HomeMy WebLinkAboutPermit Change 2009-2-5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00010
ISSUED: 02/05/2009
APPLIED: 01/05/2009.
EXPIRES: 08/05/2009
VALUE: $ 30,000.00
225 Fifth Streel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspeclioD Line
SITE ADDRESS: 326 MAIN ST
ASSESSOR'S PARCEL NO,: 1703353106900
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Converl Warehouse porlion of building to Pholographic Sludio "
Commercial
Owner: DNL PROPERTIES LLC .
Address: 1657 DELROSE AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA~ION I
Contractor Type
Eleclrical
Mechanical
Plumbing
Contractor'
OREGON ELECTRIC SERVICE
OWNER
BARNES HIGH TECH PLUMBING INC
License
181997
Expiration Date
05/09/2010
Phone
5,41-343-1681
83311
02/17/2010
541-726-9854
BUILDING INFORMATION I
o
# of Stories:
Height of Struclure
Type of Heal:
Waler Type:
Range Type:
Energy Path:
Sprinkled Building:
Lol Size:
Sq FI 1 st Floor:
Sq FI 2nd Floor:
Sq FI Basemenl:
Sq FI Garage/Carporl
Sq Ft Other:
Occupanl Load:
1,900
# of Unils:
Primary O,ccupancy Group:
Secondary Occupancy Group:
Primary Conslruction Type
Secondary Conslruclion Type:
# of Bedrooms:
B
VB
Yes
19
I DEVELOPMENT INFORMATION ,I
Frontyard Selback:
Side 1 Selback:
Side 2 Selhack:
Rearyard Selback:
Solar Setbacks:
Overlay Dist:
# Slreet Trees Rqd:
Paved Drive Rqd:
% of Lol Coverage:
REQUIRED PARKING
Tolal:
I;Iandicapped:
Compact:
.-....:.-.,-........., ......
SlreelImprovemenls:
Slorm ~,Qenf!a;lable:
SpeciaIIWs't}uttfili'&:1/T SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Noles: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
'" ,...... ._'... -. -,;;J-'. --.." - --1-..... - J-
I PUBLIC IMPROVEMENTS,IJ.W rules adopted by the Oregon Ulility
. l~oIlTlcat'S'd Ce'l\(T Those rules are set forth
in OAR 9o~-5\,;~ -uO ~J'mrough OAR 952-001-
0090. Ycaowfi~poutsiDf3ijjk,s of the rules by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
Page 1 oB
_AINQI;IIlI;Qj
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Status
Issued
225 Fifth Slreel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726'3769 InspeCtion Line
Descriplion Tvpe of Construction
Bid Amounl Use Bid Amounl
Fee Description
Plan Review Comm/lndlPublic
Plan Review Fire & Life Safety
+ 12 % Slale Surcharge
+ 5% Technology Fee
Is1 Appliance
Building Permil
Fixlure
Venl Fan
Tolal Amount Paid
Initial Review
Public Works Review
Plannioe: Review
Fire Department Review
Slruclural Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00010
ISSUED: 02/05/2009
. APPLIED: 01/05/2009
EXPIRES: 08/05/2009
VALUE: $ 30,000.00
I v aluation De~criDtion I
$ PerSq FI
or multiplier
$1.00
Square Foolage
or Bid Amounl
30,000,00
01/05/2009
Total Value ofProjecl
Value,
,
$30,000,00
. $30,000,00
Dale Calculaled
L.Fp~~ P~itl.l
Amounl Paid Dale Paid Receipt.Number
$207,25 1/5/09 2200900000000000008
$127,54 . 1/5/09 2200900000000000008
$62,50 2/5/09 1200900000000000080
$26.04 2/5/09 1200900000000000080
$79,00 2/5/09 1200900000000000080
$318,85 2/5/09 1200900000000000080
$114,00 215/09 1200900000000000080
$9.00 2/5/09 1200900000000000080
01/08/2009
$944,18
I Plan Reviews I
01/08/2009 APP LLH
01/09/2009 APP EW No new SDC's
01/12/2009 . APP EMM Photgraphers studio~s a permitted
use in MUC.
