HomeMy WebLinkAboutPermit Change 2008-12-10
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CITY VI< ~rKmtJN~LD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-01440
ISSUED: 12/10/2008
APPLIED: 09119/2008
EXPIRES: 0611012009
VALUE: $ 5,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 175 G ST APT A
ASSESSOR'S PARCEL NO,: 1703352205902
Springfield TYPE OF WORK: Care Facility
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Convert lower level apartments to child care
Residential
Owner: NOVACK THOMAS E & TINA A
Address: PO BOX 1481
SPRINGFIELD OR 97477
Phone Nnmber: 541-605-4316
I CONTRACTOR INFORMATION ~
.,
Contractor Type
Architect
Contractor ,1 r qUlrW\'HlPfo
NAGAO PAc~I,i~~~Yt~"nnn Illjli!\(
NotifidatRtllll\;fJ1NG \INlI'l0RM~:rION'I( forth
In OAR ~1J",'.~L ,-Utf,L [f,/U.uJII w/.11 ~~.!-001.
0090, You rr/%'19WAi9:copies of the rules by ,
E-3 calling th~€~1if $~\llutl:le tel~~hone
number fot\IiW Qi'fQlIP'Utility Notification
VB Ce~~J~'M~p~332-2344)., ' '
Range Type: ,',C,
Energy Path:
Sprinkled Bnilding:
Expiration Date Phone
541-687-9600
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
, Sq Ft Garage/Carport
Sq Ft Other: 930
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOTICE: Overlay ~ist:
THIS PERMlf~ )~i~ '1lF THE WORK
AUTHORIZm/.llJ\I\2 iPi::bt l~a ~RMIT IS NOT
COMMENCED OR IS ABAN ONED FOR
'('\' '~^ ~." rr",n"
A '4 "\1.\,..!"::!,-". ;~~:~_-~
I PUBLIC IMPROVEMENTS I
Street Impruvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation'Oescriotion I
Description
Type of Construction
$ Per Sq Fl
or mnltiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 3
Status
Issued
CITY OF SPRINGFIELD
BuildingfCombination Permit
PERMIT NO: COM2008-0I440
ISSUED: 12/1012008
APPLIED: 09/1912008
EXPIRES: 0611012009
VALUE: $ 5,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
5,000,00
, $5,000.00
$5,000.00
11126/2008
Total Value of Project
fpp. PqitIJ
Fee Description
Plan Review CommlInd/PubIic
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Fire & Life Safety
Amount Paid
Date Paid
Receipt Number
$39.56
$7.86
$9.43
$3.93
$78.58
$24.34
9/19108
12/10108
12/10/08
12/10108
12/10/08
12/10108
2200800000000001422
1200800000000001215
1200800000000001215
1200800000000001215
1200800000000001215
1200800000000001215
Total Amount Paid
$163,70
I Plan Reviews ,
Initial Review
09122/2008
0912212008
APP LLH
Plannin2 Review
0912212008
09123/2008
APP EMM
Approved by Mark Metzger, .
Planner. Needs Final Site Inpsection
prior to occupancy and use as
daycare center. Please call Mark at
726-3775 for Final Site Inspection,
Please give 48 hours notice, See
enclosed e-mail form Mark,
Structural Review
09/22/2008
10/06/2008
APP CJC
Need clarification of multiple issues
Public Works Review
09/22/2008
I I/O 1/2008
APP CTM
Fire Department Review
09/22/2008
11/0512008
APP GRG
See attached document for Fire
Department Plans Review
comments.
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 7:00 a,m, will be made the following
work day,
I, Rpollirprl Insnections I
Firewall: Located and constructed according to plans,
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Site Inspection: To be made after excavation but prior to setting forms,
Final Building: After all Conditions have been completed as required on Development Agreement.
Pa2e 2 of 3
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Status
Issued
CITY VJ< M'KINGFIELD
BuildingfCombination Permit
PERMIT NO: COM2008-01440
ISSUED: 1211012008
APPLIED: 09/1912008
EXPIRES: 06/1012009
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all required inspections have been requested and approved and the building is complete,
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: When all plumbing 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 1 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 ollly cOlltractors a , employees who are in compliance with ORS 701.005 will be used on this project,
I further agree to ellsure that all requir , inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located l.1e front of the pr perty' and the approved set of plans will remain 011 the site at all
om;;;;;/?:
OWller or Contractors Signature, t
// -It? -(J g
Date
Paee 3 of 3
225 Fifth. Street
Springfield, Oregon 97477
541~726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM200S-01440
COM200S-01440
COM200S-01440
COM200S-01440
COM200S-01440
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Date: 12110/2008
1200800000000001215
Description
Plan Review Fire & Life Safety
Building Penn it
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
GOREAP INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc
1077
In Person
Payment Total:
Page 1 of 1
11:53:04AM
Amount Due
24.34
78,5S
3,93
9.43
7,S6
$124.14
Amount Paid
$124,14
$124,14
12/1 0/200S
Fees Associated With
Case #: COM2008-01440
175 G ST
NOVACK THOMAS E & TINA A
1211 012008
11:50:0IAM
Trans Revenue Date Calculated Original Amount
Description Code Account Number Calculated By Amount . Due
Plan Review Commllnd/Public 1060 224-00000-425602 9/19/2008 CJC 39,56 0,00
Plan Review Fire & Life Safety 1077 224-00000'425602 9/22/2008 LLH 24,34 24,34
Building Penn it 1002 224-00000-425602 11126/2008 CJC 78.58 78,58
+ 5% Technology Fee 2099 100-00000-425605 11/26/2008 CJC 3,93 3,93
+ 12% State Surcharge 1099 821-00000-215004 . 11/26/2008 CJC 9.43 9.43
+ 10% Administrative Fee 1098 224-00000'426605 . 11/26/2008 CJC 7,86 7,86
Total Due: $124,14
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