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Home My WebLink AboutPermit Building 2005-06-02Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/08/2005EXPIRESz 0412712006VALUE: $ 1,379,424.00 SITE ADDRESS: 1210 Mohawk Blvd ASSESSOR'S PARCEL NO.: 1703253310100 PROJECT DESCRIPTION: New retail building. Springfield TYPE OF WORI(: Retail TYPE OF USE: New Commercial PhoneNumber: 843-849-5455Owner: Address: C3INVESTMENTS 220 CHURCH STREET, SUITE 101 MOUNT PLEASANT SC 29464 Contractor Type Architect General Electrical Mechanical Plumbing Sewer Contractor BAYSINGERPARTNERS JOSEPH HUGHES CRAWFORD MICHAEL SCOTT TOMS PLUMBING EUGENE SAND & GRA c0 .Expiration Date ires you tonw requ by the Oregon Utility -001-001 may o the center.ote: the telephone I Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Phone 503-546-1600 503-624-7100 503-4484000 54t-942-8339 541-607-8879 541-683-6400 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: OR IS PERIOD. M VB 28.00, Gas Electric Path 1 nla r 14,409 REQUIRED PARKING Total: Handicapped: Compact: i DEVELOPMENT INFORMATI( Notes: ANY 180 DAY Pase I of7 q { LrJl\ l l(AL l uK rN rl llSlvrAl:FlNl Status Issued 225 F'ifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005 APPLIED: 02/0812005 EXPIRESz 0412712006VALUE: S 1,379,424.00 Description Estimate Estimate Pavins Tvpe of Construction Estimate Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 Square Footage or Bid Amount 1,199,566.00 20,000.00 159,858.00 Value $1,199,566.00 $20,000.00 $159,858.00 $1,379,424.00 Date Calculated 04n5t2005 08n2t2005 04ltst200s Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0Vo Administrative Fee + 7%o State Surcharge Temp Power 200 amps or less -Mechanical Issuance Fee- + l0o/o Administrative Fee + lYo State Surcharge Add, Alter, Extend Circ Ea Add Appliance Not Listed Backflow Device Building Permit Curbcut - Additional Driveway Curbcut - Additional Driveway Curbcut - Additional Driveway Encroachment Permit Fixture Furnace - more than 100,000 Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Low Voltage - Commercial Indus Paving Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 601 to 999 amps Plan Review Comm/Ind/Public Plan Review Fire & Life Safety PW Disc - 2nd Permit (Street) PW Disc - 3rd Permit (Street) Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement Amount Paid Total Value of Project Date Paid Receipt Number 1200s00000000000169 1200500000000000169 3200500000000000200 3200500000000000200 3200500000000000200 1200s00000000000718 1200500000000000718 1200500000000000718 1200500000000000718 1200s00000000000718 1200500000000000718 1200500000000000718 1200500000000000718 r200500000000000718 1200500000000000718 r200500000000000718 1200s00000000000718 1200500000000000718 1200500000000000718 r200500000000000718 1200500000000000718 12005000000000007r8 1200500000000000718 1200500000000000718 1200s00000000000718 1200500000000000718 1200s00000000000718 1200s00000000000718 r200500000000000718 1200s00000000000718 1200s00000000000718 1200s00000000000718 1200500000000000718 1200s00000000000718 $2,691.42 $1,656.26 $5.00 $3.s0 $50.00 $10.00 $687.93 $428.31 $630.00 $9.00 $42.00 $4,140.65 $40.00 $40.00 $40.00 $r30.00 $406.00 $4s.00 $36.00 $4.00 $2.00 $45.00 $760.65 $315.00 $163.00 $338.00 $208.00 $-30.00 $-30.00 $4s.00 $14.00 $1.04 $93.1r $1,518.08 2t8t05 2l8l0s 5/10/05 5/r0/05 5/10/05 6t2t05 6t2t0s 612105 6t2t05 6t2t0s 6t2t05 6t2t05 612t05 6t2t0s 6t2t05 6t2t0s 6t2t05 6t2t05 6t2tos 6t2t05 6t2t05 6t2tos 6t2t05 6t2t05 6t2t05 6t2t05 6t2t0s 6t2t05 6t2t0s 6t2t05 6t2t05 6t2t05 6t2t05 6t2t05 Fees Paid Paee2 of7 L Valuation Descriotion I Building/Combination Permit Status Issued 225Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/0812005EXPIRESz 0412712006VALUE: $ 1,379,424.00 SDC Transpo Reimbursement Sidewalk Permit + Addtl Sq Ftg Sign - Outline Lighting Each Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100r - Vent Fan Water Line - lst 50 Feet + l0Yo Administrative Fee + lYo State Surcharge " Low Voltage - Commercial Indus + l0Yo Administrative Fee + 1Yo Stete Surcharge Building Permit PIan Review Commflnd/Public Plan Review Fire & Life Safety PIan RevieilCom,Ind,Pub Hourly Total Amount Paid $344.r2 $87.20 $50.00 $20.77 $45.00 $70.00 $r2.00 $4s.00 $4.50 $3.15 $45.00 $18.s4 $r2.98 $18s.40 $120.s1 $74.16 $90.00 $15,766.28 6t2t05 6t2t0s 6t2t05 6t2t0s 6t2t05 6t2t0s 6t2t0s 6t2t0s 9t27t05 9t27tls 9t27105 tuu05 tuu05 tUu05 tuu05 tUu05 tuu05 1200s00000000000718 1200500000000000718 1200s00000000000718 1200500000000000718 r200500000000000718 1200500000000000718 1200500000000000718 1200500000000000718 1200500000000001411 1200500000000001411 1200500000000001411 2200s00000000001s28 2200s00000000001s28 2200500000000001528 2200500000000001528 2200s00000000001s28 2200500000000001528 Plan Reviews Fire Denartment Review 0210912005 03/09/200s OK GRG Fire Department Review 0612912005 06t29t200s OK GRG Fire Department Review 0712812005 07t28t2005 OK GRG Fire Department Review l0llll2005 10/18/2005 OK GRG Fire Department Review 1011712005 10n7t2005 OK GRG APP SKG See attached document for Fire Department Plans Review comments. PIan Review: Underground stub-up for building lire sprinkler system. Job #COM2005-00154. Designer: Mike Tennant. Contractor: Omlid and Swinney. Plans rppear to meet code requirements. Plans Review: Minimum fire alarm system for sprinkler and IfVAC monitoring. Job #COM2005-00154. Contractor: ADT Tyco Fire and Security Services. Plans appear to meet code requirements. Plans Review: Rack storage plans. Job #COM2005-00154. Elevation drawings show height ofracks at 8 and 10 feet. Plans appear to meet code requirements. Plans Review: Fire sprinkler system for Walgreenrs. Job #COM2005-001 54. Designer: Sean Fenneran. Contractor: Omlid and Swinney. Plans appear to meet code requirements. Initial Review 02t09t2005 02t09t2005 Paee 3 of 7 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00I54ISSUED: 0610212005 APPLIED: 02/0812005 EXPIRESz 0412712006VALUE: $ 1,379,424.00 Planning Review 02t09t200s 0s10412005 APP EMM Public Works Review 02t0912005 04t2512005 wr sB Public Works Review 05i19/200s 051191200s Io sB Public Works Review 05t25t200s 051251200s APP SB Public Works Review 08t04t2005 08/04/200s APP SB Revised Plan Review - Fir 0712212005 08/08/2005 OK GRG Waiting for approval of final site plan and Development Agreement. Ashley Deforrest is planner. Development Agreement signed st4t0s. SDCs added, curbcuts and sidewalk permits added. Encroachment fee added. Encroechment Application and LDAP applications required. Called Tom's plumbing and noffied them of the plan discrepancy Ram Meier found on Sheet P.1.1. It shows the in-slab plumbing being aligned for pipe flows exiting to the East of the building, where sheet C-l shows sanitary piping leaving the building on the West Side. LDAP is ready to issue. Applicant says that they delivered the DEQ-1200-C permit today. Please ensure that the applicant is reminded, again, to submit an encroachment permit application when he picks up the Permits. Application to revised loading dock area and add another door are approved. Applicants proposal is for no new squtre footage, nor impervious surface, nor new drainage fixtures, hence no new SDCs Plans Review Revision: Addition of exit door on south side of building and other modifications. Job #coM2005-00r54. No change in plans review commentt from March 9,2005. Exit sign shown over new south side exit on Plan Sheet ASI 1.2. Will verify on inspection. Need added valuation. See attached documents for 11 structural comments faxed to William M. Ruecker. Revised Plan Review - Pla Revised Plan Review - Pu Revised PIan Review - Str Revised Plan Review - SU Structural Review 07t22t2005 07t2212005 07t2212005 08/09/200s 02t0912005 07t2512005 07t22t2005 02n6t2005 APP WE WE EMM JMP JMP Paee 4 of7 \I o Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/0812005EXPIRESz 0412712006VALUE: $ 1,379,424,00 Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review SUB Review 03t04t2005 03t04t2005 IO JMP 03t29t200s 03t29t2005 IO JMP 04n4t200s 04n4t200s ro JMP 04fi9t2005 04t19t2005 IO JMP 0s126t2005 05t26t2005 APP JMP 07t1st200s 07n5t200s WE JMP 08/09/2005 08/09/2005 IO JMP See attached cover for plumbing comments faxed to William M. Ruecker. See attached cover for 8 pages of structural and plumbing comments faxed to William M. Ruecker per Jesse McMillan's request to replace their lost copies. WI. Received fed ex package from William Ruecker addressing the structural comments. Called William Crawford and requested an original signature and complete information on the Electrical Permit Application. WI. William Crawford mailed an electrical permit application with his original signature. Received final internal review with a note that an encroachment permit application is still due. Called Bill Ruecker and requested a second set of all of the revisions. He will send them next week Called Fred Weingardner to obtain the added value for the submitted revisions. He referred me to Dwayne Carver and I Ieft a voice mail requesting the added valuation. Called and received verbal valuation estimate from Dwayne Carver. Received package with racking information. BiIl Ruecker said no additional value. He inquired about the previous revised drawings and I told him they are still at the front counter waiting for the contractor to pay the fees and pick them up. Received final internal review. 