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Home My WebLink AboutPermit Building 2004-06-24 (2)Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00358ISSUED: 0612412004APPLIED: 03/3112004 EXPIRESz 1212412004VALUE: $ 27,155.00 SITE ADDRESS: 3895 E 19TH AVE Eugene TYPE OF WORK: Warehouse ASSESSOR'SPARCELNO.: 1803031200501 TYPE OF USE: Alteration PROJECT DESCRIPTION: Interior remodel. 61212004 added rack and shelving installation. Owner: UNMRSITY OF OREGON BOOKSTORE INC Address: 895 E 13TH AVE EUGENE OR 97401 PhoneNumber: 541-346-4331 05t30t2007 0st07t200s 03nu2005 Commercial Phone 541-688-5594 541-687-9445 541-736-4973 541-688-1444 Contractor Tvpe Architect General Electrical Plumbing License Expiration Date INC INC PLUMBING INC tt42s8 s9944 17695 BUILDING INFORMATION # 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: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Paved Drive oh of Lot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: B s-1 VN Sq Ft Sq Ft nla Sidewalk Type: Downspouts/I)rains: AR]ilNG Notes: Page 1 of4 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: COM2004-00358ISSUED: 0612412004APPLIED: 03/3112004EXPIRESz 1212412004YALUE: $ 27,155.00 Description Estimate Estimate Type of Construction Estimate Estimate $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 182,000.00 27,155.00 Value $182,000.00 $27,155.00 $209,155.00 Date Calculated 03t31t2004 06102t2004 Fee Description PIan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0o/o Administrative Fee + 7Yo State Surcharge Building Permit Fixture + l0Yo Administratiye Fee + 7o/o State Surcharge Low Voltage - Commercial Indus Plan Review Comm/Ind/Public + l0oh Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10l)6 Administrative Fee + lVo State Surcharge Building Permit Plan Review Fire & Life Safety + l0oh Administrative Fee + 7o/o State Surcharge Low Voltage - Commercial Indus -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7%o State Surcharge Miscellaneous Mechanical Amount Paid Total Value of Project Date Paid Receipt Number 1200400000000000422 1200400000000000422 220040000000000049s 220040000000000049s 220040000000000049s 2200400000000000495 r200400000000000743 1200400000000000743 1200400000000000743 1200400000000000837 1200400000000000864 1200400000000000864 1200400000000000864 1200400000000000864 2200400000000000842 2200400000000000842 2200400000000000842 2200400000000000842 1200400000000001048 1200400000000001048 1200400000000001048 1200400000000001oss 1200400000000001055 120040000000000r055 1200400000000001055 $s40.90 $332.86 $97.22 $68.05 $832.1s $140.00 $4.s0 $3.1s $4s.00 s157.27 $14.s0 $10.1s $43.00 $102.00 $24.20 $16.94 $241.9s $96.78 $4.s0 $3.15 $45.00 $10.00 $4.s0 $3.1s $4s.00 313U04 3t3u04 5t7t04 stlt04 5t7t04 5t7t04 5n4t04 sn4t04 5n4t04 6t2t04 617104 6t7t04 617t04 6t7t04 6t24t04 6124t04 6t24t04 6t24t04 717104 7t7t04 7t7t04 7t8t04 7t8t04 7t8t04 7t8t04 Fees Paid Total Amount Paid $2,885.92 Paee2 of 4 Plan Reviews llaluation Description I 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: COM2004-00358ISSUED: 0612412004APPLIED: 03/3112004EXPIRES: 1212412004YALUE: $ 27,155.00 Fire Department Review 0610812004 06n6t2004 0K GRG Fire Department Review 0611512004 06fi5t2004 0K GRG Fire Department Review 04t02t2004 04n3t2004 0K GRG 0410U2004 WE JMP 04t22t2004 04t22t2004 IO JMP 05t06t2004 05t06t2004 APP JMP Plan Review: Rack shelving submittal. Job #COM2004-00358. Plans appear to meet code requirements. Storage shall not exceed 15 feet in height. The occupant shall notify Springfield Fire Marshals Office of any change in commodity classification beyond Class IV. Plan Review: Modilications to existing sprinkler system. Job#COM2004-00358. Contractor: Harvey and Price. Designer: Jon Portz. Plans appear to meet code requirements. See attached document for fire plan review comments. Rack System approved by Tara Jones for interior remodel only. Any expansion will require Site Plan Review through the Urban Planning division. No SDCs. No new area/paving. Reduced fixtures. Rack System. Received 61812004. Received approval from lire for rack shelving. 41712004 See attached fax requesting Special Inspection and Testing forms. 411512004 See attached fax cover and structural review. Approved 11 page fax from Brian Lighthart addressing all points of the structural review. Received fax from Steve McCallen of Chambers with the requested special inspection forms and a letter of intent from U of O Bookstore about use of mezzanine (not for office at this time). Pass energy code review. Pass HVAC and Lighting. Need building envelope forms. JMP called Richard at Eric Hall's oflice and left a message for Brian Lightheart requesting these forms. Initial Review Initial Review Planning Review Public Works Review Structural Review Structural Review Structural Review Structural Review Structural Review SUB Review SUB Review 0410U2004 06t03t2004 04102t2004 04102t2004 06t03t2004 06t2u2004 04t30/2004 04/02t2004 04t0u2004 06103t2004 04t05t2004 04t05t2004 06t09t2004 06t2U2004 04t07t2004 04130/2004 04n2t2004 APP APP APP APP APP WE LLH LLH EMM APP SB WI JMP JMP JF JF' Paee 3 of4 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: COM2004-00358ISSUED: 0612412004APPLIED: 03/3112004 EXPIRESz 1212412004VALUE: $ 27,155.00 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. Footing: After trenches are excavated. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 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. 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. Low Voltage: Prior to cover. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Mechanical: Prior to Coyer Final Mechanical: When all mechanical work is complete. red fnsneefions 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 construction.d *,hl or Contractors Signature Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone (-:ty of Springfield Official Receipt relopment Services Department Public Works Department RECEIPT #: 1200400000000001055 Date: 0710812004 8:04:30AM Job/Journal Number coM2004-003s8 coM2004-00358 coM2004-00358 coM2004-003s8 Description Miscellaneous Mechanical -Mechanical Issuance Fee- + 7%o State Surcharge + llYo Administrative Fee Amount Due 45.00 10.00 3.15 4.s0 Item Total:$62.65 Payments: Type of Payment Paid By CheckNumber Autnorization Received By Batch Number Number How Received Amount Paid Check CHAMBERS CONSTR djb 46249 In Person $62.65 PaymentTotat: ffi 7/812004 Page I of I JHllAD \ I Geotechni:al & Corsfoudi:n ServiesITSIING & INSPEOION, INC. 07101104 Project No. 2047075 Report No. E06227 Mr. Jim Williams U of O Bookstore, lnc. PO Box 3176 Eugene, OR 97403 Frt,tnl SuruulnY RepoRr U of O Book Store 3895 E. 19th Avenue Springfield, Oregon Building Permit No. COM2004-00358 Dear Mr. Williams, This letter confirms that FEI Testing & lnspection, lnc. performed special inspection services in accordance with UBC and as directed by our client for the above-referenced project. We were employed to provide continuous or periodic inspection on specific dates, as documented per our special inspection reports for: Eearthwork Mreinforced concrete Mstructuralwelding (shop/field) Estructural masonry trbolts installed trhigh-strength bolts Mepoxy dowels/wedge anchors in concrete trspray-applied fireproofing Based upon our observations and written reports of this work, it is our judgment that the inspected work was performed, to the best of our knowledge, in accordance with the approved plans, specifications, change orders and/or structural engineeds instructions, and applicable provisions of Chapter 17 of the Uniform Building Code, unless othenruise noted or referenced above. Respectfully,fr{/l*,*- fflichaet L. Md(1er Technical Manager Chambers Construction Eric Hall Architects J City of Springfield MLM:jm This report and/or enclosed test data is the confidential property of the client to lvhom it is addressed and pertains to the specific process and/or materialevaluated. Assuch,informationcontainedhereinshallnotbereproducedinpartoffulland/oranypartthereofbedisclosedwithoutFElTesting& lnspection, lnc.'s written authorization. 820 Nl\ru corndl Arern e ' conallb, oegm 97330 . prffe (541 ) 757-469s ' fa( (s41) 7s7-76s0 29540 B Airport Rmd ' Eugerp, qegm 97402 . phme (s41 ) 684-os4g . fa( (s41 ) 684i851 c: 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: COM2004-00358ISSUED: 0612412004APPLIED: 03/3112004 EXPIRESz 1212412004VALUE: $ 182,000.00 SITE ADDRESS: 3895 E 19TH AVE Eugene TYPE OF WORI(: Warehouse ASSESSOR'SPARCELNO.: r803031200501 TYPE OF USE: Alteration PROJECT DESCRIPTION: Interior remodel. 61212004 added rack and shelving installation. Phone Number: 541-346-4331 # of Stories: Height of Structure Type of Heat: \Mater Type: Range Type: Energy Path: Sprinkled Building: 05t30t2007 0st07t200s 03/11/2005 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Load d $e t\o Compact Commercial Phone 541-688-ss94 541-687-9445 541-736-4973 541-688-r444 PARKING Owner: Address: UNIVERSITY OF OREGON BOOKSTORE INC 895 E 13TH AVE EUGENE OR 97401 Contractor Type Architect General Electrical Plumbing Contractor ERIC HALL License Expiration Date ,ED $l \B r0R 0F( ugt 114258 59944 17695 0 ANY 180 DAY B s-1 VN # 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: # o//o nla Sidewalk Type: Downspouts/Drains: $e Notes: Paee 1 of4 L(Jl\ rr(ALIUl( rNru_ryJ 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: COM2004-00358ISSUED: 0612412004APPLIED: 03/3112004 EXPIRESz 1212412004VALUE: $ 182,000.00 Description Estimate Estimate Tvpe of Construction Estimate Estimate $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 182,000.00 27,155.00 Value $182,000.00 $27,155.00 $209,155.00 Date Calculated 03t3u2004 06t02t2004 Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0o Administrative Fee + 77o State Surcharge Building Permit Fixture + l0oh Administrative