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Home My WebLink AboutPermit Building 2010-6-17 '!;li,,!' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00785 ISSUED: 06/17/2010 APPLIED: 06/17/2010 EXPIRES: 12/17/2010 VALUE: $ 2,500,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,,'" ...,....;,." SITE ADDRESS: 755 HARLOW RD ASSESSOR'S PARCEL NO.: 1703220003000 Al;teJn' .... TYPE OF USE: Alteration PROJECT DESCRIPTION: Remodel of EXistit;t,aW,C'e';,Rtfl ~~ law requires you to Nnlifj,....~:~=lo.:.pte~, by Ihe Orellon Util'lV nlr1,QAR .. T1 IV"" rules are set t rth SPRINGFIELD SCHOOL DlST "Obl!4CYi952-o01-Q010 through OAR 952~' 525 MILL ST . ou may oblaln COpies of th uI - SPRINGFIELD OR 97477 calling the center. (Nole'the lelee rh es by numh... f.... *11 El ' '!l one ~Q 9 fe~vlI ldulIlY NOtification I CONTRA~h'IN~~^"M~,~ Springfield TYPE OF WORK: School Commercial Owner: Address: Contractor Type Contractor License Expiration Date Phone Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: BUILI)INCi'NFORMATION ~ 'd'!{ ., . .' '#'Of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: No I DEVELOPMENT INFORMATION II NOT\CE. . F;(P\RE\T"'II'I~ .J~ THIS PERMI.T S\-\I~L~~,pERM\T \S NOT..... AUTHORlZm.u ~~B1\tfOON:liO fOR; : COMMENCED 0 X, Drive Rqd: . ANY 180 DAY P '0 ot Coverage: . E Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupaucy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: .:!tt:~'.,t-:.':'t:~et':."'-, 'I, .. I"~ '''i1T~TJ 'f(;. F':r:~ '~,i~; {~~~"""":!(""':,t ,. "i',";' Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I DescriPtion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated " .' 'i',,' .1' ,,':, Pa2e 1 01'2 .~.. ;'1.; , , '.., " ,~ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . :,~:fji <~~~,~f{'::'~' : _J' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00785 ISSUED: 06/17/2010 APPLIED: 06/17/2010 EXPIRES: 12/17/2010 VALUE: $ 2,500,00 .-., ","'''' .1' "' ; . Status Issued Estimate Estimate , ,$1,00 2,500,00 $2,500,00 $2,500,00 06117/2010 Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Building Permit Amount Paid Date Paid Receipt N umher $8,13 $3,39 $67,75 . :.6/17/10 6/17/10 6/17/10 1201000000000000722 1201000000000000722 1201000000000000722 Total Amount Paid $79:2T~ I Plan Reviews ~ Structural Review 06/1712010 06/17/2010 DON KLK 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, inm~ct!?n,,:;!r~quested after 7:00 a.m. will be made the following work day. ..,:!;~t ,( "\" ,- ~. " . . Reau'ired InsDections ~ 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 requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ~, By signature, I state and agree, that I have carefully1examined th~ 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 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 ou this project. I further agree to ensure that all required inspections are requested at the propedime, 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. ~M~~ .:~~~; ..'~ !f~ 'th~;':~ '! 'L,~ . ,(:. "1.:.. ,..r,o..",,,,, ", ~/17 /2070 , Owner or Contractors Signature -.-.:;Ii,.",;,' ~q. i I Date Page 2 of2 ~tructural Permit Application \ \025 Fifth Street. Springfield, OR 97477. PH(541)726-J75J. FAX(541)726-J689 Di:PARTMENT.USEONL Y Permit nOc:::~.j8- -7-05 Date b - 1.-7--- U3' This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of iss~ance or if work is suspended for 180 days. , (".:,,~~; " ~c~,{~9~A~~ ;'~QY'~RNM_~~"tt'A8~"R~Y~~:';~~~;~1}~~~~;';~~;4;~~;r~!