08n2t2005 10nu2005 10/18/200s 02mt2005 08t12t200s 10nU2005 10/18/200s 02t23t2005 APP WI APP APP JMP JMP JMP JF To Request an inspection call the24 hour recording at 726-3769. AII 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. 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. Pase 5 of 7 Reouired fnsnections Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax" 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/0812005 EXPIRESz 0412712006VALUE: $ 1,379,424.00 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. 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. 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 lilling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Site Inspection: To be made after excavation but prior to setting forms. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Low Voltage: Prior to cover. 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 and/or foundation inspection. Footing: After trenches are excavated. 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. Paee 6 of 7 \TIt Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/08/2005EXPIRES: 0412712006VALUE: $ 1,379,424.00 Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Drywall: Prior to taping. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certilied Inspector. Provide results to City Buiding Inspector Roof Sheathing/l{ailing: Before covering sheathing with finish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. Ceiling Grid: After drywall approval but prior to cover. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 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 Buitding Inspector. Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to City Building Inspector. 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 Springlield 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 construction. Owner or Contractors Signature Date PaseT of7 LI 225Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone -City of Springfield Oflicial Receipt :velopment Services Department Public Works Department RECEIPT #: 2200500000000001528 Date: lll0ll2005 11:24:48AM Job/Journal Number coM2005-00154 coM2005-00154 coM200s-001s4 coM2005-00154 coM2005-00154 coM2005-001s4 Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Building Permit + 7o/o State Surcharge + l0o Administrative Fee Plan ReviedCom,Ind,Pub Hourly Amount Due l20.s l 74.16 185.40 12.98 18.54 90.00 Item Total:$s0l.s9 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check JHC COMMERCIAL LLC djb 382s4 In Person $501.59 Payment Total: -$SioTF ,l t ( ry,/200s Page I of I rFxil** I Ynac- -{he followi sr' *r *}HLSr,,,,,,.,, 225 FIFTH STREET r SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (54 ELE CTRI CAL PE RM IT APP LI CATI ON City Job Number 1e 1/1 20 01 c e / r;L/Date ri.:il tr(lZ€0 /7/n /h/h"tk B/,,r/, 1. LOCAT-ION OF INSTALI-AI'ION -o 3. COTIIPLE:TE FEE SCHEDULE BELOW A.Neu Residential - Single or r\Iulti-Famil.v- per drtelling unit- Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder s50.00 B. Services TOTAL 5z6r LEGAL DESCRIPTION 0 JOB DESCzuPTION Permits are non-tran and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. 90NTRACTORTNSTALLA',TION ONLY Address ctv tfi-?kti5*ltf, -Phone 8!LZf - Sf--5c OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: $106.00 $ 19.00 Electrical Contractor Address IS ABANTIUNEI'ffi&.oo Yno"" {07 ^ J{{^?qg?$375.00 $ 50.00Reconnect Only Supervisor License Number LE C. Tenrporarl'' Services or Feeders Expiration Date Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100'00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits " Constr. Contr. Number Expiration Date ?- Signature of g Electrician New Alteration or Extension Per Panel One Circuit $ 43.00 20 40 60 City ownersuurn" C3 D.r*,1."^g.6 Each Additional Circuit or with Service or Feeder Permit $ 3'00 zg E. Nliscellaneous (Servicelfeeder nol inclutled) -Each Installation Sf Pu*p or irrigation $ 50.00 SignrOutline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial / . $ 45.00 L"/ f Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4, SUBTOTALOFESO\E ' ! LI f 7oo State Surcharge i t f 10% Administrative Fee U fo Inspection Request: 726-37 69 Shared Drive(T:)/Building Foruu/Electrical Penuit Application t-03.doc 4t "' / il'{: dl '' /uLzl{L fr,t':, i" Status Issued 225 Fitth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/0812005 EXPIRES: 05/0312006VALUE: $ 1,379,424.00 SITE ADDRESS: 1210 Mohawk Blvd ASSESSORTS PARCEL NO.: 1703253310100 PROJECT DESCRIPTION: New retail building. Springfield TYPE OF WORI(: Retail TYPE OF USE: New Owner: Address: Contractor Type Architect General Electrical Mechanical Plumbing Sewer # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: C3INVESTMENTS 220 CHURCH STREET, SUITE 101 MOUNT PLEASANT SC 29464 Commercial PhoneNumber: 843-849-5455 Expiration DateContractor License BAYSINGER PARTNERS ARCHITECTURE JOSEPH HUGHES CONSTRUCTION INC. CRAWFORD ELECTRIC CO INC 58969 150189MICHAEL SCOTT TOMS PLUMBING 5l{AtIEUGENE SAND & 0u23t2006 !ofiftnrnooo tu0912006 Phone s03-546-1600 s03-624-7100 s03-448-4000 541-942-8339 541-607-8879 541-683-6400 M VB Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I 28.00 Gas Electric Path 1 nla 14,409 REQUIRED PARKING Total: Handicapped: rffii,$fiffiffiffi';ffi'n law requires loudomPact: by the Oregon Utility fication Center. Those rules are set forth num CONTRACTOR INFORMATION I I I t::-E!trllLlri,ill DEVELOPMENT INFORMATION Notes: Page I of8 in copies of the rules \m Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 2637 69 Inspection Line OF Building/C ombination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/081200sEXPIRES: 05/0312006VALUE: $ 1,379,424,00 Description Estimate Estimate Paving Type of Construction Estimate Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 Square Footage or Bid Amount 1,199,566.00 20,000.00 159,858.00 Value $1,199,566.00 $20,000.00 $159,858.00 $1,379,424.00 Date Calculated 04115t2005 08n2t2005 04fi't200s Fee Description Plan Review Comm/Ind/Public PIan Review Fire & Life Safety + l0Yo Administrative Fee" + 7oh State Surcharge Temp Power 200 amps or less -Mechanical Issuance Fee- + l0Yo Administrative Fee + lYo State Surcharge Add, Alter, Extend Circ Ea Add Appliance Not Listed Backllow Device Building Permit Curbcut - Additional Driveway Curbcut - Additional Driveway Curbcut - Additional Driveway Encroachment Permit Fixture Furnace - more than 100,000 Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Low Voltage - Commercial Indus Paving Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 601 to 999 amps Plan Review Comm/Ind/?ublic Plan Review Fire & Life Safety PW Disc - 2nd Permit (Street) PW Disc - 3rd Permit (Street) Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100r SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement Amount Paid $2,691.42 $1,656.26 $s.00 $3.s0 $s0.00 $10.00 $687.93 $428.31 $630.00 $9.00 $42.00 $4,140.65 $40.00 $40.00 $40.00 $130.00 $406.00 $45.00 $36.00 $4.00 $2.00 $4s.00 $760.6s $315.00 $163.00 $338.00 $208.00 $-30.00 $-30.00 $4s.00 $14.00 $1.04 $93.r1 $1,518.08 Total Value of Project Date Paid 2t8t05 2t8t05 s/l0/05 5/10/05 5/10/05 6t2t05 6t2t05 6t2t05 612t05 612t05 6t2t0s 6t2t05 6t2t05 6t2t05 6t2t05 6t2t05 6t2t05 6t2t05 6t2t05 6t2t05 6t2t05 6t2t0s 6t2t0s 6t2t0s 6t2t0s 6t2t05 6t2t05 6t2t05 6t2t05 6t2t0s 6t2t0s 6t2t05 6t2t05 612105 Receipt Number 1200500000000000169 1200500000000000169 3200500000000000200 3200500000000000200 3200s00000000000200 1200s00000000000718 1200500000000000718 1200s00000000000718 1200500000000000718 1200500000000000718 12005000000000007r8 1200500000000000718 1200500000000000718 1200s00000000000718 1200500000000000718 r200500000000000718 1200s00000000000718 r200s00000000000718 