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HomeMy WebLinkAboutPermit Building 2010-8-25 l ,/St~~ctural Permit Application "~~ @ifW@1I~~oOO 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54 1)726-3689 DEPARTMENT USE ONLY Iff~ . ~OJU' Permitno.:SIO- '77 Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days 0 suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature: Dale: This project has DEQ approval. Signature: Date: Zoning approval verified: DYes D No Property is within nood plain: DYes D No CATEGORY OF CONSTRUCTION D Residential D Government ' Commercial JOB SITE INFORMATION AND LOC'ATION Reference: PROPERTY OWNER Name: City: Phone: State: Fax: ZIP: 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: Signature: Name Electrical Plumbing Mechanical ceB License Number Phone Number 'St/I FEE SCHEDULE I. Valuation information (a) Job description: mlP [;." .~ j ~ -fin VI c:, Occupancy ,,\ :a Construction type: Square feet: Cost per square foot: Other information: Type of Heat: tJA Energy Path: Dncw [}alteration D addition (b) Foundation-only permit? DYes DNo Total valuation: I $ 5000 2. Building fees JI ., (a) Permit fee (use valuation table): $"t'J ::>. ~ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hOllr) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ /0'-1'/ (e) Subtotal offees above (2a through 2d): $ 3. Plan review fees (a) Plan review (65% x permit fee [2a]): $ <;?,~ (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ 4. Miscellaneous fees 5'70 LtJ.:::: (aJ Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ls-g~ " / www.ci.springfleld.or.us CITY OF SPRINGFIELD Building I.Commercial,Permit PERMIT NO: 81.1-SPR20.10-00099 '.! ~i: " 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726.3676 S~RIN..G...F.IE~D . lEd""- ~~.,:~ :i\ OREGON permitcenter@cLspringfield.or.us IVR Number:' 8111585~1489 PROJECT STATUS: Issued ',(<:, .:'\ ISSUED: 8/19/10 APPLIED: 8/19/10 EXPIRES: 2/14/2011 VALUE: $0.00 SITE ADDRESS: 326 CENTENNIAL Springfield ASSESOR'S PARCEL NO: 1703263406200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: ", Replacement of ballpark H~.~,t.ing,J~.~e~ and lumina res OWNER: ADDRESS: SPRINGFIELD SCHOOL DISTRICT 19 525 Mill ST SPRINGFIELD OR 97477 ',,:.',,~;:y;. ":..."o':!~,_:.,1.~1\,' j':i;i>.J' ,_ ;'\'f. Phone Number: Contractor Type Contractor Name LANTZ ELECTRIC INC CONTRACTOR INFORMATION ~ Lie Type eGS BUilDING INFORMATION ~ Lic No 84679 Lic Exp 07/14/2012 Phone 541-726-0659 # of Units: I o # of Stories: ,.'1 lot Size: ! Height,?tStrlfct~re.:i.i" ;;, . ,,' \ . reSHif!-~SJlf.loor: T. tENT-ION: Oregon aw y. _ I ,,:,au Type of Heat:. A ., ',;" 'd pled by lhe Sq Ft}2nd Floor: ,'.,,, 'lolloW'r'iJ,es a 0 , or~ set forth Wate~,Type: ............ Cenler 1\10Se rUSq;ft.Basement: " ,;,...., ;: Nollhcal1on . h ugh OAH "",,-uv ,- Range'Type:. OAR 952-001-00101 ro. SqFt.Garage: by In obtain caples vI lllv , ,:"" -~ H t 0090 You may (N I . Sq,F,tCarport.e azma: . ~ oe.l1l.........'~I.-.. calling Ihe cemer. UliSq F.i oiii....~.t\on mber for Ihe Oregon n 9'144\ nu Cenler is 1-800-33'Oceupailcy load: Electrical Specialty Code Edition: Springfi_eld Fire Code Edition: Mechanical Specialty Code Edition: "J'.."" ,- ... . Municipailri~ve'16pment Code: Plumbi;f~~'Sp~~ial;tY~Code' Edition: . Residential Specialty Code Edition: Struc!~.~a.i Specialty Code Edition: Sit~~~~~n " . ~ THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. # of Bedrooms: Sprinkled Building: Fire Alanns: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: ;, .'.' .:- I.,' '. :~l~idJ' 'l '.'~ ..! . ~.:, Springfield Building Permit 8/19/2010 3:14:28PM Page 1 of3 )4..;. . '~Itffi~!~_~ :~ti;~;tE~:~1 . I ~ . Building 1!1.~ommercial Permit PERMIT NO: 811-SPR2010-00099 IVR Number: 811158541489 . r;j"m~{,. .'i'~~/':\~jl~l !ii' 1 -:' .'. CITY (jFi;~PR~NGFIELD ',~!(~-;H1:1 :,; ;;I:'.:,? .j www.cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 8/19/10 APPLIED: 8/19/10 EXPIRES: 2/14/2011 VALUE: $0.00 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726.3676 perrnitcenter@ci,springfield.or.us SITE ADDRESS: 326 CENTENNIAL Springfield ASSESOR'S PARCEL NO: 1703263406200 '.;"'!.,. SCOPE: . WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Replacement of ballpark lighting towers and lumina res DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lo.t,q.overag~: _ ", ~"'.p'~. '." n- r..." " Highest point onlstructur.e:to ':' .'