HomeMy WebLinkAboutPermit Building 2009-6-22
CITy,: OF SPRINGFIELD'
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Building/Combination Permit
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PERMIT NO: COM2009-00597
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ISSUED: 06/22/2009
APPLIED: 05/01/2009
EXPIRES: 12/22/2009 ,
VALUE: $ :300,000,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 5790 MAIN ST
ASSESSOR'S PARCEL NO,: 1702334101900
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Springtield TYPE OF WORK: Tenant Infill
I PUBLIC IMPROVEME~NTION' Oregon law' ,
,i ii ")" reqUIres you to
IOIlOW rul~S-'dorlMliGcoi ,^" ,'he Orego Ut'l't
NIT' I ewa ", ,'ype,. . n II y
, 0 I Icatlon Center, Tnose ~ules are set forth
m OAR 952QQW'1.SP9!'tMPJi.\'~~~tlAR 952-001-
0090" You may obtain copi~s of the rules b
. callmg the center. (Note:l;the telephone Y
number for the,Oregon Utility Notification
Center IS 1.-800.332.2344),
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TYPE OF USE:
PROJECT DESCRIPTION: Big Lots Retail Store/ Tenant Infill
Owner: POLEN DEVELOPMENT LLC
Address: 2197 OL YMPIC
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATIO~ ,
Contractor Type
General
Electrical
Plumbing
Contractor License
SKYWARD CONSTRUCTION 158289
MARK ERICSON 82092
TRITON PLUMBING & MECHANICAL LLC 147599
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
B
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building: Yes
I DEVELOPMENT INFORMA nON ,
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Stree! Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Fully Improved
Yes
Storm Sewer Available:
Special Instruction:
NOTICE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD, '
Paee I of 4
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Remodel
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Commercial
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Phone Number:
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Not listed
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Expirati~n Date
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01114/2010
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05112/2011
,
04/26/2011
Phone
360-546-1625
360-574-6202
360-578-1128
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Lot Size:
Sq Ft I~t Floor:
1!
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I'
25,904
950
658
,
I REQUIRED PARKING
Total:
, Handicapped:
Compact:
I:
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I Plan Reviews I
05/0]/2009 05/01/2009 APP LLH
05/01/2009 05/04/2009 APP TSS
05/01/2009 05/07/2009 'WE CJC Sent links to applicant for energy
and Special Inspection forms
05072009
.
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] - 726-3676 Fax
54]-726-3769 Inspection Line
Descrintion Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review CommlInd/Public
+ [2% State Surcharge
+ 5% Technology Fee
Building Permit
Deferred Submittal
Plan Review Fire & Life Safety
Planning Final Occy Inspection
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Total Amount Paid
Initial Review
Public Works Review
Structural Revi_ew
CITY OF SPRINGFIELD'
Building/Cq,mbination Permit
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PERMIT NO: COM2009-00597
ISSUED: 06/22/2009
APPLIED: 05/0112009
EXPIRES: 12/22/2009 '
VALUE: $300,000,00
I v aluation Descrintio~ I
$ Per Sq Ft
or mnltiplier
$1.00
Square Footage
or Bid Amonnt
300,000,00
Value
Date Calculated
Total Value of Project
$300,000,00
$300,000,00
, 05/07/2009
~
Amount Paid
Date Paid
Receipt Number
"
J,
1200900000000000329
,.
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
]200900000000000716
"
1200900000000000716
120~900000000000716 .
1200900000000000716
120q900000000000716
1200900000000000716
$989,79 .
