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Home My WebLink AboutPermit Building 2003-3-18 r j , ..,.....11~M'~~fiJ~"'~\ ;'"r . - '. , Jr Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , .'?"~~..'M. S CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2002-01387 ISSUED: 03/18/2003 APPLIED: 12/17/2002 EXPIRES: 09/18/2003 VALUE: $ 372,496.00 SITE ADDRESS: 2575 Olympic St ASSESSOR'S PARCEL NO.: 1703254101001 Springfield TYPE OF WORK: Restaurant TYPE OF USE: New Commercial PROJECT DESCRIPTION: Kentucky Fried Chicken Building Owner: LARIOT CORP Address: 390 E MCANDREWS MEDFORD OR 97501 Contractor Type Architect General Electrical Mechanical Owner Plumbing Phone Number: 541-776-5008 I CONTRACTOR INFORMATION. Contractor POAGE ENGINEERING DAVID BLAIN HARDING ELECTRIC INC COMMERCIAL AIR INC LARIOT CORP JACO Phone 541-485-4505 688-1635 541-688-5006 541-461-4821 541-776-5008 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Cpnstruction Type . "'::.:: ~ . Seconda~fConstruction Type: # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License Expiration Date 132089 110075 0210112004 12/18/2005 ~. I BUILDING INFORMA TI~~ ~\.) ~ # of Stories:..c. \~~ ~ ~~ 1 Lot Size: B Heighl.MlC~'\ ~ (;)~ Sq Ft 1st Floor: ~:If,t\,-(i ~~~\) ~ Sq Ft 2nd Floor: VN ~'~e ~~\... Sq Ft Basement: ~~. ..\\\ ~ t~ . Sq Ft Garage/Carport ~~"\'\~'t~~''t\) ~~~~th: Sq Ft Other: "\~~\>..~~~('~\) ~o't~~ · Impervious Surface Area: \l'-~~~'{mt~PMENT INFORMATION I' \0 ~~~ . '1 s':lo\}1.'l~QUIRED PARKING r ';.).\'(0 \)\\\\\. 'f'lX"' Overlay Dist: ~-.t1'(e~ '(e9P~ e\~OAal; # Street Trees Rqd: eQ;O~ \;. \"(\00 e'(0 i:) ~'2!l'arlaicapped: Paved Drive R9d'\~O'( :teO 'Q':I e '(\}\0S01>-~ Q) Q.9m~1ct: ...~"\\V OO~ "'("(\OS t\"(\ ~0 W' ,~e % of Lot\Ciovef\!!ge~ {\\0'<. t".. \"(\~O\}';> S 0' ~ \t;;'Ql(\O . O~ P'\ ~ '(\,) C0 l'\,fJ..... v 0'9\0 \0\ 1,1 ~\'f. \O\\~ _o.~O'(\_ (\(\.....'Vl_~Q.\~ C. _~ot.\'(\e, ~O~,~ I PUBLIC IM'P~QiciB~~(l's.t~~\e'(' ~~~ U\\~\.l~M' \\ Q \ - ~ra ;.J Q(e~ ",l"l ~~" fJfJ'lJ . \~\'(\~ ~ '( \'(\'0 . Sid,ejv.aIK Type: I C'O-' '( \0 :\ \'21 "\ ~\}~'Qe ce'(\\0 Downspouts/Drains: 2,952 Yes To Storm Sewer ";t';> Paee 1 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Bid Amount Tvpe of Construction Use Bid Amount Fee Description Plan Review CommlInd/Public + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Air Handling Unit Up to 10,000 Appliance Vent Backflow Device Building Permit Exhaust Hoods Fixture Gas Outlets 1-4 Gas Outlets 4+ Heat Pump Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Plan Review Fire & Life Safety Planning Final Occy Inspection Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Vent Fan Water Line - 1st 50 Feet Water Line - Each Addtll00' -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2002-01387 ISSUED: 03/18/2003 APPLIED: 12/17/2002 EXPIRES: 09/18/2003 VALUE: $ 372,496.00 I Valuation Descriotion I $ Per Sq Ft $1.00 Square Footaee 150,000.00 Value $150,000.00 $150,000.00 Date Calculated 12/17/2002 Total Value of Project ~ Amount Paid $473.30 $223.92 $156.74 $291.00 $8.00 $24.00 $6.00 $56.00 $728.15 $27.00 $476.00 $4.00 $3.00 $36.00 $63.00 $300.00 $327.67 $118.00 $45.00 $1,141. 