Fee + 7o/o State Surcharge Low Voltage - Commercial Indus Plan Review Comm/lnd/Public + l0o/" Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + l0oh Administrative Fee + 77o State Surcharge Building Permit Plan Review Fire & Life Safety + l0oh Administrative Fee + 7o/o State Surcharge Low Voltage - Commercial Indus Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 1200400000000000422 r200400000000000422 2200400000000000495 2200400000000000495 2200400000000000495 2200400000000000495 1200400000000000743 1200400000000000743 1200400000000000743 1200400000000000837 1200400000000000864 1200400000000000864 1200400000000000864 1200400000000000864 2200400000000000842 2200400000000000842 2200400000000000842 2200400000000000842 1200400000000001048 r20040000000000r048 1200400000000001048 $s40.90 $332.86 $97.22 $68.0s $832.15 $140.00 $4.s0 $3.1s $45.00 $157.27 $14.50 $10.rs $43.00 $102.00 $24.20 $16.94 $241.95 $e6.78 $4.50 $3.15 $45.00 3t3u04 3t3u04 5t7t04 5t7104 st7t04 st1t04 5lt4t04 5n4t04 5n4t04 6t2t04 6t7t04 6t7t04 6t7t04 6t7t04 6t24t04 6t24t04 6t24t04 6t24t04 7t7t04 717104 7t7t04 $2,823.27 Fees Paid Plan Reviews Paee2 of 4 [1" I Valuation Descrintion Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00358ISSUED: 0612412004APPLIED: 03/3112004 EXPIRESz 1212412004YALUE: $ 182,000.00 Fire Department Review 0610812004 06n6t2004 OK GRG Fire Department Review 0611512004 06n5t2004 0K GRG Fire Department Review 0410212004 04n3t2004 OK GRG 04t0u2004 JMP 04t22t2004 04t22t2004 IO JMP 05t06t2004 05/06t2004 APP JMP Plan Review: Rack shelving submittal. Job #COM2004-00358. Plans appear to meet code requirements. Storage shall not exceed 15 feet in height. The occupant shall notify Springfield Fire Marshals Office of any change in commodity classification beyond Class IV. Plan Review: Modifications to existing sprinkler system. Job#COM2004-00358. Contractor: Harvey and Price. Designer: Jon Portz. Plans appear to meet code requirements. See attached document for fire plan review comments. Rack System approved by Tara Jones for interior remodel only. Any expansion will require Site Plan Review through the Urban Planning division. No SDCs. No new arealpaving. Reduced fixtures. Rack System. Received 61812004. Received approval from lire for rack shelving. 41712004 See attached fax requesting Special Inspection and Testing forms. 411512004 See attached fax cover and structural review. Approved 11 page fax from Brian Lighthart addressing all points of the structural review. Received fax from Steve McCallen of Chambers with the requested special inspection forms and a letter ofintent from U ofO Bookstore about use of mezzanine (not for office at this time). Pass energy code review. Pass IIVAC and Lighting. Need building envelope forms. JMP called Richard at Eric Hall's office and left a message for Brian Lightheart requesting these forms. Initial Review Initial Review Planning Review Public Works Review Structural Review Structural Review Structural Review Structural Review Structural Review SUB Review SUB Review 04t0u2004 06t03t2004 04t02t2004 04t02t2004 06t03t2004 06t2u2004 04/30t2004 04102t2004 0410u2004 06t03t2004 0410st2004 04t0st2004 06t09t2004 06tzu2004 04t07t2004 04/30/2004 04112t2004 APP APP APP APP WI APP WE APP WE LLH LLH EMM SB JMP JMP JF JF Pase 3 of4 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: COM2004-00358ISSUED: 0612412004APPLIED: 03/3112004 EXPIRESz 1212412004VALUE: $ 182,000.00 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. Footing: After trenches are excavated. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 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. 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. Low Voltage: Prior to cover. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 red Insnections Pase 4 of4 T 225 Fifth Street Springfidld, Oregon 97 477 541-726-3759 Phone ^rty of Springfield Official Receipt _ ;velopment Services Department Public Works Department RECEIPT #: 1200400000000001048 Date: 0710712004 t:47:44PM Job/Journal Number coM2004-00358 coM2004-00358 coM2004-00358 Description + 7Yo State Surcharge + l0% Administrative Fee Low Voltage - Commercial Indus Amount Due 3.15 4.50 45.00 Item Total:$52.65 Payments: Type of Payment Paid Bv Received By Check Number Batch Number Authorization Number How Received Amount Paid Cash Change GARY DAVIDSON FORADT GARY DAVIDSON djb djb In Person In Person Payment Total: $s3.00 ($0.3s) $52.65 Job/Journal Number coM2004-003s8 coM2004-00358 coM2004-00358 Description + 7o/o State Surcharge + l0% Administrative Fee Low Voltage - Commercial Indus Amount Due 3.15 4.50 45.00 Item Total:$52.