1200s00000000000718 1200s00000000000718 r200500000000000718 1200500000000000718 1200500000000000718 r200500000000000718 1200500000000000718 1200500000000000718 r200s00000000000718 1200500000000000718 1200s00000000000718 1200500000000000718 1200500000000000718 1200500000000000718 1200500000000000718 1200500000000000718 Fees Pnid Paee 2 of 8 h Valuation Descrintion I F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fa,x 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/0812005 EXPIRES: 05/0312006VALUE: $ 1,379,424.00 SDC Transpo Reimbursement Sidewalk Permit + Addtl Sq Ftg Sign - Outline Lighting Each Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Vent Fan Water Line - lst 50 Feet + l0Yo Administrative Fee + lVo State Surcharge Low Voltage - Commercial Indus + l0o/o Administrative Fee + 7%o State Surcharge Building Permit Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Plan RevieilCom,Ind,Pub Hourly + l0o/o Administrative Fee + 7%o State Surcharge Low Voltage - Commercial Indus Total Amount Paid $344.12 $87.20 $s0.00 s20.77 $45.00 $70.00 $12.00 $4s.00 $4.50 $3.r5 $45.00 $18.54 $12.98 $185.40 $120.51 $74.16 $90.00 $4.50 $3.1s $4s.00 $15,818.93 6t2t05 6t2t0s 6t2t0s 6t2t0s 6t2t0s 6t2t05 6t2t05 6t2t0s 9t27t05 9t27t05 9t27tls tuu05 tuu05 tuu05 tuu0s tuu05 tuu05 tU3l05 tu3t05 11/3/05 1200s00000000000718 1200500000000000718 1200500000000000718 1200500000000000718 r200s000000000007r8 r200s00000000000718 1200500000000000718 r200s00000000000718 1200500000000001411 1200500000000001411 1200500000000001411 2200500000000001528 2200500000000001528 2200500000000001s28 2200s0000000000r528 2200500000000001528 2200500000000001528 2200500000000001533 2200500000000001533 2200500000000001533 Plan Reviews Fire Department Review 0210912005 03t09t2005 OK GRG Fire Department Review 0612912005 0612912005 OK GRG Fire Department Review 0712812005 0712812005 0K GRG OK GRGFire Department Review l0llll2005 l0/18/2005 Paee 3 of8 See attached document for Fire Department Plans Review comments. Plan Review: Underground stub-up for building lire sprinkler system. Job #COM2005-00154. Designer: Mike Tennant. Contractor: Omlid and Swinney. Plans eppear to meet code requirements. Plans Review: Minimum fire alarm system for sprinkler and IIVAC monitoring. Job #COM2005-00154. Contractor: ADT Tyco Fire and Security Services. Plans appear to meet code requirements. Plans Review: Rack storage plans. Job #COM2005-00154. Elevation drawings show height of racks at 8 and 10 feet. Plans appear to meet code requirements. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/0812005EXPIRES: 05/0312006VALUE: S 1,379,424.00 Fire Department Review 1011712005 t0n7t200s oK GRG Plans Review: Fire sprinkler system for Walgreen's. Job #COM2005-00154. Designer: Sean Fenneran. Contractor: Omlid and Swinney. Plans appear to meet code requirements. Waiting for approval of linal site plan and Development Agreement. Ashley Deforrest is planner. Development Agreement signed 5l4los. SDCs added, curbcuts and sidewalk permits added. Encroachment fee added. Encroachment Application and LDAP applications required. Called Tom's plumbing and notified them of the plan discrepancy Ram Meier found on Sheet P.1.1. It shows the in-slab plumbing being aligned for pipe flows exiting to the East of the building, where sheet C-l shows sanitary piping leaving the building on the West Side. LDAP is ready to issue. Applicant says that they delivered the DEQ-1200-C permit today. Please ensure that the applicant is reminded, again, to submit an encroachment permit application when he picks up the Permits. Application to revised loading dock area and add another door are approved. Applicants proposal is for no new square footage, nor impervious surface, nor new drainage fixtures, hence no new SDCs Plans Review Revision: Addition of exit door on south side of building and other modifications. Job #coM2005-00154. No change in plans review commentt from March 9,2005. Exit sign shown over new south side exit on Plan Sheet ASI 1.2. Will verify on inspection. Initial Review Planning Review 02t09t2005 02t09t2005 02t09t2005 05t04t2005 SKG EMM APP APP Public Works Review 02t09t2005 04t25t200s wI sB Public Works Review 0s/19/200s 05n9t2005 ro sB Public Works Review 05125t2005 05t25t2005 APP SB Public Works Review 08t04t200s 08/04/2005 APP SB Revised Plan Review - Fir 0712212005 08/08/200s oK GRG 07t25t2005 APP EMM Page 4 of 8 Revised Plan Review - Pla 0712212005 F Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/0812005EXPIRES: 05/0312006VALUE: $ 1,379,424.00 Revised Plan Review - Pu Revised Plan Review - Str Revised Plan Review - SU Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review SUB Review 03t04t200s 03t04t200s ro JMP 03t29t2005 03t29/2005 IO JMP 04n4t2005 04/1412005 IO JMP 04n9t2005 04n9t2005 Io JMP 0512612005 05t26t2005 APP JMP 0711512005 07n512005 wE JMP 08/09/200s 08/09/2005 Io JMP Need added valuation. See attached documents for 11 structural comments faxed to William M. Ruecker. See attached cover for plumbing comments faxed to William M. Ruecker. See attached cover for 8 pages of structural and plumbing comments faxed to William M. Ruecker per Jesse McMillanrs request to replace their lost copies. WI. Received fed ex package from William Ruecker addressing the structural comments. Called William Crewford and requested an original signature and complete information on the Electrical Permit Application. WI. William Crawford mailed an electrical permit application with his original signature. Received final internal review with a note that an encroachment permit application is still due. Called Bill Ruecker and requested a second set of all of the revisions. He will send them next week. Called Fred Weingardner to obtain the added value for the submiffed revisions. He referred me to Dwayne Carver and I left a voice mail requesting the added valuation. Called and received verbal valuation estimate from Dwayne Carver. Received package with racking information. BilI Ruecker said no additional value. He inquired about the previous revised drawings and I told him they are still at the front counter waiting for the contractor to pay the fees and pick them up. Received linal internsl review. 07t22t2005 07t22t2005 08/09/2005 02t09t200s 08n2t200s t0mt2005 10/18/2005 02trU200s 07t22t2005 02tr6t2005 08n2t2005 10nU2005 10/18/2005 02123t200s WE WE APP APP APP JMP WI JMP JMP JMP JMP Pase 5 of 8 JF Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/0812005EXPIRES: 05/0312006VALUE: $ 1,379,424.00 Rpnrrirpd fnsneefinns 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. 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. Final Paving: After paving is complete. Underslab Plumbing: Prior to fiIling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to lilling trench and including required testing. Sanitary Sewer Line: Prior to lilling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Low Voltage: Prior to cover. SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Page 6 of 8 I ral To Request an inspection call the24 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. Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 0210812005EXPIRES: 05/0312006VALUE: $ 1,379,424.00 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 and/or foundation inspection. Footing: After trenches are excavated. 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. Rooling: Prior to installing any roof covering. Drywall: Prior to taping. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/t{ailing: Before covering sheathing with finish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. Ceiling Grid: After drywall approval but prior to cover. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 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. Pase 7 of 8 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 0210812005EXPIRES: 05/0312006VALUE: S 1,379,424.00 - 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 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. Owner or Contractors Signature Date Page 8 of 8 2.15 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cjty of Springfield Oflicial Receipt :velopment Services Department Public Works Department RECEIPT #: 2200500000000001533 Date: 1110312005 8:19:27AM Job/Journal Number coM2005-00154 coM2005-001s4 coM2005-00154 Description + 7o/o State Surcharge + l0% Administrative Fee Low Voltage - Commercial Indus Amount Due 3.l5 4.50 45.00 Item Total:$s2.