72 $1,502.12 $28.00 $10.00 $422.96 $7,112.72 $493.56 $54,312.70 $12,309.51 $6,331.46 $45.00 $42.00 $6.00 $45.00 $14.00 $10.00 $112.14 $78.50 $1,121.40 Date Pai Receipt Number 1200200000000000408 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000846 1200200000000000915 1200200000000000915 1200200000000000915 1200200000000000915 12/16/02 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 ' 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/18/03 3/31/03 3/31/03 3/31/03 3/31/03 Paee 2 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pho'ne 541-726-3676 Fax 541-726-3769 Inspection Line Paving Plan Review CommlInd/Public Plan Review Fir~ & Life Safety Total Amount Paid Fire Department Review 12/17/2002 Initial Review Plan nine Review 12/17/2002 12117/2002 $575.40 $728.91 $448.56 $90,315.98 I Plan Reviews 1 01/16/2003 12117/2002 01117/2003 OK APP APP Paee 3 of5 3/31/03 3/31/03 3/31/03 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2002-01387 ISSUED: 03/18/2003 APPLIED: 12/17/2002 EXPIRES: 09/18/2003 VALUE: $ 372,496.00 1200200000000000915 1200200000000000915 1200200000090000915 GRG Plan Review: Restaurant; B Occupancy; Type V-N construction; 2840 sq. ft. Post address numbers visible from the street (Oregon Structural Specialty Code 502; Springfield Uniform Fire Code 901.4.4) Provide "K" type extinguisher within 30 feet of the commercial food heat processing equipment. (SUFC 1002.1) Provide 2-A:I0-B:C extinguishers within 75 feet travel distance (SUFC 1002.1) Call Deputy Fire Marshal Gilbert Gordon for witness testing of kitchen hood smoke dampers (541-726-2293). Provide commercial kitchen hood and duct fire extinguishing system submittals for review and approval by the Springfield Fire Marshal's Office. Contact Deputy Fire Marshal Gilbert Gordon for submittal requirements. LLH AJD Planner is Jim Donovan, 2002-07-214. Called applicant 12-26-02 to request a planting and irrigation plan. Planting plan submitted 1/16/03. Final Site Inspection to be done before grantin of occupancy. __ ~,~I:U~,g~I~..gi L~~li!ifj!l r ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Ins~ection Line Public Works Review' 01/21/2002 01/22/2003 WE Public Works Review 01/28/2003 02/20/2003 APP Revised Plans Received/Ro 02/2012003 Structural Review 12/17/2002 02/04/2003 WE Structural Review SUB Review SUB Review 03/14/2003 12/17/2002 12/17/2002 03/14/2003 12/26/2002 12/1712002 APP WE 10 SUB Review 12/26/2003 01/15/2003 APP CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2002-01387 ISSUED: 03/18/2003 APPLIED: 12/17/2002 EXPIRES: 09/18/2003 VALUE: $ 372,496.00 PJO Waiting for dumpster enclosure information. See attached memo. Called Don Mogstad, Poage Engineering, for clarification of southwest catch basin. Received trash enclosure design today. Supplemental Trash enclosure on 2-20-2003 Faxed Don Mogstad at Poage 4 requirements for Structural approval on 2/4/2003. PJO JMP JMP JF LLH See Attached Documents Received energy forms from Poage Engineering via fax. Sent to Jack Foster Per phone message from Jim Anderson "X" lighting fixtures are for emergency lighting. Emergency lighting is exempt from energy code compliance. Corrected energy code forms will be sent. 1/15/03 pass building enevelope and lighting energy code requirements. HV AC code forms to be provided when available. I have no objection of issuing permit CONDITIONAL on future review and compliance of HV AC to energy code. 