HomeMy WebLinkAboutPermit Building 2010-10-26 (2)
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CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00576
IVR Number: 811157493702
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
10/26/2010
10/25/2010
Issued
10/26/2010
225 Fifth Sf
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or,us
EXPIRES:
VALUE:
04/24/2011
$4,987.00
SITE ADDRESS: 3255 GATEWAY ST, APT# 1, Springfield, OR 97477-1037
ASSESOR'S PARCEL NO: 1703222002200
SCOPE:
WORK INVOLVED:
. TYPE OF STRUCTURE:
Apartment Building
Repair
Commercial
PROJECT DESCRIPTION:
Replace slair #51-52
Phone Number:
OWNER:
ADDRESS: .
G VILLAGE LLC
16771 NE 80TH ST STE 208
REDMOND WA 98052
Contractor Type
General Contractor
Contractor Name
LARRY DEAN BROWN
CONTRACTOR INFORMATION I
Lic Type
CCB
BUILDING INFORMATION I
# of Un';!s:
o
# of Stories:
Height of Structure:
Type of Heat:
Waler Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edilion:
Mechanical Specialty Code Editi,on:
Municipal' Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specia~ty Code Edition:
Lie No
167860
Lic Exp
01/03/2012
Phone
503-364-8441
lot Size:
Sq FI1s1 Floor:
Sq F12nd Floor:
Sq FI Basemenl:
Sq FI Garage:
Sq FI Carport:
Sq FIOlher: 0
Occupancy load:
Site Information
I
Enginee"red Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
RetaininglWaJENTION: Oregon law requires you to
Soils ReflllJ:t:Requi'ted: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 Notification
Center is 1-800-332-2344).
~ " ~ ,,:'-?i:;~?:""':;" .,
NOTICE: IRE lF1HE WORK .~
THIS PERMIT SHA.LL ~~S PERMIT IS NOTi"
IliUTHORIZED UNDER BANDONED fOR :,:;"
COMMENCED OR IS A, ,'\' ,
ANY 180 DAY PERIOD. .. .
Springfield Building Permit
10/26/201 2:26:42PM
Page 1 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-SPR2010-00576
IVR Number: 811157493702
permitcenter@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
10/26/2010
ISSUED:
APPLIED:
10/26/2010
1'0/25/2010
EXPIRES:
VALUE:
04/24/2011
$4,987.00
SITE ADDRESS: 3255 GATEWAY ST, APT# 1, Springfield, OR 97477-1037
ASSESOR'S PARCEL NO: 1703222002200
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Apartment Building
Repair
Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Replace stair #51-52
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Type of Construction
Unit Amount Unit Tvee
Unit Cost
Value
1
FEES PAID
~
Descriotion
Building Permit Fee
Structural Plan Review Fee Commercial
Stateo~ Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$87.25
$56.71
$10.47
$4.36
$158.79
Date Paid
10/26/2010
10/26/2010
10/26/2010
10/26/2010
ReceiDt #
374709
374709
374709
374709
Springfield Building Permit
10/26/201 2:26:42PM
Page 2 of 3
~ '
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00576
IVR Number: 811157493702
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
10/26/2010
10/25/2010
10/26/2010
SITE ADDRESS: 3255 GATEWAY ST, APT# 1, Springfield, OR 97477-1037
ASSESOR'S PARCEL NO: 1703222002200
225 Fifth 5t
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pennitcenter@ci.springfield.or.us
EXPIRES:
VALUE:
04/24/2011
$4,987.00
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Apartment Building
Repair
Commercial
PROJECT DESCRIPTION:
Replace stair #51-52
Plan Review
~
Deoartment
Application Acceptance
Received Due Date
10/25/2010 10/25/2010
Comoleted
10/25/2010
~
Application Accepted
Permillssuance
10/25/2010 10/25/2010
10/26/2010
Issued
,2:'[ "".'
i::I~~viet;2:~l~': ~~01\~~~'..;fi?~~l;:3~?:r2.0:} ?~~~re:~~;:~~~!j:~~,~J~~{::O?btt~~':~ <~:
INSPECTIONS REQUIRED I
Inspections
1260 Framing
Reviewer
David Bowlsby
David Bowlsby
.7\;t'f,;*.f~~:"/
'Jc(j;.
