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HomeMy WebLinkAboutPermit Building 2000-5-16 ;; . . . Page 1 of 3 TRANS#:01-0001745 DATE:MAY 16 2000 AMT RECD:2 $ 8152.81 CHANGE: CASHIER: 004 I Job# 99-01673-01 I 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD~ OREGON COMMERCIAL PERMIT , City Of Springfield Community Services Division Building Safety Job Number: 99-01673-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2000 Marcola Rd Spr Assessors Map#: 17032523 Lot: Block: Addition: Tax Lot #: 00100 Subdivision: ~, ~ .I Owner: Address: Albertsons 250 Park Center Blvd Phone Number: 208-395-6275 City/State/Zip: ,Boise, ID 83706 Remodel Value: $972,811 Scope Of Work: Grocery Store Contractor Registration # Expiration Date MGA 9150 SW Pioneer Court, #T, Wilsonville, OR 97070 General Contr Market Contractors LId 62833 10250 Ne Marx St, Portland, OR 97220-1152 Eleclrical Contr New Way Electric Inc 51088 Po Box 21503, Eugene, OR 97402-0409 Mechanical Contr Comfort Flow Heating Co 460 1951 Don St Ste D, Springfield, OR 97477-1993 Plumbing Contr Jones Contractors Inc 133472 5097 Royal Ave, Eugene, OR 97402 Contractor Type Architect Quad Area: # Of Units: Constr. Type: Water Heater: REMODEL ALBERTSONS STORE #570 Phone 503-685-7350 12/13/00 503-255.0977 6/27/99 541-686-2365 6/27/99 541-726-0100 1/27/01 541-607-6163 Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To requesfan 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 requesled after 7:00 a,m, will be made the following working day. Footing Framing Drywall Structural Welds Required Inspections I Buildinll .After trenches are excavaled, - Prior to cover. - Prior to taping, . To be done during construction by Slale Certified Special Inspector. Provide inspection lest re! Street Improvement: Curb Cut?D San Sewer Depth (Ft): Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/00 00:00 AM Special Instructions: Other Utilities: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 [Ar~a (Sq. Feet) ~ Main: Accessory: . Bolts installed in concrete Ceiling Grid SUB - Final Final Fire Final Building Rough Electrical Low Voltage Final Electrical Underfloor Plumbing Rough Plumbing Sanitary Sewer Line Final Plumbing Rough Gas Rough Mechanical SUB - Mechanical Final Gas Final Mechanical Project Supervisor: Fee Commercial Plan Check Total Plan Check . . Page 2 of 3 I Job# 99-01673-01 I Required Inspections I Buildinn I - To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildir -When all Fire Department requirements have been met . When all required inspections have been approved and the building is complete, Electrical - Prior to cover, -When all electrical work is complete, I Plumbinn - Prior to insulation or decking. - Prior to cover, - Prior to filling trench. -When all plumbing work is complete, Mechanical . Prior to cover, .When all gas work is complete. -When all mechanical work is complete, Improvement Agr.?D Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: 00/00/00 00:00 AM, o 8 Other New sewer tap to existing public sanilary line in a PUE in the parking lot Types Of Warning Devices Reqd. # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Paid On Receipt# Plan Check 12/14/1999 36424 Value/Quantity Fee Amount 1,250,000 $1,597,70 $1,597.70 " . . " Job# 99-01673-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Buildin!l Building Permit 05/16/2000 0001745 972,811 $2,042,50 State Surcharge For Building Permit 05/16/2000 0001745 $142,98 Building Administrative Fee 05/16/2000 0001745 $61,28 Total Building $2,246.76 Electrical Permanent: 201 to 400 Amps 