HomeMy WebLinkAboutPermit Building 2009-7-17 (2)
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Status
Issued
CITY OF SPRINGFIELD
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Building/Combination Permit
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PERMIT NO: (WM2009-00706
ISSUED: ~7/17!2009
APPLIED: OS/21/2009
EXPIRES: 02/11/2010
VALUE: $ 60,000,00
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 lospection Line
SITE ADDRESS: 1369 B ST
ASSESSOR'S PARCEL NO.: 1703362313700
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Springfield TYPE OF WORK: Church
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PROJECT DESCRIPTION:
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TYPE OF USE: Alteration
Existing Church: Alterations to Men's and Women's Bathrooms, ,,\lterations to
Vestibule, Janitor's Closet and Storage Room Adjacent to Bathroofus, and Roof
Repair. Reroofing does not include structural roof repair. Required Mechanical,
Plumbing'and Electrical Permits are SepaJ'3tc. :'
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Commercial
Owner:
Address:
HOPE EVANGELICAL LUTHERAN
1369 B ST
SPRINGFIELD OR 97477
Phone IN umber: 54 I -746-1255
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Owner:
Address:
CHURCH OF SPRINGFIELD
Li69 B ST ATTENTION: Ore
SPRINGFIELD OR 97tjJ;~?~~~,~/:~ adoPt~~~/:~:e~~~~~y?uto
.in OAR g.c:r'\" ,,-,..,""~Il_CI. I nose Wlp.e ~-:.....-::' _.....~"tty
0090. YotCON'fRA'CffiOR,INFORMATIONl,'
calling the cem--'4'" WpJes of the rr 'e;-'-
Contracto'tUmber for the ter. (Note: the te/e[:.'Cicek~e
DAVID ZARZYCI\;lJ~E)"i,lj;~Jl,('CoNt~(i:iIilJiQ"~~~r
REYNOLDS ELECTRIC OU-332-2344). 184921
CARLOS GILBERT MACIAS & RAQUEL TOl10117
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Expiration Date
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04/26/2011
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01102/2011
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01103/2010
Phone
541-688-0243
541-343-7297
541-607-8740
Contractor Type
General
Electrical
Plumbing
BUILDING IN~ORMA~nON,,'
# of Units: ,
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Si~e:
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A3 Height of Structure Sq Ft 1st Floor: .
Type of Heat: Sq Ft 2nd Floor:
VB Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other: 580
Sprinkled Building: n/a Occup~nt Load:
I ~~Jii~M'E~"llJ1lI'QRMJn:r@Ni-f- WOKI\ Ii
AUTHORIZED UNDER fHI!' Vt~I~II' IS NOT :: REQUIRED PARKING
COMM~'Y~t1jj~@st:IS ABANDONED FOR Total:
ANY 11/)~tD'N(lft~ftIBlId: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
Frontyard Setback:
Side I Sctback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
I PUBLIC IM~ROV~ME~~S ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type: :'
Downsponts/Drains:
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Notes:
Paee I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Estimate
Tvpe of Construction
Estimate
Description
Fee Description
Plan Review CommlIndlPublic
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fixture
Plan Review Fire & Life Safety
Vent Fan
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Water Line - Each Addtl100'
Total Amount Paid
Initial Review
Plannine Review
Public Works Review
Structural Review
Structural Review
OS/22/2009
OS/26/2009
OS/26/2009
06/01/2009
06/02/2009
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CITYOF SPRINGFIELD
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, Building/Cbmbination Permit
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PERMIT NO: €OM2009-00706
ISSUED: 07117/2009
APPLIED: OS/21/2009
EXPIRES: 02/11/2010
VALUE: $ 60,000.00
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, I Valuation DescriDti~,n I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
60,000.00
Total Value of Project
Fpp<, P\ilIJ
Amount Paid
$334.07
$92.75
$38.65
$79.00
$513.95
$171.00
$205.58
$9.00
$11.40
$4.75
$76.00
$19.00
$1,555.15
Date Paid
5/21/09
7/17/09
7/17/09
7/17/09
7/17/09
7/17/09
7/17/09
7/17/09
8/11/09
8/11/09
8/11/09
8/lll09
I Plan Reviews I
OS/2612009
OS/2612009
06101/2009
06101/2009
06/0212009
APP LLH
APP EMM
DON, CTM
10 KLK
WE KLK
Paee 2 of 4 '
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Value
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Date Calculated
$60,OQO.OO
$60,000.00
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05126/2009
Receipt Number
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2200900000000000543
3200900000000000538
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3200900000000000538
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3200900000000000538
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3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
1200900000000000898
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1200900000000000898
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1200900000000000898
1200900000000000898
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Plan review in progress.
