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Home My WebLink AboutPermit Electrical 2005-3-23 S~P~..:LD,j;~~l(~jj~ .Y';;~'. "~~ "",..'.)}lW, ,,'"_,.. ~r ~:~~/o"o.rdate 2l!.AJ / ()S- f7"'''':cr''_''''' .,,~~t;l"O ~ffr;~'k..(Jr.nr-~'~. . .,.,. ',. ,', . ....-,._--~-_._--- 3. l:eOJl.1J>l,E1'E'PEE'S(i;IJ:rDLJEEBEl:OW "i_. ~""-'-'b-;;-""~*'~-~~~;-~-'-'-~-~'~1fO;-'.;~~ IJl'i,:;';~ €I nit) lr<JJ,-, ~"'f A~~~~~~~;;"';' Each additional 500 sq. fl. or '-...... ~ "'- portion Ihereof ~ ~9.00 ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ..LJlH J-not..J - () l.;l) .:l r~-c"",""*:~;'ry~"'''Cc~'7f;''::;"\'t"'-".",.....,,f'''','''~'";'''':;_.'i'" I. i.l:OGA'TIeJ!'f;OFY1!'fS'i'0tf:I3l:)f.'PIO!'f+;n; f A rz-....-'-'"~ .. ,..,~ ;~,~=,,"~. ..:2lJfJ (J N~ {VI ~t. LEY~~?~~'LO\500 Permits are non-transferable and expire if work is Each Manufact'd Home or" nol started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 2 [20N'.a~ACi'6k.,lJ\TSTAl:liA1?iQ,y(jN&i7! B. : Se;;c;, or' Fe;.!e;; ~ Insla'lla;io~, Allerali;;n, or Relocati~n: . :.........,.__._..__._,__ ~__,._;"..,_,~_";,- - '__"" --""~~,Le!::'''''''''''-O'_~'_'M~_'~I----''''' .,_. .. ", - - ... .... _ ,', .,. regon aw requires you to Electrical Contraclor f<.r,- if' /ifni ,i1/'&;.., E/i'U h't... -Zk 200 Amps or I~ss ,,~I..., 3dooted hI! t~&UNJgM 1_11;"~ 201 Amps 10 400 AmpiiUr< Center. ThoseSi"(]kJtllare set for&:. 401 Amps to 600:Ain'jW52.001-001 rJ thrOllgl!l5l9ll.fl ~'ii01 'Y'fJr. v~u m bt' . . 601 Amps to 1000 Amps ay 0 aID cOP$J3i~f){he..ru.lesJ)~L Over 1000 AmpsfV<lliS9 the center. (NoteSlI'mQQllephon.. Reconnect Onlynumber for the Oreann IllimyQQotifir3tiQA r.:'.T"'""....~~~f;l.DJl;lrjs_HOO,s32-2344}...,,---' -, c. \)!e)1.lpl)rary,.S~rvices,',or:Feeders.. .', "., ' ~ ,.. ',__',-,.",,,,_~_'_u'_ ,,_ _ __"--"'."__ "'__......__. ... ,._.., _.___ _~.._ ,J JOB DESCRIPTION AJew (.fYV' 11) ll.4.' Address '15).. 7 .!Jou,'7. 56D W,..<:,T City ~CiYld'( Phone1fo/-S"/I- 'il1//,S' Supervisor License Number 5/3."\ 5 Expiralion Date I ~ / I / () '7 Constr. Contr. Number /6 J q l:f .1 / i /1<< / ~A , ' Expiralion Date Signature of Supervising Electrician r5f- ~(U~t!A- Owners Name -r&1d B ez{V*<" Address J.tJ-)./ (~W /3rdJkl~, Dr City C(J'I'va 1/,,,, Phone~/-~O~"15/3 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. owneZi~// / '-'/" Inspection Request: 726-3769 .f $50,00 Installation, Alteration or Relocation 200 Amps or lcss ~.""",,'n- 201 .(\,l1)pS to,400 Amps $ 69.00 401 ~V!P~ t~!jORlt,Xif1p]HALL EXPIRE iF Tl$Io'(HioRK over:6dOf\frlpnH'oOO'v6iI~SU'!!B"Pa~.PvMIT IS NOT D. fJl;r.-~~i'f,.G;;:WjWDOR IS -ABAl'!OONED FOR.._.... -- ~ew~IY;J&J:~/~~~~~lQ~er P~ne~ .. . - . One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Pennit $ 50.00 3~ "'>~ ,0:::> m~ $ 3.00 .".___~."_,_.._..,.,,........_..,._ __..__",_,_,.__". ",r E. i MIseellanco..s (Service/feeder 1I0t included) -Each IlIstallalion 1_..::..::.::',.';.'..,....- ...... . ..:.::.....'.._._~...".;...;;..__._,."._......._ _.,._~_._._,. ......:.-..... -. .. Pump or irrigation $ 50.00 SignlOulline Lighting $ 50.00 Limiled Energy/Residential $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. riY~~T(;)L!..I,-?FAIJOVI~~,"~-~~':~'=:-!/;)S. 00 ~~.'" g ,7S- bll,~ I,.).. .~*' ~!\O /4(, . ~~ y TO\k<'- ""1.6'2.. .0S 7% Stale Surcharge 10% Administrative Fee TOTAL Shared Drivc(T:)/Building FonnslElcctrical Permit Application ]-03.doc ~ ' 225 Fifth Street . "Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01212 COM2004-01212 COM2004-01212 Payments: Type or Payment CreditCard " " " 3/2112005 - RECEIPT #: G"~AII<Q...FI'!'-!>... ._.... .. I. Wi;: . ~_.._'. ! 