The URL can be used to link to this page

Home My WebLink AboutPermit Building 2011-1-7 www_cLspringfield.OLUS CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00269 IVR Number: 811143022039 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 01/07/2011 09/09/2010 EXPIRES: VALUE: 07/06/2011 $250,000.00 01/07/2011 SITE ADDRESS: 3405 GATEWAY sT, Springfield, OR 97477-1057 AssEsOR's PARCEL NO: 1703222000904 SCOPE:, Restaurant WORK INVOLVED:, Remodel TYPE OF STRUCTURE:; Commercial PROJECT DESCRIPTION: Remodel -Gateway McDonalds OWNER: ADDRESS: MCDONALDs CORP PO BOX 51060 EUGENE OR 97405 Phone Number: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Reli!ii)'~~mON' Ore I ' follow rules ~do t~on aw reqUires you to Notification Centtr ~h by the Oregon Utility in OAR 952-001-00'1 0 t~se rules are set forth 0090 'II , rough OAR 952-001_ caliingO~h~~~~~;al(~~iei:et~~ft~: r~~~eby numbercfor the, Oregon Utility Not/heat/on enter IS 1-800-332-2344). Springfield Building Permit 1/7/2011 10:52:14AM NOTICE: " THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED,UNOER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of 5 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00269 IVR Number: 811143022039 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/07/2011 ISSUED: APPLIED: 01/07/2011 09/09/2010 EXPIRES: VALUE: 07/06/2011 $250,000.00 SITE ADDRESS: 3405 GATEWAY ST, Springfield, OR 97477-1057 ASSESOR'S PARCEL NO: 1703222000904 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE:' Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Remodel ~ Gateway McDonalds DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Orive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: 3 Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotjon Type of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Description Amount Paid Date Paid Recipt # Structu~.':'.f'~a.n_ Review Fee Eo~m~r:!~~___,.__,____ _,$~!.~~_.____ _~/09/2~._____. ''.... .201 00~SJ.?89 State of Oregon Surcharge (12% of appiicable fees) $158.31 01/07/2011 , 2011000064 _ "'_.-.-" "'''''''''''''''''''.+'''~_.'''''''~.'''__._'______''''___.______."m'''''_'''__'__'''__-r-_m-..- __.~m".._ _ ~M ._._. ~..~_ Technology fee (5% of permit total) $83.06 01/07/2011 ' 2011000064 Admin fee (10% of applicable fees) $34.20 .---0i707i2ii1'I_:.._==~20i1000064 Deferred Submittal $342.00 01/07/2011 2011000064 .,."._-----~----_. Fire, Life. Safety Plan Review. $527.70 01/07/2011 2011000064 Building Permit Fee $1,319.25 01/07/2011 2011000064 Total Amount Paid $3,322.03 Springfield Building Permit 1/7/2011 10:52:14AM Page 2 of 5 CITY OF SPRINGFIELD "'" 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00269 IVR Number: 811143022039 ~ermitcenter@Cj.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 01/07/2011 ISSUED: APPLIED: 01/07/2011 09/09/2010 EXPIRES: VALUE: 07/06/2011 $250,000.00 SITE ADDRESS: 3405 GATEWAY ST, Springfield, OR 97477.1057 ASSESOR'S PARCEL NO: 1703222000904 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Remodel - Gateway McDonalds Plan Review I DeDartment Application Acceptance Received Due Date ComDleted 09/09/2010 09/09/2010 09/10/2010 Result Application Accepted Reviewer David Bowlsby Planning Review 09/10/2010 09/10/2010 09/14/2010 Comments: Waiting for submittal and review of Minor Site Plan Mod. Add'llnfo Required Liz Mille:r Structural Review 09/10/2010 09/10/2010 Comments: See 1st Structural Plan Review in Documents 'Fire~;;~0';Z': t,': 1;-. .:.i/r;,cytf<: .i-" ,,' 4:09/;1 OL~OJ. 0,~~'0971~~~i10!J ~/26! OiGV;;:APAAVe, .: /".' :;g:.St't,; , '" "'"..v,,"'1? ',' ;;,' 0'"Y, -- ,.