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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 SP~I.NG_ FIE__~_~ -. - ~-.?d_' . ",..,". '-, ':,c:;,.ft i/fJH ,'K,~,,~, ' , ~00~'OREGON 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 ~ . . """-".""'"'-. .~..., .. "M... "',_ , ,.;; 'JO,~' ~.;'7:::7~: ':"ir+~,;:r~:":'~:S+:~~~\i:<> ': :;;. :_~'p-i~ji~i~"';i:i~~i\~;;t(:~,~;~~, ''',: f"-;''&fl~~?:SJ':~';1h~r / - ',~",,;, .' .~.:c '" /J 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 S[;Il.Il.lG ._F IE.~.D. . ~'1\" ..~. ....~ . :w .. :C:+.: OREGON 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.: "-= -""'<<<:a" ~ v-"{~ ~=' -"--", ' - 'l"i4k , 4,"').' , S" '. , ~ . "'" s, '''<!, ~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): $ '&l"'A~'{ Co~T"'':'T Sf'RJIJG.l"lE:U> SCt-'eOL DI S1'R.\c. T '52. S M I L.l.. S'TI<.EliT SfR-ll-lGoFIB.P, DR." q,477 "fHot-J€:: 541-7LJ4-t'.,;,37G' FA~' 5~/-7~~-'37q E'MAIL. I el1~y/w@..Sp~. /0118. eJu (ED NAYU>fi:.) SrR~NG. ~.I.E~i . Ii!!... '-~ ' . . OREGON 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