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Cash Change GARY DAVIDSON FORADT GARY DAVIDSON djb djb In Person In Person Payment Total: $s3.00 ($0.3s) $52.6s 7/7/2004 Page I of I lxtrter*D % trr{:;trs$Lf,} 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (54 ELECTRICAL P BRMIT APPLICATTON City Job Number LO,vlZ.o ot+-O o35K Date 3.1. T-t+ LEGAL DESCRIPTION A 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. ,, Electrical Contractor Address +46 HAt,+l 5 r #At @ city SPA: to rretf) Pnone Supewisor License Number A. New Residentiat € Service Included 1000 sq. ft or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106. s50.00 B. Expiration Date Constr. Contr. Number Expiration Date Si gnature of Supervising Owners Name Address 7"{ € ls+t* ciry FLL(vd(i Pn.," OWNER INSTALLATION The insallation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Installation, Alteration 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps or 1000 Volts see "B" above. D. New Alteration or Extension Per One Circuit Each Additional Service or E. Pump or (qf Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Amps to 1000 Amps 1000 olts Limited Limited '7%o State Surcharge 10% Administrative Fee TOTAL or Relocation $ 63.00 s 7s.00 $125.00 $ r63.00 $375.00 $ s0.00 $ s0.00 $ 69.00 $ 100.00 $ s0.00 $ 2s.00 $ 45.00 O"< t =/1-tO I z6LInspection Request 726-3769 a 4. Shared Drive(T:)/Building Forms/Electrical Permit Application l -03.doc 111 or $ 19.00 \$ Over 600 Amps OFABOW. as submitted has not require specific the following land use 225 FIFTH STREET r SPRINGFIELD, OR97477 r PII:(541)726-3753 r FAX: PERMIT APPLICATION Ciry Job Date 1 Ob. INS'TALI,A7'ION 3. q e $ .F.EfrSp'&rpfir€4+flJry1o A. New Residential - Single or Nlulti-Farnilv per dn'elling unit. IS IS NOT i(t/ii JOB DESCRIPTION Permits not Suspend days. iM b,ptitre ityorysof isthaBsrul dg forth LEGAL DESCRIPTION lr( 03 03 D.ct-o 5t)\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 Antps Over 1000 Amps/Volts Reconnect Only $ 106.00 s 19.00 $50.00 oAR 952 -001. &.qllres by B. Services or Feeders - Installation, Alterations or Relocation: I)QElectrical Address lqn Macl15 City Constr. Contr. Number 4)q (o Expiration Date C Electrician Owners Name Address g City Tzl:y01ft,4,Phone d q, 4au OWNER INSTALLATION The installation is being made on proPerfy I own which is not intended for sale, lease or rent. Owners Signature 1 ?010 through a..Ya O 2. r.iib er e ili Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps 5100.00 Over 600 Amps or 1000 Volts D. Branch Circuits $ 63.00 $ 75.00 s r25.00 $ 163.00 $375.00 $ 50.00 Panel !-? cr6t $ 43.00 4/'5 ' - 3z/$ 3.00 /oa. cn) Supervisor License Number 32gC - s C. Temporary Services or Feeders Expiration Date lD.l-04 t New Alteration or Extension Per One Circuit Each Additional Circuit or with n Service or Feeder Permit[if:rs+.;r*o- 77o State Surcharge l0% Administrative Fee TOTAL W1 E. Nliscellaneous (Service/feeder not included) -Each Installafion $4\p'+33\Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/f 66mercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4. SLTBTOTAL OF ABOVE /L15.fr $ 50.00 $ 50.00 $ 2s.00 $ 45.00 I Inspection Request: 726'3769 Shared Drive(T:)/Building Fonns/Electrical Permit Applic^tion I -03 doc rul ftgsn( pno," 4 t5- @4a Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00358ISSUED: 0610712004APPLIED: 03i3112004 EXPIRESz 1210712004VALUE: $ 209,155.00 SITE ADDRESS: 3895 E 19TH AVE Eugene TYPE OF WORK: ASSESSOR'SPARCELNO.: 1803031200501 TYPE OF USE: PROJECT DESCRIPTION: Interior remodel. 61212004 added rack and shelving installation. Owner:TORE INC 97401 License Expiration Date INC. Warehouse Alteration Commercial PhoneNumber: 541-346-4331 Plumbing TWIN RIVERS PLUMBING INC 114258 4296 17695 0st30t2007 12n012007 03/11/2005 Phone 541-688-5594 541-687-9445 54r-485-0922 541-688-1444 # 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: B s-1 VN THI Lot Size: Sq Ft Other: Occupant Load:Sprinkled Building:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: REQUIRED PARI(NG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATI( PUBLIC IMPROVEMENTS Notes: Pase I of4 \L) 0090.You 952-001 may obtain -0010 through copies of OAR rules Center is BUILDERS INC 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: COM2004-00358ISSUED: 0610712004APPLIED: 03/3112004 EXPIRESz 1210712004VALUE: $ 209,155.00 Description Estimate Estimate Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0o/o Administrative Fee + 7oh State Surcharge Building Permit Fixture + l0o/o Administrative Fee + 77o State Surcharge Low Voltage - Commercial Indus Plan Review Comm/Ind/Public + l0o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Receipt Number 1200400000000000422 1200400000000000422 2200400000000000495 2200400000000000495 2200400000000000495 2200400000000000495 1200400000000000743 1200400000000000743 1200400000000000743 1200400000000000837 1200400000000000864 1200400000000000864 1200400000000000864 1200400000000000864 Type of Construction Estimate Estimate $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 182,000.00 27,155.00 Value $182,000.00 $27,155.00 $209,155.00 Date Calculated 03t3U2004 0610212004 Amount Paid $540.90 $332.86 $97.22 $68.05 $832.15 $140.00 $4.50 $3.1s $45.00 $r57.27 $14.50 $10.15 $43.00 $102.00 3l3ll04 3t3u04 5t7t04 5t7t04 st1t04 517104 5n4t04 5n4t04 5n4t04 6t2t04 6t7t04 6t7104 6t7t04 6t7t04 $2,390.75 ['ees Paid Plan Reviews Fire Department Review 0410212004 0411312004 OK GRG 04t02t2004 04t05t2004 APP SB 06/03t2004 04tou2004 WE JMP See attached document for fire plan review comments. Rack System approved by Tara Jones for interior remodel only. Any expansion will require Site PIan Review through the Urban Planning division. No SDCs. No new area/paving. Reduced fixtures. Rack System 41712004 See attached fax requesting Special Inspection and Testing forms. 