-.., .-.t "71f''':'t'''.l;t.>'if;L;';r.,w'J.'t''" ",&1, :e;f.} \;,~ ~~f':t .,'P'l' .',) .. ,'c~'mU1~~n,tS:;,::'~ee:o~~~'i[~~2;}~~tf~r t:i~~,,~,~e~,t~~~i:~~;:bc' Structural Review 09/10/2010 09/10/2010 11/17/2010 Add'llnfo Required Kip Kaufman CommentS: Provided missing energy forms to architect. SUB Energy and Planning approvals required. Approved Kip Kaufman Structural Review 09/10/2010 09/10/2010 01/04/2011 Planning ReVIew 0911Q12010 09/10/2010 01/04/2011 Approved Liz Miller Comments: Received information required for trash enclosure on 1/4/10 to approve Minor Site Plan Modification. Please call Steve Hopkins at 541 726-3649 for Final Site Inspection. :;~~:;.' ;~,. ::0'1106/201.1;jK46Wb6/20111"~M1'lb7fio't1 , "<~ i, '~S'>:~,~~~:,_~~~!~1(~:;~~;ii~~;'.:'/: :~~;,~~:;' Springfield Building Permit 1/7/2011 10:52:14AM Page 301 5 ~. S:~i.i:G~FIE~O - ~~+. '"'\* """-- .:~}/1iL>OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial permit PERMIT NO: 811-SPR2010-00269 IVR Number: 811143022039 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/07/2011 ISSUED: APPLIED: 01/07/2011 09/09/2010 EXPIRES: VALUE: 07/06/2011 $250,000.00 SITE ADDRESS: 3405 GATEWAY ST, Springfield, OR 97477-1057 ASSESOR'S PARCEL NO: 1703222000904 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Remodel - Gateway McDonalds INSPECTIONS REQUIRED ~ Inspections 8999 Final Fire 1996 Final Inspection - Planning 1070 Parking lot 1110 Footing 1120 Foundation Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 1150 Slab/Flatwork Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Ufer Electrical Ground: Install ground rod at footing and calt for inspection in conjunction with footing and/or foundation inspection. 1160 UFER Ground 1240 Reinforcing Steel 1260 Framing Framing Inspection" Prior to cover and after all rough in inspections have been approved. 1530 Exterior Shearwall 1540 Gypsum Board/lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Ceiling Grid: After drywall approval but prior to cover. Roof Sheathing 1600 Ceiling Grid 1630 Roof Sheathing 1800 Emergency Egress Lighting 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. Bolts Installed in Concrete Hold Downs Installed High Strength Bolting Masonry Structural Welds Speciallnspectjon Form Receive 9012 SUB Final 1155CMUWall SUB Final: After all required energy inspections have been requested and approved. 2300 Rough Mechanical Rough Mechanical: Prior to Cover Springfield Building Permit 1I7f2011 10:52:14AM Page 4 of 5 \~... S~~.INGFI.E..?ij .lll_ !!!i; oOREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00269 IVR Number: 811143022039 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitce nter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 01/07/2011 ISSUED: APPLIED: 01/07/2011 09/09/2010 EXPIRES: VALUE: 07/06/2011 $250,000.00 SITE ADDRESS: 3405 GATEWAY ST, Springfield, OR 97477-1057 ASSESOR'S PARCEL NO: 1703222000904 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: 2310 Rough Gas Remodel. Gateway McDonalds Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2530 Kitchen Exhaust/Commercial Hood 2995 Final Gas Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 2999 Final