HomeMy WebLinkAboutPermit Building 2009-11-2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01504
ISSUED: ll/02/2009
APPLIED: 10/13/2009
EXPIRES: 05/02/2010
VALUE: $ 18,000.00
Status Issued,. '. \;",
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225 Fifth Street; Spri~gr.eld, OR
541-726-3753 PIJ.{jne", ',.
541-726-3676 Fax';'.,. ." ..' '
541"726-3769 Inspection Line "
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SITE ADDRESS: 5818 MAIN ST
ASSESSOR'S PARCEL..NO.: ')70.P34102300
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Springfield TYPE OF WORK: Ten.nt In/ill
.
PROJECT DESCRIPTION: Tenant in fill
TYPE OF USE: Alteration
Commercial
A~IG. 6s iiILI:c \:,:, ATTENTION: ore~~~~~;6~~~~~Util\IY Phone Number:
32929,ROBERTS CRT'! ATTENt'l0:l\4IR'@GEi(leRN~les are set forth
COBURG OR 97408 ~0~fl;a~g~_~~~~~~1 0 th:ough OAR 95~~~0~.~
'0' "'l(\ y'<)1J rp!''1 obtaIn cOP""~ v' :::trft' -'o""n-e-'
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'"'., " , ,. f, I I 'UI((!f ".' tlon
~...-.-', . number tor he VI" vII 2344\,
Contractor Typer' . Contractor Center is 1-800-33:t~~en~'e Expiration Date
E]ectrica] '. f, j,. ;. REVOLUTION ELECTRIC, INC 179066 10/30/2011
Mechanical .,. J COO INC ]69209 04/12/2010
541-726-0054
Owner:
Address:
Phone
541-505-8351
541-746-7065
BUlLmNG INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary ~onslruction.Type:
# fB d " "
o e rooms: ',. .' ~'.
" # of Stories: . Lot Size:
M . Height of Structure, ... --..' , , Sq Ft 1st Floor:
Type of Heat:' ,,,.. Sq Ft 2nd Floor:
NOTICEwate~' EXPIRE IF tHE WORK Sq Ft Basement:
THIS PEfilll1~1 ~ THIS PERMI1 \S NOT Sq Ft Garage/Carport
AUTHOR~ .tfi~ NED T=QR. Sq Ft Other:
COMME~0I1\!J<-GiUbi~DQ No Occupant Load:
"'\'-\'.. I"': ""~ f:-:11~2, .
'I,IDI;;VELOPMENT iNFORMATION ,
1,276
43
REQUIRED PARKING
Frontyard Setback:'.. . ~,~ I '
Side] Setback: l' " ,,','
'i;
Side 2 Setback:",
Rearyard Setback:.' ;'
Solar Setbacks: "
Overlay Dist:
# Street Trees Rqd,: . .
Paved Drive Rljd:
% of Lot Coverage:
Tot.l:
Haudicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:---
Special Instruction: :'
'.'
Sidewalk Type:
Downspouts/Dniins:
_::- .~~1':~.' _
Notes:
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CITY OF. SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I504
ISSUED: ll/02/2009
APPLIED: 10/13/2009
EXPIRES: 05/0212010
VALUE: $ 18,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone,. '.
541-726-3676 Fa.x . "0':'.'5',; .
541-726-3769 In,sp~ciio'ii:Lin'e'
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I Valuation Descriotion I
, ,
,'"
$ Per Sq Ft
.'or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
]8,000;00
3,200.00
Value'
Date Calculated
Descriotion
Tvoe of Constrnction
Bid Amount' ..,.UseBid~m~uiii,:.
