HomeMy WebLinkAboutPermit Building 2009-2-3 (2)
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CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-00039
ISSUED: 02/0312009
APPLIED: 01/12/2009
EXPIRES: 09/04/2009
VALUE: $300,000.00
Status . Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone.
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3256 GA TEWA Y ST
ASSESSOR'S PARCEL NO.: . 1703222002300
SPRINGF1ETYPE OF WORK: Restaurant
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Dntch Brothers Coffee Kiosk
Owner: CHRIS STEWART
Address: 4660 MAIN ST #D
SPRINGFIELD OR 97478
Phone Number: .541'517-8558
I CONTRACTOR INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor License Expiration Date
SUNSET ELECTRIC INC 158859 02/27/2010
EUGENE LANDSCAPE.&..,JRRI~TION 6129 08/31/2010
A. I E:..W ',~~ I
RICHARD MICHAEL j!1PJ,~fu~cfs Rcrcregon 1\l641JljtJires you to04!II/2009
NATHAN PAUL STA\1k~m)1'l()n r:n?!:te.,?, bYtij~02regon Utilit~5/09/2009
L.ti{tii:fi ~~'f'l"r(!)RM,~~~Aa,;e9~~_~ori~
c . ii -~, "iJy UUlam Copies of the rules 0
nu'll'B1fSt91'\~nter. (Note: the telepho eXt Size:
Ilne%{oJr1~tl:&ffiile>n Utility Not;fical~ESq Ft 1st Floor:
Type oEfl1Wa~ 1-800-332-2344). l~q Ft 2nd Floor: .
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: _ Sq Ft Other:
Sprinkled Building: nla Occupant Load: .
Phone
541-915-4883
689-5455
541-441-8069
(541) 461-1965
Contractor Type
Electrical
Landscape
Plumbing
Sewer
B
46,174
351
VB
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
#StreNl!lM~qd: . Handicapped:
~:~~.~~~~tT SHAll EXPIRE IF THE W'tjlW(act: .
~'tltR'(tR~t> UNDER THIS PERMIT IS NOT
I'nnnnnl:MI'l:n no Ie ^D^"n,;"',:,:, "':II>
I PUBLIC 11VJlmP~flIRIOD. .
Sidewalk Type:
Front yard Setback:
Side 1 Setback:
Side 2 Sctback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer A vaHable:
Special Instruction:
DownspoutsfDrains:
Notes:
Page 1 of 4
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i'
,
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine Review
Structural Review'
Fire Department Review
01108/2009
0111212009
. 0111212009
01112/2009
0111212009
01112/2009
0113012009
02/02/2009
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00039
ISSUED: 02/03/2009
APPLIED: 01112/2009
EXPIRES: 09/04/2009
VALUE: $ 300,000.00
APP LLH
APP EMM
APP CJC
APP GRG
Owner will call with contractor
information - undecided at this time.
Delay in routing due to addressing
needs.
Please call Lissa Davis, Planner at
726-3632 for Final Site Inspection
prior to Final Building and
Occuancy. Must be constructed per
approved Final Plot Plan
DRC2008-00063.
Plans Review: coffee kiosk. Job
#COM2009-00039. Occupancy
Classitication: B. Construction
Type: V-B. Approximately 377 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 Springfield Fire
Code 505.1).
Provide tire extinguishers with a
minimum raiing of2-A:10-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be .
between 3 and 5 feet above finished
tloor(2007 Springfield Fire Code
906).
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. .R"cl/lir"r!Jwnections I
Ufer Electrical Gi.ound: Install gronnd rod at footing and call for inspection in conjnnction with footing and/or
foundation inspection.
Footing,: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Underground Plumbing: Prior to tilling the trench and including required testing.
Paee 3 of 4
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I. . .
i .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriotion
Tvpe of Construction
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fire SF Fee - Non-Residential
Fixture
Modular Building
Not Covered Plumbing
Plan Review Comm/lud/Public
Sanitary Sewer - 1st 100.Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl100'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement.
SDC Transpo Reimbursement
SDC Transportation Admin
Storm Sewer - 1st 100'
Water Line - 1st 100'
+ 120/0 State Surcharge
+.5% Technology Fee .
Add, Alter, Extend Cire Ea Add
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Backflow Device
Minimum/Adjustment Plumbing
Total AmountPaid
Public Works Review
.01/12/2009
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-00039
ISSUED: 02/03/2009
APPLIED: 01/12/2009
EXPIRES: 09/04/2009
VALUE: $ 300,000.00
I V.~luation DescriDti.?~. ,
$ Per Sq Ft
or multiplier.
