HomeMy WebLinkAboutPermit Building 2014-09-12SPRIN�ORCGON
t
�'-
w v.spnngfield-ocgov
CITY OF SPRINGFIELD
Building / Commercial Permit
PERMIT NO: 811-SPR2014-01978
PROJECT STATUS: Issued
STATUS DATE: 09/12/2014
SITE ADDRESS: 637 MAIN ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703353109400
PROJECT DESCRIPTION: Structural for infill
OWNER: SPRINGFIELD SCHOOL DISTRICT 19
ADDRESS: 525 MILL ST
ISSUED: 09/12/2014
APPLIED: 09/12/2014
225 Fifth Sl
Springfeld,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitoenter@spdngfieldvr.gov
EXPIRES: 03/11/2015
SCOPE: School
TYPE OF STRUCTURE: Public
Phone Number:
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Typo Lic No Lie Exp Phone
General Contractor MARTIN ENTERPRISES LLC CCI3 202118 03/01/2018 541-525-3101
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
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.
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.
Owrje r Contractor Signature
I! ('I'
11115 PERMIT SHALL EXPIRE lE TH1 WOI3K
Mi i HORIZED UNDER THIS PERMfT IS [4) f
L' .�',1ENCED OR IS ABANDONED EOR
pli yI/ 1 &0 DAY PERIOD.
Date
Springfield Building Permit 9/12/2014 1:24:03PM
Sl frNTION: 0—non Imv requires you tO
otv I ales adopted by the Oregon Utility
on Center. Those Riles are set forth
(,)+1I, 11 2-001-0010 through OAR 952-001-
0000. You may Obtain copies of the rules by
G 1110 center. (Note: the telephone
nunu,)r for the Oregon Utility Notification
(-,enter is 1-C,OOM2-2340. Page 1 of 1
SPRINGFIELD
CITY OF SPRINGFIELD
11 - -
TRANSACTION RECEIPT
225Fifth St
97477
e
Sdngfield,OR
OREGON
811-SPR2014-01978
541-726-3753
w .spnngfieldovgov
637 MAIN ST
permilcenler@spdngfield-ocgov
RECEIPT NO: 2014002023 RECORD NO: 811-SPR2014.01978 DATE: 09/12/2014
DESCRIPTION ACCOUNT CODEITRANS'CODE AMOUNT DUE
Building Permit Fee 224-00000-425602 1002 626.00
Continuing Education 224-00000-425606 2.50
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 75.12
Technology fee (5% of permit total) 100-00000-425605 2099 31.30
TOTAL DUE: 734.92
1098
MARTIN ENTERPRISES LLC 734.92 .
TOTAL PAID: 734.92
Structural Permit Application
225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 4 FAX(541)726-3689
SPRINGFIELD-
OREGON
DEPARTMENT USE ONLY
Permit no.:
Date:
5W -lm
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.
LOCAL GOVERNMENT APPROVAL
This project has final land -use approval.
Signature:
Date;
This project has DEQ approval.
Signature:
Date:
Zoning approval verified: ❑ Yes ❑ No
Property is within flood plain: ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
❑ Residential ❑ Government ❑ Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 1 I'11tii n S
City: state: ale, I zip: 97g7
Subdiviston: I Lot no.:
Reference: Taxlot:
PROPERTY OWNER
Name:
Address: -,
City:
State: 09- ZIP: �j%y]7
Phone:
Fax: - -
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here:
❑ This installaf n is being made on residential or farm property owned by
me or a mem r of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name: ,yam
Address: Pd,p
City:
State: ZIP: L/p
Phone: -' 10
Fax: - -
E-mail: 'Ga5 y Lp, ,r rSC'
CCB license no.:
Print name: ,
Signature:
$
UB -CONTRACTOR INFORMATION,,
Name
CCB License N
Phone Number
Electrical
rds
$
i'11 13IY79
Plumbing /nom
nn V (���'�L
liySOG$
s`I/-SSS 5G"Li
Mechanical
enSP
/71706
W.. sgy 7ssil
I
FEE SCHEDULE
1. Valuation information
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other infonnation:
Type of Heal:
Energy Path:
❑ new ❑alteration ❑ addition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:-
2. Building fees
(a) Permit fee (use valuation table):
$
(b) Investigative fee (equal to [2a]):
$
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
$
(e) Subtotal of fees above (2a through 2d):
S
3. Plan review fees
(a) Plan review (65%x permit fee [2a]):
$
(b) Fire and life safety (40%x permit fee [2a]):
$
(c) Subtotal of fees above (3a and 3b):
$
4: Miscellaneous fees '.
