HomeMy WebLinkAboutPermit Building 2010-9-28
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CITY OF SPRINGFIELD
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00291
IVR Number: 811178559950
permitcenter@ci,springfield,or.us
PROJECT STATUS: Issued
ISSUED: 9/28/10
APPLIED: 9/13/10
EXPIRES: 3/27/2011
VALUE: $100,000.00
SITE ADDRESS: 1190 MOHAWK Springfield
ASSESOR'S PARCEL NO: 1703253316400
SCOPE: Paving
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Change of Access to Parking
OWNER:
ADDRESS:
PACIFIC CASCADE FCU INC
1075 OAK ST
EUGENE OR 97401
Phone Number:
Contractor Type
Contractor Name
MCKENZIE COMMERCiAL CONTRACTORS INC
CONTRACTOR INFORMATION ~
Lic Type
CCB
Lie No
45539
Lie Exp
07/21/2011
Phone
541-343-7143
BUILDING INFORMATION I
# of Units:
I
o
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
# of Bedrooms: '
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal J Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Site Information
I
Engineered Fill:
Fill Vol~me:
Flood Hazard Area: . S you to
Land Hazard Am'TENTION: Oregon law rebUlre on Utility
Retaining WaltolloW rules adopted by the I r~~e set lorth
Soils Report ~ion Center. Those ruhe~AR 952-001-
. In OAR 952-001.0g~~~~~~i~S 01 the rules by
0090. You may 0 (Note' the telephone
calling the ~nt~~~gon uiility Notilication
number for t a'18 1 800-332-2344).
Center -
.,.: .,' , 'j::~f~'i.j:t, ~\'~1'.~,li~4'),'~~\:':"
NOTICE' . .... .... "-'C"'" -".' ..
THIS PERMIT SHAll EXPlRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. .k"':'",'
Springfield Building Permit
9f28f2010 9:40:35AM
Page 1 of 3
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00291
IVR Number: 811178559950
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 STA TUS: Issued
ISSUED: 9/28/10
APPLIED: 9/13/10
EXPIRES: 3/27/2011
.VALUE: $100,000.00
SITE ADDRESS: 1190 MOHAWK Springfield
ASSESOR'S PARCEL NO: 1703253316400
SCOPE: Paving
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Change of Access to Parking
DEVELOPMENT INFORMA TION ~
REQUIRED PARKING
Frontyard Setback:
Interior Setback:
Sideyard Setback:
RearyardSetback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure to
north property line:
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descriotion
Tvoe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
t/~S~~;. ,", ..:~:;:::~~~~~i:'4~'0~:~:;;~jEg~~~~~U!~>,<'i~:t~~\0';,ir;-,S;'{!5::~~~,,'1.-~'\.~~~'?"'{;:'.~~\':i...,-i'~;;'-, ~:_ 'i~~q
~uilding Permit Fee
Technologyfee (5% of permit total)
State of Oregon Surcharge (12% of applicab.le fees)
Structural Plan Review Fee Commercial
Total Amount Paid
Amount Paid Date Paid
$708.75 09/28/2010
___~"""""_"'__W'_'''''_'_~
$35.44 09/28/2010
.~---,.
$85.05 09/28/2010
$460.69 09/13/2010
$1,289.93
Receipt #
374418
374418
374418
374301
Description
Springfield Building Permit
9/28/2010 9:40:35AM
Page 2 of3
. . .