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard RAYMOND YOUNGER djb 013012 In Person $52.65 PaymentTotal: ffi ', ! ,l rU312005 Pase I of I atualcD \se 225 FIITTII STREET' . SPRINCFIELD, OR 97477 t PIt:(541)726'3753 ELECTRICAL PERMIT ATPLICATION Ciry Job Nunrber ao o /if_Y_,. 3..1;DE a. ; rily ...,i.jr'' Ilcsidrirrtlnl - Slngte or Multl-Irntrrily pcr drvelling unit. Service Ittclurled 1000 sq. [t. or less Each additionail 500 sq. ft. or portiion thereoli I Eactr ManufacLl' Modu I 'I'ELOW $ 106.00 s 19.00 s50.00 LECAL DEscRIPrIou t>O3 Z Isrlz I AN FFN JOB DESCRIPTION Pertnits are non'transferable and expire if rvork is not started within 180 days of issuance or if rvork is Srrspended for lE0 daYs. s33'lol(7o 'd to bri \he e 2.; Elcctrical Contractor 0 .,oq-- ':. ; $ 63.00 $ 75.00952 \n Yo\)rUdr Address ci,y-fi-&tar-fleA-Phone -.d Supervisor License Nurnber < 17 - ' : Expiration Date Constr. Contr. Number Expiration Dale Signature of Supervising Elcctrician Ownerc Name C3 Address Zc> Owncrs Signature: 1000 Atny:s,"Volc s175.00 s 50.00Recottnect Onl;/ Installatiott, Aliteration or Ilelocatiolt 200 Amps or lerss S 50'00 201 Arnps to 400 AmPs $ 69'00 401 Amps to 600 AmPs $100'00 $ 125.00 $163.00 above.Ovcr 600 Amps or t000 Volts see "B" D. r.BrarrchCirc.uits ,:" :i., ' its6 Nerv Alteration or One Circuit Each sService or Amps Extension Per Fee l.i' E. 4. $ 3.00 -Each Installation $ 50.00 $ 50.00 s 25.00 s 45.00 (d - i't ciryMP 7'grt ? -St Purnp or 5.c. OWNER INSTALLATION Tlrc instaltation is being made on Propcrty I own which is not intended for sale, lcase or rcnt. Sign/Outline Lirni ted Energy/,Res iden tia I Lirnited EnergyliDornmercial X Minin.t.r Electric ternrit Inspection Fee is $45'00 * Srrrcharges (/f a i 7 Yo State Surcltarigtl I l0% Administratfvr: iTOTAL I 3tr ./ to :Irrspcction Request: 776'3769 Sharerl Drivc:(T:/Building Forms/Elo:lrical Pcnni( Applicrtion l'01'dtr -zoo E \tr+D' s96r98Zrt9 XVd Zr:zr gnJ 90/tr/60 CNTV use uospl^B( .trB) Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-726-3676Fax 541 :7 26-37 69 I nspe ction Line CITY O Buitdin g/Co mbination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/0812005E)?IRESz 0312712006VALUE: $ 1,379,424.00 SITE ADDRESS: 1210 Mohawk Blvd ASSESSOR'S PARCEL NO.: 1703253310100 PROJECT DESCRIPTION: New retail building. Springfield TYPE OF TYPEOF USE: Retail New Commercial -'Owner: Address: C3IIYVESTMENTS 220 CHURCIT STREET, SUrTE 101 MOI.]NT PLEASAI\T SC 2946/ PhoneNumber: 843-849-5455 License Expiration DateContractor BAYSINGER PARTNERS CONTRACTOR INFORMATI ON Contractor Type Architect General Electrical Mechanical JOSEPH HUGHES CONS CRAWFORD 1u09t2006 0U23t2006 05n2t2006 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Phone 503-s46-1600 503-624-7r00 503448-4000 541-942-8339 54r-607-8879 to Uiil\t'j TOMS # of Unib: Primary Occupancy Group: Secondary Occupancy Prim ary Construction Type Secondary Construction # of Bedrooms: Frontyard Setbrck Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacls: Street Storm Sewer Available: Special Instruction: o:l? of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: Yo ofLot Coverage: I 28.00 Gas Electric Path I nla 14,409 VB REQUIRED PARI(NG Total: (\g M Notes: loI 7 a LL. Lrt vt L(rrlvrrl\ I ll't_t'Lrt(1vtArrLrN I F SPRINGFIELD Building/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-726-3676Fa.x 541:7 2647 69 I nspection Line PERMIT NO: COM2005-00154ISSUED: 0610212005APPLED: 02/08/2005E)?IRESz 0312712006VALUE: $ 1,379,424.00 Description Estimate Estimate Paving Type of Construction Estimate Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 Square Footage orBkl Amount I,199,566.00 20,000.00 159,858.00 Value $1,199,566.00 $20,000.00 $159,858.00 $1,379,424,00 Date Calculated 04nst2005 08n2t2005 04n5t200s Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0o/o Administrative Fee + 1Yo State Surcharge Temp Power 200 amps or less -Mechanical Issuance Fee- + l0o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Appliance Not Listed Backllow Device Building Permit Curbcut - Additional Driveway Curbcut - Additional Driveway Curbcut - Additional Driveway Encroachment Permit Fixture Furnace - more than 100,000 Furnace - up to 100,000 btu Gas Outlets 1{ Gas Outlets 4+ Low Voltage - Commercial Indus Paving Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 601 to 999 amps Plan Review Comm/Ind/Public Plan Review Fire & Life Safety PW Disc - 2nd Permit (Street) PW Disc - 3rd Permit (Street) Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement Amount Paid Total Value of Project Date Paid Receipt Number r200s00000000000169 1200s00000000000169 3200500000000000200 3200500000000000200 3200500000000000200 1200s00000000000718 1200500000000000718 1200500000000000718 1200s00000000000718 1200500000000000718 1200500000000000718 1200500000000000718 1200500000000000718 1200500000000000718 r200500000000000718 1200500000000000718 1200s00000000000718 1200500000000000718 1200500000000000718 1200500000000000718 1200500000000000718 1200s00000000000718 1200500000000000718 1200500000000000718 12005000000000007r8 1200s00000000000718 1200500000000000718 1200500000000000718 1200500000000000718 r200s00000000000718 1200500000000000718 1200500000000000718 1200500000000000718 1200500000000000718 92,691.42 $1,656.26 $s.00 $3.s0 $s0.00 $10.00 $687.93 $428.31 $630.00 $9.00 $42.00 $4,140.65 $40.00 $40.00 $40.00 $130.00 $406.00 $45.00 $36.00 $4.00 $2.00 $45.00 $760.65 $315.00 $163.00 $338.00 $208.00 $-30.00 $-30.00 $45.00 $14.00 $1.04 $93.11 $1,518.08 2t8t05 2t8t05 s/l0/05 5/r0/0s 5/10/05 612105 6t2tos 612105 6t2t05 6t2tos 612tos 6t2t05 6t2t05 6t2t05 6t2t05 6t2t05 6t2t05 6t2t05 6t2t0s 612t0s 6t2tos 6t2105 612t05 6t2105 6t2l0s 6t2t05 6t2t05 6t2t0s 6t2105 6t2t0s 6t2t05 6t2t0s 6t2t05 6t2t05 Fees Paid 2of7 tr}.] Valuation Description I Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541J26-3676Fax 541:7 2637 69 I nspe ction Line OF SPRINGFIELD Buitding/Co mbin ation Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLED: 02/08/2005E)CIRESz 0312712006VALUE: $ 1,379,424.00 SDC Transpo Reimbursement Sidewalk Permit + Addtl Sq Ftg Sign - Outline Lighting Each Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Vent Fan Water Line - lst 50 Feet + l0o/o Administrative Fee + 7o/o State Surcharge Low Voltage - Commercial Indus Total Amount $344.12 $87.20 $50.00 $20.77 $4s.00 $70.00 $12.00 $4s.00 $4.s0 $3.1s $45.00 $15,264.69 6t2t05 6t2t05 6t2t0s 6t2tos 6t2t0s 6t2t0s 6t2t05 612t05 9t27tO1 9t27tis 9t27t05 1200s00000000000718 1200500000000000718 1200s00000000000718 1200s00000000000718 1200500000000000718 1200s00000000000718 1200s00000000000718 1200s00000000000718 r200500000000001411 1200500000000001411 r200s00000000001411 PIan Reviews Fire Department Review 0210912005 03/09/2005 OK GRG Fire Department Review 0612912005 0612912005 OK GRG Fire Department Review 0712812005 0712812005 OK GRG 02t09t200s 04t2st200s wr SB IO SB See attached docurnent for Fire Department Plans Review comments. PIan Review: Underground stub-up for building lire sprinkler system. Job #COM2005-00154. Designer: Mike Tennant. Contractor: Omlid and Swinney. Plans appeer to meet code requirements. Plans Review: Minimum lire alarm system for sprinkler and I{VAC monitoring. Job #COM2005-00154. Contractor: ADT Tyco Fire and Security Services. Plans appear to meet code requirements. Waiting for approval of final site plan and Development Agreement. Ashley Deforrest is plenner. Development Agreement signed 514t05. SDCs added, curbcuts and sidewalk permits added. Encroachment fee added. Encroachment Application and LDAP applications required. Called Tom's plumbing and notified them of the plan discrepancy Ram Meier found on Sheet P.1.1. It shows the in-slab plumblng being aligned for pipe flows exiting to the East of the building, where sheet C-l shows sanitary piping leaving the building on the West Side. Initial Review Planning Review Public Works Review 02t09t2005 02t09t2005 02t09t2005 05t04t2005 SKG EMM APP APP Public Works Review 05n9t2005 05/19/2005 3of7 -I Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfietd, OR 541:1263753 Phone 541-726-3676Fax 541:7 26-37 69 Inspe ction Line PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/08/2005E)?IRES: 0312712006VALUE: $ 1,379,424.00 Public Works Review 0stzst2005 05t25t2005 APP SB Public Works Review 08/04/2005 08104t2005 APP SB Revised Plan Review - Fire 0712212005 08/08/200s oK GRG Revised Plan Review - Plar Revised Plan Review - Pub Revised Plan Review - Stn: Revised Plan Review - SUI Structural Review Structural Review Structural Review Structural Review 03t04t2005 03t04t200s IO JMP 03t29t2005 03t29t200s IO JMP 04n4t2005 04n4t2005 IO JMP IO JMP LDAP is ready to issue. Applicant says that they delivered the DEQ-I200-C permit today. Please ensure that the applicant is reminded, again, to submit an encroachment permit application when he picks up the Permits. Application to revised loading dock area and add another door are approved. Applicants proposal is for no new square footage, nor impervious surface, nor new drainage fixtures, hence no new SDCs Plans Review Revision: Addition of exit door on south side of building and other modifications. Job #coM2005-00154. No change in plans review commentr from March 9,2005. Exit sign shown over n€w south side exit on Plan Sheet ASI 1.2. Will verify on inspection. Need added valuation. See attached documents for 11 structural comments faxed to William M. Ruecker. See attached cover for plumbing comments faxed to William M. Ruecker. See attached cover for 8 pages of structural and plumbing comments faxed to William M. Ruecker per Jesse McMillanrs request to replace their lost copies. WI. Received fed ex package from William Ruecker addressing the structural comments. Called William Crawford and requested an original signature and complete information on the Electrical Permit Application. WI. William Crawford mailed an electrical permit application with his original signature. 