HomeMy WebLinkAboutPermit Building 2005-10-10
.
Status
OK to Issue
.. CITY OF SPRlNt..J,' 1 I'.. LD
Building/Combination Permit
PERMIT NO: COM2005-01278
ISSUED: 10/10/2005
APPLIED: 09/20/2005
EXPIRES: 0111812007
VALUE: $ 8,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
/I-r-.....-::,'......'r"....l. r'.or~n la'.~1 requlIlj~ yuu lV
. - . _ :_,' .h,.." I ~rC'~(ln IJllIllY
SITE ADDRESS: 1072 MAIN ST I.Springfield' TYPEOF,WORK: Interioriorth
ASSESSOR'S PARCEL NO.: 1703354104900 . ',. 't;i1,dJ. " 01038 rules are StH
"~, ". -.. ~ ., - f,8 q<;?001-
In (i", c::2 C"TYPE(OF"USE0 Oitlterafion
O CT SCR TON Addd . .. . d . d dd''''d---'-'d.,fth~''d'P~OY
PR JE D~ IP I: oor m eXlstmg wm Ow,}~p_e.l'.mg,!!na, lex,t oor,an mtenor' oor
",lIinr. the center. (Note: the telephone
b ior the uregon UlllllV l'llUUII""..............
num er Phone Number:
Center is 1-800-332-"'''~~/'
Commercial
Owner:
Address:
CHURCH OF THE BRETHREN
1072 MAIN ST
SPRINGFIELD OR 97477
541-746-2278
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
SHELTERCARE
License
155774
BUILDING INFORMATION.
Expiration Date
06/12/2007
Phone
541-686-1262
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
A-3
VB
#ofStories:tl:;, ~U'iI.. 0'.n"L tX~Il\ot'SiN:iE: WuKK
Height of StHi'ciilre:llE:U UNDtR THI~SqlF:OstlFloor:JT
Type of He,~l}MMENCED OR IS ABI\~~AY;!~!!d.:t::I~.or:
Water Typ,~:~y " e:' DAY PERIOD. Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
Energy Path: Sq Ft Other:
Spriukled Buildiug: nla Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:'
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 on
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01278
ISSUED: 10/10/2005
APPLIED: 09/20/2005
EXPIRES: 0111812007
VALUE: $ 8,000.00
.
Status
OK to Issue
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Estimate
Estimate
$1.00
$1.00
5,000.00
3,000.00
Total Value of Project
~
$5,000.00
$3,000.00
$8,000.00
09/20/2005
06/23/2006
Fee Descriotion Amount Paid Date Paid Receipt Number
Plan Review CommllndlPublic $44.46 9/20/05 1200500000000001361
+ 10% Administrative Fee $6.84 1011 0/05 2200500000000001405
+ 7% State Surcharge $4.79 1011 0/05 2200500000000001405
Building Permit $68.40 1011 0/05 2200500000000001405
Plan Review Fire & Life Safety $27.36 1011 0/05 2200500000000001405
+ 10% Administrative Fee $5.28 7/25/06 1200600000000001141
+ 8% State Surcharge $4.22 7/25/06 1200600000000001141
Building Permit $52.80 7/25/06 1200600000000001141
Plan Review CommllndlPublic $34.32 7/25/06 1200600000000001141
Plan Review Fire & Life Safety $2J.J2 7/25/06 1200600000000001141
Total Amount Paid $269.59
I Plan Reyiews I
Fire Department Review
09/23/2005
09/29/2005
OK
GRG
Initial Review
Revised Plan Review - Fir
09/2112005
06/2112006
09/2212005
07/18/2006
APP LLH
OK GRG
Revised Plan Review - Str
Structural Review
06/21/2006
10107/2005
06/26/2006
10/07/2005
WI JMP
APP JMP
Structural Review
Structural Review
07/1812006
09/22/2005
07/1812006
09/29/2005
APP JMP
WE JMP
SUB Review
09/23/2005
09/30/2005
APP JF
Paee 2 of 3
Remodel - Adding exit door in
existing window opening.
COM205-01278. Plans appear to
meet code requirements.
Plan review done by Melissa Fechtel
- Supervised by Gilbert Gordon.
Plans Review: Remodel-relocate exit
door (modification of original plan
reviewed by DFM Fechtel on
9/29/05). Job #COM2005-01278.
Plans appear to meet code
requirements.More egress revisions.
More egress revisions.
Received missing contractor and
valuation information.
Received final internal review.
Left a message for Dale Seese with
David asking for contractor and
valuation missing information.
No energy code issues or inspections.
'-t;......,~.~&4
~J
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01278
ISSUED: 10/10/2005
APPLIED: 09/20/2005
EXPIRES: 0111812007
VALUE: $ 8,000.00
Status
OK to Issue
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 inspection 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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
By signature, I state and agree, that 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 ofthe 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 will be used on this project.
I further agree to ensure thai 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-A !< J.~
f4 25' '2-0,;)6
Owner or Contractors Signature
Paee 3 of 3
225 li~fth Street
"Springfield, Or~gon 97477
541-726-3759 Phone
eiF_
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
Job/Journal Number
COM2005-0 1278
COM2005-0 1278
COM2005-0 1278
COM2005-0 1278
COM2005-0 1278
Payments:
Type of Payment
Check
cReceinl1
RECEIPT #:
1200600000000001141
Date: 07/25/2006
Description
Plan Review CommlInd/Public
Plan Review Fire & Life Safely
Building Permit
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BRETHERN COMMIUNITY
SERVICES
Item Total:
l,:heck Number AuthOrization
Received By Batch Number Number How Received
njm
1174
In Person
Payment Total:
Paee I of I
2:56:27PM
Amount Due
34,32
21.12
. 52,80
4.22
5,28
$117.74
Amount Paid
$117,74
$117.74
7/25/2006
.~ ._.~
M'",..,,',",',"".,",,","__'"
541-726-3753 Phone
541-726-3676 Fax
Description
Plan Review Comm/lndlPublic
Plan Review Fire & Life Safety
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Comm/lndiPublic
Plan Review Fire & Life Safety
Building Permit
+ 8% State Surcharge
+ 10% Administrative Fee
.
Trans
Code
1060
1077
1002
1099
1098
1060
1077
1002
1099
1098
Lase If: LUlvUUU;'-Ul-''/lS
1072 MAIN Sa
CHURCH OF THE BRI-.'HREN
Revenue
Account Number
224-00000-425602
224-00000-425602
224-00000-425602
821-00000-215004
224-00000-426605
224-00000-425602
224-00000-425602
224-00000-425602
821-00000-215004
224-00000-426605
Date
Calculated
9/20/2005
10/7/2005
10/7/2005
10/7/2005
10/7/2005
6/26/2006
. 6/26/2006
6/26/2006
6/26/2006
6/26/2006
Calculated
By
TDl
JMP
JMP
JMP
JMP
JMP
JMP
JMP
JMP
JMP
Original
Amount
11:1O:27AM
Amount
Due
0,00
0.00
0,00
0.00
0,00
34.32
21.12
52,80
4.22
5.28
$117.74
~ J-.l.- C\-.. ~~ 'J1le- ~ (~~)
S~~~~~~jUe~
-fOfl. ~~k ~~ ~"
~--&(,)OJ~ ~~,
~~I
~- \ '0 ,Otp
*
Total Due:
44.46
27,36
68.40
4,79
6,84
34.32
21.12
52,80
4.22
5.28