HomeMy WebLinkAboutPermit Building 2005-4-14
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Status
Issued
-.
.r CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 04/14/2005
APPLIED: 07/02/2004
EXPIRES: 10/14/2005
VALUE: $ 71,450.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 526 Harlow Rd
ASSESSOR'S PARCEL NO.: 1703220002607
Springfield TYPE OF WORK: Retail
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: New Image Car Wash.
Owner: ROBERT DIENS
Address: 41230 SE 149TH PL
NORTH BEND WA 98035
Phone Number: 425-888-5849
I CONTRACTOR INFORMATION I
~\)'\
Contractor .<..~x. ,c.., ",,'V License
PACIFIC NORTHERN.ENVlRONMENTAL G78140
(. ,,- _"'"" <'., l'
SUNSE~~PESJI~tC,}NC 158859
VOS PLUMBINGJINC 41805
BABB"<30NSTRUCTION ,0
. ,_.. .1'.. ... .... \
,,,<r;,. # "'\)""~f.> ~~. BUILDING INFORMATIONf~~~o~,.
~"'\ <xx.~ 0..x.<::J \) \j K.,~\j ~. 9,~" ",'l.,'- ~<;) ;-\
# of Units: ,~~C;, ->,'V~ "",'0<<:; :\. <X # of Stories: ~\fl.J O\fl.J ~0 'll~'~0"'~ot Size:
Primary Occu~an~y.Gr,~iip: \)~ B Height of Str~r~0 ~e'" OW9.\!,Ov ~o<f..lbf.t 1st Floor:
Secondary OccuPaI'~?9ro~: Type of H~l!.fl,O 0'0.0" C,e \ ?8' r}. >is' ~e~ "c,Sii Ft 2nd Floor:
Primary Constructio~~Type VN Water J:ype6Q'fl.J ",-",,0 ~\ov ',e'" ~e ~ o-S> Sq Ft Basement:
Secondary Construction Type: Ra~T>-,~: 1..0\' ,<:)" <:,o~ ,e;". .1....!",~ ~'sq Ft Garage/Carport
-~,.. -n -~ !:) .>;- 0' ~ n"j
# of Bedrooms: j:,;e. ~:,c'l!Ji: ,,<::5 1..'/Ji ~ '" ~v Sq Ft Other:
~~J1'n~' B)!lIdini' 1..'1'\' 9,0" ~ Occupant Load:
. ~ _iN <....f1; _~'\ _<" _,40 . N
: J.- ~ ~
I DEVEU)PMENTJINFORMATION I
, ,
.~' B'J- .~'-9 \V ~'<J
<:)'0 .:if q} '3"
Overlay Dist~ (J
# Street 1'P'~es Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Contractor Type
General
Electrical
Plumbing
, Sewer
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
, Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Expiration Date
12/0512005
02/27/2006
04/04/2006
Phone
503-423-2245
541-9 I 5-4883
541-485-055 I
541-688-2233
6,973
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
Pal!e 1 of8
Description Tvpe of Construction $ Per Sq Ft Square Footage
or multiplier or Bid Amount
Estimate Estimate $1.00 298,380.00
Estimate Estimate $1.00 120,000.00
Estimate Estimate $1.00 7,000.00
Estimate Estimate $1.00 3,000.00
Pavin!! Use Bid Amount $1.00 143,070.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Annexed 1996
Backl10w 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 AddU I 00'
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 AddU I 00'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
.
I Valuation Descriotion ,
Total Value of Project
F pp~ tiIiI.I
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
Date Paid
7/2104
7/2104
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
Pa!!e 2 of8
. LIl}' OF SPRI1~ld<1~LD
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 04/14/2005
APPLIED: 07/02/2004
EXPIRES: 10/14/2005
VALUE: $ 71,450.00
Value Date Calculated
$298,380.00
$120,000.00
$7,000.00
$3,000.00
$143,070.00
$571,450.00
07/0212004
07/02/2004
02116/2005
04/1 3/2005
09/28/2004
Receipt Number
2200400000000000892
2200400000000000892
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 10% Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Perm ServlFdr 201 to 400 amps
Plan Review/Com,lnd,Pub Hourly
+ 10% Administrative Fee
+ 7% State Surcharge
Encroachment Permit
Plan Review/Com,lnd,Pub Hourly
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtI 100'
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Copies - Ea AddtI @ 50 Cnts Ea
Miscellaneous Copy Chgs
Plan Review CommlInd/PubIic
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
Storm Drainage Impervious Area
Plan Review/Com,lnd,Pub Hourly
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review CommlIndlPubIic
Total Amount Paid
.