. ." <:"' -,' ,,' -. '~,'
. Mechanical Cf}. ';,USe Bid' Amount '
'.;.i-_
Total Value of Project
$] 8,000.00
$3,200.00
$21,200.00
] 0/26/2099
10/26/2009
F'(If< P',irtJ
Fee Descriotion Amount Paid Date Paid Receipt Number
u
Plan Review Comm/Ind/Pub]ic $139.10 10/13/09 2200900000000001180
+ 12% State Surcharge". "e- ".~~ ~lf:: . '$13.08 11/2/09 1200900000000001219
+ 12% State Surcharge $42.12 11/2/09 2200900000000001241
+ 5% Technology Fee. $5.45 11/2/09 12009000000000012]9
+ 5% TechnologyJee':' $17.55 11/2/09 2200900000000001241
Add, Alter, Extend Circ $55.00 11/2/09 2200900000000001241
Add, Alter, Extend Circ $55.00 ] 1/2/09 ]200900000000001219
Add, Alter, Extend Circ Ea Add $54,00 11/2/09 ]200900000000001219
Building Permit "'. , ,$214.00 11/2/09 2200900000000001241
Mechanical-Value ~. ;\ $77.50 11/2/09 2200900000000001241
Minimum/Adjustment E]ectrical' :; $3.00 11/2/09 2200900000000001241
Minimum/Adjustment Mechanical " $1.50 11/2/09 220090000000000]241
Sanitary Sewer - Impr,!vement $250.64 11/2/09 2200900000000001241
Sanitary Sewerc Reimbursement $513.52 :.,' 11/2/09 2200900000000001241
SDC Sanitary/Storm Admin I': $38,21 11/2/09 2200900000000001241
Total Amount Paid $1,479.67
Structural Review
."~ ~~ Plan Reviews I
--
10/22/2009 APP
, 10/22/2009 10/22/2009 APP
'U: "
10/22/2009 10/26/2009 APP
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EMM
Sporting goods and apparel store.
,
Plannin1! Review
Initial Review {i " :;
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LLH
CJC
As noted on plans
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225 Fifth Street, Springfield"OR.;',.y':
541-726-3753 Phone;... :,t:> '"k~hf"'[
541 726 3676 F'...' ;',..".":, .' ';',-- ',:,
- - ax' (--"." '.' ".
541-726-3769 In~pectio'n Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01504
ISSUED: 11/02/2009
APPLIED: 10/13/2009
EXPIRES: 05/02/2010
VALUE: $ 18,000.00
Status
Issued-" ..
. .. ~~~ - , , " ~
Fire Department Review' ";:" ',:: 10/22/2009
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10/3012009
APP GRG Plans Review: tenant iilfill, Job
#COM2009-01504. Occupancy
Classification: M. Construction
Type: V"B. ],396 sq. ft, Occupant
Load: 43.
Provide address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (2007
Oregon Structural Specialty Code
501.2 and 2007 Springfield Fire
Code 505.1),
Provide fire extinguishers with a
minimum rating of 2-A:l O-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2007 Springfield Fire Code
906).
Illuminated exit signs shown on the
plan sheet. Will verify on inspectiou.
Above the main exit door, provide
sign statirig "THIS DOOR MUST
REMAIN UNLOCKED WHEN
BUILDING IS OCCUPIED" if key
locking hardware is employed (2007
OSSC 1008.1.8.3, exception 2.2).
DON CTM
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Public Works Review
,
10/22/2009
11/02/2009
To Request an inspection call !he 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. .
"1 R nn;ro.-l rn.no~t;nn. ~
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FramingInspection: Prior to cover and after all rough in inspections have been approved.
,
Drywall: Prior to taping.
4: , '
Final Building: After all required inspections have been requested and approved and the building is complete:
Rough Mechanical: Prior to 'Cover
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Final Mechanical: When all mechanical work is complete.
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Status Issued, :. .,," .,__.
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225 Fifth Street;:Si>ring'field;"OR;'~,;::: ,,'
541-726-3753 Phone?,,:,' . c, ,,;
541-726-3676 Fax' .
541-726-3769 Insp~~tionLine
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Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
CITY OF SPRINGFu,Lu
Building/Combination Permit
PERMIT NO: COM2009-01504
ISSUED: 11/02/2009
APPLIED: 10/13/2009
EXPIRES: 05/02/2010
VALUE: $ 18,000.00
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By signature, I state,and'agree, tbat.J have carefully examined the completed application and do hereby certify that all
information hereon fs true and correct, and 1 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,niade of any structure without permission of the Commnnity Services Division, Building Safety.
