HomeMy WebLinkAboutPermit Building 2004-03-15Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
CITY
Building/C ombination Permit
PERMIT NO: COM2004-00185ISSUED: 0311512004APPLIEDz 0211712004EXPIRES: 09/1512004VALUE: $ 4,000.00
TYPE OF WORK: Office
tori
TYPE OF USE: Alteration Commercial
es
Owner:
Address: 90686
Contractor Type
General
Electrical
Engineer
Contractor
THOMAS A POWELL
BURRELL BROS ENTERPRISES INC
HIGA BURJ(HOLDER ASS. LLC
nter. (Note Notitic ation
97448
PhoneNumber: 541-935-0634
tor t
License
109476
136446
Expiration Date
r0t23t2007
08t20t2005
Phone
541-747-32ss
541-747-2724
541-988-1862
CONTRACTOR INFORMATION
BUILDIN(
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
B
VN
# of Stories: Lot Size:
Height of Structure S( Ft lst Floor:,
Type ofHeat: Sq Ft 2nd Flqpf:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Girdge/Carport
Energy Path: Sq Ft Other:
Impervious Surface Area:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Page 1 of4
\
-001
Rearyard Setback:
Solar Setbacks:
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Ftx
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00185ISSUED: 0311512004APPLIEDz 0211712004EXPIRES: 09/1512004VALUE: $ 4,000.00
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 4,000.00
Total Value of Project
Amount Paid Date Paid
Value
$4,000.00
$4,000.00
Date Calculated
0211712004
Fee Description
Plan Review Commfl nd/Public
+ l0Yo Administrative Fee
+ 77o State Surcharge
Building Permit
+ l0%o Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
$39.39
$6.06
$4.24
$60.60
$s.20
$3.64
$43.00
$9.00
$171.13
2fi7t04
3t4t04
3t4t04
3t4t04
3fi5t04
3n5t04
3nst04
3n5t04
Receipt Number
2200400000000000147
1200400000000000273
1200400000000000273
1200400000000000273
2200400000000000242
2200400000000000242
2200400000000000242
2200400000000000242
tr'ees Pqid
PIan Reviews
Paee2 of 4
-T t}J
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00185ISSUED: 0311512004APPLIEDz 0211712004EXPIRIS: 09/1512004VALUE: $ 4,000.00
4 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Drywall: Prior to taping.
3 Final Fire Department. After all requirements of the Fire Department have been met.
1 Final Building: After all required inspections have been requested and approved and the building is complete.
5 Rough Electric: Prior to Cover
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.
-0
or Contractors Signature Date
Pase 4 of 4
t(equrreo lnsDecuons
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00185ISSUED: 0311512004APPLIED: 0211712004EXPIRES: 09/1512004VALUE: $ 4,000.00
Fire Department Review 0211712004 03t03t2004 0K GRG Plan Review: interior remodel. Job
#COM2004-00185. Occupancy
Classification: B. Construction type:
V-N. Approximately 1175 sq. ft.
Provide address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (1998
Oregon Structural Specialty Code
502 and 1997 Springfield Uniform
Fire Code 901.4.4).
Provide fire extinguishers with a
minimum rating of 2-A:10-B:C
every 75 feet of travel distance. The
top ofthe extinguisher(s) shall be
between 3 and 5 feet above finished
floor (Springfield Uniform Fire
Code 1002.1).
Above the main exit door, provide
sign stating "THIS DOORMUST
REMAIN T]NLOCKED DURING
BUSINESS HOURS" (OSSC
1003.3.1.8, exception 1).
Rear office entrance/exit door shall
be openable from the inside without
the use of a key or any special
knowledge or effort. Manually
operated edge- or surface-mounted
flush bolts and surface bolts or any
other type of device that may be
used to close or restrain the door
other than by operation ofthe
locking device shall not be used
(ossc 10033.r.8).