. CITY OF ::'rKll'lld<II!.LD
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 04/14/2005
APPLIED: 07/02/2004
EXPIRES: 10/14/2005
VALUE: $ 71,450.00
$5.00
$3.50
$50.00
$24.30
$17.01
$123.00
$45.00
$75.00
$135.00
$5.90
$4.13
$120.00
$45.00
$45.00
$14.00
$8.40
$5.88
$84.00
$6.00
$12.00
$54.60
$7.05
$10.35
$0.92
$0.57
$12.40
$45.00
$5.28
$3.70
$52.80
$34.32
10/12/04
10/12/04
10/12/04
10/26/04
10/26/04
10/26/04
10/26/04
10/26/04
12/13/04
12/17/04
12/17/04
12/17/04
12/17/04
12/17/04
12/17/04
3/1/05
3/1105
3/1105
3/1105
3/1105
3/1105
3/1105
3/1105
3/1105
3/1105
3/1/05
4/6/05
4/14/05
4/14/05
4/14/05
4/14/05
1200400000000001460
1200400000000001460
1200400000000001460
1200400000000001519
1200400000000001519
1200400000000001519
1200400000000001519
1200400000000001519
2200400000000001503
2200400000000001527
2200400000000001527
2200400000000001527
2200400000000001527
2200400000000001527
2200400000000001527
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000237
2200500000000000388
1200500000000000445
1200500000000000445
1200500000000000445
1200500000000000445
$45,590.15
I Plan Reviews I
Paee 3 or8
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2004-00814
225 Fifth Street, Springfield, OR ISSUED: 04/14/2005
541-726-3753 Phone APPLIED: 07/02/2004
541-726-3676 Fax EXPIRES: 10/14/2005
541-726-3769 Inspection Line VALUE: $ 71,450.00
Fire Department Review 07/07/2004 OK GRG Plan Review: 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.
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 fire extinguishers with a
minimum rating of2-A:IO-B:C
every 75 feet of travel distance. The
lop oflbe exlinguisher(s) shall be
between 3 and 5 feet above finished
Ooor (Springfield 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 infill submittal
meets or exceeds OSSC Table 10-A
second exit requirements.
Initial Review 07/06/2004 07/06/2004 APP LLH
Initial Review 02/14/2005 02114/2005 APP SKG Added building
Plannine Review 02/14/2005 02115/2005 APP EMM Added building. Copy of plan
added to Site Plan Review file. Mel
ok'd addition without modification
application due to size of addition.
Plan nine 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 SB Encroachment permit application
required prior to work in Public
Easments or CIty Right-of-Way. No
encroachment required for new "y"
for sanitary stub for vacant lot.
SDCs added.
Paee 4 of8
. . CITY OF SPRINGFIELD
Building/Combination Permit
Issued PERMIT NO: COM2004-008I4
225 Fifth Street, Springfield, OR ISSUED: 04/1412005
541-726-3753 Phone APPLIED: 07/02/2004
541-726-3676 Fax EXPIRES: 10/14/2005
541-726-3769 Inspection Line VALUE: $ 71,450.00
Public Works Review 02/14/2005 02/16/2005 APP SB Added Quarterback Station, and
SDCs ($31.29)
Revised Plan Review - Fir 02/14/2005 02/24/2005 OK GRG Revised Plan Review: Addition of a
4 ft by 8 ft CMU structure for a
"greeter." Job #COM2004-00814.
Provide fire extinguishers with a
minimum rating of2-A:10-B:C
every 75 feet of travel distance. The
top of the exlinguisher(s) shall be
between 3 and 5 feet above finished
Ooor (2004 Springfield Fire Code
906).
Revised Plan Review - Fir 07/13/2004 07/15/2004 OK GRG Revised Site Plan Submillal: new
automated car wash and detached
retail shell building. Job
#COM2004-00814. Occupancy
classification: B. Construction type:
V-No Car wash: 1590 sq. fl. 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 tc
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 submillal 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 or
Permits
Revised Plan Review - Str 07/13/2004 07/16/2004 OK JMP Site work by Branch Engineering.
