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Home My WebLink AboutPermit Building 2004-8-24 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Iuspection Line * . CITY OF SPRIN\Jl'l~LU' Building/Combination Permit PERMIT NO: COM2004-00948 ISSUED: 08/24/2004 APPLIED: 08/02/2004 EXPIRES: 02/24/2005 VALUE: $ 32,000.00 Status Issued SITE ADDRESS: 2151 Main St ASSESSOR'S PARCEL NO.: 1703364203500 Spriugfield TYPE OF WORK: Restaurant TYPE OF USE: New Commercial PROJECT DESCRIPTION: Espresso buildiug with hookups. Using existing building for storage and batbrooms. Owner: GULL INDUSTRIES INC Address: PO BOX 24687 SEATTLE WA 98124 ~\O .~O "\\,, ""u",u-_n 'Y"'..A"~ \~-tI~Ej ,(;'.oJS'r.RA:€JMA'JNFORMATION , ~of\ ~ ~\:i ~0~ 'J. ~ ~O" ~ '<l'l Contractor TypedSi~?t 6'0 0'1>0 ~ ~ 01'1 ~e ,J,\1ltl<'\3 License General ,~\~ ~ ~e9'f\ ~<'156807 Elcctrical t' ~ ~"i:'~.\'(\0\0 rflolt:' 156678 Plumbing \O~...SMp,:mWA~'Ul\UJ'yNQ~\'I~~'" 49561 \\"~~~~~\O~e~JiilllbiNG INFORMATION I ~~. .~~~ 'Il'0 ,,'fjr ,# of Units: ~~,,*\O\r-'iI' '6) # of Stories: 1 Primary Occupancy Gron,,~- (JlJ ,Height of Structure 9.00 Secondary Occupancy Group: 'Type of Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: # of Bcdrooms: Energy Path: Sprinkled Building: nla Expiration Date 09/0912005 08/1412005 12/1612004 Phone 541-689-1667 541-686-5444 541 484-3787 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 136 Front yard Setback: Side 1 Sctback: Side 2 Setback: Rearyard Setback: Solar Sctbacks: I DEVELOPMENTINFORMATION , ~~ ~~~~QUlRED PARKING Overlay Dist: & '\~~ ,CO ~otal: # Street Trees Rqd: ~~ ~ ~~'\ ,<~~andicapped: Paved Drive Rqd: ~fJ ~ ~~ ~~'V Compact: % of Lot Coverage: ~~\,\,~ '\~ 'S!-<::)'\S ...\~~...,,~'\ CO\,~~~c. ~<Q'f' I PUBLIC IMRkB.v.j~kl~Sil ~~~~~V' \' 0.\" ~~ cl. ~ ~'\) ~~~'- <::)'If. Sidewalk Type: ()~' <01::\ (; ~~ '\ DowuspoutslDrains: Strcct Improvements: Storm Sewer Available: Special Instruction: Notcs: Pa2e 1 of 4 Status Issued 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Foundation Onlv Modular Unit Pavine: Use Bid Amount Modular, Use Bid Amount Fee Descriptiou Plan Review CommfIud/PubIic + 10% Administrative Fee + 70/0 State Surcharge Addrcssing Assignment Backnow Device Encroachment Permit Foundatiou Permit Modular Building Not Covered Plumbiug Paving Plan Review CommlIndlPubIic Planniug Final Occy Inspection Sanitary Sewer - 1st 50 Feet Sanitary Sewcr - Improvement Sanitary Sewer ~ Reimbursement Sanitary Sewer Eacb AddtI 100' SDC MWMC Admiuistration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admiu SDC Transpo Improvement SDC Transpo Reimbursement Water Line - 1st 50 Feet Water Line - Each AddtI 100' Total Amount Paid . I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $1.00 $ 1.00 Square Footage or Bid Amount 1,000.00 30,000.00 1,000.00 Total Value of Project Fppo PiIilLI Amount Paid $69.81 $48.97 $31.13 $31.00 $14.00 $120.00 $45.00 $253.65 $14.00 $45.00 $102.67 $143.00 $45.00 $91.39 $120.22 $14.00 $10.00 $982.45 $112.65 $13.95 $212.89 $2,633.16 $596.89 $45.00 $14.00 $5,809.83 Date Paid 8/2/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 8/24/04 I Plan Reviews I Pa2e 2 of 4 . CITY OF ~rKll~GFIELD . Building/Combination Permit PERMIT NO: COM2004-00948 ISSUED: 08/24/2004 APPLIED: 08/02/2004 EXPIRES: 02/24/2005 VALUE: $ 32,000.00 Value Date Calculated $1,000.00 $30,000.00 $1,000.00 $32,000,00 08/17/2004 08/17/2004 08/17/2004 Receipt Number 2200400000000000995 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 1200400000000001255 . . CITY OF SPRINu.......LD Building/Combination Permit Status Issued PERMIT NO: COM2004-00948 225 Fiftb Street, Springfield, OR ISSUED: 08/24/2004 541-726-3753 Phone APPLIED: 08/02/2004 541-726-3676 Fax EXPIRES: 02/2412005 541-726-3769Iuspection Line VALUE: $ 32,000.00 Fire Dcpartment Review 08/05/2004 08/18/2004 OK GRG Plan Review: espresso building. Job #COM2004-00948. Occupancy classification: B, Construction type: V-No 136 sq. ft. Provide address numbers in contrasting color from the background positioned plaInly visible and legible from the street or road fronting the property (1998 Oregon Structural Specialty Code 502 and 1997 Springfield UnIform Fire Code 901.4.4). Provide fire extinguishers with a minimum rating of 2-A: 10-B:C every 75 feet of travel distance. The top of the extinguisher{s) shan be betweeu 3 and 5 feet above finIshed floor (Springfield Uniform Fire Code 1002.1). Initial Review 08/03/2004 08/03/2004 WI LLH Need information from planner or from applicant. Plan is not clear for me to process. I have questions on access, location, etc. I will check with Tara Jones tomorrow when she Is in. Initial Review 08/0512004 08/0512004 APP LLH Plannin\! Review 08/05/2004 08123/2004 APP TAJ Tara Jones planner MOS Journal number ORC2004-00016 - waiting for Improvement Agreement to be signed. Signed Improvement Agreement received. Tara 8/23 Public Works Review 08/05/2004 08/20/2004 APP SB Encroachment Permit Application is required before Sanitary Sewer conuection or other work in PUE or City RIgbt-of-way. (Fee included with this COM-Permit). SOCs added. Structural Review 08/05/2004 08/13/2004 WE JMP Caned Roger Tiller to request value confirmation for building, foundation, and site work, and contractor information. Structural Review 08/17/2004 08/17/2004 WI JMP Received from Roger Tiller the energy code form which was then faxed to Jack Foster. Also receIved value confirmation estimates and contractor information. Structural Review 08123/2004 08/23/2004 APP JMP Received approvals from Planning and SUB. Pa\!e 3 of 4 . . CITY VI< ~rKJ1"vN~LD Building/Combination Permit PERMIT NO: COM2004-00948 ISSUED: 08/24/2004 APPLIED: 08/0212004 EXPIRES: 02/24/2005 VALUE: $ 32,000.00 Status Issued 225 Fiftb Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Review SUB Review 08123/2004 08/05/2004 08/23/2004 08/16/2004 APP JF WE JF JMP requested the missIng energy code forms from Roger Tiller. 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. I Rf'nuirf't1lnmf'ctinw Sanitary Sewer Line: Prior to filling trench and including required testing. Water Line: Prior to filling trench and includiug required testiug. Foundation: After forms are erected but prior to concrete placement. Final Fire Department. After all requirements of the Fire Department have been met. Final Buildiug: After all required inspections bave been requested and approved and the building is complete. Rougb Plumbing: Prior to cover and including required testing. Final Plumbing:, When all plumbiug work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of Inspection. Electric Service: Approval required prior to utility company energiziug service, By signature, I state and agree, that I bave 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 sball be done in accordance with tbe Ordinanccs of the City of Springfield aud the Laws of tbe State of Oregon pertaining to tbe work described herein, and tbat NO OCCUPANCY will be made of any structure without permissiou of the Community Services Division, Building Safety. I furtber ccrtify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project. I furtbcr agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that tbe permit card Is located at the front of the property, and tbe approved set of plans will remain on tbe sIte at all tim~2s g coustruction. , ~/J/J (f(fL.K.