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Home My WebLink AboutPermit Backflow Test 2006-2-13 225 I1ITH STREIT . SPRINGI1ELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 Q, ~~~~~S--:. peS? I O. CltyJobNumber~-" '''-- " . r Job Location z... '] II 0 (J W11' , ~~ Assessors Mpp /70]. ZS-Y I .~ ~: ~. ~ < ~ .~ Q) ~: Q) U . ~. :>- Q) 0, Q. o .~ ~ = Q) :>- Q) ~ ~ ~ o ~. ~ U cd ~, . . SPlRlINQ~DG:lL.D . 1 ~ CITY OF SPRINGFIELD. OREGON st- Tax Lot OI/vO Owner c>r;.iAA{'~'- 5~ (?,co/--+.I--T Addres. 7:> 0 a C>~ Z,hl Z ~ Phonp 726 - 17 ~I City (--v...&-C:7Vc <;ta'" 0 J:.. Zip V 7(/07 __..;..oC" "('\11 to 'JTENT\ON: uregu" "':~'-~ eao' Utility BACKFLOW PERMIT IS $53.10 (inc1u sl~rr.mit<l\e.e;JState':sur~a~ge ~eAdmi~istrative Fee) ,0,Vr=.. . Those rules art:" "v..' Notification Center, hOAR 952-001- , OAR 952-001-0010 throug rules b'l Contractor Information tn090 You ma'l obtain COpies of the h ne o '. r (Note: the telep 0 --= ~ Cl1\\ing the cen~r~ on Utility Notlhcatlon r---- .....AM ........,W\6M"~r""'i1 9 _M n~^^' _ ( I J cren~ls ,-QVV-V-- - - . V I ~ Sl Phonp contractorG~ Addrers I c, b J City f:::;-c.J.- lr-c -Ale:!:' C> I..'L. Zip 77,!C>J 7 /~/ /0"" State Construction Contractors Registration # / /97. <.t Expires By signing this permit/application, I agree to call for an inspection once the backflow prevention devise has been installed and is visible for inspection (726-3769), I also state that all information on this permit/application is correct. 51",,_ ~~~;\~~M,tS\,~IJ~~ . ~l"-O~~~~~nU~~~~ (I.~(I.~OO~~O fOR &\d1,"",~IS oC"'lUY For Office}i"~ ~1M'l 01\'11 irIS" . ~. 0;1ob . Checked for Delinquencip< ~ Checked for Historical Stat < Date of Application ~ Shared Drive (T:)IBuilding FonnsIBackflow Pn:vcntionl-06.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00571 ISSUED: 12/09/2005 APPLIED: 05/1312005 EXPIRES: 08/08/2006 VALUE: $ 1,000,000.00 Status: Issued 225 F1ftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2311 Olympic St ASSESSOR'S PARCEL NO.: 1703254101100 Springfield TYPE OF Retail TYPE OF USE: New PROJECT DESCRIPTION: New Shopping Center Owner: Address: Contractor Type General Electrical Engineer Landscape Mechanical Plumbing Sewer . eS 'IoU t<Phone Number: < \'1\'1 leo,\111 II \.ltili\,/ . - ~.' tl1e olOgO et 10lth . '.l'J . _ "1fP: S _. . - "'n...053 \v.... ....."R go'(..Vv' I CONTRACTvn...HFORMATION I,e lules b'l \. ',,, '" s::.2-UIJ' - talll cO\J\"~;", telephone Contractor II' C'~. 'Iou rn3'1 ob I \tl;icen.se~oti'J!;xbii'ation Date VIK CONSTRUCTIONJO:~;111I9 the cent~;eg~ry,i~tlll\'/ 31\1\). 10/2212007 BUILDERS ELECTRIC INC 1bel 101 the. '_8d~9632-Z 12/10/2007 SS & W INC _ ENGINEERS'" celltel IS GARY F BAUMBERGER 11834 07131/2006 COMFORT FLOW 460 06/27/2007 TWIN RIVERS PLUMBING INC 17695 03/1 1/2007 BABB CONSTRUCTION OLYMPIC STREET PROPERTIES PO BOX 26125 EUGENE OR 97402 I BUILDING INFORMATIONI # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: A-2 # of Stories: 1 Lot Size: Height of 31.00 Sq Ft 1st Floor: Type of Heat: ~~I~oor: Water~~I1i-, lZ\IP\"'t~'S 1Ft ~ent: Ra"f.ro'~'j:.~ .n~1 rs\\I\\.\. "'''\\\S p~ :Fl rage/Carport Ene"m~~~\" u~Ot~ i DO~ er: Sprin~O~\~t~n OR \~_~N Occupant Load: I DEVELOP~Ftif~Ti~ rl1t: VB Commercial 541-726-1751 Phone 541-484-1188 541-485-0922 541-485-8383 541-343-1450 541-726-0100 541-688-1444 541-688-2233 - 40,450 10,900 REQUIRED PARKING _ Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: FuUv Improved Yes Sidewalk Type: Downs pou tsfDralns Notes: 1 of 5 Curbside 5' To Storm Sewer Status: Issued . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Pavine Type of Construction Estimate Use Bid Amount , Fee Description Plan Review CommllndlPublic Plan Review Fire & Life Safety + 10% Administrative Fee Inspections - Investig. Plumb -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Addressing Assignment BackOow Device Building Permit Curbcut- Additional Driveway Curbcut - Additional Driveway Curbcut Permit Curbcut Repair Curbcut Repair Curbcut Repair Curbcut Repair Encroachment Permit Fixture Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Not Covered Plumbing Paving Plan Review CommllndlPublic Plan Review Fire & Life Safety PW Disc - 2nd Permit (Street) PW Disc - 3rd Permit (Street) Sanitary Sewer - 1st 50 Feet SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin . . I CITY OF SPRINGFIELD- ; Building/Combination Permit: PERMIT NO: COM2005-00571 ISSUED: 12/09/2005 APPLIED: 05/1312005 EXPIRES: 08/08/2006 VALUE: $ 1,000,000.00 I Valuation Descriotion I $ PerSq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 800,000.00 200,000.00 Value Date Calculated $800,000.00 $200,000.00 $1,000,000.00 12107/2005 12107/2005 - r Total Value of Project ." Fpp< PlIi.IIJ Amount Paid $1,567.57 $964.66 $4.50 $45.00 $10.00 $5.00 $425.53 $3.50 $235.53 $31.00 $28.00 $2,840.65 $80.00 $80.00 $80.00 $10.00 $10.00 $10.00 $10.00 $130.00 $140.00 $12.00 $4.00 $29.00 $14.00 $890.65 $701.35 $431.60 $-30.00 $-30.00 $45.00 $10.00 $5,092.65 $483.04 $451.64 Date Paid 5/1 0/05 5/10/05 1lI18/05 11118/05 12/9/05 12/9/05 12/9/05 12/9/05 12/9/05 1219/05 1219/05 1219/05 1219/05 12/9/05 1219/05 1219/05 12/9/05 1219/05 12/9/05 1219/05 1219/05 12/9/05 12/9/05 12/9/05 12/9/05 12/9/05 12/9/05 12/9/05 12/9/05 12/9/05 12/9105 1219/05 1219/05 1219/05 12/9/05 2 of 5 Receipt Number 1200500000000000612 1200500000000000612 2200500000000001596 2200500000000001596 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 . Status: Issued 225 Flftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Sidewalk Permit + Addtl Sq Ftg Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Temp Power 200 amps or less Water Line - 1st 50 Feet Water Line - Each Addtll00' Refund - Admin Fee Refund - Surcharge + 10% Administrative Fee + 8% State Surcharge Backfiow Device Minimum/Adjustment Plumbing $104.80 $3,447.20 $45.00 $98.00 $50,00 $45.00 $14.00 $-5.00 $-3.50 $4.50 $3.60 $42.00 $3.00 Total Amount $18,664.47 . CITY OF SPRI1'lju1<IELD . Building/Combination Permit PERMIT NO: COM2005-00571 ISSUED: 12/09/2005 APPLIED: 05/13/2005 EXPIRES: 08/08/2006 VALUE: $ 1,000,000.00 12/9/05 12/9/05 12/9/05 12/9/05 12/9/05 12/9/05 12/9/05 12/15/05 12115105 2/13106 2/13/06 2/13/06 2/13/06 Fire Department Review 12/05/2005 Plan Reviews I OK GRG 05/13/2005 Initial Review 05/1 3/2005 05/13/2005 LDAP Review Plannine Review 10/2112005 05/13/2005 11115/2005 Public Works Review 05/13/2005 05/27/2005 Revised Plan Review - Fire Revised Plan Review - Pial Revised Plan Review - Pub Revised Plan Review - Strc 10/18/2005 10/18/2005 10/18/2005 10/18/2005 10/18/2005 Revised Plan Review - SUI Structural Review 10/18/2005 05/1312005 05/26/2005 APP LLH OK BRC WE OK SB 10 JMP WE JMP 3 of 5 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 2200500000000001672 VOUCHER # 98410 VOUCHER # 98410 1200600000000000153 1200600000000000153 1200600000000000153 1200600000000000153 ~ This is re-submlltal? Original plan review done 6/05. See attached document for Fire Department comments. Emailed Mr. Yett future addresses for site Waiting for final site plan submittal and development agreement. Jim Donovan Is planner DRC2005-00008. LDAP Required. Notified Steve Yett and John Stapleton on 5/27/05 that they need an application for LDAP and Encroachment. Hold for Issuance of LDAP placed on Parcel. Shopping Center SDCs charged for shell. Credits applied. Curbcuts, sidewalk permits added. WE. Received Incomplete response to structural comments. Stili need items 5, 6, 7, and 13, with Items 9 and 10 noted as deferred submittals. Plus one more set of documents Is needed for SUB's review and file. See attached 15 structural comment, faxed to John Stapleton. Building/Combination Permit' PERMIT NO: COM2005-00571 ISSUED: 12/0912005 APPLIED: 05/13/2005 EXPIRES: 08/08/2006 VALUE: $ 1,000,000.00 . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 11/16/2005 11/16/2005 10 JMP Structural Review 11/28/2005 12/07/2005 IO JMP Structural Review 12/07/2005 12/07/2005 IO JMP . Structural Review 12/08/2005 12/0812005 APP JMP SUB Review 05/13/2005 05123/2005 WE JF SUB Review 12/0712005 12/12/2005 10 JF . CITY OF SPRINGFIELD WE. Received mechanical, plumbing, and electrical drawings, Called John Stapleton to address the many missing items. He will respond shortly and asked about options on plumbing inspections which we will work out. WE. Received response from John Stapleton. WI. Received Mechanical Unit Hold .. Down package from John Stapleton. Per Lisa Hopper's direction. Approvals in Tidemark pending for Planning and SUB. JMP called S. R. Yett with Olympic Street Properties LLC and John Stapleton with SS&W and left voice mail requesting energy code forms with both of them. HV AC and Lighting information still outstanding. John Stapleton discussed freeze protection at this time and said that lighting will be completed as the building In fills. .. To Request an inspection caD 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. wiD be made the following work day. .. ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are Installed. Sidewalk.. Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut- Close & Repair: After forms are erected but prior to placement of concrete. Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to setting forms. " Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 4 of 5 . . CITY OF SPRINGFIELD Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM200S-00S71 ISSUED: 12/09/2005 APPLIED: 05/13/2005 EXPIRES: 08/08/2006 VALUE: $ 1,000,000.00 Footing: After trenches are excavated, Slab: To be made after all inslab building service equipment, conduit piping and other equipment Items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. , Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Drywall: Prior to taping. GIu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. 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 Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line, Prior to filling trench. Final Plumbing: When all plumbing work is complete. Backl10w Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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. By signature, I state and agree, that I have carefully examined the completed application and do bereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done bt accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertabting to the work described herebt, and that NO OCCUPANCY wiD 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 be used on this project. I further agree to ensure that all required Inspections are requested at the proper time, that eacb address is readable from the street, that the permit card Is located at the front ofthe property, and the approved set of plans wiD remain on the site at ~es dUrin~~CtiolL /~.A~ '--"'" CL/h ~o~ "N/~/ ('),( Owner or Co6iractors Signature Date 5 of 5 : 225 Fifth Street ,Springfield, Oregon 97477 541-726-3759 Phone t Jnb/Journal Number 'COM2005-00571 . COM2005-00571 COM2005-0057I COM2005-00571 Payments: Type of Pa)1llent Check .' :, , ., , i :\ , :c. :C ", ... , . , " 1 ( ."" ; .1 ." ~ ,t . :C :c ) ~ . 'I \ ~ 'c .l 2/13/2006 . _~'!I.~~!""""'..... '_____., Wit, --' .~; .{ity of Springfield Official Receipt .evelopment Services Department Public Works Department RECEIPT #: 1200600000000000153 Date: 02/13/2006 Description + 8% State Surcharge + 10% Administrative Fee Backflow Device Minimum! Adjustment Plumbing Paid By GREENSCAPES Received By djb 1 of I Item Total: Lheck Number Authorization Batch Number Number How Received 1961 In Person Payment Total: 8:47:46AM Amount Due 3.60 4.50 42.00 3.00 $53.10 Amount Paid $53,10 $53.10