Mechanical 3150 Underslab Plumbing 3500 Rough Plumbing 3999 Final Plumbing 4500 Rough Electrical 4999 Final Electrical 8330 Hood Suppression 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 or 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 requ ed at the proper time, that each address is readable from the street, that the permit card is located at the fro t of the pro rty, and the approved set of pla,ns will remain on the site at all times during constru~ 1_ t--- II Owner or Contractor Signatur Date Springfield Building Permit 1/7f2011 10:52:14AM Page 5 of 5 .....' .. , . I SPRINGFIELD ~~ City of Springfield Community Services Division 225 Fifth Street, Springfield, OR 97477 Telephone: 541-726-3753 Fax: 541-726.3676 Deferred Submittal - ARreement Oregon Structural Specialty Code Section] 06.3 allows a permit applicant to defer certain submittals if approved by the Building Official. This form is a deferred submittal agreement for the following project: Date: IJ/o"i:./fO Project Name: iltc..\-),lL1.....'b.~ _ 'S,~.i:.~,G1-)> ProjeetAildress: 340!>r...'";I;'OL\"Y ~ PermltNumber: 81t -'S?ttl.OlO -Zu.'1 Phase: 0 Excavation & Grading ? ~oundation Only p Completion o Site Utilities Ii!rShell(~1\IetE:1.J hl'fennnt Improvement Design Professional in Responsible Charge: 11:,;:, """'-n:- ~ u., \...' \A \~ eX'" 'w... ~~ Pc.... , L",~V->( \\.. Licensenumber. ~~'} Email: \~o.tlA...~~",,-.c..Of'^. Phone: 4-2.& -8'l.,-z.I<lO Fax: 4Z.S-IH.8 _ ul'>~q Add,ess: lOl.1.... 1.1.. ?"'L,'ts""t:..'l 'i,.......... ft.''''' W.... 'le033 Guidelines: 1. Annroval: Each deferred submittal shall bear the approval of the design professional in responsible charge. Notation shall be.incJuded tha! the deferred submittal documents have.been reviewed and have been found to be in general oonformanceto the design oftbe building. 2. List: Page 2 of this form is a list of deferred submittals. The .design professional in rcsponsjble charge must check which submittals are requested to be deferred and indicate an anticipated 'submittal date. 3. Fees: Minimum $100.00 (2 hour) for each deferred submittal. 4. Timellues: Every attempt will be made to provide timely reviews of5-10 business days per deferred submittal. 5. Work without ft Permit: Work that is constructed without having been reviewed and approved by both the design professional in responsible charge and the City of Springfield Building Official is considered as work performed without a permit. Any person or finn perfonning work prior to approval shall be subject to the penalties ofScction 108.2.1 of the State of Oregon Structural Specialty Co'de. f BuHding Official Name PUNCcuJ GA.6-J. ntractor Firm Name (printed) :4(~ o no'S; .to'e ~~ General Contra~ature 1.1\v..~..., \\0 Design Professional in esponSible Charge Signature '- SPRINGFIELD City of Springfield Deferred Submittal Agreement Date: \\ /iJ'f:, / I f") Project Name: t<\~~I>.I.."b ''':. Permit Numbed?'\\ -<;:,PR 2010 -Z<s>'f Project Address: ~+O~ r.","TC~'f ~. '5~G.~~. 0I:t.. 'll+'J o Excavation and Grading 0 Foundation only Phase: o Site Utilities atShell o Completion wrenant Improvement Design Professional in Responsible Charge: -Mc.e.