07t22t2005 0712212005 07t22t2005 08/09/2005 02t09t200s 07t25t2005 07122t2005 02116t2005 EMM JMP JMP APP WE WE Structural Review 04n9t2005 04n9t2005 4of7 !t:L Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 Inspection Line PERMIT NO: COM2005-00154ISSUED: 0610212005 APPLIED: 02/08/2005E)PIRES: 0312712006VALUE: $ 1,379,424.00 Structural Review Structural Review Structural Review Structural Review SUB Review 08n2t2005 02nu2005 08fi2t200s 02t23t2005 0st26t200s 0st26t200s APP JMP 07n5t2005 07n5t2005 wE JMP 08/09/2005 08/09/2005 IO JMP Received linal internal review with a note that an encroachment permit application is still due. Called Bill Ruecker and requested a second set of all of the revisions. He will send them next week. Called Fred Weingardner to obtain the added value for the submitted revisions. He referred me to Dwayne Carver and I left a voice mail requesting the added valuation. Called and received verbal valuation estimate from Dwayne Carver. APP APP JMP JF To Request an inspection call the24 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. 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. 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. 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. 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. Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. 5of7 Reouired fnsnections L ffi., F PRIN D Building/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I ns pection Line PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/08/2005E)PIRES: 0312712006VALUE: $ 1,379,424.00 Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Low Voltage: Prior to cover. SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting 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 and/or foundation inspection. Footing: After trenches are excavated. SIab: 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: Bolts Installed in Concrete: To be done by a State Certilied Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof SheathingA{ailing: Before covering sheathing with finish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. Ceiling Grid: After drywall approval but prior to cover. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 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. 6of7 L ffi D Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 Inspection Line PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/08/2005E)0IRESt 0312712006VALUE: $ 1,379,424.00 Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to City Building Inspector. 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 certiff that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH 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 certiff 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 Owner or Contractors Signature Date 7 of 7 S L 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT#: 1200500000000001411 Date: 0912712005 tz27zt2PM Job/Journal Number coM2005-00154 coM2005-00154 coM2005-00rs4 Description * 7o/o State Surcharge + l0% Administrative Fee Low Voltage - Commercial Indus Amrunt Due 3.ls 4.50 45.00 Item Total:$s2.65 Payments: Tlpe of Payment Paid By Received By CheckNumber Batch Number Authorization Number How Received Amount Paid Check TYCO FrRE AND SECURTTY djb 56196 In Person Payment Total: $52.6s -$s2.o-f 't- 9t2712005 lofl .i t Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 0210812005EXPIRES: 1210212005VALUE: $ 159,858.00 SITE ADDRESS: 1210 Mohawk Blvd ASSESSOR'S PARCEL NO.: 1703253310100 PROJECT DESCRIPTION: New retail building. Springfield TYPE OF WORK: Retail TYPE OF USE: New Commercial Owner: Address: C3INVESTMENTS 220 CHURCH STREET, SUITE 101 MOUNT PLEASANT SC 29464 Contractor BAYSINGER P JOSEPH HUGHES PhoneNumber: 843-849-5455 License Expiration Date law CONTRACTOR INFORMATION Contractor Type Architect General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: are set ftugflt2006 telephone ty Phone s03-s46-1600 s03-624-7100 s03-448-4000 541-942-8339 541-607-8879 # of stsslbris 1 Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: 0 OAR Gas Electric Path I nla Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Utility M VB 14,409 REQUIRED PARI(NG Total: Handicapped: Compact: UI Sidewalk Type: Downspouts/Drains:THIS PERMIT AUTHORiZED COMMENCED ANY 1BO DAYNotes: Pase I of6 T [3 TOMS PLUMBING you to l-rl, v IILUTNIIIN r tN { q51v!l\!l!A_l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 061021200sAPPLIED: 02/0812005EXPIRES: 12/02/2005VALUE: $ 159,858.00 Description Estimate Paving Tvpe of Construction Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 1,199,566.00 159,858.00 Value $1,199,566.00 $159,858.00 $1,359,424.00 Date Calculated 04n5t2005 04n5t2005 Fee Description Plan Review Comm/Ind/?ublic Plan Review Fire & Life Safety + l0Yo Administrative Fee + 7o/o State Surcharge' Temp Power 200 amps or less -Mechanical Issuance Fee- + l0%o Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Ea Add Appliance Not Listed Backflow Device Building Permit Curbcut - Additional Driveway Curbcut - Additional Driveway Curbcut - Additional Driveway Encroachment Permit Fixture Furnace - more than 100,000 Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Low Voltage - Commercial Indus Paving Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 601 to 999 amps Plan Review Comm/Ind/Public Plan Review Fire & Life Safety PW Disc - 2nd Permit (Street) PW Disc - 3rd Permit (Street) Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Amount Paid Total Value of Project Date Paid 2t8t0s 2t8t05 5/10/05 s/l0i05 5/10/0s 6t2t0s 6t2t0s 6t2l0s 6t2t0s 6t2t05 6t2t05 6t2t0s 6t2t05 6t2t05 6t2t0s 6t2t05 6t2t05 6t2t05 6t2t05 6t2t05 612105 6t2105 6t2t0s 6t2t0s 6t2t0s 6t2t05 6t2t0s 612105 6t2t0s 6t2l0s 6t2t0s 6t2t05 6t2t05 6t2t05 6t2105 Receipt Number 1200500000000000169 1200s00000000000169 3200500000000000200 3200500000000000200 3200500000000000200 12005000000000007r8 1200500000000000718 r200500000000000718 1200500000000000718 1200500000000000718 1200s00000000000718 1200500000000000718 1200500000000000718 1200s00000000000718 12005000000000007r8 1200s00000000000718 1200s00000000000718 1200500000000000718 1200500000000000718 1200s00000000000718 r200500000000000718 1200500000000000718 1200s00000000000718 1200s00000000000718 1200500000000000718 1200s00000000000718 1200s00000000000718 1200s00000000000718 1200500000000000718 1200500000000000718 1200500000000000718 1200s00000000000718 r200500000000000718 r200500000000000718 1200s00000000000718 $2,691.42 $1,656.26 $s.00 $3.50 $s0.00 $10.00 $687.93 $428.31 $630.00 $9.00 $42.00 $4,140.65 $40.00 $40.00 $40.00 $130.00 $406.00 $45.00 $36.00 $4.00 $2.00 $4s.00 $760.65 $315.00 $163.00 $338.00 $208.00 $-30.00 $-30.00 $4s.00 $14.00 $1.04 $93.11 $1,518.08 $344.12 tr'pps Prid Paee2 of 6 Valuation Descrintion I Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/08t2005EXPIRES: 1210212005VALUE: $ 159,858.00 Sidewalk Permit + Addtl Sq Ftg Sign - Outline Lighting Each Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100r Vent Fan Water Line - lst 50 Feet Total Amount Paid $87.20 $s0.00 $20.77 $45.00 $70.00 $12.00 $4s.00 $15,212.04 6t2t0s 6t2t0s 612105 612t05 6t2t0s 6t2t0s 6t2t0s 1200s00000000000718 1200500000000000718 1200500000000000718 1200s00000000000718 1200500000000000718 1200s00000000000718 1200s00000000000718 