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Home My WebLink AboutPermit Building 2011-6-8 CITY OF SPRINGFIELD SP~..I.N..G. FIE.L.~D ~'-l'___ .~ ,."..~ ft.~'>':" ,;,~ """,,:"':~ 0 It EGO N Building I Commercial Permit PERMIT NO: 811-SPR2011-01027 IVR Number: 811164117306 www.cLspringfield.or.us 225 Fifth st' Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: 06108/2011 OS/23/2011 Issued 06/08/2011 ISSUED: APPLIED: EXPIRES: VALUE: 12/04/2011 $89,000.00 SITE ADDRESS: 1875 MOHAWK BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703251300702 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Restaurant Interior Remodel Phone Number: OWNER: ADDRESS: REALVEST VILLAGE INN LLC 1111 MAIN ST STE 700 VANCOUVER WA 98660 Contractor Type Contractor Name HUNGNAM OH WANG KOOK PARK CONTRACTOR INFORMATION ~ Lic Type CCB CCB CGB BOHEMIA PLUMBING & CONSTRUCTION INC Lie No 126274 128290 41468 lie Exp 11/20/2011 03/25/2012 03/03/2013 Phone 503-381~4910 503-358-8464 541-942.8333 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: Electrical Specialty Code Edition: 2011 Springfield Fire Code Edition: 2010 . youtO 2010 laW requireS Utili\'[ ,","AnOn . ""',,011011 ..~ ~1\::.NI.'-""1 tdb'JlIl'-' . set1Ul\.n Site Informati,on _ ..t~c. 2. lOP e 5e r\J\es are 001- 10""<' center. 1\10 Ii OI\R 952- NO\\licatiOn 01-0010 \liroug 01 \\is rules bV . OI\R 952-0 blain copIes telep\iOM ~090. '(ou may ~\er. tNo\e', tlie Notilicat'lOI\ . calling t~~ ~~e orego~_~~~:h44). numbercenter is 1-80 # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o Construction Type , Occupancy Type Occupancy Comments Type VB A-2 Posted Maximum Occupant Load 99 to avoid requirements for sprinklers or occupancy separation. Existing 4,453s.t. No #of Bedrooms: Sprinkled Building: Fire Ala rms: Energy Path: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: No No Engineered Fill: Fill Volume: Flood Hazard Area: l"~-'''''' Land Hazard Area: Re"!i~i~g2':-'.~!('IT SHALL EXPIRE IF THE WORK SOilsrReport-Required:ER THrS PERMIT IS NOT ..) t1unIL!:LJ UlIlU ~lli 1i\~ENCED OR IS ABANDONED FOR LlNY 180 DAY PERIOD. Springfield Building Permit 6/8/2011 8:Q4:45AM o 99 2010 2011 Page 1 of 5 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01027 IVR Number: 811164117306 Iss ued 06/08/2011 ISSUED: APPLIED: 06/08/2011 OS/23/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us EXPIRES: VALUE: 12/04/2011 $89,000.00 SITE ADDRESS: 1875 MOHAWK BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703251300702 PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial Restaurant Interior Remodel 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: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Descriotion Bid Springfield BUjJding Permit PUBLIC IMPROVEMENTS I Valuation Description Tvoe of Construction NA Unit Amount Unit Tvoe 89,000.00 Bid 6/8/20'1 B:04:45AM Sidewalk Type: Downspout/Drains: I Unit Cost 1.00 Value 89,000.00 89,000.00 Page 2 of 5 SPRI~..G"....f~~~ ~'\..