SP.....R.IN..GFIE~ 0,
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lH~\ OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00291
IVR Number: 811178559950
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
. Fax: 541-726-3676
perinitcenter@ci.springfield,or,us
PROJECT STATUS: Issued
ISSUED: 9/28/10
APPLIED: 9/13/10
EXPIRES: 3/27/2011
VALUE: $100,000.00
SITE AODRESS: 1190 MOHAWK Springfield
ASSESOR'S PARCEL NO: 1703253316400
SCOPE: Paving
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Change of Access to Parking
Comments
!+~. ~'
L__~_ _ ,. - +;~~~:-.>;)
Deoartment
Permit Issuance
Energy Code Review
Structural Review
Planning Review
Fire Review
Public Works Review
Application Acceptance
Structural Review
lnijjal Review
''"Li ;~2:'0,:j,~:,-~;;~fZ~:.?t~:~::~~r.J:~~_~-~R;~i~Y;;,' ~-::5:~;,~d.;~;~~~'-~~"1 ~?- ~" ,~j~l:J1a~~;: ~)"';.: .::~: ';~~_.~~~5;l-'c:' ,','l
Received Due Date Comolete Result Reviewer
09/28/2010 09/24/2010 09/24/2010 Issued David Bowlsby
09/22/2010 09/21/2010 09/21/2010 Not Required Kip Kaufman
09/24/2010 09/21/2010 09/21/2010 Approved Kip Kaufman
09/21/2010 09/21/2010 09/21/2010 Approved UzMiller
09/24/2010 09/21/2010 09/21/2010 Approved Gilbert Gordon
09/22/2010 09/21/2010 09/21/2010 Approved Clayton McEachern
09/21/2010 09/13/2010 09/13/2010 Application Accepted David Bowlsby
09/21/2010 09/21/2010 09/21/2010 Waiting internal Kip Kaufman
09/21/2010 09/21/2010 09/21/2010 Approved David Bowlsby
INSPECTIONS REQUIRED ,
To be Constructed per appro
Plans Review: relocation of a
Planning and Public Works
Inspections
1996 Final Inspection - Planning
1059 Final Paving
1070 Parking Lot
1999 Final Building
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 Ore90n pertaining to the work described herein, and that NO
OCCUPANCY wiJJ 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 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.
Springfield Building Permit
Owner or Contractor s~:(1' Ky
r/2-o/ro
Date
9/2812010 9:40:35AM
Page 3of3
'\
Structural Permit Application
DEPARTMENT.USEONL y
2Jl-..srR2~W-
Penmt no,: 2-- '11
f~o_ .~ ~ "'--.;: . tI",J:;;,f,t:",,,,,,,~{lt~~"~'l:t::~ijj:~F'~'~
:''t! ,1' '~6I;TY;:~Ii,.Sg~J:Ni?F;U2J3QfJQRE!!L(jl.
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26<; .
225 Fifth Street. Springfield, OR 97477. PH(541)726.3753 . FA ',;
This permit is issued under OAR 918-460-0030. Permits exp;
suspended; ,
, :,\.:'"1;il::O,riA~':9'QYE@M~iIIt~MP;RQye,t1>fci~l1i,,!,s:41ii;~1~~\'i
This project has final land-use approval.
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within fiood plain: 0 Yes 0 No
&1!M~~~~~~~~i~k.tJ;:g,9>f{)::aQJ5M~,9_~~_~RO.c1!l~~!~~~K~~~:[';,~t';f,!
o Residential 0 Government Commercial
~;'?;;$i~~:,~~!~'ijf~9-~j~~S.i,*_~lJN1f9~:M~ ff?i~:~AN.Q';(~QqA;TI.Qi~l~~~fj~t:\fj:~:~.~'f
Job site address:
Name:
Address:
City:
Phone:
ZIP,
City: >$/'~I
Subdivision:
Reference:
ZIP:
ol-iANI:::.
leJ.-.P
State:oR-
Fax:
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
, CONTRACI9RINSTALLATI9N'
Business name: rl C.~6 CDJI1.o1~A.L.-
Address '2s' b S' W 'Z Vir
City: GIJ6!5N6 State: ()I'Z. ZIP:
Phone: 34.3 - 7/1.{ 3 Fax: ::s4.\- 31(3. ,J30
E-mail:
CCB license no: 4 S:>3 .,
Print name: /..oNIV" /lC.ltU
'.,
Date:
.'1':,', not started within 180 days of issuance or if work is
'1.1..
