HomeMy WebLinkAboutPermit Building 2003-04-25Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2002-01391ISSUED: 0412512003
APPLIEDz 1211912002EXPIRES: 1012512003YALUE: $ 141,000.00
SITE ADDRESS: 1657 Mohawk Blvd
ASSESSOR'S PARCEL NO.: 1703253105800
PROJECT DESCRIPTION: Subway + additional restaurant
Owner: HAMMER BROTHERS LLC
Address: PO BOX 2266 EUGENE OR 97402
Springfield TYPE OF WORK: Restaurant
TYPE OF USE: New Commercial
CONTRACTOR INFORMATION
Contractor Type
Architect
General
Electrical
Mechanical
Owner
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street ImproYements:
Storm Sewer Available:
Special Instruction:
Contractor
ROBERT SHAW
MARK DORMAN CONS
ROSE CORPORATION
COMMERCIAL AIR IN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
VN Range Type:
Energy Path:
%
Fully Improved
Yes
031071200s s41-988-0868
Lot Size:
Sq Ft lst Floor:
HAMMER
147257
54431
r10075
138003
03t2u2005
09t30t2004
t2n8t200s
License Expiration Date Phone
541-4854963
s41-501-598s
s41-686-090s
541-461482t
3,000
Ft 2nd Floor:
Basement:
Garage/Carport
Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
PUBLIC IMPROVEMENTS
Notes:
Page 1 of6
To Storm Sewer
\ra
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: COM2002-01391ISSUED: 0412512003APPLIEDz 1211912002
EXPIRESz 1012512003VALUE: $ 141,000.00
Description
Bid Amount
Paving
Tvpe of Construction
Use Bid Amount
Use Bid Amount
Value
$240,000.00
$58,ooo.oo
$298,000.00
Date Calculated
12n9t2002
04n8t2003
$ Per Sq Ft Square Footage
$1.00 240,000.00
$r.00 58,000.00
Total Value of Project
Fee Description
Plan Review Comm/Ind/Public
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ l0o Administrative Fee
+ l0%o Administrative Fee
+ 77o State Surcharge
+ 7%o State Surcharge
Addressing Assignment
Air Handling Unit Up to 10,000
Building Permit
Curbcut - Additional Driveway
Curbcut Permit
Encroachment Permit
Fixture
Furnace - up to 100,000 btu
Gas Outlets l-4
Paving
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Sanitary Sewer - lst 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl 100'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Repair Permit
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
Temp Power 200 amps or less
Vent Fan
Water Line - lst 50 Feet
Amount Paid
$663.42
$10.00
$s.00
$40.19
$160.s7
$3.s0
$84.27
$8.00
$24.00
$698.90
$30.00
$7s.00
$120.00
$210.00
$36.00
$4.00
$401.85
$-86.61
$354.96
$4s.00
$9s7.03
$1,259.13
$28.00
$10.00
$241.57
$4,062.34
$384.27
$9s3.46
$13,039.28
$2,955.24
$10.00
$4,230.00
$4s.00
$42.00
$50.00
$12.00
$45.00
Date Pai
t2n9t02
4tzsl03
4t25/03
4t25t03
4/2st03
4t2st03
4t2st03
4t25t03
4t25t03
4t25t03
4tzst03
4tzst03
4tzst03
4tzst03
4t25103
4t2st03
4t25t03
4125/03
4t25t03
4t25t03
4t2st03
4t25t03
4t25t03
4t2st03
4tzst03
4t25103
4t2st03
4t25t03
4t25103
4t2st03
4125103
4t25t03
4t25t03
4t25t03
4t2st03
4t25t03
4tzst03
Pase 2 of 6
Receipt Number
1200200000000000434
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
r200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
r200200000000001068
r200200000000001068
r200200000000001068
r200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
Fees Paid
Valuation Description
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: COM2002-01391ISSUED: 0412s12003APPLIED: 1211912002EXPIRES: 1012512003VALUE: $ 141,000.00
Water Line - Each Addtl 100'
Total Amount Paid
$14.00
$31,226.37
4t25t03 r200200000000001068
Plan Reviews
Fire Department Review 1212312002 0U27t2003 OK GRG
Initial Review 12t20t2002 12t23t2002 APP LLH
PIan Review of proposed Subway
restaurant. Additional restaurant
plans not included. A-3 occupancy;
V-N construction.31000 sq. ft.
