HomeMy WebLinkAboutPermit Building 2007-11-29
Status
Issued
fY\ II (!.,.
\ed 2..0 I 0'1
~{t2I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01604
ISSUED: 11/16/2007
APPLIED: 10/29/2007
EXPIRES: OS/28/2008
VALUE: $ 15,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 960 16TH ST
ASSESSOR'S PARCEL NO.: 1703362204603
Springfield TYPE OF WORK: Interior
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Minor renovation interior
Owner: SPRINGFIELD PROFESSIONAL BLDG ASSOC
Address: 960 16TH ST STE 108
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Electrical
Contractor License
BERRY ARCHITECTS
JOHN HYLAND CONSTRUCTION INC 46071
OREGON ELECTRIC CONSTRUCTION INC 203
BUILDING INFORMATION I
Expiration Date Phone
541-338-7696
07/11/2008 541- 726-8081
07/01/2008 503-234-9900
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
30
VB
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: '
Total:
Handicapped:
Compact:
, ~PUBLIC IMPROVEMENTS I
AI}t:NTI0N: Oregon law r \.lUll"''' yvu 'v
Street ImproveIf8ff6~ rules adopted by the Oregon Utility Sidewalk Type:
Storm Sewer ANotithlition Center. Those rules are set forth NOTICE.Downspouts/Drains:
Special InstruchbQAR 952-001-0010 through OAR 952-001- . .
0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: calling the center. (Note:.t.he tel~~ho~e AUTHORIZED UNDER THIS PERMIT IS NOT
number for the. Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Center IS 1-800-332-2344). ANY 180 DAY PERIOD.
Page 1 of 3
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 Comm/Ind/Public
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Cire
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Initial Review
Plannin2 Review
10/31/2007
10/31/2007
Public Works Review
10/31/2007
Structural Review
10/31/2007
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2007-01604
ISSUED: 11/16/2007
APPLIED: 10/29/2007
EXPIRES: OS/28/2008
VALUE: $ 15,000.00
I Valuation Descriotion ~
$ Per Sq Ft
or multiplier
$1.00
, Square Footage
or Bid Amount
15,000.00
Value
Date Calculated
Total Value of Project
$15,000.00
$15,000.00
10/29/2007
~
Amount Paid Date Paid Receipt Number
$105.00 10/29/07 2200700000000001644
$16.15 11/16/07 2200700000000001716
$8.08 11/16/07 2200700000000001716
$12.92 11/16/07 2200700000000001716
$161.54 11/16/07 2200700000000001716
$64.62 11/16/07 2200700000000001716
$6.00 11/28/07 2200700000000001746
$3.00 11/28/07 2200700000000001746
$4.80 11/28/07 2200700000000001746
$48.00 11/28/07 2200700000000001746
$12.00 11/28/07 2200700000000001746
$442.11
I Plan Reviews'
10/31/2007
10/31/2007
APP LLH
APP EMM
11/01/2007
APP JHJ
Attached SDC Worksheet. No New
SDC's. (JHJ)
11/13/2007
APP LLH
Reviewed by Mick Nolte with the
Building Department for structural
review under contract with the City
of Springfield.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01604
ISSUED: 11/16/2007
APPLIED: 10/29/2007
EXPIRES: OS/28/2008
VALUE: $ 15,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
10/31/2007
11/1512007
APP GRG
Plans Review: Interior remodel. Job
#COM2007-01604. Occupancy
Classification: B. Construction
Type: V-B. 218 sq. ft. area to be
remodeled.
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 (2007 Springfield Fire Code
906).
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
LReouired Insoections .
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to
plastering.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
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 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.
Owner or Contractors Signature
Date
Pal!:e 3 of3
'City of Springfield
Electrical Authorization To Begin Work
E-mailedTo;s.a.lans@oregon-electric.com
Receipt # EC521495
11/28/200712:25:07 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
':FEESCIiEDUl:E.
Qty.
Ea.
Vi'6'~';,
o New construction
IKJ Addition/alteration/replacement
Description
o I or 2 family dwelling
1,000 sq, ft. or less
lEa, add I 500 sq, ft. or portion
I-Limited energy, residential
(with above sq ft)
- Limited energy, multifamily
_ residential fwith above s9. ft.)
Sen'ices OR;feeders in, stililation, a,lteration,AND/OR rt,lociltlon,.
, ,'".......... ..__ ,...., ,^ .. ..... m. ...., ....... ,.. ....'-.....
200 amps or less
I 20 I amps to 400 amps
1401 amps to 599 amps
o Multi-family
[K] Commercial/Industrial
/,'" i'i..;iA;;!'JOB~iTEINFqR~ATioN A~D'LOCATION .
[Job no.: 45672 IJob address: 960 16TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477-4175
I Suite/bldg.lapt.no.:
[Project name: Oregon Cardiology
Cross street/directions to job site:
/ Subdivision:
[Tax map/parcel no.: 1703362204603
I Lot no.:
devices
I
I
1401 amps to 599 amps I I
I Branch circijits. ;-NEW, alteration, ORe~!ension,pe~ panel. I: '
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
I each add! branch circuit
1200 amps or less
1201 amps to 400 amps
$48.00
I Name: Gary Peoples
I Phone: (541 )747-0811 [Fax:
I Email: g,peoples@oregon-electriccom
3
$4.00
Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I I Pump or irrigation circle
, 1 Sign or outline lighting
I Signal circuit(s) or limited-
I energy panel, alteration, or
extension,
/
II
II
I EI. lie, no.: 26-95C I CCB lie. no.: 203
I Business Name: OREGON ELECTRIC CONSTRUCTION INC
[Contact: Shirley Lans
IAddress: 1010 SE 11TH AVE
I City/State/ZIP: PORTLAND OR 97214-2507
I Phone: (503)2349900 I Fax: (541 )7411585
I Email: s.a.lans@oregon-electric.com
[Metro lie. no.: [City lie. no.:
I Supervising electrician's lie. no.: 3006S
IsupervisingeJeetrician's~ame: G~R.Y_LEE PE()PL~
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
not offered online at this jurisdiction
.1 i ElE:CTRICA( PE~lYtlt FEES. ..'
Subtotal $60.00
State Surcharge (8% of permit fee) $4,80 I
City Of Springfield fees * $9.00 I
TOTAL PERMIT FEE $73.80 I
* City Of Spring1ield 10% Local Admin Fee; 5% Local Technology Fee
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Total
I
I
I
I
I
I
I
I
$48.00
$12001
225 Fi{t6 Street
SpFingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0I604
COM2007-0 1604
COM2007-0 1604
COM2007-0I604
COM2007-01604
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
2200700000000001746
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/28/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk ONLINE OREGON Online
ELECTRIC
CONSTRU
CTION
Paid By
ONLINE PERMIT CHGS
Page I of I
Payment Total:
1:21:13PM
Amount Due
48.00
12,00
3.00
4,80
6,00
$73.80
Amount Paid
$73,80
$73.80
11/28/2007