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Home My WebLink AboutPermit Change 2005-12-6 Building/Combination Permit PERMIT NO: COM2005-01501 ISSUED: 12/06/2005 APPLIED: 10/24/2005 EXPIRES: 06/06/2006 VALUE: $ 180,000.00 . Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax - S41-726-37691J1Spection Line ~ -- ..u SITE ADDRESS: 5658 Main St ASSESSOR'S PARCEL NO.: 1702334103000 Springfield TYPE OF . CITY OF SPRINGFIELD Tenantlnfill TYPE OF USE: Alteration PROJECT DESCRIPTION: Tenant Improvement. Change of use from Golds's Gym. Owner: PSMMR LLC Address: 3474 SPRING BLVD EUGENE OR 97405 I CONTRACTOR INFORMATION' Contractor Type General Electrical Mechanical Plumbing Contractor . In3cense DON OFFET'!mflllU.b.l)0N~"G.'iitN'G you156S42 Tel" i~V"l....~ lI\lV MITcIisTEI;E C INGd by the Oregon U\4674S kl\o.'~lru.!E~Cldi:1)J~.J, sareset1t}\(H TAYLu~ ~9.~N'~Nffil$AibESlL(1,@ !,~~~li9 ARPstpu\l1~am~,(;Q(lj'j'(() through OAR 95~m~ Ill""" ,.. - - . - -~...~ ... n'~ .- 0090. You mllp,(i)lliDING~EORMA'IIONI calling the eelll"'., 2"~ .'Itility Notification number for the.<#ro~~~51~:_2344). A2 Center lm'eJght or;;:: Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled # of Units: Primary Occupancy Group: Secondary Occupancy P"rimary Construction Type Secondary Construction # of Bedrooms: VB I DEVELOPMENT INFORMA nON, Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Commercial Phone Number: 541-912-1895 Expiration Date 08/0412007 01/1812007 06/16/2007 0112412006 Phone 541-606-0320 541-521-5690 541-895-5510 541-484-7246 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: . . .t.lUill. IPUBLlC IMPROVEMENTS' f ~ "''\\0'' \',~. lil,,~\.\.~~~~~e: \\Q'\~ \,~v.~\\ U\\O~v. \~~poutslDrainS ,,,\lil OV.\tt.\) O~ \lil tl . p..U'~ ~~\\C~\) 't~~O\)' CO\f. \~c;) \)~ p..\\'l Street Storm Sewer Available: Special Instruction: Notes: I of 4 ; Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Estimate Estimate ::. Fee Description Plan Review CommlIndlPublic -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Exhaust Hoods Fixture :. Minimum/Adjustment Mechanical Plan Review CommlIndlPublic Plan Review Fire & Life Safety _ Sanitary Sewer - Improvement , Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Vent Fan Total Amount . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-01501 ISSUED: 12/06/2005 APPLIED: 10/24/2005 EXPIRES: 06/06/2006 VALUE: $ 180,000.00 I Valuation Descriotion I Square Footage or Bid Amount 180,000.00 Value Date Calculated $ Per Sq Ft or multiplier $1.00 $180,000.00 $180,000.00 11/17/2005 Total Value of Project Ff'f'S Paid I Date Paid Receipt Number 2200500000000001487 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 1200500000000001782 Amount Paid $473.30 $10.00 $10.00 $120.67 $7.00 $84.47 $43.00 $57.00 $825.65 $9.00 $336.00 $30.00 $63.37 $330.26 $648.25 $852.51 $10.00 $2,158.33 $204.61 $20.49 $75.04 $457.67 $5,861.42 $1,328.84 $6.00 $14,022.88 10/24/05 12/6105 12/6/05 12/6/05 12/6/05 12/6105 12/6/05 12/6/05 12/6/05 12/6/05 1216/05 12/6105 12/6/05 12/6/05 1216/05 12/6105 12/6/05 1216/05 12/6/05 1216105 12/6/05 1216/05 12/6/05 12/6/05 12/6/05 I Plan Reviews I 10/28/2005 12/06/2005 OK GRG See attachment for Fire Department Plan Review comments. 10/25/2005 10/25/2005 APP LLH 10/28/2005 11/08/2005 APP EMM 10/28/2005 11/28/2005 APP SB SDCs added, change of use from Gym to Video Arcade. 2 of 4 Fire Department Review " Initial Review Planning Review Public Works Review . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . . 541-726-3676 Fax S41-726-37691nspection Line PERMIT NO: COM2005-01501 ISSUED: 12/06/2005 APPLIED: 10/24/2005 EXPIRES: 06/06/2006 VALUE: $ 180,000.00 Structural Review 10/25/2005 1110412005 WE JMP Received 10/28/2005. See attached document for 11 structural comments emailed to George Conway. WI. Received structural response. Received final internal approval. Structural Review Structural Review SUB Review SUB Review 11108/2005 12/06/2005 11117/2005 10/28/2005 11108/2005 12106/2005 11/17/2005 1110712005 10 JMP APP JMP APP DO. WE DO See attached document for Item #7 of JMP's structural comments requesting the worksheets for the lighting system. 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Ceiling Grid: After drywall approval but prior to cover. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: Afterall required inspections have been requested and approved and the building Is complete. Rough Plumbing: Prior to cover and Including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work Is complete. SUB Final: After all required energy inspections have been reqnested and approved. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting 3 of 4 . . CITY OF SPRINGFIELD. Building/Combination Permit. Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S41-726-37691nspection Line PERMIT NO: COM2005-01501 ISSUED: 12/0612005 APPLIED: 10/24/2005 EXPIRES: 06/06/2006 VALUE: $ 180,000.00 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 shall be done in accordnnce with the Ordinances of the City of Springfield and the Laws of the State nf Oregon pertaining to the work described herein, and that NO OCCUPANCY wiD be made of any structure without permission of the Cnmrnunity Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis project. I further agree to ensure that all required inspections are requested at tbe 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 wiD remain on the site - at ~:I.~ s d;g cO:~~ctiolL y-.-- I;) _ /, _ 0 ~ _ wner or Cqplractors Signature() Date 4 of 4 ....:. ~k-~. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-37S3 . FAX: (S41)726-3689",<<,~\ .. ELECTRlCALPERMIT APPliCATION . . .0C\~.~~~\<0 City Job Number COWl 7-0 (:) r - .(!)J:) 0 I . Date I Z - ~,,<$P:t>,o'~ , . . '\O~^\r /". . ~.CbMi;I!fi;;;--ESCiiEir. iiC 6w~ ~ .". .. 3. ~;g-~~~~~ . '~~~H"'" " . "t: 7J.~~'" 'l!-\.>),e ...~~~"...~ ~~~)gF~~.- A. tirNew)R~idential~"'e,0f.MUlti"Family.7Der.dwellin!! unit;. ~~~'wa:-"II'O(~~"'~li"_""",:{~,,,,,,~,,~ .o~~__.':.;"'" ,.;. ,,,0 Service Included \'~. ;moCATIoNoEiNSTAiIiZ4TI6N~~ 1. ~.Jir.l:t~'.i.~-':'-;;';;:""~":"'-- _;..,...."'-~_~M '," s-b~~ fVl,4I1V. Sr LEGAL DESCRIPTION /702 33 <{ I 03000 JOB DESCRIPTION $106.00 1000 sq. ft. or less Each additional 500 sq. ft. .or portion thereof , Permits are non-transferable and e.xpire if work is Each Manufact~d Home or .1).... I r not started within 180 day.s of issuance or if work is Modular DWelliitg Service or Suspended for 180 days. .,. .Feea~~-Q,O\\ Vc'\ \0<<\\ \'3." ('II'" ~ S ~,,\. fir::~~~'(~':P'b~~"'~"mG- ~""'..;.l:I'F.._.ro.;;.'It"" ~...?'}41't1. Q;00 ~\' -~ol;<1 ~l"'~,*",T.f~\ }t:~')'>'f~~~~~~~...,~...~..~~.~vi'1t'~~14 2. fJO~E,9!!/J!:l~I.AIJIJATIJ!Nlf!lm eO \yB. e ~e!;Vices o~,F~e,-s:,:: Instil!lation,,~ler~~ti.~ns:.or'Relo~!W;,r.'la . M , . ," ~ ~"'~'\ ~ -a.oOV~ ,\,\\O"'.A\\Q,'0- ,,'I \,\\e '.:;'0\\0'. I' Electrical Contractor III. 'tr.N ( 'trt:F~:t Nl' _ _,,\e . '\ () \'\\200 ~ps ~!)less _-a.