$182,73
$90,19
$1,522,75
$456,00
$609,10
$281.00
$147,26
$]93,66
$17,05
$7,128,88
$1,955,95
$454,24
5/1/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22109
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
$14,028,60
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Paee 2 of4
_SB~''''~F,I~~, CITY: OF SPRINGFIELD
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Building/CQmbination Permit
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Status Issued PERMIT NO: COM2009-00S97
225 .Fifth Street, Springfield, OR ISSUED: 06/2212009
APPLIED: 05/01/2009
541-726-3753 Phone EXPIRES: 12/22/2009
541-726-3676 Fax VALUE: $:,300,000,00
541-726-3769 Inspection Line
Plaonine: Review 05/01/2009 05/14/2009 APP EMM Mnst meet MDS LUCS
requirements euclosed with buildiug
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permit, s~me uncompleted from
previous:MDS for B&I Plumbing,
Install street trees along A Street,
add 3 m8re bike parking spaces,
restripe 86 spaces including 4 ADA,
provide ~ontinuous sight obsurring
.,
screening for outdoor storage area
and trash enclosures, all colosures to
be 5' set~ack from property line,
Call Liz Miller at 726-2301 for Final
Site Insp~ction,
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Structural Review 05/19/2009 05/19/2009 IO .KLK Sent No~-residential Energy Forms
for Extefior Euvelope, Lighting aud
HV AC tt, S,U,B,.
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KLK 1
Structural Review OS/2012009 OS/20/2009 WE Per phone call with architect, Door
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at bottom of Mezzanine Stairs is
required;to be 3'-O"x7'-O" for
Egress, rlans Examiner marked on
plans, PI'~ns examiner left message
for Cont'ractor to provide Deferred
Submitt~1 Form for deferred
plumbing, electrical and mechanical.,
S,U,B, and Fire reviews pending,
1;
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Structural Review 06/08/2009 06/08/2009 REC CJC Recieved deferred submittal
agreement forms for plumbing,
electrical and mechanical.
SUB Review 05/01/2009 06/08/2009 APP JF See attached documents for energy
plan review approv~l.
,
Fire Department Review 05/01/2009 06/10/2009 APP GRG See attached document for Fire
Department Plans Review
comments.
Structural Review 06/1112009 06/1112009 APP CJC "
As uoted'on plaus
To Request an inspection call the 24 hour recording at 726-3769, All inspections r~quested before 7:00
a,m. will be made the same working day, inspections requested after 7:00 a.m. willj'be made the following
wMk~~ I
~lIirprlln~.nections I
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Framing Inspection: Prior to cover and after all rough in inspections have been approved. !)
Drywall: Prior to taping,
Paee 3 of 4
CITyrOF SPRINGFIELD
Building/C6mbination Permit
I" ,
Status
Issued
PERMIT NO: COM2009-00597
ISSUED: 06/22/2009
APPLIED: 05/01/2009
EXPIRES: 12/22/2009
VALUE: $300,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector,
Bolts Installed in Concrete: To be done by a State Certitied Special Inspector, Provide inspection test reports to
City Building Inspector,
Ceiling Grid: After drywall approval but prior to cover,
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: Wben all plumbing work is complete,
Rougb Mecbanical: Prior to Cover .
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical 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 all work performed shallibe done in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the wdrk 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 willi 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 wih remain on the site at all
".~ i/ ~ b -:2z. :'-0"7 .
Owner or Contractors Signature
f?o,6~r--l M,/IN-<-r
6fr''1td,tJr~ CONS'!
Date
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Page 4 of4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Spri!lgfield Official Receipt
DevelopmentServiees Department.
1,1 I
Public Works Department
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Job/Journal Number
COM2009-00597
COM2009-00597
COM2009-00597
COM2009-00597
COM?009"00597
COM2009-00597
COM2009-00597
COM2009-00597
COM2009-00597
COM2009-00597
COM2009-00597
COM2009-00597 .
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200900000000000716
k
Date: 06/~,2/2009
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Stonn Admin
Deferred Submittal
Plan Review Fire & Life Safety
Building Penn it
Planning Final Occy Inspection
+ 5% Technology Fee
+ 12% State Surcharge
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC Transportation Admin
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
SKYWARD CONSTRUCTION njm 5037 In Person
Paym~ht Total:
Page I of 1
I:OO:03PM
Amount Due
193,66
147,26
17.05
456.00
609,10
1,522.75
281.00
90.19
182,73
1,955,95
7,128,88
454,24
$13,038,81
Amount Paid
$13,038.81
$13,038,81
6/22/2009