HomeMy WebLinkAboutPermit Building 2008-11-21 (2)
\.
Status . Issued
225 Fifth Street, Springfield, OR
541-726"3753 Phone
54]-726-3676 Fax
541-726-376~ Inspection Line
,.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01629
ISSUED: 1I!21/2008
APPLIED: 11/06/2008
EXPIRES: 08/26/2009
VALUE: $ 10,000,00
SITE ADDRESS: 533 W CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703274305805
Springfield TYPE OF WORK: Store
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Tenant Improvement WI 1'I!!l..".4)Nkā¬llI&gMiI<liJarfl~8I!l,1I,,"to
follow rules adopted by the Oregon Utility
.]ntification Center. I hose rUles are set TOrm
CENTENNIAL SHOPPING CNTR LLCOAR' 952 001 0010 through OAR 952-001-
331 FILBERT ST 111 --
SAN FRANCISCO CA 94133 0090. You may obtain copies of the rules by
. _~':'_ _,I-t.-._ _............n.. 'f'Ir"l!O. tho tplonhnnA
...-.....~ - - "
,L' J-- II- -,-Q'-'~'-W'1;]'~NOtificatio..."
I CON1'Rl\erO'K'INFU<<M:1\:DI "';',
, Q' l' '[ ; '" " 44). ,.."".5.<
:: ....,', -,- .. - ....'i:?i;_;,~
License Expiration Date
58346 11/21/2009
184005 09/19/2010
49561 12/16/2010
Commercial
Owner:
Address:
Contractor Type
General
Electrical
Plumbing
Contractor
CHRIS LEPPMANN
BHM ELECTRIC
SUSAN JANE ARNOLD
- ... ...~
, ~ .
Phone
541-914-8088
541,686-0905
541-484-3787
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
d BUILDING INFORMATIONt",;.,
NflT!I;F' " .
# of Stor,ies: L,ot Size:
TIWiglflFo'f,St~hc'i~r~LL EXPIRE IF THEs'~fFt'!l~tFloor:
ffHN;;FH1~i? UNDER THIS PERMIT ~ F'Dlnd Floor:
l~~.~~ritrY.P.:@ OR IS ABANDONED F$<I\Ft Basement:
hl}~pg~a1)'~AY PERIOD. Sq Ft Garage/Carpnrt
Energy Path: Sq Ft Other:
Sprinkled Building: No' Occupant Load:
. - ,,;,,,;~ ", , :'f' .
"
d'
, ,
VB
I DEVELOPMENT INFORMATION ,.
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: ,
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street. Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
'j1'vDED
c;()/4C-U IrS
~i
Pa2e 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541~726-3676 Fax
541-726-37691nspection Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technnlogy Fee
Building Permit '
Fixture
Plan Review Comm/IndfPublic
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC.MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admiu
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add.
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01629
. iSSUED: 11/21/2008
APPLIED: ] 110612008
EXPIRES: 08/26/2009
VALUE: $ ]0,000,00
I Valuati?n Des~rirtio~ I .. .
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
10,000:00
Total Value of Project
Fpp~ P1irl I
Amount Paid
Date Paid
$20.79
$24.95
$10.39
$122.88
$85.00
$79.87
$49.15
$378.66
$497.97
$10.00
$1,903.01
$184.61
$148.71
$7.80
$3.25
$50.00
$15.00
11/21/08
11/21/08
11/21/08
11/21/08
11/21/08
11/21/08
11/21/08
11/21/08
11/21/08
11/21/08
11/21/08
11/21/08
11/21/08
2/26/09
2/26/09
2/26/09
2/26/09
$3,592.04
I Plan Reviews ,
Initial Review 11/06/2008 11/06/2008 APP LLH
Planninl! Review 11/06/2008 11/13/2008 APP EMM
Public Works Review 11/06/2008 11/14/2008 APP RP
Fire Department Review 11/06/2008 11/20/2008 APP GRG
Structural Review
11 /06/2008
11/21/2008
APP CJC
Pa!!e 2 01'3
Valne
Date Calculated
$10,000.00
$10,000.00
11/06/2008
Receipt Number
.1200800000000001164
1200800000000001164
1200800000000001164
1200800000000001164
]200800000000001164
1200800000000001164
1200800000000001164
1200800000000001164
1200800000000001164
. 1200800000000001164
1200800000000001164
]200800000000001164
]200800000000001164
3200900000000000130
3200900000000000130
3200900000000000130
3200900000000000130
Asked applicant to call with
contractors prior to permit issuance.
See attached document for Fire
Departmellt Plans Review
comments.
Approved as noted in Planr Review
Letter
,
CITY VI' ~rKlJ~GFIELD
Building/Combination Permit
PERMIT NO: COM2008-01629
ISSUED: 11/21/2008.
APPLIED: 11/06/2008
EXPIRES: 08/26/2009
VALUE: $ 10,000,00
Status' Issued
225 Fifth Street, Springfield, OR
541-726"3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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, '
.1 Reollirerl r nsnections .
Underfloor Plnmbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Grease Trap: Prior to Cover.
Final Plumbing: When all plumbing wnrk is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical wnrk is complete.
Site Inspection: To be made after excavation but prior to setting forms.
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 perfor'!1ed shall be done in accnrdance with
the Ordinances of the City of Springfield and the Laws of the State of Oregnn pertaining to the work described herein, and
that NO OCCUPANCY will be made nf any structure withont 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 nsed on this project.
I further agree to ensure that all reqnired 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 Signatnre
Date
Paee 3 of 3
225 }fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM200S-01629
COM200S-01629
COM200S-0 1629
COM200S~01629
Paymcnts:
Type of Payment
CrcditCard
cReceintl
RECEIPT #:
3200900000000000130
Date: 02126/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend/Circ Ea Add
.+ 5% Technology Fee
+ 12% State Surcharge
Paid By
JAMES BENEDATTI
Item Total:
t.:heck Number Authorization
Received'By Batch Number Number How Received
cjc 062664 In Person
Payment Total:
Page I of I
1:52:50PM
Amount Due
50.00
15.00 .
3.25
7.S0
$76.05
Amount Paid
$76.05
$76.05
2/26/2009