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. ~eouireCUnsnections . 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or, foundation inspection. 2 Footing: After trenches are excavated. 3 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 4 Shear Wall Nailing: Before covering sheathing with finish materials. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 Wall Insulation: Prior to cover. 7 Ceiling Insulation: Prior to cover. 8 Roofing: Prior to installing any roof covering. 9 Drywall: . Prior to taping. ' 10 Masonry: Paee 4 of5 "";..-~~~l~p,f.;I~,~9:,,",,: ,~... ... 1 ' * CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2002-01387 ISSUED: 03/18/2003 APPLIED: 12/17/2002 EXPIRES: 09/18/2003 VALUE: $ 372,496.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 11 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. 12 Roof Sheathing/Nailing: Before covering sheathing with finish material. 13 Ceiling Grid: After drywall approval but prior to cover. 14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 15 Final Fire Department. After all requirements of the Fire Department have been met. 16 Final Building: After all Conditions have been completed as required on Development Agreement. 17 Final Building: After all required inspections have been requested and approved and the building is complete. 18 Rough Grading: After gravel is in place but prior to placing concrete. 19 Final Paving: After paving is complete. 20 Underground Plumbing: Prior to filling the trench and including required testing. 21 Rough Plumbing: Prior to cover and including required testing. 22 Water Line: Prior to filling trench and including required testing. 23 Sanitary Sewer Line: Prior to filling trench and including required 'testing. 24 Storm Sewer Line: Prior to filling trench. 25 Grease Trap: Prior to Cover. 26 Final Plumbing: When all plumbing work is complete. 27 Rough Mechanical: Prior to Cover 28 Final Mechanical: When all mechanical work is complete. 29 Underground Electric: Prior to cover 30 Rough Electric: Prior to Cover 31 Electric Service: Approval required prior to utility company energizing service. 32 Final Electric: When all electrical work is complete. 33 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 34 Gas Serv!ce: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 35 Final Gas: When all gas 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 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 tim" T]:'~;.~ ~ ( G? ~\; B ') " -- Owner or Contractors Signature 31"3 \- ~? ,/ Date Paee 5 of5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-01387 COM2002-0 13 8 7 COM2002-01387 COM2002-0 1387 COM2002-0 1387 COM2002-01387 COM2002-0 1387 COM2002-01387 Payments: Type of Payment Check Paid By Receipt #: 1200200000000000915 Date: 03/31/2003 Description Plan Review CommJIndJPublic Plan Review Fire & Life Safety Building Permit + 7% State Surcharge + 10% Administrative Fee Paving + 10% Administrative Fee -Mechanical Issuance Fee- Received By Check Number Confirm No POAGE ENGINEERING djb Page I of 1 3/31/2003 . 