I further certify that o'niy contr'aciots 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. \.'
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Owner r Contract?rs ~g ature
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Page 4 of 4
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Date
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Electrical Permit Ap'cation
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225 Fifth Street. Springfield, OR 97477.PH(541)726~3753.FAX(541)726-3689
~6Ef>ARTMENT"USE, ONLy,:.':}
~ pe~itno.<L?~-/~~:""
I Date /0//".) I d ,.
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is Dot started within 180
days of issuance or if work is suspended for 180 days.
I'" LOCAL GOVERNMENT APPROVAL
I Zoning approval verified? 0 Yes 0 No
I CATEGORY ,OF CONSTRUCTION
I 0 Residential J D Government I D Commercial
I JOB, SITE. INFORMATION AND,LOCATION '
I Job site address SfJ(~ Mtl.i\'\ '!il-
I city4sOvi l-loJ1'.f.ld r State O~ I ZIPA1't1'i,s'
I Reference 1t)l1'J_~~\ I Taxlot<[")fJSr)
I: ' ,/', , . ' , ,"DESCRIPTION' QF'WORK" ,
I \}~'. V\tiv\U\ 1, 0^'~ 1 ~
l'tVI < ~ ~Im '?Mfl~_
I " 'l .'PROPI!Rnt}OWNER' ,
I Name ~\P\i~ \ H \JvU
I Address"htl\f))\ lh\%"tC (J\A,VfI
I City ( .lWlA.V6\ I StateO~ I ZIP~l't1~ I
I PhoneC,,4{ 1ttro(;t;1I I Fax, I
E-mail I
This installation is being made on residential or farm P' vr-":" ~j
owned by me or member of my immediate family. This
property is no in nded fore Ie, exchange, lease, or rent. OAR
479. 540( ,a 4 .560(1) ^ .-
Signature: ~ ~S m
I, . ;C(1NTRACU,R INSTALLATIONu
I Business name ~eV0\\l-t-\(W\ 80d-r1(
I Address 2\111S;rc.hwClOcl ~
I City Fu~ I State DR.... I ZIP q74()\
I PhoneMi -%- \3351 I Fax - M/ It
I E-mail 14./ A.-
I CCB license ~o: \ "1 i Ob'" I BCD lIcense no . (' ~S'4.
I Signing supervisor's license no. j:\2A is
I Print name of signing supervisor: H", tf- Sch,.J1 z..
I Signature of signing supervisor: ~gL~'
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441J.2584,) (9/08/COM)
I' ; FEE SCHEDULE
I Number oq~speCtions per item{f' IQty,j
I Residential, per unit, service included:
11,000 sq. ft, orless (4)
Each additional 500 sq. ft, or portion
thereof
Limited energy (2)
Each manufactured home or modular
dwelling' service or feeder (2)
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Cost
ea.
I Total
';".'cost -,,;
$134.00
$
$
$ 25.00
$ 32.00 $
$ 63,00 $
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81,00 $
20 I to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158,00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or voIls (2) $469.00 $
Rcconneel only (2) $ 63.00 $
Temporary senric~ or fceders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126,00 $ I
lOver 600 amps or 1,000 volls, see services or feeders section above I
I Branch circuits: new, alteration, exte~sion per panel I
I I a. Fee for branch circuits with purchase of a service or feeder fee: I
I I Each branch circuit I $ 6,00 I $ I
I I b. Fee for branch circuits without purchase of a service or feeder fee: I
I I First branch circuit (2)' I ( I $ 55,00 I $"5'5 I
I I Each additional branch cirenit $ 8.00 $ I
I I Miscellaneous fees: 'service or feeder not included I
I I Each pump or irrigation circle (2) I $ 63.00 I $ I
I I Each sign or outline lighting (2) I $ 63.00 I $ I
I I Signal circuit or a limited-energy panel, I $ 63.00 I $ I
alteration, or extension (2)
I Each additional inspection: (1) I $58.00 I $ I
I'.. .. " '.. AP PL IC A' N' T,l.U' S'E". ",'.'j
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(A) Enter subtotal of above fees
(Minimum Permit Fee $58.(0)
I (B) Enter 12% surcharge (.12 x [A])
I (C) Technology fee (5% of[A])
I TOTAL fees and surcharges (A through C):
$)&
$
$
$cJ?~
10/05/2009 19:40 5416896613
oct.OS.2009 04:49 PM
J.CO_INTERPRISES
5417472547
PAGE 01/01
PAGE, 2/ :2
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Mecbanical Permit Application
t
elT\' OF SI'RIN6fIELO, qRf;G~:)N
22S !'llth Strl'let. Sprinfttil!W, on: lJ74n. PH(541,mc...17$.l ~ FA."{(S4J)"r:,.MJl9
I DEPARTMENT USE ONI. Y
i~~";~"~ I Permit no a'1- f )t>t.rm
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~ ..:: 'Da",: t?o I'S/O 7 .
