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Home My WebLink AboutPermit Building 2004-9-25 I. _s..,,,,,,,,.......... ~.....,' _.. __,_m _. LM... ~-_~ _ , . ....,. . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00969 ISSUED: 09/23/2004 APPLIED: 08/05/2004 EXPIRES: 03/23/2005 VALUE: $ 175,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3957 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1702190003300 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Hayden Bridge Filter Rebuild. Owner: EWEB Address: 500 E 4TH AVE EUGENE OR 97401 Phone Number: 541-341-1844 I CONTRACTOR INFORMATION I Contractor Type Applicant General Engineer Contractor License EWEB 2G INC 40559 OBEC CONSULTING ENGINEERS, INC. BUILDING INFORMATION I Expiration Date Phone 541-341-1844 04/17/2006 541-689-3850 541-683-6090 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # 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: H-7 n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pae:e 1 of 3 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-00969 ISSUED: 09/23/2004 APPLIED: 08/05/2004 EXPIRES: 03/23/2005 VALUE: $ 175,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriution I Description $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 175,000.00 Estimate Tvpe of Construction Estimate Total Value of Project ~ Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid $526.11 $323.76 $80.94 $56.66 $809.40 8/5/04 8/5/04 9/23/04 9/23/04 9/23/04 Total Amount Paid $1,796.87 I Plan Reviews I Fire Department Review 08/09/2004 08/18/2004 OK GRG Initial Review Structural Review 08/06/2004 08/06/2004 08/06/2004 08/09/2004 APP SKG WE JMP Structural Review 09/15/2004 09/15/2004 WE JMP Structural Review 09/16/2004 09/16/2004 APP JMP SUB Review 08/10/2004 08/2012004 APP DR Value Date Calculated $175,000.00 $175,000.00 08/05/2004 Receipt Number 2200400000000001012 2200400000000001012 1200400000000001383 1200400000000001383 1200400000000001383 Plan Review: Rebuild of filtration system. Job #COM2004-00969. Occupancy Classification: H-7. Construction type: Type I-FR. Maintain fire extinguishers every 50 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (Springfield Uniform Fire Code 1002.1). See attached fax to Ron Wilson requesting special inspection forms and missing information. Received general contractor data and cost for structural work. Waiting on 2 signatures and second page of special inspection form. Received Special Inspection form signatures and check off page. 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. Pa2e 2 of3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00969 ISSUED: 09/23/2004 APPLIED: 08/05/2004 EXPIRES: 03/23/2005 VALUE: $ 175,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired Insoections I Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector 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. 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 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. . f~/( (a/~ I' - - Owner or Contractors Signature ~tJj co//(/ Date / Pal!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00969 COM2004-00969 COM2004-00969 Payments: Type of Payment Check 9/23/2004 RECEIPT #: Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By EUGENE WATER & ELECTRIC BOARD \ ! I' II <' " .} r.ty of Springfield Official Receipt ,velopment Services Department Public Works Department 1200400000000001383 Date: 09/23/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received dIm 36354 In Person Payment Total: " Page I of I 10:58:08AM, Amount Due 809.40 56.66 80.94 $947.00 Amount Paid $947.00 $947.00 SPRINGFIELO' '.j c.ot--A. '2..0C>~ - OO~b~ Building Permit # rlL,..\e.~ ~ e.:~ U l Lt) ~. C to- I o \0 I o ~ C?- lS\:'::O ~ Date/ City of Springfield Com:~una)' S~~.':~'!5 Div!::;vic 225 fifth Street Springfield, OR 97477 Telephone: (541) 726-3759 Fax: (541) 726-3689 Special Inspection And Testing :'roJect Titl: ~~s~ \-\"'-C t> E-t-!t '0 ~\. ~G.'e. ~~~ Project Address .... o II o W ~ To applicants of projects requiringspec:ial inspection or testing as per Section 1701.5 of the Oregon Structural Specialty Code. Please review.the infotmation below. When you have finished, acknowledge an understanding of the information by signing below. and return this form to the City. BEFORE A PERMIT CAN BE ISSUED: The owner or owner's representative, on the advice of the responsible Project Engineer or Arcbitect, shall complete, sign, and submit ' to the City for review and approval this fonncompleted on both the front and back. The Owner and General Contractor, where applicable. shall also acknowledge the following conditions applicable to Special Inspection andlor Testing. 