HomeMy WebLinkAboutPermit Miscellaneous 2010-10-11
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00342
IVR Number; 811106092688
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
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permitcenter@ci,springfield.or.us
PROJECT STATUS: Issued
STATUS DATE: 10/11/2010
ISSUED:
APPLIED: 9/20/10
EXPIRES: 4/9/2011
VALUE: $5,051.00
SITE ADDRESS: 1175 G ST, Springfield, OR 97477-4109
ASSESOR'S PARCEL NO: 1703351103800
SCOPE: Paving
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Paving and flatwork
OWNER:
ADDRESS:
1ST BAPTIST CHURCH
842 N 5TH ST
SPRINGFIELD OR 97477
Phone Number:
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
ORDELl CONSTRUCTION llC
Lic Type
CCB
Lic No
177132
lic Exp
07/05/2011
Phone
541.747.8734
BUilDING INFORMATION ~
# of Units:
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 Fl Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy load:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code 'Edition:
Structural $peci.alty Code Edition:
Site Information
~
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notilication
Center is 1-800-332-2344).
NOTICE: .
THIS PERMIT SHAll EXPIRE IF THE WORK.
AUTHORIZED UNDER THIS PERMIT IS NOT.
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. " . :.,..
Springfield Building Permit
10/11/201 11:26:15AM
Page 1 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00342
IVR Number: 811106092688
225 Fifth St
Springtield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci,springfield,or,us
PROJECT STATUS: Issued
STATUS DATE: 10/11/2010
ISSUED:
APPLIED: 9/20/10
EXPIRES: 4/9/2011
VALUE: $5,051.00
SITE ADDRESS: 1175 G ST, Springfield, OR 97477-4109
ASSESOR'S PARCEL NO: 1703351103800
SCOPE: Paving
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Paving and flatwork
DEVELOPMENT INFORMA TION ~
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
REQUIRED PARKING
Overlay Oist:
# StreelTrees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
DownspoutJDrains:
Valuation Description
~
Descriotion
Tvoe of Construction
Unit Amount Unit Tyoe
Unit Cost
Value
1 ;:",^ ' ,. ,F.' . 'b"#''',w- " 'l;~: ;;r:~}~::;~0<%g> ~,~',;.', 3~'i"'~~J~sL';c~~J+~0~,=g~g:$i8r6r~~;i~~+~:;~;~- ,~..,:~,. '!~, ~"~~~:~ :{5'~(1~.~i~\: ,~:'_'~'''';:,~'::~~~';:,? ~1
DescriDtion
Amount Paid
Building Permit Fee
State of Oregon Surcharge (12% of applicable fees)
!:~~~210gy fee (5% of permit total)
Encroachment
Technology fee (5% of permit total)
Structural Plan Review Fee Commercial
Total Amount Paid
$97.00
$11.64
$4.85
$139.50
$6.98
$63.05
$323.02
Date Paid
10/11/2010
10/11/2010
10/11/2010
09/20/2010
09/20/2010
09/20/2010
ReceiDt #
374556
374556
374556
374352
374352
374352
Springfield Building Permit
10/11/201 11 :26:15AM
Page 2 of 3
CITY OF SPRINGFIELD
225 Fifth St
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-SPR2010.00342
IVR Number: 811106092688
permitcenter@ci.springfield,or.us
PROJECT STATUS: Issued
STATUS DATE: 10/11/2010
ISSUED:
APPLIED: 9/20/10
EXPIRES: 4/9/2011
VALUE: $5,051.00
SITE ADDRESS: 1175 G ST, Springfield, OR 97477-4109
ASSES OR'S PARCEL NO: 1703351103800
SCOPE: Paving
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Paving and flatwork
~ . .
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Deoartment Received Due Date Comoleted Result
Application Acceptance 09/20/2010 09/20/2010 09/20/2010 Application Accepted
Comments:
Initial Review 09/20/2010 09/20/2010 09/24/2010 Approved
Comments:
Structural Review 09/24/2010 09/24/2010 10/08/2010 Approved
.. Comments:
Reviewer
David Bowlsby
Kip Kaufman
Structural Review 09/24/2010 09/24/2010 09/24/2010 Waiting internal Kip Kaufman
Comments: Left message for School Contact to verify work on second property is not a part of this permit. WI: Planning and Public
Works.
