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Home My WebLink AboutPermit Building 2010-1-8 ",!?:'INjilF.;IELD, --i' ..,',.; " , ~~ (. " i- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01826 ISSUED: 01/08/2010 APPLIED: 12/2212009 EXPIRES: 07/0812010 VALUE: $' 5,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54t-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 622 Cloverleaf Lp ASSESSOR'S PARCEL NO.: 1703224206700 Springfield TYPE OF WORK: Interior TVPE OF USE: Alteration Commercial PROJECT DESCRiPTION: Interior remodel Owner: CLOVERLEAF PROPERTIES LLC Address: 611 N CLOVERLEAF LOOP SPRINGFIELD OR 97477 I_CONTRACTOR INFORMATION 1 Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATlON,1 VN # of Stories: Height of Structure Type of Heat: . Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: t Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport S'l Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type, # of Bedrooms: 2 SR-2 Ves I DEVELOPMENT INFORMATION 1 Front yard Setback: Side t Setback: Side 2 Setback: ' Rearyard Setback: Solar Setbacks: Overlay Dist:. # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: "REQUIRED PARKING Total: Handicapped: Compact: Notes: ,^,OR\\ __,,-c. ~,IO\P.I' If "(\'IE \~ "n1 HU"-- 1"( S\'\f\l.\.. ~.' I'ERN\\I'~ "(\'lIS I'E~~ED \.INDER ,,(\'I~~WJ~ED fP\}aIuation Descriotion I /1,\.1"(\'10\'\ ED OR IS/I,I'> . D .~t'MNlENG T n'''ID'i\lSiJrl t f $ Per Sq Ft Square Footage escn~N~ '\ 80 \),,'(v. . S ru~ JOn, or multiplier or Bid Amount IPUBLIC'IMPROVEMENff1:NTION: Oregon law req~lres you to fo".o.wr~IQ,'l~l':the Oregon Utility . Notl/lcaMn Center. Those rules are set forth In OAR 952Ibo"1l1ll9'1ettflt6ili)ft'OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility NotlficaUon Center 18 1-800-332.2344). Street Improvements: Storm Sewer Available: Special Instruction: Value Date Calculated Pa2e 1 013 _S~RI~~!'iI'i!I~, _~ i~ ' OI{I' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54t-726-3769 Inspection Line Estimate Estimate Fee Description Plan Review Comm/lndlPublic + t2% State Surcharge + 5% Technology Fee Building Permit Fixtu re MinimumlAdjustment PIUlnbing Plan Review Fire & Life Safety Plan Review Minor - Planning Total Amount P'.id Structural Review SUB Review 12/24/2009 12124/2009 Fire Department Review 12/24/2009 Initial Review 12/24/2009, 12/24/2009 Plannine: Review Structural Review 12/31/2009 Public Works Review 12/24/2009 Structu rat Review 01/05/2010 ' $1.00 , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01826 ISSUED: 01108/2010 APPLIED: 12/22/2009 EXPIRES: 07/0812010 VALUE: :$ 5,000.00 " 5,000.00 $5,000.00 $5,000.00 12/24/2009 Total Value of Project Fpp<, pqi..t . 1/ Il60I Amonnt Paid $56.71 $17.43 $t3.21 $87.25 $38.00 $20.00 $34.90 $119.00 $386.50 Date Paid Receipt Number 12/22/09 1/8110 t/8/10 1/8/10 1/8/10 1/8/10 1/8/1 0 1/8/10 1200900000000001353 3201000000000000004 3201000000000000004 3201000000000000004 3201000000000000004 3201000000000000004 3201000000000000004 3201000000000000004 :i ~! ", ':< Plan Reviews 1 :~, 01/05/2009 12124/2009 12/30/2009 12/31/2009 01/04/2010 "'." .'y. 01/05/2010 APP GRG Plans Review: addition of a dividing wall to split one room into two. Job #COM2009-01826.0ccupany Classification: SR-2. Construction Type: V -B sprinklered. Contact Deputy Fire Marshal Gilbert Gordon (541-726-2293) for open cov~r inspection of relocation ,and addition of sprinkler heads. OK DJB APP EMM WI KLK Fire and Public Works approvals required for permit issuance. SUB approval',required for final. DON CTM APP KLK Pa\!e 2 of 3 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-01826 ISSUED: 0110812010 APPLIED: 12/22/2009 EXPIRES: 07/08/2010 VALUE: $' 5,000.00 225 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 inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wili be made the following work day. Reouired Insneetions 1 , , 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 reqnested and approved and the building is complete. Rough Plnmbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. SUB Final: After all reqnired energy inspections have been reqnested and approved. Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be requested and approved prior to requesting any occupancy approval. Final Fire Department. After all requirements of the Fire Department have been met. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne and correct, and I further certity that any and all work performed shall be dOlle 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 OCCUP ANCV will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors andemployees..who are in compliance with ORS 701.005 will be used on this project. I further agree to ensnre that all required inspections:are re'quested 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 timrdgC:,~r~ l-- CC~ [~ Owner or Contractors Signature Date , ",' , . Page 3 of 3 ;..!. ,: 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 1':;D~PARTMENf.u~E~N~Y I CO.....Z'OO ,~O /8Zbj Penmt no,: I I Date: I 2.. - l Z. - C ., I 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. ..'.p.~ 'NO~. l~ ' ...., , ~tructural Permit Application . . - , .. " ,.., .. " '..' ,--," .".. . ,.." .. '''.~ . l~i~_>~":;;,1;~;:~;::-:t~7/~09cGAg:Y~:QYE'~'~'M.~~.fit;S~iiRQY~Ai~)~t;~:j;.t~1e~:h~~1 I ~~~~;~;eect has finalland.use approvaL Date I Ir:",;'X~:\~:.7"';,:\'::';~:\,;FEE'S"9t.fEi:iiJ[g'~;"?(;,":')r:1"i:,~":::;~~,:J;i'" I 1"~'I':,I:V"-''':I' ';';:'L'""; i'''~''r'':t,.... Jii'S,-",'^=,' ";"',;,~'Y-":':li;";;,..F,.:rW\"'--" ~""".~. ';;:C'~l{~1'-"'!{'," ,:':"~" ",\.If~"d"~" ';"1 I ~~~~;~o::ct has DEQ approvaL Date: I I' (:;'l~~ud:~~;~:i~:q~+:~:;"f~~~ff::jJ':~f;'I,.:;l~W~g;::1 I Zoning approval verified: 0 Yes 0 No 1 I Occupancy 1 1~:"'.::'k.e.,;""~~;~.,,,i;~.i~_fl.O.O._d,.~I:~~:>_O. .,:.~:....,._.~.__. ~O''>_'.'i~. "'O\.'''.'~-.'h''''''.'''' .,1 I Construction type: \ J I~ I rh'"'_t1'~~*f.<;ATE9Q,I~Y>\l.QF,&,C.oJ!!3;r8Uc;r,I.QN~:,..;1;it;';<.yi>~t;\i:iw I Square feet: 1 11".D.v".~~.~.:i.~~.~~i~~.'1;""" '" ..,~ ".19_~~..~,.~,~~:.,~~"",.;.",,,,,,~.~.~~~.~~:,:..C!.~~{~-.ow,.,~.. I Cost per square foot: I i!:';;:.$ii!l'~>~(C19Bj).S.l;rI;UNI19R.MATI0NfANR~~O_CAII9N,;~~lil<iY; lather information: I 1 lob site address: ~27.... Cltlv"--<'\tt:..-\ L\J'1I~ 1 I Type of Heal: I I City: )0(\"", -\1't.v.. I State: tl tt 1 ZIP: 1 I I r '\ I I Energy Path: - Subdivision: Lot no.: I 0 new ~iteration D addition I 1 Reference: 170:1 ZZ l{ Z. 1 Taxlot: 0 G, 70~ 1 i:::,,~~i'iiE~~;'!;;;~i;", ii!Si;;~;;;~:::"::",=~k;>i').~d I (a) Permit fee (use valuation table): $ 1 City: Sp. """ f; ",hi. I Stal~: 0 Y( I ZIP I I 1 (b) fnvestigativefee (equal to [2a]): $ 1 Phone: - - Fax: . I E-ma,'l', I I (c) Reinspection ($ per hour): (number of hours x fee per hour) $ This installation is being made on residential or farm property owned by I (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. 1 <e) Subtotal offees above (2a through 2d): S I 1~3~'Riil81tevi~wfree:S;"$1!/~}1k~~~~~'~~4;~j~~~~~F-<t?7"'1 Sign here: I' (-~; '~';~A;~V~~'~'.(~5~,;f~::~~~:;"i;~)~~~u;~",~~,,{,,~,,~~i~~_", : 'B~siness nam~C~~~C~~A~~:T~~N;:'-2C ('" ';'. '"'-1 .1 (b) Fire and life safety (40% x permit fee [2a]) $ 1 ~ ~;;~i0T~~~~1:t~~;-'~~~~S'! ir~~~~f~r~~~;,!:::t~ld 1 CCB license no.: f \0 '--\ ~2 Co 1 1 Print name: J:(\~I,,( Hc..\.Ik.!L I I Sign~t~~e r 1\ -\- ~ I r~lq~g~:;:;~_SDB-C0~g~~;:~~~~~~;MA1;~~~~~~:~i,(~ I Electrical l)\ll'l M~1\l \\, lei. I I Plombing ("'J'"c.. 5'-\ \- SS 4 - 5'2 $ 'is' 1 Mechanical I 225 Fifth Strcet Springficld, Orcgon 97477 541-726-3759 Phonc ~'_'A:I~~V,IEL'!~. . i' A... l!l .. 1IIIi:- ' City of Springfield Official Reccipt Devclopment Serviccs Dcpartmcnt Public Works Dcpartmcnt RECEIPT #: 1200900000000001353 Date: 12/22/2009 1:17:46PM Job/Journal Number COM2009-0 1826 Description Plan Review Commllnd/Public Paid By RICK FIELDER CONSTR LLC Item Total: <..;'heck Number Authorization Received By Batch Number Number How Received Amount Due 56.71 $56.71 Payments: Type of Payment Check Amount Paid djb 1546 In Person Payment Total: $56.71 $56.7] ~ . . cReceinl1 Page 1 of 1 12/22/2009 225 Fifth Street " Springfietd, Oregon 97477 541-726-3759 Phone k.:l~~~.:"'."".'Pi~' '..' ,.~ .i" City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1826 COM2009-0 1826 COM2009-0 1826 COM2009-0 1826 COM2009-0 1826 COM2009-0 1826 COM2009-0 1826 Payments: Type of Payment Check cReceintl RECEIPT #: 3201006~00000000004 Date: 01108/2010 Description Plan Review Minor - Planning Building Pennit Plan Review Fire & Life Safety Fixture' Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Paid By RICK FIELDER CONSTRUCTION Item Total: Check Number Authorization Received By Batch Number Number How Received njm 1559 In Person Payment Total: ;}; t. 'F .,' ~ :'.' , J' 'f' . . Page 1 of 1 9:20:26AM Amount Due 119.00 87,25 34.90 38.00 20.00 17.43 13.21 $329.79 Amount Paid $329,79 $329.79 1/8/2010