Provide exit signs meeting the
requirements of 1998 Oregon
Structural Specialty Code 1003.2.8.
Provide means of egress lighting
meeting the requirements of OSSC
1003.2.9.
Egress lighting shall be maintained
at a minimum of 1 footcandle at
floor level per 1998 OSSC 1003.2.9.
On the main exit door, provide sign
stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS." (OSSC
1003.3.1.8, exception l)
Post address numbers visible from
the street (OSSC 502; Springlield
Uniform Fire Code 901.4.4)
Provide 2-A:10-B:C rated fire
extinguisher within 75 feet of travel
distance within the restaurant.
(suFC 1002.1)
Needed to verify location and
address assignment with Jim
Donovan.
Planner is Jim Donovan, DRC
2002-070226. Site Plan Review is
not complete yet as of l2l3ll02.
Site Plan Not Complete
Site Plan Not Complete
Initial Review
Planning Review
Public Works Review
Public Works Review
03n2t2003
12t23t2002
t2t23t2002
03n7t2003
03fi7t2003
12t26t2002
03t20t2003
APP LLH
PEND
PJO
PJO
WE
WE
Paee 3 of 6
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: COM2002-0139LISSUED: 0412512003
APPLIEDT 1211912002
EXPIRESz 1012512003VALUE: $ 141,000.00
Public Works Review 04mt2003 0411112003 APP PJo
Revised Plan Review - Fir 0410312003 04n7t2003 OK GRG
THE ASSOCIATED PUBLIC
IMPROVEMENT PROJECT
MUST BE COMPLETE AND
ACCEPTED BY THE CITY
BEFORE ISSUING OCCUPANCY
PERMIT
Plan Review revisions. Subway
restaurant portion only. Job
#COM2002-0139f . A-3 occupancy,
V-N construction,3,000 sq. ft.
Exit signs described and shown on
plans. Will verify on inspection
Means of egress lighting described
on plans. Verify on inspection.
The I footcandle requirement for
egress lighting described on plansl
will require a special inspector to
verify and submit report to
Springfield Fire Marshal's Office
Main exit door sign "THIS DOOR
TO REMAIN OPEN DURING
BUSINESS HOURS" described in
plans. Wiil verify on inspection.
Address numbers will need to be
applied only to Subway restaurant.
Other restaurant will require
separate address per Lisa Hopper.
Fire extinguishers shown on plans;
rating listed; height detail shown.
Verify on inspection.
Revised grading/storm drainage
plan
Revised grading/storm drainage
plan
Revised grading/storm drainage
plan
Assigned to Dave Puent for decision
on plan reviewer. Decision will be
made on 12126102 and plans will be
fed ex'd or routed on that day
Revised Plan Review - Pu
Revised Plan Review - Pu
Revised Plan Review - Str
Revised Plan Review - Str
Revised Plans Received/Ro
Revised Plans Received/Ro
04t03t2003
04t08t2003
04t2u2003
04nu2003
04n4t2003
04n4t2003
04t0312003
04t08t2003
DON
APP
PJO
PJO
APP
APP
APP
APP
JMP
JMP
LLH
LLH
Structural Review 12t26t2002
Paee 4 of 6
L]
04t03t2003
04/08/2003
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2002-01391ISSUED: 0412512003APPLIEDz 1211912002
EXPIREST 1012512003VALUE: $ 141,000.00
Structural Review
Structural Review
Structural Review
SUB Review
SUB Review
SUB Review
SUB Review
12t23/2002
03n7t2003
oil13t2003
03t2U2003
WE JF
POK JF
01/15/2003 01/08/2003 IO
02t07t2003 02t07t2003 WE JMP
03n7t2003 03t2y2003 WE JMP
Received revised restaurant
equipment drawings dated 10-22-02
(3 sheets) and equipment details
dated l1-01-02 (3 sheets).
Faxed letter to Robert Shaw
21712003 with 6 requirements.
Faxed 2nd Review document to
Robert Shawtoday. See attached
document.
See Attached Documents.
