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HomeMy WebLinkAboutPermit Change 2008-12-10 (2) CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2008-01440 ISSUED: 12/10/2008 APPLIED: 09/19/2008 EXPIRES: 10/07/2009 VALUE: $ 5,000.00 225 Fifth Streel. Springtield, 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: NOV ACK THOMAS E & TINA A Address: PO BOX 1'481 SPRINGFIELD OR 97477 Phone Number: 541-606-4316 I, CONTRACTOR INFORMA TION , Contractor Type Contractor License Expiration Date Phone. Architect NAGAO PACIFIC ARCHITECTURAL P.C. 541-687 -9600 General OWNER Electrical BHM ELECTRIC 184005 09/19/2010 541-686-0905 Mechanical OWNER Plumbing SCHIRMER ENTERPRISES INC 169413 03/3012010 541-485-1749 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I BUILDING INFORl\!A TlO~ I ArrEN~() . falloW ru 'ON;;~t~Dn I . E-3 .Notificatio ~glfIcqft~!J't/JIft;leqUlres you to In OAR 95~g;e'lIlll;l'-'A~bse r e Oregon Utilit VB0090. You 'W'M~tOVy!)~i'Jrou ~es are Set for~ calling th 1':I\\'geQ!jlPecop;; OAR 952-001 nUmber fa 1~~f/!.V'!Pallibte: t~ of the rUles by Cer~M~rsl1~~~I1~~N.\f,t ~;~7f~~1)1P - """-'''_.1"-1-<" ...\.....1' I DEVELOPMENT INFORMNTlON , Lot Size: Sq Ft 1st Floor: J Sq Ft 2nd Floor: , Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 930 Occnpant Load: Frontyard Setback: Side I Setback: Side 2 Selback: Rearyard Setback: Solar Setbacks: Overlay Dist: # ;ltreet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Tolal: Handicapped: Compact: Street Improvements: Storm Sewer Available: Speciallnstrnction: At- '~ull"l1 THIS PE"'I.PUBLlC IMPROVEMENTS I AUTHORNIVJIT SHALL Sidewalk Type: CO" IlED UN txPIR" '. A IV'MENCED DER THIS c IF THE Wo Downspouts/Drams: Ny 180 DAY p~RRIS ABAND~EN~MIT IS Nail< 100. cD FOR Notes: Paee I of3 '. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01440 ISSUED: 12/10/2008 APPLIED: 09/19/2008 EXPIRES: 10/07/2009 VALUE: $ 5,000.00 Status Issued 225 Fii'th Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1 Valuati~n Oeseri!]tion I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,000.00 Value Date Calculated Description Tvpe' of Construction Total Value of Project $5,000.00 $5,000.00 1l/26/2008 I 1<'1'1'<, p.;,-I . _ i.,.... Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/lud/Public $39.56 9/19/08 2200800000000001422 + 100/0 Administrative'Fee $7.86 12/10/08 1200800000000001215 + 12% State Surcharge $9.43 12/10/08 1200800000000001215 + 5% Technolugy Fee $3.93 12/10/08 1200800000000001215 Building Permit $78.58 12/10/08 1200800000000001215 Plan Review Fire & Life Safety $24.34 12/10/08 . 1200800000000001215 + 12% State Surcharge $10.20 4/7/09 1200900000000000248 + 12% State Surcharge $21.72 4/7/09 1200900000000000249 + 5% Technology Fee $4.25 4/7/09 1200900000000000248 + 5% Technology Fee $9.05 4/7/09 1200900000000000249 1st Appliance $79.00 4/7/09 1200900000000000249 Add, Alter, Extend Circ $55.00 4/7/09 1200900000000000248 Add, Alter, Extend Circ Ea Add $30.00 4/7/09 1200900000000000248 Appliance Vent $18.00 4/7/09 1200900000000000249 Fixture $57,00 4/7/09 1200900000000000249 Furnace - up to 100,00'0 btu $17.00 4/7/09 1200900000000000249 Minimum/Adjustment Plumbing $1.00 4/7/09 ' 1200900000000000249 Vent Fan $9.00 4/7/09 1200900000000000249 Total Amount Paid $474.92 I Plan Reviews I Initial Review 09/22/2008 09/22/2008 APP LLH Plan nine Review 09/22/2008 09/23/2008 APP EMM Needs Final Site Il1pseetion prior to occupancy and use as daycare center. Please call Mark at 726.377~ for Final Site Inspection. Please giv, 48 hours notice. See enclosed e-mail form Mark. Structural Review 09/22/2008 10/06/2008 APP CJC Need clarification of multiple issues Puhlie Works Review' 09/22/2008 1l/01/2008 APP CTM Paee 2 of 3 _~~J!~:!,9,,!:~,~~:"'~t C' " r CITY OF SPRIN\Jl<mLD Building/Combination Permit Status Issued PERMIT NO: COM2008-0I440 ISSUED: 12110/2008 APPLIED: 09/19/2008 EXPIRES: 10/07/2009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fire Department Review 09/22/2008 11/05/2008 APP GRG See attached document for Fire Department Plans Review comments. Public Works Review 12/10/2008 12/10/2008 10 LKW SDC's on deferred payment plan with Finance/Mary Smith To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made t~e same working day, inspections requested after 7:00 a.m. will be made the following work day. I Retlllired I nsoections 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. 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 plumhing work is complete. , Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Plnmbing: Priorto cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Rough Gas: Af\er line is installed and required lesting and capped ifnot attached to an appliance. Final Mechanical: When all mechanical 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 ofany structure without permission of the Community Services Division, Building Safety. I further certify that o~ly contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensn~re that all reqnired i spections are requested at the proper time, that each add~ess is readable from the street, that the permit . rd is located at t front of the property, and the approved set of plans will remain on the site at all ':?#r~.f - ;/~7~CJ Owner oi' Contractors Signature Date Pa2e 3 of 3 225 Fifth Street Springfield: Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1440 COM2008-0 1440 COM2008-0 1440 COM2008-0 1440 COM2008-0 1440 COM2008-0 1440 COM2008-0 1440 COM2008-0 1440 Payments: Type of Payment Check cReceintl . RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000249 Date: 04/07/2009 Description Fixture Minimum! Adjustment Plumbing I st Appliance Furnace - up 10 100,000 btu Vent Fan Appliance Vent +5% Technology Fee + I2% State Surcharge Paid By THOMAS NOVAK Item Total: Check Number Authorization Received By Batch Number Number How Received djb 7934 In Person Payment Total: Page I of I 3:09:16PM Amount Due 57,00 1.00 79,00 17,00 9,00 18,00 9,05 21.72 $211.77 Amount Paid $211.77 $211.77 41712009