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Home My WebLink AboutPermit Building 2003-09-12Status 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: COM2003-00635ISSUED: 0911212003APPLIED: 0711712003 EXPIRESz 0311212004VALUE: $ 12,000.00 SITE ADDRESS: 2080 19TH ST Springfield TYPE OF WORK: Church ASSESSOR'S PARCEL NO.: 1703252400100 TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Fire damage repair to exterior wall. Adding remodel to interior restroom for ADA compliance. Owner: FIRST ASSEMBLy OF GOD Address: 2080 N 19TH ST SPRINGFIELD OR 97477 Contractor Type General Electrical Plumbing # of Buildings: Primary Secondary Secondary # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: $ INC # of Stories: Height of Structure Type of Heat: Expiration Date tutg12004 Phone 541-689-6177 541-461-0387 541-687-1907 Surface Area: REQUIRED PARIilNG Total: Handicapped: Compact: License 04231 149834 57159 EHLERS MAG Primary Vlhr Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Sidewalk Type: Downspouts/Drains: m PUBLIC IMPROVEMENTS Notes: Page 1 of4 Water Type: Range Type: Energy Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 34l-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00635ISSUED: 0911212003 APPLIEDz 0711712003 EXPIRESz 0311212004VALUE: $ 12,000.00 Plan Reviews Description Bid Amount Bid Amount Tvpe of Construction Use Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 55,000.00 12,000.00 7n7t03 7tr7t03 7n7t03 7tr1t03 7n7t03 8t20t03 9n2t03 9n2t03 9n2t03 9n2t03 9n2t03 9n2t03 9fiz103 9fizt03 9n2t03 9n2t03 9n2/03 9t12t03 VaIue $55,000.00 $12,000.00 $67,ooo.oo Date Calculated 07fi7t2003 08t20t2003 Amount Paid Total Value of Project Date Paid Fee Description + 10',6 Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l$Yo Administrative Fee + 7o/o State Surcharge Building Permit Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Plan Review Fire & Life Safety Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Total Amount Paid Receipt Number 1200200000000001780 1200200000000001780 1200200000000001780 1200200000000001780 1200200000000001780 2200200000000001415 r200200000000002111 1200200000000002111 1200200000000002111 1200200000000002111 1200200000000002111 1200200000000002111 1200200000000002111 1200200000000002111 1200200000000002111 r200200000000002111 12002000000000021 11 I 200200000000002 I I 1 $43.62 $30.53 $43.00 $3.00 $390.15 $79.9s $10.00 $21.30 $14.91 $123.00 $42.00 $39.00 $3.00 $49.20 $206.52 $271.68 $23.91 $6.00 $1,400.77 Fees Paid Fire Department Review 08/28/2003 0911012003 OK GRG Plan Review: Fire damage repair, add ADA compliant bathrooms, wall. Job #COM2003-00635. Maintain fire extinguishers every 75 feet travel distance (Springfield Uniform Fire Code 1002.1). Paee 2 of 4 Maintain exit lighting. LL Valuation Descriotion I 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: COM2003-00635ISSUED: 0911212003 APPLIEDz 0711712003EXPIRES: 0311212004VALUE: $ 12,000.00 Initial Review Planning Review Public Works Review Public Works Review Structural Review Structural Review SUB Review 08t2u2003 08t26t2003 APP LLH APP Person listed as Plumbing Contractor is not listed with CCB under that name. Please verify prior to issuance of any plumbing permit 913103 - Received plans & assigned to Steve Barnes. KJV 914103 - Commercial SDC training completed by Matt Stouder See attached fax to Paul Mclntire asking that the layout be revised to comply with OSSC 1109.10. Paul sent a fax ofproposed revision on 812912003. JMP called Paul on 91212003 to refer him to OSSC page 1-134.50 ADAAG Figure 30 on toilet stalls. He will revise again so that door will not be directly in front of toilet. Received and approved Paul's A2 revision of the ADA WC Remodel. Approval given by phone to Don Moore. 