HomeMy WebLinkAboutPermit Building 2007-06-15Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00198ISSUED: 0611512007APPLIED: 0211312007
EXPIREST 1211512007VALUE: $ 350,000.00
SITE ADDRESS: 16ll 18TH ST
ASSESSOR'S PARCEL NO.: 1703253107701
PROJECT DESCRIPTION: Burger King interior remodel
TYPE OF WORK: Interior
TYPE OF USE: Alteration
Springfield
Commercial
Owner:
Address:
MCKAY INVESTMENT COMPANY LLC
2350 OAKMONT WAY
EUGENE OR 9740I
toN:OregonContractor Type
General
Electrical
Mechanical
Contractor
FRIENDLY
FIVE
INNOVA use-c01
TROUBLE
A-2
Expiration Date
07n3t2008
0u09/2008
10/r l/2008
0810412007
Phone
(s03) 664-6169
(s03) 324-0948
541-746-1040
(s03) 6s7-9807
0
# 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:
is
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
nla 101
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk TyPe:
Downspouts/Drains:
DEVELOPMENT TNFORMATION
PUBLIC IMPROVEMENTS
Notes:
Page I of4
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Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Buildin g/Combination Permit
PERMIT NO: COM2007-00198ISSUED: 0611512007
APPLIED: 0211312007
EXPIRES: 1211512007VALUE: $ 350,000.00
Valuation Descrintion
Description
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 350,000.00
Total Value of Project
Amount Paid Date Paid
Value
$350,000.00
$350,000.00
Date Calculated
04t24/2007
Fee Description
Plan Review Comm/Ind/Public
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Backflow Device
Building Permit
Fixture
Minimum/Adj ustment Mechanical
Miscellaneous Plumbing
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Vent Fan
Total Amount Paid
$399.36
$10.00
$5.00
$8.00
$43.00
$s7.00
$10.00
$179.02
s89.sl
$143.21
$r4.00
$1,378.15
$308.00
$33.00
$45.00
s496.44
$551.26
$r2.00
2n3t07
3t27 t07
3t27t07
3t27t07
3t27 t07
3t21t07
6nsl01
6n5t07
6n5t07
6t15t07
6n5t07
6n5t07
6n5107
6t15t07
6n5107
6n5107
6n5t07
6n5t07
Receipt Number
12007000000000001 54
1200700000000000329
1200700000000000329
1200700000000000329
1 200700000000000329
1200700000000000329
1200700000000000777
1200700000000000777
1200700000000000777
1200700000000000777
1200700000000000777
1200700000000000777
1200700000000000777
1200700000000000777
1200700000000000777
1200700000000000777
1200700000000000777
1200700000000000777
$3,781.95
Fees Paid
Plan Reviews
Fire Department Review 0211612007 03t2u2007 OK GRG See attached document for Fire
Department Plans Review
comments.
WI. Craig D. Carlson responded to
the structural comments.
Forwarded the energy code forms to
Jack Foster.
Planning review not required. No
change in use and no expansion.
Attached SDC Worksheet. No New
SDC's. (JHJ)
Initial Review
Plan Review Comments
Planning Review
Public Works Review
02n6t2007
02n612007
02t16t2007
02n6t2007
04t24t2007
02t2612007
02t2612007
APP
IO
APP
APP
SKG
JMP
EMM
JHJ
Paee 2 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00198ISSUED: 0611512007
APPLIED: 0211312007
EXPIREST 1211512007VALUE: $ 350,000.00
Structural Review
Structural Review
SUB Review
SUB Review
04t30t2007
04t30t2007
02n6t2007
04t30t2007
04/30t2007
03t02t2007
02n612007 03/12t2007 WE JMP Received 31112007 with 7 other large
projects plus a large backlog. See
attached documents for 15
structural comments faxed to Craig
D. Carlson.
Received final internal approval.
Requested energy code forms for
Envelope and HVAC from
applicant. Lighting system energy
code forms were included w/ plans.
APP
APP
WE
JMP
JF
JF
To Request an inspection call the24 hour recording at 726-3769, All inspections 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.
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Ceiling Grid: After drywall approval but prior to cover.
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 Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Final: After all required energy inspections have been requested and approved.
SUB Ceiling Grid: Interior Lighting
Reorrired Insnecfions
Paee 3 of4
F
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 I nspection Line
Building/Combination Permit
PERMIT NO: COM2007-00198ISSUED: 0611512007
APPLIEDz 0211312007
EXPIRESz 1211512007VALUE: $ 350,000.00
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 properfy, and the approved set of plans will remain on the site at all
times during construction.
