HomeMy WebLinkAboutPermit Building 2010-6-2
Structural Permit Application
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CJj..vIZOro- en:::, 701;;,
Permit no.:
I . arfy: OF SPRINGFIELD, ORES:;ON_-:--~_~
225 Fifth Slreet. Springfield, OR 97477. PH(54 1)726-3753 . FAX(54!)726.3689
Date: -Z-/O
This permit is issned 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.
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This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
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o Residential. 0 Government Commercial
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J I..- t> State: 0 (2... ZIP: "/11
Address:
City:
Phone:rll
E-mail:
Signature';
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Name CCB License Number Phone Number
Electrical
Plumbing
Mechanica~
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(a) Job description: fi1!~f D(c'Pr. R.b ('vODE L-
Occupancy PJ-L t.UAlv
Construction type: IJ -8
Square feet: 'ID5'1
Cost per square foot: 11f1.1
Other information:
Type of Heat:
Energy Path:
o new o alteration o addition
(b) Foundation-only permit? DYes ONo
Total valuation: I ~ OCt!
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,2'iBuild!gg.f~es ,.0: "~" _..c-:' ,- _ - "__. '.., .
(a) Permit fee (use valuation table): $
(b) Investigative fee (equal to [2a]): $
(c) Reinspection ($ per hour): $
(nu~ber of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): $
(e) Subtotal of fees above (2a through 2d): $
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(a) Plan review (65% x permit fee [2a]): $ 3'17. 3 ~
(b) Fire and life safety (40% x permit fee [2a]): $ .;/4~.s-~
(c) Subtotal offees ahove (3a and 3b): $ 6~'.(P...
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'''!iNIisciillaneous:.fees''''" '.' .. J . . . " '.' .. .'
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(aJ Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees aod surcharges (2e+3c+4a): $
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: COM2010-00706
IVR Number: 210100866103
www.ci.springfield.or.U5
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
02/02/2011
06/02/2010
Issued
02/02/2011
225 Fifth St
Springfleld,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
EXPIRES:
VALUE:
08/01/2011
$80,000.00
SITE ADDRESS: 1920 Olympic St, Springfield
ASSESOR'S PARCEL NO: 1703254201601
SCOPE: Grocery Store
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
WINCO: Meat Dept. remodel
Phone Number:
OWNER:
ADDRESS:
WINCO FOODS LLC
PO BOX 5756
BOISE 10 83705
CONTRACTOR INFORMATION ~
Contractor Type
Mechanical Contractor
Plumbing Contractor
General Contractor
Contractor Name
SOURCE REFRIGERATION & HVAC INC
D AMYX CONSTRUCTION INC
D AMYX CONSTRUCTION INC
Lie Type
CCB
CCB
CCB
Lie No
149200
181110
181110
Phone
714-578-2300
971-221-9991
971-221-9991
Lie Exp
10f01/2011
03/20/2012
03/20/2012
Lot Size:
Sq Ft 1 st Floor:
Sq Ft2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy load:
Electrical Specialty Code Edition: 2008
Springfield Fire Code Edition:
# of Units:
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
Construction Type
Occupancy Type
Occupancy.
Comments
VB
M
Remodel Meat Dept.
# of Bedrooms:
Sprinkled Building: Y
Fire Alarms:
Energy Path:
Mechanical Specialty Code Edition:
Municipal! Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
2007
2008
2007
Site Information
I
Engineered Fill:
Fill Volume: " .