411512004 See attached fax cover and structural review. Initial Review Initial Review Planning Review Public Works Review Structural Review Structural Review 04t0U2004 06t03t2004 04t02t2004 04t0u2004 06t03t2004 04t0st2004 LLH LLH EMM APP APP APP 04t07t2004 Paee 2 oI 4 :=.:l._ffi Valuation Description I 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: COM2004-00358ISSUED: 0610712004APPLIED: 03/3112004 EXPIRESz 1210712004VALUE: $ 209,155.00 Structural Review Structural Review SUB Review SUB Review 04t30t2004 04t0212004 04t3012004 04n2t2004 04t22t2004 0412212004 IO JMP 05t0612004 0510612004 APP JMP Approved 11 page fax from Brian Lighthart addressing all points of the structural review. Received fax from Steve McCallen of Chambers with the requested special inspection forms and a letter of intent from U of O Bookstore about use of mezzanine (not for office at this time). Pass energy code review. Pass IfVAC and Lighting. Need building envelope forms. JMP called Richard at Eric Hall's office and left a message for Brian Lightheart requesting these forms. APP JF JFWE 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. 8 Footing: After trenches are excavated. 11 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 4 Drywall: Prior to taping. 7 Firewall: Located and constructed according to plans. 3 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. 5 Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 6 Final Fire Department. After all requirements of the Fire Department have been met. I Final Building: After all required inspections have been requested and approved and the building is complete. 10 Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 13 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 12 SUB Final: After all required energy inspections have been requested and approved. 14 Low Voltage: Prior to cover. 15 Rough Electric: Prior to Cover 16 Final Electric: When all electrical work is complete. Reorrired Insnections Paee 3 of4 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: COM2004-00358ISSUED: 0610712004 APPLIED: 03/3112004 EXPIRESz 1210712004VALUE: $ 209,155.00 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 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. oG lorlaoc<1 f\-/ \<-LrJt ^-J Owner or Contractors Date Page 4 of 4 It 225 Fiftb- Street Sfi'ingfield, Oregon 97 477 541-726-3759 Phone r-tty of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 1200400000000000864 Date: 0610712004 11:01:38AM Job/Journal Number coM2004-003s8 coM2004-003s8 coM2004-00358 coM2004-00358 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0Yo Administrative Fee Amount Due 43.00 102.00 10. ls 14.50 Item Total:$169.65 Payments: Type ofPayment Paid By Received By Batch Number Number How Received Amount Paid Check Number Authorization CreditCard BUILDER'S ELECTRIC nJm 000403 000676 In Person $169.65 P aym e nt T otal : -$ I 6-E^6-t 6t7/2004 Page I of I anmtlr submitted has the following require specific land use 225 FIFTH STREET r SPRINGFIELD, OP.g7477 o PII:(541)726-3753 ' FA?QP(9{tll)726-3689 Zoning Cc E LECTRICAL P E RM IT AP P I,I CAT' I O N o City Job Number(Z) ot 4 /ltc>'1 -aC-it& Date Date Authorized Signature 1. LOCAT'ION OI] INS'I'ALIA7'ION 3. COIWI'I-E'I'E ];IiE SCI]EDLILE I}DLOII' 3 g",f € l?1,^ 11,/ utc) LEGAL DESCzuPTION iSaSo3t L c)oto { JOB DESCzuPTION Lo,) Vatl"Tr Lr+74 \e-€ Permits are non-transferable a expire if rvork is not started within 180 days of issuance or if work is Suspended for 180 daYs. Address 19c_,a clr.\cr-r n Phone 4 t5- CriAa Supervisor License Nurnber 3290 :. Expiration Date lb. l '04 Constr. Contr. Number (o A. Nerv Ilesitlential - Single or llltrlti-Irarrrill' per du elling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd l{onre or Modular Dwelling Sen'ice or Feeder Nerv Alteration or E,xtension Per Panel One Circuit Each Additiorral Circuit or rvith Service or Feeder Pernrit $ r06.00 s 19.00 $-s0.00 . CONTRACTOR INSTALIATION ONLY L. B. Services or [eetlcrs - Inslall'ltioll, ,\lleraliorts or Relocatiott: Electrical Contractor Bttt ers rrC I I)C City 200 Arnps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $12-s.00 601 Amps to 1000 Anrps $163.00 Over 1000 Anrps/Volts $37-5'00 Reconnect Only $ 50.00 . : l[f,r]iON' O"gon taw requif65fdu-to i;;rir-Fdreted hv he,Qrcso' YllY " :,;;;;*r;' -ir,6'i 'i'iii"ares,et rorth rr, *nnnuoa, r ]0 te 9ff1 &rt b rag b.m[ n-?.'; P'' ffi;drffi*-"-uin .bplts cji'ih+i rules llr oo ]n[#t'tbq#tt%.