HomeMy WebLinkAboutPermit Building 2005-6-8
.-
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*
. CITY OF SPRIN.GFIELD
Building/Combination Permit
PERMIT NO: COM2004-0I594
ISSUED: 06/08/2005
APPLIED: 12/29/2004
EXPIRES: 02/28/2006
VALUE: $200,000.00
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SITE ADD~SS: 5850 MAIN ST SPRlNGK~~~IQ~l':alON) <r9mlPJ~fW;i~~laneous
ASSESSOR S PARCEL NO.: 1702.343200300 ^q saUl! ilU] W SAI~:J U1~QO ^ew nOA '060.0
- nn-7f,~t',E K~MimD \'I~~ - C; HWCl hpmmercial
PROJECT DESCRIPTION: Dutch Bros.# 4-COFFEE STAND - cJnventlona?'Const. Te\\lJllora 18Pc~l!~nB' I~sued
090105, Valid for 30 days from issua.\l~~?llaS am salnJ asOl.j1 'Ja a:J uO!le"'.l!IoN
. Allllln u05aJn aU! /..0 oilldooe salnJ MOllO!
01 no^ saJ!nbaJ Mel u05aJO :NOI1N311V
.. Owner:
Address:
AMIGOS III LLC
8428 THURSTON RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I'
# of Units:
Primary Occupancy Group:
: Secondary Occupancy
. I"rimary Construction Type
, Secondary Construction
.' # of Bedrooms:
Contractor'
RON THIENES
DEL J INC 40432 09/0212007
DEL J INC 40432u d }.:VO OS 09/02/2007
LAWRENCE RALPH SABIN III i635673 o3lo7i2007
THOMAS E WHITE HO:l 03NOGN\f'86'252 80_ G}~~~~,~:O~/~~~005
~. ......... ,-".. -'JUI'I11 ............'--
, I BUlLD~NW'IN~'ORMATIONI\fHS llW83d SIHl
)it!UIV\ ?n.1. J' ~V'~' ,- . I ::t3Il0N
# of StorIes: 1 Lot Size:
Height of 22.50 Sq Ft 1st Floor:
Type of Heat: Heat Pump Sq Ft 2nd Floor:
Water Type: Electric Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
Energy Path: Path I Sq Ft Other:
Sprinkled nla Occupant Load:
License
Expiration Date
Phone
541-726-8795
541-476-1387
541-476-1387
541-582-1224
541-726-9778
Contractor Type
Architect
General
Electrical
Mechanical
.. Plumbing
B
377
VN
I DEVEWPMENT IN~'URMATlON I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
; Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact: .
IPUBLIC IMPROVEMENTS I
Street
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
DownspoutslDrains
Curbside 5' ,
To Storm Sewer '
\ Notes:
I of 6
.
.. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01594
ISSUED: 06/08/2005
APPLIED: 12/29/2004
EXPIRES: 02/28/2006
, VALUE: $ 200,000.00
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
: 541-726-3769 Inspection Line
I Valuation Uescriotion I
Estimate
Pavine
Estimate
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
123,000,00
77,000,00
Value
Date Calculated
04/2112005
04/2112005
Description
Type of Construction
Total Value of Project
$123,000,00
$77,000.00
$200,000.00
;
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $578.92 12127/04 2200400000000001547
, -Mechanical Issuance Fee- $10.00 6/8/05 1200500000000000799
+ 10% Administrative Fee $157.64 6/8/05 1200500000000000799
+ 7% State Surcharge $77.03' 6/8/05 1200500000000000799
Addressing Assignment $31.00 6/8/05 1200500000000000799
Backflow Device $28.00 6/8/05 1200500000000000799
Building Permit $640.40 6/8/05 1200500000000000799
Curbcut Permit $35.00 6/8/05 1200500000000000799
Curbcut Repair $30.00 6/8/05 1200500000000000799
Fixture $154.00 6/8/05 1200500000000000799
Heat Pump $12.00 6/8/05 1200500000000000799
Minimum/Adjustment Mechanical $27.00 6/8/05 1200500000000000799
Paving $475.95 6/8/05 1200500000000000799
Sanitary Sewer - 1st 50 Feet $45.00 6/8/05 1200500000000000799
. Sanitary Sewer - Improvement $146.22 6/8/05 1200500000000000799
Sanitary Sewer - Reimbursement $192.35 6/8/05 1200500000000000799
Sanitary Sewer Each Addtll00' $42.00 6/8/05 1200500000000000799
