HomeMy WebLinkAboutPermit Building 2010-8-23
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"OREGON
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
CITY OF;SPRINGFIELD
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www.ci.springfield.or.us
Building l,o/9mm~rcia' Permit
PERMIT NO: COM2010-00814
IVR Number:
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/23/10
APPLIED: 6/23/10
EXPIRES: 2/18/2011
VALUE: $10,000.00
SITE ADDRESS: 1130 SHELLEY ST Springfield
ASSESOR'S PARCEL NO: 1703270000902
SCOPE: COM
,', WORK INVOLVED: ALT
TYPE OF STRUCTURE: COM
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PROJECT DESCRIPTION:
OWNER:
ADDRESS:
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Add Vestibulel Airlock afM~in Entrance to Building
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lic Type
lie No
Lie Exp
Phone
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# of Units:
,0
EllJ;[DINGINI:ORMA TfoN I
I'Ce ':: jiy'h ~.
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmilt: N
Energy Path:
t,),
Electric~1 Specialg;:~Q~!! Edition:
Springfield Fire C'ode Edition:
Mec,haj'lis.al Specialty Cod.e Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lot Size:
Sq Ft 1st Floor:
Sq Fl2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy load:
# of Bedrooms:
Sprinkled Building: Y
Fire Alarms:
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining\Wall:
'Uqt ,.,.
Soils Report.Required:
I HIS PERMIT S
~TI-;ORIZED u!:o~~ ~~PIRE IF THE WORK
AN~n~Ng%~ ~E~:6D~BA~d;~~~1~6~ NOT
,'::' .' " uires yOU to
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. :Ujil; .'i,!rc1,i1'!.: i';t~ENi\ON', Ore? d by the oregoO t lorth
:"':""~""''''''':::'' utes adop.e ules are se
! .Cr.: -:,"': ,IoilOW r. ceoter. ihDse r OAR 952-00~-
Id,'- Noti\lCatlO~_001_00~ 0 through 01 the rules by
, \0 OAR 95 a obtaio copies e telephDoe
OO;~\ii:~~:e ~enter. (~~t~\i\~y NotilicatioO
oumber tor theO\~€OO_332-2344).
Ceoter IS
Springfield Building Permit
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Page'1 of 3
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www.cLspringfield.oLus
CITY OF SPRINGFIELD
Building I C<?mmercial Permit
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PERMIT NO: 'SA,l'.gqM:~008f4
nR'~:Num'iler:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541.726-3769
Fax: 541-726-3676
permitcenter@ci.springfieJd.or.us
PROJECT STATUS: Issued
ISSUED: 8/23/10
APPLIED: 6/23/10
EXPIRES: 2/18/2011
VALUE: $10,000.00
SITE ADDRESS: 1130 SHELLEY ST Springfield
ASSESOR'S PARCEL NO: 1703270000902
SCOPE: COM
WORK INVOLVED: ALT
TYPE OF STRUCTURE:' COM
PROJECT DESCRIPTION:
Add Vestibulel Airlock at Main Entrance to Building
DEVELOPMENT INFORMATION ~
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Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
OverlaiQist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
PUstlC IMPROVEMENTS ~
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Sidewalk Type:
Downspout/Drains:
,'Valuation D~-~cription'
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Descriotion
Tvoe of Construction I' '_',..""~
,d:,.' 1',
Unit Amount Unit Tvpe
Unit Cost
Value
~~ '"", 'b).,:
DescriDtion
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
'~T;l::v_J;;r'~, ';-,-:,~: ," ~;iiij,:t~Id<~: ,"?;1zt~;- iL21t:D,~s""FEE'SJ~~r~-; ,.~ ~. "i.r.'^'=:L:;~.~ ~ -'r'<< ',;
Amount Paid Date Paid
$88.40 06/23/2010
$54.40 06/23/2010
::::',; $136,00' 08/23/2010
",;iT;i;~tj~;f:~~:~>;;~~"J;;"~~~~____
Total Amount Paid ,:1N'rf,: /1$30.1;92
j
ReceiDt #
224093
224093
299294
299294
299294
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Springfield Building Permit
8/23/2010 12:51:41PM '
