HomeMy WebLinkAboutPermit Building 2003-6-23
Status
Issued
.
. UI i' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00461
ISSUED: 0612312003
APPLIED: 06/05/2003
EXPIRES: 12/30/2003
VALUE: $ 55,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2073 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254201100
Springfield TYPE OF WORK: Bank
TYPE OF USE:
PROJECT DESCRIPTION: Demo, ADA upgrade, ceiling, and floor update.
Alteration
Commercial
Owner: NISSIM ALBERT ESTATE OF
Address: 23 MT MUIR CT SAN RAFAEL CA 94903
Contractor Type
Applicant
Architect
General
Electrical
Owner
I CONTRACTOR INFORMATION I
Contractor
BOB GRANT CONSTRUCTION
BENCHMARK ARCHITECTURAL SERVIC
BOB GRANT CONSTRUCTION INC
M & W ELECTRIC INCORPORATED
NISSIM ALBERT ESTATE OF
BUILDING INFORMATION I
License
Expiration Date
Phone
541-752-7979
541-752-1936
541-752-7979
541-754-6171
29318
67362
10/19/2003
06/19/2005
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heai:
Water~y :
Range .
E~ .
1'5-~ ~$- ~(')~
'tl.... -'"".. ~....
l.jSVELYJ,""" . INFORMATION I
,"~'-:, n:" ~~
S'" ",'V' ....<0 .
~. #' ~~'V f.> r Overlay D.st:
~,\~~'<..<(;I. 'J..'<..<:::> <:::>~ ~(')~ Street Trees Rqd:
~ ~S ~~ 'i.J'<..<:::> -.\ q,<() Paved Drive Rqd:
" ~'\~~'<..~~ <:::>~ % of Lot Coverage:
,,~ -.\ ,~
.~
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
3
B
VN
REQUIRED PARKING
Total:
Handicapped:
Compact:
.,'\' )
~ \,,'" 't 1
~'Illl';~ , \,1\\1' 'I
'J\v~\ol' "
,,\'- \o.~ n"3\) " _,'\1 \
I,PUBLIC IMPROVEMEN:FS"\1;;eo, \)'1 '\'-II"\I~'c, c".~ .' ::}:I \~ ".
l L\ t'.;) '""\,\\' \..... , \.
. '_"--' ", \\~ ,~, ,..\..... , J' ~\ \ \' ..
, lIlIeS' I,wi, Sidewalk Type:'\'~' 'r{\'1
. ("\,j ,\\' \\" .......' ~,' ()\'
,...,1\-' . 1..)\\ v O~ ~,....('\., ~r.:\c, .....:\\f1'{\
~ .11 ) ~")'\' Downspoutsmralns:".r."
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) " II'" 'RI.\ 11"1" ,,",
,\... ",l.: ,...~\ . 0\\ ,,""'.t',"; I
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\.) _"\0(',\ ..':,\""l, ' {'("'r\..'
L " (~....\ ,I, ',_ ~ ~
.......... ......,
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Paee 1 of3
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review CommllndlPublic
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Total Amount Paid
Fire Department Review
06/06/2003
I nitial Review
Plannlne Review
Public Works Review
Structural Review
06/06/2003
06/06/2003
06/20/2003
06/06/2003
SUB Review
06/06/2003
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
55,000.00
Total Value of Project
Fpp<, PIi4J
Amount Paid
Date Paid
$253.60
$156.06
$39.02
$27.31
$390.15
$5.50
$3.85
$43.00
$12.00
6/5/03
6/5/03
6123/03
6/23/03
6/23/03
6/30/03
6/30/03
6/30/03
6/30/03
$930.49
I Plan Reviews I
06/20/2003
OK
06/06/2003
APP LLH
APP EMM
APP PJO
APP JMP
06/20/2003
06/20/2003
WE JMP
Paee 2 of3
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00461
ISSUED: 06/23/2003
APPLIED: 06/05/2003
EXPIRES: 12/30/2003
VALUE: $ 55,000.00
AG
Value
Date Calculated
$55,000.00
$55,000.00
06/05/2003
Receipt Number
2200200000000000998
2200200000000000998
1200200000000001611
1200200000000001611
1200200000000001611
1200200000000001666
1200200000000001666
1200200000000001666
1200200000000001666
Plan Review-Remodel of lobby,
entrance, and minor interior.
