HomeMy WebLinkAboutPermit Building 2005-7-7 (4)
.
. CITYuJ< ~rKINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00545
ISSUED: 07/07/2005
APPLIED: 05/09/2005
EXPIRES: 01107/2006
VALUE: $ 43 000.00 .
The foIIOwlng~101@l!I>l!lir1IIJftfflift6iilf,;~ ~~,~~!!!9I~^e^ ~1.1~~ln9
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
"'flO OOl;t~ IlUf'rt:U'U'lrv~~ln...'al'''' ........
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: ORDEPT OF ADMINISfRATlVESERVICES
Address: 1225 FERRY STREET SE moo
SALEM OR 97310
Contractor Type
Electrical
Engineer
I CONTRACTOR INFORMATION I
Contractor
LR BRABHAM
SYSYEMS WEST ENGINEERS
I BUILDINGINFORMATIONI
License
8699
Expiration Date
12/18/2006
Phone
541-747-6638
541-342-72IO
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
,
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
M
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
nla
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
ATTENTION: CD~YELOP._TJ]'ll~MATION I
loll ow rules adopted by the Oregon Utility
Notification Center. Thoilimlll)1 Distset lorth
in OAR 952-001-0010 thtlb5trc8D:lR:8fi2-001-
0090. You may obtain c~7('l!IC>>dv.J ~/jdl by
calling the center. (N&<'!J!'{I~Mii9~:
number for the Oregon Utility Notification
l;em.er '1ML'ic iM'PltOVEMENTS I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDralns
NOTICE: 'EXPIRE IF T\-IE WORK
T\-I\S PERMIT S~~~~ T\-IIS PERMIT IS NOT
AUTHORIZED UOR IS ABANOONED FOR
. COMMENCED ,
ANY I BO DAY PERIOD.
1 of 3
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00545
ISSUED: 07/07/2005
APPLIED: 05/09/2005
EXPIRES: 01107/2006
VALUE: $ 43,000.00
.
Status: Issued
225 F1fth Street, Springfield, OR
S4I-726-37S3 Phone
S41-726-3676 Fax
54I-726-3769 Inspection Line
I Valuation Descriotion I
Description Type of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiptier
$1.00
Square Footage
or Bid Amount
43,000.00
Total Value of Project
Fp.p.s P3id .
Fee Description
Plan Review CommlIndlPuhlic
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review CommlIndlPublic
Amonnt Paid
Date Paid
$130.6S
$32.97
$23.08
$329.70
$83.66
S/9/0S
7/7/0S
7/7/0S
7/7/0S
7/7/05
Total Amount
$600.06
I PIan Reviews ,
Fire Department Review OSI1 0/200S 07/0S/200S OK GRG
Initial Review OS/10/200S OS/IO/200S APP LLH
Planninl! Review OS/IO/200S 06/30/200S APP EMM
Public Works Review OS/IO/200S 06/0I1200S APP CAS
Structural Review OS/IO/200S OS120/200S WE JMP
Structural Review 07/0I/200S 07/0 I/200S 10 JMP
SUB Review OS/IO/200S OS/I8/200S WE JF
SUB Review OS/I9/200S OS/3 I/200S ' WE JF
SUB Review 06/08/200S 06/131200S APP JF
2 of 3
Value
Date Calculated
$43,000.00
$43,000.00
07/07/200S
Receipt Number
1200S00000000000S9I
1200S00000000000962
1200S00000000000962
1200S00000000000962
1200500000000000962
See attached document for Fire
Department Plans Review
comments.
needs Minor Modification of Site
Plan Application through the
Planning Division hefore building
permit approval F(per Colin
Stephens). Minor Site Plan Decision
issued 6/30/0S. Development
Agreement received 7/I/OS.
No SDC fee's apply existing hard
surface change to concrete pad
sloped to existing CB 6/I/200S CAS
See attached 6 structural comments
faxed to Jeff Graper.
Sent em ail to Jeff Graper, Public
Works, Fire, and Building personnel
to update status.
JMP called Jeff Graper and
requested the energy code forms and
worksheets.
WE. Received HV AC and Lighting
forms only. JMP called Jeff Graper
to request building envelope form.
Received BE Form. No energy code
issues or inspections.
.
.
CITY OF SPRINGFIELD'
Status:
Issued
Building/Combination Permit
PERMITNO: COM2005-00545
ISSUED: 07/0712005
APPLIED: 05/09/2005
EXPIRES: 01/07/2006
VALUE: $ 43,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54I-726-3676 Fax
541-726-3769 Inspection Line
, 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.
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 bave been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical 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 wiD remain on the site
at all times during construction.
~ ~_/L
Ow:er or ~Zctors Signature
A'
.., J.., /~.s
,
Date
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2005-00545
COM2005-00545
COM2005-00545
COM2005-00545
Payments:
Type of Payment
CreditCard
\"
" '.,
\'
7/7/2005
.
RECEIPT #:
.p.RIN~, ".Q"~ ' ..,.,
LAa..!
..... t
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000962
Description
Plan Review Comm/Ind/Public
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
LARRY BRABHAM JR
Received By
djb
I of I
Date: 07/07/2005
Item Total:
Lneck Number AuUlortzation
Batch Number Number How Received
617025 In Person
Payment Total:
2:5I:34PM
Amou nt Due
83.66
329.70
23.08
32.97
$469.41
Amount Paid
$469.41
$469.41