\ \l.'E. \" d.. \\., ~o, ,"",~ '=> \t.1<.. ~ ~L Items which may be deferred include, but are not limited to the following: Deferred Item Date 0 1. Acoustical ceiling suspension system 0 2. Auxiliary power systems IV' 3. Awnings \'2..IWIO 0 4. Bleachers 0 5. Carports 0 6. Curtain wall systems 0 7. Electrical call system 0 8. Emergency call system 0 9. Exit lIJumination 0 10. Fire alarm system 0 11. Fire sprinkler 0 12. Fire stopping 0 13. Glass guardrails 0 14. Glazing systems 0 15. HVAC system 0 16. Intercom system 0 17. Irrigation system 0 18. Metal guardrails and handrails Deferred Item Date 0 19. Plumbing system 0 20. Post-tensioned concrete structural members or panels 0 21. Pre-cast concrete structural members or panels 0 22. Prefabricated stair units to include steel, aluminum, or pre-cast concrete 0 23. Prefabricated wall panel 0 24. Ore-stressed concrete structural members or panels 0 25. Raised floor systems 0 26. Shelving systems and steel storage racks 0 27. Signs 0 28. Skyli9hts 0 29. Smoke and heat vents 0 30. Specialty retaining walls 0 31. Stone veneer 0 32 Terra cotta veneer 0 33. Wooden, steel, or composit floor or roof trusses 0 34. Works of art 0 35. 0 36. ~ Minimum $100.00 (2 hr) each for the above listed Deferred Submittals I ! I I I I j J , ,-' ! , I --.-- --, i.g 1 I/'j- I I oft i': - '1~ I ::~I' I l""'1 ,'~ ) _~' 8.t ~ c i'l \ol.lJ !i:: 'tJ \'-.1'0 ..-( I '-0 l-~ \ 'f:" I~r.~ '" 'lIt: ~I ifl '6 ll: - I{lll rj \ ~q ~j:i ~-, g ~ "ij) 'f) 'I:' t'--{'--.o-. '(j .G !;j: (~oo ';;;Q~tt'--\OIL) lljl.'l90\Nf';l b1)8~~t->'O ,S.s:(lJO;:;-~ t~ tf ~ -o~,..., tI.l CI) ,~. -0 '-'':;j ~ ,f.I~~ l~ M 0- .0 ~<'J !:l 0 ~i (J ~ <"l 'r.!.d ~ ~ l~.f'~ <3 H ~:;. " -0 <3 j llll P- o:! v.I. \i:J ':::1.2 ij a'J f-.l 'SJi ] J.ls ar c: g ~ ?n~ 13 !S.;!; at u~ 5i' .sf! t1 ~~ ...... ~'d .g ~ ~ g. fl ii tt.l g~ ,,~ b~ ~'- ~.~ ",. .r: !' ilg f:lo,g ~ I! ';I:s ~',g ,5.:::: .. c 'il ~lt :i1 "~ i?l il ~ .:-?,~ p '~'] tJJ1 ~ ~ ~'Q. 0,. ~'-5 ~;m "I', ... ~ 0' .,~ ~ ;r, $ i3'- ,~ " ~ .~ ~ ~ ~ " -s ~ .~ p. ] ;:..: [, -" ~j .~ ~ -a E " " '" .~ tl -~ --" ~ .: a ~ c -'" ~ " " '8' '" . :a " 8 !l- ~ " -5 ,. o " .~ v " " -Ii . o " ,e ~," ~1t l:i,""O ~ 1:1 l;g p'" ~ " 2-8 o.EJ ~.2 ~ a ~] " ~ rH o <n~ f!1 "~ f:l:~ ~f1 UP. t ~ e ~'g ~ ~ ~ <:J ~,~ "& :..1;:: .. ~~. ~ OoR ~ ~ z.~ .~ {.ar.:: ;-. . .~ 'fJ " 8 '" o -. S " .Q ,iJ !'" '3 I ~ .. "' <, 'S of :0 ~ -a 0, . j . i ~ r. 8 .~ 'il ,~ ~ ~ " 'fi J ! " -" . Jl' g ~ :g ,J.a '[ " " 'g 2 15 o o '" " -il ~ " " ~ 'd !:' . '" Jj ?' n ~ jj ~ ~ .g g: ~ .~ 4i I:--< R i> g 1l ~, .:'i " ;'! '~ o '" " <ll '0 3 " ~ fi <.'l u ~ ~ ,,- ~ -. t< " ~ " o () -' ~r, .~.~. #.~ l~ .0 " r. ;:! c ;:::;r.i", rJ)j r: ,}:l~~ .~ ~g fi~ E ~ ij -;' 1j ~ TI ~!~ ~'iJ 5 113 11." o.lf ," !!Il ~ .J 'J :g~E ~ ~-g,g Q :.- p.. Z -e [.~ ~ G' $1 g.O i ,i 1~~ L'" ~ 1'l ~'~')I M. p ij 'if 8;~ -<!l 0 ~ ~a] ~? ~ .; '~l'feUl,", '~ fJ .9. e !t~.D ,.... S 'F. b(I "'; 8' ,9 ;J ~ .~ 'f1 g.!l'~ .s ~::! 'f, ~s r;, I ~ ~ t1i e- o {jo ~ :;;~~ J!]::alUL.: S ,90 '" !'J A.:>l Q ;I' ~ .J:: vP~ tl n 1 ~ i ~gE .2 0 '<3 ] "2'''1 j ~ ~ ~ ~ ~.~~ '5 ~ .g ~a lJ !8~;g ;l .g ~ ] fJ ~l1ig ; g 1; I) ~ ~~,g '<;I ~I tJ' t1 13 ~.fjo:: = ;;} 'g ij ?:; ~$.g 1t ~, ~ &. ~: t; ~1l .;J 1:: f:I 2 a. ~ po u ~ ~ .~ "'u~ fJ BH >Ii '. 'ii l.>.$ "'O.c I -~,'" '5 ~, !t tl ~~ ,~e <II' ,5 ,g 0 fl' ~ g' ..q 9 .g f! ~ ....d ~ .; "~ .;; :) o]~ ';! g' ~. t f:!-g ~ ~ ~ ~~ ~ ~ ~fa ~ ... .g q !k:3' ~ 'g. g .9 ~, t:'~.g o 'g g ; m8:J ~",,,tr.a .11 ,~ ~ ~jt~ 1 I ~ ~~ 'H (II ~ ~,~t.~ it~ tl x '~ Jl -=-.., "'J .' 1 ~ J1 lj.. .. l> o 11 " ,. '" '" ,J.j ~ 1- . N ,.; u; -,:. '~;..- I , . ' ., Q-.. ~ N I ~ li \... ~ i ~ Iioil S ~ u 00 Cl ~ 1-<. 