08t28t2003 08t28t2003 09t03t2003 09t03t2003 0812812003 09t0u2003 09t04t2003 09t0312003 08t28t2003 APP JMP APP JF EMM MSAPP 08t26t2003 08/28/2003 WE JMP To Request an inspection call the24 hour recording at 726-3769. All 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. 1 2 3 4 5 6 7 8 9 10 1t Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Firewall: Located and constructed according to plans. 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Fire Department. After all requirements of the Fire Department have been met. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Reonired Insnections t2 13 t4 Pase 3 of4 -- 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: COM2003-00635ISSUED: 0911212003APPLIEDz 0711712003 EXPIRESz 0311212004VALUE: $ 12,000.00 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 Z_O B Owner or Contractors Signature Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #: 12002000000000021 I I Date: 0911212003 11:34:37AM coM2003-00635 coM2003-00635 coM2003-00635 coM2003-00635 coM2003-0063s coM2003-0063s coM2003-00635 coM2003-00635 coM2003-0063s coM2003-00635 coM2003-00635 coM2003-0063s Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Fire & Life Safety Building Permit Fixture Minimum/Adj ustment Plumbing Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + lYo State Surcharge + lUYo Administrative Fee 271.68 206.s2 23.91 49.20 123.00 42.00 3.00 6.00 39.00 10.00 14.9t 21.30 Item Total:$810.s2 Type of Payment Paid By Received By Batch Number Authorization Number [Iow Received Amount Paid Check EHLERSCONSTRUCTION,INC. j-p 32012 In Person Payment Total: ( $810.s2 -$Eio-g' { FD-Ot6 FIRE DAMAGE REPORT OR ELECTRICAL HAZARD TO: FROM: SUBJECT: Building DePartment Springfield Fire DePartment Structural Damage to Building Date: O7 -/q-o3 3-CDVeb 4 Address or location of building JO [)e.^l L,f.le-Name of Owner C-hType of Building ur-<-C \-l @welling, Store, Warehouse,etc.) Estimated value of building $ Estimated loss to building $ Date of fire Location of damage to building lo, (Roof, Wall, Exterior, Structural weakness as a result of the fire @urned rafters, Beams, Additional pertinent information f A I\ Interior, etc.) Joists, etc.) Electrical Hltzard Ll)rr^rr..r (Wiring, Signed CC: V:\FORMS-FDs Fire Dept\FD-016 FIRE DAMAGE REPORT'doc etc.) <l sr,'tE.oF €LGCDETAEflAL . :- -,..:.- BI{XEIGS&SE'.'" v / a-/9Y lv ,^ PRIMAR:TTTPE t_ FOI!!{DS OTITER TTPE OF SITT'ATTO$I ,C OTIIER *aozCET\TSUSTRACT 4DTSIRIC? zor{E9'11/ 71 Z'Pi!t-. 3 DG EIXIAONE()a DOB 12--a{- 7 6 <*ilt 7264d_q I lrrraoglF gP DOE t8/l''?zto'124 I TET.EA(nE A o{&,urt ttl q4411ZP ?ao,?s tqrtt Srra^sr Srr.L Oa <fqP L6L- 7czz TELEPAO{IIE oz/os/t r DOB FI tg L;.gtx'lA Ar.t 9t4ttAP ZoZ rru S.fzrrf, o[ ru.cl(UjfUALADIO GfrEI20 nEEntE/,t- aOFlERrlL/rrP nAIIrS rfsFo?oo{c ,OF(IIEERFIRESERIYICE VEEI(I.ES ,OfEl.lclttlEs rEsaonc,tl{c I t6 ?OBoicc ARcsc 35Osc.rct 53tr$aey 52OMorcIIp 3aOBcridcBcesod T4gftodcdaS@ T2AAoodcdEaruc {7OD@Area a6BDcmFcoplc@ip 45gldoitcllraa' 36Olhryoc A2BEAID 4l ARmteElrad lf Osdfffaeri$cd - 4oAliodEiqSd&gsj,e 2Old&$rtAids Saws&iodoaldilzlgPrfis ZO*acrnooTgl}ry'lfrrdrrffic -' 8 O Grwd Gc;ws WrE@ AdlorAtoSuPpas 9 o llctod ltlot Clsifcd Abstc6flWrcrRooIftdrril-DrdOrffiioe3BDortfleEahsisbcr IOTfG(hly 3OOrssAE@S: . s0G.ss 2t]Dirt 4OChssBrCErfEG: 6EOrss A/8rcffie,. 