3200500000000000102 DescrIption Penn ServlFdr 40110 600 amps + 7% Slate Surcharge + 10% Administrative Fee Paid By TODD G BEZATES Received By njm Check Number Batcb Number Page 1 of I .y of Springfield Official Receipt "elopment Services Department Public Works Department Date: 03/21/2005 Item Total: Authorization Number How Received 088905 Phone Payment Total: 10:18:22AM Amount Due 125.00 8.75 12.50 $146.25 Amount Paid $146.25 $146.25 - Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4160 Main St ASSESSOR'S PARCEL NO.: 1702323201500 _ CIJ i' 01' SPRINul'lJ!,LlJ Building/Combination Permit PERMIT NO: COM2004-01212 ISSUED: 03/21/2005 ,APPLIED: 09/30/2004 EXPIRES: 09/21/2005 VALUE: $ 219,581.00 Springfield TYPE OF WORK: Retail PROJECT DESCRIPTION: Our Little Carwash Owner: EEC HOLDING, LLC Address: 240 E 15TH AVENUE EUGENE OR 97401 TYPE OF USE: New Commercial Phone Number: 541-484-6839 I CONTRACTuJ<. m~ORMA TION , Contractor Type General Designer Electrical Mechanical Plumbing Contractor ' License CONSTRUCTION CONSULTANTS LTD INC 120549 ASSOCIATED DESIGNS EVERYDAY ELECTRICAL SERVICE COMFORT FLOW RS PLUMBING CONTRACTING Phone 541-688-1907 541-461-2082 541-607-6908 541-726-0100 541-461-4714 Expiration Date 02124/2006 136371 460 103816 08/12/2005 06/27/2005 01/04/2006 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: VB 1 23.50 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 2,138 I DEVELOPMENTINFORMATI0N I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of5 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Pavinl! Estimate Use Bid Amount Fee Description Plan Review Comm/IndlPubIic -Mecbanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Annexed 1979 or Before BackOow Device Building Permit Curbcut Repair Fixture Furnace - Unit Heater Minimum/Adjustment Mechanical Paving Paving Plan Review Comm/IndlPublic Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Admipistration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Repair Permit Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each AddtI 100' Vent Fan Water Line - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 401 to 600 amps Total Amount Paid - I Valuation Descriotion I' $ Per Sq Ft or multiplier $1.00 $1.00 Amount Paid $578.92 $10.00 $156.68 $78.27 $-197.54 $28.00 $728.15 $10.00 $140.00 $36.00 $3.00 $78.00 $370.65 $42.25 $45.00 $676.36 $889.48 $10.00 $493.14 $724.26 $233.14 $796.54 $12,337.24 $2,796.97 $10.00 $2,863.78 $45.00 $42.00 $6.00 $45.00 $12.50 $8.75 $125.00 $24,222.54 Square Footage or Bid Amount 150,000.00 69,581.00 Total Value of Project F..... PIiILI Date Paid 9/30/04 2/7/05 2/7/05 2n105 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 217/05 2/7/05 2/7/05 217/05 2/7/05 2/7/05 217/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 217/05 2/7/05 2/7/05 2/7/05 217/05 2/7/05 3/21105 3/21/05 3/21/05 Pal!e 2 of5 -. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01212 ISSUED: 03/21/2005 APPLIED: 09/30/2004 EXPIRES: 09/21/2005 VALUE: $ 219,581.00 Value $150,000.00 $69,581.00 $2\9,581.00 Date Calculated 09/30/2004 1212112004 Receipt Number 2200400000000001218 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 3200500000000000102 3200500000000000102 3200500000000000102 - - CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01212 225 Fifth Street, Springfield, OR ISSUED: 03/2112005 541-726-3753 Phone APPLIED: 09/30/2004 541-726-3676 Fax EXPIRES: 09/21/2005 541-726-3769 Inspection Line VALUE: $ 219,581.00 Plan Reviews I Fire Department Review 10/04/2004 10/1912004 OK GRG See attached document for Fire Department Plan Review Comments. Initial Review 1 % 1/2004 10/01/2004 OK RJB Planninl! Review 12/29/2004 12/29/2004 APP EMM Development Agreement Signed on 12/27/04 Planninl! Review 10/01/2004 WE EMM Sarah Summers is planner. Waiting on ODOT approval regarding stormwater and Final Site Plan Submittal then Development Agreement. Public Works Review 1 % 1/2004 10/18/2004 WI SB LDAP application received. LDAP must be issued BEFORE Issuance of this permit. SDCs added. Encroachment Permit application is required if work is to be performed in the CITY Rigbt-of-Way or witbin a Public Utility Easement. CLosing 6 feet of Curb cut per ODOT. Curbcut going from 36 feet to 30 feet. Only sidewalk and curbcut repairs added. Public Works Review 1212712004 12/27/2004 APP SB LDAP at the