00 !:l ~ ~ " ~ \& E:: t'\ u , Iioil \I) ~ ~ ~ ~ ~ '- I.c\ Iioil ;t ~ 100/100 'J p.n ...-. "0'1:1'>1;;1 ~ di"iS'ii o _....._..... j lj ~T"I~k kl.6 ~ ,,- ......... n 0 4i~ooo o..!l ~ 8g~~;s ~a'~sU)~ ;';~.,g 1<!11~lz z l~~ ~ .~~ ..... t.l tI:I Ul.....'Q Q..b() !:i !~. C ~I' I ,.S ~:$ .s ~ ] :3 .!a:g .s::E f ~ ~ .'5 Ob1) rA <'lou 30 '~11-.5~.. ~1'A:l'! is c.~ ::a~ g:g",g S"ii-:.sa-1;; ~(;'}t;j~M.~ ",'il ,,'- 00", - .. .. "!'! ~ ~ 'ta A..2 5 N ~ ~..E;5"O'~ z:; ~.!l 8.S ~~<!:::~~~tle1i ~!l~s~ ~!~l~j i I X ~ - . I p.. ~ ff' 6 E 'J:! ...:l " g ~ Q .E z ,,3 ~* -m a- z ~ !l,... 01'1)_... E:: ~~ ~.~ 0<( "-'" 8 a ~.a~ &it U) u i',.o 'E.Q ....as='" r:J<,Il1~~ rS ~ ~ (,? . -~ ~ i 'S d B ~ w ~ ~~~ t ~ -EQ... ~~ 0-.=8'0 "'11 -Il""iil~ ;;E-< ~ ~ '!=,i5 al.~ d " ;Il.S _~I.Ej g ~ 1'5 e:'~ I ~ ~ fI:I 0 ...., ~!/oJ I il .g ~ ~ _~ 11 tl ]/ ~ '~'~'~-il8"~ ii ~ g <"';:;;..: .:lO",u ~ i;i;!a 1:: ~ ... " .. -g~ e B 00 .ti 'i:j = 0" J'.~ - S ~O '" o U ~ " ~I ~8 ~l( ~ J> .B~ ~ 8~ ",P ~* 11 0 -Iii'" e e, - II ::1= Do.. J: Il 'C o ~ ~ .~ ...d~.i> H ~~~~ ~t;OIt-c i' J:l.... t:l.o 0 .S a.~ a ~ an t! '"I :- 8 .~ co..::! ..g ~'tial::l~ ~~la~'t.;:: 8==" "iii 6 ~~,g.s,,-iil ~.U ~ll~ ~CI.lt"J'J~~t;I)~ j,xll I c " " 0 ... c~ .'!l . 8 -.$ 6'!I ~ ~ j:I - ~ ii fj 81 ~ ~ H f"''::: 1'A tn,,: IE -; .s .s Jl ] g I" u S,;; 8 al 0.. "!! ~._ .I!-~E-<-"""" u u 0 IE'" (g I ~ ~ c :J E a:: ~ 't i <<115 e I~~ oQ"s_ I-< "",::::::::tIJ :;ltB If r": "'15 - c 16 0 t.J lIl: _ ...Iil!1 a I" ... i ,,,.~ "" 1'A ::I 0 :s <.:!f";:;;,:1.~88.:lUii:u III '" ] U . IEl9 LZ8 SZt 'ON XVd .;; '" () i" 00" " ...." '" m m a. ~ ~I~-i ,,~-1! s- ......f.'l ~8 U) ....I.~~H~ e- .~.~ =~ ! ~ g.....,"o~ ... t'll""" a - ~ e...r \iii.::! 4>.....,:.;;:lse ~2Je.-~ :ill '".! ~ ;j CI) - I-<~ .. en 0 a 0 ..... ll~13"g .. ~ 8.0 l;I, c:: t::I.-1i .. '~~JJi8..m II m $ lO! 0 ~ ~-:: e " m illl . ~'~3'ES' '3:E2 11 ~ ",e...s., tIJ ,a.. tf.!'Q. I"'G ~ ~ I " o ",. ~ 00 rn .:3.El .S 2J 1l1J r." 1: ~ fJl ell. . - c> - a1.,D O~ ~-~-h utt;loo. <<t a'- ~ ~. ii:/Q!"i,.!"l i ~ i5 .., n ~~ ~ ~'ij - -;>> ~ II Su ~ ~ . * 11 OJ :::- ~ o ""- .!1m ~~ '.6~ Cl ~ 0.5;< j-lii u !:l -= ~,g~ Ii: o ~ ~ ,!l m Q \tJ ~ ~ i ~ " "a. .~ u e o ... oo~ ~'" - ~I( !~ ~ ;~ o .,; ~! .,~ ~~ -", ~ S E-<S\ !~ ~ ., .~ ... o ~ != tj o ...:l ~ 'l!J B o Q t) g ~ u ..: c ! 1!:i c Z iio1 ..: o t; ~ o ~ f;; i:I ~ eI ~ r: (,l ~ ~ ::;:: i 0.. . JNI SaJJNI~NJ JlffffIG NJ 8S:Z0 aDL/orOZ/91/AON x i.i: I- <l: :;; -' 1IJ Z Z o [Q 1IJ Il. :f (;) z -<< 0:: (Xl ::i: w ..J <( !!!. (.) ~ (j z i= (/'J W I- Z o (/'J ..J 0:: <( (;) .' ~>> >-.. ..~ -- (ij ~.:;;: ._ .0 0'.- (j)W a.C w& -W 1-<lJ Un:: ~ ~'5 g Qj<C m >, wm ro.ill ~ - ;:J C. 00 ::J ~ ~Q. W<<l .", 2c (1)<+= B 8 C ~ o 0- D:'! -aLL <J) .~ e 0).9 c.!: 0 c'UQ.l .- ID 0- <Ii> <J> ~>E ~ 2:' >:,ru . ~ ';;::; ill L~ ._ o ~ ",0- m 0 :20:: ro c,,') 51:l '00 :)~ ~ " 00::" m 25 mo ~ ::J ~ g ..~.8 () if) 0 o en ~ uC<J> w!;::: C 00- ~ 0 ~ o ~ 0 :g ar-5 ID.= c OCtJ..<( i , .g m a. W C >> EJ ,91 0. I~ <Xl '" .S; u -Qj :;: tX5 '0 mt) .~ ~ (f) W ~..5 .2 0 .os;: ::J.o be (1)<( 'w ~ .3 () 2 ...... L. (J)j.? Dig E <( g?:- t.