05/16/2000 0001745 3 $180,00 Branch Circuits With Feeder or Service 05/16/2000 0001745 294 $588.00 State Surcharge For Electrical Permit 05/16/2000 0001745 $53,76 Electric Administrative Fee 05/16/2000 0001745 $23,04 Total Electrical $844.80 Plumbin!! Minimum Plumbing Permit Fee 05/16/2000 0001745 $,00 Number of Fixtures 05/16/2000 0001745 85 $850.00 Slate Surcharge For Plumbing Permit 05/16/2000 0001745 $69.65 Sanitary Sewer Footage 05/16/2000 0001745 71 $40.00 Miscellaneous Plumbing 05/16/2000 0001745 105 $105.00 Plumbing Administrative Fee 05/16/2000 0001745 $29,85 Total Plumbing $1,094.50 Mechanical Hood and Exhaust 05/16/2000 0001745 1 $4,50 One to Four Outlets 05/16/2000 0001745 4 $2.00 Minimum Mechanical Permil 05/16/2000 0001745 $,00 Mechanical Administralive Fee 05/16/2000 0001745 $8.97 Vent Fan to One Duct 05/16/2000 0001745 6 $18.00 Each Additional Outlet 05/16/2000 0001745 3 $1,50 ' More than 100,000 BTU 05/16/2000 0001745 1 $7,50 15hp u 500,000 BTU 05/16/2000 0001745 15 $165,00 UniVHeater 05/16/2000 0001745 1 $6,00 Evaporative Cooler/Fan 05/16/2000 0001745 1 $4.50 Alter/Add to ea Appl Unit or System 05/16/2000 0001745 6 $90.00 Mechanical Issuance 05/16/2000 0001745 $10.00 State Surcharge For Mechanical Permit 05/16/2000 0001745 $20.93 Total Mechanical $338.90 Public Works Encroachment Permit. Commercial 05/16/2000 0001745 1 $80.00 Total Public Works $80.00 System Development Sanitary Sewer 05/16/2000 0001745 70 $3,378.90 SDC Administrative Fee 05/16/2000 0001745 $168.95 Supermarket. MWMC 05/16/2000 0001745 $,00 Supermarket - Transportation 05/16/2000 0001745 $,00 Total System Development $3,547.85 Grand Total $9,750.51 Plan Check Type Checked By Date Completed EU~ /~ey 03/07/2000 ~"""-I"((, - 00 ,...,.......LJY ,-,.......Jt -... Signature Date , , t\'leIOI\OW itleO \'I3s 0 use . aC\ as sub~ 5 eci\\C \a1'\ ~'e \o\IOwing ?10~ nol leqUlle ? '" anO ooe 225 FIITH STREET zon,ng~a\', <!.. (!....... CTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 a??'o zoning d'O INSPECTION REQUEST: 726-3769 ' I" - ~i b Number 9'9 ~/"'7:? ~/ OFFICE: 726-3759 D~e - ,iZeo SignalUle . COMPLETE FEE SCHEDULE BELOI/ 1. LOCATION OF INSTALLATIONf\utl'lO ~ A.44.;;>.c.:;:tL.,? ~n ,A. New Residential-Single or " " Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: J7~92JI;"2 ~ ~f&'"'> . ,- ~ ';;;"';,O.B DESCRIPTION....... ~_ ~~7~ ~~~ ~'.7'~?,.1!H. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLAT}ON ONLY ,B. Electrical contractor~)tU~~~~L Address. .PO, ./-!>oX 7J5tJ.3> Ci ty fJ )/Wbt'" Phone S-0/- 6At, -lJ{,5 Supervlsnr License Number 32X"2 -.s Expiration Date /6 - /- (5/ I C. Constr Contr. Number;Y; 1<I-5'~ '. Expiration Date J-t / 7J''V<~ s2f2~ctrician Owners Name ~~~~.::;/~. Address.=:?~~ ,~./~/~ 'PcfP. Ci ty ~~ ~ .IE Phon~?~-<2;O::;- OIINER INS~?I~ The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: --------------------------------------- DATE: "7~..Q::::> RECEIP'fllT ~/7~CS" RECEIVED BY:. /..t' ~ ~.' _//' f Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular, 'Dwelling Service or Feeder ,$ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps ~ 401 amps to,600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 ~, $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see uB" above " New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit "24~ $ 2.00 ~A not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE ~ State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 7~ J:l.1D _~.:376 7~~' J1. Y f~~ .. ~CB Contractor Inquiry Det. , . CONTRACTOR INQUIRY RESULTS REGISTRATION NUMBER: 51088 NAME: NEW WAY ELECTRIC