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HomeMy WebLinkAboutPermit Building 2013-10-9 'SPRINGFIELD 225 Fifth St r t CITY OF SPRINGFIELD Springfield,OR 97477 I a; '�« Phone: 541-726-3753 • OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR201 3-021 25 www.springfield-or.gov permitcenter @springfield-ar.gov PROJECT STATUS: Issued ISSUED: 10/09/2013 EXPIRES: 04/07/2014 STATUS DATE: 10/09/2013 APPLIED: 09/20/2013 SITE ADDRESS: 1084 G ST,Springfield,OR 97477 SCOPE: School ASSESOR'S PARCEL NO: 1703351103400 TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Interior conversion of locker room to classrooms OWNER: SPRINGFIELD SCHOOL DISTRICT 19 Phone Number: ADDRESS: 525 MILL ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER COB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 1110 Footing Footing: After trenches are excavated. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1540 Gypsum Board/Lath/Drywall 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. 1600 Ceiling Grid Ceiling Grid: After drywall approval but prior to cover. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 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. 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, ! p////,/ / At�I�NI I ,�, vonniroe unit fn /U/I/ / 5 Owner o��YiIL :t sig"n"ature&pied by the Oregon Utility Date • Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by NOTICE: calling the center. (Note: the telephone number for the Oregon Utility Notification THIS PERMIT SHALL EXPIRE 1F THE WO OK Center is 1-800-332-2344). AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 10/9/2013 10:46:55AM Page 1 of 1 'SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-S PR2013-02125 www.springfield-or.gov 1084 C ST permitcenter©springfield-ar.gov RECEIPT NO: 2013002247 RECORD NO: 811-SPR2013-02125 DATE: 10/09/2013 :.DESCRIPTION__ _ s ACCOUNT CODE/TRANS CODE . AMOUNT DUE Building Permit Fee 224-00000-425602 1002 472.82 Fire, Life, Safety Plan Review 224-00000-425602 1077 189.13 Planning-Minor Review-City 100-00000-425002 1231 119.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 56.74 Technology fee(5%of permit total) 100-00000-425605 2099 23.64 TOTAL DUE: 861.33 PAYMENT TYPE; PAYOR CASHIER:JLARSON - COMMENTS - - AMOUNT PAID Credit Card SPRINGFIELD SCHOOL DISTRICT 1£ 861.33 135430 TOTAL PAID: 861.33 SPRINGFIELD • CITY OF SPRINGFIELD ;aa 225 Fifth St ,, TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-S P R2013-02125 www.springfield-orgav 1084 G ST permitcenter©springfield-or.gov RECEIPT NO: 2013002102 RECORD NO:811-SPR2013-02125 DATE:09/20/2013 DESCRIPTION :__. „ . . _ _ : _. :. ACCOUNT.CODE/TRANS CODE- : , ____ AMOUNT_DUE__■ Structural Plan Review Fee Commercial 224-00000-425602 1060 307.33 TOTAL DUE: 307.33 P. PAYMENT_TYPE PAYCR CASHIER;CCARPENTER _._COMMENTS _v _.. ,,__aAMOUNT PAID Credit Card i SPRINGFIELD SCHOOL DISTRICT 1£ 307.33 172254 TOTAL PAID: 307.33 • Structural Permit Application SPRINGFIELD DEPARTMENT.USE ONLY ,,,,..,,,,,,40;m1.,.a r . v v q iv y . a e yf, £^+a? ✓ rr1 a — y y ; f V[TY OF SRGFELD OREGON g y t t a 4 0.� Permit no / OaEGON 3 -21 25— 225 Fifth Street•Spnngfield,OR97477♦PH(541)726-3753♦FAX(541)726-3689 • Date:9/Zdf/J 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. ....Y...::,11:/;.