HomeMy WebLinkAboutPermit Building 2004-12-14
.'
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01489
ISSUED: 12/14/2004
APPLIED: 12/06/2004
EXPIRES: 06/14/2005
VALUE: $ 3,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1545 S BROOKLYN ST
ASSESSOR'S PARCEL NO.: 1703344402800
Eugene
TYPE OF WORK: Miscellaneous
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Add bedroom.
Owner: LANE COUNTY OWNED LANDS DEPT
Address: 125 E 8TH AVE EUGENE OR 97401
Contractor
WBGS ARCHITECTURE & PLANNING
SHELTERCARE 155774
J K GUCKENBERGER ELECTRIC INC 45129
HARVEY & PRICE CO r+- 77
I BUI.JiDi,N'~ INFORMATION I
,\'0~ ~ ' .
# of Units: &, ~ 'i}\ft Q{~ries: Lot Size:
Primary Occupancy Group: R~~ ~<.v~ ~ight of Structure Sq Ft 1st Floor:
Secondary Occupancy Group: \.., ~ ~S $)\)' Type of Heat: Sq Ft 2nd Floor:
Primary Construction Type ~~~:' ~~ Water Type: Sq Ft Basement: .
Secondary Construction~pe~ S '0~<V {.:> ~ Range Type: ,0 Sq Ft Garage/Carport
# of Bedrooms: ~~ 'f<,<<:-~ ~<:::J \)<<:- ~\)<:::J' Energy Path: ~o~~~ ~ Ft Other:
~~ 0..S \{, ('.,~'\; ('"<s.,.<:::J <::(<<: Sprinkled Building: $e,?~ e\.'O~~upant Load:
L-r .,},v ,~v h-.l.. -ef'>. . ef'>. c; _~ .\
'~~~~~~~ 'V' I Di':;VELOJ'~1ENT INFO~~~.t~q,~~e,?:~
\J ~ 100 '0 e ~ "'- ~ ~0 ~O. o~ REQUIRED PARKING
~ (',...'0 0. ~ ~. 0-. }..0~. ~
. Overlay ~t:' O<:!,fO -<..'0-0 ~Ov. eC:J e ,'0 ~'v Total:
#. S~~~~~~: t\~ ~,VO<:!:0~~ ~o~~. Handicapped:
P~.,,\ ~~e~~~~~ ~~~ ~o ..::J~ ;l,~ Compact:
% ~~t\.~a..e.flt'g~0'O 0.... o~ r:?:J~<};
,0 ''6..,0'0- q,~ ~'O- 0~~ O...0~CO~C;Y
..'0><:>. t>.~ '('~-j>.G 1;1('. 1\' ,
, '- J ~ ",-, . '\..... ~
1!l!.~~~IC ~~~Y~~~}t'"
A'.V v
~~" Sidewalk Type:
Contractor Type
Architect
General
Electrical
Mechanical
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-686-1262
I CONTRACTOR INFORMATION'
License
Expiration Date
Phone
541-342-7291
541-686-1262
541-746-4656
541-746-1621
06/12/2007
04/24/2006
10/31/2006
DownspoutslDrains:
Pae:e 1 of 4
,
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommJInd/Public
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01489
ISSUED: 12/14/2004
APPLIED: 12/06/2004
EXPIRES: 06/14/2005
VALUE: $ 3,700.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,700.00
Value
Date Calculated
Total Value of Project
$3,700.00
$3,700.00
12/06/2004
~
Amount Paid
Date Paid
Receipt Number
$39.39
$24.24
$6.06
$4.24
$60.60
12/6/04
12/6/04
12/14/04
12/14/04
12/14/04
1200400000000001697
1200400000000001697
2200400000000001507
2200400000000001507
2200400000000001507
$134.53
Pla.~_~eviews I
Pal?:e 2 of 4
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough ElectriC: Prior to Cover
Pa\?:e 3 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Electric: When all electrical work is complete.
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01489
ISSUED: 12/14/2004
APPLIED: 12/06/2004
EXPIRES: 06/14/2005
VALUE: $ 3,700.00
By signature, I state and agree, that I have cnrcflllly 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 of 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.
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
~"g~ u io",
~
Owner or Contractors Signature
Pa2e 4 of 4
/ Z/I '1ft t;
. ,
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journa.1 Number
COM2004-0 1489
COM2004-0 1489
COM2004-01489
RECEIPT #:
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
CreditCard THOMAS WEAVER
12/14/2004
City of Springfield Official Receipt
!elopment Services Department
Public Works Department
2200400000000001507
Date: 12/14/2004
10:25:04AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jmp 014154 In Person
Payment Total:
Amount Due
60.60
4.24
6.06
$70.90
Amount Paid
$70.90
$70.90
Page 1 of 1
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225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726~6.l!'0' O'o~
ELECTRIC#-- PERMIT APPLICATION " _ Oqfe <01}' 6>9. . Il}itt.
