HomeMy WebLinkAboutPermit Building 2007-4-16
.
. L11 i' OF ~rK11'1'-d'1J',LD
Building/Combination Permit
PERMIT NO: COM2007-00554
ISSUED: 04/16/2007
APPLIED: 04/16/2007
EXPIRES: 10/23/2007
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR ~
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 2590 MAIN ST Springfield
ASSESSOR'S PARCEL NO,: 1703364101000
TYPE OF WORK: Interior
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Relocate bathroom wall for ADA compliance
Owner: WK ONE LLC
Address: 2590 MAIN ST
SPRINGFIELD OR 97477
Contractor Type
General
Plumbing
NOTICE, CONTRACTO,INF.oRMA1UONKI
THIS PERMit "II"~~ -" . MIT IS NOT
Contract ITHORIZEO UNDER THIS PER License
JA Y CHA ' 1e~~T~v~'mNl1Uile:NED1F6f~91
R J PLU . "\.". .v o~Qlnn 158500
Mil I v
I BUILDING INFORMATION I
Expiration Date
08/13/2008
01/30/2008
Phone
541-968-2817
541-521-1389
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. ..~ //'''''
Overlay Dist: U \0
# Street Trees Rqd: le<\u\leS 'i~\\\i~
Paved Driv~ ~~g~OI\ \aW e 0le901\ \ \ot\\\
.M/i.W~ rillljl,lj b'i \\'1 eS ale se 0'-
(>.\ I l:-'" \eS a 01-" l\'10Se lul (>.? 952-0
'n~O~ t,~ I,...'"pn\~~', , :. 'r,nl \~ ~,.\.~ ",leS ~'l
I PUB~ue~I~~R~\JI!I"JI:.l~,f,~O?I~S \'Ie \ele?\'IO~Ol\
II' v' ('{\Ol - \I-Io\e. ~ ~1".!llica\l
0090, 'Iou cel\\et., \l~i~WltIR'Type:
\' 9 \\'Ie 0Ie90ll?3oVt).
calll\ t \ot \\'Ie, ,_a()()-3~WnspoutslDrains:
nu(l\be cell\el IS
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of3
.
. CITY OF ~rKlj~GFIELD
Building/Combination Permit
PERMIT NO: COM2007-00554
ISSUED: 04/16/2007
APPLIED: 04/16/2007
EXPIRES: 10/23/2007
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Descrintion I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000,00
Value
Date Calculated
Description
Total Value of Project
$2,000,00
$2,000,00
04/16/2007
Fppt ~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixtu re
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$4,50
$2.25
$3,60
$45,00
$4,50
$2.25
$3,60
$28,00
$17.00
4/16/07
4/16/07
4/16/07
4/16/07
4/23/07
4/23/07
4/23/07
4/23/07
4/23/07
1200700000000000418
1200700000000000418
1200700000000000418
1200700000000000418
2200700000000000568
2200700000000000568
2200700000000000568
2200700000000000568
2200700000000000568
Total Amount Paid
$110,70
I Plan Reviews I
Structural Review
04/16/2007
04/1612007
APP DJB
minor non-bearing alteration for
ADA bathroom
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.
~Plrlln~nections I
Framing Inspection: Prior to cover and after an rough in inspections have been approved,
Drywan: Prior to taping.
Final Building: After an required inspections have been requested and approved and the building is complete,
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When an plumbing work is complete,
Paee 2 of 3
.
. CITY OF i:)rKll'll..I< lr-LD
Building/Combination Permit
PERMIT NO: COM2007-00554
ISSUED: 04/16/2007
APPLIED: 04/16/2007
EXPIRES: 10/23/2007
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
By signature, 1 state and agree, that 1 have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 only contractors and employees who are in compliance with ORS 701.005 will be used on this project, 1
.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.
-A L'( .J? f..{~ ). 3 - n
Owner or Contractors Signature
Date
Paee 3 of 3
225'Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
.~IILD' .
. "'~="".""'" "."
1JiiE. .. .
i '
~.", '". . "'" .~
. ; ,
,~. .,...
'".. ......