01/26/2009 APP GRG See,attached documenl for Fire
Department Plans Review comment5
for photography studio conversion.
01/26/2009 APP CJC As noled on plans/condilions letter
01/08/2009
01108/2009
01/08/2009 .
01/08/2009
. 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 he made the following
work day.
L...ililI"irtl Trsnections I
,
Posl and Beam:" Prior 10 floor insula lion or decking,
Floor Insulalion: Prior 10 decking,
Framing Tnspeclion: Prior 10 cover and after all rough in inspeclions have been approved,
Page.2 of 3
Lt1 y OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00010
ISSUED: 02/05/2009
APPLIED: 011.05/2009
EXPIRES: 08/05/2009
VALUE: $ 30,000.00
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769 Inspection Line
Wall Insulation: Prior 10 cover,
. Ceiling Insulalion: Prior 10 cover.
,
Undertloor Plumbing: Prior 10 insula lion or decking,
Rough Plumbing: Prior 10 cover and including required testing,
Final Plumbing: When all plumbing work is complele,
Rough Eleclric: Prior 10 Cover
Final Eleclric: When all eleclrical work is complele,
Final Building: After all required inspections have been requested and approved and Ihe building is complele,
Rough Mechanical: Prior 10 Cover
Final Mechanical: When all mechanical work is complele.
By signature, I slale and agree, Ihal I have carefully examined Ihe completed application and do hereby cerlify Ihal all
information hereon is.lrue and correcl, and I furlher certify that any and all work performed shall be done in accordance with
Ihe Ordinances of Ihe City of Springfield and Ihe Laws of the Slale of Oregon perlaining to the work described herein, and
Ihat NO OCCUPANCY will be made of any slructure withoul permission of the Community Services Division, Building Safety,
I further certify Ihal only conlractors and employees who are in compliance wilh ORS 701.005 will be used on this project.
I furlher agree 10 ensure Ihal all required inspections are requested at Ihe proper time, Ihal each address is readable from Ihe
slreel, Ihal the permil card is localed al Ihe fronl of Ihe property, and Ihe approved sel of plaos will remain on the site at all
times during construction.
- f~/~U ;z-5-o<J
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Owner or CoIllraclors Signa lure Date
Page 3 of 3
\;;"OERARTlllf€NriusEfoNL y,~-!!I
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Structural Permit Application
-
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- ,
i. - ' " ,.~, . I>. . 0 . ,', . . " ".' .':~,
225 Fifth Streel+ Springfield, OR 97477. PH(541)726~3753 .rFAX(S'41)726-3689
permitno:Clr ~J~/tJ
, I Date 11~/~f!J!> I
This permit is issued under OAR 918-460-0030, Permits expire if work is nol starled wilhin 180 days ol'issuance or if workis
suspended for 180 days,
This project has finalland.use approval.
Signature:
This project has DEQ approval.
Signature:
I Zoning approval verified:
j' P~operty is within flood p!ain:
I Date:
!Date:
DNa
-lirNo
~Yes
DYes'
o Residential J 0 Government ! oil Commercial \
~~i:~1iQ~~fJ;~l\Ir:l'~Q]MATIQN.f~NDiM>~.AII6N~;~1:~1
Job site address: :;2-.6 41'11# f':rJ!-FPT I
. I City 5;d/f!/AA; ':;/GU:) I State: 0.1( I ZIP:? 7Y771
I Subdivision: I Lot no.: I
Reference: Taxlol: i7-03-3S'"- ~/-(J6,O~
I
I
I ZIP:77;>Y/';f
I
I
I Name ,eJ/VL. /M/~~/6J LL-c..