1:53:57PM . City of Springfield Development Services Department Public Works Department Official Receipt .. Amount Paid 728.91 448.56 1,121.40 78.50 112.14 575.40 57.54 10.00 Line Item Total: $3,132.45 How Received Amount Paid In Person 3,132.45 $3,132.45 Payment Total: cReccipt.rpt LEGAL DESCRIPTION 1703 25~1 gl ~~~b-Family per dwelling unit. 'D35 \'De '>ice Included: 0/00 J , u\)f(\i\\eo eC\\\C \3(\ Items c' .p 5 ile 59 , Q 910\e 0\ le(\U W . "I\CN-!$\ " oeS (\ \\"\E~ 1--' ' e.{\O 0 ,0 Cost ,225 FIFTH STREET , '" SPRINGFIELD, OREGON 974,77- INSPECTIONREQUl2ST: 72~~~ OFFICE: 726-3759/'-,: ," 't~,':; , " " 'ff ~-~, -~'ijf~;~: .2f JOB DESCRIPTION lLF'- $106,00 ." ,...\ f).\J\J\v'e. 1.0(\\(\9 Permits me non-transferable and expire if work is not started within 18p ~aY , ,\'Aule cJt\ - 5\9- v of issuance or if work is suspended .fof\i-eo, '. '. J\.\IV .180 days. ~. sq. lereof Each Mam1f'd Home or Modular Dwelling Service or Feeder $ 19.00 $ 50.00 B. Services or Feeders Installation, Alter Relocation: Address j DJ 9 City ~Uflenc :;Address3'96 < Gf:'; :' .:"'i;' ...; t; , .-:t.r' ,. City~V.: Ph, N.~ , Owners Signature: :, E " \Or J~ . "J'~,>0 \'_" " Ibv~ .\". ,,\0 '& . _ \C;S '- ,~\\.:,\:. '~i ;',,\'..>' "\;.". f'\t'- "J" ,.;'0 '\' ).)A. \ 'I':' ,\' .Ji , I.'.)' "; ,,\.) , , ,,'x' ~\$ ,"""'_~ . ,! '.,J \ . , 'y-, :. .,"') % 11 ~,. . ,\\', ('<0' f"X 'i 0' ,'(\r~ Co, '< q' jt . 0,\\' {': c, .\"\<:>'...",. ',,<;'."., ", ~" , . \ >~'\: ~ \0'; .\' ~~.:~~:~:t"::::;;'i",i, i v,-;\"M-i~frtiu'mElectricJ>ermit Jnspcction Fee is $45.00 + Surcharges l ~.. ~'<~':r('l"~,::,.:':,:::;';~~<~/<"~{,, ,- $25,00 $45.00 -, ,-' ,- "-"- ',' ., ....:,.;.,.:. "'-" : ,~- .;..,....'.:.." . OWNER INSTALLATION The instal1ationi~beiIlg:,Il1<ld property lo\vnwhicll'uoti . for sale,' 'leaseorf~~, TOTAL h S \of <- '1 )-' IJ' /;, ') 'fO 7{. ~ ~ 4. SUBTOl.'t\.l,pr ABOVE 7% State Surcharge , 8% Adrr!iriistrativcFce """-..;~..".. Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2002-01387 ISSUED: 03/18/2003 APPLIED: 12/17/2002 EXPIRES: 09/18/2003 VALUE: $ 150,000.00 SITE ADDRESS: 2575 Olympic St ASSESSOR'S PARCEL NO.: 1703254101001 Springfield TYPE OF Restaurant TYPE OF USE: New Commercial PROJECT DESCRIPTION: Kentucky Fried Chicken Building Owner: LARIOT CORP Address: 390 E MCANDREWS MEDFORD OR 97501 Phone Number: 541-776-5008 Phone Number: 541-776-5008 I CONTRACfOR INFORMATION. Contractor Type Architect Owner Contractor POAGE ENGINEERING LARIOT CORP License Expiration Date Phone 541-485-4505 541-776-5008 # of Buildings: Primary Occupancy Group: Secondary Occupancy Vrimary Construction Type Secondary Construction # of Bedrooms: B BUILDING INFORMATION. .<j 1-' , I/t, iOq, / <S;J . Lot Size: Ii; O~2 'tt.-/: V//Q Sq Ft 1st Floor: 00 O-<!IYC'C(~o (;/{9.s- ~~~ Ft 2nd Floor: (90 .9~ I") ^ c?,.",Sq/Ji;t. Basement: o .).; U_"" 1,..$ vc'k- ''''I''; '>~ ~~. 0(; <="'00 I')/- ~qs.FH,arage/Carport ~6. 1'),,9 0 0~ /'Q $/S~Ft~!Re~: ~,.. to (9 c ~ 06" V'dIJ1P~rvi69s~\9"face Area: r. '1":... &,"L ~N.' OS. & h n. "1".0 I DEVELOPMENT INFORMATIIi>N(I:~~ 0: O~:~-5 v/&.s- ~:.g-O/)t,:o(; JI, ....? &.90 016) 6>.s- caEQl?JlREB'PAlRKING <9(2 ~ ~ .'1}>. O;"InL fry Q \)&1 ....1/1- Overlay Dist: V,?:'} ~~~ $1... 'FoJal:~ 10..." <.Tv- '.Y ...~ - //. "f) . r/- # Street Trees ~<2 'Vo .~~~nd!.~W!