*". LOCAL GOVERNMEN_T-`APPROVAL . ,-, ,+.; Plumbing This project has final land-use approval. Signature: Date: Mechanical This project has.DEQ approval. C_/ 7 L HOW 446 5111-76.o/QQ Signature: Date: FEE',SCHEDULE 4 " Zoning approval verified: ❑Yes ❑No - Property is within flood plain: ❑Yes ❑No i I Valuation information 3�5 ' ,. r 'it; .:, CATEGORY OF{CONSTRUCTION "'s ',.7::: ` (a)Job description: J%krfbr &wok/ ❑Residential Government ❑Commercial Occupancy • Edo e!han a I r "JOB SITE INFORMATIOWAND LOCATION '( '__ _ Construction type: 6-$ lob site address: `Q� c 4 . S-reel- Square feet: 4 7 ,5 City: Spyi yN9 cl el A State: ca. ZIP: 971{77 Cost per square foot: Subdivision: Lot no.: Other information: Reference: 17033j( Taxlot: - 03-VO,.°0 •_ - b Type of Heat: r.-PROPERTY OWNER '-s -- ' /, 1 1 - Energy Path: Name: 5!v.AachelA Sc ',trl 7156.164 � "� ❑new [�altenhon 0 addition Address: 5 .j t41jl1 SWt&"+- �• (b)Foundation-only permit? ❑Yes CI No City: 3V1VL94tU ( State: OF. ZIP: 172177 Total valuation: s 95 ore Phone: sw.70f'/-(0375 Fax: 51.1/-74�f-437L t I .2.Buildiug•fees , ,. ., ;:. ::.... : ,.. E-mail: .0 . , , i,',, ,' _ (a)Permit fee(use valuation table): $ 1:f7`2,d Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $ (c)Reinspection($ per hour): (number of hours x fee per hour) $ Sign h re: q ,3p 5--ea—/9 (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ ❑Thi insta de on residential or farm property owned by me or a e r of my immediate family,and is exempt from licensing (e)Subtotal of fees above(2a through 2d): $ requirements under ORS 701.010. 3.,Plan review fees .. - v ' - CONTRACTOLLLR.INSTALLATION . (a)Plan review(65%x permit fee[2a]): S,'�f C Business name: worm / airier (b)Fire and life safety(40%x permit fee[2a]): S I 0 ! 13 Address: / (c)Subtotal of fees above(3a and 3b): $ City State: ZIP: 4.Miscellaneous fees Phone: - - Fax: - - (a)Seismic fee, 1%(.01 x permit fee[2a]): $ E-mail: (b)Technology fee,5%(.05 x permit fee[2a]): S 23 Cf- CCB license no TOTAL fees and surcharges(2e4-3c+4a+4b): $701) 4�' Print name: Signature: SUBCONTRACTOR INFORMATION Name CCB License N Phone Number Electrical • SPRINGFIELD 225 Fifth St hA p ( CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 ' 4%OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02267 www.springfield-orgov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/09/2013 EXPIRES: 04/07/2014 STATUS DATE: 10/09/2013 APPLIED: 10/09/2013 SITE ADDRESS: 1084 G ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703351103400 TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: PL-Interior conversion of locker room to classrooms OWNER: SPRINGFIELD SCHOOL DISTRICT 19 Phone Number: ADDRESS: 525 MILL ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor OWNER CCB 000000 08/01/2025 General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED - Inspections 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. 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. • NSA• ' _ Ie/9 ( I7 Owner or Co . ot-gnature Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- 0090, You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 10/9/2013 1:33:51PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 't,t 225 Fifth St __, Cep„ TRANSACTION RECEIPT SpringfielQOR97477 jd' ` OREGON 541-726-3753 811-S P R2013-02267 www.springfieid-or.gov 1084 G ST permitcenter@springfield-or.gov RECEIPT NO: 2013002251 RECORD NO:811-5PR2013-02267 DATE: 10/09/2013 !DESCRIPTION ;. _" " .,_-, �AC000NTCODE/TRANS:CODE._ ; AMOUNT,DOE.._,; Fixture cap � 224-00000-425603 1005 63.00 Shower/Shower pan 224-00000-425603 1005 21.00 Sink/basin/lavatory 224-00000-425603 1005 42.00 State of Oregon Surcharge(12%of applicable fees) - 821-00000-215004 1099 17.64 Technology fee(5%of permit total) 100-00000-425605 2099 7.35 Water closet 224-00000-425603 1005 21.00 TOTAL DUE: 171.99 -" - ` AMOUNTPAID ��, PAYMENTTYPE PAYOR_"'CASHIER:CCARPENTER „ .. 