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HomeMy WebLinkAboutPermit Building 2010-6-30 (2) Structural Permit Applicatio" DEPARTMENT USE ONLY 1i~", ~j>r!'+"<-'_~ 7,'~..~.:.~r~~~~~~~',4K-T~,J>~~,;,.,t..}""~'k'~~'<d:';'.f. ~~~{~ 5i':::";7".~~liEY::9F.;!~P.~JN?RJJ?l;q1;,(2tRI.>.G,Q~~~:~t~', ~:f~.:'";?" :;225 Fifth Street. Springfield, OR 97477. PH(541)726,3753. FAX(541)726.3689 -~ 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. :......., 'LYO.C.A.L..'...G..oy.V.....E..R. 'NM"E' N"T""'A"'"M'R"'O:"V""A",k,jri".c'".-;W,l1''',,\ " ;;to"':'. ':;h" ,,: ,"_ _. - . """",". ",> ,_.."" ."..3,,;. '- ~,~ ,___~^,.,,!":l;;;,:i.:it,'.!!'_i-~d~;:'i;,,<~:i!,;j This project has final land-use approval. Signature: This project has DEQ approvaL Signature: Zoning approval veritied: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~~li,WJ{!~{\\"~K~e.TEl:;:Q~X~q5l,\~:ON~;fBjjcitiQN~lW:!f;;~i'\~;>~ o Residential 0 Government [& Commercial i::k:fui~;',;:~QB~SI!l:i .'iN~9RMAfi'()NWAN.[)1'r:O(5Afj9Nf~Jf~~~)1~~\\ 63). She/ 67. City: .; yfh (i.e'1 State: ()r: Subdivision: Reference: 1703 Z 7 ( 0 PROI'ERP( OWNER', r t:)e;(oe.. f2..J . State: Or. Date: Date: ZIP: "17,-/77 c> 3' 100 ..', Name: 12 ha..k::l Address: Q075./ (OrO- City: ElM e.... Phone: -6 Cf700 Fax: E-mail: This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: ... (>ONTRA(>w~,,~i:rr:AtLA'fI()N; 'c" Business name: JJc:;,,~v> I Woocl""fSrft. Address: 70 Eo.s.+ (q J-" Av~ . City: !::"w -e",e_ Slale: Or. Phone:!;l((68f} g32 Fax.9</ E~mail: Print name: Signature: '..."c" "(',: ~.. ''''SUS'C'O' NTR'A'CT'OR"IN'"OR"MA'TIO'N' ''','i''"''$'-'~''"''1'''''' :\"':',:>iif:0i:"'iC': t':;{\~\l,;. .... _ - _,', _..;, _ <._,j", - _ . ..... .r;;, '" '__..__: ._ :" _ l<d'kdlh\{l~7\~:~:,.tt!J:!;%t Name CCB License Number Phone Number Electrical Plumbing Mechanical +:0'!'-: :,"':~J:':,iFEE'SCH~i5iJ[E:,:",r." ':"\'''fC...'. .. ::t?&~J~'~Ii.~Hii_n._f~!{iij~i~9:~;'~Jli0t~i~~;~;:Yhl;ib;W~.,';11U~;-:i;};tr'(~~.{-:j',A:;.'~; (a) Job description: f;.,-f- e,r"'. Re ~a.1 Occupancy Construction type: UI ",Q,j Fra.. ",,2- Square feet: ~.<OO I:::e ,,,'" Q..""oJ.."tej Cost per square foot: Other information: Type of Heat: Energy Path: 0 new ~ration 0 addition (b) Foundation~onJy permit? 0 Yes ...Erf[o Total valuation: $ SO ~'~J;;:B:~,i(~ing}J~~sl~~~~;t~:{~~tJj1t~~'t~,;ji~~4~\k~~:_~~~~){'}~'i'.ii'A,f,:~;:;, ~~i)..~ ~ IL. (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (,12 x [2a+2b+2c]): $ (e) Subtntal of fees above (2a through 2d): $ B~~)tJ~~(y'i~w:)I~~~st1t~Th~~,lJ~~~~lm~tr~~Th~@~a~~~~~~~!~~~1i (a) Plan review (65% x permit fee [2a]): $ '502-"- (b) Fire and life safety (40% x permit fee [2a]): $ I 8 be. (e) Subtotal of fees above (3a and 3b): $L/88 S L P~~;~'~,i~,c'~~l~i~Q~s1tt~~~t:Jt'l~~t11t{:~~liN::1;i~t',':,~~:;}~~'~;~~.;1;;l'.':~!' ~ \ '~~;::-1;.,. ..; ..." (a) Seismic fee, 1% (01 x.permit ree [2a]): $ TOTAL fees and surcharges (2e+3e+4a), $ .,' .; , www.cLspringfield.or.us CITY OF SPRINGFIELD Building, I Commercial Permit PERMIT NO: COM2010-00862 " ~,' ~ ",;: "'- 225 Fifth st springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Sr,R'",I,H"G, F,IE~, . .r ~""'-'~ '~~->T-<'~~REGON permitcenter@ci.springfield.or.us IVR'Nuinber: " j . '. ". \"~ PROJECT STATUS: Issued ISSUED: 8/26/10 APPLIED: 6/30/10 EXPIRES: 2/21/2011 VALUE: $50,000.00 SITE ADDRESS: 632 SHELLEY sT Springfield AssEsOR's PARCEL NO: 1703271009500 SCOPE: Tenant Infin WORK INVOLVED: Alteration TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: OWNER: ADDRESS: Tenant Infill of Existing Building Phone Number: CONTRACTOR INFORMATION ~ ' Contractor Type Contractor Name Lie Type lic No lie Exp Phone BUILDING INFORMATION ~ # of Units: 0 Construction Type Occupancy Type Occupancy Comments # of Bedrooms: # of sto~ies: ,2 VB Heigh~ij~t~U,!itVI~':I" ~~,OO '.' T "- - . M Type of,l;Ieat:.."""", Total occupant 10' LI.n' .... '~.. ., < Wate~..1-y;pe:.~ .~~::~": ._; RangeiType: Hazmat: No Lot Size: sq Ft 1st Floor: sq Ft 2nd Floor: Sq Ft Basement: sq Ft Garage: sq Fl Carport: sq Fl Other: Occupancy Load: 348 ~ Sprinkled Building: Y Fire Alarms: Yes Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I DevelopmeJ'!t Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: ~~~~.~;~~~~ Speci~I,~.Code Edition: 2007 Energy Path: li.l, Site Information ~ Engineered Fill: Fill Vohiine: Flood Hazard Area: Land Hazard Area: Retaining wa~' 50115 Report q' :'ON: Oregon law requires you.'to o lo,w rules adopted by the Oregon,iJli1itv<, '1":-", "" Noliflcatlon Center. Those rules are sat~th ' , in OAR 952-001-001 0 through OAR 9Iia:'&'1. ,:::::': 0090., You may obtain copies of the r~~~by C' calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), _ . . ,'-:, :.,'!{~:t;Y({c..~:;~7f<"'~i...- NOTICE: -- - \F'~HE WORK - THIS PERMIT SHf>.LL ET~~R~ERMIT IS NOT :: AUTHORIZED UNDER FOR ,,-,C COMMENCED OR IS ABANDONED _. ,;':~"'; ; ANY18D DAY PERIOD." "" -. . Springfield Building Permit 8/26/2010 11:54:44AM Page 1 of 13 ;, -'..;',. \. CITY OF SPRING'FIELD 225 Filth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cl.springfield.or.us H.'; ";,;1! /!> ',' ~ Buildingj'~()mmercial Permit ""-:'1; PERMIT NO: COM2010-00862 IVR Number: permilcente r@Ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/26/10 APPLIED: 6/30/10 EXPIRES: 2/21/2011 VALUE: $50,000.00 ',<, "'~'I :, '4-- SITE ADDRESS: 632 SHELLEY ST Springfield ;',5~i' ASSESOR'S PARCEL NO: 1703271009500 , SCOPE: Tenantlnfill ;' ;1"', WORK INVOLVED: Alteration ',TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Tenant I"fill of Existing S;UTlding 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"siruct~re t~. ~__.' :.'..._ ", north property line: .' 1. '. (-'l~d~!\.: .~, ) 'j,,~:;' . i ",:" /1', I . Total: Handicapped: Compact: . :~P(fBEIC IMPR6vEME~lTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepte.d: Notes: Sidewalk Type: Downspout/Drains: '1',' Valuation Description ~ Description Tvee of Construction Unit Amount Unit Tvee Unit Cost Value ~. .1".... /::" ., ~~~T" " !~Ct:;:;?: r~:r: i..j" . J'" '~J IX" ; ,\~ '~~i:;', '~, t .::'l/:',.~ ., :,!" Springfield Building Permit .,-..::',: 8/26/201 ot~, :5~:44AM Page 2 of 13 .;r~)l. i., ,"f Ii; " :' :~; ". ',' ,~i.;,,' " "r ":",\i ~'t;1 '::". CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: COM2010-00862 IVR Number: www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/26/10', API?J:.IED: 6/30/10:' '.