~: Paved Drive Rqd: U><7'll.J ~I)(..c;~p~act~ :/. ~~." O/) # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: 2,952 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: % of Lot Coverage: Street Storm Sewer Available: Special Instruction: N^. e'- '::'" ~ !pUBLIC IMPROlRei CO~ r;o~L ~~l' Sidewalk Type: Yes -4lVr /1ff.'IVC~f.'O ~$~~ownspouts/Drains (90 ~O ~a (~ 0-4r o~ (<'~); ~~~ Pf.'~ 1$ -4~ ~$ ~ /,to VOQ r.<J1v/1:f.'~AIf~~'4' ' , C'v.s J, h'(/~ ' I Valuation Description I () J:-oI IvO//( To Storm Sewer Notes: Description Type of Construction $ Per Sq Ft Square Footaee Value Date Calculated 1 of 5 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount CITY OF SPRING~lELD - Building/Combination Permit PERMIT NO: cOM2002-01387 ISSUED: 03/18/2003 APPLIED: 12/17/2002 EXPIRES: 09/18/2003 VALUE: $ 150,000.00 $1.00 150,000.00 Total Value of Project $150,000.00 $150,000.00 12/1712002 I Fees Paid I Fee Description Amount Paid Date Receipt Number Plan Review CommlInd/Public $473.30 12/16/02 1200200000000000408 + 10% Administrative Fee $223.92 3/18/03 1200200000000000846 + 7% State Surcharge $156.74 3/18/03 1200200000000000846 Add, Alter, Extend Circ Ea Add $291.00 3/18/03 1200200000000000846 Addressing Assignment $8.00 3/18/03 1200200000000000846 Air Handling Unit Up to 10,000 $24.00 3/18/03 1200200000000000846 Appliance Vent $6.00 3/18/03 1200200000000000846 Backflow Device $56.00 3/18/03 1200200000000000846 Building Permit $728.15 3/18/03 1200200000000000846 Exhaust Hoods $27.00 3/18/03 1200200000000000846 Fixture $476.00 3/18/03 1200200000000000846 Gas Outlets 1-4 $4.00 3/18/03 1200200000000000846 Gas Outlets 4+ $3.00 3/18/03 1200200000000000846 Heat Pump $36.00 3/18/03 1200200000000000846 Perm Serv/Fdr 200 amps or less $63.00 3/18/03 1200200000000000846 Perm Serv/Fdr 201 to 400 amps $300.00 3/18/03 1200200000000000846 Plan Review Fire & Life Safety $327.67 3/18/03 1200200000000000846 Planning Final Occy Inspection $118.00 3/18/03 1200200000000000846 Sanitary Sewer - 1st 50 Feet $45.00 3/18/03 1200200000000000846 Sanitary Sewer - Improvement $1,141.72 3/18/03 1200200000000000846 Sanitary Sewer - Reimbursement $1,502.12 3/18/03 1200200000000000846 Sanitary Sewer Each Addtll00' $28.00 3/18/03 1200200000000000846 SDC MWMC Administration $10.00 3/18/03 1200200000000000846 SDC MWMC Improvement $422.96 3/18/03 1200200000000000846 SDC MWMC Reimbursement $7,112.72 3/18/03 1200200000000000846 SDC Transpo Admin $493.56 3/18/03 1200200000000000846 SDC Transpo Improvement $54,312.70 3/18/03 1200200000000000846 SDC Transpo Reimbursement $12,309.51 3/18/03 1200200000000000846 Storm Drainage Impervious Area $6,331.46 3/18/03 1200200000000000846 Storm Sewer - 1st 50 Feet $45.00 3/18/03 1200200000000000846 Storm Sewer Each Addtll00' $42.00 3/18/03 1200200000000000846 Vent Fan $6.00 3/18/03 1200200000000000846 Water Line - 1st 50 Feet $45.00 3/18/03 1200200000000000846 Water Line - Each Addtll00' $14.00 3/18/03 1200200000000000846 Total Amount $87,183.53 I Plan Reviews I 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit Status: Issued PERMIT NO: COM2002-01387 225 Fifth Street, Springfield, OR ISSUED: 03/18/2003 APPLIED: 12/17/2002 541-726-3753 Phone EXPIRES: 09/18/2003 541-726-3676 Fax 541-726-3769 Inspection Line VALUE: $ 150,000.00 Fire Department Review 12/17/2002 