~ 7;:. ~~ ..A 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: 811-SPR2011-01027 IVR Number: 811164117306 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued ISSUED: APPLIED: 06/08/2011 OS/23/2011 EXPIRES: VALUE: 12/04/2011 $89,000.00 06/08/2011 SITE ADDRESS: 1875 MOHAWK BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703251300702 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Restaurant Interior Remodel FEES PAID ~ Descriotion Amount Paid Structural Plan Review Fee Commercial $425.87 SDC: Reimbursement Cost - Local Wastewater . $526.87 SDC: Improvemen~ Cost - Local Wastewater $257.16 Dishwasher $38.00 --~--_._----,~-_. .-----..- Ice maker $38.00 _._____ill ~te.r~:E!?r/grea~~_!~__._._____.~____ $19.00 .s~nk/basin/lavatory $209.00 B~~k~ow preventer $19,00 Water heater $19.00 Deferred Submittal $228.00 State of Oregon Surcharge (12% of applicable fees) $145.52 Technology fee (5% of permit total) $72.03 Mechanical Permit fee (based on value of work) $215.50 Admin fee (10% of applicable fees) $22.80 Fire, Life, Safety Plan ~.:view $262.07 Building Permit Fee $655.18 SDC: Total Sewer Administration Fee $39.20 "-- ._---- Total Amount Paid $3,192.20 Date Paid ReciDt # OS/23/2011 2011001166 06/08/2011 2011001483 06/08/2011 2011001483 06/08/2011 2011001483 06/08/2011 2011001483 -..-.-----. 06/08/2011 2011001483 - _....~.--~.~.._.----.--.._- 06/08/2011 2011001483 ..-.-.-.-..--- 06/08/2011 2011001483 -_.~~--- 06/08/2011 2011001483 06/08/2011 2011001483 06/08/2011 2011001483 06/08/2011 2011001483 06/08/2011 2011001483 06/08/2011 2011001483 06/08/2011 2011001483 06/08/2011 2011001483 06/08/2011 2011001483 Springfield Building Permit 6/8/2011 8:04:45AM Page 3 of 5 Sr~IHG... FIE~,D .' . ; IJb ' t"~',,6REGON "~' . 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD www.ci.springfield.OLUS Building I Commercial Permit PERMIT NO: 811-SPR2011-01027 IVR Number: 811164117306 permilcenter@ci_springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/08/2011 ISSUED: APPLIED: 06/08/2011 OS/23/2011 EXPIRES: VALUE: 12/04/2011 $89,000.00 SITE ADDRESS: 1875 MOHAWK BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703251300702 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Restaurant Interior Remodel Plan Review ~ Deoartment Application Acceptance Received Due Date OS/23/2011 OS/23/2011 ComDleted OS/23/2011 Result Application Accepted Reviewer Kip Kaufman Planning Review OS/23/2011 OS/23/2011 OS/24/2011 Approved Liz Miller Electrical Review OS/23/2011 OS/23/2011 OS/27/2011 Information Only Guy Dixon iStructurai Rev,e", ','" '. .:;05/23/20i';;:~65/23/201H OS/27/201 r:~d-d'i info'Required'- '. KiPKaufman;~i"" f\ c;.o~we~t~s: '1)',-Site,p:la[l;y!ith'N_~~, A~C~;~ibl~ Park;'nga~~t A,~c~~"sj~"I~;,~9ut~,t.9i~htfi.:i) ;cc~s'si~'I,~ ,Bar~c~u~te'r-90~st;uctio~ Detail,',':'" \" ,.' ~ ,:' ~: - 3) 'Fire a~nd Life Safety:-OccupantLoad Issues'Resolved(4) EI~ct.rical PlanjReview Required- .Provide Electricalp"lans,:5) 1;':"~i,'.;,,;:..~.:o:,:J~i2YJst~Jb~fgyJ"~qtb1sJ()Jd:igb!Jrig:- ,~~ "'"-."' t. ~.., :. ~ _~' :~.,~:::/ ,-;,-' "'-'_'~~__ ~.^~.'_ .'~:.i' :- _ ~~:;,d.'", ",~-,-:. ,:~___,;..