Planning Review 09/24/2010 09/24/2010 09/28/2010 Approved Liz Miller
Comments: Recei~ed 9/27/2010
Public Works Review 09/28/2010 09/24/2010 10/08/2010
Comments: Consult with Gene Enos before beginning work
contractor has already gotten encroachment permit
Permit Issuance 10/08/2010 10/08/2010 10/11/2010
Comments:
Approved
Clayton McEachern
Issued
David Bowlsby
INSPECTIONS REQUIRED ~
Inspections
1059 Final Paving
1065 Sidewalk
Final Paving: After paving is complete.
1070 Parking Lot
1999 Final Building
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 or 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 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.
loll/flU
Date
Springfield Building Permit
10/11/201 11:26:15AM
Page 3 of 3
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www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00342
1175 G ST
CITY OF SPRINGFIELD
225 Fifth 8t
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2010000532 RECOIlD NO: 81 I-SPR2010-00J42 DATE: 10/11/2010
l[jESCRlljTlbNz,-~'. ; "''-;-.~2"'' .: "-~~-l~;~!i'}~C_C:bUNTlcJjRE!;:~:':j?0:7,~]\II_QUNLi:tu", c -. ':.J
!?'0cJ.i~g Permit Fee' ' 100-00000-425602 $97.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $11.64
Technology fee (5% of permit total) 100-00000-425605 $4.85
TOTAL DUE: $113.49
j>AYMENT-TYPE-r 7PAYOR,,~;CASHIER,OB9WLSBY~\)~~i::.bM..ME:_~fS;;;,;i;;~';,'h:"'; co:"" }:-AMOlJNT'PAID"'c.c 'cc <i
Check
92592
lane county sd 19
$113.49
$113.49
Structural Permit Application
DEPARTMENT USE ONLY'
s.P/l'U>I~.OO 3lfZ
Pennit no.:
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'''<!, ~GL.14Yi(i:)f'; PRINQIi,IELDfORI':<;J0N f~ .:;.,' 1.. "
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726~3689
Date: '7. Z 0 . I (J
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
lOCAL GOVERNNlENTAPPROVAl
This project has fillalland-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
"', CATEGORY JlF,"!::.ONSTRUCTION
D Residential
Government
o Commercial
Name:
Address;
City,
Phone:
o~
Fax:
E-mail:
This installation is being made on residential or farm property owned by
me or a member ormy immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
CONTRACTOR. INSTALLATION
Business name: O'Fll;>e;L.L. ~
Address: :'!It, 0 $
City:
Phone:~ 7-
E-mail:
CCB license no.:
Print name:
32.
SroUe:"
Signature:
SUB-CONTRACTOR INFORMATION
Name
Electrical
Plumbing
Mechanical
CCB License Number
Phone Number
~
'FEE SCHEDULE,
1. Vatuation 'information
(a) Job description:
Occupancy
'Construction type:
Square feet:
Cost per square foot:
Other information:
~T INew
J:; 1..'(
7
Type of Heat:
Energy Path:
D new alteration
(b) Foundation-only permit?
Total valuation:
P2:'Building fees
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspeetian ($ per hour):
(number of hours x fee per hour)
$
$
$
o addition
DYes
DNa
(d) Enter 12% surcharge (,12 x (2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
3;Plan review fees
(a) Plan review (65% x pennit fee [2a]):
(b) Fire and life safety (40% x pennit fee [2a]):
(c) Subtotal of fees above (3a and 3h):
4, Miscellaneous fees"
(a) Seismic fee, 1% (.01 x permit fee [2a]):
$
$
$
$
$
$
TOTAL fees and surcharges (2e+3c+4a): $
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FA~' 5~/-7~~-'37q
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www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00342
1175 G ST
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield,or.us
RECEIPT NO: 2010000359
Technolo~y fee (5% of permit total)
Structural Plan Review Fee Commercial
Check
Springfield Public Schools
$209.53
$209.53