'COMMENTS ,. _._ � I Credit Card SPRINGFIELD SCHOOL DISTRICT 1£ 171.99 °_._.__ 163650 TOTAL PAID: 171.99 _ SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 , � Phone: 541-726-3753 REGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02268 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/09/2013 EXPIRES: 04/07/2014 STATUS DATE: 10/09/2013 APPLIED: 10/09/2013 SITE ADDRESS: 1084 G ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703351103400 TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: ME-Interior conversion of locker room to classrooms OWNER: SPRINGFIELD SCHOOL DISTRICT 19 Phone Number: ADDRESS: 525 MILL ST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 INSPECTIONS REQUIRED Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 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. 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. A_ I 167973 •caner or .-, . . Signature Date ATTENT!ON: Oregon law requires you to NOTICE. follow rules adopted by the Oregon Utility THIS PERMIT Notification Center. Those rules are set forth MIT SHALL EXPIRE IF THE WORK• in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER T • 0090. You may obtain copies of the rules by COMMENCED OR IS t THIS PERMIT IS NOT calling the center. (Note: the telephone ANY 180 DAY PERIOD. FOR number for the Oregon Utility Notification . Center is 1-800-332-2344). Springfield Building Permit 10/9/2013 131.33PM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD ' ' ``O EGON TRANSACTION RECEIPT sPSmggeld,OR 97477 541-726-3753 811-S P R2013-02268 www.springfield-or.gov 1084 G ST permitcenter@springfield-or.gov RECEIPT NO: 2013002253 RECORD NO:811-SPR2013-02268 DATE: 10/09/2013 ;DESCRIPTION ",, w "-- .- ACCOUNT CODE/TRANS CODE _'_ . AMOUNT_DUE_-. Mechanical Permit fee(based on value of work) 224-00000-425604 1006 224.56 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 26.95 Technology fee(5%of permit total) 100-00000-425605 2099 11.23 TOTAL DUE: 262.74 LPAYMENT T•PE_r -'1.AYOR. ;CASHIER:CCARPENTER `; :i ,COMMENTS_,_ : „_, .; - - ' - _AMOUNT PAID_ .. _i __Li Credit Card SPRINGFIELD SCHOOL DISTRICT 1€ 262.74 163650 TOTAL PAID: 262.74 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 { ,,i- Phone: 541-726-3753 ' OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-02269 www.spnng8eld-or.gov permitcenter @springfleld-or.gov PROJECT STATUS: Issued ISSUED: 10/09/2013 EXPIRES: 04/07/2014 STATUS DATE: 10/09/2013 APPLIED: 10/09/2013 SITE ADDRESS: 1084 G ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703351103400 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: EL-Interior conversion of locker room to classrooms OWNER: SPRINGFIELD SCHOOL DISTRICT 19 Phone Number: ADDRESS: 525 MILL ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name • Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical Final Electric: When all electrical work is complete. 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. 