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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.
1999 Final Building
L 72.iJ
\ol:;}(p\10
Owner or Contractor Signature
Date
Springfield Building Permit
10/26/201 2:26:42PM
Page 3 013
Str~1 Permit Application
:,. .... . . . ..... . '.' "", :1- . - . ."
: l,;:'~<:';';" pIT OF.sPR,ING~!qLD;.OREG~J>l'":';;! r".:';';"" ,,:,',: ~>
[~~~~t~
DEPARTMENT USE OrilL Y
5j?;t.Zo, 0.00 S7b
Pennit no.:
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
Date:/O .ZO ~/O
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,
1;00CA~,'~QYE_~NNI,I;NT:AP',~~qV.Ar.j/:;~}: i_,:';;;;~;: .;!:C;<.;.,--'c
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 flood plain: 0 Yes 0 No
~i\:!i'kl,.,')~:t,~tCATEi:;9.riyi'(:)Fj:!::()N~;-RiJcfIQN:;-j;;i:.!, ,',: i ",
o Residential 0 Government Commercial
",':;jqSSITE: fNFOR.MATI9N"ANQ,LOCATI9tili,9,i':'"
3';;:55
City: S. /'1 /) I (J/i
Subdivision:
Reference: ')01 Z"Z'ZO O'Z-Z-O b
", PROPERTY OW!'lER
Name: Cia
Address:
C' I
lty: 1'1
Phone: r.<{f- 7
E-mail: 't
This installation is b .. 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:
',CONTRAqOR INSTALLATI.oN:
L O('()G\
'3
Business name: L
Address: "P 0
City: SI;J\
Phone:S{)"" ~
E-mail:
CCB license no.:
Print name: L Ct ~ R"'
Signature:
:~;;!.."?n;'.."';:'$.l:JB'c:0Nl;RAc::rOR',INFbRMATIQN'''2;;T';;W::N;iJ;':
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
".,'-,
FEE sCHEDuLE '
i.V,lIJ~tio!ljriIorm~iio:n. ,'/"'"
(a) Job description: ~.
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other infonnation:
Type of Heat:
Energy Path:
ew 0 alteration
(b) Foundation-only permit?
Total valuation:
o addition
DYes ...E:ti'lo
~i..,B,hjldi)'ig'te'~s;',' .'".".:i:;"':;:::/,,,
(a) Permit fee (use valuation tabie):
(b) Investigative fee (equal to [2a]):
(e) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter ]2% surcharge (.12 x [2a+2b+2e]):
(e) Subtotal offees above (2a through 2d):
$
$
$
$
$
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal offees above (3a and 3b): '
(M,is~eiiai1~~iist~~Y;r't\:. .+"..
(a) Seismic fee, ] % (.01 x pennit fee [2a]):
$
$
$
$
TOTAL rees and surcharges (2e+3c+4a): 5
... I
S~~~~...G._.._F~L~
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.' l OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00576
3255 GATEWAY ST APT 1
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
pennitce nter@ci.springfield.or.us
RECEIPT NO: 2010000672
RECORD NO: 811-SPR2010-00576
DATE: 10/26/2010
IDESC;RIP:f10N~1'~%_
Building Permit Fee
Structural Plan Review Fee Commercial
State of Ore~on Surcharge (1~.% of applicable fees)
!"chnology fee (5% of permit total)
"~-:--~ '''7:= ,:'~ ~ifA7;,tk~;;~'i0?,~::-:;;~'"'~~~" ~-~,(, '.:i.
r"MJ~.0~lJrff:,cJ).Qr:' "', t..,', =7~AM6(jNf~Dl.lE' i".; F':""-'j
224-00000-425602 $67.25
224-00000-425602 $56.71
821-00000-215004 $10.47
----
100-00000-425605 $4.36
TOTAL DUE: $158.79
::7c?iAC.QMMEr'!;tS~7;::""\'1.,,, :.. ; ;A.M()lJ~IcPAj!L.;,::::'.'.' sd
I ':iPA.YNlENiJ":!YPE: '=p'AY6Ir~;::.lCASHIER'SSEBAN
Cash
G VILLAGE LLC
$158.79
$158.79
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