Page 2 of 3
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www.ci.springfield.or.us
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
CITY OF SPRINGFIELD
Building ICommii~~iai, Permit
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PERMIT NO':"COM2010~00814
IVR Number:
permilcenter@ci,springfield.or.\Js
PROJECT STATUS: Issued
ISSUED: 8/23/10
APPLIED: 6/23/10
EXPIRES: 2/18/2011
VALUE: $10,000.00
SITE ADDRESS: 1130 SHELLEY ST Springfield'~,' SCOPE: COM
ASSES OR'S PARCEL NO: 1703270000902 ' \~~\~ ',::;;~<~';;:i:~,\' " WORK INVOLVED: AL T
;:~(i'; <"'ijOYPE OF STRUCTURE: COM
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PROJECT DESCRIPTION: Add Vestibule/ Airlock at Main Entrance to Building
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DeDartment
Fire Department Review
Planning Review
Public Works Review
SUB Review
Structural Review
Application Acceptance
Initial Review
Public Works Review
Energy Code Review
Structural Review
Permit Issuance
Inspection
Planning Review
Fire Review
Received
07/13/2010
06/30/2010
08/02/2010
08/02/2010
07/13/2010
06/23/2010
06/24/2010
08/02/2010
08/0212010
08/02/2010
08/23/2010
08/23/2010
06/30/2010
07/13/2010
Due Date
08/19/2010
08/19/2010
08/19/2010
08/19/2010
08/19/2010
06/19/2010
08/23/2010
08/19/2010
08/19/2010
ComDlete Result
APP
APP
APP
APP
APP
Application. Accep,ted
08/19/2010 Approved ~d ."
"."
08/19/20LQ ~{) > .~p~r,~~eq.~h:~:1 '
08{1,9/2P,10 Approveq
08/19/20.10 Approved
. I..
08/19/20fo Issued
08/23/2010 In process
08/19/2010 Approved
08/19/2010 Approved
Reviewer
Comments
Plans Review: additon of "air
No public works iisues per M:
As submitted- wailing for oth~
Chris Carpenter
Chris Carpenter
Matt Stouder
David Harris
Chris Carpenter
Nancy Machado
Nancy Machado
Liz Miller
Gilbert Gordon
Inspections
1110 Footing
1260 Framing
1829 Special Inspection
1999 Final Building
INSPECTIONS REQUIRED
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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 eac~ ~ddress is readable from the street, that the
permit card is located at the front of the property, and the app.roved set of p'lahs will remain on the site at all times during
cons " " I' ,'.1 '
Springfield Building Permit
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'''6-23
Date
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Page 3 of 3
S ructural Permit Application
DEPARTMENTUSEONLY
Permit no.t:l0 -~tf'
,
Date: 6-2-3-t&
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.
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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
~ti~~~~~~~'{;AtEgQR;y~ljl5€;c'Qr'J$fRk(cmiQN~I~fJ~~(:l'~*ik;
o Residential 0 Government &Commercial
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Job site address: 1..... 5'-r~r
City: cJ: /f. ZIP: .. 7t,
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
Reference:
Name:
Address:
City:
Phone'
E-mail: c .
This installation i 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:
.:',,,
Phone:
E-mail:
CCB license no.:
Print name:
fi ~&,....~"""
Signature:
l~~l~~~~;~I~"?tt:&.~;5tJ.I3.'.._G:~Nl11i:iA_~mQ~.rfN:~.9J:{M.A~lqj~mi~f~~~g)j1{f~f~[
Name CCD License Number Phone Number
Electrical
Plumbing
Mechanical
:r:;;:. ;'2!:\::."'.',';:'N?J!EE 'sCHEDliLE",'''''
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:/i~::~M.~_i_lf~{~~~Wiij"tor,iIl.~ti9:n~~{~&~H~'i~~1~1Wj\'.tiH-~i'*f;;:~'ih~~~fli;'Hi!,~-~L?>~~~~-:;!f.~
(a) Job description:
Occupancy
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,
Construction type:
Square feet:
Cost per square foot:
Otherinfonnation:
Type of Heat:
Energy Path:
D new ~]teration
(b) Foundation-only permit?
