HomeMy WebLinkAboutPermit Building 2009-9-3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF ::-'rKIJ"4(Jt mLD '
II
Building/Co!llbination Permit
PERMIT NO: COM2009-0] ]53
ISSUED: 09/03/2009
APPLIED: 08/07/2009
EXPIRES: 03/03/20]0
VALUE: $ ] 5,000.00
,
SITE ADDRESS: 3405 GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703222000904
Springfield TYPE OF WORK: Commercial Miscellaneous
!
r
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Exterior Commercial Freezer (Machine Room); 10.2 ponnds R-404 Refrigerant;
Accessory to A-2 Ii
Owner: MCDONALD'S CORP
Address: PO BOX 51060
EUGENE- OR 97405
I CONTRACTOR INFO~MATION I
Contractor Type
General
Electrical
Plumhing
Contractor
LEMAR & SON CONSTRUCTION INC
BUILDERS ELECTRIC INC
JOHN L RILEY
License
32241
4296
160615
Expiration Date
04/28/20 I 0
!
12/10/2011
07106/2010
Phone
541-747-0568
541-485-0922
541-998-2812
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedroom's:
SI
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
VB
,
I Lot Size:
10.75 Sq Ft l,st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemeut:
Sq Ft Garage/Carport
Sq Ft Other:
No Occup~nt Load:
108
1
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I' REQUIRED PARKING
,
Overlay DistinTENT ' ,'Total:
# Street TreesjRqil: ,ION. Oregon law reqlll'rk,Handicapped:
IV lUL" ru es ad t ..~ vvu (0
Paved Driv,e,Rqd:,t' C Op ed by the Oreg.Coml'act:
<VII.,Lit. Ion ent Th . '","1 VI..tllY
% of Lot Goverage:52 00 er. ose rules are set forth
'''WU.", - 1-0010th '
0090: You may obtain ~~On~?~ .s~uR 952-001_
NOTICE: I PUBLIC IMPROIv.iMEN;r~ fen~r. (Note: the t~I;Ph~onoeuy
THI~ PER '. Ile regoll Utility NOlif; -t"
Street Improvements: MIT SHALL EXPIRE . Center IS Siilew'!I!<2T:YI'e4)' Cd Ion
f\U/HORIZED IFTHEW ' .-~ .
Storm Sewer A:v~i!~J~I~jvc UNDER THIS PERMIT I ORK Downspouts/Drains:
SpecialInstruction:180 ED OR IS ABANDONED S NOT
"IV r DAY PERIOD FOR
Notes: .
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommlIndlPublic
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Non-Residential
Mechanical-Value
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Total Amount Paid
Structural Review
08/1012009
Initial Review
08/10/2009
I Valuation Descrintion ,
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
15,000.00
Total Value of Project
J;'pp<, pqillJ
Amount Paid
Date Paid
$120.09
$32.64
$13.60
$184.75
$10.80
$87.25
$187.98
$385.14
$10.00
$754.51
$91.20
$32.79
$4,210.34
$1,155.19
$306.93
8/7/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3/09
9/3109
$7,583.21
I Plan Reviews I
08/1012009
APP LLH
Paee 2 of 4
CITYOF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0] ]53
ISSUED: 09/03/2009
APPLIED: 08/07/2009
EXPIRES: 03/03/20]0
VALUE: $ 15,000.00
Value
,
$15,000.00
$15,000.00
Date Calculated
08/07/2009
I,
Receipt Number
2200900000000000898
1200900000000001026
1200'90000000000 I 026
1200900000000001026
1200900000000001026
1200900000000001026
1200900000000001026
1200900000000001026
1200900000000001026
1200900000000001026
1200900000000001026
1200900000000001026
1200900000000001026
1209900000000001026
1200900000000001026
CITY OF SPRINGFIELD
,
Building/Combination Permit
Status Issued PERMIT NO: COM2009-01153
225 Fifth Street, Springfield, OR ISSUED: 09/03/2009
APPLIED: 08/07/2009
541-726-3753 Phone EXPIRES: 03/03/20] 0
541-726-3676 Fax VALUE: $] 5,000.00
541-726-3769 Inspection Line
Plan nine Review 08/07/2009 08/11/2009 APP -TAJ This is f6r a free-standing freezer
that is le~s than 200 sf is size. It is
located in the center of the property
and is n~t adjacent to residential
zoning. It is not taking up any
parking spaces. However, the siting
of the freezer is necessitating
removal'of some landscaping. As a
"
condition of occupancy, the
applicant shall provide mid-height
landscap"ing along its east side (the
rear of t~e freezer). Call Tara Jones
at 736-1003 for a site inspection
when it is planted.