- ro g"W l- ";: u: g- .m~ rt ~c6 illgcn mo.S ~C):g m u <J) :2~So t)o~ti (l}'*-- OJ "O'.S !p. 0- lo-Q)~U) 0..0::(/)5 .9] m ~ ~ ~ ~ ,- ~ 0 ~ ~ ~ ~ ~ ~ 0 0 0 0 0 0 C N N N N N N 0 2> 2> 2> , , 2> ~ 0 0 (<) (<) (<) (<) (<) '" <0 , to <0 , , '6. <0 <0 <0 X 0 0 0 0 0 0 w c " o W '" :2 m06 :::Ju ",.J () go ~<'; (i5~ . ~ <Ii ::J ~o () 2 I- c........,S o (J) .0 U 0) ~ 'oCW QH+:: C 00- Seo .S fr-5 Q) ~. c oci:L<( ~ o .C .0 C <( '" ~ m - <J) 'C 0- o ~ 0.. ;;: o OJ Q. c o ~ o ~ :;; o '" ..ill C G) ,.." ill __ (l) 0):9 ~ e! 1D C ~ C 1D c-- ~ g: o~~'E- ,g b OC ,gu'E- t3 c ...c: "'O'E- c-> 0 c u cO 0 oo_~ c o~ cg~ o~ c g~ DOJ~tJ..",<( 0:;;",<(:;:,,- 0:;;",<( :;:tJ.. -0 <<l ::J E c' 2:" -0 C C E -0 C >. E ~~-ol...~ro_wro~roro~~Q)ro~roIDrol... gl...*208ro~~~gw~o~esgill~3o ~O--~I...'-OOO_I...'c-~OOO_I...'-u-~ _cmoo-o~~_~o~nOu~~UQ~_U-o ~'-""-(!)o<'-2Q)o~-<.-~(l}o02- o&~~8~~o~~~~~8o.&~~~~ffi8 OJ OJ OJ 000 if> ~ o s;: o c <( 2:- ~ro N- ee .9:2 m~ _0- <{ 2 00.. m o '" '" C <J) C O)U ~ ill Oli? ~ 9c CWO I-cmO ~> ~E:?-.J::'E :""0->"5 ~o~o _C 0 _C ~ OJ ~<( 0)000 ~<( LL 06.a C: .S lJ ~ .a C E ..........- u ro '-'+- Q) - 0 ro ID ~*21D~ge$2mtl)O I.().............-CO.... 0................- t;Lt.. __CJ)(f) Q--o..'Er/)U) a.......-o <.( .. .. 0 <{ ill.- .. .. 0 0 - O ~ N ~ 0 .'::: @ ...... N ,-..c 0 CJ)(f)D.. LLrt:CJ)CJ)(L(I)() m m o 0 ~ 0 0 .8 0 0 0 <ll <ll <Ii ~ 0- 0- 0- '" if> W i= .E .E .E Iii ro ro '0 '0 '0 '" <J) <J) 0- 0- 0- (1) if) (/) o o <ll 0- if> C ro '0 <ll 0- (!) 0 0 U' ti <Ii <J) 0- 0- <Ii <Ii .E .E (ij Iii '0 '0 <Ii <J) 0- 0- (1) if) if> .8 ~ 0 <J) 1:5 E '3 0- '" 8.ro C if> :;; '" wZ ro <J) o. '" ~ .E I E E 0 '" '" ! ~ <( c: 0 ro Q) '" :;; 0 D '" "" ~ " 0 0 c: (jj D <( :S in 0 ro <Ii " c: 1:l .c > OJ ro <0 0 .~ <J) <( :;; D <.9 2 iJ5 --.--. ..... " , '- m i a; :~ -tv 1U ~; . >ro >, " 512 u .. 0 ;:;',11 c c" 0 C 5206 6e c. 0 r 0 ~ 0 u .!'l fSig if) 0. "' U o Sol '0 <U 0 m C Ul Po 2:?!~ :20: 2' ~ ..:( 'C -0 .0:; () 0. (j) (/J :? ru"" ~ mc0 ~ t<? C 0 ~ -> rf) tU i D.: cQl- L C<) ;:;~, ~, U Q)- 'l_"'" m ~ ~ ::J - ,- ;:; 4'::;.!!2 c 1) ,- B 0 .-, W ((1 +::<0 13 oil u (j) ~"" go "' D. .-,. '-c:J U . ill U -+~ <) :1+-> !j) ~3; .:J IDa 01 0::::'00(0 Ul .s w 'C 0$ c ..c:JCL 0. UJ ru g. u::.~ 0:0: u (!)-CI) ~ Ij) if) en .. @ oS . ~ ~ ai"" (I -(f.).s m:JeL iJ) :::; mll.} S ~ :>:. ~ '- ~ ~gC<l rot) c~ Q; C (.) ..... 0) 0 0 ro :':' ! - ~ ;:; .9 t; c oil ~ CB~.c: .c <)~u 0 ~ :2: g 0 8wog 0 c U5 0 c~ c 0 OJ 1:5 c 01/) <) .cO 0 if) roO<( <t: o 0 U <l! 00 om UJ m o ..,. "020.>> -0 2?> 0) Q_ cu ,,::;; ii5 0. >- " C if) if) m- ID L. ~ ~~'5~(j QJ t;::;: c :':' <l! ~~o "'@.5 (J) r?= J.1j m 00- al " ill::lLL (I) " oe.2'0 ~ 0 ~ ~;:;- ;:; ~ 1::: U ..,:'C ':5. .[2,-0 E.2 o ~ <) ." 0 ~ 0. t) ill C o..c ~o., 0.0 *2~g- 2 .~ e 2 5} .- ill () i12,~ .S::l a.. ;:; 0 '-~-'-" '- ~.- -<-' C (l) '- C ro ., G>;:. U) .;,c 0..(/)(1)(1. 0.. l1.W_ o::ii:<( 1/)0:: o::U)E W<( .__n. I c - - - - - - - - - - - - - - 0 0 0 0 0 0 0 N N N N N N N I , . . . 0 <'> 0 0 0 0 0 (') (') (') <') (') (') (') <6 , <6 ,6 <6 <6 . '" (f) 0 0 0 0 0 0 0 f--_.._. .2 OJ .,., C 4-" ..... ~ >. rn3? ~ ~ g 0 '- C ill C g 0 'fi u 5 .;::; S 'E oucgwo_ ~ u,,<(>roQ)l" l1. "0 ill ~> :z: cXS ::l g> _ID ~ mroru-.,ul<= tl) E ......O(l)........'-'- :JOmo ~ o.b.Q!22.ill~ 2 ow.. ......-'C <p 5. () () (f) (j) 0..--0 <('-wo:J:J....QlO- O Q) '- ,-J.::;;:'~N.=.c 0 0::0.. o..(/)(/) I/) (/)l1. (/)u Q) o OJ> ~ o .0 <) c <( >. ~ _ro q;:lli O>~ ~Q. <(2 00.. Q) o ~ o o m Q. OJ> oS ro '0 ., Q. U) ~ o U ., "- OJ> oS ro '0 ., "- (/) OJ ill C (f) '""" III (f),...,. ~~o>i2o c: ~~ 0 c c () C Gi .c .- 0 C .c o c :2 SOU E c 0 "D () "E tnOO_cgro o~ gc: ~ Ol:!!i 0 Q) :':' <( 5 u: 0:::; 01:? <( l1. s;_~062 c_ E.-_-gm~~ ~lll E ~b~oIDg2~~roo~o~~~)O~ C"\JO::JI...