7O@, ggerycsodAirRao llOCltssB&.o/AIiEF lllOI{Ec GrssDatalr.tm lafl I Eaoa t2lli[/cnincAaW/Wdcr t4O O&cr GBETTLIRO*ETUTUSEls SPECIrrcTNO'EETTUSE(f ^rc( l>l lrElisEe SXAIESAIALaAnCn.^rTf.{E-'M.YEAT MAKE T{ODEL D{lJ R(XXilrArGirffiFIREOrucD{ - n O"+=J e--PA.r af, 13"' ld'"'9 ?(trERSq'RCESRIAL'E Yprn MAKE X(DEL o o tz6 x .rdccldcri! ,osilc=<eCeCS+t B -Ohfrroscd O Iqidrtd B tLL{f t Ol,{rlcoBFcodcE{VOLVEDIN IG!{IflON kw-ICNIfEDWzfSlt/tDEOFt, FORM OFEEATOF TGNITIOT{ - LJ GLt ftrz- SO^botcrqod 40IuEsh(FloorA TSYELOFEIAE ORIGIN t BBdryG.lod zdc.*ar^a O6d .@ 2I ESIIMAIED VAII'E ,@'zsb,6oo -@ Mob8c Eqcnyud Cootcc ,o BdldrS 2, aEorctcrm ZT ESTIMATEDus .oo -@ -oo%c@1o, ooo .oo -<x, l ll 6 GXF{rr o t...-.e.-;.t1'-i . ::- -..;-: trllDtlcSrla( ltrrrO{O tOO./t d6''-'--' tgfihe REVIARK^S n 1 aOHficodgiqC.s ,Ir&dnodoitr&g(o!re..ibsparrmocno* gOEooaNotcEd.tlDotc t SlrhpcA:dWoodhc Abot'c It dc.tlotTrr,aOhocA$odE(e 5tlfhgoedSodA4E 6OElvrfdcr TO8torcaodLbod&oc tC &fooasocnie ' !O Qcr$ocarcC{ofhl0 aO&SqppqrdSlocc5t,tu 6(I Qcs?Ldoc!(&rno{ 7O Uo@rwdSuwc 9 O .flpc of Socrnclh Cbt.DoG / .ffi$rc[GtntEL $P5i\r'fZ.xsrut 5 ?RIMARY [rA}rr*flgu.ULA$Atr9 a0Ero*dC.aqp.f0&h ' s|FoadoE1ilC{ffiorEt) 6OScqcofOtir f gO6c.to(Aigi! 2OEcofim/rlceofqiSi! lORo@dA+i! 4OtoaodCoq.ofOESi! 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D{VESrrc^I8XIES q@f,BESENVrcEXIreEN,<E FATILMA OEIEl8GSATIGEy0Ifi'g3EROF a[ruRrES J fr (8, ( 3t ldElrlBFlr t(Axnlc XEFORT sADDIIK'ML DR'RMAtlOilrr -/-o orI SPECTAL OSFItd StrUDY: Wrs GbltsPcc aldrtoA aIEG &rosrcrrtcctr? XES' NO'tocd6c!fti6rcsdf4 Jw.{El .hv.{4ftv.#l tw-*2 t1Asc vl^Cicodcr 2o{ar-ro(R2ooo) a Dec-Ig-Ol O4z46P 225 FtrTIJ STREET SPRINGFIELD. ORECON Y1477 INSPECTION REQUEST: 726376e OFFICE: 726-3759 OF DESCRIPTION JO Perntits flrc non-trilnslbrable and i[ work is not startc<l rvithin 180 ofissuance or ifrvork is 180 days.i4 04 2. CONTRACTORINST Elecirical' LisrscNumtcr Erpiraion Supcrr&irg Elcctricieo -.,' City Joh xr,,ao, il)').'i' )'-ti\ */-^/*'('i t- 3; COMPLETE FEE SCHEDI.'LEBELOW A. Ncw Rcsidoltifll-Singlc or I|lulli-Fzroily pcr drrelling unit- Senice Inclutlcd: Itents Cost Sum St0fr.001000 q.fr. or less Each additional 500 sq, ft orportion thcreof Each Nlarrufd Hotuc or Modular Dl'clling or Feeder $ 50.00 or P.02 _ $ 19.00 _ _ 3 63.00 _ 3 75.00 _ _ $ 125.00 _ . 3163.00._ . _ 33?5.00_ s 50_oo $s0.oo $69.00 sl(x).00 D 't w auu)s : ''ReonncatOntr C.: .Tcniporery. Serviccs br Fedcrs. :'lnstdltitio.ur Al!5alim or Rclocetim .: .. '?II0 ar1s or Ess ,,. . ... 201'agqls.to.{m_arqsj.'orFr{01-b 6fi}aqs Orcr6{r0 arys or lfiXtwlts sec '8" abote ra; r . - D. Branch Cktsits ' i4qiil{;'col*trcomr'Nurscr- .. .: -:... "E.virarion ^r. l2'"i3 i/i51i,'4 .' : O}I'NERINSIALLATION"' -."J.. .. .The instaltatitnisbciog-aa" 6q . , ': :.'propergl I o*n wbfrJr is aot iruend 'forsale, lcasornol. LOyncn sigubrc :, Nem *trerarion or Erlension Per Parel :1, -/? onc ciirrrit 'L. -s43-oo t1-t' -_:. _. ,1..-/ EafiAditioel Circuilor$irhScrvicq -orFeiederPennit a- S 3.oo {5 E Dlicenlnam (Scrvirdfcedcr not includcd) . -Ei*rinsatlarion $50-00 _ 35O.0O _$2s.m_ s{5.00 tfrlporiniptid. Signrcu0incfi$ring Lirrited EncrAr/Rcs Ligitedlmgr/Com Itlinimun Etcctric Pcrmitlnspcction Fce ir 5{5'oll * surchergcs .z' .. NoTrcE, l/lilt THIS PiRMIT SHALL EXPIBE !F }HE WORK nUirrONrZTD UNDER THIS PERMIT IS NOT CorurtlrrucED oR ls ABAND0NED FoR ANY 1BO DAY PERIOD, d. SUBTOTALOFABOVE 79lo Stote Surcharge -E /o Artministrath'c Fcc 1o TQfALwrns pro,e* as suDmitted has the zoning and does nol require specific land use 5or-2,@.. 