Document Faxed lll3l2003
Corrected and accurate HVAC
information submitted. Pass HVAC
code review.
Pass Building Envelope. Incomplete
information submitted on oboslete
code forms was provided for HVAC
equipment RL Shaw Architect, is to
forward IMC equipment specs
curretn energy code forms by next
week. No current accurate lighting
information has yet been provided.
Received updated lighting
information. Pass energy code
review
03n7t2003 03n9t2003 POK JF
04n7t2003 04n7t2003 APP 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.
I
I
3
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
WalI 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.
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.
Page 5 of6
4
5
6
7
8
9
t0
11
t2
13
Reouired fnsnections
t4
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: COM2002-01391ISSUED: 0412512003
APPLIEDT 1211912002
EXPIRESz 1012512003VALUE: $ 141,000.00
15 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
16 Final Fire Department. After all requirements of the Fire Department have been met.
17 Final Building: After all Conditions have been completed as required on Development Agreement.
18 Final Building: After all required inspections have been requested and approved and the building is complete.
19 Rough Grading: After gravel is in place but prior to placing concrete.
20 Final Paving: After paving is complete.
2l Underground Plumbing: Prior to filling the trench and including required testing.
22 Rough Plumbing: Prior to cover and including required testing.
23 Water Line: Prior to filling trench and including required testing.
24 Sanitary Sewer Line: Prior to filling trench and including required testing.
25 Storm Sewer Line: Prior to filling trench.
26 Final Plumbing: When all plumbing work is complete.
27 Rough Mechanical: Prior to Cover
28 Final Mechanical: When all mechanical work is complete.
29 Rough Electric: Prior to Cover
30 Electric Service: Approval required prior to utility company energizing service.
3l Final Electric: When all electrical work is complete.
32 Rough Grading: After gravel is in place but prior to placing concrete.
33 Final Paving: After paving is complete.
34 SUB Concrete Slab: Prior to and following pour.
35 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
36 SUB Framing: Following City Framing inspection approval
37 SUB Final: After all required energy inspections have been requested and approved.
38 SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
39 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
40 SUB Ceiling Grid: Interior Lighting
4l SUB Exterior Lighting
42 Temporary Electric: Approval required prior to Utility Company energizing pole.
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
ZI .Zq ob
Owner or Contractors Signature
ATZcc4 TTELT
Page 6 of 6
Date
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000001068 D*et 04125t20o3
COM2002-01391 Addr€ssing Assigrrneit 8.00
COM2002-01391 Sidewalk Repair Permit 10.00
COM2002-01391 CurbcutPermit 75.00
COM2002{1391 C\rtcut - AdditioDsl Drir€*ay 30.00
COM2002-01391 Encroachdeot Pennit 120.00
COM20024l39l Storm Drainage Imp€rvious Area 4230.00
COM20024l39l Sanitary Sewer - ReirnburserDerr 1259.13