Revised Plan Review - S U 07/13/2004 07/16/2004 OK JF Site work by Branch Engineering.
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 08/0212004 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 02125/2005 02125/2005 APP JMP Received final Internal review.
Paee 5 of8
. . CITY OF ::'r1Ul~ul'mLD,
Building/Combination Permit
Status Issued PERMIT NO: COM2004-00814
225 Fifth Street, Springfield, OR ISSUED: 04/14/2005
541-726-3753 Phone APPLIED: 07/02/2004
541-726-3676 Fax EXPIRES: 10/14/2005
541-726-3769 Inspection Line VALUE: $ 71,450.00
Structural Review 03/31/2005 03/31/2005 APP JMP David Dlens delivered 7 page
package of strnctural calculations
for review of light pole footing
design for lateral and gravity loads.
Structural Review 04/13/2005 04/13/2005 WI JMP David Diens suhmltted changes in
trash enclosure size and location and
truck traffic pattern.
Structural Review 04/14/2005 04/14/2005 APP JMP Received approvals from planning,
public works, and fire.
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 02/14/2005 02/16/2005 WI JMP Added building
Structural Review 09/22/2004 09/22/2004 WE JMP Received em ail and fax from David
Dlens. 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.
Structural Review 09/28/2004 09/28/2004 WE JMP David Diens faxed site work
estimate. Still waiting for energy
code forms and mechanical
information.
Structural Review 10/04/2004 10/0412004 APP JMP Received SUB's approval and called
Dean Schultz for mechanical
equipment entries for Inspections.
Structural Review 10/20/2004 10/20/2004 10 JMP Received fax from Roger with PNE
(contractor) with changes to
drainage system. Also reviewed by
Steve Graham and Steve Barnes.
Approved with no net changes to
fees.
Structural Review 12/01/2004 12/01/2004 10 JMP Received revised Roof Framing Plan
(S2) and calculations to rotate
trusses at retail building.
Structural Review 12/06/2004 12/10/2004 10 JMP Conversations with Roger Packett
and Rene Fabricant and Damlen
Gilbert. Review of pages 29-30,
38-39, and 42-52 due to Joist
substitution and alternate Joist
direction and blocking required.
. Structural Review 12/16/2004 12/16/2004 10 JMP Received from Damien Gilbcrt
calculations and plan for revised
storm outfall.
Paee 6 of8
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 04/1412005
APPLIED: 07/0212004
EXPIRES: 10/1412005
VALUE: $ 71,450.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SUB Review
SUB Review
SUB Review
10/04/2004
02115/2005
07/07/2004
10/04/2004
0212212005
07/16/2004
APP JF
APP JF
WE JF
Added huilding.
JMP requested HV AC and Lighting
forms from Andrew Montgomery.
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 I?P'WiI;rrt In.nections I
Encroachment: After item(s) have heen removed to inspect condition of public right of way.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: After all erosion measures are in place.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
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 constructiou 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 heen 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.
Final Paving: After paving is complete.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Paee 70f8
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 04/14/2005
APPLIED: 07/02/2004
EXPIRES: 10/14/2005
VALUE: $ 71,450.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Water Line: Prior to filling trench and inclnding reqnired 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.
Backflow 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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low V oUage: Prior to cover.
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 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 site at all
times during construction.
~~~'
c~ -
Owner or Contractors Signature
~
4 ilL! J oS::-
DaJ /
Page 8 of8
. 225 Fifth Street
,
\ ~pringfield, Oregon 97477
. 541-726-3759 Phone
.
_~. <aJ;lELD C
wt'-__"'_'H~. .c.c.....,. ."C..c.'.
( .. ", i
" ';
H ;..." '
~ of Springfield Official Receipt
.elopment Services Department '
Public Works Department
RECEIPT #:
1200500000000000445
Date: 04/14/2005
1:IS:07PM
Job/Journal Number
COM2004-00814
COM2004-00814
COM2004-00814
COM2004-00814
Description
Plan Review Comm/1ndlPublic
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
. Payments:
Type of Payment Paid By
Check NEW IMAGE CAR WASH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jmp 1066 In Person
Payment Total:
Amount Due
34.32
52.80
3.70
5.28
$96.10
Amount Paid
$96.10
$96.10
"
,
.I
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)
4/14/2005
Page I of I