01/1612003 OK GRG Plan Review: Restaurant; B Occupancy; Type V-N construction; 2840 sq. ft. Post address numbers visible from the street (Oregon Structural Specialty Code 502; Springfield Uniform Fire Code 901.4.4) Provide "K" type extinguisher within 30 feet of the commercial food heat processing equipment. (SUFC 1002.1) Provide 2-A:I0-B:C extinguishers within 75 feet travel distance (SUFC 1002.1) Call Deputy Fire Marshal Gilbert Gordon for witness testing of kitchell hood smoke dampers (541-726-2293). Provide commercial kitchen hood and duct fire extinguishing system submittals for review and approval by the Springfield Fire Marshal's Office. Contact Deputy Fire Marshal Gilbert Gordon for submittal req uiremen ts. Initial Review 12/17/2002 12117/2002 APP LLH Plan nine Review 12/1712002 01/17/2003 APP AID Planner is Jim Donovan, 2002-07-214. Called applicant 12-26-02 to request a planting and irrigation plan. Planting plan submitted 1/16/03. Final Site Inspection to be done before grantin of occupancy. Public Works Review 01/21/2002 01/22/2003 WE PJO Waiting for dumpster enclosure information. See attached memo. Called Don Mogstad, Poage Engineering, for clarification of southwest catchbasin. Public Works Review 01/28/2003 02/20/2003 APP PJO Received trash enclosure design today. Revised Plans Received/Ro 02/20/2003 Supplemental Trash enclosure on 2-20-2003 Structural Review 12/17/2002 02/04/2003 WE JMP Faxed Don Mogstad at Poage 4 requirements for Structural approval on 2/4/2003. Structural Review 03/14/2003 03/14/2003 APP JMP 3 of 5 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2002-01387 ISSUED: 03/18/2003 APPLIED: 12/17/2002 EXPIRES: 09/18/2003 VALUE: $ 150,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Review SUB Review 12/17/2002 12/17/2002 12/26/2002 12/1712002 WE JF 10 LLH SUB Review 12/26/2003 01115/2003 APP JF See Attached Documents Received energy forms from Poage Engineering via fax. Sent to Jack Foster Per phone message from Jim Anderson "X" lighting fixtures are for emergency lighting. Emergency lighting is exempt from energy code compliance. Corrected energy code forms will be sent. 1/15/03 pass building enevelope and lighting energy code requirements. HV AC code forms to be provided when available. I have no objection of issuing permit CONDITIONAL on future review and compliance of HV AC to energy code. To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will he made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reouired Insoections I 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 4 Shear Wall Nailing: Before covering sheathing with finish materials. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 Wall Insulation: Prior to cover. 7 Ceiling Insulation: Prior to cover. 8 Roofing: Prior to installing any roof covering. 9 Drywall: Prior to taping. 10 Masonry: 11 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. 12 Roof SheathinglNailing: Before covering sheathing with finish material. 13 Ceiling Grid: After drywall approval but prior to cover. 14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 15 Final Fire Department. After all requirements of the Fire Department have been met. 16 Final Building: After all Conditions have been completed as required on Development Agreement. 