C& of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2007-00554
COM2007-00554
COM2007-00554
COM2007-00554
COM2007-00SS4
Payments:
Type of Payment
CreditCard
cReceinl1
RECEIPT #:
2200700000000000568
Date: 04/23/2007
Description
+ 5% Technology Fcc
+ 8% State Surcharge
+ 10% Administrative Fee
Fixture
Minimum/Adjustment Plumbing
Paid By
LEADER OF THE PACK
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 102141 In Person
Payment Total:
Page I of 1
11:10:45AM
Amount Due
2,25
3.60
4.50
28,00
17,00
$55,35
Amount Paid
$55.35
$55,35
4/23/2007
.
Status
Issued
~
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00554
ISSUED: 04/16/2007
APPLIED: 04/16/2007
EXPIRES: 10/16/2007
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 2590 MAIN ST
ASSESSOR'S PARCEL NO,: '1703364101000
Springfield
TYPE OF WORK: Interior
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Relocate bathroom wall for ADA compliance
Owner: WK ONE LLC
Address: 2590 MAIN ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
JA Y CHAMBERS CONSTRUCTION LLC
License
161091
Expiration Date
08/13/2008
Phone
541-968-2817
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure:
Secondary Occupancy Group: r" \,' "~1 ::, l,jITYpel({f1ii~t: _"
Primary Construction i!:yjJ.cN I ,;j'~VB ~t~1 b" t~1oV8t\j'r:.T.ype: .' ,
Secondary Construction\'l'ype;I!.\cm "dO? TPO~ORaiJge Type':!,1 ..Jl
# of Bedrooms: N;tiIlC.\,I\Orl Contar, 0 \\1~C,~~,e!g):)llath:)2-00.
. \ Of\\195Z-00 \-001,' ~P!JnJ.I~d,'Buililiri'g:
n _ _" ~"'\"1f\ cOiJ.'-' .....
OO\:lUi\;~"'~- ;~n\I~IDEVEC(ip.nME-NT~iNF.ORMA TION I
C&,"'l';' ~ C~ ... ,.. --~.
....lmil~f~;)~ \. II 1I......00-' "3~':H4)
t l~ I . r'l"" 1-0 ..'j I"- tM
Con\(l " Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Fronlyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE: I PUBLIC 1MPROVEl\'1I'" I." I
THIS PERMIT SHAll ETXHPI~R~~~~~{\~NOT
AUTHORIZED UNDER .
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00554
ISSUED: 04/16/2007
APPLIED: 04/16/2007
EXPIRES: 10/16/2007
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Estimate
Estimate
$1.00
2,000,00
$2,000,00
$2,000.00
04/16/2007
Total Value of Project
L.Fp.p.s P,'lilU
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Amount Paid
Date Paid
$4,50
$2.25
$3,60
$45,00
4/16/07
4/16/07
4/16/07
4/16/07
Receipt Number
1200700000000000418
1200700000000000418
1200700000000000418
1200700000000000418
Total Amount Paid
$55,35
I Plan Reviews ,
Structural Review
04/16/2007
04/16/2007
APP DJB
minor Don-bearing alteration for
ADA bathroom
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 Rp.ou~nsnp.~tio~
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Drywall: Prior to taping,
Final Building: After all required inspections have been requested and approved and the building is complete,
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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,
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1
further agree to ensure that all required inspections arc 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,
- 4 I" '--3--"~ L.{ - t 6 - \)1
Ow~~actors Signature Date
Paee 2 of2
225 Fifth Street
Springfield,-'Oregon 97477
541-726-3759 Phone
~
. .~
Wic
C~f Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2007-005S4
COM2007-00SS4
COM2007-00SS4
COM2007-00554
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
+ 5% Technology Fee
+ 8% State Surch'arge
+ 10% Administrative Fcc
Building Permit
Paid By
LEADER OF THE PACK
1200700000000000418
Date: 04/16/2007
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
djb
1515
In Person
Payment Total:
Pa~e I of I
IO:00:10AM
Amount Due
2.25
3,60
4,50
45.00
$55,35
Amount Paid
$55,35
$55.35
4/16/2007