COM2002-01391 Sanitary Sewer- Inprovement 957.03
COMil002-01391 SIrc Transpo Reimbusemefi 2955.24
COM2002-01391 SDC Transpo Improvem€nt 13,039.28
COM2002-01391 SDC MWMC Reimbursement 4,062.34
COM2002-01391 SDC MWMC Lnprovemelt 241.57
COM2002-01391 SDC lvflVMC Admii stration 10.00
COM2002-01391 SDC Sadtary/Storm Admh 384.27
COM20024l39l SDcTraDspoAdmin 953.46
COM200241391 Paviry 401.85
COM2002-01391 + 10% Administrative Fee 40.19
COMil002-01391 Fixture 210.00
mM2002-01391 Sanitary S€wEr - lst50 Feet 45.00
COM2002-01391 Sanitary sewer Each Addd 100' 28.00
COM2002-01391 Water LiDe - lst 50 Feet 45.00
COM2002-01391 Water Line - Each Addtl 100' 14.00
COM2002-01391 Storm Sew€r - lsl 50 Feet 45.00
COM2002-01391 Storm SewEr Each Addtl 100' 42.00
COM2002-01391 Furnace - up to 100,000 btu 36.00
COM2002-01391 Air Handliry Unit Up to 10,000 24.00
COM2002-01391 Gas Oudets l-4 4.00
COM2002{1391 -Mechanical Issuance Fee- 10.00
COM20024l39l Plan Review ConEE/Ind/Public (86.61)
COM2002-01391 Pl6r Review Fire & Life Safety 354.96
COM2002-01391 Building P€mit 698.90
COM2002-01391 + ?% State Surcharge 84.2'l
COMl0024l39l + l0% Administrativ€ F€€ 160.57
COM2002-01391 Ventratr 12.00
COM2002-01391 Telrlp PowEr 200 amps or le$ 50.00
4/2s12003 9:23:46ANI Page I of2 cReceipt.rpt
*tw
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
coM2002-01391
coM2002-01391
Receipt #: 120020000000000 1 068
+ lYo State Surcharge
+ llYo Administrative Fee
Date: 0412512003
3.50
5.00
ItemTotal: re
Typ. ofPlyme P.idBy Reeived By CheckNumb€r Co rnNo How RNived ADount P.id
Check HAMMERBROTHERS LLC djb In Person
Payment Total:
30,562.95
$30,562.95
412st2003 9:23:46ANI Page2 of2 cReceipt,rpt
tffi*e,
225 FIFTH STREET
SPzuNGFIELD, OREGON 97 47 7
INSPECTION REQUEST: 726-37 69
OFFICE: 726-3759
LOCATIi6s
ELL,u IRICAL PERMIT APPLI CATION
City J ob Number futtuZi<,1- Al3
3. COMPLETE FEE SCFIEDULE BELOW
A. Ncu' Rcsitlential-Singlc or
ON OF INS
7 l/ttL
LEGAL
Perniits a re non-transferable
ilrvork is not started rvithin
ofissuance or ifrvork is suspended for
180 days. r?(i
:
Items Cost Surn
$ 19.00
or
Manufd Home or
Modular Dwelling
Service or Feeder
B. Seryices or Feeders
, Installirtion, Alterations or
Pnmp or irrigation
Sign/Outline Lighting
Limited Energv/Res
Limited Energy/Comm
drrelling unit.
l?o DESCRIPTION-{Zsj^t ^ o{&a
JoB Dfr! ?N (t* a+t-...n0,")1".f
dos
ro{r?ooIt\
2. CONTRACTOR INSTALLATION ONLY
for sale, lease or rent.$50.00
$50.00
$25.00
I\Iinimunr Electric Permit Inspection Fec is S15.00 * Strrchargcs
{. SUBTOTALOFABOVE
77o State Surcharge
87n Administratir,c Fee
-5 (--,
sJ-o5cc
S
Orvners Signature
TOTAL {-s 9"
Electrical
Expiration
Constr Contr-
Expiration
Signaturc of Srq er-vising
$ 63.00
-
s'75.00
$43.00
$ 3.00
601 amps tol 000
Over 1000
\(\9r){1000r,olts see
d
Orvners N
'-B"l''"' ZZG(-
Circuits
Nerv Alteration or
One
(Sen,ice/fceder not inclu detl)
,-AHL J
225 FTFTH STREET
2. CONTRACTOR
Electrical
Address
Expiration Date
Sup errisin g Elect rician
Orvners (r{1-
{ 4-e.v
OWNER INSTALLATION
The installation is being made on
property I orvn rvhich is not intended
lor sale. lease or rent.
Orvners Signature:
LEGAL DESCRIPTIONl7o3 zs3 I osSoo
Multi-Famill' pcr du'elling unit.