. -~~I(!. '.TY~A"f' . north property Iin~~'.' ': ~ '4:J:" 1:: ]~k1i~~'1' ',}:'__";:li, ,': . .... ,", . REQUIRED PARKING Total: Handicapped: Compact: PUB~CIMPROVEMENTS , Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: S':.Ibdivision Accepted: Notes: Sidewalk Type: DownspoutJDrains: ',I', ~"',' ". ;,J'E' :" Valuation Description ~ Descriotion Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value f ,;". ;,~ :~~~J~i'F>~;;:;I.~~~Ji~~-"'"l/ .,:~f~kT:;.~ ry":.;*;, "it0_~wZ~::~(l' ';";: , ~' ,:;- Descriotion Services 200 amps or less Branch circuits with service or feeder each circuit Slate of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid ~,~,~.,..,..~ ,.....'" . ;',;,,7>"'Ifg~lRJ\ID ",'if'''''' '..":"1',:" ?i.::Amount ,Paid :H:;;}it ...11/:$81'.00 ,~--~,. .::,,~::~~ :' $11100 'i.~~~"1 $11.88 $4.95 $115.83 Date Paid 08/19/2010 08/19/2010 08/19/2010 08/19/2010 Springfield Building Permit "t;i'8/19/2010 3:'14:28PM "i Receipt # 299276 299276 299276 299276 Page 2 of 3 ..2... ,'"j: SP.\lI.NGF..IE~ D, . ~.h,~ .,~ - -'. OREGON www.ci.springfield.or.us PROJECT STATUS: Issued , , ' ,--~ CITY OF SPRINGFIELD Building I Commercial Permit' PERMIT NO: 811-SPR2010-00099 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 IVR NU'J}~p'~:,~1,~1585.41489 .,1 :!'ai~ ;iwitHh': ~f ~. ISSUEI'>:-'8/19/10, .. APPt:!I~~; 81J9):1O: "fl""O-" permitcenler@ci.springfield.or.us EXPIRES: 2/14/2011 VALUE: $0,00 SITE ADDRESS: 326 CENTENNIAL Springfield ASSESOR'S PARCEL NO: 1703263406200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Replacement of ballpark lighting towers and luminares ~~y. i~:, ~t:: ':~~.if~ 'J'{ ;\:';;~:::rr, ',' !'~"--, PI~~~B~i;.;y.."~, '~~-~- .r~..: \ t:~ -~~~:~~,.~ -~1~,l~~t::~:jlL~~~)~~~+':'~ DeDartment Application Acceptance Initial Review Electrical Review Mechanical Review Plumbing Review Planning Review Fire Review Public Works Review Energy Code Review Traffic Review Structu~al Review Permit Issuance Received OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/t9/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 Due Date OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/2010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 ComDlete OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/191Z01(( OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010 OB/19/Z010,,; Result Over the Counter Over the Counter Not Required Not ~eq~ired Not Required Not Required Not Required Not Required Not Required Not Required Not Required Issued '.; Reviewer Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter 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 Inspections 4140 Underground Electric 4225 Service or Feeder INSPI;:<;;tioN~\REflUIRED ~ ,~(f. ..... i':,-...-j'.'. "".,,,,~.. 4500 Rough Electrical 4999 Final Electrical By signature, I state and agree, that I have carefully examin~d the completed application and do hereby certify that a\1 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: S,~rr1~unhy Services Division, Building Safety. I further certify that only contractors and employees who are in cOl1lpliance witli ORS 701.005 will be used on this project. I further agree to ensure that all required inspeCtions are requested at the'-p;roper tj";'e,"trMi"e~ach address is.readable from the street, that the permit card is located at the front of the property, and'.'ttlfa~proved s~t of' plans will remain on the site at all times during construction. :' ~, . \ Jht;1lkU~,L_ 8!2S(/{) 'vv~ Owner--br QOntractor Signature Date Springfield Building Permit ';:':, S,'" . ,i';-~2.;: c.::;':~:,~':2.:".:.~:;-,,' ~ .' 'i:iCii.<. .:.!:~~i.~;t.:,f()'t> !:::, ~,Er~ '*~i..Lt,,>.;;-, "~:f5[~:. ", ';H~~~.;< .. :,~;\,-'.;,. 8/19/2010 3:14:28PM Page 3 of 3 . TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-726-3753 " ~, www.ci.springfield.or.us '. ,,": "".,, permi~center@ci" spri ngfield. or. us RECEIPT NO: 2010000 I 3 I RECORD NO: 8'1 I .SPR20IO'00099 DATE: 08/25/2010 ~SCRfPtf6N"''!'.:>>~,.,.'",,,Z~~~"ii;Ja';"-;,''':11illri,,,;;,,\;;;,,,' '~'il.c:~.0.QNEG:&DE;'",; ,2L~'~MQ.QNtJll.lJE~~i! Building Permit Fee 100-00000-425602 $87.25 Structural Plan Review Fee Commercial 100-00000-425602 $56.71 State of Oregon Surcharge (12% of applicable fees) 821.00000.215004 $10.47 Technology fee (5% of permit total) 100-00000-425605 ,_.__,~.. $4.36 TOTAL DUE: $158,79 ii:"PAVMENTTVPE;:"t ;'fAVOR.; "CASHIER:;C"CARPENTER":i,COMMEN:TSy"r;,,, .;-t/",cC ,;;;, ", N':' AMOUNTPAII:!. .', " ,.' ;j _, -', .,.,....y.'i''''~'.............,..,......'''-''~~~-' Check LANTZ ELECTRIC INC C' """ ...,:.,.', ,'. $158.79 185'" "'.., $158,79 ".' ~ . "' . ? J,_~:' 'r. '~':u: ,~~. .; ;".,,-~, ':;r@;: -"J{~~~!:~r;::~f:. \ ,;' . , t .'" I,,(,~!t}: "":~ , (i:,;~1\ , ~ ':': l . ~ "-lo: ,j .'.{ ',q_~:t~!L~:.;- :' '. .~-~". . '~ ,:. .