City Job Numbel(Yn~ 004 - 0 \ Lf.t1 Date I ~ ( ) 41 a uv <0lJff} , ~f){)h' VIr. Go I)
or/~f'/~ _
,.>\,_ :"~I",;t. , . w.JIi:\~ t
1. 3.
\6 LJ5 'S. ecLt-nl<u kYI or
LEGAL DESCRIPTION ()"
\1 03 3cq Lfl1 0 ~ ~tTD
JOB DESCRIPTION
~. &tQ~rn InprnOV7~
Permits are non-transferable and expire if work is
not started within 180 days of Issuance or If work Is
Suspended for 180 days.
2.
Electrical Contractor 0'~b:, ~ cl r'\ c
Address 2- \ '5. ~ $\.
City ~r(fyf~'& Phone 1%-4(PS~
Supervisor License Number 4 <61 S S
Expiration Date (0 .. l - 0 (p
Constr. Contr. Number ~ 6 12. '\
Expiration Date t.{.2. ~-O l-
Signature of Supervising Electrician
F
Owners Name \.an Q , ! ~
Address \ ';1 S <; . ~ (l" f,
City~_fY\(~ Phone fQ~~ - V2-Lu~
OWNER~ST AL~iltJJ I
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
f{r;
Service Included
1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or .
portiorAI6i-@ilTION: Oregon law requires ~J.!lr6b
Jallo\.'V rUI~adooted by tne uregon Utility
Each M"amltact a me dr
Modb\~tDW1i\OO ft\Jl&folhose rules are set forth
Feeder OAR 95~-001-001 0 thrCllJC]h OAR 9$2)<<)01-
" v ~s
B.
number for the Oregon Utility 0 Ilea Ion
200 Amps or le~enter is 1-800-::l:1?-?:i44~ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
60 I Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
C.
InstaUatlon, Alteratfon or Relocation
200 Amps or less 'oOnf3c$/5'o'Joo08 ~ )\~I,,'
. 201 Amps to 400~Artn),03NOON\i8\1 SI tlO$(92:90nlAJlA1W)
401 Amps td.6b'O ~lnpM^ltl3d SIHl tljONr$t])g~q~nl-ll n\!
Over 600 A~~Pt{ll~~oLvillt~~Jel\lBF1H~~.S 11I!\Jtl3d SIHl
D.
New Alteration or Extension Per Pane,
One Circuit I
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
-43 _ (fiJ
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial J $ 45.00 L.J 6~ (T ;)
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
7% State Surcharge
10% Administrative Fee
RK ~ o-v
G, .l&
R. Rr)
~ 0').. ~qG,
TOTAL
Shared Drive(T:)/Building Forms/Electrical Pennit Application I-03,doc
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01489
. ISSUED: 12/14/2004
APPLIED: 12/06/2004
EXPIRES: 06/1412005
VALUE: $ 3,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1545 S BROOKLYN ST
ASSESSOR'S PARCEL NO.: 1703344402800
PROJECT DESCRIPTION: Add bedroom.
Eugene TYPE OF WORK: MisceV8~ews
ATTENTION: Oregon law re6U1res Utility
f \low rule~~~fj'(tJ'Is$the ~~tt9~tIo.n. rth Commercial
o Those rules are set TO
Notification Center. h hOAR 952-001-
L. f"'\ ^ 001;')-001-0010 t roug ... 1_ _ 1'.)' "
LANE COUNTY OWNED LANDS DEPT '0090. '(ou may obtain COf~\~~M~~OO~e541-686-1262
125 E 8TH AVE EUGENE OR 97401 calling the center. (No ~ti\ity Notification .
_. ._hor fnr the Oregon .
. .."-. ('ootp.[ js 1-80U~J,j,-'.;l~"T)'"
.1 CONTRACTOR INFORM'"ATION I
Owner:
Address:
Contractor Type
Architect
General
Electrical
Mechanical
Contractor' License Expiration Date Phone
WBGS ARCHITECTURE & PLANNING 541-342-7291
SHEL TERCARE 155774 06/12/2007 541-686-1262
J K GUCKENBERGER ELECTRIC INC 45129 04/24/2006 541-746-4656
HARVEY & PRICE CO 77 'nn~\QtM/7~;0:6 mn ^~~.ij-746-1621
BUILDING INFORMAT~~NOON'i9\l SI 'dO 03~}N'dj~~~~n~'
J J SIHl 'd30Nn 03Z1
# of Stories: iON SI i\~'d3d IdXi'~~~f> ilW'd3d SIHl
Height ofStruc~OOM 3Hl ::II 3'd Sq Ft 1st Floo~~\lOt~
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
R4
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
I' DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:.