Ser-vicc Included:
00
SumIteurs Cost
$ 106.00
or
0
or Feeders
'0n Install zrtion, Alterations or
_ $ 50.00 _
not included)
Relocation:
200 an-rps or less
201 arnps to
40 I amps to
amps
Orrer
D. Branch
lation
irrigation
Liglrting
Linrited EnergyiRes
Lirnited Energv/Comm
I\'Iinimunr Electric Permit Inspection Fec is SJ5.00 * Surchargcs
.I. SUBTOTAL OF ABOVE
7oh StNe Surchurge
t6{
p'/, fl, Atlministrativc Fee
5
Sr)
TOTAL t1394
1
ib>- a t74-'rr\v'\t
ELL,u IRI CAL PERMIT APPLICATION
City Job Number.tOtuzedt -O 1,39/,
$ r 9.00
c-it)-
Supen'isor License Nrunber
Expiration
Constr Contr-
or less
1 to 400 amps
Over 401 to 600 arnps
"B" aboYe
I
Orrer
$ 63.00
I $ 75.00 ")
$125.00 _-
_ $163.00 ---_$375.00
$ s0,00
Feeders
or Relocation
$69
$ 100.00
.00
see
\v,$'
Panel
$43.00
t"fE
, s.oo ?o
$50.00
$50.00
$25.00
$45.00
SPRINGFIELD
Report lD : SPRA103
Voucher lD :
Handling Code :
00061998
RE
Accounting Date :
Vendor Number:
lnvoice Date :
lnvoice # :
Approver:
Operator:
Gross Amount :
ProiiGrant
May 12,2003
0000009601
May 12,2003
1 068
Puent,David
wtLSs940
40.19
Amount
40.19
City of Springf . -ld
Voucher
Hammer Brothers LLC
P.O. Box 2266
Eugene, OR 97402
Description
Admin Refund
Account Fund Qry SubClass BY
426605 100
Comments:
Express Check
Refund Ok'd by Lisa Hopper of job number Com2002-01391
10% Admin Fee overpayment
It*51 I'Ytonpt^rc Uvt
2003
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: COM2002-01391ISSUED: 0412512003
APPLIEDz 1211912002
EXPIRES: 11/0612003VALUE: $ 141,000.00
SITE ADDRESS: 1657 Mohawk Blvd
ASSESSOR'SPARCELNO.: 1703253105800
PROJECT DESCRIPTION: Subway + additional restaurant
Owner: HAMMER BROTHERS LLC
Address: PO BOX 2266 EUGENE OR 97402
Springfield TYPE OF WORK: Restaurant
TYPE OF USE: New
License Expiration Date
03t2u200s
0913012004
12n8t2005
Contractor Type
Architect
General
Electrical
Mechanical
Owner
Plumbing
Contractor
ROBERT SIIAW
MARK DORMAN CONSTRUCTION LLC
ROSE CORPORATION
COMMERCIAL AIR INC
HAMMER BROTHERS LLC
EUGENE EXCAVATION &
t4'
Commercial
Phone
541-485{963
s41-s01-s985
541-686-090s
541-4614821
CONTRACTOR INFORMATION
\t
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
VN
of Heat:
Type:
Range Type:
Energy Path:
Overlay
03t07t200s 541-988-0868
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
3,000
Surface Area:
ARKING
#
(
9b
n\Sidewalk Type:
Downspouts/Drains:
Notes:
Pase I of6
To Storm Sewer
\)t$
Compact:r\O
c
ITY OF
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2002-01391ISSUED: 0412512003
APPLIEDz 1211912002EXPIRES: 1110612003VALUE: $ 141,000.00
Description
Bid Amount
Paving
Type of Construction
Use Bid Amount
Use Bid Amount
$ Per Sq Ft Square Footage
$1.00 240,000.00
$1.00 58,000.00
Total Value of Project
Date Pai
Value
$240,000.00
$58,000.00
$298,ooo.oo
Date Calculated
12n9t2002
04n8t2003
Fee Description
Plan Review Commfl nd/Public
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ l07o Administrative Fee
+ llYo Administrative Fee
+ 7%o State Surcharge
+ 7o/o State Surcharge
Addressing Assignment
Air Handling Unit Up to 10,000
Building Permit
Curbcut - Additional Driveway
Curbcut Permit
Encroachment Permit
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Paving
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Sanitary Sewer - lst 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl 100'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Repair Permit
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
Temp Power 200 amps or less
Vent Fan
Water Line - lst 50 Feet
Amount Paid Receipt Number
1200200000000000434
1200200000000001068
120020000000000r068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
r200200000000001068
1200200000000001068
1200200000000001068
r200200000000001068
r200200000000001068