Plan Reviews Fire Department Review 0210912005 03/09/2005 OK GRG 02109t2005 0412512005 WI SB 05n9t200s 0sn9t200s IO SB 05t25t200s 05t25t2005 APP SB 0st26t200s 0st26t200s APP JMP 0210912005 02116t200s wE JMP 03t04t2005 03t04t2005 ro JMP See attached document for Fire Department Plans Review comments. Waiting for approval of final site plan and Development Agreement. Ashley Deforrest is planner. Development Agreement signed 514t05. SDCs added, curbcuts and sidewalk permits added. Encroachment fee added. Encroachment Application and LDAP applications required. Called Tom's plumbing and notilied them of the plan discrepancy Ram Meier found on Sheet P.1.1. It shows the in-slab plumbing being aligned for pipe flows exiting to the East of the building, where sheet C-l shows sanitary piping leaving the building on the West Side. LDAP is ready to issue. Applicant says that they delivered the DEQ-1200-C permit today. Please ensure that the applicant is reminded, again, to submit an encroachment permit application when he picks up the Permits. Received final internal review with a note that an encroachment permit application is still due. See attached documents for 11 structural comments faxed to William M. Ruecker. See attached cover for plumbing comments faxed to William M. Ruecker. Initial Review Planning Review Public Works Review Public Works Review Public Works Review Structural Review Structural Review 02t09t2005 02t09t2005 02t09t200s 0s104t2005 SKG EMM APP APP Structural Review Paee 3 of6 t Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/08/2005EXPIRES: 1210212005VALUE: $ 159,858.00 Structural Review Structural Review Structural Review SUB Review 03t29t2005 03129t2005 IO JMP 0411412005 04n4t200s ro JMP 04n9t2005 04n9t200s IO JMP 02fiu2005 02t23t200s APP JF See attached cover for 8 pages of structural and plumbing comments faxed to William M. Ruecker per Jesse McMillan's request to replace their lost copies. WI. Received fed ex package from William Ruecker addressing the structural comments. Called William Crawford and requested an original signature and complete information on the Electrical Permit Application. WI. William Crawford mailed an electrical permit application with his original signature. 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. 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. 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. 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. 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. Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Paee 4 of 6 *___r Keourred lnsDecfions I F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/0812005 EXPIRESz 1210212005VALUE: $ 159,858.00 Final Electric: When all electrical work is complete. SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting 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 and/or foundation inspection. Footing: After trenches are excavated. 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: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/1,{ailing: Before covering sheathing with finish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. Ceiling Grid: After drywall approval but prior to cover. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. High Strength Bolting: To be done during construction by a State Certilied 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. Paee 5 of 6 Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00154ISSUED: 0610212005APPLIED: 02/0812005EXPIRESt 1210212005VALUE: $ 159,858.00 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 structure without permission of the Community Senices Division, Building Safety I further certify that only contractors and employees who are in compliance with ORS 70f .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.AnLx Tr-u,r t z&oc,- Owner or Contracto rr@Xu Date Paee 6 of 6 tLi 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT#: 1200500000000000718 Date: 0610212005 10:00:40AM Jib/Journal Number coM2005-00154 coM2005-00154 coM2005-00154 coM200s-001s4 coM2005-00154 coM2005-00154 coM2005-00154 coM2005-00154 coM200s-001s4 coM2005-00154 coM2005-00154 coM2005-00154 coM2005-00154 coM2005-00154 coM2005-00154 coM2005-001s4 coM2005-001s4 coM2005-00154 coM2005-00154 coM2005-00154 coM200s-001s4 cbrrrzoos-oots+ coM2005-00154 cbM2005-001s4 cbuzoos-oorsa coM2005-00154 coM2005-00154 coM2005-00154 coM2005-00154 coM2005-00154 coM2005-00154 coM2005-001s4 coM2005-00154 coM2005-00154 coM2005-001s4 coM2005-00154 coM200s-00154 Description Fixture Sanitary Sewer - lst 50 Feet Water Line - lst 50 Feet Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Backflow Device Sanitary Sewer Each Addtl 100' Perm ServlFdr 200 amps or less Perm Serv/Fdr 601 to 999 amps Add, Alter, Extend Circ Ea Add Sign - Outline Lighting Each Low Voltage - Commercial Indus Plan Review Comm/Ind/?ublic Plan Review Fire & Life Safety Building Permit Paving Storm Drainage Impervious Area SDC Transpo Reimbursement SDC Transpo Improvement SDC Sanitary/Storm Admin SDC Transpo Admin Curbcut - Additional Driveway Curbcut - Additional Driveway Curbcut - Additional Driveway Sidewalk Permit + Addtl Sq Ftg PW Disc - 2nd Permit (Street) PW Disc - 3rd Permit (Street) Encroachment Permit Furnace - up to 100,000 btu Furnace - more than 100,000 Vent Fan Gas Outlets l-4 Gas Outlets 4+ Appliance Not Listed -Mechanical Issuance Fee- + 7Yo State Surcharge + l0% Adminishative Fee Amount Due 406.00 45.00 4s.00 45.00 70.00 42.00 14.00 315.00 163.00 630.00 s0.00 45.00 338.00 208.00 4,140.65 760.65 20.77 344.12 1,518.08 1.04 93.1I 40.00 40.00 40.00 87.20 (30.00) (30.00) 130.00 36.00 45.00 12.00 4.00 2.00 9.00 10.00 428.31 687.93 Item Total:$10,805.86 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number lfow Received Amount Paid Check IHC COMMERCIAL LLC djb 35971 In Person $10,805.86 P ayment Totat : -5i[]Brll-86- 6121200s Page I of I "CITY OF SINGFIELD, ORTGON 225 FIFTII STREET . SPRINGFIELD, OR97477 r PH:(541)726-37s3 r FAX: (541)726-3689 E LECT RICAL P B KM IT AP PLICATI O N City Job Number C!rh(Z-oo5. c>ot54 Date 4. ] {. e4 1.LOCATTON OF tNsT',al.t /,rro]v ?- r,ot LEGAL DESCzuPTION T'I o JOB D lCc t"r) irt.r Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, 2. Electrical Cont u"to, O l--t, t g 3. COMPLE'I"E b]E,E SCHEDULE Each til'\tY D. i zs 3R to too A'New Residential - Single or Multi-Family per drvelling unit. Service Included 1000 sq. ft" or less Each additional 500 sq. ft. or portion thereof to $106,00 $ 19.00 by ese,rtofi!_- $so.oo at 1 Iules $ 63.00 3t{.'3 $ 7s.00 $ r 2s.00 $3 7s.00 $ s0.00 Over 1000 Arups/Volts Reconnect Only Pump or irrigation Sign/Out1ine Lighting Limited Energy/Res idential lYo State Surcharge l0% Administrative Fee TOTAL e ro 400 4). Address Ir ?oj City ]L Supervisor License Number Expiration Date la-tl- 67 Constr. Contr. Number Expiration Date -t- of, of Supervising Electr ician , x la- OwnersName ( - 5 f\UZ.5lvv.6 -\ Address 4 uLl Phone &3-4qq'altgs to 1000 Amps t $163.00 / 6r.":?o lnstallation, Alteration or Relocation 200 Amps or less $ 50.00 201 Anrps to 400 Amps $ 69.00 40 I Aurps to 600 Amps $ 100-00 Over 600 Amps or I000 Volts see "B" above- D. Branch Circuits New Alteration or Extension Per Panel .OneCiliuit : $43,00 Each Additional Circuit or with Service or Feeder Permit 2l O $ 3'00 E. Miscellaneous (Service/feeder not irtcluded) -Each $ s0-00 I $ 5o.oo $ 2s.00 6ao, oo lnstallation f,6,o':City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Limited Energy/Cornmercial I $ 45'00 15.OO Minimum Electric Permit Inspection Fee is $45.00 * surcharges 4. SUBTOTALAFABOVE.d f,q ,&t l3.o .3r) lq(r7 5l Sharcd Drive(T:)/Buililing Forms/Electrical Pennit Application l'03'doc \ Inspection Request: 726'37 69 Pnone5 03, 4#. 