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HomeMy WebLinkAboutPermit Building 2014-09-10SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 t"r' Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01575 wmv.spdngfield-ocgov permitcenter@spdngfield-orgov PROJECT STATUS: Issued ISSUED: 09/10/2014 EXPIRES: 03/09/2015 STATUS DATE: 09/10/2014 APPLIED: 07/22/2014 SITE ADDRESS: 6462 A ST, Springfield, OR 97478 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1702344204000 TYPE OF STRUCTURE: Residential -- -PROJECT DESCRIPTION: --- S- Now building- Addition to assisted living facility --- --- -- - --- --- ---- OWNER: MCKENZIE LIVING LAND LLC Phone Number: ADDRESS: 178 COMMONS DR EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lic Exp Phone General Contractor TRENDSETTER HOMES CORP CCB 50386 04/08/2015 541-485-0661 INSPECTIONS REQUIRED Inspections 1996 Final Inspection — Planning 1020 Zoning/setbacks 1070 Parking Lot 1110 Footing Footing: After trenches are excavated. 1118 Footing Drain 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1220 Underfloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor Insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 InsukihpfilliNt O'HGnnYI"{ t Int&li lation: Prior to cover. 1520 Intdri6r'!Shealir/all ar 1}', ^„ M lay t 110°.r' YYl„ ahem WdflfNailing: Before covering sheathing with finish materials. 1530 Exterior,#?,afwall(11-0 10 lhIVUr)i;-- t+ S I) 1540 Gypsurn Ba'ai'd/QatFi 6q4 I l y}atln=rior to taping. Lath/Plaster: To be made after all lathing and gypsum 1s o'�nY�a, (Not): tI tSD 1 Who] hpQi �dB&It�ior and exterior are in place, but prior to plastering. 1630 Roof SH6AW1h6'-nteY IS 1 -8U0 -332-23440f Sheathing 1710 Fire Sprinklers r, 1720 Fire Sprinkler Final 1999 Final Building Final Building: After all required it the building is complete. Springfield Building Permit 9/10/2014 9:39:28AM Aft`; ISO DAY P[RIOD. -WIE and Page 1 of 2 LSP121NGFI ELD ( OREGON www, springfield-or.gov CITY OF SPRINGFIELD Building / Commercial Permit PERMIT NO: 811-SPR2014-01575 225 Fifth St Springfield,OR 97477 Phone: 641-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitwnter@spdngfietd-or.gov 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....... _..... ?)14 A W /\, G - 10 ^ ,(J Owner or Contractor Signature Date ` Springfield Building Permit 9/10/2014 9:39:28AM Page 2 of 2 V FIELD CITY OF SPRINGFIELD TRANSACTION RECEIPT Spn gfield,OR 97477 t �a. ' OREGON 541-726-3753 811-S P R2014-01575 mm.sp&gfield-or.gov 6452 A ST permitcenler@springfield-ocgov RECEIPT NO: 2014001986 RECORD NO: 811-SPR2014-01575 DATE: 09/10/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Commercial Fire (.10 Per Sq Foot) 100-00000-424005 9112 409.00 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 1113 52.76 SDC: Improvement - Transportation SDC 447-00000-448027 1174 5,769.78 SDC: Improvement Cost- Local Wastewater 443-00000-448025 1184 2,145.58 SDC: Improvement Cost - MWMC Regional Wastewater SDC 445-00000-448025 1187 3,446.32 SDC: Reimbursement -Transportation SDC 446-00000-448026 1173 1,583.06 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 1183 1,782.24 SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 1186 274.03 SDC: Total MWMC Administration Fee — Local 719-00000-426604 1121 189.16 SDC: Total Sewer Administration Fee 719-00000-426604 1175 327.08 SDC: Total Storm Administration