% of Lot Coverage:
.REQUlRED PARKING
Total: .
Handicapped:
Compact:
1 PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
. Estimate
Estimate
Fee Description
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 7% State Surcharge
+ 7% State Surcharge
Add, Alter, Extend Circ
Building Permit
Low Voltage - Commercial Indus
Total Amount Paid
CITY OF SPRI1~lifilJ!.LD
. Building/Combination Permit
PERMIT NO: COM2004-01489
ISSUED: 12/14/2004
. APPLIED: . 12/06/2004
EXPIRES: 06/14/2005
VALUE: $ 3,700.00
I Valuation Description I '
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,700.00
Value
Date Calculated
Total Value of Project
$3,700.00
..--.-. --
$3,700.00
12/06/2004
~
Amount Paid Date Paid. Receipt Number
$39.39 12/6/04 1200400000000001697
$24.24 12/6/04 1200400000000001697
$6.06 12/14/04 2200400000000001507
$8.80 12/14/04 2200400000000001510
$4.24 12/14/04 2200400000000001507
$6.16 12/14/04 2200400000000001510
$43.00 12/14/04 2200400000000001510
$60.60 12/14/04 2200400000000001507
$45.00 12/14/04 2200400000000001510
$237.49
I Plan Reviews I
Pal!:e 2 of 4
~~P~'~9.JSLD ~ CITY OF SPRINGFIELD'
WtL i
'." I Building/Combination Permit
o .~_~ ..____ . . ... _-.--.,., .
Status Issued PERMIT NO: COM2004-01489
225 Fifth Street, Springfield, OR ISSUED: 12/14/2004
541-726-3753 Phone APPLIED: 12/06/2004
541-726-3676 Fax EXPIRES: 06/14/2005
541-726-3769 Inspection Line VALUE: $ 3,700.00
Fire Department Review 12/07/2004 12/10/2004 OK GRG Plan Review: addition of wall for
another bedroom in shelter. Job
#COM2004-01489. Occupancy
Classification: R-4. Construction
Type: V-B.
Maintain address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505.1).
Maintain fire extinguishers with a
minimum rating of2-A:I0-B:C
every 75 feet of travel distance. The
top of the extinguisher{s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
If more than 20 sprinkler heads are
added or require relocation, submit
sprinkler plans and calculations to
Springfield Fire Marshal's Office for
review and approval. If less than 20
sprinkler heads are relocated,
provide submittal showing
relocation of sprinkler heads and
ensure system maintains compliance
with NFP A 13 requirements.
Initial Review 12/07/2004 12/07/2004 APP SKG
Plan nine Review 12/07/2004
Public Works Review 12/07/2004
Structural Review 12/07/2004 12/10/2004 WE JMP Tom will fax cost/value.
Structural Review 12/13/2004 12/13/2004 APP JMP Received cost/value fax.
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Paee 3 of 4
,-S., ~A,f.,'N.' $il F,':ao .,. .ji.,.. .."',.,,., ., . ,'.....
WiL. .
l1. , :,
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01489
ISSUED:, 12/14/2004
APPLIED: 12/06/2004
EXPIRES: 06/14/2005
VALUE: $ 3,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
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 of 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.
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.
Sl ~ QOl J\,., ~ ~ 1- ~ c9-- I d. 11'-+ i 0 '/
Own'~or Contract:- ~;ure Date
Pa2e 4 of 4
225 Fifth Street
Spri~gfieid, Oregon 97477
541-726-3759 Phone
Job/Journal Number
tOM2004-01489
COM2004-01489
COM2004-01489
COM2004-0 1489
Payments:
Type of Payment
CreditCard
12/14/2004
RECEIPT #:
2200400000000001510
Description
Low Voltage - Commercial Indus
Add, Alter, Extend Circ
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JEFFERY GUCKENBERGER
Check Number
Received By. Batch Number
nJm
Page I of I
rity of Springfield Official Receipt
velopment Services Department
Public Works Department i
Date: 12/14/2004
2:22:27PM
/
Amount Due
45.00
43.00
6.16
8.80
$102.96
Item Total:
Authorization
Number How Received
Amount Paid
024828 Fax
Payment Total:
$102.96
$102;96