Square Footage
or Bid Amount
Date Calculated
Value
Total Value of Project
F~p~, ~
Amount Paid
Date Paid
Receipt Number
$226.17
$94.24
$35.10
$38.00
$1,522.75
$58.00
$989.79
$76.00
$252.44
$331.98
$38.00
$10.00
$2,791.72
$337.44
$37.91
$8,134.14
$1,844.09
$647.18
$76.00
$76.00
$11.16
$4.65
$12.00
$81.00
$6.96
$2.90
$19.00
$39.00
2/3/09
2/3/09
2/3/09
2/3/09
2/3/09
2/3/09
2/3/09
2/3/09
2/3/09
2/3/09
2/3/09 .
2/3/09
2/3/09
. 2/3/09
2/3/09
2/3/09
2/3/09
2/3/09
2/3/09
2/3/09
2/10/09
2/10/09
2/10/09
2/10/09
3/4/09
3/4/09
3/4/09
3/4/09
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2200900000000000127
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2200900000000000127
2200900000000000127
2200900000000000127
2200900000000000127
2200900000000000127 .
2200900000000000127
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2200900000000000127
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2200900000000000127
2200900000000000160
. 2200900000000000160
2200900000000000160
2200900000000000160
2200900000000000218
2200900000000000218
2200900000000000218
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..
$17,793.62
Plan Reviews I
APP CTM
Page 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00039
ISSUED: 02/03/2009
APPLIED: 01lI2/2009
EXPIRES: 09/04/2009
VALUE: $ 300,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: When all plumbing work is complete.
Underground Electric: Prior to cover
Electric Service: Approval required prior to utility company energizing service.
Final.Electric: When all electrical work is complete.
Final Modular Set Up: After all required inspections have been requested and approved and project is complete.
Grease Trap: Prior to Cover.
Rough Plumbing: Prior to cover and including required testing. .
Backl10w Device: Prior to covering and provide. copy of the test report on site at the time of inspection.
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 descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 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 :;;Z;;;;;;{)1J ffi 3-4-oC(
Owne~ or ton tractors Signat~re Date
Paee 4 of 4
225 FIFTH STREET . SPRINGFIEW, OR 97477.. PH:(54t)726-3753 . FAX: (54t)726-3689
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Tax Lot
02.300
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BACKFLOW PREVENTION DEVICE PERMITFEE: .....~h1~~
.' . ."... , 'res you.to . . .
. .... .O.g.onlawrequl. UtilitY.. . ...... . ...". . .....i.......,. .
ContractorlnformatJon "TTENT\ON~d;e ted by t\ie ore~~nset lortti.. .: ,.. .. ... /' " ..':: ..
Contractor ~r: d I ~~~~~~~~16nt~r ~9~~~ 10-.r\cfv cuJ}. e .~~ (ralJ-/l-Ch
in \~hy~)l'l obta~ cUf":'~~pno~e ~ U . ~
AddrelJs. J CfSItJo O~~~ ~~~ ~~,ii~ilicatIO~hOIlP C;;Lj (- b3q ---r<;lJ::>->
.c . . er10r me. UI ~\l~ _332-2344). .
City 1_'4eN. numb GentellS1-800 Stat4012::- Zip Cf,YOZ-.
Construction Contractors Registration # Lets 'ft=. (., /7/1. . Expires ~ I. 3 I I b q
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(\IlA j of 'De~
ProJ((f7: 1?JPhl'np
By signing this permit/application, I agree to call for an inspection once the backflow prevention device
has been iristalled and is visible. for inspection (726-3769). I also state that all information on this
permit/application is correct. , ."..,.... ..<A'~'... .
d . . ~\l\t\t""',,~.t, ~
signatur~f. . J. -- l\01\~~~~tt S~"'':'n ~'S lla~!td\" '1 r / () ,
I i\\'~ Q?\lED \)~\J"'" r>.'ar>.\\U()\<<V' .. .
t<\l1~ cD QR'"
..:' .~II~E~C,". nCtl.\Otl.. .. . .
F~M~Hr}'~ .
Date of Application
~~1 ..
~ Ch~ked for Historical Status
,. ----:
Checked for DeJinquen;";'"
.....-_... r...:.._tT.\Itl..lI"\;..n ~"""olTl~,..\.on...", P_"..nnnn 7_n1 tiN"_
..
22? l!'inh,Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00039
COM2009-00039
COM2009-00039
COM2009-00039
Payments:
Type of Payment
Check
cReceinll
RECEIPT #:
Date: 03/04/2009
2200900000000000218
Description
Backfiow Device
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
EUGENE LANDSCAPE AND
lRRlGA TION
Item Total:
Check Number -Authorization
,Received By Batch Number Number How Received
djb
4383
In Person
Payment Total:
Page 1 of 1
1O:01:10AM
Amount Due
19.00
39.00
2.90
6.96
$67.M6
Amount Paid
$67.86
$67.M6
3/4/2009