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HomeMy WebLinkAboutPermit Building 2009-10-13 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01387 ISSUED: 10/13/2009 APPLIED: 09/18/2009 EXPIRES: 04/13/2010 VALUE: $125,000.00 .~(:: Status Issued 225 Fifth Street, Springfield, OR ..:i,,-, 541-726-3753 Phone,:__",.;-. -' _, ;;~::;\ ':- 541-726-3676 Fax ;.;,:,:;W-_ ,- - .;:~ 541-726-3769 Inspection Line .) ,..:: , ~'. ;. t'., , Springfield TYPE OF WORK: Tenant Inlill SITE ADDRESS: '3312 G;,t~;;;ay"SI ASSESSOR'S PARCEL NO.: 1703222001700 TYPE OF USE: Alteration Commercial PROJECT DESCRIfTION: , Te,~~~t infill' ~ . l ' v:, ;:::,:' 'p;. 'j ': '...'r'. ,.':.. , Owner: NEWGl\. TE LLC ' ,: Address: 840 BEL TLINE RD STE 202 ,...,:, .."SPRINGFIELD OR'97477 ATTENTION: Oregon law requires you io .. fnllnw rlfl.oc !:1rlf"\...d",~ h" 4-t.,... I'"\..~ _'_ . ....,. i NotifiCRtjrm t:ont~r Th,",~,,^ .."...:... "'-'::'~_:~"'!I in OAF I c€ONifRAQTORINF.ORMATION: I: 0090, You may obtain copies of the rules b Contractor Type, : Contractor c~iling t,he center, (Note: the tek~~9.~~ y General!;,i,\, , '!!< ESSEX GENElRMl:eoNS:fRU<1:fIONUtility N,5.45.Jltion Electrical ~: ,: ~!_,C' NEW WAY ELECTRlerlNCis 1-800-332-2344~1088 .; I " .' fr. !~. ~r' ,; !,. ',I ' BUILDING INFORMATION I # of Units: ' Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms:;: :,: ;': ': - '; , .'~i ,{ i: . ~ : I # of Stories: M Height of Structure SI Type of Heat: nIB" Water Type: Electric ':.!t' NOTICE- Range Type: ' :': '\ THIS PER'Mlfs$.HlJI~'lW~iai~gf THE WrN1,\ AUTHORI7Fn 11~ln1'R TI-lIC: OI:O"'T '" "nT I COMlI'iDEV'ElJl,OPMEN>IlJNf@Rl\ll:\TiON'" . ANY -, ou U/-IY I-'tIiJUU. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ;1.: t :.., tt;:; l;\.1i" .. ~:_: ,,; \' J: .., Frontyard Setback: Side I Sethack: Side 2 Setback: , Rearyard Setback: ~:'C:'f' ' - SolarSetbacks:i' , j! ," -, .r.,!-, , , " , I.. I : ~r Jl1i.:j t \ " . "'.. ~' ,I I PUBLIC IMPROVEMENTS 1 Street Improvements: Phone Number: 541-284-0624 Expiration Date 11110/2010 06/27/2011 Phone 541-342-4509 541-686-2365 Lot Size: Sq Ft 1st Floor: 1,950 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 65 , REQUIRED PARKING Total: , Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Storm Sewer Available: Special Instruction: SDC Worksheet Attached Notes: ..,,,>. ~. -: it . 'I ~ '~.; '. l~ ~ . ,I., ,ii,...~,.. ,~, J' ~'. <. ,. ,:i 1 ~ Paee I of 3 j ! f , , ~l. , '; r '! ~ ^." Status ~ss..~~~n:~~.~~:.' .:~:~;; ?~~r~~t:. . ..~ ,-", ' , 225 Fifth Stree(Springfield, OR ',541-726-3753 Pb'One\ ,..,':' ,. .. ' . .;;-.;. I> .~.'.;~W" .....;".., "": .' 541-726-3676 Fax' ~', ::', :;,.;./> ",', 541-726-3769Insp,ect~on Line ..:,:. iq CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01387 ISSUED: 10/13/2009 APPLIED: 09/18/2009 EXPIRES: 04/13/2010 VALUE: $125,000.00 " "I yaluation Descriotion , . "..-', 0."" /,' ..~ (' ':,:~,'.,,'~..:~,:-::,,:;',:,':.~.;....~~,;,i.'.,:.'.,~..:i ':..: , ,~t;;!!~1it,;~~.; " .' Description ';r.'" T~p~ of Construction :1..< : ~~,,: .:';:~~ {;"'~" ,";': : EstImate '::t:.'",,'~;EstImate.. '<." J, or: , ~'.' ..' , ,''';' ...