HomeMy WebLinkAboutPermit Miscellaneous 2008-9-10
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2008-01378
ISSUED:
APPLIED:
EXPIRES:
VALUE:
09/1012008
05107/2009
$ 375,000.00'
SITE ADDRESS: 3333 RIVERBEND DR
ASSESSOR'S PARCEL NO.: 1703220004100
Sp,.;ngfield TYPE OF WORK: Tenant In fill
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Cafe Yumm - Hospital restaurant infill
Owner:
Address:
PEACEHEALTH
PO BOX 1479
EUGENE OR 97440
I CONTRACTOR INFORMATION 1
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Contractor
SOLARC
ESSEX GENERAL CONSTRUCTION
BUILDERS ELECTRIC INC
FM SHEETMETAL INC
TWIN RIVERS PLUMBING INC
License
Expiration Date
, 54531
4296
89710
17695
1111012008
12/1012011
03/1512009
03/1112009
Phone
541-349-0966
541-342-4509
541-485-0922
541-726-3000
541-688-1444
BUILDING INFORMATION I
,
# of Units:
Primary Occuparicy Group:
Secondary Occupancy Group:
'Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
"eight of Structure
Type of "eat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
Yes
I, DEVELOPMENT INFORMA nON ,
"""''''REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side I setba~'OTICE: JHi\tlrees Rqd: '
Side 2 Setba . IS. PERMIT SHALL EXPIRE IF THIp~ ive Rqd:
Rearyard setA~~iRORIZED UNDER THIS PERMITo)$o Coverage:
Solar Setbacks'! I r:FD OR Ie: ABANDONED FOR
- (\~nM~~1 , u' '...\
,"'j i fiQ DAY PERIUU, Stl"1 PUBLIC IMPROVEMENTS 1
Street Improvements: ,-..l\ ~~<b '
Storm Sewer Available: ~~~,~/
Special histruction: \\,'J IV'
~':
Total:
Handicapped:
Compact:
ATTENTION' 0 I
follow rules ~d;et~~nb aw requires you to
No!ifir~f;M ,,__.? _, y the Oregon Utility
!n OAR 952.001-0'01 0 th~r~~' 'h"" are set for(1
0090 YOll ma bt' 9 OAR 952-001 .
Side~~II>GT)!llei::~~eram(~ores of the rules b!
num)J r f~' h . 0 e, the telephone
DownSl'til~s/MalhQregon Utility Notification
Center IS 1.800.332'2344).
Notes:
Page I 0\'3
Status
Pending
225 Fifth Street, Springti,eld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Type of Construction
Bid Amount Use Bid Amonnt '
Fee Description
Plan Review CommlInd/Public
Plan Review Fire & LifeSafety
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Traffic Signal - Panel
Total Amount Paid
Lll}' UJ1 ~J:'Kll"\.JJ11ELD
Building/Combination Permit
PERMIT NO: COM2008-01378
ISSUED:
APPLIED:
EXPIRES:
VALUE:
09/10/2008
05/0712009
$ 375,000.00
I Valuation Description, I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
375,000.00
09/10/2008
Value
Date Calculated
Total Valne of Project
$375,000.00
$375,000.00
Fe~s P~icl J
Amount Paid
Date Paid
Receipt Number
$1,079.67
$664.41
$14.60
$32.04
$17.52
$26.70
$7.30
$13.35
$50.00
$160.00
$146.00
$57.00
9/10/08
9/10/08
11/7/08
1117108
11/7/08
11/7/08
11/7/08
1117108
11/7/08
11/7/08
11/7/08
11/7/08
2200800000000001368
2200800000000001368
2200800000000001624
2200800000000001623
2200800000000001624
2200800000000001623
2200800000000001624
2200800000000001623
2200800000000001623
2200800000000001623
2200800000000001624
2200800000000001623
$2,268.59
I Plan Reviews I
To Request an inspection call the 24 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.
I Reouired,lnsnections I
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.
Lath/Plaster: To be made after all lathing and gypsum board, interior arid exterior are in place, but prior to
plastering.
Final BniIding: After alVequired inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Page 2 of 3
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691Ilspection Line
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
,
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
CITY Vt< ~PRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2008-01378
ISSUED:
APPLIED:
EXPIRES:
VALUE:
09/10/2008
05/07/2009
$ 375,000.00
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 aU 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 ensnre 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 3 of 3
Date
City of Springfield
Electrical Authorization To Begin Work
< E-mailedTo:davidom@e-c-co.com
Receipt # EC541556
11171200811:35:42 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitceuter@ci.springfield.or..us
10 1 or 2 family dwelling
D Multi-family
[KJ Commercial I Industrial
11,000 sq. ft. or less
I Ea. add! 500 sq. n. or portion
D New construction
. lliJ Addition/alteration/replacement
f! i lXy\^ffi ri [)f
I
I
I
IJob no.: 64739 IJob address: 3333 a"I.Il: r:.RH RD'
I City/Stllte/ZIP: SPRINGFIELD, OR 97477-7521
I Suitc/bldg./llpt.no.:
I Project name: Cafe Yumm! Panel Work
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: ] 70322000 1 000
ILot no.:
I-Limited energy, resi.dential
(with above sa. ft.)
