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HomeMy WebLinkAboutPermit Building 2003-09-04tsFBlttfi'flfLD Building/Combination Permit itatus Issued 225Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00711ISSUED: 0910412003APPLIED: 0810712003EXPIRES: 06/16/2004VALUE: $ 90,000.00 SITE ADDRESS: 202 S r8TH ST Springfield TYPE OF WORK: Office ASSESSOR'S PARCEL NO.: 1703360000500 TYPE OF USE: Addition PROJECT DESCRIPTION: Temp occ for records storage area only 12f 903 DB. 837 square foot interior remodeVl200 sf new metal building OwneT: SPRINGFIELD UTILITY B9ARD Address: 223 A ST SPRINGFIELD OR 97477 Commercial PhoneNumber: 541-746-8451 Contractor Tvpe Applicant Architect Electrical Plumbing Contractor CHUCKBAILEYAIA CHUCK BAILEY AIA ROBS ELECTRJC INC OWNER Expiration Date 08tr4t2005 Phone 541485-3315 541-48s-331s s4t-686-5444 License 156678 CONTRACTOR 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:\o 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 PARJilNG Total: Handicapped: Compact: {o1} Sidewalk Type: ffifi1flg$HiffiffffBr Notes: Pase 1 of4 ItU ll:l-rll\ \, rl\ r LTIiUVIA I l\r1\ | rhc 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: COM2003-00711ISSUED: 0910412003APPLIEDz 08107t2003EXPIRES: 0611612004VALUE: $ 90,000.00 Description Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 90,000.00 Total Value of Project Amount Paid Date Paid Value $90,000.00 $90,000.00 Date Calculated 08t25t2003 Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l0%o Administrative Fee + 7o/o State Surcharge Building Permit Fixture Not Covered Mechanical Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Sanitary Sewer - lst 50 Feet Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' SDC NIWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + l0oh Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + l0%o Administrative Fee + loh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Temporary Occupancy $164.87 $10.00 $76.27 $53.39 $s26.6s $28.00 $4s.00 $177.45 $210.66 $4s.00 $4s.00 $14.00 $4s.00 $14.00 $10.00 $23.88 $228.24 $27.09 $228.03 $s1.69 $5.20 $3.64 $43.00 $9.00 $s.80 $4.06 $43.00 $1s.00 $100.00 8t7t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t24t03 9124t03 9t24t03 9t24103 9t24t03 9t24t03 tU25t03 tu25t03 tu25t03 tU25t03 t2n8t03 12t18t03 t2n8l03 t2n8,t03 12t19t03 Receipt Number 220020000000000r356 1200200000000002056 1200200000000002056 1200200000000002056 12002000000000020s6 1200200000000002056 1200200000000002056 12002000000000020s6 12002000000000020s6 1200200000000002056 1200200000000002056 1200200000000002056 r200200000000002056 12002000000000020s6 2200200000000001563 2200200000000001563 2200200000000001563 2200200000000001563 2200200000000001563 2200200000000001563 2200200000000001802 2200200000000001802 2200200000000001802 2200200000000001802 1200200000000002628 1200200000000002628 1200200000000002628 1200200000000002628 1200200000000002636 Eees Paid Total Amount Paid $2,252.92 Paee 2 of4 Plan Reviews Valuation Descriotion 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: COM2003-00711ISSUED: 0910412003APPLIED: 08/0712003 EXPIRESz 0611612004VALUE: $ 90,000.00 Fire Department Review 08/08/2003 09/03/2003 OK GRG Plan Review: Office/storage addition and remodel. Job #COM2003-00711 B/S-2 occupancy. Construction type: V-N in office portion (except Offices B & C); Type II-N in storage area and Oflices B and C (pre-fab structure). Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (Oregon Structural Specialty Code 502 and Springfield Uniform Fire Code 901.4.4). Provide or maintain lire extinguishers with a minimum rating of 2-A:10-B:C every 75 feet ol travel distance (SUFC 1002.1). see enclosed LUCS done by Ashley Deforest in project manual. If fiIling, grading or excavating more than 50 cubic yards will require LDAP. Called and left message for Ken Cerotsky 8/18/03 - Assigned to Steve Barnes for review. KJV Initial Review Planning Review Public Works Review Public Works Review Structural Review SUB Review 08/08/2003 08/08/2003 08/08/2003 08/18/2003 08/08/2003 08/08/2003 08/08/2003 08/15/2003 08t22t2003 08t26t2003 08n212003 LLH EMM SB TCM JF APP APP K APP APP APP 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 after 7:00 a.m. will be made the following work day. I SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 2 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 3 SUB Ceiling Grid: Interior Lighting 4 SUB Final: After all required energy inspections have been requested and approved. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Drywall: Prior to taping. 9 Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector.' Pase 3 of4 Reorrired Insnecfions 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: COM2003-00711ISSUED: 0910412003APPLIED: 0810712003EXPIRES: 0611612004VALUE: $ 90,000.00 10 11 12 13 t4 15 t6 t7 18 19 20 2t 22 Final Fire Department. After all requirements of the Fire Department have been met. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. Final Building: After all required inspections have been requested and approved and the building is complete. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Plumbing: Prior to cover and including required testing. Underground Plumbing: Prior to filling the trench and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work 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. *a /L 3 or Contractors Signature Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ,t City of Sprtngfield Official Receipt Development Services Department Public Works Department #:r200200000000002636 Date: 1211912003 10:10:50AM coM2003-0071I Temporary Occupancy 100.00 Item Total:$100.00 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check SUB djb In Person Payment Total: $r00.00 $100.00 225 FIF"TI{ STREET . SPRINGFIELD, OR97477 . pII:(541)726-3753 o FA)(: (54I)725=3689 .,as sulrmitted has the following require sPecific land useTIANiri-rg and does notELECTRICAL City Job Number LEGAL DESCzuPTION JOB are non-transferable not started rvithin 180 da1's of Suspended for 180 days. Expiration Date Signature of Supervising Electrician Date approval ?r oZontng 3. t,ifittZ€o Signature z- Electrical Contractor Address o City Phone SupenisorlicenseNumber @ Y7 {VS Expiration Date /t>*2/-oY Constr'. Contr. Number t5CG7 s Scrvicc Included 1000 sq. ft. or less additional 500 sq. ft. or thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Installation, Altera tion. or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. Nerv Alteration or Extension Per Panel if rvork is or if rvork is A. C. D. s 106.00 s 19.00 B. ( t r b s 63.00 s 75.00 s r25.00 s 163.00 s375.00 s s0.00 s 50.00 s 69.00 $ r 00.00 s 43.00 s 3.00 g fe6r s 50.00 s 25.00 $ 45.00 8-lq- rb C)One Circuit 3:S,#{'fit[6h'il"Hl."'