~. ,;'~.: it; $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount .125,000.00 Date Calculated Valuel' $125,000.00 $125,000.00 09/18/2009 Total Value of Project '!PP': P1W ,l t., , ........t{\ldt:f.::lf'tt.. '. .,.: ~:,:, Fee DescriPtiOl{ ,~ .~1'l::' -.-. ,.-~.., -Amount Paid Plan Review CommlInd/Public $526.83 ,I ;'" \ '.. ';;+ 12% State Surcharge.;'- $22.20 O. ".w r., ~ t,. ,. + 5% Technology Fee ,j" .. ,'~" ;, _ $9.25 Add, Alter, Extend Circ Ea Add; $72.00 Low Voltage - Commercial Indus $32.00 Perm Serv/Fdr 200 amps or less ,,$81.00 + 12% State Surcharge ...; ;t,~" $110.94 + 5% Technology .~~~ ,;i:t $46.23 Addressing Assignment $38.00 Building Permii : .. $810.50 " Deferred S~b~iti~l;i '1' $342.00 Fixture ' $114,00 Piau Review Fire.& Life Safety. $324.20 SDC MWMC Administratiou $10.00 SDC MWMC Improvement $1,164.99 SDC MWMC Reimbursement $113.01 SDC Sanitary/Storm Admin ',~' ' $64.40 . :i" ! ~,',' Totai Amount Paid $3,881.55 Date Paid Receipt Number 9/18/09 10/9/09 10/9/09 10/9/09 10/9/09 10/9/09 10/13/09 10/13/09 10/13/09 10/13/09 10/13/09 10/13/09 10/13/09 10/13/09 10/13/09 10/13/09 10/13/09 1200900000000001081 2200900000000001166 2200900000000001166 2200900000000001166 2200900000000001166 2200900000000001166 2200900000000001179 2200900000000001179 2200900000000001179 2200900000000001179 2200900000000001179 2200900000000001179 220090000000000]179 2200900000000001179 2200900000000001179 2200900000000001179 2200900000000001179 I Plan Reviews I Structural Review SUB Review 09/22/2009 09/22/2009,; Initial Review;;" .,' 1; ':. ~ ~:. .;,;~ '~r~. . ( Ii, Plannine Revie';'" .. .:' " . I. " Structural Review 'II . d' 09/22/2009 09/22/2009 09/22/2009 09/23/2009 09/2312009 09/23/2009 Public Works Review 09/22/2009 10/05/2009 Fire Department Review ,) 09/22/2009 10/07/2009 ,": ~:, .:: I: . "I:!! r( ~ ~ t,:'-!' Structural Review ~. '.,' 10/07/2009 10/07/2009 APP KLK Paee 2 01'3 ! j~.,: 1\ .~. .31 !.~ ~ " Forms attached to plans/llh APP LLH Fire fee paid under shell permit - C7 -00500 APP EMM WI KLK Completed Plan Review APP EW SDC Worksheet Attached APP GRG See attached document for Fire Depart~ent Plans Review comments. , , CITYI'OF ~rKll~\JFIELD Building/Combination Permit I PERMIT NO: COM2009-01387 ISSUED: 10/13/2009 APPLIED: 09/18/2009 EXPIRES: 04/13/2010 VALUE: $ iU5,000.00 ~, .: Status Issued 225 Fifth Street, Springfield, OR.c,.~.., 541-726-3753 Phone : 541-726-3676 Fai---;-- - . -. . - ... ',; 541-726-37691nspection Line .! .~:~ ' 1~: .':~~.': r~" ':" )) ;.;:~'. :~ ',t~ , ..,." . .. .;':~#f.~~:-:.i1'" :~~.~~ .'... Framing in'spection: 'Prio;' t~ cover and after all rough in inspections have heen approved. Ii I Reouirerl Insneetions I Wall Insuhition: Prior to cover, Drywall: Prior to taping. .' , Final Bu\!ding:.J~fter all r~quired'inspections have been requested and approved and the building is complete. ~" !" f~,. '.' Rough P!~~~ing': 'Prior to cover and including required testing, I' Final Pluinhing: ,When all plumbing work is complete. it : f ~ . SUB Final:' After all required energy inspections have been requested and approved. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company ~nergizing service. Final Ele~tri~: \yhen all ele~t'i-ical work is complete. ~" !~ ~... Low Voltage:" pdor to cover.' : I , I . ..;. l . ,: ,. , 1-., ,.-~.. 