Fee 719-00000-426604 1180 161.19 SDC: Total Transportation Administration Fee 719-00000-426604 1190 367.64 Slate of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 313.71 Technology fee (5% of permit total) 100-00000-425605 2099 130.71 TOTAL DUE: 16,962.26 fDAVGIICNTTYDC +DAVnD; reewce. rrnoocuTca RnMMFA1TC AMOUNT PAID f. Check Trendsetter homes 16,962.26 14287 TOTAL PAID: 16,962.26 ELD — RECORD NO: 811-SPR2014-01575 CITY OF SPRINGFIELD . -225 j,TRANSACTION EL�' RECEIPT Fifth St Sp6ngReld,OR97477 OREGON Building Permit Fee 541-726-3753 1002 811-SPR2014-01575 Continuing Education v w .spnngfield-or.gov 6452 A ST parmit<onler@spdngfield-or.gov RECEIPT NO: 2014001984 RECORD NO: 811-SPR2014-01575 DATE: 09/10/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Building Permit Fee 224-00000-425602 1002 2,614.22 Continuing Education 224-00000-425606 2.50 Fire, Life, Safely Plan Review 224-00000-425602 1077 1,045.69 SDC: Improvement Cost - Storm Drainage 440-00000-448028 1176 1,910.26 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 1183 2,613.73 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 1177 1,313.60 TOTAL DUE: 9,500.00 Credit Card Kim Ogle 9,500.00 03665g TOTAL PAID: 9,500.00 _SPRINGFIELD 1 OREGON vmv. spnngf eld-or.gov TRANSACTION RECEIPT 811-SPR2014-01575 6452 A ST CITY OF SPRINGFIELD 225 Fifth St Spnngfeld,OR 97477 541-726-3753 pefmitcenter@spdngfield-or.gov RECEIPT NO: 2014001576 RECORD NO: 811-SPR2014-01575 DATE: 07/22/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Structural Plan Review Fee Commercial 224-00000-425602 1060 1,699.24 TOTAL DUE: 1,699.24 PAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID r'r Credit Card David Jones 1,699.24 01090g TOTAL PAID: 1,699.24 Structural Permit Application 225 Fin It Street t' Springfield, OR 97477 ♦ P11(54 D726-3753 ♦ FAa(541)726-3689 SPRINGFIELD ' i OkEG0N DEPARTMENT USE ONLY Permit no.:C / 6/ Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land -use approval. Signature: Date: This 1 rolect has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No Properly is within flood plain: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential I ❑ Government ,'Commercial JOB SITE INFORMATION AND LOCATION Job site address: 172 ? ft -_C -T N City: Oi I44tIRI%W Slate:M I ZIP: Subdivision: I Lot no.: Reference: ('I •axIOC Q qo oo PROPERTY OWNER Name:\K v1?mw Address: [ it City: U&OX State: Q ZIP: Phone: Fax: - - E-mail: 13uildiogOy;gcr1 , vn¢�;g-age t, n irin thisamlication: Sign here: �/P�VY �j� H" Ell his insla lation is being trade on re idential or limn property mmed by me ora nwmber of my home tt?le, f un)i y, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION Businessname: Q OtPiS\C,(oZ I CLi Address: &m 12I1CNJIa Q (7t-• City: I State: Ztpg71L'q Phone: 'E 9 • ©6M 1 Fax: - - E-mail: 6PW . N CCB license no.: Print name: &-O(P- Signature: $241Y SUB -CONTRACTOR INFORMATION Name CCI11.dcensetl Phone Number Electrical (c) Reinspection ($ per hour): (number of homy x fee per hour) or is Plumbing Mechanical FEE SCHEDULE 1, Valuation information (a) Job description: Ip-OPW �,te5U-A7 b[VI0b Oceupanc),F_-4 Construction type: VjPj Square feet: t 010 Cost per square foot: IV 112 Other information: Gl�t(-���-(2-F,�% to;v Type of neat: Rw-w Atr- Energy Path: .10 -new ❑alteration ❑ addition (b) Foundation -only permit? ❑ Yes RfJo Total valuation: ox 2. Building