SDC MWMC Administration $10.00 6/8/05 1200500000000000799
SDC MWMC Improvement $1,954.28 6/8/05 1200500000000000799
, SDC MWMC Reimbursement $241.28 6/8/05 1200500000000000799
,
SDC SanitarylStorm Admin $138.79 6/8/05 1200500000000000799
SDC Transpo Admin $502.54 6/8/05 1200500000000000799
SDC Transpo Improvement $6,784.56 6/8/05 1200500000000000799
SDC Transpo Reimbursement $1,537.93 6/8/05 1200500000000000799
Storm Drainage Impervious Area $1,960.07 6/8/05 1200500000000000799
Storm Sewer - 1st 50 Feet $45.00 6/8/05 1200500000000000799
Storm Sewer Eacb AddtllOO' $42.00 6/8/05 1200500000000000799
Vent Fan $6.00 6/8/05 1200500000000000799
Water Line - 1st 50 Feet $45.00 6/8/05 1200500000000000799
Water Line - Eacb AddtllOO' $14.00 6/8/05 1200500000000000799
+ 10% Administrative Fee $18.20 6/17/05 1200500000000000861
+ 7% State Surcharge $12.74 .6/17/05 1200500000000000861
. Add, Aller, Extend Circ Ea Add $69,00 6/17/05
. 1200500000000000861
Perm ServlFdr 200 amps or less $63,00 6/17/05 1200500000000000861
Temp Power 200 amps or less $50,00 6/17/05 1200500000000000861
2 of 6
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Encroachment Permit
Temp Occy CII + 10% Bldg Perm!
Total Amount
Fire Department Review
Fire Department Review
Initial Review
Plannine Review
Plannine Revi~w
Public Works Review
.
03/01/2005
12/29/2004
12129/2004
03/01/2005
12129/2004
12129/2004
$130.00
$364.04
$16,670.94
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-0I594
ISSUED: 06/08/2005
APPLIED: 12/29/2004
EXPIRES: 02/28/2006
VALUE: $ 200,000.00
7/19/05
9/1/05
2200500000000000945
1200500000000001287
I Plan Reviews ,
06/06/2005
01/04/2005
1212912004
06/0212005
01/21/2005
OK
GRG
Comments originally in BIS dated
3/22105:
OK
Revised Plan Review: Dutch
Brothers coffee kiosk. Job
#COM2004-01594.Revisions in civil
site work. No cbanges in plans
review comments. Refer to plans
review comments dated 114/05.
Plan Review: Dutch Brothers coffee
kiosk. Job #COM2004-0tS94.
Occupancy classification: B.
Construction Type: V-B.
GRG
Provide address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505.1).
Provide fire extinguishers with a
minimum rating of2-A:IO-B:C
every 75 feet of travel distance. The
top ofthe extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
APP SKG
APP EMM
Development Agreement signed
6/1/05. No occupancy until ODOT
access permit obtained.
Needs to submit for Site Plan
Review, have approv~l, submit for
Final Site Plan and sign
Development Agreement.
Waiting for,SIte plan review. WIll
probably change before final.
SDCs included.
WE - EMM
WE SB
,3 of 6
. . CITY OF SPRu~u1<IELD
. Building/Combination Permit
"
Status: Issued PERMIT NO: COM2004-01594
225 Fifth Street, Springfield, OR ISSUED: ' 06/08/2005 '
541-726-3753 Phone ' APPLIED: 12/29/2004
541-726-3676 Fax EXPIRES: 02/28/2006
, 541-726-3769 Inspection Line VALUE: $ 200,000.00
Public Works Review 07/18/2005 07/1812005 APP SB LDAP issued. Encroachment
application due to'morrow 7/19/05
for sanitary connection.
Public Works Review 03101/2005 06/06/2005 WI EW SDC's added, Curb cuts and
encroachment permit fees added.
LDAP approved and ready to issue
per Billy Curtiss. LDAP fees must
be paid,
Public Works Review 02/18/2005 0211812005 WE SB Went to Pre-submittal for site plan
review. Building permit is
incomplete and new information is
expected from applicant. SDCs are
wrong and need to be revised. swbb
Structural Review 03/01/2005 03/01/2005 10 JMP WE, Received item 4 (missing civil
and landscaping drawings). Still
waiting for the other 7 requested
. items.
