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HomeMy WebLinkAboutPermit Building 2010-6-10 , ..... t I" . . 225 Fifth Street' Springfield, OR 97477 'PH(541)726-3753' FAX(541)726-3689 ,9.:P1'lINGFI.~~:- .' t~.... a~'-" "c- _'. CfW.. 'n,. ""'Z DEPARTMENT.USEorill.:Y CO<AA Z-O/O -007 SL( Pennit no.: Date: . {.., -( D -I b 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, .,,: ,'0 ,.'.\;,:::~9.CA[9QVJ{8N.MgN]~iAP'g~9YiiIl1\\t~~:;;i,t1i!$~Bg This project has finalland~use approval. Signature: Date: This project has DEQ approval.. Signature: ...... Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~1:a~~~lg'A[,g9',Qij:~~,9~!.~qJ~'~j:RP',Gil(~I~t~:~~~~~~iR~~4:?~~ o Residential 0 Government .l2tCommercial f8::~.li!.(!!\t:iigBIsITE1...iN~0RMA-TlqN~%~.R~'[OPA-i:i'Q:r;jI}1\l@;s'1;;\-::j Job site address: . ( DO . 8. ~ CI.. '-'-"< cIiO.JLA City: l.cs Phone: 5'(( E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010, Sign here: . CONTRACI()Rii~Sl'AI:.LATI()~:. J/' /-",..,.. .-C0NiliM(;J:QRllr;j~(')B!'iA~(QN~;.wj.~11~J,,'Ziif CCB License Number Phone Number Electrical Plumbing Mechanical ~ "~?::-,,;,~\. ~.-~2;\~C~~:.:;:\:;~t;~~;::;j.fr~.$:7:'Sf:H~.!~ij"~'gl:~:"':j,:r;:;:;:~;~"i'~;:~:;:>;.?: ~~r:.,:;i,;\; :~;'~~~ly~~.ii~1!~Wr~"f~rma~m~~~:~~;~Y[t~~17&~l~i}:H:W~:ii:~,;,~~t~~~~l~;{~~ftl:'T;'r\;;.~:i~~i~:~~;;,~:~.~ (a) Job description: Occupancy Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: D new Balteration (b) Foundation-only permit? Total valuation: o addition DYes ONn $ 6 ~7~I'~~~!I~'~ngite'~sl~~B~~j;~~~!~1~~~f;iX1Yi~~~\~;:i;j)/;,.~';t~:!j,i,:?~:~:i~i:;.?;. ~l-;:':~ (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspect;on ($ 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) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ ';;;' .i:',; . :,.:'t~ ~~ : -- 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD Building I Commercial Permit ,..:;,~~~~.:..:::1::-'.:'_~-:' . "" . PERMIT NO:Q.Q!VI?01,O-00754 'i'iVR Number: www.ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/19/10 APPLIED: 6/10/10 pe rmitce nter@ci, springfield. or. us EXPIRES: 2/14/2011 VALUE: $60,000.00 SITE ADDRESS: 600 HAYDEN BRIDGE WAY ASSESOR'S PARCEL NO: 1703233412600 Springfield SCOPE: KIT WORK INVOLVED: AL T TYPE OF STRUCTURE: COM \ PROJECT DESCRIPTION: OWNER: ADDRESS: Kitchen remodel , Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lie Exp Lie No Phone BUILDING INFORMATION I Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing SpecialtY Code Edition: Residential Specialty Code Edition: S'tructu~~1 Specialty Code Edition: Site Information ,.,,' ~ # of Units: Construction Type Occupancy Type Occupancy Comments # of Sto'ries:. ,. " Heighl:\>f;StiUl:.t~te~r. "':~;:::;', f":~,!ivt',; Type,,_~t}~~eat:jHlrtr: " Wate,,;rype: Range Type: Hazmat: N VB # of Bedrooms: Sprinkled Building: N Fire Alarms: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Ar~a: Retaining Wall: .1'~'. ' Soils Report Required: . 0 n law !Jg.J!I(re~:v. o,u t.o :. . ATTENTION. rego ~::(},Ie "~R Utility, " follow rules adopted by th'II*i'a~e s'et fqrth Notification Center. Those ruli....O)AR952;d01- R 952-001-0010 throug . In OA btain copies of the rules by 0090.. You may 0 (Note: the telephone calling the cen~r, gon Utility Notification numberci~~;~reiS ;~800-332'2344). Springfield Building Permit 8/19/2010 11:06:12AM ','" , '[l. . )~ ,.' ,'1,1\, ,:j~KI : -:~:\'/~j<.{:b,~~~~)j.;i,~ .,'-' . - NOTICE: EXPIRE IFlHEWORK :~, THIS PERMIT SH~~~ THIS PERMIT IS NOT / AUTHORIZED UNO ~BANDONED fOR <'}'" COMMENCED OR IS ,,' ANY 180 DAY PERIOD. Page 1 'of 4 SP.!RING. FI,EL~, .. , .