HomeMy WebLinkAboutPermit Building 2010-2-24
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00243
ISSUED: 02/24/2010
APPLIED: 02/24/2010
EXPIRES: 08/24/2010
VALUE: $ 250,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-7~6-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 925 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703223300100
Springfield TYPE OF WORK: Bank
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Minor interior remodel- vestubule and new awnings- electrical/mechanical to be pnlled
by specialty contractors' Steel'fabrication by Gibson Steel- Engineering and shop dwgs
deferred, to be on-site for footing review and approval
Owner: SELCO COMMUNITY CREDIT UNION
Address: PO BOX 7487
EUGENE OR 97401
Contractor Type
Architect
General
Electrical
I CONTRACTOR INFORM~
NTl0N: Oregon law 'o...-'~ Utility
ContractorATTE rules adopted by the O~ ir~
BERRY A~W&~ifItCenter. Those ru~eOAR 952-001-
MCKENZI~~i:Rllll)(~~8~~twtM:w!1l8 by
SCOFIELD 1iDUJIlayobtaln : the te~~e
ca'
numb
Expiration Date
07/21/20 II
12/21/20 II
Phone
541-338-7696
541-343-7143
541-686-8612
N
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
Primary Constrnction Type'
Secondary Construction Type:
# of Bedrooms:
B
Center 18
# of Stories: . ,
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
'Sprinkled ,Building: . , Ves
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Nq"l~~"
TH1~?E~. " ' ~.. 01
,"THORliEO U:~:'BA'OO",O fOR ..'
COMMEN~~P;I~O.Rqd: . " .
ANY 180 ?ro:d Drive Rqd:
% of Lot Coverage:
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Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rcaryard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk !ype:
Downspouts/Drains:
Notes:
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-lilt , CITY OF SPRINGFIELD
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, " Building/Combination Permit
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Status Issued PERMIT NO: COM20]0-00243
225 Fifth Street, Springfield, OR ISSUED: 02/24/20]0
541-726-3753 Phone APPLIED: 02/24/2010
541-726-3676 Fax EXPIRES: 08/24/2010
541-726-3769 Inspection Line VALUE: $ 250,000.00
I Valuation DescriDtion ~
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
Bid Amount Use Bid Amount $1.00 250,000.00 $250,000.00 02/24/2010
Total Value of Project $250,000.00
~
Fee Description Amount Paid Date Paid Receipt Number
+ 12% Slate Surcharge $158.31 .0', 2/24/10 2201000000000000165
+ 5% Technology Fee $65.96. " 2/24/10 2201000000000000]65
Building Permit $1,319.25 2/24/10 2201000000000000]65
Total Amount Paid $ I ,543.52
I Plan Reviews ~
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. will be made the following
work day.
~enlliredJnsnections ~
Fooling: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior 10 cover and after all rough in inspections have been approved.
Drywall: Prior to laping. "
Final Building: After all required inspections have been requested and approved and the building is complete.
Paee 2 of 3
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00243
ISSUED: 02/24/2010
APPLIED: 02/24/2010
EXPIRES: 08/24/2010
VALUE: $ 250,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, 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 certify that any and all work performed shall be done 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 OCCUPANCY will be made of any structure without permission of the Community Services 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 all reqnired 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.
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Owner or Co tractors Sign ture
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Date
Pa2e 3 of 3
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. Structural Permit Application
, DEPARTMENT USE OrllL Y
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225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689
Pennit no, (;I /J ~ :2 4 J
Date: ;)...-
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.
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This project has tinalland-use approval.
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
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o Residential 0 Government . Commercial
t-:>'!:ifJ;...,; :tJq,i'r SITE1iNf,:ORMA TiQN}ANOtLQCATIPNj,);'/,-\::.:;,
Job site address: H Ae.L6L0
City:
Subdivision:
Reference:
Name:
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
aJ2..fAL
CCB license no.:
Print name:
Signature:
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(a) Job description: I tJ'iC-f2.l0P- fill i) ().S
Occupancy IS
Construction type: d>2-
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
D new D alteration 0 addition
(b) Foundation.only permit? 0 Yes 0 No
Total valuation: ~ Or-rD$
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(a) Permit fee (use valuation table): $I~,c, 7-)
(b) Investigative ree (equal to [2a]): $
(c) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ I S7} 2.L
(e) Subtotal of fees above (2, through 2d): $
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(a) Plan review (65% x permit ree [2a]): $
(b) Fire and life safety (40% x permit fee [2a]): $
(c) Subtot,1 of fees ,bove(3, and 3b): $
It,( M" ;"If' ",,,..~, '(".j;<"'$""';':""'5;l)h'.TIlZA\\'" '(j;~'1 t,
,', ..: ,.Is~ce a"-!::o~us;_ee~!3{~~:J;;~.(ir.~~'''i,t;,~P~'' : o,~; .'- '.~
(a) Seismic fee, 1%(.01 x permit ree [2a)): $
TOTAL fees and surcharges (2e+3c+4a): $(5'1 ~~:.
l1~~j;i~{"~"W?~';'Wc~~sU ~'~q.0N:mRACI[O~_:I_ ~ f7.0J~"MA;fJQN~~~'~;~~~:Ji%~$~~'i
Name CCO License Number Phone Number
Electrical 'Uf1;//> X h , 2- I
Plumbing
Mechanical
I c,L.C:> CZ:e'C-r
n5 Fifth Street
Springfield, Oregon 97477
'f41-726-3759 Phone
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City of Springfield Official Reeeipt
Development Services Department
Publie Works Department
RECEIPT #:
2201000000000000165
Date: 02/24/2010
10:12:08AM
Job/Journlll Number
COM20 I 0-00243
COM20 I 0-00243
COM20 I 0-00243
Payments:
Type of Payment
Check
cReceintl
Description
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
BERRY ARCHITECTS
Item Total:
Check Number Authorization
Received By Batch Number Number I-low Received
cJc 13239 In Person
Payment Total:
Amount Due
1,319.25
158.31
65.96
$1,543.52
Amount Paid
$1,543.52
$1,543.52
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