 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 slle at all
times during construction.
Owner or Contractors Signature
Date
Paee 6 of6
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
8P~.. .':....
~
IILti '
a;ty of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
RECEIPT #:
1200400000000001460
Date: 10/12/2004
8:30:16AM
Job/Journal Number
COM2004-00814
COM2004-00814
COM2004-00814
Description
+ 7% Stale Surcharge
+ 10% Administrative Fee
Temp Power 200 amps or less
Payments:
Type of Payment Paid By
CreditCard SUNSET ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Nnmher Nnmber .How Received
djb 787256 In Person
Payment Total:
Amount Due
3,50
5,00
50,00
$58.50
Amount Paid
$58.50
$58,50
10/12/2004
Page 10fI
225 ~ll' Ul STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-3689
ELEctRICAL PERMIT APPUCATION
City Job Number C c::J<.4.\Z60l{ - c> 0 '8' I"l
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C, ?n I-VA f Inn J .t!~ Sflc\
LEGAL DESCRIPTION
(70'S 2200 D Z(;o 7
.'
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JOB DESCRIPTION
IfWl,I) ..[6~.
Permits Jre nDn-transfel'1lble and expire if work is Each Manufuct'd Home or
,. not started within 180 days of issuance or if work.is Modular Dwelling Service or
Suspended for 180 days. Feeder
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2. ~&:1@~~Bfri>9?~~'~~i[7~!t~~~~~~1~~T~~
,n ~~ ,ll ~0 \f;r;!!-?0 ,,(J\'
Electrical Contractor ')u(lW',t- ~'1:ti~.:r~ ,,';'200 4inPs orless $ 63,00
--= ~ ",' ~'" ",',
(' 0,0 0 '(jl ~ 0 ~'201 ~ps to 400 Amps $ 75,00
Address ~all2~',,*o_ 0'0 ,~o'oS' ~e46~~psto6ooAmPS $125,00
.!t..~ ~e'. '\.". :o..'d \.e ,\(j<> ...1
/: \\Y"_O:~~~.M>~~,~-e ~(601 Amps tei 1000 Amps $163,00
City '-! ...<.J'1 'W~~'l: ,~.,:i;J"5itJ-UZ-..::j,~~"" ro~er 1000 AmpsIVolts $375,00
/ _\o;$l LQ. ~ ~" ~'0" <160<;>0 ~'!>?,:~ Reconnect Only $ 50,00
V' O'f"~rP' c:JIl O~ !:II;)'
..~~~ ~', ,.'lJ 1ii?.~~"",",,"'=-~-i""""~"'~..!;1i!!r,;ifi\(~~il:~
Supervisor License Num~,V"' ~ ~"'?- ~ C. ~Ror.!lr,y.S.!'."1'lc""Ds.,Fee~"':..~"7~'".il"""'_11O!>t~~~
Expiration Date / () -IJ f ~
Constt, Contt, Number IS g 85'9
Expiration Date
{J;}. - Ofo
~.
Owners Name ~.0IQt- ~~ <;.
Address l11 Z30 ;sk.- 11./ '7 J-l..
City j/ /],&.i c( I Phone
'viA
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
r.~~~\> 09
\).]V rvl,\9
Installation, Alteration or Relocation -
200 Amps or less -L $ 50,oo<iD. 6l),
201 Amps to 400 Amps ,\$ 69,00
401 Amps to 600 Amps _,~'(';;'" $100,00
. .~ - .
D.~~i~~~~~~-
NewAlteration'or EX~i~'Pe~el -
One Circuit ~~ Q.. '\~ ~<::s $ 43.00
Each AdPitio~ <6iictlh;or ~
Servi<;.e:~p'Ee~r,~~ ,,<;). $ 3,00
~,... ~'<:-'A~ 'V',.<i::o'V
l!i~i~~,<"j):"",....'h~--...""",,~....~~..,,-,~
E. ~~'\)~~~~CeJf~,~~!'J;~~,!_!1.lt~);;;!!.~J&!-W!,~,L.:2i!~
Pump :fr~f~o~ ' $ 50,00
Sign/Outl~\{ighting $ 50,00
Limited EnergylResidential $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
4. ~UltO_ TA:li.":'':#6maVE~~&~., _ .,.. ')0
s~~---:--";7"~V":O~~~'h.~~~
7% State Surcharge ,
10% Administrative Fee
.,-0
')
'7'-''''''
'5''''
SB-
TOTAL
Shared. OrivdT:VBui1dina FonnslElectriClll Pennit Applicnlion 1..o3.doc