FI d H d -^TTENTION: Oregon law requires you to
00 azar ""'at U Tt
Land Hazard Afli!\l"w rules adopted by the Oregon tl i Y
o Retaining waftlotification Center, Those rules are set forth
SOl R rt';'" 1"'\I\.R.952-001-001 0 through OAR 952-001-
015 epo _'1"''''00 0 f th 1 b
0090, You may obtain caples 0 e ru es y
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit
21212011 1:12:56PM
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: COM2010-00706
IVR Number: 210100866103
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permltcenter@ci,springfieid.or.U5
PROJECT STATUS:
STATUS DATE:
Issued
02/02/2011
ISSUED:
APPLIED:
02/02/2011
06/02/2010
EXPIRES:
VALUE:
08/01/2011
$80,000.00
SITE ADDRESS: 1920 Olympic St, Springfield
ASSESOR'S PARCEL NO: 1703254201601
SCOPE: Grocery Store
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
WINCO: Meat Dept. remodel
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
DownspoutlDrains:
Valuation Description
~
Description
Type of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
Springfield Building Permit
2/2/2011 1:12:56PM
Page 2 of 5
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www.ci.springfleld.or.u$
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: COM2010-00706
IVR Number: 210100866103
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
02/02/2011
ISSUED:
APPLIED:
02/02/2011
06/02/2010
EXPIRES:
VALUE:
08/01/2011
$80,000.00
SITE ADDRESS: 1920 Olympic St, Springfield
ASSESOR'S PARCEL NO: 1703254201601
SCOPE: Grocery Store
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
WIN CO: Meat Dept. remodel
FEES PAID
I
DescriDtion Amount Paid Date Paid Recio! #
Structural Plan Review Fee Commercial $397.38 0.2/0.2/20.11 20.110.0.0.213
-.-. ~..,----
SDC: Reimbursement Cost - Local Wastewater $385.14 0.2/0.2/2011 2011000213
------
~DC: Imp~o~rn:'2t.<::.2st:.l:-"cal Wastewater $187.98 0.2/0.2/20.11 _____ ___~g~o.o.o.213_
SDC: Total Sewer Administration Fee $28.66 0.2/0.2/20.11 20.110.0.0213
-------.'.-.----------------- .._"---- --"_...__.._._~._.__._.-
Fixture $114.00 0.2/0.2/20.11 20110.0.0.213
~-_..,_._-~.._-_.~---_.._._._._-------- -~.._._...._-._- -- ~--*--_...-... _.
State of Oregon_~urchar~J]_2% of applicable fees) __________$13:6'!.______.~~~~__ __ __ _,,_ 2_0.11 o.o.D2~~.
:r:echnology fee (5% of permit total) $5.70 0.2/0.2/20.11 __ 20.110.0.0.212-
Mechanical Permit fee (based on value of work) $223.75 0.2/0.2/20.11 20.110.0.0.213
8uild2:'.g Permit Fee _ $611.35 0.2/0.2/20.11 .. 2o.1~o.21~
State of Oregon Surcharge (12% of applicable fees) $100..21 0.2/0.2/20.11 20.110.0.0.213
Technology fee (5% of permJt.total) $41.76 0.2/0.2/20.11 20.110.0.0.213
Mechanica:..!:.er:r:n.it!=.<'l (based on value of work) $21.00 0.2/0.2/20.11 20.110.0.0.213
State of Oregon Surcharge (12~ of applicable fees) $2.52 0.2/0.2/2011 201100.0213
Technology fee (5% ~ permi~tota-'L__~_ $1~~_ o.2~o.2/2o.11 2o.1Wo.o.2~.
Fire, Life, Safety Plan Revie~ $244.54 0.2/0.2/20.11 ._ 2o.11o.o.02~
Total Amount Paid
$2,378.72
Springfield Building Permit
2/2/2011 1:12:56PM
Page 3 of 5
S.....~I....H.G._.FIEL~
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CITY OF SPRINGFIELD
Building I Commercial Permit
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.cLspringfield.or.us
PERMIT NO: COM2010-00706
IVR Number: 210100866103
permitcenler@ci.springfieJd,or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
02/02/2011
06/02/2010
EXPIRES:
VALUE:
08/01/2011
$80,000.00
02/02/2011
SITE ADDRESS: 1920 Olympic St, Springfield
ASSESOR'S PARCEL NO: 1703254201601
SCOPE: Grocery Store
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
WINCO: Meat Depl. remodel
Plan Review
~
Department Received Due Date Comoleted Result
Application Acceptance 08/09/2010 06/02/2010 Application Accepted
Comments: See workflow history
Reviewer
David Bowlsby
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Fire Department Review 06/08/2010 WE GRG
Comments: Plans Review: meat department remodel. Job #COM201 0-00706. Occupancy Classification: F-1 portion of an M
occupancy. Construction Type: V-B sprinklered. Area of remodel: 1,058 sq. ft. Plans reviewed under the 2007 Springfield
Fire Code and 2007 Oregon Structural Specialty Code.
Provide mechanical plans for City of Springfield review and approval. Show the location of the ceiling mounted units and
their distances from the sprinkler head deflectors to verify obstruction clearances per NFPA 13, Standard for the
Structural Review
06/22/2010
WI
KLK
Comments: Fire. Also, left voicemail for Tom at WINCO to provide mechanical $ value for project.
