HomeMy WebLinkAboutPermit Miscellaneous 2010-4-29
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM20I0-00533
ISSUED: 04/29/2010
APPLIED: 04/29/2010
EXPIRES: 10/29/2010
VALUE: $ 7,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1\28 5TH ST
ASSESSOR'S PARCEL NO.: 1703263402700
SJl~~ngfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE:' Alteration Commercial
PROJECT DESCRIPTION: Replace Window: Same Header Width with Increase in Window Height (Tempered
Glazing) .
Owner: EVERYONES MARKET #f'.LWTION:..Oregon law requires ytUi:V
Address: 1225 E GRANT ST follow ruleSi..a~op'!eQ.bY the. Oreg~~et \orth
LEBANON OR 97355 Notification Center. Those rUhleOs:~ 952001
iF<) f""\^O a~l)_nn1_n010throuQ ..
0090'.a~btai~~~es at me rUlell UJ
nC:~lber for the ~~~:~u~~:.'
Contractor Type Contractor Center is 1-800-332-234tlicense Expiration Date Phone
BUILDING INFORMATION.
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Gruup:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION ~
~~~I~EE~Mrr~H;l~~!~fi;~~~ORK
AUTHORIZED UNDEIIi:~"i.vl.n~~li:IS NOT
COMMENCED OR 1$~1>..!lI\M)@QEt)'o!i@R
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS ~
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction :
Sidewalk Type:
DownspoutslDrains:
Notes:
I V alu'a:tion De~cription ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00533
ISSUED: 04/29/2010
APPLIED: 04/29/2010
EXPIRES: 10/2912010
VALUE: $ 7,000.00
Status'
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
7,000.00
$7,000.00
$7,000.00
04/29/2010
Total Value of Project
Fees Paid I
$12.81
$5.34
$106.75
4/29/10
4/29/10
4/29/10
Receipt Number
2201000000000000430
2201000000000000430
2201000000000000430
Fee Description
+ 12% State Surcharge
+ S% Technology Fee
Building Permit
Amount Paid
Date Paid
Total Amount Paid
$124.90
Plan ~eyiews I
...;ii:i-;.J' ,;~; ~ .,' J1 .
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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.
Reouired InsDections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
" ,
Final Building: After all required inspections have beeri' r~quested and approved and the building is complete.
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 any structure withont permission of the Commnnity Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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. I, 'I,L' ,r; '::' ,: J, :
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Owner or Contractors Signature
Date
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Page 2 of 2
Structural Permit Application
-
225 Fifth Street . Springfield, OR 9747J . PH(541 )726-3753 . FAX(541)726-3689
DEPARTMENT USE ONL Y
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.
, ",0 'ifO'C'A' -j: :"G""O""V":"'E""'R,nN' 'M"'''E-N'''T}i~A':P'' p' 'R'~O""."V'A' "i1S'?':-',b'ir. ',"~; ";';-:":,:0;,':"
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This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: DYes D No
Property is within flood plain: DYes D No
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:tt",1&<\:t:'~,~T;,~:;;;&%'L ",'~:, ,,', ""'0!~__!7r,:),,., ,,,,.ili,,,,U_JI; .._,__,,~r~:'lmi,;;..~c+'1tl;;l't~'t
D Residential 0 Government rktCommercial
,;d9B~~ITEj TN!iciRMA"'I0N~iAN t5~~O'iiAtjON~'r;i;!l,i;iii~i!:;
-J-H 51-
City: D12....
Subdivision:
Reference:
Name:
uX
City:
Phone:
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: ~ (V\ 01,.:--, - - hOle:::..--
(;ONlRAC'fORi~ST:AtL",TlbN',),. ....
Business name: Z 17
Address:
City:
Phone:
E-mail:
eeB license no.:
Print name:
State:
Fax:
ZIP:
"
Signature:
:~'~'i':iEfr7~~y{~~$l!.~~~oN:I8AGtl:or{I_~f.O.~lVtAJ)Q~~~;JJt1t;~~~~~1k~~;:
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
',.-":
'''::::''"FEESCH~piJLE'V'
~, ri;.\"i
',r~.;~;M~j~~ji.oJ~"li~'fo"rrtJ~!itl)il~'~JJ1~%fit~:i'~.~~W;:{;ii~1';~';,:/;~;.~':'~/t;.;~: i:~~_'~V.-,',~:~'
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
o new Iteration
(b) Foundation-only penn it?
Total valuation:
D addition
DYes
{,
DNo
~7::~ijJiU~~pg:~t4~e~~~~i~:t~]t~\\1iW~?0~~)~k~ii~'~~'~'~'i~;\)::,,';':;hir1~<.
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(e) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
$
$
$
$
$
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(e) Subtotal of fees above (3a and 3b):
$
$
$
(a) Seismic fee, 1 % (.01 x permit fee rZa]):
$
TOTAL fees and surcharges (2e+3c+4a): $
,
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[City of Springfield
Development Services Department
225 Fifth Street
Springfield, OR 97477
.;,-,
Planning Division Information She~~ for Building Permits
Com mercia IIInd ustria II Multi-Fa m ily Residentia I
The Planning Division requires the following information for.Q.[! building permit submittals on'
properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial,
including new construction, expansions, and changes of use.
New construction, expansions, and changes of use to any building, parking, or development area in
, these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100)
or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review
(SDC 3.3-100).may also be required, depending on the site.
NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building
Permit, Police or other permit approvals or inspections are not Planning approval.
lieCtuireiLJ-roiect'{riform"iitfon .....: . _. 'r-:--c-~ :-...:.=-~ -=(1tPPlica~trc:omii/e~e this set;.ti'?nJ
A licant Name:
\1 0 --r "Z:-
Phone: 5 /-7Lf'1-7t1fJ-b
Address:
SI
ASSESSOR'S MAP NO:
Pro e Address: ~
I
Description of the proposed work to be completed un ' this building permit:
f;L1t55
Cu; '\'\- dm}J
Has this development proposal been reviewed by the Planning Division
through an application process (i.e; MDS or Site Plan Review)?
If yes, Case #:
If no, is this a change in use? 0 Yes 0 No
Prior A roved Use: Pro osed Use:
DYes 0 No
'. .
4, . . I ~
. . .
Zonin TOTZ: Overla
The proposed project r~quires submittal and approval of the follOWing Planning application
prior to building permit approval:
o DWP Overlay District Development
o MDS
o Site Plan Review
o Statement Letter Regarding ,DWP Exemption
0' MDS Land Use Compatibility Statement
o Other:
Reviewed b :
Date:
225 Fifth Street"
Sp;'ingficld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000430
Date: 04/29/2010
II :22:22AM
Job/Journal Number
COM20 I 0-00533
COM20 1 0-00533
COM20 I 0-00533
Payments:
Type of Payment
Check
cRcccintl
Description
Building Pemiit
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
DHOT, INC
Item Total:
Check Number Authorization
Receiyed ~y Batch Number Number How Received
Amount Due
106.75
12.81
5.34
$124.90
Amount Paid
KLK
5162
$124.90
$124.90
KLK In Person
Payment Total:
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Page 1 of 1
4/29/2010