Structural Review 04/21/2005 04/21/2005 10 JMP WE: Received response to
structural comments. Called Ron
Thienes for electrical contractor
information.
Structural Review 04127/2005 04127/2005 10 JMP WE. Talked to Ron aDd be said he
will confirm in writing that he is an
owner ofthis stand and that James
Hamilton Inspects the welds. He
said that Double R Is the electrical
contractor.
Structural Review 04/28/2005 04/28/2005 10 JMP WI. Received a fax from Ron
Thienes confirming ownership and
inspector.
Structural Review 05/18/2005 05/18/2005 10 JMP WI. Received from Roo Tblenes a
fax stating that there will be a visual
special inspection of tbe shop
welding with reports. Also received
, more revised plans.
Structural Review 06/07/2005 06/07/2005 APP JMP Received final Internal approval,
pending LDAP Issuance.
Structural Review 12/29/2004 01/0412005 WE JMP See attached 8 structural comments
faxed to Ronald Thienes.
SUB Review 12/29/2004 01/1012005 APP DH
SUB Review 03/01/2005 06/06/2005 APP DH
To Request an inspection caD 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. wiD be made the following
work day.
Site Inspection: To be made after excavation but prior to setting forms.
4 of 6
.
. CITY OF SPRINGFIELD
Building/Combination Permit.
PERMIT NO: COM2004-01594
ISSUED: 06/08/2005
APPLIED: 12/29/2004
EXPIRES: 02/2812006
VALUE: $ 200,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax,
541-726-3769 Inspection Line
-
.
ErosionlGrading Inspection: After all erosion measures are in place,
BackfIow Device: Prior to covering and provide a copy of the test report on site at the time of Inspection,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service,
Final Electric: When all electrical work is complete.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting .
SUB Exterior Lighting
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Encroachment: After ilem(s) have been removed to inspect condition of public right of way.
Temporary Electric: Approval required prior to Utility Company energizing pole.
,Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated,
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering,
Drywall: Prior to taping.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Roof SheathinglNailing: Before covering sheathing with finish material.
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement,
Ceiling Grid: After drywall approval but prior to cover,
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
5 of 6
.
.
CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectionUne
Building/Combination Permit
PERMIT NO: COM2004-01594
ISSUED: 06/08/2005
APPLIED: 12/29/2004
EXPIRES: 02/28/2006
VALUE: $ 200,000.00
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector,
Final Fire Department. After ail requirements of the Fire Department have been met.
Final Building: After ail required inspections have been requested and approved and the building is complete,
Underslab Plumbing: Prior to filling the trencb and including required testing.
Perimeter Foundation Drains: 'After gravel and filter cloth is instailed but prior to backfill.
Rough Plumbing: Prior to cover and including required testing,
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: Wben ail plumbing work is complete,
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 ail 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 tbe work described herein,
and tbat NO OCCUPANCY win be made of ~ny structure witbout permission of the CommunitY Services Division,
Building Safety. I further certify tbat only contractors and employees who are in compliance with ORS 701.005 wiil be used
on this project.
I further agree to ensure that ail required inspections are requested at the proper time, that each address is readable from
the street, that the permit card is located at tbe front of the property, and tbe approved set of plans win remain on the site
at all times during constructiolL
(J JJLl ~ ')\&J\lI'tV r~ (; { - Or-
Owner or Contractors Signature
Date
6 of 6
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-01594
Payments:
Type of Payment
CreditCard
:1
':!
:1
','
:,
.
"
9/1/2005
.
RECEIPT #:
-r~A1N'!"'!!!J? .. . .'.
~,
~,.!
liMY of Springfield Official Receipt
"elopment Services Department
Public Works Department
1200500000000001287
Date: 09/01/2005
2:39:33PM
Item Total:
l:heck Number Authorization
Received By Balch Number Number How Received
00141 001413 In Person
Amount Due
364.04
$364.04
Description
Temp Occy CII + 10% Bldg Permi
Paid By
CHRIS STEWARTIDUTCH
BROS
Amount Paid
$364,04
Payment Total:
$364.04
l.of 1