fees (a) Permit fee (use valuation table): $241Y (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): (number of homy x fee per hour) $ (d) Enter 12% surcharge (.12 x [2a+2b+-2c]): $ %� (e) Subtotal of fees above (2A through 2d): $ 3. Plan review fees (a) plan review (65%x permit fee [2aj): $ O Z� (b) Fire and lite safety (40% x permit fee [2a)): $ 7YI5� (e) Subtotal of fees above (3a and 3b): S 4. Miscellaneous Pees (a) Seismic fee, I%(.01 x permit fee [2a)): $ (b)'Technology fee, 5%(.05 x permit fee[2a)): $ TOTAL fees and surcharges (2e+3e+4a+46): S 6,7— iV- C� \}' C V \� I VTC��� SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 -C'sy Phone: 541-726-3753 OREGON Building If Commercial Permit Inspection Phone: 541-726-3769 INSPECTIONS REQUIRED Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01943 3170 Underfloor Plumbing Y w .springfleld-or.gov pormiteenter@springfield-ocgov PROJECT STATUS: Issued STATUS DATE: 09110/2014 ISSUED: 09/10/2014 EXPIRES: 03/09/2015 APPLIED: 09/0912014 SITE ADDRESS: 6452 A ST, Springfield, OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702344204000 TYPE OF STRUCTURE: Residential -PROJECT DESCRIPTION: - P• New building -Addition to assisted living facility OWNER: MCKENZIE LIVING LAND LLC ADDRESS: 178 COMMONS DR EUGENE OR 97401 Phone Number: CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor TRENDSETTER HOMES CORP CCB 50386 04/08/2015 541-485-0661 Inspections INSPECTIONS REQUIRED 3130 Footing/Foundation Drains 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3620 Backflow Device Backflow Device: Prior to covering and provide a copy of the lest report on site at the time of inspection. 3999 Final Plumbing Final Plumbing: When all plumbing 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. I J& T Inrn i^c��uir^`. „nig,. 67..10- 2xId- Owner or C/2+f t� �f6tl Ianr�ilt 1 1 iy ll' r ' Date follow rut Notification Center. tltc'r' Illi In OAR 952 001-000 ,ir 0090.Yot to Centr,l 1.1 numbeQe r for the 1�r,n 51 ° pFp,P41T IALL [XPIRE 1F THE IS W Center is 1 L"0 ;OPIIE:D UNDLRn(I ONMpT0 FNR f � Springfield Building Permit 9/10/2014 9:36:16AM DlCED OIi to Page f of 1 SPRINGFIELD �- _- -- 1 CPCY OF SPRINGFIELD 225 Fifth St vee, TRANSACTION RECEIPT Spnngfield,OR97477 gW6,1 OREGON 541-726-3753 811-SPR2014-01943 v .springfield-or.gov 6452 A ST permitcenter@springfield-or.gov RECEIPT NO: 2014001985 RECORD NO: 811-SPR2014.01943 DATE: 09/10/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE BackOow preventer 224-00000-425603 1005 42.00 Catch basin or area drain 224-00000-425603 1005 21.00 Clothes washer 224-00000-425603 1005 21.00 Continuing Education Fee 224-00000-425606 2.50 Dishwasher 224-00000-425603 1005 21.00 Floor drain/floor sink/hub 224-00000-425603 1005 21.00 -- -- Hose bibb 224-00000-425603 1005 21.00 Sanitary sewer 224-00000-425603 1005 85.00 Shower/Shower pan 224-00000-425603 1005 42.00 Sink/basin/lavatory 224-00000-425603 1005 357.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 113.76 Storm Sewer 224-00000-425603 1005 85.00 Storm Sewer - Each additional 100 feet or portion of 224-00000-425603 1005 63.00 Technology fee (5% of permit total) 100-00000-425605 2099 47.40 Water Line 224-00000-425603 1005 85.00 Water closet 224-00000-425603 1005 42.00 Water heater 224-00000-425603 1005 42.00 TOTAL DUE: 1,111.66 Check Trendsetter homes 1,111.66 14287 TOTAL PAID: 1,111.66