counter, ready to issue with Permit. Structural Review 12128/2004 12/28/2004 APP JMP Received Final Site Pian. Structural Review 12122/2004 12/22/2004 IO JMP WI. Received engineer's report. Structural Review 1 % 1/2004 10/08/2004 WE TCM Talked witb Mick the general contractor and requested additional masonry details, mechanical plan, and structural caluations. Structural Review 11/09/2004 11/09/2004 IO JMP See attached faxed followup structural comments to Scott Goebel and David Corey. Structural Review 12/16/2004 12/16/2004 IO JMP WE. Received from Deb Corey revised plans and a letter with some attachments. Called David Corey to request the missing special inspection forms and the contractor's cost breakout. Structural Review 12/20/2004 12/20/2004 IO JMP WE. Received Special Inspection forms and building costs. Need engineer's report and other department approvals. SUB Review 1211612004 12/22/2004 APP DH Received energy code forms. Pal!e 3 of5 - _ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01212 ISSUED: 03/21/2005 APPLIED: 09/30/2004 EXPIRES: 09/21/2005 VALUE: $ 219,581.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Review 10/0112004 10/05/2004 WE DH JMP left a voice mail message for David and Deb Corey reminding them of the request for energy codes made on 913012004 when the application was taken in from Deb. David Corey called and asked for an email on energy code forms. JMP sent him the requested em ail with the web address and David Harris's name and phone number. 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. ~~,nl~l~t~ Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to setting forms. 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 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 Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB CelIlng Grid: Interior Lighting SUB Exterior Lighting Electric Service: Approval required prior to utility company energizing service. Erosion/Grading Inspection: After all erosion measures are in place. 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. 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. Masonry: 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. Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to City Building Inspector. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required Inspections have been requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Pal!e 4 of5 - " CITY OF SPRINGFu'..LU Building/Combination Permit PERMIT NO: COM2004-01212 ISSUED: 03/2112005 APPLIED: 09/30/2004 EXPIRES: 09/21/2005 . VALUE: $ 219,581.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Paving: After paving is complete. Underslab Plumbing: Prior to filling the trencb and including required testing. Perimeter Foundation Drains: After gravel and filter cloth Is installed 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: When all 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 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 ofany 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 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. ~\(j~ ~ ~Cl.~~ Owner o\.\:ontractors Signature . ~ 1;)..\ 10-:;-- Date Pal!e 5 of5 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4160 Main St ASSESSOR'S PARCEL NO.:, 1702323201500 . UJ r OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01212 ISSUED: 05/11/2005 APPLIED: 09/30/2004 EXPIRES: 1111112005 VALUE: $ 219,581.00 Springfield TYPE OF WORK: Retail TYPE OF USE: New Commercial PROJECT DESCRIPTION: Our Little Carwash I CONTRACTOR INFORMATION I Contractor ",\'(-.*:, License CONSTRUCTIOl'!."CO!,,~~ULTANTS LTD INC 120549 ASSOCIA TE~J>ES,I~NS" EVERYDA Y;ELECTRIOAL SERVICE COMFOIiTlid)w~'V ' v' .","",",' (,"" GPC,ENTERPRlSES INC ",^V ..... " ~'\' .KFq.~(INC5F ~,<v\<<:-~\.-'V '0'~<<:- '\-'~'V. ~f;'J S '<. ~'\; <<-'V '<.\.<<!- # ofUnits: '\~ y"......,\S0;.\.-<;.'V 'V~ Primary Occupari'~r.