(a) Seismic fee, 1%(01 x permit fee [2a]):
$
(b) Technology fee, 5% (.05 x permit fee[2a]):
$
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
$
SPRINGFIELD 225 Fifth St
' CITY OF SPRINGFIELD Springfield,OR 97477
L, t Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 641-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01979
w w.spdngfield-ocgov permitcenter@spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/1212014 EXPIRES: 03/11/2015
STATUS DATE: 09/1212014 APPLIED: 09/12/2014
SITE ADDRESS: 637 MAIN ST, Springfield, OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1703353109400
PROJECT DESCRIPTION: Mechanical for infill
OWNER: SPRINGFIELD SCHOOL DISTRICT 19
ADDRESS: 525 MILL ST
TYPE OF STRUCTURE: Public
Phone Number:
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor SUNSET HEATING &AIR INC CCB 171706 08/16/2016 541-554-2604
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.
" — M
Owner,of, Contractor Signature Date
ATTENTION: Ompon hv/ requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through O/1f; �I 2-001-
0090. You may obtain copies of the
calling the center. (Note: wp it ilhorle
number for the Oregon Utility N100fiC ttion
Center is 1-600-332-2344).
PI 13fa91T SHALL EXPIRE IF THF WORT(
"WISED UNDER 1-11IS PERMIT IS NOT
�I,,!cED OR IS ABANDONED FOR
"I Dril' PERIOD.
Springfield Building Permit 9/12/2014 1:20:40PM Page 1 of 1
RECEIPT NO: 2014002022 RECORD NO: 811-SPR2014-01979 DATE: 09/12/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Continuing Education Fee 224-00000-425606 2.50
Mechanical Permit fee (based on value of work) 224-00000-425604 1006
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
103.04
12.36
Technology fee (5% of permit total) 100-00000-425605 2099 5.15
TOTAL DUE: 123.05
PAYMENTTYPE ' PAYOR CASNfEMCCARPENTEt COMMENTS AMOUNT PAID i
Check MARTIN ENTERPRISES LLC 123.05
1098
TOTAL PAID: 123.05
CITY OF SPRINGFIELD225
L
TRANSACTION RECEIPT
Fifth St
Spdngfield,OR97477
OREGON
541-726-3753
811•SPR2014-01979
v .springfield.or.gov
637 MAIN ST
permitcenter@springfield-or.gov
RECEIPT NO: 2014002022 RECORD NO: 811-SPR2014-01979 DATE: 09/12/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Continuing Education Fee 224-00000-425606 2.50
Mechanical Permit fee (based on value of work) 224-00000-425604 1006
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
103.04
12.36
Technology fee (5% of permit total) 100-00000-425605 2099 5.15
TOTAL DUE: 123.05
PAYMENTTYPE ' PAYOR CASNfEMCCARPENTEt COMMENTS AMOUNT PAID i
Check MARTIN ENTERPRISES LLC 123.05
1098
TOTAL PAID: 123.05
Mechanical Permit Application
SPRINGFIELD
225 Fifth Street +Springfield, OR 97477 4 PH(541)726-3753 + FAX(541)726-3689
DEPARTMENT USE ONLY,
Permit no.:
Date:
This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
CATEGORY 6F CONSTRUCTION
0 Residential
El Government 10
Commercial
:'JOB:SITE INFORMATION AND LOCATION"-'
Job site address:
City: I�RroJlQU
State: 0j?,
I zip: q7q7 -7
Reference:
E CR PT OW OF WORK
,PROPERTY
Name: '!�* /7e'
Address: /
City:
State: 0(?,
ZIP: q7q37
I u
Phone:
Fax:
E-mail:
This installation is being made on property owned by me or a
member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Signature:
Business name:
Address: YjI/:5 <I 0
City:
State: aff
ZIP: 97q7y,
Phone:JW-'q,4 0,7.3) 1
Fax:
E-mail:
CCB license no.: /7/70(,,
Print name:
Signature:
440-2545-J (5/21/2014/COM)
FEE SCHEDULE.'