I-Limited energy, multifamily
residential (with above sa. fU
I-Limited energy, commercia"!
(with above sa. fU
I. -Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
- Stand~alone limited energy,
commercial
I
I
I
I'
I
I
Setting new service for Restaurant
I 200 amps or less
120 I amps to 400 amps
I 40 I amps to 599 amps
2
$73,00
$14600 I
I
I
1200 amps or less ."
. 20 I amps to 400 amps
I
I
I 40 I ampsto 599 amp' I I I
li"Brli'"llcJjfcIrcuIisc;;~NE\V;'i~lie'ration;'(YR'extens-ion;~ller;ilan~-I~~~I\",,;jl
."'_'_.,',' ~.~'4'__'>4""'I"'W";""~"";'.~W",--".,--"", .',:<. ,,~,y . '. .~,. "H,__ ,.;C'.' ." . __-: ~')' , "
A. Fce lor br~"f~'Wf"ultl~i'Il: 4regon laf ,,,"'u,, -, Utility
servICe or fceder fce, each, ted by ~he Oreg )n
branch circuiE\\O\1J nH0S ad. P ....,_<;:- :'..r\\lO~ Af ~ set 10rtJ 1
B,FeefOr?r~f)cq~jr.S.~itsnL.oellft:I' ".......... hOAF 952..()01-
without ,ervice or,feeder,feeOOi OOi 0 thrl ,u.g f t' utes II i
first branch'circuit:[\. ~....<- _.. _.. ~t-:tin r.r Dies 0 t e r
I.each addl br;:tnch ~i~cJi{)~J\~'::"':':ol~tp.r (N_~e: the te. .6I?no.r:"f
I ,'''--;'",",Y--'.';. ,.".,,-- .,'-,..........4:1,;;~",. ~ ~ .> )}:"-' ""',;'O''''-''''--'J-FI l'IIIty'NoUIIVa,L.....f
&~!~~~~}~,,~,~~~0*0:~-";i(t;th~f€We--qQnf\?- --_ -:4J1"', ,~,,;;'~\;''';cTIiitl
I Serv;cerecon~ect'o;;Jy r;en\e~ is i-80Ut;:5"""" ,,). 1
1 Each manufactured or modular I
dwelling. service and/or 'feeder
I Pump or irrigation circle I
I Sign or outline lighting I
I Signal circuit(s) or Iimited~
energy panel, alteration, or
extension.
I Name: Troy Wilson
I Phone: (541) 9.79-9544
I [mail: troyw@ccc-co.com _
I Fax: (541) 979-9544
,IEI'Hc.n'N~, 1'. , ICCBHc,.o,: 49737
I Bu'ine"l'1~7l'!' :('P!1~tly _.. . . _ _ .
I Contact'~ N4.i-1AI.1'~b'UJR~IIA~L J:^PIRE IF THE VvUtll\
IAddressc:~7~8:1i~11&(j!~)J~f~R.~HI5 I"ttllVlI1 11> Nuf
I CitY/Stat.i(7;W'.lXJ~,,~y'6R.\lff}j~(l\\IlAN1JIII'IJ:U tV Ii
IPhon" (541)92d8/ffi UHf rCnIULJ. Ira" (541)9264268
I Emlli!: davidorn@e-c-co.com
I Metro lie. no,: I City lie. no,:
I Supervising electrician's Iic. no,: 3257S
I Supervising electrician's name: WILLIAM R COBURN
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxeci within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if apermitis not obtained.
1 Subtotal I $146.00 I
I State Surcharge (12% of penn it fee) 1 $17.521
I City Of Springfield fees'" I $21.90 I
i TOTAL PERMIT FEE $185.421
* City Of Springfield fees: 10% Administration Fee; 5% Technology Fce
. The local building department may determine that'an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
,
COM. 'oUl)~ - 0 \1,1 ~
RCPT#- ftlW06 --'\l;74
DATE PROCESSED:llb I '(J ~
This Authorization To Begin Work must be posted at tt e job site until replaced by a Permit.
