HomeMy WebLinkAboutPermit Building 2005-2-16 (2)
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Status
Issued
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01484
ISSUED: 02/16/2005
APPLIED: 12/03/2004
EXPIRES: 08/16/2005
VALUE: $ 52,433.00
225 Fifih Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2120 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364202700
Springfield TYPE OF WORK: Store
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Zamora Market & Deli Tenant Improvement
Commercial
Owner: ZAMORA MARKET
Address: 512 67TH PL
SPRINGFIELD OR 97478
Phone Number: 541-741-4922
, CONTRACTOR INFORMATION'
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Contractor License
APAZ .~
MARKUS THOMPSON CONSTRUCTION IN 158184
BUILDERS ELECTRIC IN~;,~::'. ~\)' 4296
PORTLAND QUALITY ROOFING:(-. 158738
BARNES HIGH TECI!<!).tl!:~f)I]'iG 1NC 83311
Expiration Date
01/1312006
1211012007
0211912006
02/1712008
Phone
541-744-2046
541-284-1121
541-485-0922
503-254-4277
541-726-9854
"~BUlI~pING INFORMATION I ,0
0-' ......"~. 0';;' 'i..~~ K'
# of Units: . S~~ ~{J:- ~# of Stories: ec'~ -v'~t~~e:
Primary Occupancy Group: (,'. ~M \)~ 9::- f? ~l:Ieight of Structure d' r;f~ o.Sqfi!~\Floor:
Secondary Occupancy Group:~; '.~ ,,!!> ~ \:S ~ Type of Heat: ~ ,'li O,'li ~0 Sjj>F,t,a~I!.Floor:
Primary Construction Typ~~' '2::,'Q.'V S<,VNs:.,<0 :A. 'Q. Water Type: ,'I> -S-e ~ec' 0~!I;F~8~-&,lent:
Secondary Construction Typ~~ ~~\:S ~~ <:::;~ Range Type: r;f~ '<:)~ r;,e ~ ~ ~ '~~~rageICarport
# of Bedrooms: ~<:0.:$! ~<:::, Energy Path: O,'li "-eO,,,:<? ~o.;s'ec, ~~(Other:
" _~ Sprinkled Buildiim;od~~. ",1Iiao~~ i'2c;,~p.~rii Load:
t-S"' ",,'fJ .'If. _.......0,...."\. ^ \J .,,~ .....", OJ
I DEVELOPMEIS<f:JNroW,iION:,' .~",.p<:- - 'b~v
r '", s::;
. r -s,,0' 1;>' f.,v ",'I>' 0'v 0<.,0 'b<::S REQUIRED PARKING
,0 .s.~ '1i " G 0 "
Overlay Jj{F~ -l' 4..0';;' -S-0 ~.:s' ~~
# Street Tr~~q;d: ~<:-~ IQ"O e~Q;
Paved Drive Rq(\: (,'1> i? C;
% of Lot Coverage:~.;s
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslOrains:
Notes:
Pa!!e 1 of 4
,.
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
Plan Review CommlIndlPublic
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Applianee Not Listed
Backflow Device
Building Permit
Exhaust Hoods
Fixture
Minimum/Adjustment Mechanical
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC SanitarylStorm Admin
Vent Fan
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Plan RevlewICom,lnd,Pub Hourly
Total Amount Paid
.
I Valuatinn Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
. or Bid Amount
52,433.00
. CITY OF SPKll~t..t<1ELD
Building/Combination Permit
PERMIT NO: COM2004-01484
ISSUED: 02/1612005
APPLIED: 12/0312004
EXPIRES: 08/16/2005
VALUE: $ 52,433.00
Value
Date Calculated
Total Value of Project
Fpp~
. Amount Paid
Date Paid
$52,433.00
$52,433.00
01/1912005
$240.92
$10.00
$58.14
$40.69
$15.00
$14.00
$382.35
$9.00
$140.00
$15.00
$7.61
$152.94
$292.43
$384.70
$33.86
$6.00
$7.60
$5.32
$43.00
$33.00
$45.00
1213104
1121/05
1121/05
1121105
1/21/05
1/21/05
1121/05
1121/05
1/21/05
1121/05
1121/05
1121/05
1/21105
1/21105
1121/05
1121/05
1/24105
1/24105
1/24105
1/24105
2116105
Receipt Number
1200400000000001692
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000094
1200500000000000105
1200500000000000105
1200500000000000105
1200500000000000105
2200500000000000183
I Plan Reviews I
Fire Department Review 12/0712004 12/1012004 OK eRe See attached documents for fire
department plan review comments.
Initial Review 12/0612004 12/06/2004 APP LLH
$1,936.56
Paee 2 of 4
. . CITY OF SPRINGFIELD'
Building/Combination Permit
Issued PERMIT NO: COM2004-01484
225 Fifth Street, Springfield, OR ISSUED: 02/16/2005
541-726-3753 Phone APPLIED: 12/03/2004
541-726-3676 Fax EXPIRES: 08/16/2005
541-726-3769 Inspection Line VALUE: $ 52,433.00
Plan nine Review 12/0712004 12/0812004 APP EMM Last permit submitted
(COM2004-01375) had LUCS
requirements for shopping center
site to be completed (street tree,
catch basin filters, bicycle parking,
ADA spaces. Copy of requirements
enclosed. These improvements must
be completed before final of either
projects.
Public Works Review 12/0712004 12/0912004 APP SB SDCs added for new fixtures. No
change in use within shopping
center. No new impervious.
Connecting to existing Sanitary
Sewer Lines.
Structural Review 1210612004 1211012004 WE JMP See attached 11 structural comment,
faxed to Art Paz.
Structural Review 01/1812005 01/1812005 10 JMP WE. Art Paz dropped off a job
estimate and general and electrical
contractor information. Still
waiting on information for 11
comments.
Structural Review 01/1912005 01/1912005 APP JMP Art Paz delivered his structural
response letter dated 1212112004.
Nick at Markus Thompson said he
would fax the balance of the
contractor data.
Structural Review 02/03/2005 02/0312005 OK TCM Mechanical hood only
SUB Review 1210712004 12/1712004 APP JF Energy code forms submitted
12-16-04.
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.
~IPlrlln~,nprt~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
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 Plumbing: Prior to cover and including required testing.
Grease Trap: Prior to Cover.
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.
Paee 3 of 4
"
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. CITY OF SPRINGFI~LU
Building/Combination Permit
PERMIT NO: COM2004-01484
ISSUED: 02/16/2005
APPLIED: 12/03/2004
EXPIRES: 08/1612005
VALUE: $ 52,433.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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, 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.
~ _r'
O(/.-&~
~
2-/C, - D5
Owner or Contractors Signature
Date
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
i 541-726-3759 Phone
.
G,!'~"'!'~~ _______ .'
Mr' !
"'Ii .11
- ,
--,,-.- ,
.Jij.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
2200500000000000183
Date: 02/16/2005
11:51:13AM
Job/Journal Number Deserlptlon
COM2004-0 1484 Plan ReviewlCom,lnd,Pub Hourly
Payments:
Type of PaymeDt
Cash
Paid By
DANIEL FLORES
Item Total:
Check Number Autborlzatton
Received By Batch Number Number How Received
jmp In Person
Payment Total:
Amount Due
45.00
$45.00
AmouDt Pnld
$45.00
$45.00
211612005
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