Initial Review
Structural Review
SUB Review
02n7t2004
02n7t2004
02n9t2004
02n9t2004
02t23t2004
APP
APP
APP
RJB
JMP
JF
To Request an inspection call the 24 hour recording at 726-3769. AII inspection 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.
Paee 3 of4
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
v City of Splingfield Official Receipt
Development Services Department
Public Works Department
#z Date: 0311512004 10:33:21AM
coM2004-00185
coM2004-00185
coM2004-00185
coM2004-00185
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7%o State Surcharge
+ I0o/o Administrative Fee
43.00
9.00
3.64
s.20
Item Total:$60.84
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check BURRELL BROS. ENTERPRISES njm 3416 In Person
Payment Total:
$60.84
$60.84
.1"
I
22s FIFTHSTREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 oF
ELECTEICAL PERMIT APPLICATION
Ciry Job 5 o3 t6 oDate 3- ttr-o
Neu' Resicletrtial - Single or Nlulti-Farnily'per dlvelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder $s0.00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsiVolts
Reconnect Only
Installation, Alteration or Relocation
200 Amps or less $ s0.00
$ 69.00
LO CAT' T O N O F IN ST'ALI-AT'I ON
LEGAL DESCzuPTION
approvel,
Zonlng
to
New Alteration Extension Per
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Pump or irrigation
Sign/Outline Lighting
Limited Energy,{Residential
Limited Energy/Commercial
7o/o State Surcharge
l0% Administrative Fee
TOTAL
as submitted has the following
require sPecific land use
oc-
$106.00
$ 19.00
A.
t1 03 35 7 t9 q367)
JOB DESCzuPTION
(-t vrr^t,
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
B. Sen,ices or Feeders - Installation, Alterations or Relocation:
$ 63.00
$ 75.00
s12s.00
$ 163.00
$375.00
$ 50.00
C. Temporarv Sen'ices or Feetlers
7
Electrical Contractor
Address 0
City
A
Supervisor License Number
Expiration Date
Constr. Contr. Number
Expiration Date
of
Address
C
r Y05
*
l(
Phone
^,1
.l
NOTt
s 43.00
PaneJ
Ij $ 3.00
$ 50.00
$ 2s.00
$ 45.00
0-0 lHIS
A-{E. h,'Iiscellaneous (Sen'ice/feeder not hrcluded) -E:rch lnstal-la tiolr
(r $ s0.00
i
owT'[ER INSTALLAT}b/
The installation is being made on properfy I own which
is not intended for sale, lease or rent.
Owners Signafure:
Minimurn Electric Pennit Inspection Fee is $45.00 * Surcharges
4. SIJBTU'LAL oF ABovE 4 4 5,
7
1.6o:(52
5 -Zr<>Inspection Request: 726-3
Shared Drive(T:/Building Forms/Electrical Permit Application l-03.doc
.{ Oo'vY
4
3.
a
Amps to 400 Amps
fl
tor
,rl^^ltl
". G(J
F
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00185ISSUED: 0310412004APPLIEDz 0211712004EXPIRES: 0910412004YALUE: $ 4,000.00
SITE ADDRESS: 150 7TH ST
ASSESSOR'S PARCELNO.: 1703353104300
Springfield TYPE OF WORK: Office
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Interior walls and electrical wiring.
