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Home My WebLink AboutPermit Miscellaneous 2011-5-11 ~ , . SPRINGFIEl~ \'h\~\,zA~"'" ,,0:~~- ~ L~..;;~(t;>_' ~OREGON 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 '(17178(:-(:88-008- ~ S! JelUeo UO!leo!l!ION AI!l!ln u06eJO e41 JOI Jeqwnu eU04dalel a41 :eloN) 'JalUao e41 6u!lleo Aq sa/nJ elil jO seldo::> urelqo Aew no). '0600 .~OO-(:96l:JlfO 46noJ41 0 ~OO- ~OO-(:96l:JlfO UI lllJOj les am SalnJ es041 'JelueO UO!le::>!I!ION AI!l!ln uo6eJO e41 Aq paldope salnl MOIIOI 01 noA saJ!nbeJ Mel uo6al0 :NOIIN3111f Page 1 of 4 SrRING~..FIEL D~ ~...\\4' w"",'~ . illc. :ii' ''::'\ 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 ~lj,.-- .~ ....... t , '--:.0 - .' 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 -{:,' ::~~:~! '. .\' .". .':' @ CD ".'0' @ "i" I ; 60'-0" : 25a'~o" I 1'. '.. . i i I ,') . : : . _os--Q-os ~ os ,"";~;;N:.g . o-,-os-,' .". :;7~;;Jlf ' -1 ~ss-ss . . b 1\ ~;' ~ i 1'1\ I :~ e;~ i , . I ! I I " I . ',ffi/._ ~ -1 .>..,:,. CO ~ :, ~ r- /;' ii;;,.> ;, ....< 0'~ './]80 .':<', ,:;':~IE/ .;,;,.'::........;::,-. ~-.-..r..-...-. ..\!:J:;;i'":;~;:,;:; is:''' ....;::...;...,.i</:)::'il~. ':'c' ;..,.;. - L :.',"f: "",./'.,:;<-"':: ..,..././/.;:.'//..//.:....;.:../,: ~1:\\1 f\: "'/)..;:;;>., j "'..,i;"." REMODEL O.F. AN EXISTING ;~0 ~ I~.~~.'xll r II I I! 0 II. I '-- CI', t).'.':. . ~[Q)iVLfu~W~ .){ LUJ w.J "(} ~TE 1;~",PII(;.'h)./';:;? DATUM ~'~s~. ~,I. ;OP ;L;./~Fo,E'0C0';. ',: j,j ........ .....:.....: ////. ;.'./.' ....' ..... .'/"':>.' ,/,,/1:)%.11:,' ".. WORK S:\i,: .......... ." .,.... ...,'" ....X.}.. ":/,/ ~. '0". 'i!il~!.;}"..;.>.......'...,.:......::/.. ........,.'"?,."}'.;;' ..// ,,;;;,;;;} (; ,:';',/.;: .. : ....'... ,....... . '.' ~ .' '/',(:,3<,: ..' . ....... fr.. 1iIf ~ 1." '. ../......1.__._ .:T-l.1.1.ll1-1-1. J :lj.1.1---.,~;, : <=' ..---.c / ~ ~ ~,____________________ { 'f~'~11;,:; ;ft: ,f;'~ ~ ~~'\~ ~ \~ ::/1;'il~\f.wI1; ..... = :. ~ ~~ ~/ -~ f ~ ~~ ~~: ",:.." / \\ : =l', ~~ ~ X.:,'/ /r:;:: /::~. 0t;: ::1 /~ '=~O~ACTO(':V /1/ 'X i // /:/ ~ t> ~ %,~AAX af, .a:;:l.~. ~ {;j,~; \ 2 '\ \I,:>::::...:::::r--i :n'iil[iL.Un.LnUnULLnL.Un.l.l..!' _ ..::': ~..L , .' f<e--5f~~p:lnA"'0:>"I7'jR' nnn~l:"" ~fJ<'~ i~;:Y' l\ ......1. \ v! 0 A A: 1 ( '1'" I ! f .V~ "NO' 'N CONTRACT. Ut> fA. '" "/: \. .... , (2 -e.. At{ tJ ~~ P S; --:; e ! ..........nn...n....../nt:-nn:es. , o ~i ... ,0': -. " '" ',,: ii"~'; ..,:::>:- " .\ ".:: , ,:",:'-.' ...:.".'::: , '. . ,....'....:.... __________n_______..____________.____________ _u___U--- U._ uu_n_ n__n_ _ n _ n_n _u_._n _ __ .-- ,_n --- Sr1:~;:E;iiI ~~~ ~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 <:l , c. I TOTAL PAID: 962.58