4oo o 272 O- S C. Temporary Services or Feeders gaf 6cr t J(SHEET coM2005-00154 WALGREENS DRUG JOURNAL OR JOB NUMBER: NAME ORCOMPANY: LOCATION: MAP & TAX LOT NUMBER: DEVELOPMENT TYPE: 13l I Market St. t7 0325 33 10100 NEW DEVELOPED AREA (S.F.): E)(STTNG DEVELOPED AREA (S.F.): two restaurants with mezzanines to I store 14122 7136 Restaurant 4339 Specialg Retail 4525 Office x $ 0.3 l0 PER SF -23 -23 x $ 18.28 PER DFU TOTAL LOCAL SAN-SEWER SDC ITE.932 814 710 LOT SZE (S.F.): 51 TOTAL STORM DRAINAGE SDC: ITE TOTAL IMPERVIOUS SURFACE (S.F.):4s9804s913 = 67 I. STORM DRAJNAGE IMPERVIOUS SQ. FT, 67 2. SANITARY SEWER-CITY A. REIMBURSEMENTCOST: NUMBEROFDFU's B. IMPROVEMENTCOST: NUMBEROFDFU's (SEE REVERSE SIDE) x 3. TRANSPORTATION BLDGAREA TGSF x TRIP RATE X COST PERADT X NEW TRIP FACTOR NEW A. REIMBURSEMENTCOST: 14.122 x 88.16 x $ 18.30 PERTRIP x B. IMPROVE]VIENT COST: 14.122 x 88.16 x $ 80.72 PER TRIP x E)ilSTING A. REIMBURSEMENTCOST: -7.136 x 727.75 $ I8.30 PER TRIP x B. IMPROVEMENT COST: -7.136 x 127 .75 DCSTING A. REIMBURSEMENTCOST: 4.339 x M.32 B. IMPROVEMENT COST: 4.339 x 44.32 E)(STING A. REIMBURSEMENTCOST: 4.525 x 11.01 B. IMPROVEMENT COST: -4.525 x I l.0l $ 80.72 PER TRIP x x x $ 18.30 PER TRIP x $ 18.30 PER TRIP x 0.75 NTF 0.75 NTF 0.8 NTF 0.8 NTF 0.75 NTF 0.9 NTF $ 17,085.94 $ 75,374.48 f$- (58se444i1 $ (2,639.13) $ (820.46) $ (e73.37) $ 1,862.20 x x $ 80.72 PERTRIP x 0.75 NTF $ (11 ,642.49\ x x 4. SANITARY SEWER-MWMC NEW: A. REIMBT]RSEMENT COST: NUMBER OF FEU's B. IMPROVEMENTCOST: NI.]MBER OF FEU's EKSTING: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENTCOST: NUMBER OF FEU's EKSTING: A. REIMBURSEMENT COST: NUMBER OF FEU's $ 80.72 PER TRIP x 0.9 NTF $ (3,619.46) TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TRANSPORTATION SDC: 14.122 x $93.75 PER FEU $ 1,323.94 t4.122 x $988.92 PER FEU $ 13,965.59 -2.485 $856.69 PERFEU $ (2,128.87) -2.485 $7,47I,08 PER FEU $ (18,565.64) x $ (101 .70) x x $ 00 $ 344.',12 $ 1,518.08 t&BegJ6+gFMrE'8&f,; r sr r Market st.xrs -4.339 523.44 PER FEU AT'TACHMENTA CITY L ,RINGFIELD SYSTEMS DEVELOPMENT CHARGE S 24.04 PER DFU I-$rrJz82zsil i{70, I09t t892 2004 NUMBEROFFEU's EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENTCOST: NUMBEROF FEU's 4.339 4.525 -4.525 MWMC CREDIT IF APPLICABLE (SEE REVERSE) x $247.23 PERFEU $46.88 PERFEU $ (212.11\ $494.46 PER FEU INDUSTRIAL STRENGTH INCREASE TOTAL MWMC REIMBURSEMENT TOTALMWMC IMPROVEMENT MWMC ADMINISTRATIVE TOTAL MWMC SUBTOTAL (ADD ITEMS 1,2,3,&4) 1,882.97 x s%o TOTAL TRANSPORTATION ADMINISTRATION TOTAL SEWER ADMINISTRATION FEE: 4t25D005 TOTAL SDC CHARGES DATE x x :$94.15 $ 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) Stevew W. Beavdrtd Barws SDC COORDINATOR $ 93.11 1 (1,072.74\) (2,237.44) 882.97 COM2Oo5-00t54, walgreens, 1311 Market St.xls 1 JULY 2OO4 $ 1054 1054 t0s5 1056 t07t 1079 N o- aFmf,erlEl.D- ACB}iIOWI.EIIGEITIEF{TS c5t*rtu;srwx--*. -- Nanre Rnginrer cr ^flruhitect finn (ltintd) City of SpriqgEdd Commnity Scrtticcr Div isbn 225Fifft lltrtcr fuiingfidd, OR9?4?? Telep&oac: (51t) ?2e3759 Pex (S'fl) 725-1689 \N. 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Cqtacbrhrc4uriblcfrrpropcreorieationfurfrololpcctiotrtrTcgitgofinmtlLfica. 2, Tdtuglahomisrlrabrllrrterppopirtermplcrrdtuepqtlhcnrofiohl#umyfrrpaupcrsrrsbrrimorErtiqg. o CqDle r of dl l$orrny qocs rnd irrpnlioml aa kl t! sErt ro tlp City ty tlG TatkB AgGrcy. 1. $pcrint lrpttfbr fucncy h lo rffi. nucr ud qorliEsatior ofo-f,itcsccirl Inrycton iolhr Cfty ftr rpForal 4. $pcdat hryeclnr rhdl ywidc r:n4rcrion l4orrr b flretrildiqg officful of u[ inrpcctl,oo rtirritica ,. Contraolu bruparrbbto rwitrtt! Cilr4poucd fitu frrdditionalinryrcliuror triliq rugrkcusoE fiermybcnotx!. IEFo;rAcEBllrlc/llf,.ol'OOCU?INCYIV&LXBISBT,ID Tbcspcc*rltqcdiorAgclcyrhrltnrboitbthcBuitdngoffrcfulaililc'tenrftrtallikmrroquiriog provisionr. Tloctigrr oot broril ctrdror in4ccrcd u}rl tc rCrd h ttc amcms,nr Tta rtpct it to bo suDmilkd U rhc C&y p,rir to I rqwO tu tinal inrpacliooe. -nox (Jloso5 <rl\)lo UT +-! Pts N)Iui H N@ T or c o oc o(J o or,a a-oN N tn Cf H H L o_ (E TfIc Ce*atwl Glcn. Corlraciu Finn Nroe (PdriEd)Genlrd (Pddod) I Cot,J\Zoo5-ool.5+ 04- r+-oS Boildiq lGrmft# r?. Datc * ktAv( Plojcst Sc,= Tr n=.rrrffi hbuEbry R,p. Eigduro Oilicir.lNm(PrirEd)Offrtial SbDaturc !t@l- IL NoQ Noe o- oo IF ADDITIONAL INSRUCTIONS'0THER TEST, & INSPECTIONS: N -- Na, Nar R.ea'o SPECIAL INSPECTION AND TESTING SCEEDI.]LE l=tDoNYNfi Form Completod e + c)oq @ =IJJJ tfJg e,g u,-+odr l'-: @ hooN I o Ie,< = Date 3IbF and Wortar/Grout oft/ Test *,\T t/N M,ZNNA/v-t/ Cast Sampleqy',Nt/- Testr Piles Test I \t\\\I Concrete\\lI Tests SMOKECONTROL:FIREPROOFING: 1 Placcment inspcction-! Density tests --7-fnickncss tcsts Tmspr.r barching z+_Leakage tdsting Control Verification ROOFING: ? ^ Insuhion installation/R-Value*-Ttotsrips/seams Shear wall nailing iryPection Shear wall anchorsr/ Inspection of Glu-lam fab. *LfiU irc p'i Inspection of truss joist fab- Sample and test comPoncnts ilfi'tr'fr ^f i,5',rf;'A'flffii?rykoJn ;;;;;,,**"" stress€s *,*ti.ffi -l&,' u Pieliminary scccptance tesc (masdnry units,wall prisms) Subsequent tesbimortar, grou! freld^wall prisms) Ptacemcnt inspection of units, and reinforcement - - Masonry, mortur, grout, and reinhrcing steel certificates cv)ING, ? ?7 ilrtp M+ -ru+ -MASOUTY+-z4 STRUCTURALWOOD: EXCAVATION,ANP FILL- il;tun; wg't-L(2?o PsF Establish tinal gradc Fill ptacanent inspection/continuous SoilDensity Meal deck welding insPection Reinforcing Steel welding inspection Reinforcing steel mill certificate Mctal shrd welding insPection Concrete insert welding inspection Moment resisting steel framos IPROVTDE STRENGTH REQUIf,ED BY OR ENGINEER OR CONTRACT DOCUMENT LOCAT1ON OF VALUES tvA'Als IlV -t-n Nt/ lnsert PlacemeqtU I il ffillation Inspection - Sample materid A325 A490 members below)and test (list specific High Strengh SPECIAI, INSPECTION AI{D IESTING SCHEDI]LE IE. Gm Grout Mix a Plant IFcrtPPgegtto$ sMoKECOlt'lBoL: LoaktgctGstitrs -coft'ol veri-freation EIRXiPROOflNE Ptrocment inspection ity tcstr Thickness tcstl ROOflNC: -totptct batatring irntallation/R-Valttc+ Test cbipcJscams ADDIIIONAL INSRUCTIONS) OTHER TEST, & INSPf,CTIONS:Pum Conpleled o rts o(I Neo(rl Fit= trl : <fo EI H gl tfF o€ -t o{c,to o rrl IEt4r{ trtz6) liztrl EJF l-.1z6) wrc &4ai STR.UCTURAL STf, EL/WELDING: Sr,mple and test (lirt Qccifio merrubar belorv) Wetd iosPtttion -ShoP licld Ultrsos[c insPctioo -ShoP -Fhld Hieh Sts€oethBolting ShoP FieH AX25 -N -xA490 -N -xMslal dock weldine insPertion Msttl stud ltllding irnPction Concreb inrerl wclding inspoclioo STRUCfURALSTOODT Shmr rvrU oailiqg ittsPtc'tioo Shcrsallenchotl Inspoction of Glu'tam hb, I T/C Psi Insp*tion of truss joist hb, Samplo rnd test comPomcrts Fabrication rvelding of steel accossories SpccirlinsPrctimrfts*su$d? fm-jE fi"t ,ir,o"y EDc.PtErca tc*r (muronry unifq wdl pdsilni) Subsequeot tEsE (mortar, grou{, 6cld vrull pnsm$ Plarcrrenl inspection of rmilr, rrrd reinforccoicnt lrfiloor)r, mortar, $mrl and reinforoing s{ed cortilicatea MASOIMI GRADING, -F-F f,XCAVATION, AI{D IILL Affcptaom.tlstl r PSF Btablisb ftnal grade lill ptacomeot inrpectio'n/continuors Soil D!.trsitY Eoo(j oo CJ .PROVIDE SIBENGIts REQVIRED BY ARCIITITCT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALUf,S annrete. Gtrt )rncrete Cltmilc Mortar ioqrceato Testof Mx D Insooct PlacincffiIfl =:=, Mix Dcsinns+ C,nucrgc Ptaemmt .- Cl*Srotller = Reinforced Concrete, Gunite, Grout and Mortar: Concrete Gunite Grout Mortar Assresate Test of Mix Desim Reinforcins Test Mix Desim-Weighmaster Cert.* Reinforcing Placement Continuous Batch Plant Inspect. Inspect Placins Cast Samples Samples (Pickup/Delivered) Compression Test* Precast/?re-stressed Concrete: Piles Post-Tens Pre-Tens Claddine Aggregate Tests Reinforcing Tests Tendon Test Mix Desimsi Reinforcing Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection Cast Samples Pick-up Samples Compression Tests SPECIAL INSPECTION AIID TESTING SCITT'DT'LE GRADING, EXCAVATION, AI\D F'ILL Acceptance tests * PSF Establish final grade Fill placement inspection/continuous Soil Density STRUCTURAL STEBL/WELDING : Sample and test (list specific members below) Shop material identification (mill cert) Weld inspection i/Shop --FieldUltrasonic inspection _Shop Field High Strength Bolting tzshop t/- Field 4325 i,,al -JX -F A490 _N _X _F Metal deck welding inspection Reinforcing Steel welding inspection Rcinforcing steel mill certificate Metal stud welding inspection Concrete insert welding inspection Moment resisting steel frames STRUCTT'RAL WOOD: - Shearwall nailing inspection "- Shear wall anchors Inspection of Glu-lam fab. * Inspection oftruss joist fab. /C psi Sample and test components Fabrication welding of steel accessories MASONRY t----;7- '-- Special inspection stresses used+_f m Preliminary acceptance tests (masonry units, wall prisms) Form Completed q- o Subsequent tests (mortar, grout, field wall prisms) Placement inspection of units, and reinforcement Masonry, mortar, grout, and reinforcing steel certificates ADDITIONAL INSRUCTIONS, OTHER TEST, & INSPECTIONS:-\5 SMOKE CONTROL: _Leakage testing _Control Yerification FIREPROOFING: Placement inspection Densitv tests -Thickness tests -Inspect batchingROOFING: _ Insulation installation/R-Value* Test strios/seams *PROVIDE STRENGTH REQTIIRED BY ARCIIITECT OR ENGINEER OR CONTRACT DOCI'MENT LOCATION OF VALIIES Date SPR\ ",FIEI.t) D EV [: L CI P lLl t: N