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Left ph~ine message for engineer.
Pe'rmissi~n required for plans
examine1r to mark corrections for
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code compliance on plans. Also,
plans ex~miner needs to verify
materiai~ used, loads and limitations
of rerooting.
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Status
Issued
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. CITY OF SPRINGFIELD
Building/C~mbination Permit
II
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. PERMIT NO: €OM2009-00706
ISSUED: 07/17/2009
APPLIED: 0'5/21/2009
EXPIRES: 0'2/11/2010
VALUE: $ 60,000.00
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
OS/26/2009
06/03/2009
APP GRG
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Plans Rhiew: modifications to
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upgrade1 men's and women's
]'
bathrooms and upgrade roof. Job
#COM2009-00706. Occupancy
C1assifilation: A-3. Construction
Type: V~B. Occupant Load: 580.
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. Provideior maintain tire
extingui~hers with a minimum
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rating o,f2-A:IO-B:C every 75 feet 01
travel distance. The top of the
extinguikher(s) shall be between 3
and 5 fJ~t above finished floor (2007
Springtleld Fire Code 906).
Structural Review 06/03/2009 06/03/2009 APP KLK Requir~(j Plumbing, Electrical and
MechaJlcal Permits Separate. PhoDl
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call to engineer of record to confirm
alteratiJns DO NOT include any
changesl;to Egress.
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To Request an inspection call the 24 hour recording at 726-3769. All inspections Aquested before 7:00
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a.m. will be made, the same working day, inspections requested after 7:00 a.m. will be made the following
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work day., .
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I, Rpnllirp:rlln~oections I
Framing Inspection: Prior to cover and after all rough io inspections have been approved.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
Final Building: After all required inspections have been rcquested and approved and the building is complete.
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Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mecha~ical: Prior to Cover
Final Mechanical: When all mechanical. work is complete.
Water Line: Prior to filling trench and including required testing.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD
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Building/Combination Permit
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PERMIT NO: COM2009-00706
ISSUED: 07/17/2009
APPLIED: OS/21/2009
EXPIRES: 02/11/20 I 0
VALUE: $ 60,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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By signature, I state and agree, that I have carefully examined the completed application and do J!~rebYCertifY that all
information hereon is true and correct, and I further certify that any and all work performed shail be done in accordance with
the Ordinances of the City of Springfield and the.Laws of the State of Oregon pertaining to the w~rk 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 wi!', 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
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street, that the permit card is located at the front of the property, and the approved set of plans will remain 00 the site at all
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times during construction. . r,
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Date
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Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00706
COM2009-00706
COM2009-00706
COM2009-00706
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
Description
Water Line - 1st 100'
Water Line - Each Addtll00'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
DA VlD ZARZYCKI
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1200900000000000898
Received By
Check Number
Batch Number
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Page I of I
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City of Spr!ngfield Official Receipt
Developme'nt Services Department
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Public Works Department
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Date: 08/11/2009
1O:02:12AM
Item Total:
A~ount Due
76,00
19,00
4,75
11.40
$111.15
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Authorization 11
Number Ho~;Recei~ed
03962z In Person
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Payment Total:
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Amount Paid.
$11 LIS
$111.15
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811112009