~~ ~, ',~ ""tt~. OREGON ~: 1""" 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.U5 CITY Oi7:SPRINGFIELD ".c",,",.., _.' '.' Building'iCommercial Permit PERMIT NO: COM2010-00754 IVR Number: permitcenter@ci.springfield.or.us PROJECT STATUS: Issued SITE ADDRESS: 600 HAYDEN BRIDGE WAY ASSESOR'S PARCEL NO: 1703233412600 ISSUED: 8/19/10 APPLIED: 6/10/10 ',. I ',. ~.~ ~:~~,~,~ "',~~.tt-(~V' I '\ SPr.in,gfield' -,' SCOPE: KIT "";'.:'1. ,.(."., WORK INVOLVED: ALT ~'i" t TYPE OF STRUCTURE: COM EXPIRES: 2/14/2011 VALUE: $60,000.00 PROJECT DESCRIPTION: Kitchen remodel DEVELOPMENT INFORMATION ~. REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot'Coverage:' -;''':. Highest point on struc,tu, r.e tq ~"','":.. ~ '- '.... t' !,", f-'- north prop~.rt.Y:J!~t:::: t',' ..~,~'~, ./. t Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: , :dH",,-,r;,iJi'.J ,~~:J~I'~~~; M";'" Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value ,i)':, ~,I " : ~,,!,,[{;,ili ,:.; l . . ~'f ~ 'f" . .~ ,\ "f.., I'::" ..' Springfield Building Permit o;:,~~:~. t:i., .:! .--.".' , 'I 'rJ,'.Jr.1: :.~.".',':.:'ii , ~~.~~~\ ,~~~,:'~"Ait , "~'r .",' ",;-;i 8/19/2010 11:06:12AM Page 2 of4 ...~ :~lv' . .,> . "h ... ;~-J 5p,~IHG.F IE~D .; ~'~J ,i!J;1 ~"'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726.3769 Fax: 541-726-3676 Building I Commercial Permit PERMIT NO: COM2010-00754 iVR Number: permitcenler@ci.springfield,or.us PROJECT STATUS: Issued , ISS,u!,:p::S/19/10 r APPLIED: 6/10/10 EXPIRES: 2/14/2011 VALUE:'$60,000,OO SITE ADDRESS: 600 HAYDEN BRIDGE WAY ASSESOR'S PARCEL NO: 1703233412600 Springfield SCOPE: KIT WORK INVOLVED: AL T TYPE OF STRUCTURE: COM PROJECT DESCRIPTION: Kitchen remodel [~'C .~";,'-:~" ~-, m~::~::~^"=';~ ~-~: --:::::t:~,::- -;;-:-:~ -~.".-:> ,.li[~-~~~~ALP~'-t;~'~. ~i- - . -".~.~:!+1'~~. ;~:T~~.,:F)~::;',.c r~,:: 7." . ;;-~;:' ~': Descriotion .',:.~m'!~,~t,.~aid Date Paid Receiot# "'+ 1 0% Administrative Fee'" .' '.' $12.00 08/05/2010 186705 FLS Safety Systems Review . ,.. . $120.00 08/05/2010 186705 Plan Review Commllnd/Public $334.07 06/10/2010 224090 Perm Serv/Fdr 200 amps or less $81.00 07/07/2010 219450 Add, Alter. Extend Circ $55.00 07/07/2010 219450 Add, Alter, Extend Circ Ea Add $54.00 07/07/2010 219450 + 12% State Surcharge $22.80 07/07/2010 219450 :, 5% Technology Fee $9.50 07/07/2010 ___ 21945~_ Building Permit $513.95 08/19/2010 299264 Plan Review Fire & Lile Safet~ $205.58 ___~~2010 ..~_----.299264 _ Fixture $76.00 08/19/2010 299264 . . ".~--~- SDC: Reimbursement Cost ~ Local Wastewater $641.90 . 08/19/2010 299264 SDC: Improvement Cost ~ Local Wastewater :[;, . .,' $313.30 08/19/2010 299264 SDC: Total Sewer Administration Fee : :;~;':::' $47.76 08/19/2010 299264 Technology lee (5% of permit total) $29.50 08/19/2010 299264 State olOre90n Surcharge (12% of applicable fees) $70.79 08/19/2010 299264 Total Amount Paid $2,587.15 rLJ_-"~~:l'''_;>.. ::~ ,'''',~- Reviewer Comments UL300 wet system plans by ( Beam replacement and footir Plans Review: church kitcher Interior remodel only. Needs Received letter from the arch Reviewed beam calc. and fO( Left phone message for archi Received mechanical specific Completed 1st Plan Review additional plan for ctarificatior additional plan for clarificatior Plans Review: Commercial K Plans Review: Installation of. Deoartment Accept Plans For Review Accept Plans For Review Fire Department Review Planning Review Structural Review Structural Review Structural Review Structural Review Structural Review Accept Plans For Review Accept Plans For Review Fire Department Review. Fire Department Review Permit Issuance Initial Review Structural Review Application Acceptance m,""'?