EW I'
Pnblic Works Review 08/1 0/2009 08/13/2009 APP SDC Worksheet Attached
Structural Review 08/25/2009 08/25/2009 WE KLK Left V oicemail for Architect 8/18/09.
Talked to architect this morning.
Provide the following: 1) Engineer's
Structural Calculations and
Specifications, 2) Special Inspection
Form fof Periodic Welding
Inspection, 3) Type and Amount of
Refriger,~nt.
I,
Structural Review 08/31/2009 08/3112009 WE KLK Please provide mechanical value for
calculating mechanical permit fee.
Waiting:for completion of Fire
R' 1,
eVlew.,
Fire Department Review 08/1012009 09/01/2009 APP GRG See atta~hed document for Fire
Department Plans Review
I
comments.
Structural Review 09/0212009 09/02/2009 APP KLK
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. I
Rppr1irp:rI 'p"oections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD
I
Building/Combination Permit
PERMIT NO: COM2009-01153
ISSUED: 09/03/2009
APPLIED: 08/07/2009
EXPIRES: 03/03120]0
VALUE: $15,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Roof Sheathing
, Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
,
City Building Inspector.
RoofSheathinglNailing: Before covering sheathing with finish material.
Final FireDepartment. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and appro~ed and the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 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, aud
that NO OCCUPANCY will be made of any structure without permission of the Community Servibes 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 wil,l remain on the site at all
times during construction. !:
~-/7?,~~?
Owner or Coutractors Signature
q Ii l?-do ct
.
Date
Paee 4 of 4
-..'
,
\.....::},
Structural Permit Application
-
,
1~[~tfJ,i:j1frti~];l;~llJl(Q~kYu11
~;~o~c:>o 9- cJ II )"3
I D~te: R-7- 700 9
225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689
.PJ:UN~If.l..e>~
~c~~"'~4G",~
fj~~~ ~~t4::t
~ ~-o..: .." 'i
This permit is issued under OAR 918~460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
1~~~:~~~7~~~i4.()~)i~'G~5[.;[~J~(E_tjft~'ArfRRQYA~~*~~~~~ ~~~~~
I This project has final land-use approval.
Signature: Date:
I This project has DEQ approval.
Signature:. Date: I (a) Job description: F'"n...e-e-te-iL
I Zoning approval verified: 0 Yes 0 No I Occupancy
I Property is within flood plain: 0 Yes D No I 1 Construction type:
I""""'''''''':'' ,,,,,,--,, " "~', -.-----,:"-,, -",' ,c,o ., 'I
:i.;;5~ilW;!i;,iliE\i.CAn,-GgRy",g,"~<;;Qt'!STRUCTl9N';~::';''f",:;:::~it:t~ I Square feet:
II"~ ~~~id:nt~~ _ ____J [] ~~~~~e~~""l..s.C~=."er~i.~ _~ '" II I Cost per square foot:
,1i,~",;rb1'tJQEl:;;Sl'rE'!INFL9RMA TIQNF'AND.,1I9CATIOt'!'~;f..~:''i!t; I Other information:
I Job site address<3 ifO_'l ~JZ'<-4 ~, I I Type of Heat:
I City: S~_. r State'b'Y>! I ZIP' 'l)1{71 I
I ' . I I Energy Path:
SubdiVISIon: Lot no.: I ~ D
I ~new alteration
I Reference' ITaxl~[I:,j)'J-A:J..-d-.()-tJ.t&1' '?
'l1Yf~~,H'&0%~~"~ -'~ ~ - t'~ .. ''If.:4t?Q:"I;liF'''''':tt>; ~..-~ {Hi" (b) FoundatIon-only pemut.
~~'i..4S'~. ~,.:~F.'FtQP~~:rys,O.wNE~.l~.Ji:f'0;~ .:t.'\l ~'P-i,~~ _,r,T,/'-~;r, .
I -:>..A r-.. _ "/) /J /L IU Total valuatIOn:
Name: //IIC- ^../~J?d/ L<I"JLiJ I
I Address PO f1cJ)6 Sf 0 bb I I I
I ,'~ 0 I <? r (a) Permit fee (use valuation table):,
Stateu",- ZIP:L7~ I '
_ 9.'(-03C>{ -]X:' . (b)In~estigativefee(equalto[2a]):
- '/ I (c) Remspecl10n ($ per bour):
I E-mail: I (number of hours x fee per hour)
This installation is bein~ made, on resi~ential o~ farm property ~~e~ by I (d) Enter 12% surchar e (.12 x [2a-t-2b+2c)):
me or a member afmy mnnedlate falIuly, and IS exempt from licensing I g.
