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Home My WebLink AboutPermit Miscellaneous 2010-7-20 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00911 ISSUED: 07120/2010 APPLIED: 07/08/2010 EXPIRES: 01/2012011 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line S]TE ADDRESS: 374 Q St ASSESSOR'S PARCEL NO.: ]703262405700 Springfield TYPE OF WORK: Tenant ]nfill i'",,",, , i)"1 , ..' TYPE OF USE: Alteration PROJECT DESCRIPTION: Tenant ]mprovements- Emergence Connseling center ",,"";"'. .'.. .- I. , Commercial Owner: WATSON-ALBERTS LLC Address: 875 FAJRWA Y VIEW DR]VE EUGENE OR 9740] Phone Number: 54]-343-97]4 I CONTRACTOR ]NFORMA TION . Contractor Type General Contractor License B]NEHAM CONSTRUCTION 76336 BUILDiNG INFORMA'TION I Expiration Date ]012412011 Phone 54] -484-9405 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: )-1-,"V' :"'1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: "Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: . Handicapped: Compact: Notes: I PUBLIC IMPROVEMENTS. . ~i<\_f.kElllyt}e':i to . :iTENTION: Oregon \ . -'Oregon Utility ;~i y A "'t 'les adopted bldiiW~sgcm!J'mf4mth t',~!J fo1\ow,rp. 'c nter, Those ru e 2-001- ,.~, "" NotlllcatlOn e 0 through OAR 95 In OAR 952-001-001 'n copies 01 the rules by 0090. i'ou may obtai (Note: the telephone . the center. , ,.. , olilicatlon nu 800-332.2344). Valuation Descri eWllr 1- Street Improvements: Storm Sewer Available: Special Instruction: D . f~OTICE; orc t Ii E IF TIt~"I1I~ Square FootagL -' esenp \HI8 PE~~T ::>H,t(r.r~, W!. Mffl~I(~r . o~ Bid Amount AUTHORIZED UNDER THIS PER -"'::::~':.:'~,::-::':- COMMENCED OR IS ABANDONED F05i;~~.~!.,~;;:,: . ;',' . ANY 180 DAY PERIOD, .... '. . 'Paee] of 3 "") Value Date Calculated CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00911 ISSUED: 07/20/2010 APPLIED: 07/08/2010 EXPIRES: 01/20/2011 VALUE: $ 20,000.00 .,.-, ."j.... Status Issued 225 Fifth Street, Springfield, OR 541,726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '"., . '"1' 'f. 'f'_ ,:' I. ~.,'~.., -::',". . Estimate Mechanical ell Estimate Use Bid Amount $1.00 $1.00 20,000.00 6,000.00 Total Value of Project ~ :..ii Fee Description Plan Rel'iew Comm/IndlPublic + 12% State Surcharge + 5% Technology Fee Building Permit Fixture Mechanical-Value - -",' . .." ~, Amount Paid';~::'~' ,,,,.',", :~'::',.:-. ;,{j,\.' ..,' $151.78,;"""" ','ol> , ' $53.34 $22.23 $233.50 $114.00 $97.00 7/8/10 7120/10 7120/10 7120/10 7120/1 0 7120/10 Date Paid Total Amount Paid $671.85 Plannine Review I Plan Reviews ij" 07lP/20\o ", "'. APP EMM 07/12/2010 ;;\1'" Public Works Review 07/12/2010 07/16120 I 0 APP EW, 07/12/2010 07120/2010 APP CJC 07/12/2010 07/20/2010 APP CJC 07/1212010 07/20/2010 APP CJC ,iJrl ~ ,,'I . . '~t\.r.~~~:: ",,'::.:.:':':.:- 1 \';~, . .. ~ ,. \.:'. Fire Department Review Structural Review SUB Review $20,000,00 $6,000.00 $26,000.00 07/08/2010 07/20/2010 Receipt Number 1201000000000000806 3201000000000000459 3201000000000000459 3201000000000000459 3201000000000000459 3201000000000000459 Tenant Infill for Emergence counseling and addiction center. No new SDC's. Previously paid under COM2004-01509 , Per GRG As noted on plans Per David Harris- inspections 206, 209 To Request an inspection call the 24 hour ~ec(jrding'iat 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. UeollirerUnsnections I Drywall: Prior to taping. ,",. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Ceiling Grid: After drywall approval but prior to cover."" ~ 1 .,:" '. . Underslab Plumbing: Prior to filling the tre~cli and including required testing. ',:;. ,"- Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 2 of3 " ! ,- ' 'fll "",..". .... ~._'~. .;- ~,.,I:...i ._" ;,l>.::.~ ...~" ..;...