111.. \IIIrmil.. ....ed nod., OAR 918-440-00SO,l'...mil. expire if work i. ..t ""'led within ISO days ofils"",,_ Or Ifwol'k b
slIsp_nded for 180 dayo.
I CATEGORY OF CONSTRUCTION 1 FEE SCHEDULE
I 0 R...i""ntial I 0 Oovemment I Cia Commen:ial I ResIdential I QIJI.I C..l I 1'ot.1
JelL co.. 'It
I JOB SITE INFORMATION AND LOCATION I Pi"" Aeoli.""" , 1579.00 S I
I lob sile address; 5BIP, !v\O-;;,\ _S'r:, lFu...R",/II.......indudinadoCb.od.eRl! J
icilY: .Sol--'\(1. Isnlte:Oe. IZ1P:"7418/ !UP'OI!HlkflTUil", I 51?,ool $ I
I Ref...""" r \ T.:<lvl.; 0\'" IIHI, BTUnll, I $:>0.001 s .. I
I DESCRIPTION OF WORK I"...."/''....;..n'. I
Unill1clItg" I I
f--H\JAt i);.\r~"'(t 't- c.crn,t'\\)l<:;, Wood/pellet/gll"Io,,<JJ1ue I
U Ref/niT/niter/add. lo henlinjl; lWpII811cel I I j
rerrls.erntioll: unil OfC"OOlJriS t;ystanl
I PROPERTY OWNER .bsom..n _""'"Rl
I N.m.: A.N.;l\rl;-'" \\\1 LL (.,. EVllpI\nllodceolor I I
I Add....' :?iptl'f~ (,I.f)\o1t((kf,J..lXA,Vr Vim' rOil with o'Rldoo'hlpJllilmco V~1l
I Ciw. :c..ol~.." ,I Slat~:D~ 1 ZJ1>:'\I.MYJ Hcodwithe.h.o,tnndduCI I I
"II\V ' l v't. I Floor fumaeo including \Iani I
Phone, ~ 'ax: I G.. pIping J
E-mail: J 'Qnl;tofourO_ldlXf; $T,OOI S I
ThiS jm;tn~1 tion I~lng made on prtlflCrtj' OWlI(ld by ltJe ar <I AdditIonal OUI!OIS (encll) $.4.00 $ I
member 1m ediate' lly, and IS exanpt from licensing Ai....lulOd'infunit$,iltclbdinedll~t!l J
requirem nder RS 70. 0 '^ . _ Up 10 11l,11OOCFM I I 511.00 I $ I
Signature' V~~ \XI Ovo, 10,0110 CFM $'.0.00 $ J
CO TRAciOtlINSTALLATION '(j - --I I C.mp......I'/ob.orod.. ,..temlh..t porn.