17 Final Building: After all required inspections have been requested and approved and the building is complete. 18 Rough Grading: After gravel is in place but prior to placing concrete. 19 Final Paving: After paving is complete. 20 Underground Plumbing: Prior to filling the trench and including required testing. 21 Rough Plumbing: Prior to cover and including required testing. 22 Water Line: Prior to filling trench and including required testing. 23 Sanitary Sewer Line: Prior to filling trench and including required testing. 4 of 5 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2002-01387 ISSUED: 03/18/2003 APPLIED: 12/17/2002 EXPIRES: 09/18/2003 VALUE: $ 150,000.00 24 Storm Sewer Line: Prior to filling trench. 25 Grease Trap: Prior to Cover. 26 Final Plumbing: When all plumbing work is complete. 27 Rough Mechanical: Prior to Cover 28 Final Mechanical: When all mechanical work is complete. 29 Underground Electric: Prior to cover 30 Rough Electric: Prior to Cover 31 Electric Service: Approval required prior to utility company energizing service. 32 Final Electric: When all electrical work is complete. 33 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 34 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 35 Final Gas: When all gas 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 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. ~ ~~~ / ;::--~~ Owner 9T Contractors Signature y~ / J-- 0...3 Date 5 of 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-0 1387 COM2002-01387 COM2002-01387 COM2002-01387 COM2002-01387 COM2002-0 1387 COM2002-01387 COM2002-0 13 87 COM2002-01387 COM2002-01387 COM2002-01387 COM2002-01387 COM2002-0 13 87 COM2002-01387 COM2002-01387 3/18/2003 1:12:l3PM. City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000846 Date: 03/18/2003 Oescription J Amount Paid 327.67 8.00 118.00 6,331.46 1,502.12 1,141.72 12,309.51 54,312.70 7,112.72 422.96 10.00 493.56 728.15 45.00 28.00 Plan Review Fire & Life Safety Addressing Assignment Planning Final Occy Inspection Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin Building Permit Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Page 1 of3 cReceiptrpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone COM2002-0 1387 COM2002-01387 COM2002-01387 COM2002-0 13 87 COM2002-0 1387 COM2002-0 13 87 COM2002-01387 COM2002-01387 COM2002-0 1387 COM2002-0 13 87 COM2002-01387 COM2002-0 13 87 COM2002-0 13 87 COM2002-0l387 COM2002-01387 COM2002-01387 COM2002-0 1387 3/18/2003 1:12:13PM, City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000846 Date: 03/18/2003 Water Line - 1st 50 Feet 45.00 Water Line - Each AddtllOO' 14.00 Storm Sewer - 1st 50 Feet 45.00 Storm Sewer Each Addtl 100' 42.00 Air Handling Unit Up to 10,000 24.00 6.00 Vent Fan Exhaust Hoods 27.00 Appliance Vent 6.00 Gas Outlets 1-4 4.00 Gas Outlets 4+ 3.00 Heat Pump 36.00 Perm Serv/Fdr 200 amps or less 63.00 300.00 291.00 Perm Serv/Fdr 201 to 400 amps Add, Alter, Extend Circ Ea Add Fixture 476.00 Backflow Device 56.00 + 7% State Surcharge 156.74 Page 2 of3 cReceipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone COM2002-0l387 Payments: Type of Payment Check Paid By Receipt #: 1200200000000000846 Date: 03/18/2003 + 