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. _u___ - /6/973 •wner or Wir:T .lure Date • • • ATTENTION: Oregon law requires you to fnilow rules adopted by the Oregon Utility ratification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK. 090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). ANY 180 DAY PERIOD. • Springfield Building Permit 10/9/2013 1:29:34PM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St E�oN TRANSACTION RECEIPT SpdngfieldiOR 97477 541-726-3753 811-SPR2013-02269 www.springfieldor.gov 1084 G ST permitcenter @springfield-or.gov RECEIPT NO: 2013002252 RECORD NO: 811-SPR2013-02269 DATE: 10/09/2013 ,Ri .lM:71?!p[o7 4 ' { SExPi� 'sue L err _tS i=ACCOUNT:GODE/TRANS+CODE;.'I if "'AMOUNT-DUE"'3 Branch circuits with service or feeder each circuit 224-00000-426102 1004 130.00 Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 26.28 Technology fee(5%of permit total) 100-00000-425605 2099 10.95 TOTAL DUE: 256.23 MPAYMENrT,YPE, I AYOR casHr aRRERTER: !::4' • COMMENTS S 8 €4ZOPM.SantalfAMOUATFPgAIPPRIMOVISO Credit Card SPRINGFIELD SCHOOL DISTRICT 1£ 256.23 163650 TOTAL PAID: 256.23 • • • 7, :Electrical Permit Application DEPARTMENT USE ONLY ' Y - I-s,eai>"•4 N 4 CII E S O Permit no.:g// r'3 o uh2,Ow V • , >e; ,, ,. ab( .N 225 Fifth Street•Spi mgfield,OR 97477 H'11(541)7263753*FAX(540726-3689 OREGON Date: 7o 7?/t'3 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No t . Cost Tot5I Number of inspections per item O Q 1 ea. cost CATEGORY OF CONSTRUCTION - ---- —I Residential,per unit,service included: ❑ Residential ❑Government B'Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq. 1i.or less(4) 5147.50 �n XV _ S q Each additional$Oft sq. fi.or portion .lob site address: t Each a $ 27.50 City:Seet,.�l I'T.U7 State: �_ ZIP: /l'I 71 Limited energy(2) S 35.00 S Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ DESCRIPTION OF_WORK dwelling service or feeder(2) Services or feeders:installmin a/e aliurc relarnriuu _ _/>t OQ' nV>ll 200 amps or less(2) / Si 89.00 $ri °e PROPERTY OWNER 201 to400 amps(2) $ 104.50 S Name: See t dt,s9-�0.4 s CL..00'��tes.l. e--((� 401 to 600 amps(2) $174.00 $ Address: /$7OVV'' ,'j `��" 601 to 1.000 amps(2) $225.50 S City:S(ir out!-�b ` State:6C ZIP:977'? Over 1,0(1(1 amps or volts(2) $616.00 $ Phone: ( ?iv. c37> Fax:j 7yq- G37y Reconnect only(2) S 69.00 $ E-mail: Q Temporary services or feeders: installation. a6era)ion. relocation ,54,,A fr, 50q)..rF a$ ,fcl&.O.C. (Jf 200 amps or less(2) This installation is being made on residential or farm property $ 69.00 $ owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale, exchange, lease.or rent. OAR 479.540(1)and 44 9.5 0(1). 401 to 600 amps(2) $138.50 - $--- Signature• � ' ,t, Over 6011 amps or 1.000 volts. see services or feeders section above CO , TOR INSTALLATION Branch circuits:new.alienation.e.rlensiou per panel — BusinesW a. Fee for branch circuits with purchase of a service or keder lee: Address: Each branch circuit I;Zr)j S 6.50 $/3O City: —I Slate: ZIP: b. Pee for branch circuits without purchase of a service or focder fee: Phone: - - Fax: - - First branch circuit(2) $ 60.50 5 E-mail: Each additional branch circuit $ 6.60 $ CCB license no.: 1 BCD license no.: Miscellaneous fees:service ar.j'erler not included Signing supervisor's license no.: 73 PS' Each pump or irrigation circle(2) $ 69.00 $ Print name of signing su ervisor: Nz7 Each sign or outline lighting(2) $ 69.00 5 Signal circuit ur a limited-energy panel. C. Signature of signing supervisor: / / $ 80.00 $ q� OS . _ allerawm.or extension(2) 66 Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above tees . $ • (Minimum Permit Fee$80.00) — (13) Enter 12%surcharge(.12 x IA)) $ -- (C)Technology Fee(5%oftAJ) $ 440-2584-)(4101/2013/CO 6I) TOTAL fees and surcharges(A through C): $