~i'o,,~) B Secondary Occupancy,qroup: Primary Construction'Type Secondary Construction Type: # of Bedrooms: Owner: EEC HOLDING, LLC Address: 240 E 15TH AVENUE EUGENE OR 97401 Contractor Type General Designer Electrical Mechanical Plumbing Sewer Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-484-6839 Expiration Date 0212412006 Phone 541-688-1907 541-461-2082 541-607-6908 541-726-0100 541-345-1931 541-689-9265 136371 460 136043 08/1212005 06/27/2005 0112912007 VB I BUILDING INFORMATIOr;,_\ '\~ 11>'" ~ . '?'" v ,0 ,. # of StorIes: ,!;,~ 0" '?' <;)<::11 Lot Size: Height of Stru~d;r6''?Q; ,'? \</,23tO')\ Sq Ft 1st Floor: Type of H~~ ~'? 'o.'?'" 'If oJ:' ,~o,,'? ~ Sq Ft 2nd Floor: Water 1;~'v'\'1 '?,.:s ~ 0 ~>s-'? if ~o Sq Ft Basement: Ran~f):l!.~ ~o<; 0~Q; !'.> 0 ,q} ~(J Sq Ft Garage/Carport ,,- cP'" ~". , '~'li '? _,0 !d",g; a~~: r;, '$' o~ . '$' ",,"~' Sq Ft Other: ~"SPfliR1~~.JIiIi~g:~,o,'?..,# \1Ip.... Occupant Load: ..(;. _~16 r..... ".. ..fb: \~ 'V n'v "'. ~' . " -.. ....... ............ I DEV:E}OPMENT<INFORMA:FION I ,- ~'- ~....~' v 13- ,'- ~o ~ -\,0 >s-'? '$' 'of,> .,,,8verla~.f)ist::l' ^,rt;. " cr'" ~,' 0'- -". IIJSt~'l ;t!ii!es~qd: ^. Pave<\:Drlve Rqd: % of Lot Coverage: 2,138 REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: Pal!elof5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Pavlnl! Tvpe of Construction Estimate Use Bid Amount Fee Description Plan Review Comm/IndlPublic -Mechanical Issuance Fee- + 10% Administrative Fee + 70/0 State Surcharge Annexed 1979 or Before Backflow Device Building Permit Curbcut Repair Fixture Furnace - Unit Heater Minimum/Adjustment Mechanical Paving Paving Plan Review Comm/IndlPubIic Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Repair Permit .Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each AddU 100' Vent Fan Water Line - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 401 to 600 amps + 10% Administrative Fee + 7% State Surcharge . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01212 ISSUED: 05/11/2005 APPLIED: 09/30/2004 EXPIRES: 11/11/2005 VALUE: $ 219,581.00 I Valuation Descriotion 1 $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 150,000.00 69,581.00 Value Date Calculated $150,000.00 $69,581.00 $219,581.00 09/30/2004 12121/2004 Total Vaiue of Project F....., p"w Amount Paid $578.92 $10.00 $156.68 $78.27 $-197.54 $28.00 $728.15 $10.00 $140.00 $36.00 $3.00 $78.00 $370.65 $42.25 $45.00 $676.36 $889.48 $10.00 $493.14 $724.26 $233.14 $796.54 $12,337.24 $2,796.97 $10.00 $2,863.78 $45.00 $42.00 $6.00 $45.00 $12.50 $8.75 $125.00 $9.90 $6.93 Date Paid Receipt Number 2200400000000001218 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 1200500000000000166 3200500000000000102 3200500000000000102 3200500000000000102 2200500000000000563 2200500000000000563 9/30/04 2/7/05 217/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2nt05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 2/7/05 217/05 2/7/05 217/05 3121/05 3/21/05 3/21/05 5111105 5/11/05 Pal!e 2 of5 . U 1 i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01212 ISSUED: 05/1112005 APPLIED: 09/30/2004 EXPIRES: 11111/2005 VALUE: $ 219,581.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Add, Alter, Extend Circ Ea Add $99.00 5/11105 Total Amount Paid $24,338.37 Plan Reviews I Fire Department Review 10/04/2004 10/19/2004 OK GRG Initial Review 10/01/2004 10/0112004 OK RJB Pianninl! Review 12/29/2004 12/29/2004 APP EMM Planninl! Review 10/0112004 WE EMM Public Works Review 10/18/2004 WI SB 10/0112004 Public Works Review 12/27/2004 12/27/2004 APP SB Structural Review 12/28/2004 12/28/2004 APP JMP Structural Review 12/22/2004 12/22/2004 to JMP Structural Review 05/06/2005 Structural Review 10/0112004 10/08/2004 WE TCM Structural Review 11/09/2004 JMP 10 11109/2004 Structural Review 12/1612004 JMP 12/16/2004 10 Structural Review 12/20/2004 JMP 12/20/2004 10 Pal!e30f5 2200500000000000563 See attached document for Fire Department Plan Review Comments. Development Agreement Signed on 12/27/04 Sarah Summers is planner. Waiting on ODOT approval