HomeMy WebLinkAboutPermit Building 2010-6-10
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225 Fifth Street' Springfield, OR 97477 'PH(541)726-3753' FAX(541)726-3689
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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,
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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
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o Residential 0 Government .l2tCommercial
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Job site address: . ( DO . 8. ~
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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()~:.
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CCB License Number Phone Number
Electrical
Plumbing
Mechanical
~
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(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
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(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): $
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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
Building I Commercial Permit
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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
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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~, .. ,
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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
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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
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SPr.in,gfield' -,' SCOPE: KIT
"";'.:'1. ,.(."., WORK INVOLVED: ALT
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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 ~"','":.. ~
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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:
,
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Valuation Description ~
Description
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
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Springfield Building Permit
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8/19/2010 11:06:12AM
Page 2 of4
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~"'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
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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
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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
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WE
WE
WE
ACC
OK
APP
APP
Issued
Approved,., '
Approved
AppliS;ati90 Accepted
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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
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www.ci.springfield.or.us
CITY OF::,S~.,RINGFIELD
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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
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PROJECT DESCRIPTION:
Kitchen remodel
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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 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.
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ner or Contractor Signature
Date
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8/19/2010' 11:06:12AM;'
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Page 4 of4
S.~~INGF.I.EL~. ."
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-<< - 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
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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)
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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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
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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