HomeMy WebLinkAboutPermit Building 2004-10-11Building/Combination 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: COM2004-01167ISSUED: l0llll2004
APPLIEDz 0912112004
EXPIRESz 0612112005VALUE: $ 4,900.00
SITE ADDRESS: 725 S 42ND ST
ASSESSOR'S PARCELNO.: 180205210$00
PROJECT DESCRIPTION: Oflice wall.
Springfield TYPE OF WORK:
TYPE OF USE:
School
Remodel Public
Owner:
Address:
SCHOOL DISTRICT #19
525 MILL ST SPRINGFIELD OR 97477
Phone Number: 541-744-6375
License Expiration DateContractor Type
Architect
General
Electrical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
SHA
vL
E/FIH f lAt
04t03t2006
11t02t2005
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Phone
541-485-1003
54t-43t-0192
s4t-607-3447^UAJVOO/V
E-l
Vlhr
nla
Overlay Dist:
# Street Trees Rqd:
ATTENTI
follow rul
952-001-
calling the ce nter. (Note: the tel
e rules by
ept$fiSin rYPu'u may
number for the Orego n UtilitY Notifi cDlioBspouts/Drains:
Center is 1-800-332 -23r'.41,
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
tn
CONTRACTOR INFORMATION
Notes:
Paee I of3
IIOI,C [;
PERMII
RlvilT
F SPRIN
Building/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: COM2004-01167ISSUED: l0llll2004
APPLIEDT 0912112004
EXPIRESz 0612112005VALUE: $ 4,900.00
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 4,900.00
Total Value of Project
Amount Paid Date Paid
Value
$4,900.00
$4,900.00
Receipt Number
2200400000000001r80
12004000000000014s3
12004000000000014s3
1200400000000001453
1200400000000001453
1200400000000001774
r200400000000001774
120040000000000r774
1200400000000001774
Date Calculated
09t2u2004
Total Amount Paid
$44.46
$6.84
$4.79
$68.40
$27.36
$4.60
$3.22
$43.00
$3.00
$20s.67
9tzu04
t0nu04
t0nU04
t0nu04
t0nu04
t2t2u04
t2t2u04
t2t2u04
12t2u04
['pps Peid
Plan Reviews
Fire Department Review 0912312004 1010612004 OK GRG
JMP
09t28t2004 09t28t2004 wI JMP
APP JMP
Plan Review: Partition wall and
door assembly in head start
classroom. Job #COM2004-0f f67.
DFM Parmelee noted that a
horn/strobe is located in the room.
The horn/strobe shall be visible from
the classroom area.
Interior work only - no planning
review required.
No SDCs
Left voice mail for Keith Clemmer
requestin g electrical contractor,
value, and noted I hour construction
for the partition wall.
Keith Clemmer said Conrich
Electric is the other contractor. He
will provide copy of contract when
picking up the permit and said the
wall would be I hour construction.
Received last internal review.
Initial Review
Planning Review
Public Works Review
Structural Review
Structural Review
09t23t2004
09t23t2004
09t22t2004
09t27t2004
09t29t2004
09t27t2004
SKG
EMM
APP
APP
APP
WE
SB
Structural Review t0t06t2004 10t06t2004
Paee 2 of3
Valuation Descrintion I
Fee Description
Plan Review Comm/Ind/Public
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Building Permit
Plan Review Fire & Life Safety
+ l0o/o Administrative Fee
+ 7%o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
09t23t2004
09t23t2004
sFEll{OtrGL-O
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01167ISSUED: l0llll2004APPLIEDz 0912112004
EXPIRESz 0612112005VALUE: $ 4,900.00
Structural Review 10n8t2004 10t2u2004 IO JMP Received fax from Chris Andrejko
of Rowell Brokaw Architects stating
that the wall does not need to be
rated. Discussed with Gilbert
Gordon, Don Moore, Bob Barnhart,
and Dave Puent. Notified Keith
Clemmer of acceptance.
SUB Review 09/24t2004 t0t04t2004 APP DH
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.
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.
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.
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 3 of3
t(eoutreo lnspectrons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
velopment Services Department
Pubtic Works Department
RECEIPT #: 1200400000000001774 Date: 1212112004 1:32:09PM
Job/Journal Number
coM2004-01167
coM2004-01167
coM2004-01167
coM2004-01167
Description
+ 7Yo State Surcharge
+ l0% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Due
3.22
4.60
43.00
3.00
Item Total:$s3.82
Payments:
Type of Payment
cneckNumber Autnorlzatron
Paid By Received By Batch Number Number How Received Amount Paid
Check JB ELECTRIC djb In Person
Payment Total:
$s3.82
-$ffi
I 5082
t2/2t/2004 Page I of I
ruD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-37 69
OFFICE: 726-3759
ELECTRICAL PERMIT /
Cortl Zoo
City Job Number
.DLICATION
.-Qltb7Qn"or^bz-
4Z+etty+t 72
INSTALLATIONf ^/2"4
1. LOCATION OF
LEGAL DESCRIPTIONikoLoiLl o I Jo<>
JOB DESCRIPTION
lnstall 2 ckts. ln front office
Permits are non-transferable and expire
if work is not started within 180 days
ofissuance or ifwork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor JB ELECTRIC' lNC.
Address 4685 lsabelle St.
citv Euoene. OR 97402 Phone 541 .687.5770
Supervisor License Number 3872-S
Expiration Date i O-poa
ccB
Constr Contr. Number 37587C 104929
Expiration Date 7t1106 3l14l08
Electrician
3. COMPLETE FEE
A. New Residential-Single or
Multi-Family Per
Service Included:
1000 sq. ft.. or less
Each additional500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installatioru Alterations or
HcT t t*t*9"lirru rxp,nq.'t-rl: li il?
