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HomeMy WebLinkAboutPermit Building 2019-06-25SPRINGFIELD r �i ✓�9 OREGON Web Address: www.springfield-or.gov Building Permit Commercial Structural Permit Number: 811-19-001401-STR IVR Number: 811060262677 Permit Issued: June 25, 2019 TYPE OF WORK Category of Construction: Commercial Submitted Job Value: $5,000.00 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.gov Type of Work: Alteration Description of Work: Minor alteration to existing roof at Calvary Open Bible Church JOB SITE INFORMATION Worksite Address Parcel Owner: CALVARY OPEN BIBLE 1116 CENTENNIAL BLVD 1703264410700 Address: 1116 CENTENNIAL BLVD Springfield, OR 97477 SPRINGFIELD, OR 97477 Owner: PACIFIC REGION OF OPEN BIBLE STD CHURCH Address: 1116 CENTENNIAL BLVD SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name License License Number Phone KONOLD CUSTOM HOMES INC - CCB 158478 541-514-0574 Primary Inspection 1999 Final Building PENDING INSPECTIONS Inspection Group Inspection Status Struct Com Pending 1260 Framing Struct Com Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811060262677 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on the Issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. 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 copies of the rules by calling the Center at (503) 232-1987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/ Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Printed on: 6/25/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD Permit Number: 811-19-001401-STR PERMIT FEES Fee Description Technology Fee Structural building permit fee Structural plan review fee State of Oregon Surcharge - Bldg (12% of applicable fees) Page 2 of 2 Quantity Fee Amount $11.32 $137.16 $89.15 $16.46 Total Fees: $254.09 Printed on: 6/25/19 Page 2 of 2 C:\myReports/reports//production/01 STANDARD / ; w E \ 2 )�P,(1)P, Ln 0 C® k kmm 0/ 2 10 - o §® & co 2 _ k�0 a.La2-CD ] 'ak f © n § } > E 0 LO E ■ § 06 / &2 LL \ a . 2 k J _ CL eo ■ 09 w C4 § $ k .. M c 2 k a 2 § to � § k � a LL CL $ C co � _ � o ƒ � $ 7 / D f w a2 .. 0 / _ . 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Y ti - - - - Permit 710.: 225 Fifth Sued Springfield, OR 97477 ♦ PH(541)726-3753 FAX(541)726-3689 "` °N _ !'-) --po 14cs 1 Date: ©/. This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 d�issuance or if work is suspended for 180 days. L OCAI- GOVERNMENT ,APP , L, This protect has final land -use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes Q No Property is within flood plain [] Yes O No CATEGORY_ OF.CONSTRUCTION ❑ Residential r] Government ® Commercial JOB SITE INFORMA`T'ION AND LOCATION Job Site address: 1.116 Centennial Ci State ZIP: 97477 Subdivision: I Lot no.: 10600 Reference: it: 17-03-26-44 PROPERTY OWNER Name: Calva Oen Bible Address: city- Sprincifield State:OR 7,2:97477 Phone: Fax: - - E-mail: - Building Ovvne is uthorizmg this application: Sign t ❑ This , anon is being made on residential or hum pro y owned by me or a member of my immediate family; and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION Business name: Kanold Custom Homes Address: _2405 Dimi City: on Ave state zlp:97408 P1104641-614- 574 Fax: - - E-mail: CCB license no.; 158476 Print name Signature: ;SUB-4�ONTRACTQR INFORMATf�1l _ N*ame CCB License # Phone Number Electrical Construction type, Square feet: Plumbing ~ - Mechanical Type of Heat. - FEE SCHEWOE 1. Valuation information (a} Job description: - - - Occupancy Construction type, Square feet: Cost per square foot: Other information: Type of Heat. Energy Path-, Q new [3plteraiion 0 addiiion (b) Foundation -only permit? [] Yes a No Total valuation: $ 'Pod Z. Building fees (a) Permit fee (use valuation table): $ (b) Investigative See (equal to 12a]): $ (c) Reinspection ($ per hour): (number of hours x fee per hour) $ (d) Enter 12%: surcharge (.12 x [2a+2b+2e]): (e) Subtotal of fees above (2a through 2d): 3. Plan review fees (a) Plan review (65% x permit fee [26D: (b) Fire and life safety (40%x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): s 4. Mseellaneous fees (a) Seismic fee, 1% (.01 x permit fee [2a]): $ (b) Technology free, 5% (.05 x permit fee[2a]): $ (c) .Continuing Education Fee $2.50 $250 TOTAL fees and surcharges (2e+3c+-4a+4b+•4e): s. Z54. O City of Springfield Development Services Department 225 Ffth.Sireet Springfield, OR 97477 sm�rr�or�mo Planning Division Information Sheet for Building Permits Commercial/Industrial/Multi-Family Residential The Planning Division requires the following information for all building permit submittals on properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial, including new construction, expansions, and changes of use. New construction, expansions, and changes of use to any building, parking, or development area in these zoning districts requires either Minimum Development Standards—MDS review (SDC 5.15-100) or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review (SDC 3.3-100) may also be required, depending on the site. NOTE. It is prudent to make sure your use is permitted in the applicable zoning district. Building Permit, Police or other permit approvals or inspections are not Planning approval. Required Project Information (Applicant; complete this section) Applicant Name: Howard Konold Phone; 541-514-0574 Com any: Konold Custom Homes Fax: Address: 2405 Devon Ave Eugene OR 97408 ASSESSOR'S MAP NO: TAX LOT NOS : 17-03-26-44 lots 9200-9300-10700 Property Address: 1116 Centennial Sfid OR 97477 1080 Description of the propo e� dw�or,k tobe complete unde is Wing permit: Has this development proposal been reviewed by the Planning Division through an application process (i.e. MDS or Site Plan Review)? ❑ Yes [--]No If yes, Case *: If no, is this a change in use? ❑ Yes ❑ No Prior Approved Use: Proposed Use: Does the use necessitate the use of any chemicals or substances that are hazardous or re uire Material Safely and Data Sheets MSDS to be ke t on site? Yes No Required Property Information (City Intake Staff: complete this section) Zoning: TOTZ: Overlay(s): The proposed project requires submittal and approval of the following Planning application prior to building permit approval: ❑ DWP Overlay District Development ❑ Statement Letter Regarding DWP Exemption ❑ MDS ❑ MDS Land Use Compatibility Statement El Site Plan Review El Other: Reviewed by: Date: P. LL IL Ir tu JC4 AA IL DI 0 OW 00 we of P. LL r� K'� 'k .`� per,,. �CI ,�+ � � IL Ir tu JC4 AA IL DI r� K'� 'k .`� per,,. �CI ,�+ � � 1 Ir IL :z > iA- V 1 A S is '7li rp,� 6 %7 s 4z J C, Lr 046!D 4P S is '7li rp,� 6 C3. LAJ w 6.5 1 0 z Um al LU CO WCX- w 4zS- 0 LLJ o C4 4z J C, Lr C3. LAJ w 6.5 1 0 z Um al LU CO WCX- w 4zS- 0 LLJ o C4 J C, Lr _j ON Lo w kA LH LIJ 0. > LIJ CL Q), V) G Q c