HomeMy WebLinkAboutPermit Miscellaneous 2009-3-9
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
. PERMIT NO: COM2009-00I76
ISSUED: 03/09/2009
APPLIED: 02/05/2009
EXPIRES: 09/09/2009
VALUE: $ 20,000.00
SITE ADDRESS: 4211 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323201900
Springfield TYPE OF WORK: Commercial Miscellaneous
Commercial
PROJECT DESCRIPTION: Coffee kiosk drive thru
Owner:
Address:
DONALD V PFEIFER TRUST
1810 15TH ST
SPRINGFIELD OR 97477
Contractor Type
Contractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constructiun Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Street Improvements:
Storm Sewer Available:
Speciallnstructiou:
Notes:
Description
Type of Construction
TYPE OF USE: New
Phone N'umber: 503-484-3026
I. CONTRACTOR INFORMA T~ON ,
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
License
Expiration Date Phone
.'
Lot Size:
Sq Ft,Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
.1 DEVELOPMENT INFORMATION .,
Overlay Dist:
# Street Trees Rqd: .
Paved Drive Rqd:
0/0 of Lot Coverage:
I ~UBLIC I~PROVEMENTS ,
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
Square Footage
01' Bid Amount
Paee 1 of 4
REQUIRED PARK]NG
. Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/i;)rains:
Value
Date Calculated
_$Ii!R1IN('lf'.m.:D, -
I
j
Status . Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541,726-3676 Fax
54]-726-3769 Inspection Line
Estimate
Estimate
Fee Descriution
Plan Review Comm/lnd/Public
+ 12% State Surcharge
+ 5% Technnlogy Fee
Fire SF Fee - Non-Residential
Modular Building
Moved Structure Plnmbing Cnnn
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admi~
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Tra,!sportation Admin
Service Reconnect
Total Amount Paid
Initial Review
02/06/2009
Plan nine: Review
02/06/2009
Public Works Review
02/06/2009
Public Works Review
02/]0/2009
Amount Paid
$]51.78
$42.54
$17.73
$33.80,
$233.50
$58.00
$357.62
$470.31
$10.00
$1,229.78
$148.64
$52.40
$3,583.17
$812.34
$278.19
$63.00
$7,542.80
$1.00
20,000.00
. Total Value of Project
1'"", Pq;..l .
11~ \, " .....
Date Paid
2/5/09
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
I Plan Reviews I
02/06/2009
APP LLH
02/09/2009
APP EMM
02/1 012009
WE TSS
02/] 0/2009
APP TSS
P3ee 2.of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00I76.
ISSUED: 03/09/2009
APPLIED: 02/05/2009
EXPIRES: 09/09/2009
VALUE: $ 20,000.00
$20,000.00
$20,000.00
02/05/2009
Receipt Number
.2200900000000000145
3200900000000000]52
3200900000000000]52
3200900000000000]52
3200900000000000]52
3200900000000000]52
3200900000000000152
3200900000000000]52
3200900000000000152
3200900000000000152
3200900000000000152
3200900000000000]52
3200900000000000]52
3200900000000000152
3200900000000000152
3200900000000000152
Replacement - riD fire fee
To be constructed per approved
Final Plot Plan DRC2008-00064.
Can Lissa Davis at 726-3632 for
Final Site Inspection.
Contacted architect to request plans
that relle~t existing arid proposed
drainage fixtures. He indicated that
he wnuld wnrk on providing that
informatinn today.
Additional plans were received by
Building. I made copies of the pages
I needed to complete review and
calculated SDCs. Storm water will
connect to existing lateral.
CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2009"00176
225 Fifth Street, Springfield, OR ISSUED: 03/09/2009
541-726~3753 Phone APPLIED: 02/05/2009
541-726-3676 Fax ,EXPIRES: 09/09/2009
54 ]-726-3769 Inspection Line VALUE: $ 20,000.00
Fire Department Review 02/06/2009 02/23/2009 APP GRG Plans Review: Replacement
prefabricated building for Dutch
Brothers Coffee Kiosk. Job
#COM2009-00176. Occupancy
Classification: M. Construction
Type: V-B. Approximately 354 sq.
ft.
Provide address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (2007
Oregon Structural Specialty Code
501.2 and 2007 Springlield Fire
Code 505.1).
Provide fire extingnishers with a
minimum rating of 2-A: IO-B:C
every 75 feet of travel distance. The
top of theextinguisher(s) shall be
between 3 and 5 feet above finished
floor (2007 Springlield Fire Code
.906).
Structural Review 02/06/2009' 03102/2009 WE KLK Waiting fnr Special Inspection form
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.
U411uir~r\.'n~,np('t~
Footing: After t~enches are excavated.
,Foundation: After forms are erected but prior to concrete placement.
Structural Welds: To be done during construction by State CertiliedBpeciallnspector. Providc inspection test
results to City Building Inspector.
Final Modular Set Up: After all required inspections have been requested and approved and project is complete.
Final Building: After all reqnired inspections have been requested and approved and the building is complete.
Underground Plumbing: Prior to ]iIIing the trench and including reqniredtesting.
Final Plumbing: When all plumbing work is complete.
Fitial Mechanical:' When all mechanical work is complete.
Undergroun~ ~]ectric: Prior to cover
Final Electric: When all electrical work is complete.
Paee 3 of 4
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00176
ISSUED: 03/09/2009
APPLIED: 02/05/2009
EXPIRES: 09/09/2009
VALUE: $ 20,000.00
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 Cnmmunity 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 reqnested 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.
~;'I~~
Owner or Contractors Signature
Page 4 of4
2- r -0'1
Date
City of Springfield Official Receipt
Development Services Department
Public Works Department
22S Fifth' Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
COM2009-00 176
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
3200900000000000152
Date: 03/09/2009
3:03:57PM
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC Transportation Admin
Modular Building
Moved Structure Plumbing Conn'
Service Reconnect
Fire SF Fee - Non-Residential
.+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
47031
357.62
812.34
3,583.17
148.64
1,229.78
10.00
52.40
278.19
233.50
58.00
63.00
33..80
17.73
42.54
$7,391.02
Paid By
CHRIS STEWART
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
KLK
009697 In Person
Payment Total:
$7,391.02
$7,391.02
Page I of I
3/9/2009