HomeMy WebLinkAboutPermit Building 2009-8-17
CITY OF SPRINGFIELD
Buiiding/Combination Permit
PERMIT NO: COM2009-00985
ISSUED: 08/1712009
APPLIED: 07/0612009
EXPIRES: 02/17/2010
VALUE: $ '4,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2187 S F ST
ASSESSOR'S PARCEL NO,: 1803010003800
Springfield TYPE OF WORK: Foundation
TYPE OF USE: New
PROJECT DESCRIPTION: Install 30 ton C02 tank with concrete pad.
Owner: ASH JOHN J ~Nj\'NCy,'AJ: Oregon law requires you to
Address: 89198 SUTTOl'ldf.~J9j:tP.fu adopted by the Oregon Utility
FLORENCE ~gti?Z~,~,~n Center. Those rules are set forth
_ _~ __. "'''''...,..,...L.__......h rl^Cl Ql::.9_()()1_
0090.' Yo~u~ ~;y ;~~~~~oNiiAc~~~,I'~F~~'rwA TlON I
calling the centc'tl , ,
nI '1nbpr for the Oregon Utility NotltlcatlOn .
Contractor Type Contractllfenter is 1,800-332-2344), License
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: '
U Height of Structure
Type of Heat:
Water Type:
Range Type: ,
NOTiCE: Energy Path:
THIS PERMI Sprinkled Building: n/a
^,.__ T .QWIlI .
COMM~I1C!~DEME~@iMENT:7INFflRMA;n~N I
ANY 180~tu UR IS ABA;:; , l:11/Vi/T IS NOT
:, AY PERIQj~rlay BRNED FOR '
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Commercial..
\
\
\
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslOr.ins:
Notes:
I Valuation DescriDtion I
DescriPtion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Pa2e I of 3
Value
Date Calculated
S.l'!9INP..~m:QL,_ _"
'_....,~;.";~~',.'C-:;;r;r,k+("'T,,T+"'''lrr'''in .,
~r'l :, "". ','
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00985
ISSUED: 08/17/2009
APPLIED: 07/06/2009
EXPIRES: 02/17/2010
VALUE: $ 4,000.00
'225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fpp<, P~irll
Fee Description
Plan Review Comm/lndlPnblic
***+ 100/0 Administrative Fee***
+ 12% State Snrcharge
+ 5% Technology Fee
Bnilding Permit
FLS Safety Systems Review
Amount Paid
Date Paid
Receipt Numher
$50.38
$30,00
$9;30
$3.88
$77.50
$300,00
7/16/09
8/17/09
8/17/09
8/17/09
8/17/09
8/17/09
2200900000000000807
2200900000000000923
2200900000000000923
2200900000000000923
2200900000000000923
2200900000000000923
Total Amount Paid
$471.06 '
Plan Reviews I
Initial Review 07/17/2009 07/17/2009 APP LLH
Plannin!! Review 07/1712009 07/20/2009 APP EMM
Puhlic Works Review 07/17/2009 07120/2009 DON CTM
Structural Review 07/17/2009 07/20/2009 WE CJC
Engineering revision pending- need
special inspection for high-strength
bolting and non-shrink grout
moment connection.
StJ'Uctural Review
07/30/2009
07/30/2009
WE' KLK
Completed 1st review 7/22/09. Pho",
call to engineer, Engineering is being "
Revised.
Fire Department Review
07/17/2009
08/04/2009
APP GRG
See attached document for Fire
Department Plans Review
comments.
Str:uctural Review
08/14/2009
08/14/2009
APP CJC
Engineering approved, special
inspection form recieved for
structural welding.
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.
R~n~n~,np.ptin.w
Footing: After trenches are excavated,
Foundation: Affer forms are erected hut prior to coucrete placement.
Paee 2 of 3
CITY OF SPRINGFIELD-
Building/Combination Permit
Status' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00985
ISSUED: 08/17/2009
APPLIED: 07/06/2009
EXPIRES: 02/17/2010
VALUE: $ 4,000.00
Final Building: After all required inspections have heen requested and approved and the building' is complete,
By signature, I state and agree, that I have carefully examiued the completed applicatiou 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, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 wnibe used on this project,
I further agree to ensure that all reqnired inspections are reqnested at the proper time, that each address is readable from the
I 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
G5:;;;r:J~ .. [7fr1/f7(J '7
Owner or C&tractors Signature Date
Pa2e 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00985
COM2009-00985
COM2009-00985
COM2009-00985
COM2009-00985
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
8r.~::C~'~~/._f::.'...'" .. .:.c......
11;:,' .
-~"" -
,: " ..
::...:.:.:'::~1'-,_'.__'_"
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000923
Date: 08/17/2009
Description
+ 12% State Surcharge
Building Permit
FLS Safety Systems Review
***+ 10% Administrative Fee***
+ 5% Technology Fee
Paid By
JANET ROSS VERDOORN
Item Total: .
t.:heck Number Authorization
Received By Batch Number Number How ~cceived
cjc
3671
In Person
Payment Total:
Page 1 of 1
II :27:01 AM
Amount Due
9.30
77.50'
300.00
30.00
3.88.
$420,68
Amount Paid
$420.68
$42Q.68
8117/2009