18 . -\r~ IIn'_.n...~ IUptoJhpllOOkBTU 'I S17.001 $
"-'"1l"" name 'u, H;".AXl t ' I up to 15 hp/lOOk BTU I $20.00 I 5
I Addres, ~2..J'Jf\ , It-i~\II1 'lQ I lip 10)0 hpll.nO<.l!lTU s....no 1 $
I City, F,,~st.al.; Ol'. !ZlP;Q14,8.llupUllOhpll,71IlB'nJ I 5m.001 $
I Pho"":54l=>.fk-,?O(..,!:; I F'x:S'\1 '(,'11'1 ~~\~\ I IOvcrSOhp/i.7l0B1'U $90.00 I $
I E"moil: tJ i t" Ill.CIn~.tOl~
, ' - -- - --- Domestic Il\cmcrator S.:ro.OO I $
I CCF.lltcensc 110,; 110 <1 7_ 0 9. Commorclal
Printnamc,_\,pQ...;ro.o-\-.\P (-pt>VV"lf r~ EJlIc"Olul"lo.IiOllor",~co~~fI)
~ U -.\ J"'tA Iitldi\1l1t4lttltinf'lCG!ltn$ ___
Sigooture; . _ ~ )~(J:;A(" ,'- ~r!ntQrreObRSC:dOllVlllnnrionorwechnnlcnlSYtltem,t:tc. I sl{l}X
Mlscellanoous fcc~ littt", CBSf. T&tal 1
. r ~ am
I l\d,ItJle<'.vn I $56,OIl I $.'
I SpOtli.n.lly !etfue3l~d tnBtx..'ttliO~9 (per hr,) $58.00 I S
R.l.g.pJlrtI::d cqulpl'lHmt (unclal;i;ed) I $13.00 I $
E.cb .ddlll....I...,<<don: (I) I ,$56.00 I $
APPUCANT USE il\tl'" Jt-Q,:! I 'lQ
I (A) 1ll1l'''oblolol orobovc fl,es (er cnl<:r ,0< c,,,,gJ
..inimumf<cor$~) $ '1'-1
I (6) 1..,..Jig.ilve f"" (oqll.Ho lAD , I
I (C)~n"'rI2'1o,"'n:h,""e(.lhIA+B]) $<1."N, I
I(O)Sci,mi<r",l%o(,OI'IA]) .. $,
I (e) Teclmolo", Foo (5% of IA]) $ "? ~ j
I TOTAl. r......I....h.,!:C' (A Ibroopb &)1 S "12 '!J!-
$17,001 $
$.1e,OOI $
5$,00 I $
$13.00 I $
S~.oo, $
$13.00 I S
$58.00 I $
4oI0'2545"II,<I)fI/(;()'#)
225 Fifth ,5treet '
Springfield, Oregon 97477 ...' , ,,' ;i'; .:'
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541-726-3759 Ph()ne; :>":.., ";,;",;,,/!;.,,,~:;' ,
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City of Springfield Official Receipt.
Development Services Department
Public Works Department
'f':ID:CEIPT#: '2200900000000001241
Date: 11/02/2009
9:39:43AM
JOb/jo~"rn~i'Nu~b~i:~~~;!igij;}~~~f:ipti~P\i3}lj".,>~~~::' ".':;' '_ .'
COM2009-0 1504 :. :';' ~;:;:Sa~itarY$eii~(0Reimbursem'ent
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COM2009-01504. .,' Sanitary SeweL~Improvement '
COM2009-01504 "..SDC Sanit~ry/Si~nii'Admin '
COM2009-0 1504 Bnilding perinii,'; / .': '
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COM2009-0 1504. ';;::i?A,?<I"A.Iljt;:J;:.j%~4:Circ '..
COM2009-0 1504 . ,r';,:;J;Miiiimum! Adjustment Electrical
"', ","..."
COM2009-0 1504 ,.J'..:' "Mechanical-Value
COM2009-0 1504; ":l,::fiMmimnml Adjustment Mechanical
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COM2009-01504'Yi,';:;'ii;"~'fo'T~~,@8WW Fee ..,.
COM2009-0 1504' .,': .: + 12%Stale'Sinihirrge" ,,'
, "';'.' 0 ',' "." ,-' ,'0
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
513,52
250,64 .
38.21
214.00
55.00
3.00
77.50
,1.50
17.55
42.12
$1,213.04
Payments:
Type of Payment 'Paid By'
Amount Paid
CreditCard
,BREKKE OLSON "
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1 ')(111';)
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b45273 In Ferson
Payment Total:
$1,213,04
$1,213.04
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Page 1 of I
11/2/2009