r20020000000000r068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
r200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
r200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
1200200000000001068
$663.42
$10.00
$s.00
$40.19
$160.57
$3.s0
$84.27
$8.00
$24.00
$698.90
$30.00
$75.00
$120.00
$210.00
$36.00
$4.00
$401.8s
$-86.61
$3s4.96
$45.00
$9s7.03
$1,259.13
$28.00
$10.00
$241.57
$4,062.34
$384.27
$953.46
$13,039.28
$2,955.24
$10.00
$4,230.00
$4s.00
$42.00
$50.00
$12.00
$45.00
t2n9t02
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4tzst03
4t25103
4t25t03
4t25t03
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4t25t03
4t25103
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4t25103
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4t2st03
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4t25103
Paee 2 of 6
['ees Paid
a
ffi.1
Valuation Descriotion I
CITY
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: COM2002-01391ISSUED: 0412512003APPLIEDz 1211912002EXPIRES: 11/0612003VALUE: $ 141,000.00
Water Line - Each Addtl 100'
+ l0oh Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 201 to 400 amps
Total Amount Paid
$r4.00
$16.50
$1r.55
$90.00
$7s.00
$31,419.42
4t25t03
5/8/03
5/8/03
5/8/03
5/8/03
1200200000000001068
1200200000000001 148
1200200000000001148
1200200000000001 148
I 200200000000001 148
Plan Reviews
Fire Department Review 1212312002 0112712003 OK GRG
Initial Review 12120t2002 12t23t2002 APP LLH
Plan Review of proposed Subway
restaurant. Additional restaurant
plans not included. A-3 occupancy;
V-N construction. 3,000 sq. ft.
Provide exit signs meeting the
requirements of 1998 Oregon
Structural Specialty Code 1003.2.8.
Provide means of egress lighting
meeting the requirements of OSSC
1003.2.9.
Egress lighting shall be maintained
at a minimum of I footcandle at
floor level per 1998 OSSC 1003.2.9.
On the main exit door, provide sign
stating TTTHIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS." (OSSC
1003.3.1.8, exception 1)
Post address numbers visible from
the street (OSSC 502; Springfield
Uniform Fire Code 901.4.4)
Provide 2-A:10-B:C rated fire
extinguisher within 75 feet oftravel
distance within the restaurant.
(suFC 1002.1)
Needed to verify location and
address assignment with Jim
Donovan.
Planner is Jim Donovan, DRC
2002-070226. Site Plan Review is
not complete yet as of l2l3ll02.
Site PIan Not Complete
Site PIan Not Complete
Initial Review
Planning Review
Public Works Review
Public Works Review
03112t2003
12t23t2002
t2t23t2002
03fi7t2003
03n7t2003
12t26t2002
0312012003
APP LLH
PEND
PJO
PJO
WE
WE
Paee 3 of 6
Inlln
m
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: COM2002-01391ISSUED: 0412512003
APPLIEDz 1211912002EXPIRESt 1110612003VALUE: $ 141,000.00
Public Works Review 04/1u2003 04nu2003 APP PJO
Revised Plan Review - Fir 0410312003 0411712003 OK GRG
THE ASSOCIATED PUBLIC
IMPROYEMENT PROJECT
MUST BE COMPLETE AND
ACCEPTED BY THE CITY
BEFORE ISSUING OCCUPANCY
PERMIT
Plan Review revisions. Subway
restaurant portion only. Job
#COM2002-01391. A-3 occupancy,
V-N construction,3,000 sq. ft.
Exit signs described and shown on
plans. Will verify on inspection
Means of egress lighting described
on plans. Verify on inspection.
The I footcandle requirement for
egress lighting described on plans;
will require a special inspector to
verify and submit report to
Springfield Fire Marshal's Office
Main exit door sign "THIS DOOR
TO REMAIN OPEN DURING
BUSINESS HOURS" described in
plans. Will verify on inspection.
Address numbers will need to be
applied only to Subway restaurant.
Other restaurant will require
separate address per Lisa Hopper.
Fire extinguishers shown on plans;
rating listed; height detail shown.
Verify on inspection.