\\o $ 63.00 . \O~'t ^ V - (J\) ~()V ~y\e ~\V '0\\ . -a.\\0" ,,()'\' \-a.\0201u~nips tq~400 Amps $ 75.00 '7i'... .,\0 fJ'2--V 0'0 ,>-\U' .,,,\'4 ., Address ~;D ~)<.:wt~,;..,.o\\ .0.<:\ ~,,'l \e(' 401(~psto~600Amps $125.00 V" -(Ou' e\\ ,,0 '\'2:" \0 B()' \,\\e 0 e OI'60I.::~fhps to 1000 Amps $163.00 City 5)o-6r.r O>fF Phone ;-tlIs:I;;<j.('oCl. 'O( 'li\e( \'" ~er 1000 Amps/Volts $375.00 \\"'~u~ eel''!. Reconnect Only S 50.00 A-\::>~ 20 Ll~\ .h:: $ 19.00 $50.00 Supervisor License Number '" J 7 ']., 5. ~''Ai.'-,f'lIffil'''.c~~j~~V1~'':M'1'~W.;;~~ C. :remp"?I:.~mfu'r;ytC~j9..r.,F~~!!~~s ." , , ..::, ?Svv1vVl (L '"347Lf City f::-u G-t-;v'C::.' s; PtL,l\I(,.. LL--c.. 3Jvd 9/2- J'l'7)' Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps . $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts se~"Bn ~e. D ""B-'~-"h'"G"':~c .f!t.'~""'l#::>i~~'I'~" . ~-''''''~F''~''>~''~' ;",'''''''k''"'' I . V;I ranc 'lr Uh..,~'\f_1 'C(l'h..:\1: _~ ~\' >lY'" :;'.1' '''''''''~''I,i,i_;..'J:tI t1".,.......~",..---~ ~t ~~~ . :....~ '...Ri~ t. '" """{i.J.~t New Alteration or ~}.~~ One ~ircuit.~t~~~\\~'i) 1 $ 43.00 1./ J \\~~~~~~: /7 $ 3.00 5" 7 1t~.. ~~~. - ,,'_~~~I(4'A~~&~1~~,a~~~1~'1 ~'\,)~gation . . $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. us't1f;roTA1YOE~OVEf.~~~~<~~.,fiM;~.'~;: /8-........ :;.; . _~..-~...'~._..". ",...__,.."~.._u->.;.""'t"""""",,,,,,..:t:do;e..\.,. _.,,'-, _ .'~' '---""" ~,;"",,,,,,'''''W~''~~:..r>;<:;;ij=;'''i;l-,...n--,u.-'''-~'','''.f~I~'1" _, .,~..~ '7 /0 117 Expiration Dale .I () - c I - 0 '7 Constr. Contr. Number I Lj (,74"- Expiration Date 0 J - w - 0 '7 Signature ofSupervis~ftrician . 474>?&/ljJ~ /- Owners Name Address Phone OWNER INST ALLA nON The installation is being made on. property I own which is not intended for sale, lease or rent. Owners Signature: 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:YBuilding FonnslElectrical Permit Application l-03.doc .A._. ATTACHMENT A Au_ ~. . CITY ~NGFIELO SYSrgMS DEVELOPMENT CHARGE~HEET JOURNAL OR JOB NUMBER C0M2005-01501 NAME OR COMPANY: XTREME GAMING LOCATION: 5658 MAIN ST MAP & TAX LOT NUMBER: 1702334103000 DEVELOPMENT TYPE: Vidoe Arcade NEW DEVELOPED AREA (S.F.): EXISTING DEVELOPED AREA ($.F.): TOTAL IMPERVIOUS SURFACE (S.F.): , .~. UTORM nR~ IMPERVIOUS SQ. IT. 2.425.00 2.425.00 895 492 lTE: lTE: LOT SIZE (S.F.): x $ 0.323. PER SF TOTAL STORM DRAINAGE SDC:/ :LSAI'llTARY SEWER-CIIY A REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 3 TRANSPORTATION 34 x $ 25.07 PER DFU 34 x $ t9.07 PERDFU $ 44.14 TOTAL LOCAL W ASTEWA TER SDC:I $ $852.51 $648.25 1.500.75 I $1,500.75 BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A REIMBURSEMENT COST: 2.43 x 106.4 x $ 19.09 PER TRIP x 0.9 NTF $4,432.32 ~ B. IMPROVEMENT COST: 2.43 x 106.4 x $ 84.19 PER TRIP x 0.9 NTF $19.550.66 ~ EXISTING $ 103.28 A REIMBURSEMENT COST: -2.43 x 32.93 x $ t9.09 PER TRIP x 0.85 NTF ($1 ,295.56)~ B. IMPROVEMENT COST: -2.43 x 32.93 x $ 84.19 PER TRIP x 0.85 NTF ($5.714.63)\ TOTAL TRANSPORTATION REIMBURSEMENT SIX:I TOTAL TRANSPORTATION IMPROVEMENT SIX:! TOTALTRANSPORTATlONSOC:' $ 16,972.791 4 SANITARY SEWER - MWMC NEW: A REIMBURSEMENT COST: NUMBER OF FEU's 2.43 x $75.00 PER FEU $181.881 B. IMPROVEMENT COST: NUMBER OF FEU's 2.43 x $791.14 PER FEU $1.918.511 EXISTING: A REIMBURSEMENT COST: NUMBER OF FEU's -2.43 x $75.00 PER FEU ($181.88)1 B.IMPROVEMENT COST: NUMBER OF FEU's -2.43 x $791.14 PER FEU ($1,918.51)1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5 ADMlNISTRA TIVE FEES. BASE CHARGE (SUBTOTAL ABOVE) stN<"- W. Y><Rt.t"'1::J Y>Rrl'l.tS x~jll~itOR TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMlNISTRA TIVE FEE: TOTAL MWMC SDq SUBTOTAL (ADD ITEMS 1,2,3. & 4) $0.001 $18,473.54 ~ $ 18,473.54 x 5% I $923.68 TOTAL TRANSPORTATION ADMlNISTRATIONFEE: $ TOTAL SEWER ADMlNISTRA TION FEE: $ 1112812005 DATE TOTAL SDC CHARGES $3,136.76 $13,836.03 $16,972. 