INC ADDRESS: PO BOX 21503, EUGENE, OR 97402-0409 TELEPHONE: 541-686-2365 REGISTRATION STATUS: Active EXPIRATION DATE: June 27, 2001 ORIGINAL REGISTRATION DATE: June 27,1986 REGISTRATION CATEGORY: Specialty Contractor/All ENTITY TYPE: Corporation EMPLOYER STATUS: Non.Exempt CLAIMS INQUIRY: 0 OPEN CLAIMS: 0 CLOSED CLAIMS IN LAST 3 YEARS WITH FINAL ORDERS TO PAY ISSUED: 0 Associated Names: CPO: COLLINS, DEBORAH DAE CPO: GOWINS, MICHAEL KEITH CPO: PASLAY, RICK DEAN .;.. "'.' ::..:.:,..... http://www.ccb.stale.or.us/asp/Detai I s.asp Page I of I 05/15/2000 " Cily of updllgfield '" .r ENCROACHMENT PERMIT APPLICATION 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION OFFICE TELEPHONE (503) 726.3753 APPLICATION DATE: MA,( ~8PAlN~O"BLD ~/~~ ~ 9f,d~;1~.~1 ... ENCROACHMENT PERMIT ~ I NUMBER: ICD, 2.000 DATE ISSUED: LOCATION OF WORK APPLICANT_'~AI";<;' c;,N ("X<AC7n/.?, SITE ADDRESS: ~C> C? CJ ILf 1412 Crl L ,q CITY: Eo&/~,!L STATE: 012. Po PHONE ~4(':' b07 ~ {;, ( & ~ TAX MAP: 17 o~'Z. S2.~ TAX LOT: 010 1 00 , ZIP: q. '7 r:( .:;-? SUBDIVISION: OWNER: ~rz./< TS6N5 ADDRESS: -:2.s-o 1~l'?kL€N1(~TY: por s~ {3 L (/19 CONTRACTOR: I'ffll?Kt.?,C/.rT.; Lr(A ADDRESS: /LJ"2.,)O iVelY.4.te'IC STATE: PHONE: '2.o~ '? 9 'r- G':??s :t:: D ZIP: :;;;l? (f ? >,,> PHONE: -:2.5> -Cor?? CONTRACTOR REGISTRATION NO: ~:2.~>"] PROJECT SUPERVISOR: f?1C/< ~QG/E('C S EXPIRATION DATE: /'Z.-r'l- 0 U PHONE: S 4f'l.1 E REQUESTED PERMITS: INSPECTIONS REQUIRED: APPlICATION FEE I DEPOSIT ACCOUNT NO: 0' ENCROACHMENT PERMIT NO: ...:............................f.7I $80.00 I ~.oo VALID FOR SIXTY 1601 DAYS FROM DATE OF ISSUANCE o CUT STREET ,,0 BORE 0 OTHER n o DUST CONTROL (TYPE OF CONTROll o CONSTRUCTION. STORAGE. STAGING n o OTHER n o ASPHALT DEPOSiT......,..,....,....,....,......"..,............,....."..........,........"....':....,........,....,..,.. $ o TYPE OF SECURITY DEPOSIT For: o BLANKET SURETY BOND 0 SURIITY BOND 0 CASH I CHECK $ ,rg SANITARY" SEWER 'CONNECTION: ...... 0 MAIN LINE (EASEMENT'R/WI 0 TO STUB 0 OTHER D"STORM SEWER CONNECTION: 0' CATCH BASIN I BUBBLER 0 STUB' O'MAINLlNE o PROOF OF INSURANCE: $500,000 MINIMUM 0 ATTACHED 0 ADDITIONAL REOUIRED AMOUNT TOTAL DUE WITH PERMIT $ 60.00 DESCRIPTION OF PROJECT: PERIOD OF USE OR TIME OF CONSTRUCTION: o PLANS (TWO SETS) ATTACHED 'AREA: LENGTH: WIDTH: TYPE OF WORK: CUT: OTHER: EXISTING SURFACE MATERIAL: BACKFILL MATERIAL TO BE UTILIZED: FROM DATE: TO DATE: DEPTH: TIME: TIME: HEIGHT: BORE: BACKFILL MATERIAL: SURFACE REPLACEMENT MATERIALS TO BE UTILIZED: TYPE OF DUST CONTROL TO BE UTILIZED: NAME OF OTHER UTILITIES IF THIS IS A JOINT PROJECT: WARNING DEVICES TO 8E UTILIZED: Advance signing Bnd work zone protection to be in compliance with the Manual on Uniform Traffic Control Devices (MUTeD DESCRIPTION: WORK SHALL COMPLY WITH CHAPTER X ARTICLE 5 OF THE CITY CODE. CONTRACTOR TO COMPLY WITH MUTCD . REVISIONS 3/29/99 FORM '116 . PlAN REVIEW COMMENTS CIAL INSTRUCTIONS: , RESTORATION WORK SHAll BE IN CONFORMANCE WITH EXISTING CITY CODES AND IN COMPLIANCE WITH CURRENT STANDARD SPECIFICATIONS. EXCEPT AS NOTED BELOW. o 001 Backfill with l" minus rock. o 002 Compact every 18"100s8 depth. o 003' Requ]rQ:s'c;:~,r~p.8Ctlon with 8 8t~el,ro~lIer. o 004 A.C. to match the 'greeter of existing depth or 4". o 005 All cuts sealed for final inspection. o 006 Temporary patch may be used at the end of the day. o 007 Signing end Zone protection to comply with MUTeD o 008 Cut concrete only on score lines or cold joints. o 009 Sidewalks end driveways min. 3,aOOps!. o 010 Curbing min 3.S00psll No patchwork less then 3'. o 011 Meet min. requirements on curb cuts. Spfd. code. D 012 Restore planted erees, Spfd. code 206.3.05 o 013 Spec. to Bore I Jack I No A.C. cuts. o 014 Mechanical compacting required. o . 