(N ote : the t{e}eBhenq ihlffi ffi Wf,qEI#,';l'Y.ffi "t'';':'1 Over 600 Amps or 1000 Volts see "B" above. Branch Circuits Expiration Date ).- lc -olIi C. D,Si sing Electrician Owners Name r,l.'+c),l"doa \c->J-ora{ Address K?{ t r3}h AU City r--tvc>- Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature E. l\,liscellalreous (Service/feeder not inclurled) -Ench Installatiolt $ 43.00 $ 3.00 Pump or irrigat SigrVOutline L LL EXPIRE IHIS P s 50.00 Limited E I -irnited ornnletc!i1iut/. s .s0.00 rrtial ui{rLr0d $ 2s.oo ial ./ $ 45.00 t'7 tion Fee is $45.00 * Surchnrges Ll{ 3!:q5(J SL{ U H Y iU Minirrrunr Electric Perrrrit Inspcc' 4. SUBTOTAL OF AI}OVE 7or'o State Surcharge I 096 Adrrrinistrative Fee TOTAI.Inspection Request: 726-3769 Sharcrt Dlive(T:)rBuilding FonnsiElectrical Pcrmit Application l -03.doc 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: COM2004-00358ISSUED: 0511412004APPLIED: 03/3112004 EXPIRESz 1111412004VALUE: $ 182,000.00 SITE ADDRESS: 3895 E 19TH AVE ASSESSOR'S PARCEL NO.: 1803031200501 PROJECT DESCRIPTION: Interior remodel Owner: UNMRSITy OF OREGON BOOKSTORE INC Address: 895 E 13TH AyE EUGENE OR 97401 Eugene TYPE OF WORK: Warehouse TYPE OF USE: Alteration Commercial PhoneNumber: 541-346-4331 License Expiration DateContractor Type Architect General Electrical Plumbing Contractor ERIC HALL ARCHITECTS, INC. 1996LLC BUILDERS ELECTRIC INC TWIN RTVERS PLUMBING INC 114258 4296 1769s 0st30t2007 12n0t2007 03mt2005 Phone 541-688-5594 s4t-687-944s 541-485-0922 541-688-1444 CONTRACTOR INFORMATION # 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: ln Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: N0TICE:' THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. REQUIRED PARIflNG Total: Handicapped: Compact: B s-1 vr{ Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Page I of3 a t, u tLt rll\ (, Il\ I t,.t(]vr.q'!!!2f_l -001 Load: 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: COM2004-00358ISSUED: 0511412004APPLIED: 03/3112004 EXPIRESz 1111412004VALUE: $ 182,000.00 Description Estimate Tvpe of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 182,000.00 Total Value of Project Amount Paid Date Paid Value $182,000.00 $182,000.00 Date Calculated 03t3U2004 Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0oh Administrative Fee + 7oh State Surcharge Building Permit Fixture + l0Yo Administrative Fee + 7o/o State Surcharge Low Voltage - Commercial Indus Total Amount Paid $540.90 $332.86 $97.22 $68.0s $832.1s $140.00 $4.50 $3.1s $4s.00 $2,063.83 3t3u04 3t3u04 5t7t04 5t7t04 5t7t04 st7t04 5n4t04 sn4t04 sn4t04 Receipt Number 1200400000000000422 1200400000000000422 220040000000000049s 2200400000000000495 2200400000000000495 2200400000000000495 1200400000000000743 r200400000000000743 1200400000000000743 tr'ees Peid Plan Reviews Fire Department Review 0410212004 04n3t2004 0K GRG 04t30t2004 APP Page 2 of3 See attached document for fire plan review comments. approved by Tara Jones for interior remodel only. Any expansion will require Site Plan Review through the Urban Planning division. No SDCs. No new area/paving. Reduced lixtures. 41712004 See attached fax requesting Special Inspection and Testing forms. 411512004 See attached fax cover and structural review. Approved 11 page fax from Brian Lighthart addressing all points of the structural review. Received fax from Steve McCallen of Chambers with the requested special inspection forms and a letter of intent from U of O Bookstore about use of mezzanine (not for office at this time). Pass energy code review. Initial Review Planning Review Public Works Review Structural Review Structural Review Structural Review 0410u2004 04t02t2004 04t02t2004 04t0u2004 04t0y2004 04t0st2004 04t05t2004 04t07t2004 LLH EMM SB APP APP APP WE JMP 04t22t2004 04t22t2004 IO JMP 0st06t2004 05t06t2004 APP JMP SUB Review 04130t2004 JF *I},1 Valuation Descrintion I 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: COM2004-00358ISSUED: 0511412004APPLIED: 03/3112004 EXPIRESz llll4l2004VALUE: $ 182,000.00 SUB Review 04t02t2004 0411212004 wE JF Pass IfVAC and Lighting. Need building envelope forms. JMP called Richard at Eric Hall's office and left a message for Brian Lightheart requesting these forms. To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 8 Footing: After trenches are excavated. 1l Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 4 Drywall: Prior to taping. 7 Firewall: Located and constructed according to plans. 3 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. 5 Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 6 Finat Fire Department. After all requirements of the Fire Department have been met. I Final Building: After all required inspections have been requested and approved and the building is complete. 