(t)~Q)::;OQ)'-:JO:JQ)" w'-~O~-'c-~m~~~-'ct~ _~O~OOOOQOTI_CU~O~_U ~Gi:J'-""o:J_~_:Jv:Joo- O~$~w~~$8o&m~~~~8 en Q) o 0 ., 1ilc t; c cO o OJ> oro ",:::; ~23~ ~o.a -1: u <('- ;:; 0.,,;, 0:u) Q) o " 01 .m~{J)S ,f;w,... WOo O>"O~Cc tc..cC C1>]?c.- cOoO :t::o-SuoE oOeen _C(I)('\j Ou<C!,g QJ('\j<(<ULL '" & 2:>::: <<5:; c:::; _ 8 tj) .m ~ ;:.'a> 0 jg ~ E C]) o~"ill.2f.:.ill.E ~.a~ 01:: 0/ o.o_(j)(j) Ciuu <( 'ill ~ e .s <( ~ 0j e .s <3 00::0..0..(1)01/)(/)11.(1)0 Q) Q) o 0 ~ ~ .8 .8 0 0 m <l! Q. Q. OJ> OJ> oS oS ro ro '0 '0 '0 ., "- Q. (f) OJ .c OJ> .>:; " "i: C ro ., .c Iii ro ., c 0 ., x J ~ U) 0.. 0 l1. " <U " l1. Cij " ., ..J C .c >:: ..J 0 ., "- ::c t:: c OJ " > " t >, c ., if) OJ ro .0 <D (jj 0 ;:; .'" 0 ~ [ ...., 0 CJ Q) 0: co .. - -~..-.. ,- ~ .8 0 0 1:) m " o. "- "' OJ> oS oS ro (ij '0 '0 " " Q. "- OJ (/) ~ o o ., Q. OJ> oS OJ '0 m "- U) : (U !::;(ij ~ ~ 0,;:: 2 C1 ~, +., 2 .9 (1)-<->0 ~w lD .ill - a. a;2 r/! o~.E: c.: U L- a c 0 () o.c uug illU<( ~(j)>. o (J) i- 4_ tf) ro c: (,}}...., .- L- Q) (J) ~... -- tV Ij) L... \.l-IQ. o;~2 co.Q.. 15 i-eXi eco> o.g .S ~m:m u:::;;z 'll- mru ~ ,- o ::J r: "1::; o ::;J l- u~o "0 U5 '(:3 (!) ,,(j) o Qln ,8 ,g ~ c 0-- 'ill e 0 IX at~5 (1).= c (fiLL<C ~ . C' o C(1] cc_ o 0 Q) o w'e -0(1]"- ill 2 2 ~roo.. ~~06 U)u-g d>20 O:Ci5s O'J [J; c '0 2 0, i" LLO rut) C (j) s? g cv c s:: o "" ~ -(3 ':1) C .ill <( W", - ~ (1] (1] ~ ,~ ::J Q) o'C 28- t0Q: {:l) 0 ~ ~ if;: "0 o c e< ~(:' L m u.::w i"iS, i ct c6 C' oilc ill 0 (JJ en(1] ~ W:;; ~~o .2.20 00(1) 3:30. '-.... rJ) ~~c WW_ ~ , ~ ~ ~ ~ ~ ~ ~ 0 0 0 0 01 01 01 01 , , , , 0 0 0 0 0) (') (') <'} , , , ill (f) (f) (f) 0 0 0 0 . Q) ill Q) (/)_ ~>-Q '- g' Occ ~ 'E- COO "00 owO g~ ~ () ~ -0 OJ:;: <( L1. _~-~~-CQ)E !'-ufOmororo......... "'1''-5~o:;Q)~O ~ 0........... '-...... 'i': o'LL .........c (J (j) Q.. 0 Q.- "0 <( .- ';:I ID Q) :::I 0 0._ O&t)Q:G":i?n:m8 ill o Q) lllro (/) """' ~~~o .S' g03-G ljE oOv>c 8m () -0 ~ <( 0>> li:: '"0 Q) 0<::: >; c: > _ill mffi 00\;::(6 E ('1- E ~ ~ (j) g ::; 0 -.:;t 0...........- ..... "-' LL OC)'t::wOo.o..Uu "'--'.- d>:::::I 0 {l):::I_ <(w....z....=.:.bO 00:: n.WQ..L1.WU OJ o (J) ,S Q):Q ~ g c (!) ..c ,- :Bs oE 0_ c en ll:l ~ Q)<CU:: 06:JC>' _.- t5 15 ro E ~ * 2 e ill ,? co...... -- o.'c..... _U)(f) ill 0.."'0 <( .;..:. N .= e "6 O(()(jJ "-0. U CO o (J) c 0)}2 f! 2:''0 co.> 8c:,!; ES <:;oE 0-,- c U) ro COm <emu: 06 ?5 g> >,:'2: --Otl;::rnroE 0l(JJ::J8~~0 ~ ,,~ ~ .....~ .a IJ.. _if) (f) 0.. a. g-o <(~N.~e.sO OWWLL[L(()U OJ o -9 (; (; ~ 0 0 u u u (JJ fl) fl) fl) 0, "- "- D. en en en en c E E E m m , ro ro '0 '0 '0 '0 Q) fl) fl) (JJ "- "- "- "- W W (() W - ! [<l ill c '" UJ (jj c -'" o i= ~ o > fl) i'= -' '5 fU Q. Q:; c '3 f- (JJ .0 <( ro ~ (i U; fl) :;: E '" c o fl) -' ~,igl~~~fM~EJ~9~:~ig~~~~ ~~t~~lo'oC)26 i Structural Permit Application - 225 Fifth Stre,et. Springfield, OR 97477. PH(54 1)726-3753 . FAX(S41)726-3689 Date: - J-/ L' This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ''''ci;f;it,iiJ,Jii)2''',CO''C'A.''.!A;"G'O...V...E.R.''N....M.'E...'N.,,:i:A''';;;R'O'''V'A'''\\,'''''!lP~,iii::i;''t'' ~",\:~"d_tt1f_1t~i\.!;iZ(,fI'~..__<" "~~\,, ,'_ _"'" _"_,_,~.