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Home My WebLink AboutPermit Building 2011-7-21 ~; " CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01734 IVR Number: 811106062168 www.ci.springfjeJd.or.us PROJECT STATUS: STATUS DATE: 155 ued 07/21/2011 ISSUED: APPLIED: 07/21/2011 07/13/2011 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 01/16/2012 $10,000,00 SITE ADDRESS: 1780 CENTENNIAL BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253403900 SCOPE: Interior WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Interior Remodel of 'A-3' occupancy Phone Number: OWNER: ADDRESS: MERCURY DIME, LLC PO BOX 26125 EUGENE OR 97402 CONTRACTOR INFORMATION ~ Lot Size: Sq Fl1 st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Fl Carport: Sq Fl Other: 0 Occupancy Load: Electrical Specialty Code Edition: 2011 Springfield Fire Code Edition: 2010 Mechanical Specialty Code Edition: 2010 Contractor Type Contractor Name CORNERSTONE DESIGN & CONSTRUCTION INC ARPS PLUMBING CO INC Lie Type CCB CCB BUILDING INFORMA TION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Construction Type Occupancy Type Occupancy Comments Type VB A-3 5076 sJ, Building; Non-Sprinklered, Non-separated # of Bedrooms: Sprinkled Building: No Fire Alarms: No Energy Path: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 2099$ 38123 Lie Exp 04f29/2013 01f24f2012 Phone 541-342-3203 541-484-7246 2011 2010 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: . I w requireS you to Land Hazard Ateli!:NTION. Oret~ ba the Oregon Utility Retaining w:fll:llow rules adop eThoYse rules are set forth . J.""lfJ".<>."on Center. 001 Salls Repon"""""",,Il. 0010 through OAR 952- . in OAR 952-001- btain copies of the rules by , 0090. You may 0 ote' the telephone calling the Chentoe;~g(~n Utility Notification number for t e 44) Center is 1-800-332-23 . Springfield Building Permit 7/21/2011 8:07:36AM NOTICE: ' '" ";(":H",,;",, . THIS PERMlT SHALL EXPIRE IF THE WORK,. AUTHORIZED UNDER TH1S PERMIT IS NOT. COMMENCED OR IS ABANDONED FOR ., . ANY 180 DAY PERIOD. Page 1 of 5 .. , SPRING. fl E.L~D ~4'_ . Ui!:.~ .m~ OREGOt-l www.ci.springfjeJd.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01734 IVR Number: 811106062168 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: 155 ued 07/21/2011 ISSUED: APPLIED: 07/21/2011 07/13/2011 EXPIRES: VALUE: 01/16/2012 $10,000.00 SITE ADDRESS: 1780 CENTENNIAL BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253403900 SCOPE: Interior WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Interior Remodel of 'A-3' occupancy DEVELOPMENT INFORMA liON ~ 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 ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Bid Tvee of Construction NA Unit Amount Unit Tvoe 10,000.00 Bid Unit Cost 1.00 Value 10,000.00 10,000.00 Springfield Building Permit 7/21/2011 8:07:36AM Page 2 of 5 . , SP;I,N. =~..~ ..~>;-,~ . . ~~. OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01734 IVR Number: 811106062168 www.ci.springfield.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: Issued 0712112011 ISSUED: APPLIED: 0712112011 07/13/2011 EXPIRES: VALUE: 0111612012 $10,000.00 SITE ADDRESS: 1780 CENTENNIAL BLVD, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703253403900 SCOPE: Interior WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Interior Remodel of' A~3' occupancy FEES PAID ~ Date Paid 07/13/2011 07/21/2011 07/21/2011 07/21/2011 07/21/2011 07/21/2011 07/21/2011 07/21/2011 07/21/2011 ...._---_._.~--------+- -- 07/21/2011 Description Amount Paid Structural Plan Review Fee Commercial $88.40 ~.,---- _.._--_.._~~-------_._-_._._-..- Fire, Life, Safety Plan Review ,__,_, $54.40 Balance of Minimum Plumbing Permit Fees $20.00 State of Oregon Surcharge (12%ofapplicable fees) $32.76 Technology fee (5% of permit total) $13.65 ~s~n/lavatorx__..._ $19.00 Mechanical Permit fee (based on val.':le of work) $79.00 ~lanninQ_.:. Minor Review - City $119.00 Water closet $19.00 -.---.....- .,-- 8u~ldin9...Pe!mit F~e_ $136.00 _,. ____ _~_ ________... "0 _ _ ____._ Total Amount Paid $581.21 ReciDt # 2011002005 -~......--,-._-_..- 2011002075 2011002075 2011002075 2011002075 2011002075 2011002075 2011002075 2011002075 .---- ~,--_..__..._._.- 2011002075 Springfield Building Permit 7/21/2011 B:07:36AM Page 3 of 5 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Building I Commercial Permit www.ci.springfieJd.or.us PERMIT NO: 811-SPR2011-01734 IVR Number: 811106062168 permitcenler@cLspringfield,or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/21/2011 07/13/2011 EXPIRES: VALUE: 01/16/2012 $10,000.00 07/21/2011 SITE ADDRESS: 1780 CENTENNIAL BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253403900 SCOPE: Interior WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Interior Remodel of 'A-3' occupancy Plan Review ~ Deoartment Application Acceptance Received Due Date 07/13/2011 07/13/2011 Comoleted 07/13/2011 Result Application Accepted Reviewer Kip Kaufman Planning Review 07/13/2011 07/13/2011 07/13/2011 Routed Kip Kaufman iPlannlngRevieW;;"'!:- -.. '07/,13/2011" 07/'1,3/2011"lC'oi7i3i201T ~. Add1iiif;R~quir~d:---j:-,Z'~iilei'" : ~,' Comments: - ~e~tO,~~!J1ail:Jo,:~o~t~ac,_.lor ~~c!~~rchite,~t'~ski.,:~g.ttiemto':~~~W)W9,Ab.A:pa~~i~Q:~(t~II.S-0n.P\Cl~;' .~",~ ..' ',{' [; _._.".:'-'--"'-;"""-'~~~.h~"_'~,_,~'-'""",,_,__--' " .~~,"~.~._-.,;;.,-,_ Initial Review 07/13/2011 07/13/2011 07/13/2011 Approved Kip Kaufman "\,,:r-.'--' Energy Code Review 07/13/2011 07/13/2011 07/13/2011 Routed Kip Kaufman Structural Review 07/13/2011 07/13/2011 07/14/2011 Add'llnfo Required Kip Kaufman Wire'Review- ,- .'-- '<7"~: ~. :'.,-'-.' "';:'-. ..- -1" """to". ,~,C"'V""_'""___''''--y.. - . ._'_...,.....-t~.~". ...- _. '."""",". -- ~-'? '-'" '~'-;r t'..,.."'.t!'..,.c....,';1'.~-;- - - ~'-~.- =~, ;:. " IF"ir~?~eyjeW, ,'~-"f:,:_k..(~~~~f;'.\' :~7L13/201:hL,0?/J3(2q,11,.~,P{/15/2Q1y'w,_, '~PW9~~c!: _ c._.> ,Gq,* ,/YJ' -'Gllbert"qc>r~9~T{;'-~,~ t;~cEfnni~n~)'":SeJ:!~a:ttatti~~-.l~:~~kfl1,7:rtf6riFir~ D.ep~.~~rn~.D!;f7J~.~S .~~view;corrfllj~~ts~ ~r,':'! '<'.t::__,_ ",' ~~:J-i.<:~.;';'" ,.oj,;:t_~ ;~'. ~~." .....-;- Public Works Review 07/13/2011 07/13/2011 07/18/2011 Approved M Greene Comments: No new SDC's. 'P~~:~e~~:~)'N~~;~:L~:~~i:6~~~rki~~::~~~:;t~;~:~~~~:';i~tePid~~;:~b;.:~~i~~'hl;~' :~;~ ~V!i;.i~"'~~3,'~1.C~:.~~J,--".;::..:=~~.'~.:-~~ 0"",_"'~ . .'" _..;;....%"~~..",,,...:.'".,,=.,.....,,.,. .;,'," '_^.'....V0'...V...,^:;.;~#.4.~"..., ,,,. ,". '"'.''''"'M''-''_',-,''"", '.;' _.~ ... . ... . .,...., . ,'._ _" . Planning Review 07/13/2011 07/13/2011 07/19/2011 Approved Liz Miller Comments: Received ADA parking plan on 7/19/2011. , ~ ~.~:t1^;0"'~~~_v""v, _,] '.: 'j . Energy Code Review 07/13/2011 07/13/2011 07/20/2011 Not Required Kip Kaufman rStrUctural' Reww .j,' :-, - '---;07 ii' :li201 ,1 ','o7il3i2o,;-=-'0712Ot20~:-ARprov-;d ;' .,.:." --::-1<ipKaUimali'-~_:- - '-:-'.- --.- - '-1 '. .. ~ ' .~" "'" v;-~....",... c.fo" ~ !N;'" J' - '>1 ~ ,"...'U.... ",.>---'-"" ~<~ ~b ~ ~_'-~'- ~ "..I~'i { ~.. ~ ,,, -." '"~"';I:.,.-J",'W'.''''''''... ~ :.,.,' '&1' 4;....~~~k. O' ',"~~ '..'. 4-', "'-, '" " ~ L_~ w. .. '- " . ~ c cd" ~~,~_"'""~~ ~',;i.r~ '\"t~ .' t ,.., ~ ~ . ' '-'I "<' .~ Structural Review 07/13/2011 07/13/2011 07/20/2011 Add'llnfo Required Kip Kaufman Springfield Building Permit 7/21/2011 8:07:36AM Page 4 of 5 . . , S:F~.. FIE~ L~,~ ~.OREGOt~ www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01734 IVR Number: 811106062168 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 ISSUED: APPLIED: 07/21/2011 07/13/2011 EXPIRES: VALUE: 01/16/2012 $10,000.00 07/21/2011 SITE ADDRESS: 1780 CENTENNIAL BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253403900 SCOPE: Interior WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Interior Remodel of 'A-3' occupancy !~:e:::.I~:u_a~ce' '__,~:":_:'~~~~:20i1: ,_-'0:i2~;~O{~~,.-O~~~11'_;~ '_I~~~:__~t.-~':~:,.!i~~~,~~~~;~C=~~~. INSPECTIONS REQUIRED ~ . . ;: ~ '~;:J Inspections 8999 Final Fire 1070 Parking Lot 1260 Framing 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. 1540 Gypsum Board/Lath/Drywall 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 2300 Rough Mechanical 2999 Final Mechanical 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. 3500 Rough Plumbing 3999 Final Plumbing 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 wjJJ 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. ftJn~~L ;:/cJ/ j// , "... Owner or Contractor Signature Date Springfield Building Permit 7121f2011 B:07:36AM Page 5 of 5 ----. Structural Permit Application ~~ DEPARTMENT USE ONLY g 1- 5'fR... 2B-1..-L Permit no.: .1-. 3.21- Date: -j 1 This permit is issued under DAn. 918-460-0030. Permits expire if work is not started within 180 days OfiSSU<IOCC or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has linulland-usc i1pproval. Signatllre: Date: This project has OEQ approval. Signature: Date: Zoning approval verified: 0 Yes D No Property is wilhinl100d plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION D'Rcsidcntial o Go\'emmcnt Commercial ZIP: <; 7!fp City: Phone: E~muil: Print name: Signature: Name Electrical Plumbing Mccllnnicnl ceo License Number PhulIC Number 3 12--3 FEE SCHEDULE I. Valuation information Itr: All /} (u) Job description: /l 1.2.0 rN;I]//J 11 ,EYJ,>hnCl Occupancy A-3 V Construction type:-=:-V~ Square feet; Cost per S{jllure fO()l: Otht:r infommtion: Type of Ileal: Euergy l)lIth: o new ~lteralion o addition (b) roundation.only permit? o Yes ONo Tolal \'aluation: 1$la~ 2. Building fees (1I) Permit fee (use valuation table): $ (b) lnvcstigntive fee (cqualto [2a]): $ (e) Rcinspccliol1 ($ per hour): $ (number of hOllrs x fee per hour) (d) Enter 12% surcharge (, ] 2 x 12a+2bl'2cl): $ (e) Suhtohll ofrees llbo\-'e (2a thruugh 2t1): $ . 