10 Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 13 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 12 SUB Final: After all required energy inspections have been requested and approved. 14 Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 witl 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 Pase 3 of3 Date r1 Keourre(I lnsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone c'ty of Springfield Oflicial Receipt _ velopment Services Department Public Works Department RECEIPT #: 1200400000000000743 Date: 0511412004 2:32:15PM Job/Journal Number coM2004-00358 coM2004-003s8 coM2004-003s8 Description Low Voltage - Commercial Indus + 7%o State Surcharge + l0%o Administrative Fee Amount Due 45.00 3. l5 4.50 ltem Total:$s2.65 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard BUILDERS ELECTRIC djb 000384 024375 In Person $52.65 Payment Total: -Sffi sn4/2004 Page I of I at*al*'l3.,D Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Frx 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00358ISSUED: 0510712004APPLIED: 03/3112004 EXPIRESz 1110712004VALUE: $ 182,000.00 SITE ADDRESS: 3895 E 19TH AVE ASSESSOR'S PARCEL NO.: 1803031200501 PROJECT DESCRIPTION: Interior remodel UNIVERSITY OF' OREGON BOOKSTORE INC 895 E 13TH AVE EUGENE OR 97401 Eugene TYPE OF WORK: Warehouse TYPE OF USE: Alteration Commercial PhoneNumber: 541-346-4331 License Expiration Date Owner: Address: Contractor Tvpe Architect General Electrical Plumbing Contractor ERIC HALL ARCHITECTS, INC. 1996LLC BUILDERS ELECTRIC INC TWIN RIVERS PLUMBING INC 114258 4296 17695 0st30t2007 12fiot2007 03nt/2005 Phone s41-688-ss94 541-687-9445 541-485-0922 541-688-1444 CONTRACTOR INFORMATION BUILDING INFORMATION Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: HOTICE: Notes: THts pERMtT sHALL EXptRE lF THE w0RK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1BO DAY PERIOD. Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARIilNG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: ATTENTION:Oregur, iaw requlres you to follow rulcc adopted by the Oregon Utility Notification Center. Those rules are sat forth in OAR 952-001-0010 through OAR 952'001 - 0090. You may obtain copies of the rules by calling the center. (Note:the telephone number for the Oregon Utility Notifieation Center is 1 -800-332-2344) - # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: B s-1 VN DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Pase 1 of3 FIELD Building/C ombination Permit PERMIT NO: COM2004-00358ISSUED: 0510712004APPLIED: 03/3112004EXPIRES: 1110712004VALUE: $ 182,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Eax 541-7 26-37 69 Inspection Line Description Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $r.00 182,000.00 Total Value of Project Amount Paid Date Paid Value $182,000.00 $182,000.00 Date Calculated 03t3u2004 Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0%o Administrative Fee + 7o/o State Surcharge Building Permit Fixture Total Amount Paid $540.90 $332.86 $97.22 $68.0s $832.1s $140.00 $2,011.18 3t3u04 3t3U04 5t7t04 5t7t04 517t04 5t7t04 Receipt Number 1200400000000000422 1200400000000000422 220040000000000049s 2200400000000000495 2200400000000000495 2200400000000000495 Plan Reviews Fire Department Review 0410212004 0411312004 0K GRG 04t22t2004 04t22t2004 IO JMP 05106t2004 0st06t2004 APP JMP APP JF See attached document for fire plan review comments. approved by Tara Jones for interior remodel only. Any expansion will require Site Plan Review through the Urban Planning division. No SDCs. No new area/paving. Reduced fixtures. 41712004 See attached fax requesting Special Inspection and Testing forms. 4ll5l2004 See attached fax cover and structural review. Approved 11 page fax from Brian Lighthart addressing all points of the structural review. Received fax from Steve McCallen of Chambers with the requested special inspection forms and a letter ofintent from U ofO Bookstore about use of mezzanine (not for office at this time). Pass energy code review. Initial Review Planning Review Public Works Review Structural Review Structural Review Structural Review 04t0U2004 04t02t2004 04t02t2004 04t0u2004 04t0u2004 04t05t2004 04t05t2004 04107t2004 LLH EMM APP APP APP WE JMP SB SUB Review 04/30t2004 04130t2004 Paee 2 of3 ry --:r Valuation Description I hees Paid 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: COM2004-00358ISSUED: 0510712004APPLIED: 03/3112004 EXPIRESz 1110712004VALUE: $ 182,000.00 SUB Review 04t02t2004 04n2t2004 WE JF'Pass IfVAC and Lighting. Need building envelope forms. JMP called Richard at Eric llall's office and left a message for Brian Lightheart requesting these forms. 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 Footing: After trenches are excavated. 2 Shear rWall Nailing: Before covering sheathing with finish materials. 3 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 4 Drywall: Prior to taping. 5 Firewall: Located and constructed according to plans. 