T S f: R V I C/ : :r f;!i: .r',,1 I ; I fl ,i[Ai,' May 17,2005 Crawford Electric PO Box 809 Aumsville, OR 97325 Enclosed is a copy of the temporary clectrical permit for the new Walgreens at 1210 Mohawk Blvd., Springfield, Oregon. Wherr you obtained your pennits, your application identified the location as 1220 Mohawk, which is an incorrect address and we assigned an incorrect job number to it. The correct address for this project is 1 21 0 Mohawk and the existing job number for this project is COM2005-00154. Please refer to this trumber and address when requesting an ir-rspection or infomatiotr about the project. I am enclosing a copy of the pernrit for you to keep for your records. Thank you, and if you have any questions, please feel free to phone nte at 726-3790. Sincerely, Lisa Hopper Building Safety Supervisor cc: David Bowlsby Encl 2?!; t:trTu sTtlt I I {;l)l:llNGFll.Lt.). Ot'| 9/.1 ;/ (54 t) 726-3753 FAX (541) 726-3689 www. c i. sp ri n gf i e ld. o r. us 225 FIFTII STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 r F )726-3689 PERMIT APPLICATION - tT-o5Ciry Job Date LO CAT I O N O F IN S'I'AL I,ATIOJ :,+31. luu.i LEGAL DESCzuPTION JOB DESCzuPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1.. A Address A. Ncw Residential Service Included 1000 sq. ft. orless Y rvelling unit. Each additional 500 sq, ft. or portion thereof Ce..IleL Those ,.s,o $106.00 r9.00 .00 C O NTRACTA R dNSIAL*NiJN' 6 NTV B. Signature of Supervising Electrician Owners Name f ?tnu e*w"e New Alteration or Extensiou Per Panel Each Additional Circuit or with Service or Feeder Permit (N ote:the telePhone Oregon UtititY Notilicatictrr.oo $ 75.00 $ r 2s.00 $ 163.00 $37s.00 $ 50.00 fo"06 $ 43.00 $ 3,00 $ s0.00 $ 50.00 5 4,s 1 ' ,, ,, - j or Relbcirtion: ' City Elecrrical Conhactor e Addrcss R q 401Amps'Amps Phone -Ut)-qoo d 601 Arnps to 1000 Amps Over 1000 Amps/Volts Recounect Only Supervisor License Number &1 0-o S C. Temnorarv Services or Feeders Expiration Date lo -z t- o')Installation, Alteration or Relocation 200 Amps or less Constr. Contr. Number 3< q ,l Expiration Date ll]-l-o3 (Se^lor E. MiScellaneous. (service/feeder not iucluded) -Each lnstallation City rrr\ "}\eo.r.., LSC phone tq 3 - tQci ''a155 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signanrre: Limited EnergylResidential $ 2s.00 Limited Energy/Cornmercial $ 45'00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 5o oo 7% State Surcharge 10% Administrative Fee TOTAL 35D Shared Dri v c{T: )/Buildi n g Forms/Electrical Pennil Application l'03'doc Pump or irrigation Sign/Outline Lighting Inspection Request: 126'37 69 o ORTGONCITY OT'ls requires Oregon Utility FOB Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line FIELD Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0511612005APPLIED: 02/0812005 EXPIRESz 1111612005VALUE: $ 159,858.00 SITE ADDRESS: 1210 Mohawk Blvd ASSESSOR'S PARCEL NO.: 1703253310100 PROJECT DESCRIPTION: New retail building. Springfield TYPE OF WORK: Retail TYPE OF USE: New Owner: Address: Contractor Type Architect General Electrical Mechanical Plumbing C3INVESTMENTS 220 CHURCH STREET, SUITE 101 MOUNT PLEASANT SC 29464 PhoneNumber: 843-849-5455 License Expiration DateContractor BAYSINGER PARTNERS ARCHITECTURE JOSEPH HUGHES CONSTRUCTION INC. CRAWFORD ELECTRIC CO INC MICHAEL SCOTT GRIFFIN TOMS PLUMBING SERVICE INC s8969 150189 159425 tuogt2006 0U23t2006 05n2t2006 Commercial Phone 503-546-r600 503-624-7100 s03-448-4000 541-942-8339 541-607-8879 CONTRACTOR INFORMATION BUILDIN( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street PTICE: Storm Sewer S PER Special 0Rl ANY 180 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: M VB 1 28.00 Gas Electric Path 1 nla 14,409 REQUIRED PARI(NG Total: Handicapped: Compact: ZED UNDER THIS PERII,IIT IS NOTOMMENCED OB IS ABA MII SHALL EXPIR E 'F THE WORK Sidewalk Type: 'i f.l ENDldilffibuflgnnhU:requires you to lollow rul.B adoptEd by the Oregon Utility ttrtlllcrtlon Center. Those rules are set lorth in OAFI 962.001.0010 through OAR 952-001 J000. You may obtain copies of the rules b) 0alling the center. (Note: the telephone number tor the Oregon Utllity Notification DEVELOPMf, NT INFORMATION PUBLIC IMPROVEMENTS Notes:DAY PERIOD NDONED FOR Gonteris 1€00-332-2 1 Page 1 of5 L)l.i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0511612005APPLIED: 02/0812005 EXPIRESz 1111612005VALUE: $ 159,858.00 Description Estimate Pavins Tvpe of Construction Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 1,199,566.00 159,858.00 Value $1,199,566.00 $159,858.00 $1,359,424.00 Date Calculated 04n5t2005 04n5t200s Fee Description Plan Review Commflnd/Public Plan Review Fire & Life Safety + l0o Administrative Fee + 7%o State Surcharge Temp Power 200 amps or less Total Amount Paid Amount Paid $2,691.42 $1,656.26 $s.00 $3.s0 $s0.00 $4,406.18 Total Value of Project Date Paid 2t8t05 218t05 5lt0t05 5/10/05 s/l0/0s Receipt Number 1200500000000000169 1200500000000000169 3200500000000000200 3200500000000000200 3200500000000000200 Fees Paid Plan Reviews Fire Department Review 0210912005 0310912005 OK GRG 02/09t200s 04t25t2005 WI SB 02t09t2005 02fi6t2005 WE JMP 031041200s 03t04t2005 Io JMP 031291200s 03t29t2005 Io JMP See attached document for Fire Department Plans Review comments. Waiting for approval of final site plan and Development Agreement. Ashley Deforrest is planner. Development Agreement signed 5t4t05. SDCs added, curbcuts and sidewalk permits added. Encroachment fee added. Encroachment Application and LDAP applications required. See attached documents for 11 structural comments faxed to William M. Ruecker. See attached cover for plumbing comments faxed to William M. Ruecker. See attached cover for 8 pages of structural and plumbing comments faxed to William M. Ruecker per Jesse McMillan's request to replace their lost copies. Initial Review Planning Review Public Works Review Structural Review Structural Review 02t09t2005 02t09t2005 02t09t200s 05t04t2005 SKG EMM APP APP Structural Review Page 2 of 5 -:[3 Valuation Descrintion I o Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0511612005APPLIED: 02/0812005EXPIRES: 1111612005VALUE: $ 159,858.00 Structural Reyiew Structural Review SUB Review 04fi4t2005 04n4t2005 IO JMP 04n9t2005 04n9t2005 Io JMP 02mt2005 02t23t2005 APP JF WI. Received fed ex package from William Ruecker addressing the structural comments. Called William Crawford and requested an original signature and complete information on the Electrical Permit Application. WI. William Crawford mailed an electrical permit application with his original signature. 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. 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. 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. 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. 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. Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Page 3 of5 Renrrired fnsnecfions X- \13 LI Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fa;x 541-726-37 69 Inspection Line OF Building/Combination Permit PERMIT NO: COM2005-00154ISSUED: 0511612005APPLIED: 02/0812005 EXPIRESz 1111612005YALUE: $ 159,858.00 SUB Exterior Lighting 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 and/or foundation inspection. Footing: After trenches are excavated. 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: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/I.{ailing: Before covering sheathing with linish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. Ceiling Grid: After drywall approval but prior to cover. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 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. Paee 4 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line F PRIN Building/C ombination Permit PERMIT NO: COM2005-00154ISSUED: 0511612005APPLIED: 02i0812005EXPIRES: 1111612005VALUE: $ 159,858.00 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 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 Iocated at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 5 of 5 *'"YY 225Fifth Street Springfield, Oregon 97 477 541,-726-3759 Phone Qity of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 3200500000000000200 Date: 0511612005 t:54:22PM Job/Journal Number coM2005-00578 coM2005-00578 coM2005-00s78 Description Temp Power 200 amps or less + 7%o State Surcharge + l0% Administrative Fee Amount Due 50.00 3.50 5.00 Item Total:$58.50 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check CRAWFORDELECTzuC,INC njm 0 I 5788 By Mail Payment Total: $58.s0 -Ss8-:5d- sn6t200s Page I of I aFmE.o