Ensure a fire extinguisher with a
minimum rating of2-A:I0-B:C is
mounted on the wall with the handle
section located 3 feet to 5 feet above
the floor.
Verify address numbers arc visible
from the street and In contrasting
color with their background.
DefTerred submittals for mechanical.
plumbing, and electrical
modifications must also be approved
per OSSC 106.3.4.2.
JMP faxed request for all code
forms and necessary worksheets to
Gary Day on 6/13/2003.
.
. CITY OF SPRIr"lul'U,LU
Building/Combination Permit
PERMIT NO: COM2003-00461
ISSUED: 06/2312003
APPLIED: 06/05/2003
EXPIRES: 12/30/2003
VALUE: $ 55,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
06/20/2003
06/20/2003
APP JF
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 Reauired-lfsnp.dion\J
1 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Wall Insulation: Prior to cover.
3 Drywall: Prior to taping.
4 Ceiling Grid: After drywall approval but prior to cover.
5 Final Fire Department. After all requirements of the Fire Department have been met.
6 Final Building: After all required inspections have been requested and approved and the building is complete.
7 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
8 SUB Final: After all required energy inspections have been requested and approved.
9 SUB Ceiling Grid: Interior Lighting
10 Rough Electric: Prior to Cover
11 Final Electric: When all electrical 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 sholl be done in accordance with
the Ordinances of the City of Springfield and the Lows of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be mode of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who ore in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections ore 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.
Owner or Contractors Signature
Date
Page 3 00
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0046I
C0M2003-00461
COM2003-00461
COM2003-00461
Payments:
Type of Payment
Check
Wit~~""'~',,-"~",' ,'I."
,,' :
. 'H,' /
-- , .
., ._""r."".
Receipt #: 1200200000000001666
Description
Add, Alter. Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MW ELECTRIC INC
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department>
Public Works Department
Date: 06/30/2003 IO:IO:06AM .
Amount Paid
Item Total:
43,00
12,00
3,85
5.50
$64.35
How Received
In Person
Payment Total:
Amount Paid
$64,35
$64.35
.
.
Status
Issued
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2073 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254201100
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00461
ISSUED: 06/23/2003
APPLIED: 06/05/2003
EXPIRES: 12/23/2003
VALUE: $ 55,000.00
Springfield TYPE OF WORK: Bank
TYPE OF USE:
PROJECT DESCRIPTION: Demo, ADA upgrade, ceiling, and 1100r update.
Owner: NISSIM ALBERT ESTATE OF
Address: 23 MT MUIR CT SAN RAFAEL CA 94903
Contractor Type
Applicant
Architect
General
Owner
I CONTRACTOR INFORMATION'
Contractor License
BOB GRANT CONSTRUCTION
BENCHMARK ARCHITECTURAL SERVIC
BOB GRANT CONSTRUCTION INC ~\..;':'l 29318
NISSIM ALBERT ESTATE OF..""",~' ~ ;,,\;...;
..
["BUrr:D1NG,INFORMATION I
. . \C.>\,-\,,J'iL ~e(ro~ ;" ,Il\~..',~ \.", "\ _. '<J.
# ofBUlldmgs: ,/\:";' \~. ~oo\l . I\'# Of~,\opes:~\"I" ,I',C' ~
Primary Occupancy Group~\ ,~"\LB,, \",c..., .,.,lJeight, of Structurenl' , '"
'I ,. \.IV I)'" ("," ,. ',' '('1"
Secondary Occupancy Group:'" .Iul' 1""\.) J~ype of Heat':C :,;,,~,","'I
v.> ., \. \. rt.... -I .~. ". 'r \..