'u. ~~ . ..~, . : . By signature, I stlite;and agree, tliat] have carefully examined the completed application and do h~reby certify that all information hereon is true and corr~ct, and I further certify that any and all work performed shall be done in accordance with the Ordinances olthe City of Springfield and the Laws of the State of Oregon pertaining to the w6rk described herein, and , that NO OCCUPANCY will he made of any structure without permission of the Community Servi'~es 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. I further agree to ensure ,that allrequired inspections are requested at the proper time, that each address is readable from the street, that the pern;it'c;"rd is locateil at the front of the property, alld the approved set of plans will remain on the site at all times during cOD.struction. ,', 1.1, \ ,'. , '7" I t. ;~ j) ,. 1\ tA:;Ivv~ 't~~, , ~ 0 . \ ~. 0 C, Owner or Contractors Signature Date , ., .. ,.', ;:;'" l'~H:- , ' - .d : Jh~~ -1:','"": . , ~.. ~ ' I , ~~-.' \ '[, ; j: . : ' l' . ~l"':: '. ~ ,) ..... :. .. :.:.::- If, .:t"i.~. .. :, .:i I! I t' I. ~,lr~' ..::'.'(': , '. Paee 3 of3 ~; i. , , "';dr.:,:::' )-;, Structural Permit Application 1: , J, 1;~Q.~r!.f~JM~}tT;;ll~gi9.J'm,'!'~1 C~:I4tZO 01. D, ~ 87 Permit no.: J: /" 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(54 ])726-3689 CITY OF SPRINGFIELD. OREGON _:OP:O ~ ~,,. I " Date: 9-//-0 ., This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is " suspended for 180 days. '. 1t(~~~~'E9c~IlLG9vgRNMENTl~i:ii>.RO:V'\('~~~;:~~~1 I ~is project has final land-use approval. I Signature: Date: I T~is project hliS DEQ approval. I Signature: Date: I Zoning approval verified: 0 Yes 0 No I I Property is within flood plain: DYes D No I I 1i"""'",,;:';'''-'-CATEGORy;rOFCONSTRUC'riOjIj'" "r,;;'''<;r-:4''~'"1 !lm,,%,:~,.:"',_,. .. ., ..., ~...."., ,., ,.. ._.... ,.....~:l, ~d~:.".,~ I II,." D"""y ~"",*esi:.nt',i,a,I,','i', '.' ,l,g, ,G~~.~m, _.':', ".en. ;P', "''''',',I.~,' C. ',o,mm, :~,:a. ~", '......, "I I ~A'It\l.OB,K5IIE.~I,NK<>.R,II'IATIO,NI'AND."lO,CATION~''''';;$;''''Ii,~ I I Job site address: '3'1>1 z.. /~I QA,J.{ t?>LiI D I I City,S.i'tt.I~\'1"Itu":> I State:Ge,. I ZIP:I:J1l.i711 I Subdivision: I Lot no,: 1 I~,~~~~, 'l2~f""~,'~,, 20,.,.., ..,,12~,.,x, I~t,l'>'~~';>'...",<,^..__v, ~~tj!;c;.'~~" ;:R'J;A'~'<',~""fI~~RO~ERtyAOWNE~,~:,lift:ti~~",~{~~J~'~:r~~ I Name:Nl?W/~ LL.G / l.VIllr...",... I1.OS.... I Address:840 ~L.TU~\" S7t'.. Z-o-z. I City: 6~N~ I".L.D I State: OR.. I ZIP,Q74.,7 I Phon\9j, l8tt- OtDz..~ I Fa~1 -7'/fI Z5"16 I I E.mail: w11:.o~.S(Ji;>5Yc..AN.(.oM I This installation is being made on residential or fann property owned by me or a member ormy immediate family, and is exempt from licensing requircIf-ents >>"djr~Rrz91,~,~ signhe~8af~- 1~~".~~~rc:oNiAACi:iiR'I@t',\.:I!'Ati9N~j'\~:J!~!i'fi;;~ I Business name: 6:!6E.X A; 'alL I Address: 't~ t.'}. 7~ Aile. I City: G.:;J1?6~ I State:o~ I ZIP:Q7402.. I Phon.s.\ ;3'iZ: LlSoq FaxSlll -~4LM~~ I E-mail: CCB license no.: ~iI S".11 I Print name: -:-/ '^"-' ./.!'..... 711 I'-' I Signature:s'/ .- ~~ ~/\ __ I:; 'f Xi.,L."'!~~",:"~'~}~SUB~Cq.Nr~ACTQ~;It.lF'ORMA TlQt.l~;<:";"t:~* l~:\lt:.