____,!."Ji, _~ ~r::_, _,_,__,__~'!h...1>;q~L~"t0:-,~~;ti This project has final land Muse approval. Signature: This project has DEQ approval. Signature: Zoning approval verified: Property is within flood,plain: Date: Date: DYes DYes DNo DNo o Residential 0 Government Commercial ~S'04t~uQ-'31sif(Ell~.K6BM~]i9~rA~Q~U:QCAT"i@\;l;~~: Job site address: 340<; S__. City: S~<Z-l F'='b State: OR ZIP: "14-,1 Subdivision: Lot no.: Reference: City: Phone: E-mail: This installation is being made on residential or fann property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.0 I O. Address: City: Phone: E-mail: CCB license no.: Print name: State: Fax: ZIP: Signature: ~ii!!:~.lfm$I,If31~i:1r'l;fR~ql!:9!j'[INF,i:1RMMiICl~l'I1'~!11Bii!ll.~ Name CCO License Number PhODe Number Electrical Plumbing Mechanical (a) Job. description: Occupancy Construction type: Square feet: . Cost per square foot: Other information: Type or Reat: Energy- Path: o new D alteration (b) Foundation-only petmit? Total valuation: o addition DYes (a) Permit fee (use valuation table): (b) Investigative fee (equal'to [2a]): (e) Reinspection ($ per hour): (nwnber of hours x fee per hour) (d) Enter 12% surcharge (,12 x [2a+2b+2c]): (c) Subtotat offccs abovc (2a through 2d): $ $ $ $ $ (a) Seismic fee, 1% (.01 x permit fee [2aD: TOTAL fees and surcharges (2e+3c+4a): $ t>..p'...u....cr \..to:"01l......-noo-l ~G\~\\ d.-.\\., l~C~=s.\l..l.C... ~.S" '\>.c... \023D ~.E. \lc.c0r\5 ~~. '5~ ~OO ~\~\~1.1'...l-"1:>. \.It.. '1Bo~$, . C.Ol'L"O<CC': ~ c..;;u. ~(t.'il.\c..~ ~G..L: 42..13> -'0'2.-7' 2-toD ~: 4z.s... 6z.~ - lie",'! Aftf2.J?5€rfttJ ~- f /kJ /r72L1-f . ~A1 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Ftfth 51 Springfield, OR 97477 541"726-3753 www.ci.springfield.or.us 811-SPR2010-00269 3405 GATEWAY ST pe rrnitce nter@ci.springfield , or. us RECEIPT NO: 2011000064 RECORD NO: 811-SPR2010-00269 DATE: 01/07/2011 lDE5CRf[tI6Nl::!:~~~..~~fffi~~~~~~:i~fi~~\1:0?i:;l~~~~;~.t:~:~;7;';~~7l~~:ACCol.fNT2coi5E;4rl'ltP~mr:l,~~:,;':t~':.~\t'AM(j.UNT1O:UE~C::~~Y\",j,t.::, _,_~min f~~.L~% of applicable fees) 224-00000-4:z.6605 34.20 Building.P~rrn~t Fee 224-00000-425602 1,319,25 Deferred Submittal 224-00000-425602 342,00 ~--~---_._-,-_. ~e, Life, Safety Plan Review 224-00000-'!2560~___~______.!527.70 ____ __State of~.~~o-" Surcharge (12% of aeplicable fees.L___~~000-2!..?.o04 158.31 Technology fee (5% of permit tot~1) ______ 100-00000:425305_. 83.06 TOTAL DUE: 2,464.52 ljjRAXMI;.tf.T 'T;Y[Eti.;;~'PAY"EI~f;t1;""I;:;-cAsHiirR"DB~cSBY> ~.':~C.QMMENJ;S;1.::r::'!tiji:L';,:';i' ,: C;t;;~,-':~M_Q.UJII];,RAIP:(_~"': . ,,;L.i::J Check rich duncan construction inc $2,464.52 10771 TOTAL PAID: $2,464.52 ... 41,; ." . '.",';[1. S,:~~.N~~ ~~ ~OREGON www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00269 3405 GATEWAY $T CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 pennitcenter@ci.springfield,or.us RECEIPT NO: 20 I 0000289 RECORD NO: 8 I I -SPR20I 0-00269 :,. DATE: 09/09/2010 [DE((t~JP,tlC:lN'.~~"7,~;tz:'~lt~:;.':*\~:":,;~g~J;:' 'J~.:'-<~~~rtt::;j/t'~;:;~<7it~c_c-,j.l)N~t19"O:QE'~;;K~\;~jymit: }SM{:))ir:ttiR.U_~";', ',;:.<{" ~.'~'0 ~'.\\, :1 Structural Plan Review Fee Commercial .., . .: ,:100-00000-425602 $857.51 TOTAL DUE: $857.51 I~PAYMENT,JYF1E;:' ;:PA'I'ClR",,,:3l:CASHII:'R'DBOwCSBYlllio,:iCOMIWE"N'fs~',;"::~"""" 'ice'i: '~AMOUNT'PAID, ,'" "j t _ "'. . _ ~ _ .._ "'. .... -, ~ ._..~ __ u ~ '_M~' ,. . "_"~_'_'""_'..._" ",,~ " Check 19130 freiheit and ho architects inc ps $857.51 $857.51 -"~":-- .... "Q, '~:. . .;.~F' ''':'.r__ .', ,", ~ '( "!1.j"" ' .. ,,~ """.-;'-."':''>.';I~ . ~ :'1 "'I ...~~'--. ...,' ,';' ";"1- .'-..r._+ ~'.. '. ~: '. . .."...,~ ~