,Absidential
L'
cost.t
First Appliance
$82.00—T$
Furnacelburner including ducts and vents
Up to I 00k BTU/hr.
1 $19.001
$
Over 100k BTU/hr.
1 $22.001
$
_11caters/stoves/ vents
Unit heater
$19.00
$
Wood/pellcYgas stovelflue
$43.00
$
Repair/alter/add to heating appliance/
refrigeration unit or cooling system/
absorotion system
$82.00
$
Evaporated cooler
$15.00
$
Vent fan with one ductlappliance
$10.00
$
Hood with exhaust and duct
$"NZ
rn
Floor furnace including vent
Ni
I $
Gas piping
One to four outlets
1 $8.001
$
Additional outlets (each)
1 $5.001
$
Air -handling units, including ducts
Up to 10,000 CFM
1 1
$12.001
$
Over 10,000 CFM
1 1
$22.001
$
Com t)ressor/absorptions ystem/1 at DURID
Up to 3 hp/100k BTU 1
$19.001
$
Up to 15 hp/500k BTU
$33.00
$
Up to 30 bp/1,000 BTU
$49.001
$
Up to 50 hp/1,750 BTU
$64.001
$
Over 50 hp/1,750 BTU
$107.00 1
$
Incinerators
Domestic incinerator
E 1
$22.601
$
Enter total valuation of mechanical system
and installation costs $
Enter fee based on valuation of mechanical system, etc.
$
kl g' ja[Ie ',ten'Cost
4�
c6st
Reinspection
$82.00
$
Specially requested inspections (per
$82.00
$
Regulated equipment (unclassied)
$16.00
$
Each additional inspection: (1)
$82.00
$
N
(A) Enter subtotal of above fees (or enter set
minimum fee of $§2.00)
$
(B) Investigative fee (equal to [A])
$
(C) Enter 12% surcharge(. 12 x [A+B])
$
(D) Seismic fee, 1%( 01 x [A])
$
(E) Technology Fee (5% of [A])
$
(F) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (A through F): $
SPRINGFIELD`
6tilliel
225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
t
Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01980
w .sprmgfield-or.gov permitcenterQspringfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/12/2014 EXPIRES: 03/11/2015
STATUS DATE: 09/12/2014 APPLIED: 09/12/2014
SITE ADDRESS: 637 MAIN ST, Springfield, OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703353109400
PROJECT DESCRIPTION: Plumbing for Infill
OWNER: SPRINGFIELD SCHOOL DISTRICT 19
ADDRESS: 526 MILL ST
TYPE OF STRUCTURE: Public
Phone Number:
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Plumbing Contractor DONN MERRICK PLUMBING LLC CCB 185065 01/08/2015 541-556-5629
INSPECTIONS REQUIRED
Inspections
3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing.
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.
