HomeMy WebLinkAboutPermit Building 2005-9-22
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01147
ISSUED: 09/22/2005
APPLIED: 08/24/2005
EXPIRES: 03/22/2006
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 528 Harlow Rd
ASSESSOR'S PARCEL NO.: 1703220002607
Springfield TYPE OF WORK: Tenantlnfill
TYPE OF USE: Alleratiun
PROJECT DESCRIPTION: Tenant InfiIl for Caffe Gourmet and bathrooms only.
Commercial
Owner: DlENS REV LVG TR
Address: 42130 SE 149TH PL
NORTH BEND W A 98045
Phone Number: 425-888-5849
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
. Plumbing
Contractor
CHAMBERS CONSTRUCTION
SUNSET ELECTRIC INC
COMMERCIAL AIR INC
TWIN RIVERS PLUMBING INC
License
II 4258
158859
110075
17695
Expiration Date
05/30/2007
02127/2006
12118/2005
03/11/2007
Phone
687-9445
541-915-4883
541-461-4821
541-688-1444
BUILDING ~FO~~~:~!~ON I
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ftl st Floor:
, Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garnge/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A-2
n/a
I DEVELOPl\l~~T INF?~~MATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
'. Rearyard Setback:
Solar Setbacks:
Overh.y Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Hnndieapped:
Compact:
I PUBLIC IMPROVEME.N!.S I
Street Improvements: .Fnllv..lmnr d
A~ENTION' Jl,regon law rey-um::>-yuv ~e
Stor'P" ~wefutJ.~q'M'Je~ed by the Oregon Utili~es
Special n'1'truel1j1n: P f h
Nolitlcatlon Genter. Those rules are set or!
NoiesPAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of Ihe rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
To Storm Sewer
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PEHMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspedlon Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
Plan Review CommlIndJPubIic
Plan Review Fire & Life Safely
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Clrc Ea Add
Low Voltage - Commercial Indus
Perm ServlFdr 201 to 400 amps
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Building Permit
Fixture
Minimum/Adjustment Mechanical
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Improvement
SDC Transpo Reimbursement
Vent Fan
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
50,000.00
Total Value of Project
~
Amount Paid
Dale I'aid
$240.92
$148.26
$18.30
$12.81
$63.00
$45.00
$75.00
$10.00
$55.57
$38.90
$31.00
$370.65
$140.00
$33.00
$476.65
$626.84
$10.00
$8,765.96
$928.2 I
$99.35
$991.87
$90.00
$8,890.78
$2,036.03
$12.00
8/24105
8/24/05
9/2 1105
9/21/05
9/21/05
9121/05
9/21/05
9122/05
9/22/05
9122/05
9/22/05
9/2 2/05
9/22/05
9/22105
9/22/05
9/22/05
9/22/05
9122/05
9/22/05
9/22/05
9/W05
9122/05
9/22/05
9122/05
9/22/05
$24,210.10
I Plan Reviews I
Paee 2 of 4
. Lilt' OF SPRINul'U,LD
Building/Combination Permit
PERMIT NO: C0I\12005-01147
ISSUED: 09/22/2005
APPLIED: 08/24/2005
EXPIRES: 03/22/2006
VALUE: $ 50,000.00
Value
Date Calculated
$50,000.00
$50,000.00
08/24/2005
Receipt Number
1200500000000001234
1200500000000001234
1200500000000001374
1200500000000001374
1200500000000001374
1200500000000001374
1200500000000001374
2200500000000001316
2200500000000001316
2200500000000001316
2200500000000001316
2200500000000001316
2200500000000001316
220050000000000I316
2200500000000001316
220050000000000I3 16
2200500000000001316
2200500000000001316
2200500000000001316
2200500000000001316
2200500000000001316
2200500000000001316
2200500000000001316
2200500000000001316
2200500000000001316
'. CITY OF SPRI~\d<U.LU
Building/Combination Permit
PERMIT NO: COM2005-01l47
ISSUED: 09/22/2005
APPLIED: 08/24/2005
EXPIRES: 03/22/2006
VALUE: $ 50,000.00
.