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 of fees above (2a through 2d): $
~~:J.mr~~~w1t~~~~~r&~1~~~~~~lN~~lt~~;~I~
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal of rees above (3a and 3b):
$
$
$
(a) Seismic fee, 1 % (.01 x permit fee [Za]): $
TOTAL fees and surcharges (2e+3c+4a): ,$
.
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 8t
Springfield,OR 97477
541.726-3753
WWN.cLspringfield.or.us
perm itcenter@ci,springfield.or.us
RECEIPT NO: 2010000114
RECORD NO: COM2010-00814'
DATE: 08/23/2010
IbESCR1Pt19Nr;,:~ ,'._ tc, ~ ,;;,/;/7;",
Plan Review Comm/lnd/Public
Plan Review'Fire & Life Safety
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
'f..:r;
,
'~';t,l1:'f,.,. -".(, ""ACCOUNT cODE~i: :',:,\,',:':;:."AMOIJNT DUE
. - ._- ... .....' ~>---,~_._- - - ...,.- .~._.
. . . . '. $88.40
$54.40
$136.00
$6.80
$16.32
$301,92
,- '-. .(J'i:~?l.. :.AN!()_@J![A!tl~""::'::__(_ __J
$159.12
" -j
224-00000-425602
100-00000-425605
821-00000-215004
TOTAL DUE:
~~PAYMENTT{PE' ',d
Credit Card
413204
P~ VOR:: '.b,cAsHIER:'NMACHAoO';"'-.c.QMME:IIIIS, ",: ~"
ORDELL CONSTRUCTION
COMPANY
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ructural Permit Application
DEPARTMENT USE ONLY
Permit no~dO-8l-t'
Date: 6 - 2--:3 - t&
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
~ \.;~ :' :~,}'.~,~9~Atl::.?3Q:v~~Nf~t~ijf~:'~e}i~QYA~~~~~i{ftitj;~1~~~
This project has final land-use approvaL
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verified: DYes 0 No
Property is within flood plain: 0 Yes 0 No
;B!f~jit~t;~l';~~9AT.~_g~OR~Y;JJIf.B,C~OJ'~~.T8_Pj:::fr;tQN1t~{~'~i;iMu~m~~-0w._::
o Residential 0 Government & Commercial
:*~'lr;t:iHr::-,-,,)f{Q9B.hIs_Ii.~1 Jf-tff9r{MA.ti9~*AN-Ql~'a.9:G:l(TJ9t~NJ;t~~~~~;~?;~~'~
Job site address: 1.....
City: J..
Subdivision:
Reference:
. p,ROPERTvOWNEFf
Name:
c..t..r.
Address :
City:
Phone'
E-mail:
This installation i being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
Address:
City: 5.
Phone:
E-mail:
CCB license no.:
Print name:
'/;
~ L- ~ dt6"'"
Signature:
1~5~~~~~;~~p:r~;~~z,sQ_Ei~G.Ot{]M~:ttj_~.~I.~F;b.R~'A~H~l~~~~~1&Ii}~~?
Name CCII License Number Phone Number
Electrical
Plumbing
Mechanical
,rJ -;)'-n~:-'rr>" " !~.
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
D new ~lteration
(b) Foundation-only permit?
Total valuation:
D addition
DYes
DNo
~'~}:~~,utl4i[{g:_t~'~~~~NHj{;g~~lt:~i~i~:4?~~~t\~i';}f:i;/~
(a) Pennit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
$
$
$
$
$
(a) Plan review (65% x permit fee [2a]): $
(b) Fire aod life safety (40% x permit fee [2a]): $
(c) Subtotal of fees above (3a and 3b): $
2;~}J_;M~'~~~'~lf~:rr~o~~slt~~~lt*~r~~~1~.~~nt~~~~~.v~~.f~J!.:::"~,7~~.;~':,j~~~::~it::~:
t.;;;,,',.
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(a) Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000329
Date: 06/23/2010
3:00:18PM
Paid By
ORDELL CONSTRUCTION
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
88.40
54.40
$142.80
Job/Journal Number
COM2010-00814
COM2010-00814
Description
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Payments:
Type of Payment
CredilCard
Amount Paid
KicK
KLK
613275 In Person
Payment Total:
$142.80
$142.80
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Page I of I
6/23/20 I 0