HomeMy WebLinkAboutPermit Building 2010-8-30
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I C:Qmmercial Permit
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PERMIT NO:!lj'{:sPR-'io1 O~00171
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IVR Number: 811154291626
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/30/10
APPLIED: 8/27/10
EXPIRES: 2/25/2011
VALUE: $2,000.00
SITE ADDRESS: 303 5TH S
ASSESOR'S PARCEL NO:
Springfield
1703350000307
SCOPE: Dryrot
WORK INVOLVED: Repair
TYPE OF S,TRUCTURE: Commercial
PROJECT DESCRIPTION:
Dry rot repair
OWNER:
ADDRESS:
CITY OF SPRINGFIELD
225 N 5TH ST
SPRINGFIELD OR 97477
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Phone Number:
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CONTRACTOR INFORMATION ~
# of Units:
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Contractor Name Lie Type Lie No
DORMAN CONSTRUCTION lNC CCB 68801
"IJIU31..""I....~ON reqUlfls you I,U
I\T"'l"'.... -.. P;o:-.j.'~. d . eOn Utility
follow r~l~s (;id9pleu, uYs~~~le~ "are set forth
N/i\ilMlt6l\1e.0en~~(" T~~rough OAR 952-00Uet Size:
ihf@j91j:l~StI)il;1~gt~~n'6oPies of the rules ill! Fl1 st Floor:
brr~~~.~" <f\l.W:acYe'nter, (Note: the tele~hon%q Fl2nd Floor:
.""~ ~.'lie UtTty Notification
vvat "irfffir the Oregon II Sq Ft Basement:
num , 1 800-332-2344).
Range T)lpijnter IS - Sq Ft Garage:
Sq Ft Carport:
Lie Exp
08/31/2012
Phone
541-984-0012
Contractor Type
# of Bedrooms:
Sprinkled Building:
Hazmat:
Sq Ft Other:
Occupancy load:
Fire Alarms:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:.
Soils Report Required:
Electrical Specialty, Code Edition:
Springfield Fire Code Edition:
Mechani~al Special~~Code 'Edition: .
.,_' ~;';c'r_.''''~
Municipal I DevelopJ"!lent Code:
1~@ijiH9!ilipecialtY co~et.~ili~ IF 'THE WORK
.,Rfl~~~iI'.lffil>l~l::bJ;;iEdlti'l\\:RMIT IS NOT
~1\~WG~i7l'rli~g~~ 'E11\\R.,P: \ Fdlff.;
r.OMMENsilb n i n
ANY 1 !\ c' v .
Energy Path:
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Springfield Building Permit
8/30/2010 1:51:59PM
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Page 1 of3
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225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
CITY. OR.;SPRINGFIELD
www.cj.springfield.or.us
Buildingl Commercial Permit
PERMIT NO: 811-SPR2010-00171
IVR Number: 811154291626
perrnitcenter@ci.springfield,or,us
PROJECT STATUS: Issued
ISSUED;J1I30/10
APPLIED: 8/~7/:10
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EXPIRES: 2/25/2011
. VALUE: $2,000.00
SITE ADDRESS: 303 5TH 5
ASSESOR'S PARCEL NO:
Springfield
1703350000307
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SCOPE: Dryrot
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Dry rot repair
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DEVELOPMENT INFORMATION
~
REQUIRED PARKING
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Tr,ees Reqd: .~,
Paved Drive Reqd: i-
% of Lot Coyerage: 'i:~'~~'~'
Highest point 9t:J.,structure ~<?, '~"
.~ ".~ \, ' I '/ .''' J.'
north property line:, '. .1': .\. "
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
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Valuation Description ~
Descrietion
Tvoe of Construction
Unit Amount Unit Tvee
Unit Cost
Value
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DescriDtion I,' ,,;~'Amount Paid,.: . Date Paid ReceiDt #
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Total Amount Paid
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Springfield Building Permit
.8/30/2010 1:51:59PM
Page 2 of 3
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S:.P~~NG.~. FIE.L~
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~L", 'OkEGON
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
~,cj.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00171
IVR Number: 811154291626
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/30/10\.'
APPLIED: 8/27/10';
.,.,,\ .""1 .
