HomeMy WebLinkAboutPermit Building 2009-3-9
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00176
ISSUED: 03/09/2009
APPLIED: 02/05/2009
EXPIRES: 10/01/2009
VALUE: $ 20,000.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection'Line
SITE ADDRESS: 4211 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323201900
Springtield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Coffee kiosk drive thru - Replace Existing Modnlar Unit in Same Location
Commercial
Contractor Type
Electrical
Plumbing
Sewer
Contractor
JB ELECTRIC
SUSAN JANE ARNOLD
MCKENZIE EXCA VA TlNG INC
Phone Number:
. ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
1\1......tifil""~tinn (':pntor Thn<::p rI ilpc:; ~rp c::pt fnrth
;n nMl q~?_nn1_nn1Othrn'J(lh OAR 952-001-
IGONTRAC:r,OR-INFORMA:H0N~1 rules by
calling the center. (Note: me telephone
number for the Oregon lliic~ns'eJtific,ElI!j)iration Date
Center is 1-800-::rl1491~~4). 03/14/2010
49561 12/l6/2010
126290 '11/2112011
503-484-3026
Owner:
Address:
DONALD V PFEIFER TRUST
1810 15TH ST
SPRINGFIELD OR 97477
Phone
541-687-5770
541-484-3787
541-689-3085
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Tyjle
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
N OHffpe of Heat: Sq Ft 2nd Floor:
THIS MS1(M(f)'P~IALL EXPIRE IF THE WO~ Ft Basement: .
AUTHBmRiSJtlJr.:OER THIS PERMIT IS N~ Ft Garage/Carport
COM~~P~J't~r:IH\~;'I",ARANOONEn ~OR "S'q Ft Other:
ANY SpprklM IfIll tlll!~ /(/a Occupant Load:
Hill JAY PFRIOO
'DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard 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 I
. Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Orains:
Notes:
f\D()E't> YlJ.-!-1J\A?> , N (/ .~.
Pa2e 1 of 4
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J
\
Status . Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspection Line
DescriPtion
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan ReviewComm/lnd/Pnblic
+ 12% State Surcharge
+ 5% Technology Fee.
Fire SF Fee - Non-Residential
Modular Building
Moved Structure Plumbing Conn
Sanitary Sewer - Improvement
Sanitary,Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC.Reimbursemenl
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Service Reconnect
+ 12% State Surcharge
+ 5% Technology Fee,
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Sanitary Sewer - 1st 100 Feet
Total Amount Paid
Initial Review
02/06/2009
Plan nine Review
02/06/2009
I ':'.aluatio~ Description ,
$ Per Sq Fl
or multiplier
$1.00
Square Footage
or Bid Amount
io;ooo.OO
Total Value of Project
Ff'~< PlW
Amount Paid
Date Paid
$151.78
$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
$7.56
$3.15
$63.00
$13,68
$5.70
$38.00
$76.00
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
3/10/09
3/10/09
3/10/09
4/2/09
4/2/09
4/2/09
4/2/09
$7,749.89
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00176
ISSUED: 03/09/2009
APPLIED: 02/05/2009
EXPIRES: 10/01/2009
VALUE: $ 20,000.00
Value
Date Calculated
$20,000.00
$20,000.00
02/05/2009
Receipt Numher
2200900000000000145
3200900000000000152
3200900000000000152
3200900000000000152
3200900000000000152
3200900000000000152.
3200900000000000152
3200900000000000152
3200900000000000152
3200900000000000152
3200900000000000152
3200900000000000]52
3200900000000000152
3200900000000000152
3200900000000000152
3200900000000000152
2200900000000000244
2200900000000000244
2200900000000000244
2200900000000000326
2200900000000000326
2200900000000000326
2200900000000000326
02/06/2009
APP LLH'
Replacement - uo tire fee
02/09/2009
APP EMM
Paee 2 of 4
To be constructed per approved
Final Plot Plan DRC2008-00064.
Call Lissa Davis at726-3632 for
Final Site Inspection.
.
~S:~RI~q;&',I~,I.;j~::.:~.,,~~;,.,,!~, ", 1. . CITY OF SPRINGFIELD
~. .
:1,';;
, ,'1
\ Building/Combination Permit
Status Issued PERMIT NO: COM2009-00I76
225 Fifth Street, Springfield, OR ISSUED: 03/09/2009
541-726-3753 Phone APPLIED: 02/05/2009
541-726-3676 Fax EXPIRES: 10/0112009
541-726-3769 Inspection' Line VALUE: $ 20,000.00
. Public Works Review 02106/2009 02/10/2009 WE TSS Contacted architect to request plans
that renect existing and proposed
drainage fixtures. He indicated that
he would work on providing that
information today.
Public Works Review 02110/2009 02/10/2009 APP TSS Additional plans were received by
Building. I made copies of the pages
I needed to complete review and
calculated SDCs. Stormwater will
connect to existing lateral.
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 Springtield Fire
Code 505.1).
Provide fire extinguishers \\'ith a
minimum rating of2-A:10-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 reet above finished'
1100r (2007 Springfield Fire Code
906).
Structural Review 02/06/2009 03/0212009 WE KLK ,Waiting for 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.
Rp(lllir~rl In~np('t~
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Paec 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO:' COM2009-00176
ISSUED: 03/09/2009
APPLIED: 02/05/2009
EXPIRES: 10/01/2009
V ALUE:$ 20,000.00
225 Fifth Street, Spriugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Welds: To be done durin'g construction by State Certified Special' Inspector. Provide 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 Bnilding: After all required inspections have been requested and approved and the buildin~ is complete.
Underground Plumbing: Prior to filling the trench and including required testing.
Final Plumbing: When all plumbing work is complete.
Final Mechanical: When all mechanical work is complete.
Underground Electric: Prior to cover
Final Electric: When all electrical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all .
information hereon is true and correct, and I fnrther 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 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 used on this project.
I further agree to ensure that all reqnired 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.
~S,\tw~
Ii-oi- () f
Owner or Contractors Signature
Date
Page 4 of 4
225 fifth Street
. Spril)gficld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00 176
COM2009-00 176
. COM2009-00 176
COM2009-00 176
Payments:
Type of Payment
CreditCard
cRect"intl
RECEIPT #:
Description
Sanitary Sewer - 1st 100 Feet
. Fixture
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
CHRIS STEWWART
....RINQFllILD iij.....
~ .'
. ..,..
,. ,.__".,., ....n .'~ ... _
City of Springfield Official Rcccipt
Dcvelopment Services Departmcnt
Public Works Departmcnt
2200900000000000326
Date: 04/02/2009
1I:22:IOAM
Item Total:
Check Number Authorization
Received By Blitch Number Number How Received
Amount Due
76.00
38.00
5.70
13,68
$133.38
Amount Pllid
cjc
$133,38
$133.38
002976 In Person
Payment Total:
Page I of I
4/2/2009