HomeMy WebLinkAboutPermit Building 2011-7-21
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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
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SPRING. fl E.L~D
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.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
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,
SP;I,N. =~..~
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. ~~. 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
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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
.
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~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
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Sr.R1N..G FIE.L~
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>~ 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