*'*Owners Name Address City OWNER Owners Signature: E. Phone OR IS ABANDONE PERIOD TION Limited Energy/Residential Limited Energy/Commercial 7Yo State Surcharge l0% Administrative Fee TO'TAL The installation is being made on properly I own which is not intended for sale, lease or renl Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4.d) Inspection Request: 726-3769 Shared DrivdT: /Building Forms/Elecrrical permit Appl ication I {3.doc )t55 CI $50.00 ( Get -qwf Pump Buildin g/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00711ISSUED: 0910412003APPLIED: 08/0712003EXPIRESz 0611612004VALUE: $ 90,000.00 SITE ADDRESS: 202 S 18TH ST Springfield TYPE OF WORK: ASSESSOR'SPARCELNO.: 1703360000500 TYPE OF USE: PROJECT DESCRIPTION: 837 square foot interior remodeUl200 sf new metal building Owner: SpRINGFIELD UTILITy BOARI) Address: 223 A ST SPRINGFIELD OR 97477 Office Addition Commercial PhoneNumber: 541-746-8451 Contractor Type Applicant Architect Electrical Plumbing Contractor CHUCK BAILEY AIA CHUCK BAILEY AIA ROBS ELECTRIC INC OWNER Expiration Date 08/14l2005 Phone 541-485-3315 s41-48s-3315 541-686-5444 License 1s6678 CONTRACTOR 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: oh ofLot Coverage: THfif"fJitJriI-l^S^N ABffi&QIThI}OE&{H B VN Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: L E )(ffiftQtFrftkb Hlfuti&NcIT SHAL OT AUTHORIZE OMMENCED OR IS D UNDER C A Compact: Sidewalk Type: Downspouts/Drains PUBLIC IMPROVEMENTS Notes: Paee I of4 sU rLr-rlN (, rN t vr(lYrA r rull_l 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: COM2003-00711ISSUED: 0910412003APPLIED: 0810712003EXPIRES: 0611612004VALUE: $ 90,000.00 Description Estimate Tvpe of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 90,000.00 Total Value of Project Amount Paid Date Paid Value $90,000.00 $90,000.00 Date Calculated 08t25t2003 Fee Description PIan Review Commflnd/Public -Mechanical Issuance Fee- + l0o Administrative Fee + 1oh State Surcharge Building Permit Fixture Not Covered Mechanical PIan Review Comm/Ind./Public Plan Review Fire & Life Safety Sanitary Sewer - lst 50 Feet Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + l0oh Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + l0oh Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Receipt Number 22002000000000013s6 1200200000000002056 r2002000000000020s6 12002000000000020s6 1200200000000002056 1200200000000002056 12002000000000020s6 1200200000000002056 1200200000000002056 1200200000000002056 1200200000000002056 r200200000000002056 r200200000000002056 1200200000000002056 2200200000000001563 2200200000000001s63 2200200000000001563 2200200000000001563 2200200000000001563 2200200000000001563 2200200000000001802 2200200000000001802 220020000000000r802 2200200000000001802 1200200000000002628 1200200000000002628 1200200000000002628 1200200000000002628 $164.87 $10.00 $76.27 $53.39 $s26.6s $28.00 $45.00 $177.4s $210.66 $4s.00 $45.00 $r4.00 $45.00 $14.00 $r0.00 $23.88 $228.24 $27.09 $228.03 $s1.69 $s.20 $3.64 $43.00 $9.00 $s.80 $4.06 $43.00 $rs.00 8t7t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4/03 9t4t03 9t4t03 9t4t03 9t24t03 9t24t03 9t24t03 9t24t03 9t24t03 9t24103 tu25t03 tu25t03 tu25t03 tuzsl03 t2n8t03 t2n8t03 t2n8t03 t2n8t03 tr'eps Peid Total Amount Paid s2,152.92 Paee 2 of4 Plan Reviews YaluationDceriBtion l 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: COM2003-00711ISSUED: 0910412003APPLIED: 0810712003 EXPIREST 0611612004VALUE: $ 90,000.00 Fire Department Review 08/08/2003 09t03t2003 0K GRG K 08t22t2003 APP SB PIan Review: Office/storage addition and remodel. Job #COM2003-00711 B/S-2 occupancy. Construction type: V-N in office portion (except Offices B & C); Type II-N in storage area and Offices B and C (pre-fab structure). Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (Oregon Structural Specialty Code 502 and Springfield Uniform Fire Code 901.4.4). Provide or maintain fire extinguishers with a minimum rating of 2-A:10-B:C every 75 feet ol travel distance (SUFC 1002.1). see enclosed LUCS done by Ashley Deforest in project manual. If filling, grading or excavating more than 50 cubic yards will require LDAP. Called and left message for Ken Cerotsky 8/18/03 - Assigned to Steve Barnes for review. KJV Initial Review Planning Review Public Works Review Public Works Review Structural Review SUB Review 08/08/2003 08/08/2003 08/08/2003 08/r8/2003 08/08/2003 08/08/2003 08/08/2003 08/r5/2003 08t26t2003 08fizt2003 LLH EMM TCM JF APP APP APP APP 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. I SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 2 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 3 SUB Ceiling Grid: Interior Lighting 4 SUB Final: After all required energy inspections have been requested and approved. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Drywall: Prior to taping. 9 Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. Paee 3 of4 Reouired fnsneetions 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: COM2003-00711ISSUED: 0910412003APPLIED: 0810712003 EXPIRESz 0611612004VALUE: $ 90,000.00 10 Final Fire Department. After all requirements of the Fire Department have been met. 1l SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 12 SUB Final: After all required energy inspections have been requested and approved. 13 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Sanitary Sewer Line: Prior to filling trench and including required testing. 15 Storm Sewer Line: Prior to filling trench. 16 Final Plumbing: When all plumbing work is complete. 17 Rough Plumbing: Prior to cover and including required testing. 18 Underground Plumbing: Prior to lilling the trench and including required testing. 19 Rough Mechanical: Prior to Cover 20 Final Mechanical: When all mechanical work is complete. 2l Rough Electric: Prior to Cover 22 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 70f .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 Paee 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone coM2003-0071I coM2003-00711 coM2003-00711 City of Springfield Olficial Receipt Development Services Department. Public Works Department Recetpt #: 1200200000000002628 Datc: 12l18i/2003 8:13:'.24M -; Job/JouErl Nun[.r lr.r.rDno. COM2OO3407II Ad4 Alter, Extcnd CirE 43.00 Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0o/o Administrative Fee 15.00 4.06 5.80 Item Total:$67.86 Payments: Type of Payment Paid BY Received By Batch Number Authorization Number How Received Amount Paid checl(Number CreditCard ROBS ELECTRIC djb 000253 018503 In Person Payment Total: $67.86 $67.86 aFFrstftEt-Ls 225 FIFTH STREET' SPRINGFTELD, oR 97477 . pr{:(541)726-37s3 E LECTRICAL P E RMIT AP P LICATION CiryJobNumber CJ.rqZriOS _OC-"7 I I oate /Z-c)3 1. 'ZOZ S l8+q s1- LEGAL DESCzuPTION A. 17033 boo oo s:o o approval Zoning P Service lncluded 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Horne or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over I000 Amps/Volts Reconnect Only Installation, Alteration or Relocation 200 Amps or less _ 201 Amps to 400 Amps 401 Amps to 600 Amps Supervisor License Number ExpirationDate /O *O I ' o / Constr. Contr. Number 6G678 Expiration Date Signah.rre of Supervising Electrician @n,rF as submitted has the lollowing require specific la nd use o $ r 06.00 $ 19.00 s50.00 s 63.00 s 7s.00 s 125.00 s 163.00 s375.00 s 50.00 s 50.00 s 69.00 s 100.00 tl) 3. JOB DESCzuPTION AIN 4 Lt(--C'./<l Permits are non-transferable and expire if rvork is not started rvithin 180 days of issuance or if u,ork is Suspcnded for 180 days. 7 Electrical Contractor R o\o s €le, Address B. 5 .r,""" t 86- 519 ICity -0s C. D.