~ This project has finalland~use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: DYes D No Property is within flood plain: 0 Yes 0 No ~jil'(!~'t1'i'''.,::*,\i:('C''''A''T'E-G''0'''R'''y'';10'''EJtC''0' N"S"T'''R'''-U'C''T''I~0:'N'''~f''''B:!i'f'i:;:.':i'''''' ~:tjy#t~f.'J.>H?'~~~" ,_,' ,,:., .,. ",c...Ai "E1.W~".. _.",..J .:._ _ ,. ), .,,' , r;1JZ.0i{\tf;;.\,~,,~~fl?:: o Residential .g}..Government gCommercial ~.v,iitJ(i;";{!iQB\isIJE: ,ft{F,6RMA:fii5NlANR11iI9)5Afi'c>.I'i;;;!,i,;-M(~;;,,$;: Job site address: '765 I2-D City: "5ff2-1~16G State:O'R. Subdivision: Reference:~ 1e .' ~v, :':, :.' "'0:"." :"""{~;::tj:FEE 'S1:HEj:iiJLE:c;";rl:";;'\';;'~""'; ;t:;Y~t"~r~j:9n1i~'fo.."m~!~~Jr~~~i~ff~1{?>i~~~1;d~i~j~~0Z?,'fi;~;11i/~.f,~}':,(;E':\~~,.!:~t;~,,:}:\,; (a) Job description: Occupancy NO Ii>P eL>o Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new IZf alteration (b) Foundation-only permit'? Total valuation: o addition DYes DNa $ Name: 0f2- Phone: Fax: 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. t! Sign here: I Address: City: Phone: E-mail: CCB license no.: State: M. Fax: Print name: Signature: .\g{t;;i:.:i:.?}i!t';1ili1sjJB-t.oNJ}~Ac:iToR:I.!'lITCl.RlI'Il'.mIQN~;!i~~~'if:?,!;]! Name CCB License Number Phone Number Electrical OW~p- Plumbing Mechanical (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) 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 tbrough 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): $ ij:4t~~~~~~Ii:~!i~'Q!fsTf~~tl5~~~~fx~tf;:t~;~~ti';,~~~,~i~;;::1: :;:<";~:;~ ,'j;,Cl':';),~\:'~i, ",.- ~;:; .'. (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ .\ [City of Springfield 'I Development Services Department . 225 Fifth Street Springfield, OR 97477 Planning Division Information She~t for Building Permits Com mercial/lndustria II Multi-Fa mily Residentia I The Planning Division requires the following information for Ell 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-MD~ 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. ReClui~ed_froiecU:nforniatfcm -"'.=-=-- ----==--~ :--.-=-~ ~~ (lipplicint:];omplet~ this sectio.n) A Iicant Name: ~N1I f<iJ- Com an : ~~INh-f'lb'1/!> f<J1!J.J10 ~ Address: 62.-5 f/II1,U- <S1 Phone: ?fl 77-h- 32-1"2- Fax: - { 7Zb-?-. 6 (p ASSESSOR'S MAP NO: TAX LOT NO S Address: Description of the proposed work to be completed under this building permit: "UMoOei.(exfJJ>..-Nj) .f:DF {lOoM Has this development proposal been reviewed by the Planning Division through an application process (i.e; MDS or Site Plan Review)? 0 Yes 0 No if yes, Case #: If no, is this a change in use? 0 Yes D No Prior A roved Use: Pro osed Use: .41 , _ _ Zonin . TOTZ: Overla The proposed project requires submittal and approval of the following Planning application prior to building permit approval: D DWP Overlay District Development 0 Statement Letter Regarding "DWP Exemption o MDS 0 MDS Land Use Compatibility Statement D Site Plan Review D Other: Reviewed b : Date: 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #; . , '< 1201000000000000722 Date: 06/17/2010 2:58: 14PM Job/Journal Number COM20 I 0-00785 COM201O-00785 COM20 1 0-00785 Payments: Type of Payment CreditCard cReceintl Description Building Permit + 12% State Surcharge + 5% Technology Fee Paid By BRAD L MCENTIRE Check Number Received t:Jy'. ~ Batch Number KtK " ~ H. ,I d.' .. ~'i.::l\' i"it ,I' ,. '!(Yir , ., . ::l:f~j, . ~.]\ 'f K~.~l~:. '."1' Page 1 of 1 Item Total: Authorization Number How Received Amount Due 67.75 8.13 3.39 $79.27 Amount Paid KLK 091317 In Person Payment Total: $79.27 $79.27 6117/2010