-, g - a q - LI Owner or Contractors Signature Date Paee40f4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 ~hone . 8~.QFI~ nn_ i, ~ ~..l ar of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2004,00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004,00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 COM2004-00948 RECEIPT #: 1200400000000001255 Date: 08/24/2004 Description Addressing Assignment Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddU 100' Water Line - 1st 50 Feet Water Line - Each AddU 100' Planning Final Occy Inspection Backflow Device Not Covered Plumbing Modular Building Foundation Permit Paving Plan Review CommlIndlPublic + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Encroachment Permit Payments: Type of Payment Paid By Check 10 MAMAS ESPRESSO Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1032 In Person Payment Total: 8/24/2004 Page I of I 1:20:47PM Amount Due 31.00 45,00 14.00 45,00 14.00 143,00 14,00 14.00 253.65 45,00 45.00 102.67 31.13 48,97 120,22 91.39 596.89 2,633.16 112,65 982.45 10,00 13.95 212,89 120.00 $5,740.02 Amount P.ld $5,740,02 $5,740.02 . , . . IlIA ATIACHMENT A = CITY OJWINGFIEW SYSTEMS DEVEWPMENT CHARGE .HEET JOURNAL OR JOB NUMBER C0M2004,00948 NAME OR COMPANY: TILLER- LOCATION: 2151 MAIN ST, MAP & TAX WTNUMBER: 1703364203400/03500 DEVEWPMENT TYPE: COFFEE CART NEW DEVELOPED AREA (S,F.): EXISTING DEVEWPED AREA (S,F,): TOTAL IMPERVIOUS SURFACE (S,F,): 131.50 934 lTE: lTE: WT SIZE (S,F,): I STORM DRAINAGE IMPERVIOUS SQ, IT, $ 0,310 PER SF x TOTAL STORM DRAINAGE SDq 2 SANITARY SEWER.cITY A REIMBURSEMENT COST: NUMBER OF DFU's B, IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 5 x $ 24,04 PER DFU x $ 18.28 PER DFU 5 TOTAL WCAL WASTEWATER SDC:I $ 211,61 ~ $ 3 1RANSPORT A TION BLOO AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP F AcrOR NEW A. REIMBURSEMENT COST: 0,132 x 496,12 x $ 18.30 PER TRIP x 05 NTF 1$ 596,89 I B. IMPROVEMENT COST: 0,132 x 496,12 x $ 80.72 PER TRIP x 05 NTF 1$ 2,633,16 I EXISTING A. REIMBURSEMENT COST: 0,000 x 0 x $ 18.30 PER TRIP x 0 NTF 1$ B. IMPROVEMENT COST: 0,000 x 0 x $ 80,72 PER TRIP x 0 NTF 1$ TOTAL TRANSPORTATION REIMBURSEMENT SDq $ TOTAL TRANSPORTATION IMPROVEMENT SDC:' $ TOTAL TRANSPORTATION SDC:' $ 3,230,05' $ 4 SANITARYSFWER,~ NEW: A REIMBURSEMENT COST: NUMBER OF FEU's 0.132 x $856,69 PER FEU 1$ B. IMPROVEMENT COST: NUMBER OF FEU's 0,132 X $7,471.08 PER FEU 1$ EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's 0,000 X $0,00 PER FEU 1$ B, IMPROVEMENT COST: NUMBER OF FEU's 0.000 X $0,00 PER FEU 1$ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 112,651 982.45 I I 1 $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC ADMIN1S1RA TIVE FEE: TOTALMWMCSDC:' $ 1,095,10 ~ S 4.536, 76 ~ SUBTOTAL (ADD ITEMS 1.2.3. & 4) , $ 5 ADMINISTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) $ 4.536,76 X 5% $ 226,84 TOTAL TRANSPORTATION ADMIN1S1RATION FEE:' $ TOTAL SEWER ADMIN1S1RA TION FEE:' $ $120,22 $91.39 211.61 596,89 2,633.16 3,230,05 112,65 982.45 1,095.10 212,89 13,95 . 1078' 1079 steve"" w, E.eaL<oIYl::I E.ayV\.t$ 812012004 ~tr~ti'Ll(~.cOFFEE CART, 2151 MAIN $lf.Jf TOTAL SDC CHARGES , $ 4,763.60 , 1 JULY 2004