79 $0.00 $0.00 $0.00 $0.00 -1 89 $0.00 ~- . I 848.64 75.04 $19,397.22 , 1 JULY 2004 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUN ALENT - DRAINAGE FIXTURE UNITS ~re FOR REMODELS. CALCULATE ON!. Y TIiE NET ADDmONAL FIXTIJRES) #REF! FIXTURE TYPE BATHTUB DRINKlNG FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElO1IJSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB CLOTHES WASHERlMOPSINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRlGERA TORIW A TER ST A TIONIETC RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLE LAVATORY SINK: SINGLE LA V A TORY /RESIDENTIAL BAR URINAL, STALUWALL TOILET. PUBLIC INSTALLATION TOILET. PRlVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S. FIXTURES UNIT NEW OLD EQUIVALENT 3 I 4 3 3 6 2 3 6 12 I 2 3 2 2 3 2 o 2 5 I 5 2 6 3 TOTAL DRAINAGE FIXTURE UNlTS= -mu (EQuivalent DweUina Unit) is a discharge equivalent to a single family dwelliDll: (20 OFU) set at 167 ~Ions oct day 34 DRAINAGE FIXTURE UNITS o o 12 o o o 3 o o o 6 o o 3 o o 4 o 6 o o o o CREDIT CALCULATION TABLE: BASED ON ASSESSED V ALOE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER $1,000 ASSESSED VALUE .,$5;?9 \$5.19. ,.$5.12', . .$4.98' :;~:80 ~$4.63 , "$4AO: i~.07 ;$3.61. ;'$3.:12:'! aZ73 ~ $2.25' ! $1.80 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) XTREME GAMING.xls YEAR ANNEXED 1992 1993 1994 t995 1996 1997 1998 1999 2000 2001 2002 2003 2004 RATE PER SI,OOO ASSESSED V ALOE c.. ,.,c, :'::,'S;..4~~ ~,:'t~~ -, ... .:.,;; $0.09' {;.~.:;~~ ::~~:g~~ c! ,~: ': .'- i ~g:gg:; x X CREDIT TOTAL $0.00 So.oo sO.oo 1 JULY 2004 ( .f .225 Fifth Street Sp,ri~field, Oregon 97477 5irl-726-3759 Phone .J. Job/Journal Number COM200S-01S01 COM2005-01501 COM2005-01S01 .q>M200S-0IS01 COM200S-0 ISO I COM200S-0 ISO I COM2005-0 ISO 1 :COM200S-0IS01 " . ','COM200S-01501 \d,OM2005-0 ISO 1 'COM200S-01S01 C\;lM200S-0 150 I cpM200S-0 ISO I COM200S-01S01 COM2005-0 ISO I COM2005-01501 COM200S-0 ISO I COM200S-0 ISO I COM2005-0 150 I COM2005-01501 . CbM200s-0 I SO I CbM2005-01501 COM200S-0 ISO I COM2005-01501 , p.. ,'P~yments: 'T}pe of Pa}1llent ~~eck J ) ~! l,~ T t '1 'r ~ ~, Ii , 12/6/2005 . 8t~A"'''J''~.. '.. ~, ~.: aity of Springfield Official Receipt ~evelopment Services Department Public Works Department RECEIPT #: 1200500000000001782 Date: 12/06/2005 Description Plan Review Comm/IndlPublic Plan Review Fire & Life Safety Building Permit Vent Fan Exhaust Hoods Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Fixture + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC SanitarylStorm Admin SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin SDC SanitarylStorm Admin + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By GEORGE CONWAY Recei ved By djb I of I Item Total: Check Number Aulhorization Batcb Number Number How Received 20 I In Person Payment Total: 1:10:20PM Amount Due 63.37 330.26 82S.6S 6.00 9.00 30.00 10.00. 336.00 84.47 120.67 8S2.51 648.2S 7S.04 1,328.84 S,86 1.42 204.61 2,158.33 10.00 4S7.67 20.49 7.00 10.00 43.00 57.00 $13,549.58 Amount Paid $13,S49.58 $13,549.58