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Home My WebLink AboutPermit Building 2009-7-16 CITY OF SPRINGFIELD Building/C~mbination Permit PERMIT NO: COM2009-00815 ISSUED: 07/1612009 APPLIED: 06/0912009 EXPIRES: 0111612010 VALUE: $ 765,000.00 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6100 THURSTON RD ASSESSOR'S PARCEL NO.: 1702342100400 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: AdditionPnblic PROJECT DESCRIPTION: Addition ofPlaygronnd, Picnic Area, Dog Park, Accessible Parking and site improvments. Shelters: (2) 50'x85', (1)l8'x24', (I) 20'x20'. Trash Enclosnre ]8'x20'. Provide electrical permit application. REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Dri've Rqd: . ENTION: Oregon law reqLGompact:IO % of Lot cover~frwrUleS adopted by the Or'Jgon ~tlllty Notification Center. !h.ose r~~e~ ~~Je nS"e~I~~;~ I PUBLIC IMPROVE~mT~lrOu~~~Y' '~bt~in"~;pi~S of the rules by , ,. . I I.. '. . j~1 t . the telephone callmg the 'Sl'ii'~\Valk T1~e:lity Notification number for the Oregor, UII cent{!pi1\nspJiiilsZDr.aih114) . O~ner: . Address: WILLAMALANE PARK & REC D1ST 250 S 32ND ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMA nON . Contractor Type General Electrical Engineer Plumbing Sewer . Contractor License CPM DEVELOPMENT CORP 150240 ALERT ELECTRIC INC 12772 BRIIf~GINEERING OR'" . MIT SHALL EXPIRE IF THE WORK EG ,~~;~~.~rVRAMf:ik- cloP-iii P_ER!,IIT IS<]NCi50240 . COMMENCED nmli'lIJDlN(l;'~tf~~TION I ANY 180 DAY PERIUU. # of Stories: A5 Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: # of Units: Primary Occupancy Group: Secondary Occupancy'Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB No I ~EVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: No.tes: Paee 1 of 4 Phone Number: 541-736-4044 Expiration Date 01124/2010 OS/2212011 Phone 541-485"1515 541-747-2213 541-746-0637 01124/2010 541-485-] 5] 5 1 ]9.00 Lot Siie: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: , 9,332 804,989 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description Plan Review Comm/lnd/Public + 12% State Surcharge + 5% Technology Fee Building Permit Fixture Plan Review Fire & Life Safety Sanitary Sewer - ist 100 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each AddtllOO' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Storm Drainage Impervious Area Storm Sewer - 1st 100' Storm Sewer Each Addtl 100' . Water Line - 1st 100' Water Line - Each AddtllOO' + 12% State Surcharge + 5% Technology Fee Fixture Mechanical-Value Plan Review/Com,lnd,Pub Hourly Plan Review/Com,lnd,Pub Honrly Total Amount Paid' Structural Review Structural Review 06/10/2009 06/16/2009 CITY OF SPRINGFIELD Building/C~mbination Permit PERMIT NO: COM2009-00815 ISSUED: 07/16/2009 APPLIED: 06/09/2009 EXPIRES: 01/16/2010 VALUE: $ 765,000.00 I V aluatio~ Descrintio!", I $ Per Sq Ft or multiplier $1.00 Sqnare Footage or Bid Amount 765,000.00 $765,000.00 $765,000.00 07/15/2009 Value Date Calculated Total Value of Project F'In PiWU Amount Paid Receipt Number Date Paid $2,219.95 $482.80 $201.17 $3,415.30 $114.00 $1,366.12 $76.00 $126.22 $165.99 $76.00 $10.00 $7,842.69 $760.82 . $800.08 $47,916.98 $13,146.96 $3,401.87 $14,069.40 $76.00 $95.00 $76.00 $95.00 $35.67 $14.86 $171.00 $126.25 $8.00 $50.00 6/9/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25109 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25/09 6/25109 .7/16/09 7/16/09 7/16/09 7/16/09 7/16/09 7/16/09 . . 