% Over 600 or 1000 Volts see "B" above. Nervlgf$flffiffi tITBHA{r{ntstP m,{F TH E W0 RK one ffiqq{gRrzED uN DER THts pFilMrTq$}ruT owners Name S C Address Z'23 t- Ciry I rA Plrone 7t/6 - V'/ t I OWNER INSTALLATION The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature: Pump or irrigation Sigr/Outline Lighting !+*EiJd #npr8qts#eidoFialt o I"msif edlBtqqccgelhhit[itY E. Minimum Electric Permit s 50.00 s 50.00 $ 2s.00 s 45.00 Fee is $45.00 * SurchargesSET I t1s,S&,tqr qguih -arAdn t i t i' i107$ff&n?r3ih8d$#S"" TOTAL ation 3 L't gzo 60 8Llnspection Reqrrcst: 726-37 69 S hared Driv{T: ),/Building Forms/El cctrical Pcrmit Appl ication I {3.doc in OAB 952-C0 0090. You calling the umberforthe DoNED FpRoo Center 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: COM2003-00711ISSUED: 0910412003APPLIED: 08/0712003EXPIRES: 0311712004VALUE: $ 90,000.00 SITE ADDRESS: 202 S 18TH ST Springfield TYPE OF WORI(: ASSESSOR'SPARCELNO.: 1703360000500 TYPE OF USE: PROJECT DESCRIPTION: 837 square foot interior remodeUl200 sf new metal building OwNCT: SPRINGFIELD UTILITY BOARD Address: 223 A ST SPRINGFIELD OR 97477 Oflice Addition Commercial PhoneNumber: 541-746-8451 Contractor Type Applicant Architect Electrical Plumbing Contractor CHUCK BAILEY AIA CHUCK BAILEY AIA ROBS ELECTRIC INC OWNER Expiration Date 08t14t2005 Phone 541-485-3315 541-485-3315 54t-686-5444 License 156678 CONTRACTOR INFORMATION BUILDIN( # 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: oh ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARIflNG Total: Handicapped: Compact: B VN Sidewalk Type: Downspouts/Drains: NOTICE: inii'prrinntT sHALL ExPIRE lF THE woRK AriiHcriitzio ur'rorn THls PERMIT ls-NoT cOIUTIVTTTCED OR IS ABANDONED TOR ANY 180 DAY PERIOD. PUBLIC IMPROVEMENTS Notes: Page I of4 ffi law I Utility the Ore oon adopte9 rtOI Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00711ISSUED: 0910412003APPLIED: 0810712003EXPIRES: 0311712004VALUE: $ 90,000.00 Descrintion Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 90,000.00 Total Value of Project Amount Paid Date Paid Value $90,000.00 $90,000.00 Date Calculated 08t25t2003 Fee Description Plan Review Comm/lnd/Public -Mechanical Issuance Fee- + ll%o Administrative Fee + 1Yo State Surcharge Building Permit Fixture Not Covered Mechanical Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Sanitary Sewer - lst 50 Feet Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + llYo Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Addn Alter, Extend Circ Ea Add Total Amount Paid $164.87 $10.00 $76.27 $s3.39 $526.65 $28.00 $4s.00 $177.45 $210.66 $45.00 $45.00 $14.00 $45.00 $14.00 $10.00 $23.88 s228.24 $27.09 $228.03 $s1.69 $5.20 $3.64 $43.00 $9.00 8t7t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 914103 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t4t03 9t24t03 9t24t03 9t24t03 9t24t03 9t24t03 9t24103 tU25t03 tU25t03 tu2st03 tu25t03 Receipt Number 2200200000000001356 12002000000000020s6 r2002000000000020s6 12002000000000020s6 12002000000000020s6 1200200000000002056 12002000000000020s6 1200200000000002056 12002000000000020s6 1200200000000002056 12002000000000020s6 1200200000000002056 12002000000000020s6 1200200000000002056 2200200000000001s63 2200200000000001s63 2200200000000001563 2200200000000001s63 2200200000000001563 2200200000000001563 2200200000000001802 2200200000000001802 2200200000000001802 2200200000000001802 $2,085.06 tr'pps Pnid Plan Reviews Pase2 of 4 Yaluation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00711ISSUED: 0910412003APPLIED: 08/0712003 EXPIRESz 0311712004VALUE: $ 90,000.00 Fire Department Review 08/08/2003 09/03/2003 OK GRG K 08t22t2003 APP SB Plan Review: Office/storage addition and remodel. Job #COM2003-00711 B/S-2 occupancy. Construction type: V-N in office portion (except Offices B & C); Type II-N in storage area and Offices B and C (pre-fab structure). Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (Oregon Structural Specialty Code 502 and Springfield Uniform Fire Code 90r.4.4). Provide or maintain fire extinguishers with a minimum rating of 2-A:10-B:C every 75 feet ol travel distance (SUFC 1002.1). see enclosed LUCS done by Ashley Deforest in project manual. If filling, grading or excavating more than 50 cubic yards will require LDAP. Called and left message for Ken Cerotsky 8/f 8/03 - Assigned to Steve Barnes for review. KJV Initial Review Planning Review Public Works Review Public Works Review Structural Review SUB Review 08/08/2003 08/08/2003 08/08/2003 08/18/2003 08/08/2003 08/08/2003 08/08/2003 08/1s/2003 08t26t2003 08t12t2003 APP APP APP APP LLH EMM TCM JF 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 after 7:00 a.m. will be made the following work day. 1 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 2 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 3 SUB Ceiling Grid: Interior Lighting 4 SUB Final: After all required energy inspections have been requested and approved. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Drywall: Prior to taping. 9 Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. Paee 3 of 4 Renrrired Insnections E' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line CTTY Building/C ombination Permit PERMIT NO: COM2003-00711ISSUED: 0910412003APPLIED: 08/0712003EXPIRESz 0311.712004VALUE: $ 90,000.00 10 11 t2 13 t4 15 t6 t7 18 t9 20 2t 22 Final Fire Department. After all requirements of the tr'ire Department have been met. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections haye been requested and approved. Final Building: After all required inspections have been requested and approved and the building is complete. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to fiIling trench. Final Plumbing: When all plumbing work is complete. Rough Plumbing: Prior to cover and including required testing. Underground Plumbing: Prior to filling the trench and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work 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 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 #:22002 Date: 1 t2 coM2003-00711 coM2003-0071I coM2003-00711 coM2003-0071I Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0o Administrative Fee 43.00 9.00 3.64 5.20 Item Total:$60.84 Type of Payment Paid BY Received By Batch Number Authorization Number How Received Amount Paid CreditCard ROBS ELECTzuC djb 00023 l 025057 In Person Payment Total: $60.84 $60.84 225 Fifth Street Spdngfield, Oregon 97 477 541-726'3759 Phone City of Springfield Officiat Receipt Development Services l)epartment Public Works Department #z Date: coM2003-00711 coM2003-0071I coM2003-00711 coM2003-0071I coM2003-00711 coM2003-0071I SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin 51.69 228.03 228.24 23.88 10.00 27.09 Item Total:$s68.93 Received By Batch Number Authorization Number How Received Amount PaidType of Payment Paid BY CreditCard SUB WATERDIVISION Jmp 000178 07 1764 In Person Payment Total: $s68.93 $s68.93 Qo>*.{ ,*i-^"J /Pe4-r4---B @ 9I'k.J- Oir^.