-',_ ~J ~. , . EXPIRES: 2/21/2011 VALUE: $50.000.00 ":'::'''~'-'~')f'iJt~,/it::::'0;::~~f!j;~~JRA'''P~.u~~~C':~:?!~:3j~:';1.i~%f~';'l>'~_'~~T',:;, ii:~f~.',;;':~~3 . 'Amount Paid Date Paid Receipt # .' :.~,i .! :1; $30'2.41 06/30/2010 233599 '. $186.10 06/30./20.10. 233599 ..... .,~-- $2;"129.42 0.8/26/20.10. 299331 $9.169.20 0.8/26/20.10. 299331 $281.00 0.8/26/20.10. 299331 $77.50 0.8/26/20.10. 299331 $465.25 0.8/26/20.10. 299331 $22.80 0.8/26/20.10. 299331 $1.00 0.8/26/20.10. 299331 $186.10 0.8/26/20.10. 299331 -,-~_._--~- $228.00 0.8/26/20.10. 299331 $57.qO.. 0.8/26/20.10. 299331 . \ .".. $72.09 0.8/26/20.10. -------'"299331-- ........-t..~.1 ., ,iitr,t:\~~~44.. 0.8/26/20.10. 299331 v:t _'.. $11,060.27 0.8/26/20.10. 299331 $24,279.58 rn--,.=~., _ ...."_,,.. ..' ~p.v-.:..,*~_ ..__!-'A,...=~",. .....~~<.,'_ ;,. ...T,.'..... ....".. '~""JI ri~'fC'!F:",;;;;\iIL;S_ ~.-??(f~~Ji>.'-;^d>^ ;'''':;>17%0:'''~j~';t:'''Atts:. ';-".L;<:.^~PI.amRevlew \;."*:~^>:dr44}2;~0i&i;r',,~^1t;;si,4?''''', .~; ..~~l ~!{-,\_ .... ?'t r::j(F,"iv~'~ .~ '~". :;,:A.,.... 'I.....:J DeDartment Received Due Date Comolete Result Fire Review 08/24/2010 08/24/2010 08/24/2010 Approved Structural Review 08/25/2010 08/24/2010 08/24/2010 Approved Planning Review 08/25/2010 08/24/2010. 08/24/2010 Approved Public Works Review 08/25/2010 08/24/2010 08/24/2019,. Approved Traffic Review 08/25/2010 08/24/2010 08/24/2010,' ' . APPS~~~~" Planning Review 08/25/2010 08/24/2010 08/24/2010'., ,App,r8~_eq ': -"/". Accept Plans For Review 07/15/2010 .} 7: . f~S9i~}: <; Fire Department Review 07/19/2010 WE Planning Review 07/14/2010 . <~..~- APP Public Works Review 08/03/2010 APP Structural Review 07/28/2010 10 Structural Review 07/08/2010 10 Application Acceptance 08/24/2010 08/24/2010 Application Accepted Initial Review 08/24/2010 08/24/2010 08/24/2010 Approved Permit Issuance 08/26/2010 08/25/2010 08/25/2010 Issued SITE ADDRESS: 632 SHELLEY ST Springfield ASSESOR'S PARCEL NO: 1703271009500 PROJECT DESCRIPTION: It= a.;;.: ~j'c; 'y- ---..,.! - ~'ti:,/<<~ ~<'_ -~y""~-<;;f:t-"?t:i' Description Plan Review Commllnd/Public Plan Review Fire & Life Safety SDC Transportation Admin sac Transpo Reimbursement Planning Final Occy Inspection !v'echanical Permit fee (based on value of work) !3uilding Permit Fee :"'dmin fee (10.% of applicable fees) Balance of Minimum Plumbing Permit Fees Fire, Life, Safety Plan Review Deferred Submittal Fixture State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) SDC: Improvement - Transportation SDC Total Amount Paid Tenant Infill of Existing Building . :'~;F .... t Springfield Building Permit "I'; SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Industrial Reviewer Gilbert Gordon Kip Kaufman Liz Miller Eric Walter . Eric Walter Liz Miller Comments See attached document for F See Enclosed MDS/LUCS ch Portal frame engineering dr81 (Plans review completed 7/1 ~ See Enclosed MDS/LUCS ch SDC Worksheet Attached Received response to 1st pia Received engineering for nev Kip Kaufman Kip Kaufman David Bowlsby SDC deferred 22358.90 per f :,':.,!" ,.".'