10% Administrative Fee Received By Check Number Confirm No L & B HOLDINGS LLC djb Page 3 of3 3/18/2003 1:12:13PM, City of Springfield Development Services Department Public Works Department Official Receipt 223.92 . Line Item Total: $86,710.23 How Received Amount Paid In Person 86,710.23 $86,710.23 Payment Total: " cReceipt.rpt A TT ACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER COM2002-0I387 NAME OR COMPANY: KENTUCKY FRIED CHICKEN LOCATION: 2575 OLYMPIC STREET MAP & TAX LOT NUMBER: 17-03-25-41 1000 DEVELOPMENT TYPE: FAST FOOD NEW DEVELOPED AREA (S,F,): EXISTING DEVELOPED AREA (S,F,): TOTAL IMPERVIOUS SURFACE (S,F.): " ,. '" L STORM DRAINAGE IMPERVIOUS SQ, FT 22,452 2, SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's 68 B. IMPROVEMENT COST: NUMBER OF DFU's 68 (SEE REVERSE SIDE) 4, SANITARY SEWER- MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 2,95 B. IMPROVEMENT COST: NUMBER OF FEU's 2,95 MWMC CREDIT IF APPLICABLE (SEE REVERSE) j.~ "" 2,952 ITE: ITE: LOT SIZE (S,F.): 834 22,452 30928 x $ 0,282 PER SF TOTAL STORM DRAINAGE SDC:j $ 6,331.46 x $ 22,09 PER DFU 1$ x $ 16,79 PER DFU j$ TOTAL LOCAL W ASTEW A TER SDC:I $ 2,643.84 I 0,5 NTF I $ 12,309.51 I NTF 1$ 54,312.70 I 3, TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PERADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 2,95 x 496,12 x $ 16,81 PER TRIP x B. IMPROVEMENT COST: 2,95 x 496.12 x $ 74,17 PER TRIP x 0,5 TOTAL TRANSPORTATION REIMBURSEMENT SDC: $ 12,309.51 TOTAL TRANSPORTATION IMPROVEMENT SDC: $ 54,312.70 TOTAL TRANSPORTATION SDq $ 66,622.21 I x $2,409.46 PER FEU 1$ 1$ 422.96 I $ $ $ $ 7,112.72 I x $143,28 PER FEU TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC:I $ 7,545.68 I 5, ADMINISTRATIVE FEES: SUBTOTAL (ADD ITEMS 1,2, 3, & 4) 1$ 83,143.191 BASE CHARGE (SUBTOTAL ABOVE) $ 'PClVl.A..eLClJ. OWVl-b elj SDC COORDINATOR com2002-01387, KFC, 2575 Olympic.xls 83,143.19 x 5% $ 4,157,16 TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOTAL SEWER ADMINISTRATION FEE: $ 1/28/2003 DATE TOTAL SDC CHARGES J $ 87,300.351 JULY 2001 ~ 4',,) DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) ," "'7, FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO W ASH/ETC. LAUNDRY TUB CLOTHES WASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TOR/WATER ST ATION/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK' COMMERCIAL BAR SINK: WASH BASIN/DOUBLE LAVA TORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, ST ALLlW ALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE' INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S* FIXTURES NEW OLD UNIT EQUIVALENT 3 1 3 3 6 2 3 6 12 1 3 2 2 3 2 2 1 5 6 3 4 1 2 8 2 2 1 2 TOTAL DRAINAGE FIXTURE UNITS= *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day DRAINAGE FIXTURE UNITS o o 12 3 o o 6 o o o 24 o o o o 4 2 5 12 o CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 RATE PER $1,000 ASSESSED VALUE $ 4.92 $ 4.83 $ 4.77 $ 4,64 $ 4.47 $ 4.30 $ 4.09 $ 3,78 $ 3.41 $ 2.98 $ 2,52 YEAR ANNEXED 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXA TION DATE) com2002-01387, KFC, 2575 Olympic,xls RATE PER $1,000 ASSESSED VALUE $ 2,06 $ 1.64 $ 1.45 $ 1.31 $ 1.13 $ 0,97 $ 0,82 $ 0.63 $ 0.41 $ 0.22 $ 0,04 x X CREDIT TOTAL $0.00 $0.00 $0,00 o o o 68 JULY 2001