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~:.;-
:' '. .~-~". .
'~ ,:. .