I Address: /6~7 LJ('iL.LCJ& A~
I City: >"",uIl4"/~U7 I State: O,{
I Phone:-:l"'/' 1h'l-"IS"'7{, I Fax:
I E-mail: LJ~l/IOe~;4J..LI.#o.rtJ.CC>If
This installation is being made on residential or farm property owned by
me or a member of my. immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
I Business 'name: 0 W/VF """/OC,A:..,u.l"'y
I Address:" / '
I City:
I Phone:
I E-mail:
I CCB license no.:
I Printn~me: LJAl/7,L) ~lI'FA'~
I Signature --/ 4~.u/ '
~J\ci~s.QI3IG:~f!iI'1BA.QjUrRill1to~M~JUQNiiifiJ;C:!"l.j<Ji","'it.?,;i,~'
I Name CCB License Number I Phone Number
I Electrical O/rE:;;t7I:! ~~
I Plumbing ~A lit J&=.1f
I Mechanical ItOU;.d/~
I State:
I Fax:
I ZIP:
I
I
I
I
I
I
I
I
I
I
I
I
\
I
I Tutal valnation: I $ I
I '2' - ~ B" "'I'd" ";if="j""'>';-"', .';i;!O~a:;0;,../"V~ ttlf'~~g.",.'''t-*i.'''' ~ .' '..l1tf^.m;.;/LY"- ~- "'TI
<\ _ ~\ u,I l~g;~~_~sl~~..p: ;.;"'~4f#~"'I'.;f~,T\'~'~",.t,~:iJI-1<:;;~;:;,-!r;ti~~~'$'>1
L (a) Permit fee (use valuation table): $ I
I-(b) Investigative fee (equal 10 l2al): $ I
I (e) Reinspection ($ per hour): $ I
(number of hours x fee per hour)
I (d) Enter 12% surcharge (. 12 x [2a+2b+2e]): $ I
I (e) Subtotal of fees above (2a Ihrough 2d): $ I
(a) Job description:
Occupancy
~AM'..vr /A/-tc/t..<..-
Construction type:
Square feet: -:ro 0
Cost per square foot:
Other information:
Type ofReat: c;;" 5 ;e:d~C-~P "",<-
Energy Path:
o new . ..$alteration
(b) Fo~ndation-only permit?
D addition
DY,s
DNa
I (a) Plan review (65% x permit fee [2a]):
I (b) Fire and life safety (40% x permit fee [2a]):
I (c) Subtotal of fees above (3a and 3b):
I :
(a) Seismic fee, 1% (.01 x permit fee [2a]): $
I TOTA~ fees and surcharges (2e+3c+4a): $
DEf~CJ) 5<<~ij7~ TV ~C "
J!:lbT~c.A-L
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'S;I~/.u/</61! (I;C- IV CLlJaJ)
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1';1
225 Fifth Street. Springfield. OR 97477 . PH(54t)726-3753 . FAX(541)726-3689
1il\l-~BEirARTMEN1;tusEi0Ntli(:e~i:ll
~.s.:~e..~r::'~*:i:Z=\~%i0+t~s,~"rJ~~5&;~Jt
I Permit no ~ -(X::JO / () I
IDU~ I
Plumbing Permit Application
This permit is issued under OAR 9]8-780-0060. Permits 'are issued only to the person or contractor doing the work. Permits.
