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: $125,000.00
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Status
Issued
225 Fifth Street, Springfield, OR ..:i,,-,
541-726-3753 Phone,:__",.;-. -' _, ;;~::;\ ':-
541-726-3676 Fax ;.;,:,:;W-_ ,- - .;:~
541-726-3769 Inspection Line
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Springfield TYPE OF WORK: Tenant Inlill
SITE ADDRESS: '3312 G;,t~;;;ay"SI
ASSESSOR'S PARCEL NO.: 1703222001700
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIfTION: , Te,~~~t infill'
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, Owner: NEWGl\. TE LLC '
,: Address: 840 BEL TLINE RD STE 202
,...,:, .."SPRINGFIELD OR'97477 ATTENTION: Oregon law requires you io
.. fnllnw rlfl.oc !:1rlf"\...d",~ h" 4-t.,... I'"\..~ _'_ . ....,.
i NotifiCRtjrm t:ont~r Th,",~,,^ .."...:... "'-'::'~_:~"'!I
in OAF I c€ONifRAQTORINF.ORMATION: I:
0090, You may obtain copies of the rules b
Contractor Type, : Contractor c~iling t,he center, (Note: the tek~~9.~~ y
General!;,i,\, , '!!< ESSEX GENElRMl:eoNS:fRU<1:fIONUtility N,5.45.Jltion
Electrical ~: ,: ~!_,C' NEW WAY ELECTRlerlNCis 1-800-332-2344~1088
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BUILDING INFORMATION I
# of Units: '
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:;: :,: ;': ': - ';
, .'~i ,{ i: . ~ :
I # of Stories:
M Height of Structure
SI Type of Heat:
nIB" Water Type: Electric
':.!t' NOTICE- Range Type: '
:': '\ THIS PER'Mlfs$.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:
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Frontyard Setback:
Side I Sethack:
Side 2 Setback: ,
Rearyard Setback: ~:'C:'f' ' -
SolarSetbacks:i' , j! ,"
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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:
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, 225 Fifth Stree(Springfield, OR
',541-726-3753 Pb'One\ ,..,':' ,.
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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: $125,000.00
" "I yaluation Descriotion ,
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.' Description ';r.'" T~p~ of Construction
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: EstImate '::t:.'",,'~;EstImate.. '<." J,
or: , ~'.' ..' , ,''';' ...~.
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$ 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
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Fee DescriPtiOl{ ,~ .~1'l::' -.-. ,.-~.., -Amount Paid
Plan Review CommlInd/Public $526.83
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';;+ 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
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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; ':. ~
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Plannine Revie';'" .. .:'
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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
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09/22/2009
10/07/2009
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Structural Review ~. '.,'
10/07/2009
10/07/2009 APP KLK
Paee 2 01'3
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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.
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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
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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.
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Final Bu\!ding:.J~fter all r~quired'inspections have been requested and approved and the building is complete.
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Rough P!~~~ing': 'Prior to cover and including required testing, I'
Final Pluinhing: ,When all plumbing work is complete.
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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.
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Low Voltage:" pdor to cover.'
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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.
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Owner or Contractors Signature Date
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Structural Permit Application
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C~:I4tZO 01. D, ~ 87
Permit no.:
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225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(54 ])726-3689
CITY OF SPRINGFIELD. OREGON
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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
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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
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1:.~l~\Valu'atiori"iniormati()nt'~;t.fr:'nF 1~~~'.":~~:~~.b;;;!""J?~::'~1
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(a) Job description: .....t '" -t ~ M I
Occupancy J'11 I
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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 ~~
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225 Fi(thStreet,'; " '. ... ..L::~/'"" .'
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S pr,lngfield" Oreg!'<9,?Z~77:,:;.j:j:Jh;':i;<;~'
541-726-3759 P~()~~:'-;;;:';-'>\'"
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City of Springfield Official Receipt
Development Services Department
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Public Works Departinent
"":'?iXz;"i;:i~l;:0liECEIPT #: " 2200900000000001179
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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 .
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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
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COM2009-0 13 8,7'" ,': SQ<:: Sani~'\'Y/~tormAdmin. .
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Payments:
Type of Payment
, '
Paid By
Check
" '~T~ Vr;~ LANE COUNTY
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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