:~-\~~~jn:~rl.i;E_~ ';;s;9H~piJC~[~,;"'(r!:,:-,..)tl~'~':~~'~ :0,'., i:N,
ii~~y~.j~~j~95ti.~-'9fi#~~:t~9ii~~~;,(it~;;i*?;~~~~],i.!fY~9~':~1;.;t~~'}J.(d;t~~{~,~.1~K~~~~~~:
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other infonnation:
Type of Heat:
Energy Path:
D new alteration
(b) Foundation-only permit?
Total valuation:
o addition
DYes
ONo
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(e) Subtotal offees above (2a through 2d):
$
$
$
$
$
:1~;T~J~'r~yj~w1~~~~~~~~~~4jl~k~?r~1~~~~~~m~i~;~~~~$ti
(a) Plan review (65% x permit fee [2a]): $
(b) Fire and life safety (40% x permit fee [2a]): $
(c) Subtotal of fees above (3a and 3b): $
Signature:
If&;,~~~~~:~i~.iP1Q~~~$,U:~~_G~C:?N:~MG~,ORJJNB.Q,RMAiJ;iQ,N~fIi0W~Zl~#&lW!~::
Name CCB License Number Phone Number /
Electrical
Plumbing
Mechankal
(a) Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
...:.........
\
. . .
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00291
1190 MOHAWK BLVD
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenter@ci,springfield.or.us
RECEIPT NO: 2010000413
RECORD NO: 811-SPR2010.00291
DATE: 09/28/2010
. :;,;''''" "'cd 'A'C"C-O--~U-N-tj'C 0'.D.E-~.{_.;." 0%. '''-,tt" :"AM'O'UN'tDUE ,,,",," :.-t.-0' 'j
,~ ~~,,,_....,._......_..."_._1.!:""'_'_'n."""'''''_''''~'_" .. ,- """_"_"'."__~'~__~'~'_~
1 00-00000-425602' $708.75
1 00-00000-425605 $35.44
821-00000-215004 $85.05
TOTAL DUE: $829.24
r;p~YMENT"TYBE::'i--"eAY0~:t4-_:CAsBIER\[i86wLS8Ydc;;;d;[c;QMi\ligr,f:t.s~;:;_-';[-;'--_:, .l~; ';AMOl.JNJ:PAJ1l2'.-.' -~/ - /;a
'l!:'~M ',. ',..," -- ..-'T::.._..'....,.<ioi;:d%~0t,f:.:...:..'-..:" ", "':"/"<:',"/1"""0",',,, "'-,-
DESCRIPTION '-+:.__.'.'.'-:'+ .', :_N.?W'_~, _o.
-,,-,..,_.~..,," .' ,,' ..,.,.,.,,,. '-~."--"" ......... ~~._--,.,
Building Permit Fee
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
Check
266048
PACIFIC CASCADE FCU INC
$829.24
$829.24
...~>,
TRANSACTION RECEIPT
811-SPR2010-00291
1190 MOHAWK BLVD
wWw.ci.springfieJd.or.u$
CfTY OF SPRINGFiELD'
225 Fifth 8t
Springfield, OR 97477
541-726~3753
permitcenter@cLspringfie\d.or.us
RECEIPT NO: 20 I 0000314 RECORD NO: 811-SPR20 I 0-00291
[bESt RIf!:tI()N\4i":#0.1~ .c-',.Bv',;,yi[ ~!r,,;,i"i;T""'f:"-'; ..;;,'i~;'Sg~;;:;':?;A#'-%:Cj~.Ql.[~f::.G~QJ:)J::c
Structural Plan Review Fee Commercial 100-00000-425602
TOTAL DUE:
DATE: 09/13/2010
:;-i'':f- -')l.M9_([tiTDUE '. ::'".-1
$460.69
$460.69
~'<;'K. 'AM()!JNT f!AID.:"
r:::.-PAYIVIE-Nt<fY'PE-0~'~~ 'P AY0tt~ ~'~",C~~HTER;'KkAlJf~;\tJ~~<?:"cbM-MEftfS[':~0')*: :"S;:
r _ __ .1.. it'~~';.';'T;~-.""~-'--'
Check
265934
Pacific Cascade FCU
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$460.69
$460.69