~ 1 Name ceo License Number Phone Number I Electrical I Plumbing 1 Mechanical ",' ....~ . ',.\ j.I 1;1< I ~~,\Ii1",:"l\'),!i!'''''fJel''FEE~5cH"EbuLE';!;'''':''''''''' <ll!\.~?"~1 l~illi~'~~''i,/:;J~___...-~{iffi,,:'.i'A,~. '~." _'_ _.._." _,_;;4"'O,:;W~~t~~y, ":ftj,<,,, W< 1:.~l~\Valu'atiori"iniormati()nt'~;t.fr:'nF 1~~~'.":~~:~~.b;;;!""J?~::'~1 t_... "",..,._,.-.__. ..''''._'__.'fJ:_~:-m'I<'~>#'t.\-;.y.,4, ...~~:~ "",,,,,.,!'>..ffi (a) Job description: .....t '" -t ~ M I Occupancy J'11 I I/I.'@. I I ., S"0 I I I I Energy Path: I o new .....0alteration 0 a~dition I (b) Foundation-only permit? 0 Yes ~ I Tolal valoalion: I: I $/ZS ood If2.:1))mr~n.~gt~I~~~~~~~~;,i,~~~~t;~tra:~~{:;;~1 I (a) Pennit fee (use valuation table):I: I $ I I (b) Investigative fee (equal to [2a]):I: $ I I (e) Reinspection ($ per h,ourj; I (number of hours x fee per hour), $ I (d) Enter 12% surcharge (,12 x [2a+2b+2c]): $ I I (e) Subtotal of fees above (2a thro:ugh 2d): $ I 1[3~)~ti!iiff~Y!~~~;f~~~~~:~;r:i;~~.?f:~.~~~~t~";~R~3 I (a) Plan review (65% x pennit fee [2a]): $ ..> ~ f(b) Fire and life safety (40% x pernlit fee [2a]): $ I :~~~.~~:~:;~i;;~;::;;;'i;i~;~~~;~~Bi1]1 I (a) Seismic fee, 1% (.01 x pennit fde [,2a]): I $1 I TOTAL fees and surcharges (2<+3C+4a): $ I Construction type: Square feet: Cost per square foot: Other information: NO({- 51'-l.l~ jU-- ~ Type of Heat: .~~ ~W ~~ &# 0..: C) ~ ~~ 225 Fi(thStreet,'; " '. ... ..L::~/'"" .' " . ' " :~'... . ",.' ;-.. .;:... n,.:.;:,':j, .~, ~ .'. S pr,lngfield" Oreg!'<9,?Z~77:,:;.j:j:Jh;':i;<;~' 541-726-3759 P~()~~:'-;;;:';-'>\'" _, ~"~g[IIU>._.'_..'" ..... ' Yl..-'- \ .---' -., ..0 j - ..- ".'--""'-", .. City of Springfield Official Receipt Development Services Department I Public Works Departinent "":'?iXz;"i;:i~l;:0liECEIPT #: " 2200900000000001179 ..... ' . .~ ,. ... '- Date: 10/1,3/2009 Job/Journal Number.' ., D~sc~i'ptiori'. :/~::'.;f .'~ " , . COM2009-0 1387 . Addressing Assignment COM2009-01387 ,,:. :Hu,ilding Pennit;,..:'. ' COM2009~0 i 387 "\;S:,'fi~ei,;;.:c:;jjbh;,:: :;' , ' COM2009-0 13 87. '{Yt '7:0Herre'd'siibffilttal . . . ~~i' ,": "~:.}::. ~," " -'.., , \; COM2009-0138T':Y."::\\I~ Review Fire & Life Safety COM2009-01387. f',,:,.,:SDC MWMC Administration COM2009-013'S7 :~V):A(~:5'% Techn~logy Fee COM2009-0 13 in ',: ",';.12% Stat~Sur.charge ,', . COM2009-01387'. SDCMWMC Reimbur~ement COM2009-01387 ,SDC MWMC Improvement , ...;.., COM2009-0 13 8,7'" ,': SQ<:: Sani~'\'Y/~tormAdmin. . , , :~;' :, Xi:;;;~:f.:"::~;~/[~;~.~.~, :,":Z}1\:~{itl:~[~J:':,';': ... ~ Payments: Type of Payment , ' Paid By Check " '~T~ Vr;~ LANE COUNTY , .., , ~ " .i::'lr,: '".i.~-:";i:~. " ..~.. ;l- :: "';:":- .. i. . ij\,,"~~" ; , ! ., .I! ,.; , .X; II j ( "., ,. '"i\.lJ.L~ ~,r.l~' ..::" .:~.:,!~~ :1 :.- f :" . ; I \ .. ir ,;~. , ::, + ~ Ii .<.l~.. ,J.. '}. ."": ,', .r ~. .~., i; ':". ,,;-~t, .....r.., , ~..: :~ , , :i. .":'. f' . ."f 11 ;' I. ~, .j: j! .,., . :: ~ , , tl . if ...', ,! . I' cReceint 1 ,,' " u u u " Item Total: Check Number Authorization Receiyed By Batch Number Number How Received cjc 26428 In B,erson Payment Total: Page I of I I1:54:I7AM Amount Due 38.00 810,50 114.00 342,00 324.20 10.00 46.23 110.94 113.01 ,1,164.99 64.40 $3,138.27 Amount Paid $3,138.27 $3,138.27 10/1312009