EXPIRES: 2/25/2011
VALUE: $2.000.00
SITE ADDRESS: 303 5TH S
ASSESOR'S PARCEL NO:
Springfield
1703350000307
SCOPE: Dryrot
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Dry 'rot repair
ket. . ., ."" ~r.'~--:?:-,,~F'"::'.;:;. --. """"Y'k'F'r;I:~,,!_: .' -'t.'::""o,,;.:""..., '~'_":-'$~-"'-__<"'r};4..:;r;;::!r?;;!X:'?C'~':%'~l:""f.:;:1tt/-~%7.c."_ % ,"'r-, ,.. T4i" <
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DeDartment Received Due Date ComDlete . Result Reviewer
Permit Issuance 08/30/2010 08/27/2010 08/27/20101' <Issued~' Chris Carpenter
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Application Acceptance 08/27/2010 08/27/2010 08/27/2010" Over the' Counter Chris Carpenter
Initial Review 08/27/2010 08/27/2010 08/27/2010 Over the Counter Chris Carpenter
Electrical Review 08/27/2010 08/27/2010 08/27/20.10. Not Required Chris Carpenter
Mechanical Review 08/27/2010 08/27/2010 08/27/2010 Not Required Chris Carpenter
Plumbing Review 08/27/2010 08/27/2010 08/27/2010 Not ReqUired Chris Carpenter
Planning Review 08/27/2010 08/27/2010 06/27/2010 Not Required Chris Carpenter
Fire Review 08/27/2010 08/27/2010 08/27/2010 Not Required Chris Carpenter
Public Works Review 08/27/2010 08/27/2010 08/27/2010 Not Required Chris Carpenter
Energy Code Review 08/27/2010 08/27/2010 08/27/2010 Not Required Chris Carpenter
Traffic Review 08/27/2010 08/27/2010 08/27/2010 Not ReqUired Chris Carpenter
Structural Review 08/27/2010 08/27/2010 08/27/2010, Not Required ('. Chris Carpenter
INSPECTION.S REQUIRED' ~
Inspections ' '~ <"
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1260 Framing ,t..
1530 Exterior Shearwall
1999 Final Building
Comments
Fees to be paid by check fror
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
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 or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permis~!on of,the..CommunityServices Division, Building Safety. I further
certify that only contractors and employees who are in COn:1'plia'nce~;wlffliORS 701.005 will be used on this project. r further agree
to ensure that all required inspections are requested at the:proper.'lirT1ei,ttiat each address is readable from the street, that the
permit card is located at the front of the property, and the:,?pproved:s,etof plans will remain on the site at all times during
construction. 'J)i::1 .
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Owner or Contractor Signature
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Date
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Springfield Building Permit
8/30/2010 1:51:59PM
Page 3 of 3
Structural Permit Application
DEPARTMENT USE ONLY
i~
~_ Pennitno.:510-/?/
Date: (' 2-1 10
This permit is issued uuder OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
r CITY OF SPRINGFIEllD, O~EGON ~ ''P'-' .,
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225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54 1)726-3689
lOCAL GOVERNMENT APPROVAL
This project has final land-use approva1.
Signature:
This project has DEQ approval.
Signature:
Zoning approval verified: 0 Yes D No
Property is within flood plain: D Yes D No
CATEGORY OF CONSTRUCTION
o Residential I 0 Government La-commercial
JOB SITE INFORMATION AND lOCATION
Job site address: 3d'3 <:. 5'1'\ *, t'J"
City: ~~L() State:lllE..
Subdivision: I Lot no.:
Reference: I Taxlot:
PROPERTY OWNER
Name: CI."f'f 01=" SPt.IN~ M l\I"'\.b
Address: ~ t" .fl'h (r
City: SI'FU>
Date:
Date:
I ZIP: 'i'?C;'J'l
Phone:
State:D1-
Fax: -
I ZIP: ''7 ~~'l
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 70 l.OlD.
Sign here:
CONTRACTOR INSTAllATION
Business name: ~~. .,..~ CA...... r
Address: 301 S. 5'"'
City: 5PF") State: h}L I ZIP: ., '7 II
Phone:
Fax:
E-mail:
~ CCB license no.: {/,17f0 I
\ Print name: f>,IJ 15c-F-> '5
\,Signature: V./,.Yf7'~
, SUB-CONTRACTOR INFORMATION
Name
Electrical
Plum bing
Mechanical
CCB License Number
Phone Number
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FEE SCHEDULE
1. Valuation information
(a) Job description: 'rt.'1' (l.O.,- terc.f'AI fZ.
Occupancy ~
Construction type:
Square feet:
Cost per square foot
Other infonnation:
Type of lIeat:
Energy Path:
Dnew i:J..alteration D addition
(b) Foundation-only penni/? DYes DNo
Total valuation: s? )coD
2. Building rees
(a) Pennit 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]): $ 6'lh
(e) Subtotal offees above (2a through 2d): $
3. Plan review fees
(a) Plan review (65% x penn;t fee [2a]): $
(b) Fire and life safcty (40% x pennit fee [2a]): $
(c) Subtotal offees above (3a and 3b): $
4. Miscellaneous rees 0 S--~ ~ 2-'~
(a) Seismic fee, 1% (.01 x penn it fee [2a]): $
TOTAL fees aud surcharges (2e+3c+4a): $~'l ~