5*o approval Zoning Date Authonzed Signature o0- 36, ELECTRICAL PERMTT APPLICATION FIELD Building/Combination Permit PERMIT NO: COM2003-00635ISSUED: 0711712003APPLIEDz 0711712003 EXPIRESz 0111712004VALUE: $ 55,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line SITE ADDRESS: 208019TH ST ASSESSOR'S PARCEL NO.: 1703252400100 PROJECT DESCRIPTION: Fire damage repair to exterior wall. Springfield TYPE OF WORK: Church TYPE OF USE: Repair Owner: Address FIRST ASSEMBLY OF GOD 2O8ON l9THST SPRINGFIELD OR 97477 Expiration Date tu19t2004 t2n3t200s Commercial Phone s4t-689-6177 541-461-0387 Contractor Type General Electrical Owner Contractor EHLERS CONSTRUCTION INC MAG ELECTRIC INC FIRST ASSEMBLY OF GOD License 04231 149834 CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/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: Vlhr REQUIRED PARJ(NG Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: Street Improvements: Storm SewflffiSfif'$l0N:Oregon law requtres you to Special Inffifigpglo! edoptod by the Orcgon Utllity Notilication Cerrter. Those ruhs are sot{edl Notes: in oAR 952-Oo1-@l0throughoAF 958"m1 0090. You may obtain copios ol the rubs b: calling the centcr. (tlote: thetelephone number for the Oregon tImry Notification Center is 1 -800-332-2A4r. Sidewalk Type: Downspouts/Drains: NOTICE: THIS PEBMIT SHALL EXPIBE tF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Page 1 of3 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: COM2003-00635ISSUED: 0711712003APPLIEDz 0711712003 EXPIRESz 0111712004VALUE: $ 55,000.00 Description Bid Amount Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 55,000.00 Total Value of Project Amount Paid Date Paid Value $55,000.00 $55,000.00 Date Calculated 07fi7t2003 Fee Description + lloh Administrative Fee + 7Vo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Total Amount Paid $43.62 $30.53 $43.00 $3.00 $390.15 $s10.30 7n7t03 7n7t03 7n7t03 7n7t03 7n7t03 Receipt Number 1200200000000001780 r200200000000001780 1200200000000001780 1200200000000001780 1200200000000001780 Fees Paid Plan Reviews 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 \ryork day. I Wall Insulation: Prior to cover. 2 Ceiling Insulation: Prior to cover. 3 Firewall: Located and constructed according to plans. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Rough Electric: Prior to Cover 6 Final Electric: When all electrical work is complete. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Renuired fnsnections Pase 2 of 3 Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00635ISSUED: 0711712003APPLIEDz 0711712003 EXPIRESz 0111712004VALUE: $ 55,000.00 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, Buitding 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 1 ) Owner or Signature Date Page 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Dep artment Public Works Department Receipt #: 1200200000000001780 Drtt]t OT|T20O3 l0:20:47AM coM2003-00635 coM2003-0063s coM2003-00635 coM2003-00635 coM2003-00635 Building Permit Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0Yo Administrative Fee 390.15 43.00 3.00 30.53 43.62 $510.30Item Total: Payments: TypeofPayment PaidBy Received By Batch Number Authorization Number How Received Amount Paid Check EHLERS CONSTRUCTION dlm 31783 In Person Payment Total: $s10.30 $510.30