- Lfo-l\p--{ 6\W, e4- \A,+-osq 9DC 4*,2'4<O-a- ATTACHMENTA CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE \KSHEET JOURNAL OR JOB NUMBER COM2OO3-OO7I1 NAMEORCOMPANY:SPRINGFIELD UTILITY BOARD LOCATION 202 S. l8TH ST MAP&TAXLOTNUMBER: 17 0336 00 00500 DEVELOPMENT TYPE:UTILITIES OFFICES NEW DEVELOPED AREA (S.F.): EXTSTTNO DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): I. STORM DRAINAGE IMPERVIOUS SQ. FT X $ 0.290 PER SF 2. SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU'S B. IMPROVEMENTCOST: NUMBER OF DFU'S (SEE REVERSE SIDE) x $ 22.64 PER DFU x $ 17.21 PER DFU TOTAL LOCAL WASTEWATER SDC: ITE: LOT SIZE (S.F.): 170 0 TOTAL STORM DRAINAGE SDC 0 0 3, TRANSPORTATION BLDGAREA TGSF x TRIP RATE xCOST PERADT XNEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 1.20 x 2.5 * @PERTRIP x B. IMPROVEMENT COST: 1.20 x 2.5 x $ 76.01 PER TRIP x ExISTING A. REIMBURSEMENT COST: 0.00 x 2.5 $ 17.23 PERTRIP x B. IMPROVEMENT COST: 0.00 x 2.5 $ 76.01 PERTRIP x I NTF 4. SANITARY SEWER - MWMC NEW: A. REIMBI,JRSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU'S E)(STING: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU's MWMC CREDIT IF APPLICABLE (SEE REVERSE) NTF $51.69 NTF $ 228.03 NTF $ $ TOTAL TRANSPORTATION REIMBURSEMENT SDC TOTAL TRANSPORTATION IMPROVEMENT SDC TOTAL TRANSPORTATION SDC: 1.20 x $190.20 PERFEU $ 228.24 r.20 $19.90 PER FEU 0.00 x $190.20 PERFEU x $19.90 PER FEU $ 0.00 TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE : TOTALMWMC SDC:$ 262.12 SUBTOTAL (ADD ITEMS 1,2,3,&4) x x x 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) SLev ew W. Bea vLd,r g Ba Y wes 8/22t2003 s41.84 x 5o/o TOTAL TRANSPORTATION ADMINISTRATION TOTAL SEWER ADMINISTRATION $=$27.09 $568.93 279.72 IE I-w@IreII@ I I 23.88 ) 541.84) c6nq6gQBp0$m&dition and remodel, 202 s. I 8t&f,.IiE TOTAL SDC CHARGES JULY 2OO1 I;)I Irr r070 l09t r092 1093 1094 1078 1079 1 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: COM2003-00711ISSUED: 09104t2003APPLIEDz 08107t2003EXPIRESz 0310412004VALUE: $ 90,000.00 F' SITE ADDRESS: 202 s 18TH sr springfietd rypE oF woRK: ASSESSORTSPARCELNO.: 1703360000500 TYPE OF USE: PROJECT DESCRIPTION: 837 square foot interior remodeUl200 sf new metal building Office New Commercial PhoneNumber: 541-746-8451 Expiration Date Phone 541-485-3315 54r-485-3315 Owner: Address: SPRINGFIELD UTILITY BOARD223AST SPRINGFIELD OR 97477 Contractor Type Applicant Architect Contractor CHUCKBAILEYAIA CHUCKBAILEYAIA License 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: oh ofLot 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 Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction:you t() Notes: fc;llow rules adopted bY the Oregon Utility Notili cation Center. Those rules are s et fori in OAR 952-001-0010 through OAR 95 2-00 0090. You maY obtain copies of the ru les t calling the ce nter. (Note: the telePhone numberforthe Oregon UtilitY Notification rr $E REQUIRED PARKING Total: Handicapped: Compact: WORK IS NOT t0R PUBLIC Center is 1 -800-332-2344: Page I of4 PERIOD. D U rlJ[rl].'t rJ rN I Lr-luYlryl]l uL y a2LnruttlN I II\I Ur(lyrAlr ruN I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00711ISSUED: 09104t2003APPLIEDz 08t07t2003EXPIRES: 03104t2004VALUE: $ 90,000.00 Description Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 90,000.00 Total Value of Project Amount Paid Date Paid Value $90,000.00 $90,000.00 Date Calculated 08t2st2003 Fee Description Plan Review Comm/Ind/Public -Mechanical Issuance Fee- + l0%o Administrative Fee + 7%o State Surcharge Building Permit Fixture Not Covered Mechanical Plan Review Commflnd/?ublic Plan Review Fire & Life Safety Sanitary Sewer - lst 50 Feet Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100r Water Line - lst 50 Feet Water Line - Each Addtl 100' Total Amount Paid $164.87 $10.00 $76.27 $s3.39 $526.65 $28.00 $4s.00 $177.45 $210.66 $4s.00 $4s.00 $14.00 $4s.00 $14.00 $1,455.29 8t7t03 914t03 914t03 9t4t03 9t4103 9t4t03 