HomeMy WebLinkAboutPermit Miscellaneous 2011-5-11
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CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00796
IVR Number: 811189595482
www.ci.springfield.or.us
225 Fifth SI
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
05/11/2011
ISSUED:
APPLIED:
05/11/2011
05/11/2011
EXPIRES:
VALUE:
11/06/2011
$127,100.00
SITE ADDRESS: 5755 MAIN ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702334400801
SCOPE: Paving
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Paving and Re-Striping Parking Lot
Phone Number:
OWNER:
ADDRESS:
NEW ALBERTSONS INC
PO BOX 20
BOISE ID 83726
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
WESTERN ASPHALT MAINTENANCE INC
Lic Type
CCB
# of Units:
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
Occupancy Type
Occupancy
Comments
M
Paving and Restriping
Parking Lot
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lie No
87992
Lie Exp
01/06/2012
Phone
541-726-0828
Lot Size:
Sq F11 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
2010
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall: ;-;OTlCE:
Soils Report Required:p_ilS PERMIT SHALL EXPIRE IF THE WORK
,iUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
5/11/2011 10:45:47AM
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Page 1 of 4
SrRING~..FIEL D~
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''::'\ OREGON
www.cl.springfield.or.us
CITY OF SPRINGFIELD
Buildingl Commercial Permit
PERMIT NO: 811-SPR2011-00796
IVR Number: 811189595482
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Iss ued
05111/2011
ISSUED:
APPLIED:
05/11/2011
05/11/2011
EXPIRES:
VALUE:
11106/2011
$127,100.00
SITE ADDRESS: 5755 MAIN ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702334400801
SCOPE: Paving
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Paving and Re~Striping Parking Lot
DEVELOPMENT INFORMATION I
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
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descriotion
Bid
Tvoe of Construction
NA
Unit Amount Unit Tvee
127,100.00 Bid
Unit Cost
1.00
Value
127,100.00
127,100.00
FEES PAID
I
Description
Amount Paid
Date Paid Recio! #
05/11/2011 2011000920
-~-~---_._..._._-~-_..-
05/11/2011 2011000920
_."....,..,.~~..~_...._-~~_.-.. --- -..- -.. - ---",.----
05/11/2011 2011000920
Stat~~'2regE-~!.~ar~e _{23% ~~~Eplicabl!.!:~l..~._ $98.73
I:lu"din~~.':ermi.t.!,e~n_..__ _~_~"____.__~271
Technology fee (5.:!? of permit total) $41.14
Total Amount Paid $962.58
Springfield Building Permit
5/11/2011 10:45:47AM
Page 2 of 4
CITY OF SPRINGFIELD
SPRI..NGFIE.?4
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- .' OREGON
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00796
IVR Number: 811189595482
www.ci.springfield.or.us
225 Fifth SI
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
05/11/2011
ISSUED:
APPLIED:
05/11/2011
05/11/2011
EXPIRES:
VALUE:
11/06/2011
$127,100,00
SITE ADDRESS: 5755 MAIN ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702334400801
SCOPE: Paving
WORK INVOLVED: Alleralion
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Paving and Re-Striping Parking Lot
Plan Review
I
Deoartment
Application Acceptance
Received Due Date
05/11/2011 05/11/2011
Comoleted
05/11/2011
Result
Over the Counter
1l1itialiReview"^-j;<- . - '~"~:;di't _ -e'05/f1j261r'~()5f,11'i2On';
_:Comm~~ts: ~;ov'er1tie-c~~rit;-;,permi~--~~~'_\ '.. ~ ,'-' .
" ""- '..,- ,'_" ---z
Electrical Review 05/11/2011 05111/2011
Reviewe r
Kip Kaufman
:9Wt1/2.9~~ ":"'J.:Q~y.;(the C6~n-!er;:.:t ~ .~-Kjp,I5~'lJfmao,:,
C.; ',j~:",_,,~,
"'c'-
05/11/2011
Not Required
Kip K.aufman ~
Comments: Over the counter permit
[M&hanical Review .,t,.. -05/11/2011 05/11/2011 :_ '05/11/2011
l ~:.o~~ents: ,p~~r the c~~~ter' permit ' . -.'_\ .' ~
Plumbing Review 05/11/2011 05/11/2011 05/11/2011
Comments: Over the counter permit
Pennillssuance . 05/111201)', - 05/11120) 1 05(11/2011
N~t Requir~9.." .
