HomeMy WebLinkAboutPermit Miscellaneous 2008-11-13
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRlNGFIELD
Building/Combination Permit
,.
PERMIT NO: COM2008-0I213
ISSUED: 11/13/2008
APPLIED: 08/13/2008
EXPIRES: 05/13/2009
VALUE: $ 3,200.00
Springlield TYPE OF WORK: Interior
SITE ADDRESS: 942 28TH ST
ASSESSOR'S PARCEL NO.: 170336)]09600
C<\, '1
ornmerC13
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Interior modifications for dormitory
Owner:
Address:
'...........
-.
CROSSFIRE WORLD OUTREACH MINISTlRES
942 28TH ST
SPRINGFIELD OR 97477
Contractor Type
General
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:'
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: '
Description
Tvpe of Construction
, "
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
BUILDING INFORMATION I
A-3
R2
VB
# of Stories:
Height of Structure.
Type of Heat:
WaterType:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft G"rage/Carport
Sq Ft Other:
Occupant Load:
Yes
I DEVELOPMENT INFORMATION'. , '. ",,.
~" , ...", ION: Oregon l'REO'fJiRR\)~;:J\}ING
follow rules adopted by the uregon Ulinty
Overlay Dist: Notification Center, Tho!f(\lt.!l2s are set forth
# Street Trees Rqd: in OAR 952,001-0010 thllJol!idi&~peID2-001-
Paved Drive Rqd: 0090. You may obtain c~omplllltl:he rules by
% of Lot Coverage: calling the center. {Note: the telephone
number for the Oregon Utility Notification
......"...-4-,-.".;.... 1 Q('\('-~~,)_"~4.4\
I PU~L~C IMPROVEMENTS I
Sidewalk Type:
Downspoutsillrains:
MnTll"i:.
IT~It'i.ritruWMWh~Ex~l1E IF THE WORK
..,U', ",,'. '/~\:J J,\!:I._I/I%!J PERMIT IS NOT
&lIlHrSIiIllCED OR ~~.MW'OOfll!iD FOR
'A'CW''''W'll"AY PER/W}id Amount
Value
Date Calculated
Page I of 4
Status
Issued,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
Fee DescriPtion
Plan Review Comm/IndlPublIc
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+,5%. Technology Fe.e
Building,Permit
Miscellaneous Mechanical
Plan Review Comm/IndlPtiblic
Plan Review Fire & Life Safety
Total Amount Paid
Fire Deoartment Review
SUB Review
Initial Review
Plannine Review
Structural Review
08/14/2008
08/14/2008
08/l4/2008,
08/14/2008
08/1412008
L
\
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01213
ISSUED: 11/13/2008
APPLIED: 08/13/2008
EXPIRES: 05/13/2009
VALUE: $ 3,200.00
$1.00
3,200.00
11/13/2008
Total Value of Project
$3,200.00
$3,200.00
F",,< p,,~
Amount Paid
Receipt Number
, Date Paid
$33.80
$21.00
$12.17
$14.61
$6.09
v $69.72
$52.00
$11.52
$27.89
8/13/08
11/13108
11113/08
11113/08
11113108
11/13108
11/13/08
11113/08
11113/08
1200800000000000870
2200800000000001638
2200800000000001638
2200800000000001638
2200800000000001638
2200800000000001638
2200800000000001638
2200800000000001638
2200800000000001638
$248.80
Plan Re.views I
WE
Path of egress.related to Youth room
(occupant load over 50-need second
exit thro.ugh men's bedroom unless
occupant load call be reduced);
possible options. Chris Carpenter,
Building Plans Examiner, to contact
applicant.
Reqnested Energy Forms. See
attacheddocnments.
08/1412008
APP LLH
See aft.ached documents for email
from Tara Jones/Sarah Summers
08/1812008
APP' EMM
Approved by correspondence from
, 8/4/06 by Tara Jones who spoke wit~
the Planning Supervisor at the time,
allosing use of dorms as long as
appropriate building permits and
Fire regulations were met.