z.-/5 .-e 7
Owner or Contractors Signature Date
Page 4 of4
225 Fifth Street
Springiield, Oregon 97 477
541-726-3759 Phone
C;*v of Springfield Official Receipt
- elopment Services Department
Public Works Department
RECEIPT #: 1200700000000000777 Date: 0611512007 1:05:20PM
Job/Journal Number
coM2007-00198
coM2007-00198
coM2007-00198
coM2007-00198
coM2007-00198
coM2007-00198
coM2007-00 r 98
coM2007-00198
coM2007-00198
coM2007-00198
coM2007-00198
coM2007-00198
Description
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Building Permit
Fixture
Backflow Device
Miscellaneous Plumbing
Vent Fan
M in imum/Adj ustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ l0%o Administrative Fee
Amount Due
496.44
551.26
1,378.15
308.00
14.00
45.00
12.00
3 3.00
10.00
89.51
143.21
179.02
Item Total:
Payments;
Type of Payment Paid Bv
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check MT HOOD RESTAURANTS
INC
djb 4303 In Person
Payment Total:
$3,259.59
$3,259.59
cReceint I Page I of I 6ltst2007
t;axffiil}n
-sIrffi
CITY OF SPR IELD, OREGON
225 FII-IH STREET . SPRINGFIELD,OR97477 . PH:(541)726-3753 o FAX: (541)726-3689
E LEC'TRICAL P E RM I'T AP P LI CA'TI ON
City Job Number (nrnaoo-t-@/qt
1. LOCATION OF INSTALI-ATTON:
INITIALS
DATE 3 -2n- T1
souRCE M5
Date
3. COMPLETE FEE SCIIEDULE BELOW
A. New Residential - Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less +- $106.00
Each addltionat 500 s4 ft. or . . .'i:,:r;.,^:;1 :
$ 19.00
ZON
LEGAL
JOB DESCRIPTION
portion thereof
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.Feeder
2. 00NTRACTOR TNSTALLAITTON ONLY
, -.,-- :.r
Services or fefOg.tB.
Elechical Contractor
City
eaaress ?O BOX 6b3
Supervisor License Number
Expiration Date l0l t lD-
Constr. Contr. Number
Expiration Date
pnon" 3b2!1:Oqq| over 1000 Amps/volts
Reconnect Only
$s0.00
$ 63.00
$ 7s.00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Ampsto 1000 Amps
D.
Pump or irrigation
Sign/Outline Lighting
4. SUBTOTALOFABOVE
8% State Surcharge
10% Administrative Fee
57o Technology Fee
$125.00
$163.00
$375.00
s s0.00
C. 'l'emporary Services or Feeders
Installation, Alteration or Relocation
$'Pss $ s0.00
LL TXPIH+ P q?OfiK
ER THI$PEftfrflTq$qffT
Signature of Supervising Eleqlrician€tu ffAlltjtrftsn ron
PERIOD
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
n $ 3.oo
(/Ct
Li3,o"'
Owners Name
Address
City frAaoru-PhoneU
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners
Inspection Request: 726-3769
E. Miscellaneous (Service/feeder not included) -Each Installation
Limited Energy/Residential $ 25.00
Limited Energ5i/Commercial $ 45.00
Minimum Electric Permit Inspection F."" ir SISJO * Sr."t rrgo
-
$ s0.00
$ 50.00
0a,N
I,Z oo
a,b*h tSg L"l.w tlqlfr
TOTAL
Shared Drive(T: /Building FormVElectrical Permit Application 8-06.doc
.PFI' T]LD
?t-caac,
Fve :tr, r Eleckic
-
Eignatule:
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
CiF'of Springfield Official Receipt
L ;lopment Services Department
Public Works Department
RECEIPT #: 1200700000000000329 Date: 0312712007 8:2e:20AM
Job/Journal Number
coM2007-00 r 98
coM2007-00198
coM2007-00198
coM2007-00 r 98
coM2007-00198
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5oZ Technology Fee
+ 8% State Surcharge
+ l0%o Administrative Fee
Amount Due
43.00
57.00
5.00
8.00
10.00
Item Total:$123.00
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check FIVE STAR ELECTRIC ddk 5144 By Mail
Payment Total:
$ 123.00
-$r23^0-6'
cReceintl Page I of I 312712007
imlailr3,e
225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 r L)72
E LECTRI CAL P ERMIT AP P LICATI O N
City Job Number C-o [(Z-oo 4- ooq-1 A-D"t.%eo
1 3.
lJ h-
LEGAL DESCRIPTION
r.-l obLS 3\ o-r-to(
JOB DESCRIPTION,.
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 Amps/Volts
Reconnect Only
A.
$
$ 19.00
s50.00
B.1
Electrical Contractor
Address
City
Supervisor License Number
Expiration Date
of
Owners
Address
Name
City
OWNER INSTALLATION
Owners Signature:
$ 7s.00
I s 125.00
$ 163.00
s375.00
$ s0.00
s 50.00
s 69.00
$ 100.00
above.
Panel
s 43.00 '/ ) "''
Phone btk_.klyJq
N$\'c
-L
C.
Slr.trOE.
wirh $ 3.00
toU
)J
rtallatiort
Phone l$1- ct lu(Pump or irrigation
Sig:/Outline Lighting
s s0.00
s 50.00
The installation is being made on property I own which Limited EnergyiCommercial S 45'00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
Limited Energy/Residential $ 2s.00
o c',--/
7%o State Surcharge
10% Administrative Fee
TOTAL
-3
4. art
<9 f >'
L-2-
Inspection Request: 726-37 69
9t oo b >%1
4.
Shared Drive(T:/Building Fonns/Electrical Permit Application 1-03'doc
gru'Jt '
Installation,
200 Amps or
$ 63.00
I
Constr.201Amps
( hw.4" V'5
tutl.*