2200900000000000633 1200900000000000735 1200900000000000735 ,]200900000000000735 1200900000000000735' 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000735 1200900000000000810 1200900000000000810 1200900000000000810 ]200900000000000810 1200900000000000810 1200900000000000810 $96,940.13 I Plan Reviews , WE Phoned engineer, waiting for missing calculations. Pa2e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00815 ISSUED: 07116/2009 APPLIED: 06/09/2009 EXPIRES: 0111612010 VALUE: $ 765,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Rec!ui red' nsoectioos I 1111,111111 1 Site Inspection: To be made after excavation but prior to selling forms. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After Irenches are excavated. Foundation: After forms are erected but prior 10 concrete placement. Post and Beam: Prior to noor insulation or decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Roof Sheathing Final Bnilding: After all required inspections have been requested and approved and the bnilding is complete. Underground Electric: Prior to cover Rough Electric: Prior to Cover Final Electric: When all electrical work is complele. Underslab Plnmbing: Prior to filling the trench and including required testing. Underground Plumbing: Prior to filling the trench and including required testing. Rongh Plnmbing: Prior to cover and !ncluding required testing. Water Line: Prior to filling trench and inclnding required testing. Sanitary Sewer Line: Prior to filling trench and including reqnired testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. By signature, J state and agree, thai 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. I 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. ~~.J~ J ~ t)'r or Contractors Signat~ f-/U!~CJ ./ I ~ Date Paee 4 of 4 j' :;t~\lctu;al~p~i~itAPP~i~a'. "',' , . -'"." ._, 1.'~D~PARTM~NTlis.EbNLY I ."-,_' ~:~.:':'T-OO~/.J 225 Fifth Street. Spnngfield, OR 97477 · PII(54 \ )726-3753 · FAX(54 ] )726-3689 /9 L This permit is issued uuder OAR 918-460-0030. Permits expire if work is not started within 118~::Ytiu~c:or ifwork is suspended for 180 days. .' ,J'I I I I I I Property is within flood plain: ,0 Yes 0 No \ \ I', .., CATEGq~Y OF,'CONSTRUCTION'" ,"", ~.~ I I D Rcsidcnti~^l < . ,._. . .1 D Go~ernme~nt, 1.~_C?mmercial ..~ I Cost per square foot: I JOB: SrrE,I!'IFORMATION'AND'L:OCATIOrL,~ "~i~~1 I Other information: I Job site address: ,,/OO'''Hufl5Jl111J ~ I I Type of He_t: ItJONe 1 City: <;.PA,H"FiIb-I) I State: ~ I ZIP:"If7~ I __ Energy Path: I Subdivision: _ I Lot no.: I 0 new 0 alteration I Reference: 1~"2.3<t"1 I Taxlo~ I. ' . ,)>ROI"ERtY;OWN'E~ ' ': <'I .1 (b) Foundation,only permit? I Total valuation: I Name: w'....,..mtlloIAMf P/HtK.~.,. It~TII>'" O,ST~(T 1;2;.!luiliIfug'feeS' .;.> I Address: 2.1:"0 S. 37..II1II srlt.Mr I (a) Permit fee (use valuation table): I City: SP/(,IVt; J'lf!.J.O I State: DA I ZIP: 97#178 . . . 1 ")"OTICE~.' 7'f (b.) Inve.stJgatJve fee (equal to [2a]): Phone:"""'-7~ ~.".... I.Fax:s"',-~4{.Ol'{ ~"... NII''''-"' . I . lCD~nn .'