~,~.3_,::-,,,:., CITY OF SPRINGFIELD ..,' ,". f,.. Building/Combination Permit Status Issued ..:~ , PERMIT NO: COM201O-00911 ISSUED: 07/20/2010 APPLIED: 07/08/2010 EXPIRES: 01/20/2011 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Ceiling Grid: Interior Lighting " t ' JL.H."I ': . ,. . ' SUB Final: After all required energy inspecti~ns have been requested and,approved. Final Building: After all required inspections have been requested 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 structut~:,'Yithout perm,ission of the Community Services Division, Building Safety. I further certify that only contractors and employeeswhoare,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 o.r~~,~;prop,e',;ty,. and the approved set of plans will remain on the site at all times during construction. ',t. 1,10 -(0 Signature Date , ' i ':~ :,i 'I1:..'l,l' ',r :..~'~ :~ '<.::' "'l!ii ;u't'.i:: d u,:;,;tir ::'~!~Ql;]-',"; ,f;,';!,", ",-..;,,)'" ,',r';:..~,'!i -I 'j~~'tH. ~ .r'";' . ~'.. ' " Paee 3 01'3 ..----" (if,SEI'ARTME'NJ"';USEfONt,Y';f "~,en, / ,.." --:.""..,- __'c'._,,"",;,'.,. .,J'."<. ,. ,._"".""',,",, COM Z-O/ 0 - 0 0 '1// Permit no.: Date: -, - ~ -/ 0 Structural Permit Application - 225 Fifth Street. Springfield, OR 97477.. PH(541)726-3753. FAX(541)726-3689 8PAINCFlet,b a;J}:::::Y This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days ofissuance or if work is suspended for 180 days. This project has final land-use approval. Signature: This project has DEQ approval. Signature: Zoning approval verified: Property is within flood plain: Date: Date: DYes DYes DNo DNo ZIP:<tlLJll N/A. Reference: ,"1,"'07< hilL.;;> Name: Address: City: Phone:S~I-'Yt - 91/.\ E-mail: This installation is being made on residential or fann property O\'1ned by me or a member of my immediate family, and is exempt from licensing requirements underORS 701.010. Sign here: N 1fif~~f~;:t:cOf..iTRJ>:cfQR:iNS,.AL.~ATIC:)NA' " ; ':"i;;;';~"'A; Business name: 5:~ ~s4ru tcv\ Address: 'H 1 \ Vol. a...J- P",...",,,,,- City: E." "-^€.. State: oR. ZIP: "11 '10 Z. PhoneS~l - '1405 FaxS~ -':?oZ- '5'1 ZiS E-rnail: brl~"e b:.~c.,ns4ruc-+'\""'. co...... CCB license no.: 7t!.3"36 Print name: 3rt,.",..... BrAe.~ Signature. BllIl1:li!~ilSi.li:!!C:9N,.M9!9~tJN~c)l'!iVI~rrlC)N:;~'!ir~~ Name CCB License Number Phone Number Electrical313 aedr'; ~~1 2.- S ~'t I - {':</- SIlL PlurnbingB-,,-\h..;s 190<(. n, ~'I I - 13,- 2'1'1~ Mechanical (a) Job description: le(\~r-<\- :r:;.., rcIJet"\e.xts Occupancy B Construction type: Square feet: 1131./ . Fe.e'+ Cost per square foot: Other information: Type of Heat: Energy Path: o new Ii:I alteration (b) Foundation-only permit? Total valuation: o addition DYes ~No (a) Permit fee (use valuation table): (h) Investigative fee (equal to [2a]): (c) Reinspeclion ($ per hour): (number of hours x fee per hour) (d) Enter 12% sorchargc (.12 x [2a+2b+2c]): (e) Subtotal offecs above (2a through 2d); ";r'.' ",'-., .'_'~",.:." ".,' ,'. ,.. ,'.,",?"......... I~:'-Plajjjf~v~~w:fees ,~i"i~;':~> (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'[2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ fV\ r;'2-I,..I &f::- ,. U'PrJ..,lI/t ovvL $20= $ $ $ $ $ $ ISI,""?%, $ $ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .if" !, rt::.~ ~." City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000459 , Date: 07/20/2010 I :49:59PM Job/Journal Number COM20]0-00911 COM20]0-00911 COM2010-00911 COM2010-0091] COM2010-009] ] Payments: Type of Payment Check cReceintl Descriptio," Building Permit Fixture Mechanical-Value + ]2% Slale Surcharge + 5% Technology Fee Paid By METRO PLANN]NG Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 233.50 ] ]4.00 97.00 53.34 22.23 $520.07 Amount Paid NJM In Person Payment Total: $520.07 $520.07 358 . . ..,."'.-- ,~..i. :t~.:. Y~1;l." ....? , ", . ~,":' -I; . '''",i,-,,>' .\, Page I of. 1 . , .../',. 7/20/2010 225 Fifth St~_ Springfield, Oregon 97477 541-726-3759 Phone '!P.~~~"J!:!..~~"""'~... .....; WIr' ,. , . "." ' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000806 Date: 07/08/2010 I :46:46PM Job/Journal Number COM20I0-00911 Description Plan Review CommllndlPublic Payments: Type of Payment Check Paid By WATSON-ALBERTS LLC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1353 In Person Payment Total: Amount Due 151.78 $151.78 Amount Paid $151.78 $151.78 /::liX~. '. , ."~,,;,'l.. :";11.:' Nt . ., ,'~ C ....'-'1 '. " . f, " ~! : . . I :,./: ".'., .~~i~:,' ';;.f' "!: cReceintl ,Page 1 Oflj 7/8/2010