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Home My WebLink AboutPermit Building 2010-3-22 CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , " PERMIT NO: COM2010-00335 ISSUED: 03/22/2010 APPLIED: 03/17/2010 EXPIRES: 09/22/2010 VALUE: $ 10,000.00 Status Issued SITE ADDRESS: 806 A ST D ASSESSOR'S PARCEL NO.: 1703354202600 Springfield TYPE OF WORK: Interior TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Interior partition and drop ceiling Owner: FITCH MICHAEL J Address: 1269 ISLAND CRT .."..- SPRINGFIELD OR 97477.-""<- ...........-' Contractor Type General Electrical Expiration Date 10/17/2011 04/24/2010 Phone 541-521-5108 541-746-4656 ~o\~\ee.\:'2..oo"\ ~ . TlON $I ol'S' '10'l (t\e.'! ~et, \l\W It', # of Units: fi/dO. \\\9 ell OI1l90l}_~~~~s! Primary Occupancy Group: ce.\\\~~ \CS\"e \9 "\.\\O~e!ght of Structure Secondary Occupancy GrouJi\$~ cel\\et Type of Heat: Primary Construction Type VB ' Water TYpe:' Secondary Construction Type: ".Range Type: # of Bedrooms: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION ~ REQUIRED PARKING '. ,..I,.,~:;ig;,~,~~.;~;)f.t;.:..h:,<'" , . " rE:~:ri~~~:..;1..::~~~;:;~~~~J~~Xf:~~d: % of LO~~WS"'ra~~ utmH\ 1\,\\5 P~to\Etl fOT\~:>' . . f>.\ll\\OR\lE T\ \S ",Bf>.toltl...".:.><!. . .' PUBLIC IMPR pI:: Sidewalk Type: Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: :';,-:1 . .~); ".l ",."'" ~ ': Pace 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00335 ISSUED: 03/22/2010 APPLIED: 03/17/2010 EXPIRES: 09/2212010 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Estimate Tvpe of Constrnction Estimate $ Per Sq'Ft .' or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Value Date Calculated Description Total Value of Project $] 0,000.00 $] 0,000.00 03/17/2010 ~ Total Amount Paid Amount Paid Date Paid Receipt Number $88.40 3/17/10 1201000000000000243 $6.60 3/22/]0 1201000000000000248 $16.32 3/22/]0 ]201000000000000248 $2.75 3/22/10 ]20]000000000000248 $6.80 3/22/10 ]20]000000000000248 $55.00 3/22/]0 ]20]000000000000248 $136.00 3/22/]0 120]000000000000248 $3]1.87 I Plan Reviews ~ 03/22/20] 0 03/22/2010 APP DJB .;! ; " Fee Description Plan Review Comm/lnd/Public + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Add, Alter, Extend Clrc Building Permit Structural Review 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. l...f.eouirerUnsnections ~ Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Grid: After drywall approval but prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. \. "'Pa2e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 IlIspection Line : : ~~ v . ; , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00335 ISSUED: 03/22/2010 APPLIED: 03/17/2010 EXPIRES: 09/22/2010 VALUE: $ 10,000.00 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true 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 allY 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 required 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. 6""..,",,- Page 3 of 3 :]-22- -20/0 Date ~ ." ~ D~PARTM~NT USE?NLY ..' co.-- ZO(6 -0 0 :?::~ S- Permit no_: Date: 3-2"2- { ~ This permit is issued under OAR 918-309-0000. Pcrmib are nontransferable. Pennits expire ifwori\ is not started within 180 days ofissuantt or if work is suspended for 180 days- ~,LOCAl GOVERNMENT APPROVAL '.. . Zoning approval verilled? 0 Yes 0 No ,..:..CATEGORY Of CONSTRUCTION . ,.' o Residential I 0 Government l:Etcommercial .....JOB,SITFINFORMATION AND LOCATION: Job site address: Bob A :s.+ #-;r::> City: <:;. j:>.;:'~ I StateDL.. ZIP 97lf77 Subdivision: 17D33 Sl.{7 I Lotno: 6~O ..' ' . DESCRIPTION OF WORK ". . , .' w NI he' .L,. .(z)t o,^.-+Ie-~ " .) FEE SCHEDULE . . Nuint;w:r or~nsp!c~~~s ~ri'e~ <)': Qf)'. C.;t ..I,.~:~~I; RKidential, per unit, SPrVice included: Looo sq. fr. orl= (4) Each additional 500 sq. f1_ or portion thereof Limited energy (2) Each manufaculfed home or modular dwelling service or feeder (2) $134,00 $ $ 25,00 $ $ 32,00 $ $ 63,00 $ Sef\'ic~ or feed~rs: ins/allalioll, alteration, relocation 200 amps or less (2) $ 81,00 $ . " .. ..". ,PROPERTY . OWNER , ',.: ., 201 to 400 amps (2) $ 95.00 $ Name: P'U"I...*e-( t:i.L ( 40110600.mps(2) $158.00 $ Address: /2 b -., 1 5LAN (). C \1...,,"\ 60 I to LOOO amps (2) $205.00 $ City: S?f"b .1 State: 0 L I z1P:971(77 Om I ,lJ!lQ \'lI'J'$ 0' volts (2) $469.00 $ Phone: . _ I Fax _. _^ \a.'