>HI.lI_I.CArIR If,,,~ \v):RemspectlOn ($ per ho~r): E-mail: '7JlJ/lt:t!fl..:9 UiHJSR''''~NIl' .C7'9!"_. ",", ..,.-n"IT \ c \ lOT (number ot hours x fee per hour) This installation is being m,iI.4flih! EH1/kiiiWl W'i'l.H;;fi>nlptftY ~wneH OYF I -R I (d) E t 12% h (12 [2' + 2b+ 2 1)' me or a member ofmv imTj!<dia~!arni~dOOX:08nP!f!iAMffiQ,~ I n er ,sure arge. x a c. requirements ~nder ORS 701\0'1'6. 'L" Y PERIOD'. I, (e) Subtotal oHeesabave (2a th;ougb 2d): ) ""Sign here: ~/1/1;J} OJ\; 1~}::Plan.review fees .,.., i'. ." CONTRACTOR' INSTALLATION ., '.. I (a) Plan review (65% x pennitJee [2a]): I.' 'r' I (b) Fire and life safety (40% x penn it ree 12a]): Busmess name: c.,m I>>WU1P/rI4IV olll9 IJH# ~1ttIIIH 'ftIW~ I Address: Po (J, IJtil< JIJiI.,' I'(C) S~b,total of rees above (3_ aud 3b): I City: 11i16iJ~. I State: DIe I ZIP: 'n'1~O ,.~;,Mis!,eUan~ousfees ...... ' I - - '.r'" - I (a) Seismic fee, 1% (.01 x penn it fee [2a]): I $ Phone:S"/ -'iK" lS't:I Fax: - - . I E-mail: I TOTAL rees and surcharges (20+3c+4_): I $ ICCBlicenseno.: 11'OZ."!() Wr-F p1 I Print name: ClIVTNCT I Signature ATTE~/lIl'JJAiclld~W&.I;11"G'eI2'i/ttf:,~ follow "'\".':'.0 ~c'.,)flW\ bV \he Q'.e.,l'-1" " .; I' ;. '.:;SUB:(:QNTRACTOR.lNFORMATION. NotificftU~er'1t~Pi'~J I (J:10tllc,L .){th I Name CCB License Number Pbone Number in 'O~Nl'J('7'l()1 n th~~ih ,'.1\.1, 95;:-001- I Electric_V~ n 772. ,,,7..1;1.18 0090. You 'may oft~n~cop,~n the rules by I Plumbing calling the center. (Note: the telephone I Mecb_nieal number for the Oregon Utility Notification . Center is 1-800-332-2344). I ., ~LOCALJG'6.ilERNNiE~f, .APPRovAL This projecthas'tinalland-usc approval. Sig[latufe:,., '!'~l~ project has Df:Q approvaL : 'sjgh~tt'r~':.(u;.._w,;f.'<':,-i';,i':':"_f;'-" .. . i"," e.;~. .": Date: 1,,1:,,~,.,o;!.,--:~',c, '. ,..FEESCHEDUL.E(~: \' "(0 ',-",~'h';~:l..,;,.;~~"-,,,I ~.~ "_n _ -~ '. . .. ,.". ... _.. " ,.. ,>'t'. ..." ". , 1:1:rdy"- i:,j!'it::(..w';. Ii; . J!-;-~".;lit,. ,- ":. ',I~:<"'f'lH, '("'fe<' ~";:!' :-,":~l__.!>".~.{.,:.tf'i",;:,'il ,- ~.*~>> .,~. u,,~on}_I!l~()r~_atj.on ,~~.,."J~: It. ";f~:~7.\~-:J4'F.~~:Ei.~ ,l:~";.fj;;,+\;~,l.';:H~ I .. '" '.. , PtAH;ItMJN6 QlSo I'1ffUC. (a) Job descnpllOn'I_M,Af, c~~ S.lr" uftLfWl'1IftIAIJ r , Occupancy , .'.,: "".~~!1' !\t; ,~. ,D~~~,~. 'Z'o'iiing '~pproval'verif,ed: DYes DNo D addition DYes ~No I I I I I I I I I $ 71. (",.COO i " I I I I I 1 I $ '2 Z/ , I.!:!: $ I I I I I I : Construction type: Square feet: $ $ $ $ 225 Fifth Street Sp'ringfield, Oregon 97477 541-726-3759 Phone '., Job/Journal Number COM2009-008 J 5 COM2009-00815 COM2009-00815 COM2009-00815 COM2009-008] 5 COM2009-008] 5 Payments: Type of Payment Check cReccintl RECEIPT #: ap....~.s:t!NC!~.,.m.._.D...;,....' .". .... tf.. '. 'f"' i ~ 1200900000000000810 Description Plan Review/Com,lnd,Pub Hourly Plan Review/Com,lnd,Pub Hourly Fixture Mechanical- Value + 5% Technology Fee + !2% State Surcharge Paid By W]LLAMALANE City of Springfield Official Receipt Development Services Department Public Works Department . Date: 07/16/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page] of I 78228 In Person Payment Total: 10:58:58AM Amount Due 50.00 8.00 171.00 ]26.25 14.86 35.67 $4U5.78 Amount Paid $405.78 $4U5.78 7/16/2009