Structural Review 07/28/2010
Comments: Routed mechanical information to Gilbert,Gordon.
Structural Review 08/03/2010 10 KLK
Comments: Received plan Sht. A1 B for alteration to Produce Dept. Adding 3 fixtures to plumbing permit fees.
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Fire Review 08/09/2010 08/09/2010 01/27/2011. Approved Gilbert Gordon
Comments: Plans Review: meat department remodel. Job #COM2010-00706. Occupancy Classification: F-1 portion of an M
occupancy. Construction Type: V-B sprinklered. Area of remodel: 1,058 sq. ft. Plans reviewed under the 2007 Springfield
Fire Code and 2007 Oregon Structural Specialty Code.
Provide me~hanical plans for City of Springfield review and approval. Show the location of the ceiling mounted units and
their distances from the sprinkler head deflectors to verify obstruction clearances per NFPA 13, Standard for the
Installation of Sprinkler Systems, 2007 edition, 8.6.5.1.2. (1/27/11-Letter provided by Om lid and Swinney dated 1/26111
states possibly up to 6 sprinkler heads to be relocated to meet code requirements for distances from obstructions.
Springfield Building Permit
2/2/2011 1:12:56PM
Page4of5
S.T~~...FIE~~
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"'~0 , OREGON
CITY OF SPRINGFIELD
225 Fifth St
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: COM2010-00706
IVR Number: 210100866103
permitcenter@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
02/02/2011
06/02/2010
EXPIRES:
VALUE:
08/01/2011
$80,000.00
02/02/2011
SITE ADDRESS: 1920 Olympic St, Springfield
ASSESOR'S PARCEL NO: 1703254201601
SCOPE: Grocery Store
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: WINCO: Meat Dept. remodel
Permit Issuance 01/27/2011 01/27/2011 02/02/2011
Issued
David Bowlsby
INSPECTIONS REQUIRED I
Inspections
3150 Underslab Plumbing
8675 Overhead Sprinkler Systems
8690 Fire Sprinkler Final
Underslab Plumbing: Prior to filling the trench and including required testing.
8999 Final Fire
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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.
Final Building: After all required inspections have been requested and approved and
the building is complete.
Rough Mechanical: Prior to Cover
Rough Gas: After line is installed and required testing and capped if not attached to
an appliance.
Final Gas: When all gas work is complete.
1540 Gypsum Board/Lath/Drywall
1999 Final Building
2300 Rough Mechanical
2310 Rough Gas
2995 Final Gas
2999 Final Mechanical
Final Mechanical: When all mechanical work is complete.
Hold Downs Installed
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 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
/jJ V; &/ ~I if
Owner or Contractor Signature
V{e+-- V tr;rJDfUU..-t IJ ()~
Date
Springfield Building Permit
2/2/2011 1:12:56PM
Page 5 of 5
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www.cLspringfield.or.us
TRANSACTION RECEIPT
COM2010-00706
1920 Olvmpic 51
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
permilcenter@ci,springfield,or.us
RECEIPT NO: 2011000213 RECORD NO: COM2010-00706 DATE: 02/02/2011
[DE5CRIF>.TION_';iS~ : .:: ',7' .;Jo":"'fc"Y~-:;;:;:f~",t5R'" "-~ACC0UN:fic6bE ',.'''->S':::EiAMOUNT DUE,--=-,--~ ~i
Building Permit Fee 224-00000-425602 611.35
Fire, Life, Safety Plan Review 224-00000-425602 _~.~~__
Fixture 224-00000-425603 114.00
-------
Mechanical Permit fee (based on value of work) .. 224-00000-425604 244.75
SDC Improvement Cost - Local Wastewater 443-00000-446025 167.96
SDC: Reimbursement Cost - Local Wastewater 442-00000-446024 365.14
SDC: Total Sewer Administration Fee 719-00000-426604 26.66
...~"_..'~--'-'~._---~--_.~
State of Oregon Surcharge (12% of applicable fees) 621-00000-215004 116.41
Structural Plan Review Fee Commercial 224-00000-425602 397.36
_ Tech~oI()~y..r~J5% of permit tot",) 100-00000-425605 _____- ___ 46.51..___.
TOTAL DUE: 2,378.72
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Check d amyx construction 2,378.72
6124
TOTAL PAID:
2,378.72