9t4t03 9t4t03 9t4t03 914t03 914t03 9t4t03 9t4t03 914t03 Receipt Number 2200200000000001356 1200200000000002056 12002000000000020s6 12002000000000020s6 1200200000000002056 12002000000000020s6 1200200000000002056 12002000000000020s6 r2002000000000020s6 1200200000000002056 1200200000000002056 1200200000000002056 1200200000000002056 12002000000000020s6 Plan Reviews Pase 2 of 4 f(pps Prrfl I 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: COM2003-00711ISSUED: 0910412003APPLIED: 0810712003EXPIRESt 0310412004VALUE: $ 90,000.00 Fire Department Review 08/08/2003 09/03/2003 OK GRG 08t2212003 APP SB Plan Review: Office/storage addition and remodel. Job #COM2003-00711 B/S-2 occupancy. Construction type: V-N in office portion (except Offices B & C); Type II-N in storage area and Offices B and C (pre-fab structure). Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (Oregon Structural Specialty Code 502 and Springfield Uniform Fire Code 901.4.4). Provide or maintain fire extinguishers with a minimum rating of 2-A:10-B:C every 75 feet ol travel distance (SUFC 1002.1). see enclosed LUCS done by Ashley Deforest in project manual. If filling, grading or excavating more than 50 cubic yards will require LDAP. Called and left message for Ken Cerotsky 8/18/03 - Assigned to Steve Barnes for review. KJV Initial Review Planning Review Public Works Review Public Works Review Structural Review SUB Review 08/08/2003 08/08/2003 08/08/2003 08/18/2003 08/08/2003 08/08/2003 08t26t2003 08n2t2003 LLH EMM TCM APP APP K APP APP JF 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. I SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 2 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 3 SUB Ceiling Grid: Interior Lighting 4 SUB Final: After all required energy inspections have been requested and approved. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Drywall: Prior to taping. 9 Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. Pase 3 of4 Renrrired fnsneet 08/08/2003 08/1s/2003 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: COM2003-00711ISSUED: 0910412003 APPLIEDT 0810712003EXPIRES: 0310412004VALUE: $ 90,000.00 10 11 t2 13 Final Fire Department. After all requirements of the Fire Department have been met. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. Final Building: After all required inspections have been requested and approved and the building is complete. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Plumbing: Prior to cover and including required testing. Underground Plumbing: Prior to filling the trench and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. t4 l7 l5 l6 18 t9 20 2l a1 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. tl o3 Owner or Contractors Signature Date Pase 4 of 4 ra 225Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services I)epartment Public Works Department Receipt #: 1200200000000002056 Datet 0910412001 9:U:,6F coM2003-0071I coM2003-0071l coM2003-00711 coM2003-0071l coM2003-00711 coM2003-00711 coM2003-00711 coM2003-00711 coM2003-0071l coM2003-00711 coM2003-0071I coM2003-0071I coM2003-00711 Plan Review CommAnd/?ublic Plan Review Fire & Life Safety Building Permit Fixture Sanitary Sewer - lst 50 Feet Water Line - lst 50 Feet Water Line - Each Addtl 100' Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Not Covered Mechanical -Mechanical Issuance Fee- + 7%o State Surcharge + llY, Administrative Fee 177.45 210.66 526.65 28.00 45.00 45.00 14.00 45.00 14.00 45.00 10.00 s3.39 76.27 Item Total:$1,290.42 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check SUB djb In Person Payment Total: sl,290.42 $t,290.42 )