015 No petclilNo.rk allowed. o 016 Lateral cuts to have control density fill. o 017. Cuts to be polymerized crack sealed fOf final Inspection. o 018 Mininum 2" crushed rock~" minus. o 019 Minumum 4' clearance st sny point. swing-away. o 020 Concrete minimum 4. depth, 3.000ps;, o 021 Trench to be "T" cut. o 022 Needs State I County permit. o 023 No above ground enclosings In sl~walk or handicap famps. o 024 Diamond cut A.C.lConcrete value boxes to gr8de. o 025 Fresh Oil signs I Graded. o 026 Comply ~ith.~mericans with Disabilities Act. o 027 Concrete slabs~ ~"2hrs. curing time, 4500psi. o 028 Concrete slebs require joint see1 material. o 029 Driveway requires dowels every 18". o 030 Submit treffic control plan prior to exc8vetion. o 031 Notify Traffic Division before excavation. o 032 Core drill mein line, Insert tee, 2% min. grade. D 033 Must comply with the provisions of ORS 757.541 to 757,571- o 343 6" Circular holeIH20.Vac. o Comments: YOU ARE REQUIRED TO CAll THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" '-800-332-2344 48 HOURS BEFORE DIGGING INSPECTIONS: o CURB CUT AND,SIDEWAlK INSPECTIONS CAll 726.3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB NUMBERIPERMIT NUMBER, JOB ADDRESS. TYPE OF INSPECTION REQUESTED. AND WHEN YOU WILL BE READY FOR INSPECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER, REQUESTS RECEIVED BEFORE 7:00 A.M. Will BE MADE THE SAME DAY, REQUESTS AFTER 7:00 A,M, Will BE MADE THE NEXT WORKING DAY, INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE, o SANITARY SEWER, STORM SEWER, ENCROACHMENT PERMIT AND OTHER INSPECTIONS CAll CITY MAINTENANCE AT 726.3761. SIGNATURE: ~4,( I,,", LL/OQ RECEIVED BY: / .,(~';ry7 ~~.:.-, ~v . I" - -;/p ,.- By signature, I state and agreej that I have carefully examined the completed application and do hereby ce"ity that all information herein is true and correct. and fu"her ce"ify that any and all work performed shall be done in accordance With the Ordinances of the City of Springfield, applicable City Standard specifications and Drawlngshand the laws of the State of Ore~on pe"aining to the work des.cribed herein. I further certify that only contractors and employees w 0 are in compliance with ORS 7<r1.055 will be used on this prolect, The City may inspect the work site described in this p'ermit at any time during a one year period following the receipt by the City of notice of completion of the described work and speCify, at the City's sole descression. any additional restoration work re~uired to return the site to a standard acceptable to the City, The permittee will be notified in writing of any work required and will have thirty days (30) from the date of the notice to complete the work, Work not completed at the eni! of the thirty days will be performed by the City and the costs will be billed to the permittee. AMOUNT RECEIVED: eO. 00 RECEIPT NO: 0/- 000 114-S- DATE PAID: I furthor agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, and the approved set of plans will remain on the site at all times during construction. Signature u~A 0 Date .>----r rI; - 0 CJ V I VALIDATION: o TRAFFIC REVIEWED BY: o ENGINEERING REVIEWED BY: o MAINTENANCE: o PERMIT ISSUED BY: DATE: DATE: DATE: DATE: FOR SIDEWALK AND CURB CUT PERMITS PLACE A COpy (COMPLETED) IN PERMIT DRAWER. INSPECTION: DATE: INSPECTION: DATE: WORK IN PROGRESS DATE: AT TIME OF COMPLETION: DATE: ELEVENTH MONTH: DATE: