HomeMy WebLinkAboutPermit Building 2003-5-27
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.: CITY OF ~rKll'iuJ'lJ<.,LD
Building/Combination Permit
PERMIT NO: COM2003-00334
ISSUED: OS/27/2003
APPLIED: 05/02/2003
EXPIRES: 11/27/2003
VALUE: $ 23,000.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3050 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703221302500
Spriogfield TYPE OF WORK: Church
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Remodel entry way
Owner: IMMANUEL BAPTIST CHURCH
Address: 3050 GAME FARM RD SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor ~~'" License
CREATIVE CONSTRUCTIO~t~~~N IN 153590
REYNOLDS ELECTRIC ~ ,\\'~ \~ 17252
IMMANUEL BAPT~~ll~~~~ fr~~
~~\..\..I ~!1:8uffi INFORMA nON,
~C{;. ~ ~ ~'V'Y,,' 't-v,VJ.
# of Buildings: 't\~'\~ ~'Y,,~~ ~'V.;s R- \~ /i)~ of Stories:
Primary Occupancy Gr~\~~ "'~~~'t~ ~o'Y,,~~ Height of Structure
Secondary Occupancy Gr<lR.eii ~'Y,,~_r-.~' Type of Heat:
Primary Construction Typl{-~~ ,~"6N' Water Type:
Secondary Construction Typl~~'I. Range Type:
# of Bedrooms: Energy Path:
Contractor Type
General
Electrical
Owner
Expiration Date
12/02/2004
02/08/2005
Phone
541729-6178
541-343-7297
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
~'-o
,,;~o .~\\'!
Lot Size: ~\\0 ,,0" 'o~
",0 ....(),. ".\' ~
S~!.t.1st,I\'oor~0 "''' J:F>
\..Sq"Ft'2fid'Floor: 9>~?; 0'" 'Q.
e'" .. ,. ,w-.~ .~'"
.0~ ,'<> Sg\Ft Basement: ~v 0
~. :\.1'0- ~c.v ~'(\ - ,'(\0 0'"
~-<\O "o~ Sq'Ft Garage/Garport~ ..,o~
~, '3-u ~ v:'I(V. ...S- ~'Ot' ~'"
:::;\<(; \)\0'" :(\\0Srq\!::t.OJher:' ':(:00\0 'i,,\\\C
~ 'Oo,!l ~ . O~ (je""JIlllpervl~u~'Stirface\~rea:
L"'\\ ^\\: _ (\\J _Y\....<r I~\J... ,,\\\\.') ",b.~,.
I DEVELOPMENT INFORMAiioN'~f: ~'3-"1C0~\0\0~O;:C\:'?>'?>7.:v
\:(\-n.()':;) ,,'S'-0 'S'-0? "REQUIRED PARKING
()()'<> "I,\\~'" 'O~ ~ \'"
Overlay Dist: C'l> ~e~ 0:(\\e Total:
# Street Trees Rqd: ~\)f/C' (j Handicapped:
Paved Drive Rqd: Compact:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Partially Improved
No
Sidewalk Type:
DownspoutslDrains:
Notes: No sanitary sewer available
Pal!e 1 of3
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. Lu y OF SPRINGFIELD
Building/Combination Permit
1
Status
Issued
PERMIT NO: COM2003-00334
ISSUED: OS/27/2003
APPLIED: 05/02/2003
EXPIRES: 11/27/2003
VALUE: $ 23,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion J
Description
Bid Amount
Tvpe of Constrnction
Use Bid Amonnt
$ Per Sq Ft
$1.00
Square Foota!!e
23,000.00
Value
$23,000.00
$23,000.00
Date Calculated
05/02/2003
Total Value of Project
l..F...... P~ilU
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndJPublic $135.72 5/2/03 1200200000000001119
+ 10% Administrative Fee $25.48 5/27/03 1200200000000001330
+ 7% State Surcharge $17.84 5/27/03 1200200000000001330
Add, Alter, Extend Circ $43.00 5/27/03 1200200000000001330
Add, Alter, Exteod Circ Ea Add $3.00 5/27/03 1200200000000001330
Building Permit S208.80 5/27/03 1200200000000001330
Plan Review - Planning $59.00 5/27/03 1200200000000001330
Plan Review Fire & Life Safety $83.52 5/27/03 1200200000000001330
Total Amount Paid $576.36
I Plan Reviews I
Fire Department Review
05/06/2003
OS/2212003
OK
GRG
Plan Review: Add new roof portion,
remodel entry way. Job
#COM2003-00334
Ensure a 2-A:I0-B:C rated fire
extinguisher is maintained on the
premises within 75 feet travel
distance (Spriogfield Uniform Fire
Code 1002.1).
Maintain or provide address
numbers visible and legible from the
street fronting the property (SUFC
901.4.4).
Plaos call out for "code approved
lighted exit sign age @ doorway."
(Oregon Structural Specialty Code
1003.2.8). Will verify on inspection.
Initial Review
Plans do not sbow existing exit on
north side of building (existing exits
verified by John Pearson).
05/05/2003
05/05/2003
APP LLH
Pa!!e 2 of3
'i
.
. CITY OF SPKll'lut<lELD
Building/Combination Permit
PERMIT NO: COM2003-00334
ISSUED: OS/27/2003
APPLIED: 05/02/2003
EXPIRES: 11127/2003
VALUE: $ 23,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Planning Review
05/06/2003
APP EMM
No Expansion. Existing church in
UGB. Specified work approved by
Mel Oberst. Copy of letter in file.
Public Works Review
Structural Review
SUB Review
05/1912003
05/05/2003
05/0612003
OS/20/2003
OS/2212003
05/13/2003
APP
APP
APP
PJO
JMP
JF
Pass building and lighting codes
review. No HV AC changes.llh
See attached fax sent to Garold
Rapp on 5/8/2003 requestiog energy
forms and worksheets.
SUB Review
05/0812003
WE
JMP
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 aftt;r 7:00 a.m. will be made the following work
day.
I Reouired Insoections I
1 Footing: After trenches are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
3 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
4 Framing Inspection: Prior to cover and after all rough in iospections have been approved.
5 Wall Insulation: Prior to cover.
6 Ceiling Insulation: Prior to cover.
7 Roofing: Prior to installing any roof covering.
8 Drywall: Prior to taping.
9 RoofSheathinglNailing: Before covering sheathing with finish material.
10 Final Fire Department. After all requirements of the Fire Department have been met.
II Final Building: After all required inspections have been requested and approved and the building is complete.
12 SUB Final: After all required energy inspections have been requested and approved.
13 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspectioo.
14 SUB Framing: Following City Framing inspection approval
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 witb 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
streeAthe permit card is located at the front of the property, and the approved set of plans will remain on the site at all
.....ij ,',;;r;:t, b - 5/J 7 /6<,
Owner or Contract~Signature 8 Date I I
Page 3 of3
.f. CITY OF S~._dNGFIELD, OREGON ()
the \o\\OWing
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3Bl\'!..ssUb",It\60:C~~c lano use
wing prol quire SP
ELECTRICAL PERMIT APPLICATION Ihe\OI\O ano ooes not re AJ
n_,,^.~ 1"/\ .,^ zonIng, /I c.- -
City Job Number ~.V--'?J~ Date ... .nPlovai'zOning~~, :;r
1. I L0Ct1110N OFINSTALIATlON I 3. I COMPLETE FEE~CHjll)rrl.EbF:LOW ~
..,,"'" ~ r'. ...L.1I,.... r, I va . 0 Signature -
~~U ~H: ;=-1\T1 jV'\ \<-rl "",oonze
LEGAL DESCRIPTION A. I New Re~idential- Single or Multi-Family per dwelling unit.
/703 "2-2..\ ~ 02S-Ca Service Included
JOB D~SCRlPT~ Q
~._~
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. I. CONtRAc1;pRmST1t~FOlVP~Y:II
Electrical Contractor Reynolds Electric
Address
2175 W 2nd
City
Phone
343-7297
Euaene
Supervisor License Number
25208
Expiration Date 1"'-, _nA
Constr. Contr. Number 17?<;?
Expiration Date
2-8-05
Signature of Supervising Electrician
(k,.d L;h-/~
J ' ,
ovtfrs Name .~
Ci
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease Of rent.
Owners Signature:
Inspection Request: 726-3769
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
B. 1 ser~'W~~~~ers- Tnsi"lIatio~;Alter~tiolis.or.Relocation:.'.
.,. T RMtf~t1nRrW()RK .. .
200 An4UIH9SIZED UNDER THIS PF~Mfl6lSl~aT
201 AnCiDM~OR IS AaANnONE11~DAD
401 AnllA\'Mll@.Q$;PERIOO. $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Recormect Only $ 50.00
$106.00
$ 19.00
$50.00
c. 11relllpo1iil1,)fs.,;."ic~s'~r\F@i1ew,lft!'l' ~qwresYO~ll>'
. tallOW rUles adople=ODyih-e ureguil ullIilY
Installa'tioriifAiteriition'Of.ReI01Iitioli3 rules are set fort!
200 Amlrs Q.1.fsls952-001-001 0 through C'$lls'aBQi2-0~1
201 Amn,ptil140o%hrTJay obtain \;UI-''''':; vStt9:00'JIt:" OJ,
p II' tP t ( ., 'D'DOnO
401 Amps th%ob"Wm'p~ cen er. I~Ul"..lll" $100.00 :.'"
number for the Notlllca"v"
Over 600 Amps or ) O.QlhYp!"
D. IBran~Il;Circuiis
New Alteration or Extension Per Panel
One Circuit \
Each Additional Circuit or with
Service or Feeder Permit
I
$ 43.00
4-::'
$ 3.00
"2,
E.I MisFell~,lleolls (Service/fe~"~r llo\inCl~ded) -;E:,ch Installation'j
Pump or irrigation
Sign/Outline Lighting
Limited EnergyiResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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' '...:;i-::>":::0>:jH-:'~>:'r,:-t ,';
4,SWJ.TR!ALO!,ABO~"0;";'~' Hj,"" .'.
6..f.o
7% State Surcharge
10% Administrative Fee
:;':2..'-
4-. G:>O
5~e,<-
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Pennit Application l-Q3.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
JoblJournal Number
.
COM2003-00334
COM2003-00334
COM2003-00334
COM2003-00334
COM2003-00334
COM2003-00334
COM2003-00334
Payments:
Type of Payment
Check
.
~
.
5/27/2003
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000001330
Description
Plan Review - Planning
Plan Review Fire & Life Safety
Building Permit
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID LACY
Received 8y
jmp
2:22:32PM
Date: OS/27/2003
Amount Paid
Item Total:
59.00
83.52
208.80
43.00
3.00
17.84
25.48
$440.64
Check Number l..:onl1rm No
Amount Paid
How Received
In Person
Payment Total:
3408
440.64
$440.64
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