HomeMy WebLinkAboutPermit Miscellaneous 2009-12-11
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01605
ISSUED: 12/1I/2009
APPLIED: 11/03/2009
EXPIRES: 06/] 1/2010
VALUE: $ 4,692.00
SITE ADDRESS: 2073 OLYMPIC ST
ASSESSOR'S PARCEL NO,: 1703254201100
Springlield TYPE OF WORK: Site Work Only
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: I) Demolition of Interior of Existing Bldg. 2) Site Work including Fire Sprinkler water
line. 3) Temp. Power. (prior to tenant inlill construction)
Contractor .., License
CHAMBERS CONSTRUCTlON,(" 114258
BUILDERS ELECTRIC INC 4296
BALZHISER HUBBARD ENGINEERS \0
CPM DEVELOPMENT CORP _~~
TWIN RIVERS PLUMBING INC~~~~~,
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~\~~Ii~'~n\Il$d-\e\Il~~
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'l-o'i)'\I~Q. 9/B \l 6teR;\~'\)'i)\~~6A"
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, . Path:
Sprinkled Building:
Owner: LANE COUNTY
Address: 125 E 8TH AVE
EUGENE OR 97401
Contractor Type
General
Electrical
Engineer
Mechallic~,1
Plumbing
# of Units:
Primnry Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Spechlllnstruction:
Notes:
I CONTRACTOR INFOR~~~ TIO~ I
Expiration Date
05/30/201 I
12110/201 I
Phone
687-9445
541-485-0922
541-686-8478
541-228-3826
541-688-1444
01/24/2010
03/11/2011
Lot Size:
Sq Ft ISI Floor:
Sq Ft 2nd Floor:
'S<I Ft Basement:
Sq Ft Garnge/Carporl
Sq Ft Other:
Occopant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
, ""/'~~()Y-~
\~"\~ \c. ~o
II'U13LIC IMPROVEMENTS I ~\. ~\l\~?'(.Y-~\~ 'iOY-
~()~\\.o~~*\\ ~~lk ~~~'i)O~'2 .
\'0\S ~i:ly-\1~W~'ifl;~~iDrains:
, \'-\)\ "~'(.~rv't. \l'(.Y-~
\,O~ 'O~ 'i)~
t>-~'l '\
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
'-
Paee 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Descrintion
Tv"e of Construction
Estimate
Estimate
Fee Descriution
+ 12% State Surcharge
+ 5% Technology Fee
Temp Pow"" 200 amps or less
+ 12% State Surcharge
+ Styu Technology Fee
()cll1olitiol1
***+ looAJ Administrative Fee***
+ 12u/u Slate Surcharge
+ 5% Technology Fee
Backnow Device
FLS Safety Systems Review
Mechanical-Value
Water Line - 1st 100'
Total Amount Paid
Planniu1! Review
11/1612009
Initial Review
Public Works Review
11116/2009
11/16/2009
Fire Deuartment Review
11/16/2009
Structural Review
Struchlnll Review
1210912009
12/09/2009
CITY OF ~rKINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0160S
ISSUED: 12/11/2009
APPLIED: 11/03/2009
EXPIRES: 06/11/2010
VALUE: $ 4,692.00
I V~luation Descriotion I
$ Per S'I Ft
or multiplier
'$1.00
Square Footage
or Bid Amount
4,692,00
Value
Date Calculated
$4,692.00
$4,692.00
11/1612009
Total Value uf Project
~Fpp< P~ilU
Amount Paid
$7.56
$3.15
$63.00
$6.95
$2.90
$58.00
$73.50
$21.87
$9,11
$19.00
$735,00
$87,25
$76.00
$1,163.29
Date Paid
Receipt Number
1113/09
11/3/09
11/3/09
11/30/09
11/30/09
11/30/09
12111/09
12/11/09
12/11/09
12111/09
12/11109
12/11/09
12/11109
2200900000000001250
2200900000000001250
2200900000000001250
2200900000000001334
2200900000000001334
2200900000000001334
1200900000000001324
1200900000000001324
1200900000000001324
1200900000000001324
1200900000000001324
1200900000000001324
1200900000000001324
Plan Reviews I
WI
11116/2009
11/16/2009
12108/2009
12/09/2009
12/09/2009
EMM
\Vaiting for planner assigned to
MDS, Mark Metzger, to initially
review plan to determine whether
this HI' can be issued before MDS
review and decision.
API'
DON
SKG
CTM
API'
GRG
See attached document for Fire
Department
Comments-underground fire line.
10
API"
KLK
KLK
WI for Plauning sign-off,
Talked with Planner, Mark
Metzger, permit can be issued ,'vith
work done at customers own risk
pending overall project approval by
Planning,
Paee 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-0160S
ISSUED: 12/11/2009
APPLIED: 11/03/2009
EXPIRES: 0611112010
VALUE: $ 4,692.00
225 Firth Street, Springtield, OR
541-726-3753 Phone
541-726,3676 Fa,
541-726-3769 Irtsp'ection Line
To Retluest 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 ~eolJired Insnf'ctionsJ
Tempol'llry Electric: Approval required prior to Utility Company energizing pole.
Water Line: Prior to tilling trench and including required testing,
Backtlow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Fire D~partment Water Supply. Inspection to ~ssurc water supply is available on site for construction, This
inspection is required prior to any combustiblc'construction.
Final Fire Department. After all requirements of the Fire Department have been met.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing, Presure test done at this point,
Final Gas: When all gas work is complete.
Demolition: After demolition is complete, sewer is capped or septic is pumped and tilled and inspection is
requested and approved, llnd all debris is removed from the site.
Final Plumbing: When all plumbing work is complete.
By signature, I state and .lgree, that I hnvc carefully examined the completed j,lpplication and do hercb)' certil)' that all
information hereon is true ~:n~d correct, ~lIld I further certify that any and all work performed shall be done in 'uccordancc with
the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining 10 the work described herein, and
that NO OCCUPANCY will be made of an)' structnl'e without permission of the Community Services Division, Building Safel)',
I further cel'tif)' that onl)' contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I 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 fronl of Ihe property, and the approved sel of plans will remain on the site at all
times during construction.
&~JY
/.2//1109
OWller or Contractors Signature
Date
Pa2e 3 of 3
225 Fifth Street
Springlield, Oregon 97477
541-726-3759 Phone
.^r,'~I:Q,F~B.~.,.-.-.,; """,',". .'....,'.
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1605
COM2009,0 1605
COM2009-0 1605
COM2009-0 1605
COM2009-0 1605
COM2009-0 1605
COM2009-0 1605
Payments:
TYPl' of Payment
CreditCard
cRcccint]
RECEIPT #:
1200900000000001324
Date: 12/11/2009
Description
Backllow Device
Water Line - 1 s1 100'
Mechanical-Value
+ 5% Technology Fee
+ 12% State Surcharge
FLS Safety Systems Review
***+ 10% Administrative Fee***
Paid U}'
DA VID SUnlART LANE
COUNTY
Item Total;
Check Number AuthoriZlltion
Received By Batch Number Number Ilow Received
djb
077504 In Person
Payment Total:
Page 1 of I
9:43:53AM
Amount Due
19,00
76,00
87.25
9.11
21.87
735,00
73.50
SI,021.73
Amount Paid
$1,021.73
S],021.73
12/11/2009