Rick Christian (Arch) will provide
existing construction and
. mechanical print 'for review-
contacted 8/18/08
08/1812008
WE CJC
Page 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01213
ISSUED: 11/13/2008
AP'PLlED: 08/13/2008
EXPIRES: 05/13/2009
VALUE: $ 3,200.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
CJC
09/12/2008
WE
09/1212008
Fire Department Review
APP 'GRG
09/25/2008
09/25/2008
Structural Review
10/07/2008
APP CJC
10/07/2008
Public Works Review
08/15/2088
APP RP
08/14/2008
Need to resolve exit provisions for 5~
occ from youth area. Dormitory R-2,
sanctuary A-3 occupancy separation
to be complete prior to occupancy 01
dorm units- remaining fire
separations for hallway and
common area to be complete within
180 days of permit issuance or dorm
unit occnpancy will be revoked. This
is intended to allow occupancy'of
dorm units while limiting the
duration of vulerability of the
exiting system,
See attached document for Fire
Department Plans Review
comments.
Approved as noted in plan review
conditions of approval letter.
SDC worksheet; NO NEW SDC's
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be'made the same working day, inspections requested after 7:00a.m. will be made the following
work day.
I R'pnHirprlln~"~ctions I
Framing Inspection: Prior to cover and after aU rough in inspections have been approved.
Firewall:, Located and constructed according to plans.
Final Building: After all required inspections have bee" requested and approved and the building is complete.
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.
Paee 3 of 4
Status
Issued
CITY ,OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01213
ISSUED: II/13/2008
APPLIED: 08/13/2008
EXPIRES: 05/13/2009
VALUE: $ 3,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
,")r;;i:'7J/lA 0 ~ 1 # II/;;/o Z
Owner or cont~ads Signature Date
Page 4 of 4
225 Fifth Street .
Springfield, Oregon 97477
541"726-3759 Phone
Job/Journal Number
COM2008-0 12 i 3
COM2008-0 12 1 3
COM2008-0 1 2 1 3
COM2008-0 1 213
COM2008-01213 '
COM2008-0 1213
COM2008-0 1 213
COM2008-0 1213
Payments:
fype of Payment
=heck
eceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT#:' 2200800000000001638
Description
Plan Review Fire & Life Safety
Building Permit
Miscellan'eous Mechanical
-Mechanicai Issuance Fee-
Plan Review Commllnd/Public
+.5% Techn'ology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
CROSSFIRE WORLD
OUTREACH
Date: 11/13/2008
1:31:30PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount DUf
27.89
69,72
52,00
21.00
11.52
6,09
14,61
12,17
$215.00
Amount Paid'
$215.00
)"
nJm
2636
In Person
Payment Total:
$215.00
tl
Page I of I
11113/2008
Fees Associated With 11113/2008
Case #: COM2008-01213 8:20:42AM
942 28TH ST
541-726-3753 Phone CROSSFIRE WORLD OUTREACH
541-726-3676 Fax MINISTIRES
Trans Revenue Date Calculated Original Amount
Description Code Account Number Calculated By Amount Due
Plan Review CornmllndlPublic 1060 224-00000-425602 811312008 DJB 33,80 0.00
Plan Review Fire & Life Safety 1077 224-00000-425602 11/1312008 CJC 27.89 27,89
Building Pemiit 1002 224-00000-425602 11/1312008 CJC 69,72 69,72
Miscellaneous Mechanical 1006 224-00000-425604 11113/2008 CJC 52,00 52.00
~Mechanical Issuance Fee- 1087 224-00000-425604 11113/2008 CJC 21.00 21.00
Plan Review CornmllndlPublic 1060 224-00000-425602 11/13/2008 CJG 11.52 11.52
+ 5% Technology Fee 2099 100-00000-425605 1111312008 CJC 6,09 6,09
+ 12% State Surcharge 1099 821-00000-215004 1111312008 CJC ' 14.61 14,6]'
+ 10% Adlninistrative Fee 1098 224-00000-426605 11/1312008 CJC 12,17 12'.17 I
Total Due: $215.00 ;
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s:\Tidemark\forms\casefees I,rpt
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