expire if work is nol slarted wilhin 180 days of issuance or if work is suspended for 180 days,
11;'il'"~~~~L:0etj,.L:;JGoYERNMENiTi;APF1;1~OIJJ'.L~f';,:f:k,,,:?h:;,:1
I Zoning approval verified? ~Ves 0 No
I Sanitation approval verified? -0Ves 0 No I New residential
1..;~c,,~i~GA'ljE~ORY,":QF#,e(jNS;rRUG;r10N~~L;;::::.;c.(;i, I bathroomll kitchen (includes. first
I D Residential _ I 0 Government I, r::lt! , Co, mmercial lOO fiet of water/sewer lines, hose
1""1=J ' bibs, ice maker, under floor low-point
1~~~~<JOBJSI;tEi!HNIiQRMA'ljIONfANDj;J.t.OeJl.'1'ION,f''>:;~ drains and rain-drain packages)
I Job site address: 3:rt /?/A?A,j 5r I 12 bathrooms/I kitchen $374.00 $
I City: 5/L/A4~"FUt' I State: t);( I ZIP:'l7t77 I 13 bathrooms/I kitchen $439.00 $
I Each additional bathroom (ovcr 3) $95.00 $
1~;;~~~;:;~~I~,;-::;:::;_~~~~~7~~,g;:;,;';': : ~::~d:~~;~~;':~ ~i::~:~I~::e;i~~ludes plan reVlieW)$95.00 I $
I 7e~~e...JA-G.IC cx,Gc.o,/' /4/,G/'--<..., I.Ot02.000squarefect $58.00 I $
I ~(;,N, /.!~ A'p'.IJ/"17OtVJ I 2.001 to 3,600 squardeet $116.00 I $
11i.\~\S-i~7~,v.~:~~~RQ~ERtY,;.'QWNER~l~'l!!1!!ic.x~:(,iq;,~ I 3,601 to 7.200 square feet $174.00 I $
I Name: ~ AIL ,!f7/l.<Jl"'eh71i 5 LL-C I 7,201 squardeet and.greater ,I $232.00 I $
I Manufactured dwelline or pre-fab (circle one)
I Address: /05"7 L7~~S(;' A'J/(f", I Connections to building sewer and I I $5800 I $
I City: 5/PA,fj::/EW I State: 0;( I ZIP: 97'177 water supply .
I Commerc,ial, industrial, and dwellings other than one.,. or
Phone:S"Y,( 7J..?-'i'S-?t I Fax: two-family
E-mail: <?RI/IC?@.L..VEA~/.N-tf1l!).C4~IMinimumfee.1 I $58.00 I $
, I Each fixture $19.00 $
This installation is being made on residential or farm property
'owned by me or a member afmy immediate family, and is I Miscellaneous fees
exempt from licensing requirements under OAR 918-695-0020. 1100' stann. sewer, water line I
Signature: I Each fixture, appurtenance, and piping
-,'" ";;CON'IiRAC'I\0R"INS'fAtl27J'.TIQNC"':'?';''t"""Ji::''2t:rc-,..1 I Storm water retention/detention [acility
I Business name: /u ~ y / n _ ~~ ~/.. ~ - ~rrigation systems
v....>v(;,M OC<-U~ f /.JW,<"A;"J /Wf'H 7f7C. ,. . . d .
I ' ~- Ipmg or pnvate storm ram age
Address: ,; systems exceedinl! the first 100 feet
I City: I State: I ZIP: I Specialty fixtures
I , I Rcinspection (no. ot'l1rs. x fee per hr.)
Phone: . Fax:
I Special requested inspections (no. of
I E-mail: hrs. x fee per hr.)
I CCB license no.: I BCD license no.: I Each additional inspection: (I)
Plumbing license no.:
$238.00
$
$76.00 I $
$19.00 I $
$19.00 I $
$19.00 $
$19.00 $
$19.00 $
$58.00 $
Print name:
I Signature:
.e?AI/I,o ~~.l.<...
~ ~ ~_._/
- S'~~ ./
$58.00
$58.00 I $
Minimum fee I $
I Enter value of installation and equipme~t$_"
Enter fee based on installation and equipment value.
$
$
I (A) Enter subtotal of above fees
(Minimum Permil Fee $58,00)
I (B) Investigative ree (equal to [A])
I (e) Enter 12% surcharge (.12 x [A+BJ)
I (D) Technology Fee (5% of[Aj)
I TOTAL fees and surcharges (A through D):
$
$
$
$
$
440-2500-) (II/US/COM)
2i5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone ...
Job/Journal Number
COM2009-000 1 0
COM2009-000 1 0
COM2009-000 I 0
COM2009-000 1 0
COM2009-000 1 0
COM2009-000 1 0
Paymenls:
Type of Payment
CreditCard
cRcccintl
RECEIPT#:
Description
Building Permit
Fixture
1st Appliance
Vent Fan
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
DA VID LOVEALL
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000080
Date: 02/05/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 05005C In Person
Paymenl Total:
Page 1 of 1
8:19:31AM
Amount Due
318.85
J 14.00
79.00
9.00
26.04
62.50
$609,39
Amount Paid
$609.39
$609,39
2/5/2009