Revised grading/storm drainage
plan
Revised grading/storm drainage
plan
Revised grading/storm drainage
plan
Assigned to Dave Puent for decision
on plan reviewer. Decision will be
made on 12126102 and plans will be
fed ex'd or routed on that day
Revised Plan Review - Pu
Revised Plan Review - Pu
Revised Plan Review - Str
Revised Plan Review - Str
Revised Plans Received/Ro
Revised Plans Received/Ro
04t03t2003
04/08/2003
04t2U2003
04ny2003
04n4t2003
04n4t2003
04t03t2003
04/08/2003
DON
APP
PJO
PJO
APP
APP
JMP
JMP
LLH
LLH
APP
APP
Structural Review 12t26t2002
Paee 4 of 6
04t03t2003
04/08/2003
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2002-01391ISSUED: 0412512003
APPLIEDz 1211912002EXPIRES: 1110612003VALUE: $ 141,000.00
Structural Review
Structural Review
Structural Review
SUB Review
SUB Review
SUB Review
SUB Review
02t07t2003
03n7t2003
12t23t2002
03n7t2003
02t07t2003
03t2U2003
0u13t2003
03t2u2003
WE JF
POK JF
0u15t2003 01/08/2003 IO Received revised restaurant
equipment drawings dated 10-22-02
(3 sheets) and equipment details
dated 1l-01-02 (3 sheets).
Faxed letter to Robert Shaw
21712003 with 6 requirements.
Faxed 2nd Review document to
Robert Shaw today. See attached
document.
See Attached Documents.
Document Faxed lll3l2003
Corrected and accurate HVAC
information submitted. Pass HVAC
code review.
Pass Building Envelope. Incomplete
information submitted on oboslete
code forms was provided for HVAC
equipment RL Shaw Architect, is to
forward IfVAC equipment specs
curretn energy code forms by next
week. No current accurate tighting
information has yet been provided.
Received updated lighting
information. Pass energy code
review
WE
WE
JMP
JMP
03n7t2003 03/19/2003 POK JF
04n7t2003 0411712003 APP 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.
1
2
3
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
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.
Roof Sheathing/l{ailing: Before covering sheathing with finish material.
GIu-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.
Paee 5 of 6
4
5
6
7
8
9
10
11
t2
13
Reorrired fnsnections
t4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
CITY
Building/Combination Permit
PERMIT NO: COM2002-01391ISSUED: 0412512003
APPLIEDT 1211912002
EXPIRES: 11/0612003VALUE: $ 141,000.00
15 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
l6 Final Fire Department. After all requirements of the Fire Department have been met.
l7 Final Building: After all Conditions have been completed as required on Development Agreement.
18 Final Building: After all required inspections have been requested and approved and the building is complete.
19 Rough Grading: After gravel is in place but prior to placing concrete.
20 Final Paving: After paving is complete.
2l Underground Plumbing: Prior to filling the trench and including required testing.
22 Rough Plumbing: Prior to cover and including required testing.
23 Water Line: Prior to filling trench and including required testing.
24 Sanitary Sewer Line: Prior to filling trench and including required testing.
25 Storm Sewer Line: Prior to filling trench.
26 Final Plumbing: When all plumbing work is complete.
27 Rough Mechanical: Prior to Cover
28 Final Mechanical: When all mechanical work is complete.
29 Rough Electric: Prior to Cover
30 Electric Service: Approval required prior to utility company energizing service.
31 Final Electric: When all electrical work is complete.
32 Rough Grading: After gravel is in place but prior to placing concrete.
33 Final Paving: After paving is complete.
34 SUB Concrete Slab: Prior to and following pour.
35 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
36 SUB Framing: Following City Framing inspection approval
37 SUB Final: After all required energy inspections have been requested and approved.
38 SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
39 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
40 SUB Ceiling Grid: Interior Lighting
4l SUB Exterior Lighting
42 Temporary Electric: Approval required prior to Utility Company energizing pole.
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 during construction.
Owner or Contractors Signature
Page 6 of 6
Date
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public \ilorks Department
Oflicial Receipt
Receipt #: 120020000000000 1 1 48 Date:05/08/2003
coM2002-01391
coM2002-01391
coM2002-01391
coM2002-01391
Perm Serv/Fdr 201 to 400 amps
Add, Alter, Extend Circ Ea Add
+ 7%o State Surcharge
+ l0%o Administrative Fee
Payments:
75.00
90.00
I1.55
16.50
Item Total:$193.05
CreditCard ROSE CORP djb 000062 008375 In Person
Payment Total:
193.05
$193.0s
5/8/2003 l0:24:32ANl Page I of I cRcccipt.rpt