HomeMy WebLinkAboutPermit Building 2010-4-27
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00051
ISSUED: 04/27/2010
APPLIED: 01113/2010
EXPIRES: 10/27/2010
. VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3375 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703222000901
Springfield TYPE OF WORK: Tank(s)
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install fuel tank, piping and dispenser
Owner:
Address:
JACKSONS FOOD STORES INC
3450 COMMERCIAL CRT
MERIDIAN ID 83642
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
NORTHWEST PUMP & EQUIPMENT CO 64567
BUILDING INFORMATION ~
Expiration Date
03/12/2012
Phone
503-205-2158
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: .
M
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Notes:
,':,rICE'
...(. .
'HIS PERMI
!-it THORIZED UNDER T
COMMENCED OR IS A
ANY 180 DAY PERIOD. $ Per S Ft
Type of Construction It.q I'
or mu Ip leT
"
p. !?MJ1; l)~Ai
ATTENTION: Oregon law requires you to
fgl~_w rl/J'n a~.opted by the Oregon Utility
Ne,\m'~d118n e;~n'ter. Those rules are set forth
InI5(,WjI~Q:[)ranw through OAR 952-001.
0090.. You may obtain copies of the rules by
callmg the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Sq uare Footage
or Bid Amount
Value
Date Calculated
Page I of 3
";":'
;.1 -
Status
Iss u ed
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726.37691nspection Line
Bid Amount
Use Bid Amount
Fee Description
Plan Review CommlIndlPublic
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
***+ 100/0 Administrative Fee***
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
FLS Safety Systems Review
Plan Review Electrical (25%)
. Total Amount Paid
Planning; Review
Electrical Plan Review
Fire Department Review
Plan nine: Review
Structural Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00051
ISSUED: 04/27/2010
APPLIED: 01/13/2010
EXPIRES: 10/2712010
VALUE: $ 50,000.00
..-. ...:.':
$1.00
50,000.00
$50,000.00
$50,000.00
01/13/2010
Total Value of Project
~
Amouut Paid
Date Paid
Receipt N umher
2201000000000000036
1201000000000000112
1201000000000000112
1201000000000000112
1201000000000000112
2201000000000000411
2201000000000000411
2201000000000000411
2201000000000000411
2201000000000000411
2201000000000000411
In 5 Year TOTZ. Needs submittal
and review of DWP application. See
attached letter sent to
applicant/owner.
Electrical plan review is ok.
See attached document for Fire
Department Plans Review comment5
for the installation of the 10,000
gallon underground storage tank.
DWP Permit issued and acceptable.
OK to issue Building Permits.
as submitted
To Request an inspection call the 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.
Rongh Electric: Prior to Cover
$302.41
$8.76
$3.65
$55.00
$18.00 .'
$150.00 .
$55.83 ,
$23.26'
$465.25
$1,500.00
$18.25
1/13/10
2/8/1 0
2/8/10
2/8/10
2/8/10
4/27/10
4/27/10
4/27/10
4/27/10
4/27/10
4/27/10
$2,600.41
01120/2010
Plan Reviews I
WE
EMM
02/11/2010
APP BAR
02/11/2010
02/09/2010
APP GRG
02/12/2010
02/05/2010
:.:!::,
04/15/2010 OK ACL
.~ r:
04/16/2010 APP CJC
04/16/2010
[..BeouiredJnsnect.&l
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00051
ISSUED: 04/27/2010
APPLIED: 01113/2010
EXPIRES: 10/27/2010
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Electric: When all electrical work is complete. '
Footing: After trenches are excavated.
Final Paving: After paving is complete.
Rough Grading: After gravel is in place but prior to placing concrete.
Special: See Plan Reviewer or Inspectors Notes for specific requirements.
/;~ A,4./.: O-H-ev- (~C()v.",..)
F:"e. fJr'/..: /=iti..(
By signature, I state and agree, that I have carefnlly 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 employee,s 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 t th front of the property, and the approved set of plans will remain on the site at all
times during construction.
fY-1 2.7 /0
Date
Owner or Contractors Signature
"
. ,;
Paee 3 00
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
sm...,.'~'A~"'.~G..~~,IlL.~".,...~..!.............. ........'..".
WE' '
...............'
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000411
Date: 04/27/2010
10:27:23AM
Job/Journal Number
COM20 1 0-00051
COM2010-00051
COM2010-00051
COM20 1 0-00051
COM20 I 0-00051
COM20 I 0-00051
Payments:
Type of Payment
Check
cReceintl
Description
Plan Review Electrical (25%)
FLS Safety Systems Review
***+ 10% Administrative Fee***
Building Permit
+ 12% State Surcharge 'i,
+ 5% Technology Fee
Paid By
RA YEN & ASSOCIATES, lNC
Received By
NJM
.... .
",:
Page 1 of 1
Check Number
B<ltch Number
; ji.
Item Total:
Authorization
Number How Received
Amount Due
18.25
1,500.00
150.00
465.25
55.83
23.26
$2,212.59
Amount Pllid
5864
$2,212.59
$2,212.59
In Person
Payment Total:
4/27/2010