'JJ': tBtffi y;xf$ -I,]. I I [ : t=
AN { 1 Beh Hftbs'to'i ooo amps
Over 1000 amps/volts
ReconnectOnly
C. Temporary Services or Feeders
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
B above
-Each installation
Pump or irrigation
Sign/Outline Lighting _
Limited Enerry/Res
Limited Enerry/Comm
5. SUBTOTALOFABOVE MrNrilum
7% State Surcharge
l0% Administrative Fee
$45.00 $
$
$
$s0.00 $
$63.00
$7s.00
$12s.00 $
$163.00 $ -
$375.00 $ -
$50.00 $
$50.00
$69.00
$100.00
$
$
$
Owners
D. Branch *Tilfi}m ON: Oregon law reQulres !'oy -t9
N"detmudh$;daffi#uefi88feson utility'
Notitication il;trfliiidJt iffiE's are set f orth
o* omesz_o,jr_oor 0 throush qffii:fttth
sadogddtbuaficrPobbaHili0PSTm|-
or FegHing$ie center. (N otq' th".t9E Pho.$9.00
nu m b er f oi tft e O re gonTfifrlfTlotlf ication
E. Miscelhndui f s-"OA*A.Cpn 60fte?ee044)'
City Sprinqfield, OR Phone
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
if""d slqrl
eaaess 22.1 B Sl $ 43.00
$ 3.00
$50.00
$50.00
$25.00
$4s.00
$
$
46.00
3.22
4.60
JB Job #TOTAL $53.82
Cost
$-
$-
$-
Building/C ornbination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 2G37 69 Inspection Line
PERMIT NO: COM2004-01167ISSUED: l0llll2004
APPLTED-. 09t2u2004
EXPIRESz 0411112005VALUE: $ 4,900.00
SITE ADDRESS: 725 S 42ND ST
ASSESSOR'S PARCEL NO.: 1802052108300
PROJECT DESCRIPTION: Office wall.
Springfield TYPE OF WORI(: School
TYPE OF USE: New Commercial
Owner:
Address:
SCHOOL DISTRICT #19
525 MILL ST SPRINGFIELD OR 97477
Contractor
)NTRACTOR INFORMATION
Contractor Type
Architect
General
Electrical
r,lrlQRKlicenss ExDirationDate
1 \S NOl 869241Hl,S PER
# ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
may
Vo ol
DON ED TOR 149s09
04t03t2006
tu02t2005
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Ft Basement:
Phone
541-485-1003
541431-0192
54t-607-3447
COMM
ANY 1 BOD
E-1
Vlhr
AYP
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Garage/Carport
Other:
Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Pase I of3
s8t
ta#
hU tho
rdoo b,
Building/C ombination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-72G3753 Phone
541-726-3676Fa;x
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-01167ISSUED: l0llll2004APPLIEDz 0912112004
EXPIRESz 0411112005VALUE: $ 4,900.00
Plan Reviews
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 4,900.00
Total Value of Project
Amount Paid Date Paid
Value
$4,900.00
$4,900.00
Date Calculated
0912u2004
Fee Description
Plan Review Comm/Ind/?ublic
+ l0%o Administrative Fee
+ loh State Surcharge
Building Permit
Plan Review Fire & Life Safety
Total Amount Paid
$44.46
$6.84
$4.79
$68.40
$27.36
$1s1.8s
9tzu04
t0mt04
t0nu04
t0ilu04
10flu04
Receipt Number
2200400000000001180
1200400000000001453
12004000000000014s3
120040000000000r453
1200400000000001453
Fpps Peid
Fire Department Review 0912312004 1010612004 OK GRG
JMP
09t28t2004 09t28t2004 wr JMP
Plan Review: Partition wall and
door assembly in head start
classroom. Job #COM2004-01167.
DFM Parmelee noted that a
horn/strobe is located in the room.
The horn/strobe shall be visible from
the classroom area.
Interior work only - no planning
review required.
No SDCs
Left voice mail for Keith Clemmer
requesting electrical contractor,
value, and noted t hour construction
for the partition wall.
Keith Clemmer said Conrich
Electric is the other contractor. He
will provide copy of contract when
picking up the permit and said the
wall would be t hour construction.
Received last internal review.
Initial Review
Planning Review
Public Works Review
Structural Review
Structural Review
Structural Review
SUB Review
09t23t2004
09t23t2004
09t23t2004
09t23t2004
10106t2004
09t24t2004
09t22t2004
09t27t2004
09t29t2004
09t27t2004
10t06t2004
10t04t2004
APP
APP
APP
WE
APP
APP
SKG
EMM
JMP
SB
Paee 2 of3
DH
Valuation Descrintion I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-72G3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2004-01167ISSUED: l0llll2004APPLIEDz 0912112004EXPIRESz 0411112005VALUE: $ 4,900.00
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.
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.
Final Building: After all required inspections have been requested and 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 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.
')*l(-oL/
Owner or Contractors Signature Date
Pase 3 of3
Keouu'eo lnsDecuons I
225 Fifth Street
Springfield, Oregon 97 47 7
547-726-3759 Phone
rrty of Springfield Oflicial Receipt
_ velopment Services Department
Public Works Department
RECEIPT #: 1200400000000001453 Date: 1011112004 10:07:12AM
Job/Journal Number
coM2004-01167
coM2004-01167
coM2004-01167
coM2004-01167
Description
Plan Review Fire & Life Safety
Building Permit
+ 7%o State Surcharge
+ l0% Adminishative Fee
Amount Due
27.36
68.40
4.79
6.84
Item Total:$107.39
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check KEITH CLEMMER djb 20s2 In Person $107.39
Payment Totat:
---SIdffi
t0ltU2004 Page I of I
tFElltaqflIL|l