~ Received 07/19/2010 07/16/2010 06/18/2010 06/15/2010 08/03/2010 07/20/2010 07/14/2010 07/13/2010 06/22/2010 07/12/2010 06/11/2010 07/29/2010 07/20/2010 08/19/2010 08/09/2010 08/09/2010 06/10/2010 -~"~',.!'~' ,+,-it;;;<"~~ Plari'Revf~~.; Due Date Comolete Result ACC ACC , ~,~~: \i~~i\~>' , ':.' .:,,(:: WI:'~1;: WE'~ WE WE WE ACC OK APP APP Issued Approved,., ' Approved AppliS;ati90 Accepted "r; ':!,',\l'~~' ':~'_=P~ - :~~~ ',"'"", ""/.,"',,' u'''' llC~ ' 08/09/2010 06/10/2010 08/06/2010 08/09/2010 08/09/2010 08/09/2010 08/09/201'0 David Bowlsby Lisa Hopper Kip Kaufman David Bowlsby See workflow history for plan See workflow history for plan ~. . Inspections 4220 Electrical - Service Springfield Building Permit INSp"E<:":IONS REQUIRED ~ 8/19/2010 11:06:12AM Page 3 of 4 .. ...,""';. www.ci.springfield.or.us CITY OF::,S~.,RINGFIELD '::". i,.)'J'l." Building I Comml:!rcial Permit PERMIT NO: COM2010-00754 IVR Number: 225 Fifth Sl Springfield,OR 97477 Phone: 541.726.3753 Inspeclion Phone: 541.726.3769 Fax: 541-726.3676 permitce nter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/19/10 APPLIED: 6/10/10 EXPIRES: 2/14/2011 VALUE: $60,000.00 SITE ADDRESS: 600 HAYDEN BRIDGE WAY ASSESOR'S PARCEL NO: 1703233412600 Springfield SCOPE: KIT . WORK INVOLVED: AL T TYPE OF STRUCTURE: COM ,_"f :'l"," , PROJECT DESCRIPTION: Kitchen remodel .":'; i?":: ~:. l . " 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. ~.::.:~~ ;"')\1'< .;tV' '1 ,J. :., ?-~ "':~i:r,.?t.; ;",~' , r \'./0'( '..,....y',~','~. .. ... - ""'.~' o. F""l ---fCf -(0 ner or Contractor Signature Date " ~ "F :~ c: ~ '. i'. , .. ~ "'~I " ,0 ". . i'~~;',':~\'.'''~.'i. ,; ~'"'. (, . ;~.! I.~; f"' Springfield Building Permit , 8/19/2010' 11:06:12AM;' .,. ';)' Page 4 of4 S.~~INGF.I.EL~. ." . -. .efJ, -<< - OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us pennitcenter@ci.springfield.or.us RECEIPT NO: 20 I 0000086 RECORD NO: COM20 I 0-00754 DATE: 08/19/2010 n~ESCRjpTIQN":.,,~,: ;~,ih~f~~}~iHr> <<':;,J1:,~~":ii~fli~-g~~};'"0;;$1t~AC:C.O,UNT:~c"oDE~~t1p~lj;;fAMOlfN:(QUE~"':~:.~l~~J *"*+ 10% Administrative Fee*"* $12.00 _._~~---~,~,---- $120.00 ~---_._------ $334.07 $81.00 $55.00 $54.00 $22.80 $9.50 ___~~.w,,"_________ 224-00000-425602 $513.95 224-00000-425602 $205.58 --- 224-00000-425603 $76.00 442-00000-448024 $641.90 - '~'---'--'-'----"'-'-'-" 443-00000-448025 $313.30 -------_._._"_._--_._~..__.._._----- 719-00000-426604 $47.76 --~_.._._~_._----- 100-00000-425605 $29.50 ---_..~---_.__._- 821-00000-215004 $70.79 _.~~._._--_._., TOTAL DUE: $2,587.15 !lit..iR.~Yl\'!.~N;ji"'j;Y.RE';-"~FiAY:6Rlci';cAsHiE~'.D~()Vvt~~:ii~>?~<::P~ri1l'irE!,.tl:S?';'f!~:'~" ~~! ~'it.0)L:',,'AMJ~@t"e~lQ" · ,,". ~-- 9 Credit Card james eschenbacher ,. , $1,898.78 FLS Safety Systems Review Plan Review Comm/lnd/Public Perm Serv/Fdr 200 amps ~r Jess Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Permit Plan Review Fire & Life Safet~ Fixture SDC: Reimbursement Cost - Local Wastewater SDC: Ir~provement Cost ~ .Local Wastewater sac: Total Sewer Administration Fee Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) 00504z "','.:O~,~ ~. , ~.. .' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone <\~R.:Q~..ELD.'M..M.-.'m......."~... ~... i. om "'___~~_'*_' ',. Mft' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000293 Date: 06/10/2010 2:42:28PM Job/Journal Number COM20 I 0-00754 Payments: Type of Payment CreditCard cRcccintl Description Plan Review Comm/Ind/Public Paid By JIM ESCENBACHER Receiyed By Check Number Batch Number djb !'<,' '\;,'t.i'n ",l \; :; ',.. . .-" :.d'i\ o{, , il. Page I of I Item Total: Authorization Number How Received Amount Due 334.07 $334.07 Amount Paid 04516c In Person Payment Total: $334.07 $334.07 6/10/20 I 0