6 Bolts Installed in Concrete: To be done by a State Certilied Special Inspector. Provide inspection test reports to City Building Inspector. 7 Epory Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 8 Final Fire Department. After all requirements of the Fire Department have been met. 9 Final Building: After all required inspections have been requested and approved and the building is complete. 10 Rough Plumbing: Prior to cover and including required testing. 11 Final Plumbing: When all plumbing work is complete. 12 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 13 SUB Final: After all required energy inspections have been requested and approved. 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 Spring{ield 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 durlng construction.t,-,ofu,24 am. r-*r.*,"^ Signature 1; Page 3 of3 Kequrreo lnsDecuons I c /2,/a / oat{ 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone 1"'+y of Springlield Official Receipt ^ 'relopment Services Department Public Works Department RECEIPT #: 2200400000000000495 Date: 0510712004 11:43:23AM Job/Journal Number coM2004-00358 coM2004-00358 coM2004-00358 coM2004-00358 Description Building Permit Fixture + 7o/o State Surcharge + l0%o Administrative Fee Amount Due 832.1s 140.00 68.0s 97.22 Item Total:$1,137.42 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check CHAMBERSCONSTRUCTION JMP 0455 I 9 In Person Payment Total: $1,137.42@ 5/7/2004 Page I of I !*I.r*tl3& ATTACHMENTA CITY OF-'TINGFIELD SYSTEMS DEVELOPMENT CHARGE \ ISHEET coM2004-00358 U OF O. BOOKSTORE WAREHOUSE JOURNAL OR JOB NUMBER NAMEORCOMPANY: LOCATION: MAP & TAX LOT NUMBER: DEVELOPMENT TYPE: 3895 E. tgTH AVE 18 03 03 l2 00501 6 $ $ $ $ $ $ $ #Dtv/o! NEW DEVELOPED AREA (S.F.): EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): 1. STORM DRAINAGE IMPERVIOUS SQ. FT 2. SANMARY SEWER-CITY A. REIMBURSEMENTCOST: NUMBER OF DFI-,TS B. IMPROVEMENTCOST: NUMBER OF DFI.J'S (SEE REVERSE SIDE) x $ 0.290 PER SF $ 17.23 $ 76.01 0.000 x TOTAL STORM DRAINAGE SDC NTF $ NTF $ $ $ x $ 22.64 PER DFU x $ 17.21 PER DFU TOTAL LOCAL WASTEWATER SDC PERTRIP X O NTF PERTRIP x _;Q- NTF x 5% Warehouse Remodel l4 -14 ITE: ITE: LOT SIZE (S.F.):0 3. TRANSPORTATION BLDG AREATGSF X TRIP RATE X COST PERADT XNEWTRIP FACTOR NEW A. REIMBURSEMENTCOST: 0.000 x 0 x $|7.23PERTRIP x B. IMPROVEMENTCOST: 0.000 x 0 ExISTING A. REIMBURSEMENTCOST: 0.00 x 0 x $ 76.01 PERTRIP x 0 0 B. IMPROVEMENTCOST 0.00 x 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENTCOST: NUMBER OF FEU's B. IMPROVEMENTCOST: NUMBER OF FEU's E)CSTING: A. REIMBURSEMENTCOST: NUMBEROF FEU's B. IMPROVEMENTCOST: NUMBER OF FEU's $ TOTAL TRANSPORTATION REIMBI.IRSEMENT SDC TOTAL TRANSPORTATION IMPROVEIVTENT SDC TOTAL TRANSPORTATION $O.OO PER FEU $O.OO PER FEU TOTAL I\AVMC REIMBURSEMENT TOTAL MWMC IMPROVEMENT MWMC ADMINISTRATIVE TOTAL MWMC SDC:$ n x x 0.000 x 0.000 x $O.OO PER FEU 0.000 x $O.OO PERFEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBToTAL (ADD rTEMS r, 2, 3, & 4) 5. ADMINISTRATTVE FEES: BASE CHARGE (SI,JBTOTAL ABOVE) Stev ew W. Bea udr g Ba Y wes 415/2004 $:$ TOTAL TRANSPORTATION ADMINISTRATION TOTAL SEWER ADMINISTRATION $ $ $ $ $ c6Rto6P-5&PJ,\f6PB " oo *sro nE wH s E, se gs e Pt'AIH ave. xrs TOTAL SDC CHARGES --------------- 0€.{ l0?0 p ooIr t09l 1092 r093 1094 r054 1054 1055 r0s6 l07E 1079 DRAINAGE FIXTT'RE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FD(TURES x UNIT EQUTVALENT : DRAINAGE FXTURE IJNTTS (NOTE: FOR REMODELS,CALCUI.ATE ONLY THE NET ADDITIONAI FXTURES) U OF'O. BOOKSTORE WARE,HOUSE TOTAL DRAINAGE FIXTURE TINITS: dwelling (20 DFU) set at I 67 gallons per day DRAINAGE FIXruRE UNITS 0 0 0 -2 0 -12 0 -14 FIXTURES NEW OLD UNIT FIXTTIRE TYPE BAT}JTUB DRINKING FOUNTAIN FI,OORDRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH,/ETC- LAUNDRYTUB CI,OTHES WASHER/MOP SINK cr,oTI{ES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWE& GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASIN/DOIJBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, STALT./WALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELT,ANEOUS: NUMBER OF EDU'S+ ALENT 0 3 I 3 3 6 2 3 6 t2 I 3 2 2 3 2 2 I 5 6 3 0 0 0 0 0 0 0 0 0 0 0 0 4 4 2 2 0 0 0 *EDU (Equivalent Unit) is a discharge equivalent to a single family RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCT]LATE CREDITS SEPARATELY YEAR ANNEXED CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $O OO IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $I,OOO ASSESSED VALUE 1.52 1.38 l. l9 1.03 0.87 0.68 0.46 0.27 0.09 0.04 0.000 $0.00 1979 I 980 l98l 1982 1983 I 984 I 985 I 986 1987 l 988 1989 I 990 1991 $ 5.04 $ 4.95 $ 4.88 $ 4.75 $ 4.s8 $ 4.4r $ 4.20 $ 3.88 $ 3.50 $ 3.07 $ 2.60 $ 2.14 $ l.7r 1992 1993 1994 I 995 1996 1997 1998 1999 2000 2001 2002 2003 2004 or $ $ $ $ $ $ $ $ $ $ $ $ x x $0.00 $0.00 COM2OO4-00358, U OF O BOOKSTORE WHSE, 3E95 E. 19TH AVE.TS CREDIT TOTAL JULY 2OO1 I I