, PROCESSED BY:yQ-r--G1i:1
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,
Job/Journal Number
COM2008-01378
COM2008-01378
COM2008-01378
COM2008-01378
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001624
3:23:46PM
Date: 11/07/2008
Item Total:
Check Number Authorization
Received By- Batch Number Number How Received
Amount.Due
146,00
7,30
14,60
17.52
$185.42
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 10% Administrative Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Amount Paid
KR
ONLINE EC Online
COMPANY
Payment Total:
$185.42
$185.42
Page I of I
11/7/2008
City of Springfield
Electrical Authoi-ization To Begin Work
E-mailedTo:kelly@builderselectric.com
Receipt # EC541561
11/7/200812:24:09 PM
,
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns
I D New construction
[XJ Addition/alteration/replacement
I Description
10 I" or 2 family dwelling
o Multi-family
o Commercial/Industrial
11,000 sq. ft. or less
I Ea, add! 500 sq, f1. or portion
I Job no.: 08-2250 I Job address: 3333 RIVERBEND DR
I Cit)'/StatcrLIP: SPRINGFIELD, OR 97477
I Suite/bldg.lapt.no.:
I Project name: Cafe Yumm
Cross street/directions to job site:
ISubdivision: I Lot no.:
!Tax map/parcel no.: 1703220000902
I -Limited energy, residential
(wJth above SQ, ft,)
I-Limited energy, multifamily
residential (with above SQ. fU
I ~ Limited energy, commercia-]
(with above Sq, ft.)
I - Stand-alone limited energy,
residential
I . Stand-alone limited energy,
multi.family
I - Stand-alone limited energy,
commercial
I
I
I
Infill for Cafe yumm com2008-01378
1200 amps or less
1.201 amps t0400 amps
40] amps to 599 amps
1 Name: steven Lueck
I Phone:
1 Email:
1200 amps or less
120] amps to '400 amps
140] amps to 599 amps
ILt!~'iClll!{c;'{Jits.'~~!i;'yr~~~~J~~wi~~'~cf~~~tpe.r:ji.ln~,~~~~;r,.::~~;;;
I A. fee fO, r bra,nch circuits with
service or feeder fee, each
branch CIrcuit
lB. Fee for branch circuits 1 $50,00 $50,00
W;lhm1tiOOf~W: fOreg9n law re, lutres yo J to
1"~~:~~~'~,~~i~~aaolJlt'tl ,~~~i:~~.~~~I~~I~~'Wo,~~
;Mis!lttNd~I:M~,,~!.WJ;~~~Mfr~'!'~'~"~''''~*{i/'''+''^''?'f'~V=~^''=''fnti;1:fV:/;S~
~'~ltfOAll:J52'001'001 0tnrgyglr<MR95?- ."..,
Serv n I n "'''pip., (If thp. rul 3S bv_
Each man Iu" l1, ~r. (Note: tt e teleph, me
dwell'n,~ '...1" I' "I' (' -
PumpOU ~J'MI.~tie'-LJJ~UH uu I~Y I~UU lye, eVil
I S' ]' I \JJtll"''' ... \, OQ-032-':94.t).
19n or out me IgIIllllg
I Signa] cifcuit(s)-br limited-
energy pane], alteration, or
extension.
$57,00
$57,001
I"."
lEI. lie. no,: 20-12C ICCBlic.no.: 4296
I Business Name: 1~~ft!fCTRIC INC
:~::~:::: ~:~2~~~~,,~ 2fmllT Of 'ALL F~FlhE IF THE V\f01\"
Imy/51'teIZIP, E' ~,r rlJr? Uf~'CER THIS PERMIT IS NOT
IPhon" (54])4850~k' }80 DA'" Hh:~I?~~~ tUIi
1 Email: kelly@bui]dersA~c ne.com t ,
Il\tctro lie, no.: 1 City lie, no.:
I Supervising electrician's lie. no.: 52755
I Supervising electrician's n-amc: RUSSELL R ROBBINS
Upon review and approval by you_r local jurisdiction, your
permit will be e-mailed or fax.ed within one business day,
with instructions on how to schedule your inspection.
Subtotal $267.00 I
State Surcharge (12% or peimit fee) $32.04 I
City Of Springfield fees'" $40.05 )
I TOTAL PERMIT I'I<:E $339.09
'" City Of Springfield fees:l 0% Administration Fee; 5% Technology Fee
NOTE: This:Authoriiation To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To. Begin Work is null and void if it does not jJif1. n \"-1 rI
I I d' COM', - ",_, 11<-
meet applicable lan~ use laws and oca or mances,
RCPT#" '?l'600~~ \ lol/\J
DATE PROCESSED: 1\ h \ ()v
This Authorization To Begin Work must be posted at the j( b site u~~kffHJf:ce<! b>\a Permit.
PROCE . K . (.!-PfDY/
225 Fifth Street
Spri"gfield, Oregon 97477
541-7.26-3759 Phone
.
Job/Journal Number
COM2008-0 1378
COM2008-01378
COM2008-01378
COM2008-01378
COM2008-01378
COM2008-01378
RECEIPT #:
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Traffic Signal - PaneL
+ 5% Technology Fee
+ 12% State Surcharge
, + 10% Administrative Fee
Payments:
Type of Payment 'Paid By
ONLINE CHGS
cReceintl
ONLINE PERMIT CHGS
2200800000000001623
v
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/07/2008
"
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
ONLINE BUILDERS Online
ELECTRIC
Payment Total:
2:51 :26PM
Amount Due
50,00
160,00
57,00
13,35
26,70
32,04
$339.09
Amount Paid
$339,09
$339.09
11/7/2008