HomeMy WebLinkAboutPermit Building 2009-4-2
Status
Issued
CITY OF SrK1r~GFIELD .
. Building/Combination Permit
PERMIT NO: COM2009~00409
ISSUED: 04/02/2009
APPLIED: 03/2712009
EXPIRES: 10/0212009
VALUE: $ 5,000.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 611 Cloverleaf Lp
ASSESSOR'S PARCEL NO.: 1703224208200
Springfield TYPE OF WORK: Office
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Dividing One Activity Room into Two Office Rooms (in Adnlt Care Facility)- 465 s.1'.
Owner: CLOVERLEAF PROPERTIES LLC
Address: 611 N CLOVERLEAF LOOP
SPRINGFIELD OR 97477
~AA. .o...(EN\
\Po
I CON~RACTOR INF?RMA TlON ,
Contractor Type
General
Electrical
Contractor
RICK FIELDER
DOUG MANSFIELD
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
SR-2.2
B
VB
# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
Yes
I DEVELOPMENTlNFORMATlON I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rcaryard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
AJ1feNTlfl~: Oregon law requires you to
fo~b~1B es aBb'pted by the O~egon Utility
NoO'M>at~j).GlO1ne3.in1i~lOSe rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
N~T~(:'
Storm Sewe+ va 'l-1l1~: '
Speciallnst~l c~ ';l:RMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa~e. I of 4
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review Commflnd/Public
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Exteud Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Buildiug Permit
Fire SF Fee - Non-Resideutial
Total Amount Paid
Structural Review
. 03/31/2009
Initial Review
0313012009
I Valuation Desc";ndon I
. . J ...
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,000.00
Total Value of Project
Fpp<, ~
Amount Paid
Date Paid
$56.71
$7,32
$3.05
$55.00
$6.00
$10.47
$4.36
$87.25
$46.50
3/27/09
3/31/09
3/31/09
3/31/09
3/31/09
4/2109
412109
4/2/09
4/2109
$276,66
I Plan Reviews I
03/31/2009
APP LLH
Page 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00409
ISSUED: 04/02/2009 .
APPLIED: 03/27/2009
EXPIRES: 10/02/2009
VALUE: $ 5,000.00
Value
$5,000.00
$5,000.00 .
Date Calculated
03/27/2009
Receipt Number
2200900000000000306
220090000000000031'1
2200900000000000311
2200900000000000311
2200900000000000311
2200900000000000322
2200900000000000322
2200900000000000322
2200900000000000322
Revisions
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 I?pno~n<''1~~h~n'jj
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
.Final Building: After all required inspections have been requested and approved and the building is complete,
Fire Department Sprinkler System: Prior to cover. Hydro pressure test, lire line now test.
Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be
requested and approved prior to requesting any occupancy approval.
Final Fire Department. After all requirements of the Fire Department have been met.
Pa2e 3 of 4
.
_S!1"R'NQ"I~!:!.,
i
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
.Building/Combination Permit
PERMIT NO: COM2009-00409
ISSUED: 04/02/2009
APPLIED: 03/27/2009
EXPIRES: 10/02/2009
VALUE: $ 5,000.00
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.
/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.
i') I ".
'~' ,. ~."'\
-' - .,---t'- ~
I \ \ /'\.,v
Owner or Contnictors: Signature
Paee 4 01'4
~-l-- DLi
Date
225 Fifth Street
Springfield, Orcgon 97477
541~726-3759 Phone
Job/Journal Number
COM2009-00409
COM2009-00409
COM2009~00409
COM2009-00409
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200900000000000322
Description
Building Permit
Fire'SF Fee - Non-Residential
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
RICK FIELDER CONST. LLC
City of Springfield Official Receipt
Development Services Department
.Public Works Department
Date: 04/02/2009
8:38:48AM
Amount Due
87.25
46.50
4.36
10,47
$148,58
ltem"Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
'1404
. Amount Paid
In Person
Payment Total:
$148.58
$148.58
4/2/2009