Owner or C.e tractor Signature Da(e
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952.-001-
0090. You may obtain CopiOS Of the ruleS by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-500-332-2344),
kfdilT SHALL EXPIIiE IF THE WORK
'I4-0 UNDER THIS PERMIT IS NOT
ir!CED OR IS ABANDONED FOR
0 DAY PERIOD.
Springfield Building Permit 9/12/2014 1:18:11PM Page 1 of 1
LRI'FIELJD CITY OF SPRINGFIELD
225 Fath St
R
TRANSACTION RECEIPT Spdngfield,OR97477
OREGON 541-726-3753
811-SPR2014-01980
ww .springfield-or.gov 637 MAIN ST permits nter@spdngfield-oc9ov
RECEIPT NO: 2014002021
RECORD NO: 811•SPR2014.01980
DATE: 09/12/2014
DESCRIPTION
ACCOUNT CODE(TRANS CODE
AMOUNT DUE "
Continuing Education Fee
224-00000-425606
2.50
Minimum Plumbing Fee (Three or Fewer Fixtures)
224-00000-425603 1057
82.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
Do
Technology fee (6% of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
PAYMENT -TYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID
Check MARTIN ENTERPRISES LLC 98.44
1098
TOTAL PAID: 98.44
Plumbing Permit Application
SPRINGFIELD I '
DEPARTMENT USE ONLY
Permit no.:
Date:
This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? ❑ Yes ❑ No
Sanitation approval verified? ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
❑ Residential
I ❑ Government
Commercial
JOB SITE INFORMATION AND LOCATION 1
Job site address:
City: rt, ,!
State: OK
ZIP: 1-7
Reference:
Taxlot.:
DESCRIPTION OF WORK"
Manufactured dwelling or pre -fab (circle one)
Connections to building sewer and
water supply
PROPERTY OWNER
Name: r ,
Address:
/
City: rfn lad I
State: OK
I ZIP:
Phone: -
Fax:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family, and is
exempt from licensing requirements under OAR 918-695-0020.
Signature:
CONTRACTOR "INSTALLATION '
Business name: u
Address:
City:State:
ZIP: N01
Phone:
Fax:
E-mail:
CCB license no.: r S
BCD license no.:
Plumbing license no.: 17901,3
Print name: ,, �?
Signature:
440-2500-3 (51212014/COM)
FEE SCHEDULE
Description QtY•eat
I
costa
New residential
1 bathromn/l kitchen (includes: firs!
100feet ofwaler/sewer lines, hose $268.00 $
bibs, ice maker, underfloor low -point
drains and rain -drain packages)
2 bathrooms/1 kitchen $420.00 $
3 bathrooms/) kitchen $494.00 $
Each additional bathroom (over 3) $107.00 $
Each additional kitchen (over 1) $107.00 $
Residential tiresprinklers includes plan review
0 to 2,000 square feet $82.00 $
2,001 to 3,600 square feet $131.00 $
3,601 to 7,200 square feet $196.00 $
7,201 square feet and greater $261.00 $
Manufactured dwelling or pre -fab (circle one)
Connections to building sewer and
water supply
$82.00
$
Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee
$82.00
$
Each fixture
$21.00
$
Miscellaneous fees
100' storm, sewer, water line
$65.00
$
Each fixture, appurtenance, and piping
$21.00
$
Storm water retention/detention facility
$21.00
$
Irrigation systems
$21.00
$
Piping or private storm drainage
s stems exceedin the first 100 feet
$21.00
$
Specialty fixtures
$21.00
$
Reinspection (no. of hrs. x fee per hr.)
$82.00
$
Special requested inspections (no. of
hrs. x fee per hr.)
$82,00
$
Each additional inspection: (1)
$82.00
$
Medical gas piping
Minimum fee
$
Enter value of installation and equipment $ _.
Enter fee based on installation and equipment value. $
APPLICANT USE
(A) Enter subtotal of above fees $
(Minimum Permit Fee $82.00)
(B) Investigative fee (equal to [A]) $
(C) Enter 12% surcharge (.12 x [A+B]) $
(D) Technology Fee (6% of [A]) $
(E) Continuing Education Fee $2.50 $2.50
TOTAL fees and surcharges (A through E): $