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