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Home My WebLink AboutPermit Miscellaneous 2010-9-13 ; ~ . . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit . ~ ~ PERMIT NO: 8~ 1-SPR201 0-00285 IVR Number: 811120212911 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726-3676 permitcenler@ci,springfield,or.us PROJECT STATUS: Issued ISSUED: 9[13[10 APPLIED: 9[13[10 EXPIRES: 3[11[2011 VALUE: $2,000.00 SITE ADDRESS: 1650 CENTENNIAL Springfield ASSESOR'S PARCEL NO: 1703253403900 SCOPE: Miscellaneous WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Site inspection OWNER: ADDRESS: MERCURY DIME, llC PO BOX 26125 EUGENE OR 97402 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lic No lie Exp Phone BUIlDING INFORMA TION I t';c~nlni_,(:~ # of Units: o # of Stories: .:.. ..,... I HeighJ ?fjSt~Cl~f'J!,:,I" Typ~ .<?M1eat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carp~rt: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical Specialty, Code Edition: Springfield Fire Code Edition: Mechanical SpecialtY Code Edition: Municipal"l Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: ,~ .. RetainingWaUo 0 ' ",~~'.~"' ~'I~n'"t\~ Soils Report ~f.~;rION: Oregon law reqwres1eM.t.o .' . 'fo~ow rules adopted by the Oregol1~liJtfhtYI: !\((, . Notification Center, Those rules are ~~if,9rth . in OAR 952-001-001 0 through OAR 9~~-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notificat,i99 . Center is 1,800,;3;32-2;311),. , .,;~::~,::,..i[1~':;:r' '. NOTICE: IRE If lHE WORK THIS PERMIT SHP-~~V:'S PERMIi IS NOT AUTHORIZEDOUONRO\S P-BANOONED FOR ," COMMENCE . . ANY 180 DAY PERIOD. - Springfield Building Permit 9/13/2010 1\34:28PM':~' " \ ", Page 1 of 3 ";'-.,"\ t. ;:'/;i 'i :': ;'ll"'IJ;\~'if: 1 ,1 r,l!~j ;"" '\ r' (' .j. .':-1 . t :'/1" '.r-, '.""", ~, ~" - (: . 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541.726-3769 Fax: 541-726-3676 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00285 IVR Number: 811120212911 perm itcenler@ci.springfield.or.us ',...-'." ,:Ilc',_.. PROJECT STATUS: Issued ISSUEO;'9113110 l ,\",; APPLiE'O: 9/13110 EXPIRES: 3/11/2011 VALUE: $2,000.00 SITE ADDRESS: 1650 CENTENNIAL Springfield ASSESOR'S PARCEL NO: 1703253403900 SCOPE: Miscellaneous WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Site inspection DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Tree~ Reqd:, ' Pave.d Qrive Reqd':' .;:~ %"oflofCoverage:' ,;. Highest point o~n.siructure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: -::~~r. '; .:~ t1.~.":" Downspout/Drains: '~tj:L'~: ,} :\/'l'(} I" ~f;S _ ,I UED' j! i ~/1i ':f"'t.. Valuation Description ~ Description Tvee of Construction Unit Amount Unit Tvee Unit Cost Value r "q ~-~ .~ -- ,.~ .;''''4.<'::-"-; ;6\".'1.., ,. '. r':~";~}:':'t~+j:;;\'::'~-,1:~~t:~1~RE'EE_SY~ilF' ~-,m0~;~~:r0',j/ ,."*:;~~"0:r'0'f.~:. ,'Amount Paid Date Paid Receipt # $58.00 09/13/2010 374292 $2.90 09/13/2010 374292 $6.96 09/13/2010 374292 $67.86 1 Descriotion Building Permit Fee :r:echnol09Y fee (5% of permit total) State of Ore90n Surcharge (12% of applicable fees) Total Amount Paid ~..: ~' 'c' '..' .:..~ '~r ...'. '. t~?J:::~: 'j V l ij l,:,,;';dj~: .:;,( .~'11; ~,,:1"""'~"' Springfield Building Permit 9/13/2010 1 :34:Z8PM Page2of3 ...... SP:~lNG~EL~ ~,.- .-'. & <,\ OREGON www.cLspringfield.or.us PROJECT STATUS: Issued 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD Building I CommerciaLPermit , PERMIT NO: 811-SPR2010-00285 IVR Number: 811120212911 <.t,).,.....,,'.. ." . ',." ISSUED': 9/13/10 APPLIED: 9/13/10 EXPIRES: 3/11/2011 VALUE: $2.000.00 permitcenler@ci.springfield.or.us SITE ADDRESS: 1650 CENTENNIAL Springfield ASSESOR'S PARCEL NO: 1703253403900 SCOPE: Miscellaneous WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Site inspection . <. ~~_c.:. ,.'~~! '~.~'~~ :: - ~~,--,;;:;;,~-r _ ~ - ~'-'" r:w,;'.,: ..__...,0;":"'. .' "". ". :~1'::~~_~--: "-~\{;:~~~-,"'-: 't ~:?~~~~~:;~:~'f,~~:: ;,1';.~' ''"~]j[;irfi~I~{f; ~,-?7;::'~': ):-:~.