3. Plan review fees 1iiJ Plan review (65% x permit fee [2aD: $ (b) fire and life safety (40% x pemlit fee [2a)): $ (e) Subtolal ufrces IIhovc (3a Dntl3h): $ 4. Misccllnneousfecs (a) Seismic fee, 1% COI x permit f~e [2a]): $ TOTAL fees and surcharges (2c+3l.+4a): $ VON M^~.s:tt 5" 11 ~ ;Z '2- ~ -1-1/fe &klLt AR.f.> " Emerald Bridge Club 1782 Centennial Blvd. Springfield, OR. 97477 To Whom It May Concern: The "kitchen" area of the Emerald Bridge Club has no commercial equipment. All appliances are residential type. No commercial cooking or food preparation is done on-site. Respectfu lIy, ~~ Don Marsn Owner Emerald Bridge Club . ... ... , . . . . .,.. ..... , .. . . 0 . . ... .. .. . . ....... .. . . ..... .. . . . . . .. . .. . . ..,:;.... . . .' . . . .. . . .. ,-' . .... ...... . . . . .' . . , . " .. .. ... . .. . , . 0 . ' .. . .... . . . .... ..c.. . SP~:~~.~ ~ ~OReGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01734 1780 CENTENNIAL BLVD permitcenter@cLspringfield.or.us RECEIPT NO: 2011002005 RECORD NO: 811,SPR2011-01734 DATE: 07/13/2011 tbE'SCRie.Tlb~i ,i~ <~~,V,;; i;~ "....~~,.,'"i:'~.jyj;,TJ: '?~+_"':f""~"',~.}~~~~ ',' s:;e;:AccCiL.iijt.C.OOE'.' ~~o-i<ii,;:,"00:~,=,'~~lf,.Mo.UNj2D,UE, '. '~" ,_<~'" j Structural Plan Review Fee Commercial 224-00000A25602 88.40 TOTAL DUE: 88.40 ["pAYMENfTYPE'~UYSiI'AY6R "_")'cAsAIER'KKAUFMAN;",;'C:7COIVIMEN'rS~-~';0'_""-" >.:,;-.,:.' AMOUN'r'PAI[)"'~s,'" J '" .., .,."....... ..- ...__~'~_____.__~_=t"...;_"__"'_0,_j';&wt.' ',. _ ___ _ Credit Card Emerald Brige Club $88,40 000015 TOTAL PAID: $88.40 . . . k Sr.R1N..G FIE.L~ .~~ ,~ ..,t \-::;.1l! >~ OREGON TRANSACTION RECEIPT C!TY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01734 1780 CENTENNIAL BLVD pe nnitce nter@ci.springfield..or.us RECEIPT NO: 2011002075 RECORD NO: 811-SPR2011-01734 DATE: 07/21/2011 lDEseRlerlON, . -'.." .:~~.I .. ,. ~,., "'\'._AccdUNT:;CODE"':'_~_~~:C'. __:AMOUNT,lJUE,,-:,:.':.._.: Balance of Minimum Plumbing Permit Fees r.::::.:::.,>_ 224~00000-425603 20.00 Building Permit Fee " 224-00000-435602 136.00 Fire, Life, Safety Plan Review 224-00000-425602 54.40 Mechanical Permit fee (based on value of work) 224-00000-425604 79.00 Planning - Minor Review - City 100-00000-425002 119.00 , Slnkl~asln/lavatory 224-00000-425603 19.00 State of Oregon Surcharge (12% 01 applicable Ie<:sL___,~31-00000-215004 32.76 _.__ ~echnoloQy lee (5% 01 permit total) 100-00000-425605 13.65 Water closet 224-00000-425603 19.00 _.._ _~___~ ..~0_"'___^"'_"'__~________________.'__~ __._w._..~ -"'--".___~'__ TOTAL DUE: 492.81 L:..!J'A'(MENt1YI'J2:-=-,PAYORi;~1;: CASHIER'D~O!(tL2El.Y.i~;Z:.~Q.M.M~NI~~2;.t\i:~:;;- ':::.",,',M!!Q.iJNTPAIDf .. " ,j Credit Card emerald bridge club $492.81 080834 TOTAL PAID: $492.81