HomeMy WebLinkAboutPermit Building 2004-5-18
.
. CITY OF ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2004-00268
ISSUED: 05/18/2004 ~
APPLIED: 03/10/2004 ,
EXPIRES: 12/16/2004~' . ." '
VALUE: $ 12,000.00 i' .
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7095 MAIN ST
ASSESSOR'S PARCEL NO.: 1702353406311
Springfield TYPE OF WORK: Store
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Convert building back to a convenience store (from day care)
Applicant: Rajinder Singh Dhote
Commercial
Owner:
Address:
Phone Number: 541-683-2449
Contractor Type
General
Electrical
Mechanical
Plumbing
License
157704
136446
65439
157056
BUILDING INFORMATION I
Expiration Date
1lI13/2007
08/20/2005
03/30/2006
1110312005
Phone
541-510-0707
541-747-2724
541-394-3461
541-544-5258
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
,...:th~ Occupant Load:
.('Vr-\" ~
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
VN
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee 1 of 4
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review CommlIndlPublic
-Mecbanicallssuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Not Covered Mechanical
Planning Final Occy Inspection
SDC Transpo Improvement
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 7% State Surcharge
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Backflow Device
Fixture
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Total Amount Paid
.
. CITY OF SPRINGFmL1J
Building/Combination Permit
PERMIT NO: COM2004-00268
ISSUED: 05/18/2004
APPLIED: 03/10/2004
EXPIRES: 12/1612004
VALUE: $ 12,000.00
I Valuatinn Descrintinn I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
12,000.00
Value
Date Calculated
Total Value of Project
$12,000.00
$12,000.00
03/1 0/2004
Fpp< PiilIJ
Amount Paid
Date Paid
Receipt Number
$79.95
$10.00
$16.80
$11.76
$123.00
$45.00
$143.00
$10,000.00
$5.60
$6.40
$3.92
$4.48
$43.00
$21.00
$14.00
$42.00
$10.00
$381.94
$560.94
$1,904.03
$20,266.88
$6,860.92
3/10/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
5/18/04
5/18/04
5/18/04
5/18/04
5/18/04
5/18/04
5/18/04
5/18/04
6/18/04
6/18/04
6/18/04
6/18/04
6/18/04
6/18/04
1200400000000000292
2200400000000000299
2200400000000000299
2200400000000000299
2200400000000000299
2200400000000000299
2200400000000000299
2200400000000000299
1200400000000000761
1200400000000000757
1200400000000000761
1200400000000000757
1200400000000000757
1200400000000000757
1200400000000000761
1200400000000000761
2200400000000000810
2200400000000000810
2200400000000000810
2200400000000000810
2200400000000000810
2200400000000000810
$40,554.62
I Plan Reviews I
Fire Department Review 03/24/2004 03/24/2004 OK GRG See attached document for fire
department plan review comments.
Initial Review 03/1112004 03/1112004 APP LLH
Plan nine Review 03/17/2004 03/17/2004 APP EMM See LUCs for requirements to be
completed before occupancy
Paee 2 of 4
. . l...11 i' OF SPKll~u1'lJ!,L1J
Building/Combination Permit
Status Finaled PERMIT NO: COM2004-00268
225 Fifth Street, Springfield, OR ISSUED: 05/18/2004
541-726-3753 Phone APPLIED: 03/10/2004
541-726-3676 Fax EXPIRES: 12/16/2004
541-726-3769 Inspection Line VALUE: $ 12,000.00
Public Works Review 031l 0/2004 03/10/2004 APP SB DEFERRAL AGREEMENT
SIGNED ON 3/30/04. FILED IN
PROJECT FILE. FEES INCLUDE
$10,000 FOR SDC DOWN
PAYMENT. REMAINDER OF SDC
FEES ($29,000+) TO BE PAID
BEFORE FINAL OCCUPANCY.
Steve
Structural Review 03/24/2004 03/24/2004 10 JMP Called botb phone numbers for tbe
applicant on 3/24/2004 and then the
owner and got no response from
any. I then called the general
contractor and left a message about
the permit being ready. The
contractor, Wendel Boyd with
Cutting Edge Construction,
returned my call 3/25/2004 and said
that someone is putting him down
without his knowledge or
permission. Pat at 520-8684 called
on 3/26/2004 and said he is working
with the applicant. Gave him the fee
amount and told him he needs to get
with Steve Barnes before the permit
can be issued. Also asked about
Cutting Edge-no response.
3/30/2004 Wendel Boyd said he has
told Pat to quit using his name for
contracts he has not been awarded.
Structural Review 03/1112004 03/22/2004 APP JMP Received 3/17/2004.
SUB Review 03117/2004 03/24/2004 APP DH
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
L....iaw.lirIPlrllnsnections I
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Fire Department. After all requirements of the Fire Department have been met.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
BacklIow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Paee 3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00268
ISSUED: 05/18/2004
APPLIED: 03/10/2004
EXPIRES: 12116/2004
VALUE: $ 12,000.00
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 sball 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 without 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 required inspections are requested at the proper time, that each address is readable from the
street, that tbe permit card is located at tbe front of the property, and the approved set of plans will remain on the site at all
times during construction. '
Owner or Contractors Signature
Date
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2004-00268
COM2004-00268
COM2004-00268
COM2004-00268
COM2004-00268
COM2004-00268
Payments:
Type of Payment
Check
6/18/2004
RECEIPT #:
.P.IUN~" .~~ . ..
Wit,' - !
i i
~.' -
. --...
Jitj,ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200400000000000810
Date: 06/18/2004
Description
SDC MWMC Administration
SDC Transpo Admin
SDC Transpo Reimbursemenl
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
Paid By
LOVELEEN, INe.
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
vrj 1064 In Person
, Payment Total:
Page I of I
9:56:37AM
Amount Due
10,00
1,904.03
6,860,92
20,266,88
560,94
381.94
$29,984.71
Amount Paid
$29,984.71
$29,984.71