Owner: RATCLIFF WILLIAM J
Address: 90686 GEORGETOW\ RD JUNCTION CITY OR 97448
Contractor Type
General
Electrical
Engineer
Contractor
THOMAS A POWELL
BURRELL BROS ENTERPRISES INC
HIGA BURKHOLDER ASS. LLC
License
109476
136446
Expiration Date
10t23t2007
08t20t2005
Phone
541-747-3255
541-747-2724
541-988-1862
)R INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/" of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
B
VN
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
HffiprinL$,$r*r{fftH|#$ffrffi' i:* r;ii1 ;ffi ffi r."I?$*ffi "
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Page I of4
l'UlLr[N U 11\ r UrflYrA.ll!2N ]
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00185ISSUED: 0310412004APPLIEDz 0211712004
EXPIRESz 0910412004VALUE: $ 4,000.00
Reviews
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 4,000.00
Total Value of Project
Date Paid
Value
$4,000.00
$4,000.00
Date Calculated
0211712004
Fee DescriDtion
Plan Review Comm/Ind/Public
+ l0o/o Administrative Fee
+ 77o State Surcharge
Building Permit
Total Amount Paid
Amount Paid
$39.39
$6.06
$4.24
$60.60
$110.29
2ll7l04
3t4104
314104
314104
Receipt Number
2200400000000000147
1200400000000000273
1200400000000000273
1200400000000000273
ees Paid
Paee 2 of 4
Valuation Descrintion I
B uilding/Com bination permitStatus Issued
225 Fifth Street, Springfietd, OR
541-72G3753 Phone
541-726-3676Fax
541-7 2G37 69 Inspection Line
PERMIT
ISSUED:
APPLIED
EXPIRES:
YALUE:
NO: COM2004-00I85
03/04/2004
'z 0211712004
09/04/2004
$ 4,000.00
Fire Department Review 02ll7t}0}4 03t03t2004 0K GRG Plan Review: interior remodel. Job
#COM2004-00185. Occupancy
Classification: B. Construction type:
V-N. Approximately 1175 sq. ft.
Provide address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (1998
Oregon Structural Specialty Code
502 and 1997 Springfield Uniform
Fire Code 901.4.4).
Provide fire extinguishers with a
minimum rating of 2-A:10-B:C
every 75 feet of travel distance. The
top ofthe extinguisher(s) shall be
between 3 and 5 feet above finished
floor (Springfield Uniform Fire
Code 1002.1).
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" (OSSC
1003.3.1.8, exception 1).
Rear office entrance/exit door shall
be openable from the inside without
the use of a key or any special
knowledge or effort. Manually
operated edge- or surface-mounted
flush bolts and surface bolts or any
other type of device that may be
used to close or restrain the door
other than by operation ofthe
locking device shall not be used
(ossc 1003.3.1.8).
Initial Review
Structural Review
SUB Review
0211712004
02n7t2004
02fi9t2004
02n9t2004
02t23t2004
APP
APP
APP
RJB
JMP
JF
To Request an inspection call the24 hour recording at 726-3769. AII inspection 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.
Page 3 of4
Building/Combination permitStatus Issued
225 Fifth Street, Springfield, OR
541-726-3753 phone
547-726367GFax
541-72G37 69 Inspection Line
PERMIT NO
ISSUED:
APPLIED:
EXPIRES:
: COM2004-0018S
03/04/2004
02/17t2004
09/04/2004VALUE: $ 4,000.00
I
2
3
4
Framing Inspection: Prior to cover and after all rough in inspections have been approved.Drywall: Prior to taping.
Final Fire Department. After alr requirements of the Fire Department
Final Building: After all required inspections have been requested and
have been met.
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 allinformation hereon is true and correct,and I further certify that any and all work performed shall be done in accordance withthe Ordinances of the City of Springfield and the Laws of the State of oregon pertaining to the work described herein, andthat NO OCCUPANCY wilt 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 wilt 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 thestreet, that the card is located at the front of the property, and the approved set of plans will remain on the site at all
times
Owner or Signature Date
tl3
Pase 4 of4
City of Springfield Oflicial Receipt
DeveloPment Services DePartment
Public Works DePartment
225 Fifth Streetr''
Springfield, Oregon 97 477
541-726-3759 Phone
coM2004-00185
coM2004-00185
coM2004-00185
Building Permit
+ 7Yo State Surcharge
+ loo/o Administrative Fee Item Total:
60.60
4.24
6.06
Type of Payment Paid By Received BY
djb
Batch Number
0003 14
Authorization Number
035729
How Received
In Person
Payment Total:
Amount Paid
$70.90
CreditCard TODD POWELL
r ia*x#stt
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