HomeMy WebLinkAboutPermit Building 2009-8-11
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/C()mbination Permit
PERMIT NO: GOM2009-01084
ISSUED: 0'8/11/2009
APPLIED:' 07/27/2009
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EXPIRES: 02/11/2010
VALUE: $30,000.00
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 725 S 42ND ST
ASSESSOR'S PARCEL NO.: 1802052108300
Springfield TYPE OF WORK: School
TYPE OF USE: Add'ltion Public
PROJECT DESCRIPTION: Restroom Addition: Add (I) Accessible Unisex WCI Lav. and (I) Unisex WCI Lav.
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Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST
SPRINGFIELD OR 97477
Phone Number: 541-744-6375
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I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor '
LEE CONSTRUCTION COMPANY
License
63579
Expiration Date
01/1612010
Phone
541-683,3607
# of Units:
Primary Occup~ncy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I, BUILDING INFORMATION ~
ATTENTION: Oregon lal\{ requires you to
follow rules ado~,I!~SJ~'l\~~: Oregon Utility
NotifilE:ttion Centel:'e,gbJ;<I!I~\t'!,c!w;e"et forth
in OAR 952.001-0LTy'p~:,9!J!;I,\',~tuAR 952-001-
009lVB'ou may obW.a\eJcl'YP~:of the, rules by
calling the cenlfRal\geJ'!iy.p.~:e telephone
number for the CEn~rgyIPa!bJ Notification
Center is Sp'?i1ikledaliiildi~g:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION,.
REQUIRED PARKING
Frontyard Setback:
Side I'$etback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trces Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
.. Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS' '
NOT l.i... ",>nM" Ik T .
THIS PERMIT SHALL EXPIRE If THE V\~'fR"a ype:
AUTHORIZED UNDER THIS PERMIT IS~~spoutslDrains:
COMMENCED OR IS ABANDONED fOR
ANY 180 DAY PERIOD.
Notes:
I V aluation DescriDtio~ I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value"
Date Calculated
Page I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
Plan Review CommtindlPublic
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
,
Fixtu re
Mechanical-Value
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
CITY OF ~rKlJ'HJl'lELD
Building/C~mbination Permit
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PERMIT NO: COM2009-01084
ISSUED: 08/11/2009
APPLIED: 07/2712009.
EXPIRES: 02/1112010
~ VALUE: $ 30,000.00
$1.00 '
30,000.00
Total Value of Project
lipp< PIi.IIJ
Amount Paid
Date Paid
$207.25
$58.90
$24.54
$318.85
$114.00
$58.00
$127.54
$877.24
$1,797.32
$133.73
7/27/09
8/11/09
8/11109
. 8/11/09
8/1lI09
8/1lI09
8/11/09
8/11/09
8111/09
8/1lI09
Total Amonnt Paid $3,717.37
I Plan Reviews I
Structural Review 07/29/2009
Initial Review 07/29/2009 07/29/2009 APP LLH
Public Works Review 07/29/2009 07/30/2009 APP EW
Planninl! Review 07/29/2009 08/03/2009 APP EMM
Structural Review 08/05/2009 08/05/2009 WI KLK
Fire Deoartment Review 07/29/2009 08107/2009 APP GRG
Structural Review
08/07/2009
APP KLK
08/07/2009
Pal!e 2 of 3
$30,000.00
07/27/2009
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$30,000.00
Receipt Number
120~900000000000846
2200900000000000907
2200900000000000907
2200900000000000907
2200900000000000907
2200900000000000907
2200900000000000907
2209900000000000907
2200900000000000907
220090000000000090?
SDC Worksheet Attached
Fire
Plans Review: remodel of storage
room to two ADA bathrooms. Job
#COM2009-01084. Occupancy
Classification: E. Construction
Type: V,B. RemodeLspace
approxi,!,ately 105 sq. feet out of a
total building area of 11,670 sq. ft.
Total building occupant load: 234.
Plans reyiewed under the 2007
Springfield Fire Code and 2007
Oregon Structural Specialty Code.
Plans ap'pear to meet code
requirern.ents.
"':"'~'~~~~~~!~~.T}" I
-.;l~U
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Status
Iss u ed
CITY OF ~t'K1!~tJFIELD
i
Building/C6mbination Permit
Ii
PERMIT NO: eOM2009-01084
ISSUED: _ 08/11/2009
APPLIED: Q;7/27/2009
EXPIRES: 02/11/2010
VALUE: $' 30,000.00
225 Fifth Street, Springfield,,OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Li.ne
v
To Request an inspection call the 24 hour recording at 726-3769. All inspections rl~quested 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. '
I R.~fluif~!~ T n,1n~~ti?~1 ,
Framing Inspection: Prior to cover and after all rough in inspectioos have been approved.,
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the b'uilding is co;"'plete.
Underslab Plumbing: Prior to tilling the trench and including required testiog. I:
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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By signature, 1 state and agree, that I have carefully examined the completed application aod do h~rebY 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 w~rk described herein, aod
that NO OCCUPANCY will be made of any structure without permission of the Community Servi'ces Divisioo, 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 ~ddress is readable from the
street, that the permit card is located at the front of the property, and the approved set'of plans wW remain 00 the site at all
times during construction.
4/~> .gA;;_
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Owner or Contractors Signature
8~//~P'7
Date
Pa2e 3 of 3
225 'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1 084
COM2009-0 1084
COM2009-0 1 084
COM2009-01084
COM2009-0 1 084
COM2009-0 1 084
COM2009-01084
COM2009-0 1 084
COM2009-0 1 084
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
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2200900000000000907
Description
Plan Review Fire & Life Safety
Sanitary Sewer - Reimbursement
Sanitary Sewer - lmprovemeni
SDC Sanitary/Storm Admin
Mechanical- Value
, Building Permit
Fixture
+ 5% Technology Fee
+ 12% State Surcharge
Paid.By
HEAD START OF LANE
COUNTY, .
Item Total:
Check Number Authorization
Batch Number Number How:1Received
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Received By
nJm
Page 1 of 1
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City of Springfield Official Receipt
Developm~nt Services Department
I'
Public Works Department
- II
I:
II
. Date: 08/-11/2009 1O:12:34AM
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Amount Due
127.54
1,797.32
877,24
133,73
58,00
318,85
114,00
24,54
58,90
$3,510.12
Amount Paid
64198 In Person
.1
$3,510,12
Payment Total:
$3,510.12
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811112009