-::______ ....] Fire Review OS/23/2011 OS/23/2011 05/31/2011 Approved Gilbert Gordon Comments: See attached document for Fire Department Plans Review Comments. - ;':';';' I Electrical Review OS/23/2011 OS/23/2011 06/07/2011 Not Required Guy Dixon Permit Issuance 06/07/2011 06/07/2011 06/08/2011 Issued Nancy Machado Springfield Building Permit 6/8/2011 8:04:45AM Page 4 of 5 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01027 IVR Number: 811164117306 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 06/08/2011 ISSUED: APPLIED: 06/08/2011 OS/23/2011 EXPIRES: VALUE: 12/04/2011 $89,000.00 SITE ADDRESS: 1875 MOHAWK BLVD, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703251300702 SCOPE: Restaurant WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Restaurant Interior Remodel INSPECTIONS REQUIRED ~ Inspections 1070 Parking Lot 1260 Framing 1540 Gypsum Board/Lath/Drywall 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, 1800 Emergency Egress Lighting 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 2300 Rough Mechanical 2999 Final Mechanical 3500 Rough Plumbing 3999 Final Plumbing 8999 Final Fire 3610 Grease Trap Interceptor 3620 Backflow Device Grease Trap: Prior to Cover. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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 wjJJ 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 wiff 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 construction. t'~"-Z---'?/(.>'?c/~ v ~ t' - -1 - 1'/ Owner or Contractor Signature Date Springfield Building Permit 6fB/2011 B:04:45AM Page 5 of 5 Structural Permit Application ~'*~?,~~~~~lis!~~~~'~d~li~Qi~~~1i~i~~, PEPARTMENT USE~Ni..Y 81-i ~ 5FiL ;?-D 1--1_- - Penn It no.: ~-.:;z- Date: s--~3 - u 225 Fifth Street. Springfield, OR 97477 . PH(541 )726-3753 . FAX(54 I )726-3689 This permit is issued 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. ~ :~~~ij:"-bvi,.i~O~G:Ak.'.'"~:fQ~~RNM1;~JJt~~,Bi3Q,Y~_~~~:~~~~~~~~~ This project has final land-use approval. Signature: Date: )"his project has DEQ approval.. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No r W~1G~~~~~fAt~QQf~r~Qj~A(_G,9~~'~;rRUe;;ffJ9J~~~!d&~~~~!til;$~l~ o Residential 0 Government Commercial ,~_", _ ."N'_'"_,,, "~,~,",'_q ,"'_.';~, -. . .c, ..~_',"_'"""".",_.'"",,"' _,,' "'__""'_'_ '_~'_,' ,__ ','..." ':....",.,.,_',.,_.,~,',",,"'. - '",'- J';',_I,:',''J'ii.W''''" '!ci'~'t:;;:%,~.:J9.B.~.~lir~:'INF,ORMATlqN~'AN i:!~..:qpATI()N~!j:,])H,;)Z';~\.l Job site address: City: E-mail: This installation is being made on residential or farm propertY owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: City: Phone: E-mail: CCB license no.: Print name: Signature: l&~,~7($1:::'~\?N~'$jJ~$Q_B';;GO~lr:f{AG; ,:RJiNf79,R:MA~f:I,Qt~f~~TW~;~~?~:~~~;H;2 Name CCB License Number Phone Number Electrical Plumbing Mechanical t~+t :,:i_::'-~~.;\;:t~:,~/r~~:'\~~:~l~~,~~~tF.f~~:'~f~H:~Qi1[~r,(~~i~C'::'-.;r~.:ii.:;";:<i~.:;:~'>\'; ,f'::"!i; ;Yj}lM~J_~~~tJ91rti~fq,J3!11'~t~9:i!i~~~~'1~~11~J~;&:f~ii~f~~f';i~,,~{:~t~;'~f~.(f:11~~,~,~: (a) Job description: Occupancy r t3l-- -CU-;t::pA-.. Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: D new alteration,. '(b) Foundation-only permit? Total valuation: D addition DYes DNa $ (a) Permit fee (use valuation table): (b) Investigative fee (equal to [Za]): (c) Reinspection ($ per hour): (number of hours x fee per hour) $ $ $ (d) Enter IZ% surcharge (.IZ x [Za+Zb+Zc]): $ (e) Subtotal offees above (2a through 2d): $ '("'W(-w~.~,'<i>!"-<>;,,.,t>~;1~<-;"~.'-';':-:-~""t;-~N~t..~~.;.r,;'#;,,,~4J'fE:td'.Jtf ':ii....;i{?~f2ll':'.:r.;'!l'~~r"llt'*H": ~,~~iRMl}.11re'!~.~w..J~~~.~~'E,~~~~:~i\:jlt~J~~'lf~~~~1,t~~J1--"}~~~~'::1K~~ (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [Za]): $ . (c) Subtotal of fees above (3a and 3b): $ (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c-i-4a): $' M f?&l..f - 'f 1p / ~ rA~ ~ 9tL-r4? -~~. tI ;~_';.. City of Springfield Community Services Division 225 Fifth Street, Springfield, OR 97477 Telephone: 541-726-3753 Fax: 541-726-3676 Deferred Submittal - Agreement '''''. . ,,; ~ ",r Oregon Structural Specialty Code Section 106,3 allows a pennit applicant to defer certain submittals if approved by the Building Official. This fonn is a deferred submittal agreement for the following project: Date: - _ - Project Name: Project Address: /P1r I'fo J;tJJ4k Phase: 0 Excavation & Grading D Site Utilities Co /'(,(, Permit Number: o Foundation Only 0 Completion D Shell ;<fenant Improvement co c;" C{ "!Le H - L& zr Design Professional in Responsible Charge: License number: Email: Phone: Fax: Address: Guidelines: I. Approval: Each deferred submittal shall bear the approval of the design professional in responsible charge. Notation shall be included that the deferred submittal documents have been reviewed and have been found.to be in general conformance to the design of the building. 2. List: Page 2 ofthis forrn is a list of deferred submittals. The design professional in responsible charge must check which submittals are requested to be deferred and indicate an anticipated submittal date. 3. Fees: Minimum $100.00 (2 hour) for each deferred submittal. 4. Timelines: Every attempt will be made to provide timely reviews of 5-10 business days per deferred submittal. 5. Work without a Permit: Work that is constructed without having been reviewed and approved by both the design professional in responsible charge and the City of Springfield Building Official is considered as work performed without a permit. Any person or finn performing work prior to approval shall be subject to the penalties of Section 108.2.1 of the State of Oregon Structural Specialty Code. Acknowledgements: t:lAN->D(~K Y!irV~ Owner Name (Printed) (;.Jo...1r kcrok M General C tractor Firm Name (Printed) Owner Signature ~"Z~k General Contractod~lgnaturo" Design Professional in Responsible Charge(Printed) Design Professional in Responsible Charge Signature BU~rC~~ --::J;:A4 Iflf "'1:.ow LS E\ Building Official Name (Printed) I . ._~~,. SPRINGFIELD ~- 6'-6"-1/ 1r/1r City of Springfield Deferred Submittal Agreement Project Name: &{fa,jle )OUFe femCtCl-'l.f/ Cotlye Ho1tJCl/:: live{ Permit Number: 311- SM.t8ll-1st:f Date: ;- Project Address: Phase: o Excavation and Grading o Site Utilities Design Professional in Responsible Charge: Items which may be deferred include, but are not limited to the following: Deferred Item Date 0 1. Acoustical ceiling suspension system 0 2. Auxiliary power systems 0 3. Awnings 0 4. Bleachers 0 5. Carports 0 6. Curtain wall systems 0 7. Electrical call system 0 a. Emergency call system 0 9. Exit Illumination 0 10. Fire alarm system 0 11. Fire sprinkler 0 12. Fire stopping 0 13. Glass guardrails 0 14. Glazing systems 0 15. HV AC system 16. Intercom system . 0 0 17. Irrigation system 0 18. Metal guardrails and handrails o Foundation only o Completion oShell p.,Tenanllmprovemenl Deferred Item Date 0 19. Plumbing system 0 20. Post.tensioned concrete structural members or panels 0 21. Pre-cast concrete structural members or panels 0 22. Prefabricated stair units to include steel, aluminum, or pre~cast concrete 0 23. Prefabricated walt panel 0 24. Ore-stressed concrete structural members or panels 0 25. Raised floor systems 0 26. Shelving systems and steel storage racks 0 27. Signs 0 28. Skylights 0 29. Smoke and heat vents 0 30. Specialty retaining walls 0 31. Stone veneer 0 32 Terra cotta veneer 0 33. Wooden, steel, or composit floor or roof trusses 0 34. Works of art '!(: 35. Tvl'e 1- f;40ci K 36#" r> up ,;e.r.r/O <J? Ire I Fees: Minimum $100.00 (2 hr) each for the above listed Deferred Submittals " -' '-. .,. Cottage House Restaurant & Lounge. 1875 Mohwak Blvd Springfield ,Oregon 97477 "- To; City of springfield , < . As a owner of restaurant. during business. hour we intend to keep maximum occupant load for 99. Also, we expect no more than 6 employees per shift. Thank you! . . o Cottage House L.LC Date..1i!^ \\AN\O ~ I) SPRING.fIE~ ttA- :~ ",..LOL._.. oa EGON CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 TRANSACTION RECEIPT 811-SPR2011-01027 1875 MOHAWK BLVD www.ci.springfield.or.us pe rmitcenter@ci.springfield.or.us IJA TE: 06/08/2011 ""~IM'IIOUNTcDOE 22.80 19.00 655.18 228.00 38.00 ~.'-----~- --- 262.07 38.00 19.00 215.50 257.16 526.87 39.20 209.00 145.52 72.03 19.00 2,766.33 AMOUrrr.PA1D" '. .: 2,766.33 RECEIPT NO: 2011001483 RECORD NO: 811-SPR2011-01027 rDESCRII~.TjON'"'''''' " :.. ...'.~ ...;;;;,.;,'!'.:,,:,;-:,. 'I:' fi;'$?:;';'.;,.';4.'.'j,ACC6bNfr~C6bE:. '.- Admin fee (10% of applicable fees) 224-00000-426605 Backflow preventer 224-00000-425603 Buildin~!:~!.T.it Fee 224-00000-425602 Deferred Submittal 224-00000-425602 . .._.__~._ _.__.,~_u..~_ Dishwasher 224-00000-425603 .. - ---- --..-- 224-00000-425602 224-00000-425603 224-00000-425603 ~---_.. 224-00000-425604 443-00000-448025 442-00000-448024 719-00000-426604 224-00000-425603 821-00000-215004 100-00000-425605 224-00000-425603 TOTAL DUE: _ _ !~~~ife, Safety P~~n R~~__~___",~_ Ice maker Interceptor/wease trap Mechanical Permit fee (based on ~alue of work) SOC: Improvement Cost - Local Wastewater SOC: Reimbursement Cost - Local Wastewater SOC: Total Sewer Administration Fee Sinkfbasin/lavatory State of Oregon Surchargej2?!~,of a~plicable fees) Te:..h~~olo~Y..!~~Eermit total) ~.a_t~L"h~~~t~~ _._______."_ ~__.".~~ __;.."'"__,___. t:J~AXM_Et{(J"iXel;!i.t~ .:......;,~~'(QR;~~9ASH1ER:NMAc:HADO;i::L .,J:;I~;~CPMM~Nt$~~,>~~ '~',,;,;~ . Check E & G CONSTRUCTION, LLC 5002 . TOTAL PAID: 2,766.33 , I .tv-~ ~~