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HomeMy WebLinkAboutPermit Building 2010-9-28 5~~~"::~EL~ .,r~ , ...;,....,~ OREGON 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 .' ' 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, ~ilj_. ",,'~ :. (t.g 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. ,.,.. " 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 "-S":_' . \... ;:-) ;:.'0 ~~-~. , 'i\,k~:';~ ..',l,_i. f_"" '""."..>'. ( ~~~~~;:f.. I! ;\1 !<i:~: . C:')M.1i'ir.,\! .~-. ",';""';'.,:" .: \ ~. . . \ \1 t...: . ~~ - ,. "'r")n;:,~"r' "c- ,t,;~ ' ., t!(o;' "1 $460.69 $460.69