HomeMy WebLinkAboutPermit Building 2005-7-7 (3)
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: ,COM2005-00545
ISSUED: 07/07/2005
APPLIED: 05/09/2005
EXPIRES: 01128/2006
VALUE: $ 43,000.00
\
. SITE ADDRESS: 3233 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703343300200
Eugene
TYPE OF
Gas Station
PROJECT DESCRIPTION: Natural Gas refueling station
TYPE OF USE: Addition Public
Owner: OR DEPT OF ADMINISTRA TNE SERVICES
Address: I225 FERRY STREET SE VlOO
SALEM OR 97310
Contractor License Expiration Date
LR BRABHAM ~es yOU to 12/I8/2006
SYSYEMS WEST I);~M~ Oregon laW r Oregon Utility
J LOGUE GAS w~:~~ ~dopted by ~~\tW Me set 10rth 03/06/2007
NJ:~~~'ri~"~Ifi~e~~e\lr~~~~vbY
\1I OM 9 l;ltain COpies U hone
090 "/h9S St8llI~. (Note' the telep . J-ot Size:
M 0 cai\i~illbt I)#lnter. on Utility NotihcatlO'Sq Ft 1st Floor:
um~~tWiH~re~00_332-2344). ' Sq Ft 2nd Floor:
n . Wal!ie~ep 1- Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled nla Occupant Load:
Contractor Type
Electrical
Engineer
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary ConstructIon Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
ICONTRAC!?R INFORMATION I
VB
, DEVELOPMENT INFORMATION I
Phone
54I-747-6638
541-342-7210
54I-345-7599
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
_~ I~ "'I'1t'. Vil~~~
IPUBLIGIl"PROVEMENrrs..t:;~I~:~~~N.\\1 \~d~~ \
'\ \'11" ' - 'It.1) I.lIW'-i l .' "'Sid'e~'llf~.{y'"f~:
t>.1J'\'r\Of',\ .' Of', IS t>.~I.. ~ - p
CG\.ilW\t.~Ct.1) ?t.f',1()9: DownspoutslDrains
"Ill^{ I\',G 9"'~ . ."'~
1 of 3
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMITNO: COM2005-00545
ISSUED: 07/07/2005
APPLIED: 05/09/2005
EXPIRES: 01128/2006
VALUE: $ 43,000.00
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriotionJ
Description Type of Construction
$ PerSq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
43,000.00
Bid Amount Use Bid Amount
Total Value of Project
l..Fee~ P.aid I
Value
Date Calculated
$43,000.00
$43,000.00
07/07/2005
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlInd/Public $130.65 5/9/05 I200500000000000591
+ IO% Administrative Fee $32.97 7/7/05 1200500000000000962
+ 7% State Surcharge $23.08 7/7/05 I200500000000000962
Bunding Permit $329.70 7/7/05 I 200500000000000962
Plan Review CommlInd/Public $83.66 7/7/05 1200500000000000962
-Mechanical Issuance Fee- $10.00 7/28/05 I20050000000000IIOI
+ 10% Administrative Fee $4.50 7/28/05 I20050000000000IIOI
+ 7% State Surcharge $3.15 7/28/05 1200500000000001101
Gas Outlets 1-4 $4.00 7/28/05 I20050000000000110I
Minimum/Adjustment Mechanical $4 1.00 7/28/05 I20050000000000lIOl
Total Amount $662.71
I Plan Reviews I
, Fire Department Review 05/10/2005 07/05/2005 OK GRG
Initial Review 05/1 0/2005 05/10/2005 APP LLH
Planninl! Review 05/10/2005 06/30/2005 APP EMM
Public Works Review
05/IO/2005
06/0I/2005
APP CAS
Structural Review
05/10/2005
OS/20/2005
WE JMP
Structural Review
07/0112005
07/01/2005
IO JMP
\ Structural Review
07/07/2005
07/07/2005
APP LLH
2 of 3
See attached document for Fire
Department Plans Review
comments.
needs Minor Modification of Site
Plan Application through the
Planning Division before building
permit approval F(per Colin
Stephens). Minor Site Plan Decision
issued 6130/05. Development
Agreement received 7/1105.
No SDC fee's apply existing hard
surface cbange to concrete pad
sloped to existing CB 6/1/2005 CAS
See attached 6 structural comments
faxed to JelT Graper.
Sent email to JelT Graper, Public
Works, Fire, and Building personnel
to update status.
All conditions of John Pearsons
letter met.
.
" CITYOFSPRl1'1\.Jt<lliLU
Building/Combination Permit
PERMIT NO: COM2005-00545
ISSUED: 07/07/2005
APPLIED: 05/09/2005
EXPIRES: 01128/2006
VALUE: $ 43,000.00
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
54I-726-3676 Fax
54I-726-3769 Inspection Line
SUB Review 05/I 0/2005 05/I8/2005 WE JF JMP called Jeff Graper and
requested the energy code forms and
worksheets.
SUB Review 05/I9/2005 05/3 I/2005 WE JF WE. Received HV AC and Lighting
forms only. JMP called Jeff Graper
to request building envelope form.
SUB Review 06/08/2005 06/13/2005 APP JF Received BE Form. No energy code
Issues or Inspections.
To Request an inspection caD 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. wiD be made the following
work day.
I ~el1UJir(if>rJ lnsnections ,
~ . If If 1 II r
Footing: After trenches are excavated.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are In
place but prior to concrete.
Bolts Installed In Concrete: To be done by a State Certified Special Inspector. Provide Inspection test reports to
City Building Inspector.
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work Is complete.
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.
By signature, I slate 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 win 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.tms project.
I fnrther 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 wID remain on the site
at all times during constructiOlL ,,...---
,/1/;/1 V.__ /.--2.g.0)
(ylr or t79tf Signature Date
3 of 3
.
""iiiii......cm,',~ -, ',..,
Wit,
Ii'
,u,_' , '
j;i.lty of Springfield Official Receipt
.elopment Services Department
Public Works Department
225 Fifth Street
Springfiel~, Oregon 97477
541-726-3759 Phone
/
Job/Journal Number
COM2005-00545
COM2005-00545
COM2005-00545
COM2005-00545
COM2005-00545
.'
Payments:
Type of Payment
CreditCard
.'
:,
.0
7/28/2005
RECEIPT #:
1200500000000001101
Date: 07/28/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Gas Outlets 14
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee--
Paid By
JLOGUE GAS WORKS INC
Item Total:
LbecK Number AulllOlizatlon
Received By Batch Number Number How Received
djb 240890 In Person
Payment Total:
I of 1
I:07:03PM
Amoo nt Due
3.15
4.50
4.00
41.00
10.00
$62.65
Amount Paid
$62.65
$62.65