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
08/25/2005
09/21/2005
OK
GRG
Initial Review 08/25/2005 08/25/2005 APP LLH
Plapnlne Review 08/25/2005 08/31/2005 APP EMM
Puhllc Works Review 08/25/2005 09/15/2005 APP SB
Structural Review 08/25/2005 08/29/2005 WE JMP
SUB Review 08/25/2005 08/26/2005 WE JF
SUB Review 08/30/2005
Plans Review: Tenant inflll for Cam
Gourmet. Job #COM2005-01147.
OecupanC)' Classilication: A-2.
Construc!ion Type: V-B.
Provide address numbers In
contrasting color from the
background positioned plainly
visible 'lI1d legible from the street or
road fronling the property (2004
Oregon Stnleturul Specialty Code
501.2 and 2004 Springfield Fire
Code 505.1).
Fire extinguisher is shown on Plap
Sheet A-2. Will \'l'rify on Inspection.
I received appl'oval from Sunset
Electric to include their signed
electricullH.'rmit form.
SDCs added. Credit for MWMC
added to this (first) permit. Paying
for all bath,'oomlixlures.
See attached documents for 10
struelural comments faxed to Eric
Hall.
JMP requested missing energy code
forms and worksheet in structural
comments.
JMP faxed 10 page package of
energy ('ode forms nnd information
from Chamhers/llall.
To Request an inspection caU the 24 hour recording at 726-3769. All inspection req nested 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 Rpollirprl T n~,nprtio.ui.l
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Ceiling Grid: After drywall approval hut prior to cover.
Final Fire Department. After all requirements of Ihe Fire Department have been met.
Final Building: After all required Inspections have been requested and approved and the huilding is complete.
Paee 3 of 4
.
. CITY OF SnuJ"j~l'mLD
Building/Combination Permit
PERMIT NO: COM2005-0Il47
ISSUED: 09/22/2005
APPLIED: 08/24/2005
EXPIRES: 03/22/2006
VALUE: $ 50,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Plumbing: Prior to cover and including rcquired testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mecbanical work is complete.
Rougb Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utilily company energizing service.
Low V ollage: Prior to cover.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance wllh
the Ordinances of the City of Springfield and the Laws of lhe State of Oregon pertaining to the wol'l, descl'ihed herein, and
that NO OCCUPANCY wlII 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 aU 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 properly, and the approved set of plans will remain on the sUe at all
times during construction.
J~.~
Owner or Contractors Signature
01/ 2'(.,/0 ~
Date
Paee 4 of 4 ,
\
.225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
"
,.
Job/Journal Number
COM2005-01147
COM2005-0ll47
COM2005-01147
COM2005-01147
COM2005-01147
COM2005-01147
COM2005-01147
COM2005-0ll47
COM2005-01147
COM2005-01147
C,OM2005-0l147
COM2005-0ll47
CbM2005-01l47
,
COM2005-0ll47
COM2005-0ll47
COM2005-0ll47
COM2005-0l147
COM2005-0l147
.
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City of Springfield Official Receipt
.elopment Services Department
Public Works Department
RECEIPT #:
2200500000000001316
Date: 09/2212005
Description
Addressing Assignment
Fixture
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Vent Fan
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 Transpo Admin
SDC Transpo Improvement
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
~ype of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
G,heck
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9/22/2005
DIENS/CHAMBERS
lIh
00001
0000 I In Person
Payment Total:
Page I of I
8:45:40AM
Amount Due
31.00
140.00
33.00
10.00
12.00
626.84
476.65
2,036.03
8,890.78
928.21
8,765.96
10.00
99.35
991.87
90.00
370.65
38.90
55.57
$23,606.81
Amount Paid
$23,606.81
$23,606.81