Not Required
IssUe9 ,.- '}
..
-i'> ~, ,
"~I- . " ' ;.,.
",""
Fire Review
05/11/2011 05/11/2011 05/11/2011
Not Required
Comments: Over the counter permit
P,~.b~icWorks R~view';. _ 7 _ 95/1:112011
n CoriJments: "9.~er the co~~ter permif>~~>
Energy Code Review 05/11/2011
Comments: Over the counter permit
ITraffic'Revie;;;"-7'" ,- }~:~:,~:,""05/11/29n':
L~c~:mments: _()v'er the,'~ri~~~~r permit~,~'~, _ '
Structural Review 05/11/2011
, 05/11/2011
05/11/2011
N9!;Require9d!~
"'\ 7:77::;_f~
'H _"'
..... . ";"''''''
05/11/2011 05/11/2011
Not Required
0:/t1~2?~~"~ 05/1:/~~.1 ~O(R~qUired,~,j
05/11/2011 05/11/2011
Not Required
Comments: Over the counter permit
Planning Review '" 05111'/2011' "05/1.112011'. 05/U/2011, N'ol ReqUlre~~ ",'
Comments: Over the,counter. perr!lit~.'
INSPECTIONS REQUIRED I
Inspections
1070 Parking Lot
1999 Final Building
Kip Kaufman
~ -n . .
'l
I
Kip Kaufman
d5ip Kaufm~'~.
".
I
"
,',
.t""'_
Kip Kaufman
..Kip KaufrD~n
-' '1 '~'
Kip Kaufman
. ,.KipK"ufrna!':,
_t',:',
'-3
Kip Kaufman
'Kip Kauf!Tlan-'
.----..-...'~
I
j
, ~ '
Final Building: After all required inspections have been requested and approved and
the building is complete.
1996 Final Inspection - Planning
Springfield Building Permit
5/11/2011 10:45:47AM
Page 3 of 4
. , .
SP~I~...G.~~~
~~
~ORfGON
www.ci:springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00796
IVR Number: 811189595482
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
155 ued
05/11/2011
ISSUED:
APPLIED:
05/11/2011
05/11/2011
EXPIRES:
VALUE:
11/06/2011
$127,100.00
SITE ADDRESS: 5755 MAIN ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702334400801
SCOPE: Paving
WORK INVOLVED: Alleralion
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Paving and Re-Striping Parking Lot
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. J 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
con4~~;>""" ';--11,--((
Owner or Contractor Signature Date
Springfield Building Permit
5/11/2011 10:45:47AM
Page 4 of4
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~~~
~OI{EGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811.SPR2011.00796
5755 MAIN ST
CITY OF SPRJNGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
perm ilcenter@ci.springfield.or.us
L:BAYME!:IJ""TYF1E*li'I'
Check
5799
. .
RECEIPT NO: 2011000920 RECORD NO: 811-SPR2011-00796 DATE: 05/11/2011
LDESCRIF1;J"ION.,-"',,':'F., ",.t1:.;;:Z:r.T":~ "'.;."c;'.~1'f".." :~<; C:A'ccOUN:t;"CODE". .' ; ". . 7'41>.M'O(jNT~D(jE . .-
~~i".\! Permit Fee 224-00000-425602 822.71
~~!e of Oregon Surcharge (12% of applicable fees) 821-00000-215004 98.73
_2"~.c.h.nology fee (5% of permit total) 100-00000-425605 41.14
TOTAL DUE: 962.58
YfAy6R;;CASHIER::KKAUFMAN~l'~'~i~C~M~NJS:?\~~:Y~ '~'~,'LfY;;~';M'{tAMOUNJ,;,PAJP:?"'~~"'*',
Western Asphalt Maintenance ck #5799 962.58
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TOTAL PAID:
962.58