Primary Construction Type~u\'\\ . '.VN.' "''I 0 ' Water Type:' ~ ' '
Secondary Construction TYP.~:U:'~:"(01l :\\~ r.~'(\\S'~~~ge ~~p~j).':)AA~'
# of Bedrooms: \.)'U~\" ,1,\'(\0, .)'\'. "" CEn~'JlY'Path:
.. ,I .\(1' ,\ 's',"
.' C' II
_ d, .,'0 ' ,.. p(\W
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rg~i.,\)?"
Paved D!:i\tl\~ ". ~\\)1
~~~~~1 \S \"
~Q'\\tf.oo ~\" S~~\.~ ,~\~ ~;~~ ~'Q\\
,\\,i Q~~ ,- \I~~_ W~"\)
\f>.U1~\)\\~C0rVBDit~MPROVEMENTS I
~\)\J\\lI~ ~ \)[l.~ V../!
[l.\i't '\~
Paee I 013
Alteration
Commercial
Expiration Date Phone
541-752-7979
541-752-1936
10/19/2003 541-752-7979
3 Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
o
o
o
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspoutsffirains:
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00461
ISSUED: 06/23/2003
APPLIED: 06/05/2003
EXPIRES: 12/2312003
VALUE: $ 55,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Bid Amount
Tvpe of Construction
Use Bid Amount
$ Per Sq Ft
$1.00
Square Footaee
55,000.00
Value
$55,000.00
$55,000.00
Date Calculated
06/05/2003
Total Value of Project
I Fpp< PiLlLI
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $253.60 6/5/03 2200200000000000998
Plan Review Fire & Life Safety $156.06 6/5/03 2200200000000000998
+ 10% Administrative Fee $39.02 6/23/03 1200200000000001611
+ 7% State Surcharge $27.31 6123/03 1200200000000001611
Building Permit $390.15 6123/03 1200200000000001611
Total Amount Paid $866.14
I Plan Reviews I
Fire Department Review
06/06/2003
06/20/2003
OK
AG
Plan Review-Remodel of lobby,
entrance, and minor interior.
Ensure a fire extinguisher with a
minimum rating of2-A:10-B:C is
mounted on the wall with the handle
section located 3 feet to 5 feet above
the floor.
Verify address numbers are visible
from the street and in contrasting
color with their background.
Initial Review
Plannine Review
Public Works Review
Structural Review
06/06/2003
06/06/2003
06/20/2003
06/06/2003
06/06/2003
APP LLH
APP EMM
APP PJO
APP JMP
Defferred submittals for mechanical.
plumbing, and electrical
modifications must also be approved
per OSSC 106.3.4.2.
JMP faxed request for all code
forms and necessary worksheets to
Gary Doyon 6/13/2003.
06/20/2003
06/20/2003
SUB Review
06/06/2003
WE JMP
SUB Review
06/20/2003
06/20/2003
APP JF
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
..]1___
Paee 2 of3
. '
.
. CITY OF SPRlr~uJ:'1~LlJ'
Building/Combination Permit
PERMIT NO: COM2003-00461
ISSUED: 06/23/2003
APPLIED: 06/05/2003
EXPIRES: 12/23/2003
VALUE: $ 55,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired Insoections I
I Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Wall Insulation: Prior to cover.
3 Drywall: Prior to taping.
4 Ceiling Grid: After drywall approval but prior to cover.
5 Final Fire Department. After all requirements of the Fire Department have been met.
6 Final Building: After all required inspections have been requested and approved and the building is complete.
7 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
8 SUB Final: After all required energy inspections have been requested and approved.
9 SUB Ceiling Grid: Interior Lighting
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 he 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.
.--#/d ~
6-2. J-07
Owner or Contractors Signature
Date
Pa2e 3 013
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00461
COM2003-00461
COM2003-00461
Payments:
Type of Payment
Check
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BOB GRANT CONSTR INC
~'-'I
Wit~' ,'''o~ ',', ',' ,1
'"", , I
, !
'....,,-,~ '.~,.-
Receipt #: 1200200000000001611
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Departmerit
Public Works Department
.
Date: 06/23/2003 2:47:l1PM
Amount Paid
Item Total:
390.15
27.31
39,02
$456.48
How Received
In Person
Payment Total:
Amount Paid
$456.48
$456.48
.
.