# e ~ $ 63.00 $ E_maIl._.trtO~..~~:;.ed.o./~~~~esorfeede...:lnslallallOnalterallOn.relocallon ThIS tnstallatlOn IS bemg made on~st~ YU~Ret U ;'2(llJ>.\"'P~.\,,~) $ 63.00 $ owned by me or a member of my . : :\O\~I . lItOt ~2) $ 8700 S proper!)' IS not mlended for sale, exe~ 2!' c 9' ;\nll:" . ' 479.540(1).nd479560(1) ",0 '(l)\lllla'fO al. \~ ,\E .~.!:,~'ij\\\""'v~(2) $126,00 $ S,gnature' ~O. ~l\O~e ce~ nle90 ~.' , ~ps 0' LOOO volts, see se""ces 01 feedcrs section abo"e CONTRACTOR INSTALL \0\' ":. ,... \4)' v Branch dreuils: "".., altemllan. eX/enslOn per panel Busmess name- \ Lt",. t-_I n r..L.t. ~(_~ a Fee fOT brunch CircUits with purcha..<re ofa Sl..">fVlce or feeder fee. Add,e,.: 2.1'15/ \)of). <>.l-v nn..f Each bnmch circuit I $ 6.00 $ City: C rr n fA I State: OU ZIP: cn4-11 b.Fee forbnmch circuits without purch:Jseofa se",;ccor feede, fee: Phone: ~( :14~-4t,.'lSt,! Fax:'S<H -'1%-3'6'55 firstbnmchcircuil(2) I $ 55.00 $ sS- E.mnil: '"';:??,(Q) ..,iK,=>ELrL..co7V\ Each additional branch circuit -z. $ 6.00 $/7- CCB licen~ no.: % I z..Cl I BCD licen::;e no.; 20.. 2,..1'(.. Miscellaneous fees: service or feeder not included Signing supervisor's license no.: 4'i'~ S I Each pump or irrig3tion circle (2) $ 63.00 Print name of signing supcfvisor:<Jn.ll:/~ I , lri.y y ~ nJ('" Each sign or outline lighting (2) $ 63.00 Siunatnre of signing supervisor: __ ____ ~ ::::Ii - Signal ""rcuit or a limited-energy panel, S 63.00 $ e-. - ~ .." alteration. or ex1ension (2) ~ $ S L...J Each additional inspKtion: (I) . "~",,> .:.~.:,; '.APPLlCANT.. USE (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (8) Enter 12% surchafg'eUiii~;ik1'i'''' ..f MOile!' (C)TecimOlo~.@!jf.~~ 1HISPE~' ~C): p..\.I1HORIIE~O\lOR IS "BAt-IOONEU fun .;' ~~~~~~~p..'{ pERIOO. $58.00 $ .:.. $ b7 $ SOl $ 371 $ 7PJ':15 ~~ 22'~~ ~ 0--^ T'( f'lA ."iV' ~'v 440-2584.J (9i08fCOM) Structural Permit Application I ! CrTY OF SPRINGFIELD, OREGON ~4ij DEPARTMENT USE ONLY COvV\W(O -OOs3$"" Permit no.: 225 Fifth Street. Springfield. OR 97477 . PH(541)726-3753 . FAX(541 )726-3689 Date: >~ 17- I U This permit is issued under OAR 918-460-0030. Permits expire if work is not started witbin 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes Property is within flood plain: D Yes o Residential Job site address: ga, City: It..'''''' l'C,,,. Co Subdivision: Reference: / 70 :s :s S-~ L Taxlot: D -z..c., 00 PROPERTY OWNER Name: c+ StateOQ. ZlP!1 7411 c:-\ ~ C. \..( Address: rz..G,c; J: tf.J: n",,,,,i=lGtA _(PZ$? E-mail:M.~" - -\-u.-.. ""..., This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. City: Phone: Sign here: Print name: Signature: ~ SUB-C NTRACTOR INFORMATION Name. Electrical Plumbing Mechanical ceB License Number (. 6IGc:.k(c:.. Phone Number FEE SCHEDULE I. Valuation informati9n (a) Job description: k +- .J)l~i-. t-/~ Occupancy E Construction type: 1/& Square feet: Cost per square foot: Other information: Type of Heat: eu-c:..- / IN A-( ( Energy Path: Dnew ;a-alteration D addition (b) Foundation-only permit? DYes A':fNo Total valuation: 1$ /0,000 2. Building fees (a) Permit fee (use valuation table): $ (b) Invcstigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter ]2% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal offees above (2a through 2d): $ 3. Plan review. fees ...--A:- l(t> (a) Plan review (65% x permit fee [2a]): $ Db (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal offees above (3a and 3b): $ 4. Miscellaneous fees (a) Seismic fee. ]%(.01 x permitfee [2a]): $ TOTAL rees and surcharges (2e+3c+4a): $ ~..... 216 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000248 9:43:34AM Date: 03/22/2010 Job/Journal Number COM2010-00335 COM2010-00335 COM2010-00335 COM2010-00335 COM2010-00335 COM20 I 0-00335 Payments: Type of Payment CreditCard cReceintl Description Add, Alter, Extend Circ + 12% State Surcharge + 5% Technology Fee Building Pennit + 12% State Surcharge + 5% Technology Fee Paid By ROBERT REYGERS Item Total: Check N umber Authorization Received By Batch Number Number How Received Amount Due 55.00 6.60 2.75 136.00 16.32 6.80 $223.47 djb 07467c In Person Payment Total: Amount Paid $223.47 $223.47 j;,,~,i::t. . , ';~}~ >,. .'. ,,',:-.~ "i' r,.,.;",' .L.,,~' 'J,i Page I of I 3/22/20 I 0