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HomeMy WebLinkAboutPermit Building 2009-2-3 (2) _:a.~RI",iil!I/lI!, ~;, ~t " 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 __~~~~~~,~J_~~,g,~ 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 ~ ~F!:51!~,~~I~t~)~~!j\"7'!)~ 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 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 . 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000127 2200900000000000160 . 2200900000000000160 2200900000000000160 2200900000000000160 2200900000000000218 2200900000000000218 2200900000000000218 2200900000000000218 .. $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 ~ ~Q ~l . . . Q. OoD~ ..) .,9 CityJObNUmberC~ZO~ '-':'". s+- ~j Job. Location 3 ~ 510 &,CA,+(~A) ~ ~; Asse~sors M"r 170:S Z Z zO .,~, .,.',1; ~t Owner ~ . -<:{ Address '0, 11~-?~ .'e~.:-:. .,"- ~ \--- ~ .~_. ~ (lj), ~..,_'/ , , ,...._.~- ~ ~) ~''\.' -.1 "'~( ~ ~' 01 , , .~ 0) .1I~f L\ ~\ di); ~ C!)t ~, ~ ~' ~ I!!f'!"\ ~~ ~! . ..~'\' ~.. ~i ~{ .. i><"- Tax Lot 02.300 Ro n ~\& Cj()l5'1 City.-0 ^ 12J-PA"\t? ' Stat&lL Zip qi <-/0 L . . - . . . '.' ----- 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 '. , (\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