1. Contractor is responsible for proper notification for the Inspection or Testing of items listed. 2. Testing laboratory sholl take appropriate samples and transport Ihem to their laboratory for proper evaluation or testing. · Copies of all lab ora lOry reports nnd inspeclions are 10 be sent to the Cily by the TeslingAgency. 3. Speclnllnspectioll Agency is to submit names and qualifications of on-sire Special Inspectors to the City for approval. '4. Speclllllnspeclor shall provide inspection reports to the building official of all inspection activities. S.Contractor is responsible to review the City approved plans for additional inspection or testing requirements that may be noted. . , BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED: The Special Inspection Agency shall submit to the Building Official a statement that all items requiring inspection have been fulfilled and reported and were to the best of the inspector's knowledge, in conformance with the approved plans, specifications and applicable workmanship provisions. Those items not tested and/or inspected shall be noted h the statement The report is to be submitted to the City prior to a request for fir.al inspections. ACKNOWLEDGMENTS EWE;:? Owner Name {Printed} (jI3ZC- Engineer or Architect Firm (Prinled) /Jsc Testing Laboralory Name (Printed) ,. " . / i2 G- CONSFleUCI/cJlVf) ~ . . General Contr~ature ~4:/w~ Owner Signature Gen. Contractor Firm Name (Printed) ~~ OBG-C' En&inJ1J: ~~,h.l'{;.gn"Ure SP"lallnSP"tiO~"d) l\.i lW~ ~ "'-~~~J'T..0r Testing Laboratory Rtp Signall.1re Building Official 'Name (Prinle-d) . ~~, ;Ci~genCY Rep S~ '1l t h~J 0 Building vmctal Signature - ~ SPECIAL INSPECTION AND TESTING SCHEDULE .",' ... 'J> l: ~ l.Cl ... l- I .. ;, 0'" .- \D~ I 01- :a. ~ " I-'e: 0., O~ W.. ~'" l- e: 0 c. e: .. ~ e: Reinforced Concrete, GUDlte. Grau( and Mortar: , Qulmre - GUQire I~ M2ItAl1' rrb... t: $1- ..,,.~ ) / . , 1)( >< X x ,X X 1 l PreeastIPre-streued Concrete: -Piles, IPDsl. Ten! I x x 1 X 1 , I I SMOKE CONTROL: Leakage (esting Control verificalilm GRADING, EXCAVATION, AND FILL Acceptance teslS · PSF Establish tinal grade Fill placement inspection/continuous Soil Density x , I ,I l 1 I . A.~ereeale Test of Mix Design Reinforcing Te~l Mix DelliBn~Weillbmstr Cert,f Reinfocing Placemenr Conlinuous Batch Plant Insr Inspect PlaoiD!! ClISt Samples Samples (PiekuPlDeI1~~) " Cwnpression Test' ~51 . ' @ 2St:4lrJ STRUCTURAL STEEUWELDIN~: Sample and test (list specific members below) .K. Shop material identification (mill cert) Weld inspeclion Shop ~ Field Ultrasonic insl1cc/ion -'- Shop Field ( High strength boiling Shop Field . . AJ2S N X F A490 _' N X F Metal deck welding inspection Reinforcing Steel welding inspection Reinforcing sleel mill certificate Melal stud welding inspection Concrete insert welding Inspection Moment resisting steel frames C 1:1 tl (' tl c: C tl " tI I I I I 'I 1 A nrceate Tegrll aelnforcina Tests, Tendon Te$t Mix DesieQ,' Relnforc'na Placement ' Insert Placeme"t Concrete Batchinl' r.Mcrete Placement I Installation In$pec;tlon Cast Samplel Pick-Ill) Samples Comprc!lsion Teu~ STRUcrURAL. WOOD: Shear wall nailing inspection Shear wall anchors Inspection o(OIu.lam fab. · TIC psi ,fnspection of tross joisl fab. , Sample and rest components Fllbricatlon welding of steel accessories t" FIREPROOFINC: ' Placement inspection Density Tests Thickness lesls )nspec! batching MASONRY: Special inspection stresses used. rm rg Prelimlnllr}' acceptance leSls (masonry u,ni's. wall prisms) Subsequent tests (mortar, graUl, field wall prisms) Placement inspcctiol' of unils, and reinlbrcemenl Mosonary, mortar, grout, and reinforcing steelcertltlcales ROOFING, rnsulatio~ installallon/R-value$ Tesl strips/seams 'ADDITIONAL INSTRlJcr~ONS) OTHER ~;EST, ~INSPECTIONS: '..L FO,rm completed by: ,lisT - .~S.lO!:!bj ~.orS te} re/Df! ~C~~ 'a>>15lY'tJc-6~ ,. 'ate!L/OLf IE c: c: " ... '''0 , ' .PROVIDE STRENGTH REQUJRED BY ARCHITECT OR ENCINEEROR CONTRACT DOCUMENT LOCATION OF VALUES o U1