~"i:~~,:~ :-;~~-7.;~, ....,('. ;J,<! ComDlele'; Result 09/13/2010~' Over the Counter 09/13/2010 Over the Counter 09/13/2010 Not Required 09/13/2010 Not Required 09/13/2010 Not Required 09/13/2010 Not Required 09/13/2010 Not Required 09/13/2010 Not Required 09/13/2010 Not Required 09/13/201.0 ~ot Req':Ji,re~ 09/13/2010 .. Not Reqtlrea I, 09/131~~~O~ i' '..Issued~"ji"'l :'. IN'SPECJIClNS REQUIRED I DeDartment Application Acceptance Initial Review Electrical Review Mechanical Review Plumbing Review Planning Review Fire Review Public Works Review Energy Code Review Traffic Review . Structural Review Permit Issuance Inspections Received 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09113/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 Due Date 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/t3/2010 09/13/2010 09/13/2010 09/13/2010 Reviewer David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby Comments Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit 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 J 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 St~te 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 compJia'nce,witkORS},01.005 will be used on this project. I further agree <,J.,,'lPit' ;""r'~. to ensure that all required inspections are requested at th~iRrpper.tir:qe,; th~t each address is readable from the street, that the permit card is located at the front of the property, and the;,'CJ?p.rov~~,:t.~;~ef plans will remain on the site at all times during construction. "-51"(, ... .#~ Owner or Contractor Signature Springfield Building Permit 9-( >-:20(0 Date ~F, ~;: ~~.~/~~~ ;' .. .~,~,;\~ .I"" ,1';[ 1 ',.,1,: 1 . .... \~' ,'" ... . I, 'n.",. . I, .-.....~, .. ~ , 9/13/2010 1:34:28PM .,,:. !r; i , ~ " ,\:~;~\;~ ~ ;-,~S:':~~i~~ ~~::~"- Page 3of3 . ,.... ,~ \f'r~' '~~i1,\!;:::';i:' " SP,~,~:-FIE~D ~&h""'- C I';ii!1 ~" 'OREGON www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00285 1650 CENTENNIAL BLVD 1 CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726.3753 permikenler@ci.springfield.or.us RECEIPT NO: 2010000306 RECORD NO: 81 I-SPR2010-00285 DATE: 09/13/2010 I DESCRIPTIc5Nd'Cc;;,*~",~;~,-):;;<"'~~'i: {"~-:'c,,',d';-'i#h , ,;;';~[C"Q@J'~C_QR~;,,4_:;',-,;,;;';'AMQ-,-[f.l[1l..I.JE;'0"'i' " , , -4 Building Permit Fee 100-00000-425602 $58.00 Technology fee (5% of permit total) 100-00000-425605 $2.90 State of Oregon Surcharge (12% of applicable fees)' ". 821-00000-215004 $6.96 TOTAL DUE: $67.86 LP.h,,(I\1EN;LTY:PEd' " -'PAVOR:,,'':' cAsHIER"qJ!.6,Wi(sBY,2~cQMMENIScE';', :rw,,:;; ,_~:- CC :AMQl'-i'n'~AID c -, c, - i Credit Card 092916 todd anson $67.86 $67.86 -. "r-"- .~, ~' ',:',," I.,," . , I . ' " . ~'.(... . " ~.' '7" . , '. Structural Permit Application 17,0 <<:'m'f@f ~1mJ!a.~ 225 Fifth Street. Springfield, OR 97477. PH(541)72&-3753. FAX(54 1)726-3689 DEPARTMENT USE ONLY I~ ' ~ IilJjT Permit no.: Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: DYes DNo Property is within flood plain: DYes DNo CATEGORY OF CONSTRUCTION o Residential I 0 Government o Commercial JOB SITE INFORMATION AND LOCATION Job site address: City: I State: I ZIP: Subdivision: I Lotno.: Reference: I Taxlot: PROPERTY OWNER Name: lJl L/'/o/''' jl;_-<- !.t.C Address: /6#,,')<. AG/...< r- City: F'<-> a<',.., '- State: t>/L I ZIP:Y?Y~ Phone: - / - Fax.: - - E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements WIder ORS 701 010 Sign here:$?/' h~;;/, Jl;/ ~~. - COtJllfRACTOR INSTALLATION Business name: ' Address: City: State: I ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: SUB-CONTRACTOR INFORMATION Name CCO License Number Phone Number Eledrical Plumbing Muhanical FEE SCHEDULE 1. Valuation information (a) Job description: Occupancy Construction type: Square feet: Cost per square foot: Other information: Type or Heat: Energy Path: Doew o alteration o addition (b) FOImdation-only permit? DYes DNo Total valuation: $ 2. Building fees (a) Pennit fee (use valuation lable): $ (b) Investigative fee (equal to [2a]): $ (e) Reiospection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2e]): $ (e) Subtotal offees 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) Suhtotal offees ahove (3a and 3h): S 4. Miscellaneous fees (a) Seismic fee, 1% (.01 x pennit fee [2a]): $ TOTAL fees and surcharges (20+3<+4a): S ...