requirements under ORS 701.010. -(e) Subtotal of fees above (2a through 2d):
IWjlfpi,o,,.,><;';l,ww."Ili'';'{t1A" %if%t~).iff~"'~'~&l' jb~' "-"t' 'il"'"' ,,'~
Sign here:. :"_._~~_~_an\,~~.~l_ewLe:es.<,.;;~.....,;,,{l'~t.ro.;.~~'1j',:-~'i' .J:-::'"
I""",,""_~'c"~,--' ""-v'" '''"'.','~~ -j"""-''-''''',''~' "', "'''~'''"''II (a) Plan review (65% x permit fee [2a]):
~_' '''''''':''''1~f!CONTRACTOR"INSTAL:L:ATION!?~''i;j~'',,,.,..~: "
''''.... -,,"_., ,-,"'....,---, "",,' "~.,. I (b) Fire and life safety (40% x permit fee [2a]):
: ~::::~n~~~e/~a~t~-=~~~ ~I 1,,(,C,!,~~~~,O":17,of,:e,sa~,OV~~3aand3b):
I City: S ~ State: uK. I ZIP: '171./ 7ft 1.4::M!sce!!ane<!'!!'.rees;"~,, .,
, I Phon.si;J!i# '7 -0.5'6 <t I FaxS'!! _ 7 '1/-C>~6 qJ (a) Seismicfec, 1%(,0] x permit fee [2a]):
I E-mail: (,.,J<WLra. IVc!. ,9:>;v fi1 iy,.. rt6 . "-D '1'\ l TOTAL fees and surcharges (2e+3c+4a): $
I CCB license~o. 3:2:1... LJI ( ce-(/~ 551{ -blo i. \ I
I Print name ''''r e i"'0 ':I L-1 c> e h~WL. I S~ ~ -6 j..a-a.. '
!Signature ?1/J?~,~~ I
1!;;f~,,~:%~.;f~SllB;CON'T~'rOR!INf9RlVIATI()N~1'i'~"ii:!Ii'j;~~\1
I . Name CCB License Number I Phone Number I '
I Electrical ~~J-MP~4,g f~'&-Uu
I Ptumbing .N1 IU&~J P. ~ ~_ ~L~
I Mecbanical ~ V I
1"-;;#,'- '':';;;;'7.1'-- "", -~rn:i""" 'ti---'~'"''"'"''''~'."'=''''~''''~'''t'~'T''' "'J'"""';"'~"=;:j!'~'''''-' ' ;13.14'1
fi~~,;:::O~i;::<.~~,~~,~ ~"~.5'::~~E:1,~.~H.~QU~E_r,f:'l'_: ,;; r:.. ~~';;~"'F~ ~j~:~
l~ii_~_'X~~a'i!Qiliin{~t:~~16,nf~i~~T.A 1l~1~1(~~t~~.,i;__~'~:~~1
o addition
.[]Yes
~
$
I
I
I
I $ 1
1$ j
;,^"" ""'~ ~'~"- \ -'"
.,'6.,,,,-u ,.g,\,,",,, i 0'
'r~E:(tC}1 _
I $ I
I $ I
$
$
$
.~~" "t:1'" ,'..,11
~-,;' ;~:"';:~''!.:, ~~'~_ ,,:l:
$
~'
/'
~
225 Fifth Street
Springfield, Oregon 97477
54]-726-3759 Phone
SP","~'_~""',llU>,_"'; ",'" ':','
~;."l
.~....-
City of Springfield Official Receipt
DevelopmeJt Services Department
Public Works Department
Job/Journal Number
COM2009.0 1153
COM2009-0 1153
COM2009-01153
COM2009-0 1153
COM2009-0 1153
COM2009-0 1153
COM2009-01153
COM2009-01153
COM2009-01153
COM2009-01153
COM2009-01153
COM2009-0 1153
COM2009-0 1153
COM2009-01153
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
]20090000000000]026
Date: 09/03/2009
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
,SDC MWMC Reimbursement
. SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC Transportation Admin
Mechanical-Value
Fire SF Fee - Non-Residential
Building Pennit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
SASS, INC MCDONALDS
Item Total:
Check Number Authorization
Received By Batch Number Number How ~eceived
NJM 13733 In Person
Payme~t Total:
Page I of I
I :23:47PM
Amount Due
385,14
187,98
1,155,19
4,210.34
91.20
754,51
10_00
32,79
306.93
87,25
10,80
184.75
13,60
32,64
$7,463.12
Amount Paid
$7,463.12
$7,463.12
9/3/2009