regarding stormwater and Final Site Plan Submittal then Development Agreement. LDAP application received. LDAP must be issued BEFORE issuance of this permit. SDCs added. Encroachment Permit application is required if work is to be performed in the CITY Right-of-Way or within a Public Utility Easement. CLosing 6 feet of Curb cut per ODOT. Curbcut going from 36 feet to 30 feet. Only sidewalk and curbcut repairs added. LDAP at the counter, ready to issue with Permit. Received Final Site Plan. WI. Received engineer's report. Defered Submittal. Talked with Mick the general contractor and requested additional masonry details, mechanical plan, and structural caluations. See attached faxed followup structural comments to Scott Goebel and David Corey. WE. Received from Deb Corey revised plans and a letter with some attachments. Called David Corey to request the missing special inspection forms and the contractor's cost breakout. WE. Received Special Inspection forms and building costs. Need engineer's report and other department approvals. . . Ul i' OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-01212 ISSUED: 05/1112005 APPLIED: 09/3012004 EXPIRES: 11111/2005 VALUE: $ 219,581.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Review SUB Review SUB Review 12/16/2004 05/06/2005 1 % 1/2004 12/22/2004 APP DH Received energy code forms. 10/05/2004 WE DH JMP left a voice mail message for David and Deb Corey reminding them of the request for energy codes made on 9/30/2004 when the application was taken In from Deb. David Corey called and asked for an email on energy code forms. JMP sent him the requested emaiI with the web address and David Harris's name and phone number. 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. RpnnJrprt Tn~nections I Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to setting forms. Rough Mechanicai: 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 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 Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Electric Service: Approval required prior to utility company energizing service. Erosion/Grading Inspection: After all erosion measures are in place. 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Pal!e 4 of5 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF SPRINu.l'1~LD Building/Combination Permit PERMIT NO: COM2004-01212 ISSUED: 05/11/2005 APPLIED: 09/30/2004 EXPIRES: 11/11/2005 VALUE: $ 219,581.00 Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Drywall: Prior to taping. Masonry: Bolls 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 finisb material. Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide resulls to City Building Inspector. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Grading: After gravel Is in place but prior to placing concrete. Final Paving: After paving is complete. Underslab Plumbing: Prior to filling tbe trench and including required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed 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: When all 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 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 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 readabie 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 .m.':4(?--- G'/IIItf:) of or Contrad(.s Signature Pal!e 5 of5 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . .~:.:. ~. ~-" .ty of Springfield Official Receipt Wevelopment Services Department Public Works Department RECEIPT #: 2200500000000000563 Date: 05/11/2005 9:30:24AM Job/Journal Number COM2004-01212 COM2004-01212 COM2004-01212 Description . Add, Alter, Extend Circ Ea Add + 7% Stale Surcharge + 10% Administrative Fee Payments: Type or Payment Paid By CreditCard TODD G BEZA TES 4-\(,,0 ~k'~ S"C' Item Total: . Check Number Authorization Received By Batch Number Number How Received jmp 111103 In Person Payment Total: Amount Due 99.00 6.93 9.90 $115.83 Amount Paid $115.83 $115.83 , 5/11/2005 Page I of!