. ~. .1 - 8/2612010 11 :54:44AM Page 3 of 13 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726.3769 Fax: 541-726-3676 www.ci.springfield.or.us "..l Building I Gom.ln.l:lr:!=ial Permit '~G'i l.~" /,c;',:}i\::",' . PERMIT NO:COM2:O,'tp-90862 -IVR Number: permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/26/10 APPLIED: 6/30/10 EXPIRES: 2/21/2011 VALUE: $50,000.00 SITE ADDRESS: 632 SHELLEY ST Springfield ASSESOR'S PARCEL NO: 1703271009500 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Tenant I"fill of Existing Building IN~.P.E(;TIONS REQUIRED ~ Inspections 8920 Miscellaneous Fire 8999 Final Fire 1070 Parkin9 Lot 1170 Post & Beam 1260 FramIng : _i:\':nl;}~ 't),...,.fl:. .,;; . 1550 Firewall 1560 Firestop Assemblies '.:~~ :~i\ .\:<~1;:' '\CC1,,;')f "'t::'-~'r: 1710 Fire Sprinklers. 'I")'. 1829 Special Inspection 1999 Final Building 2300 Rough Mechanical 2999 Final Mechanical 3170 Under/loof Plumbing 3500 Rough Plumbing 3999 Final Plumbing 4500 Rough Electrical 4999 Final Electrical .--..- '.._'+.... . .~... _._.~. .~U;'';;! y.Jf';"."1 .,...'':.;.~ ""'''""1.,. '1. ,.~ 8750 Fire Alarms 9012 SUB Final 1996 Final Inspection - Planning 1260 Framing 1520 Interior Shearwall ".J---r .,.~5~ri/ ;.~~~:./~\':a:: ",1'... ,.' ',.',.," df::77,' ';~.oittIT: ',l OWNER: ADDRESS: '~,r\-::'f~! Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lic No Lie Exp Phone Springfield Building Permit . 8/26/2010 11:54:44AM~;': Page 4 of 13 ,-. or" ; i"'~~~:-', www.ci.springfield.or.us CITY PE!~PRINGFIELD (,' '~l"" ..:" , Building'TCommercial Permit PERMIT NO: COM2010-00862 IVR Number: 225 Fifth St Springfield,OR 97477 . Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/26/10 APPLIED: 6/30/:10: ~,'.",,~':,. ;;':1'~;" :::,-,"!~~~' EXPIRES: 2/21/2011 . VALUE: $50,000.00 SITE ADDRESS: 632 SHELLEY ST Springfield <':!::,;" ASSESOR'S PARCEL NO: 1703271009600 u_"...._ ...;.;.,~. '~-;';':.,.-. ~', :<~'~~}~~, ~~ SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Tenant Infill of Existing Building BUILDING INFORMATION I # of Units: Construction Type Occupancy Type Occupancy Comments VB M Total occupant 10. # of Stories: 2 Height of Structure: 20.00 " # of Bedrooms: Ha:imi:lt~ ~ No .' lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 348 o Type of.Heat: Water Type:, Rang~':~y~e':'> .: "~ fJC' ~ . .,,', "'~' Sprinkled Building: Fire Alanns: Y Yes Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipatl Development Code: Plulllli,iffg,spiiFialty,:Code Edition: Resid~riiiarspeifialiY Code Edition: Structu~~1 Speci~lty 'Code Edition: _-=::.~~~.:,I v .',';2.r~ ". . t', Site Infonnation 2007 Energy Path: I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Waif: Soils Report Required: DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay,pist:" ": ~ t.:~,;; # Stree'tT"rees Reqd:l: ' Paved D:r:ive Reqd: % of lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: ,i<.;! ,./ " .ltL~~f.:"~~~,.;~f~:i'::' .'UiJ'~~;j;. -$:p...~-~J~\ .('.~ '-~rr0-i.. !.;-,).-:;~;t,!, I .,~..,,,.,,.... . ,,-,,".... Springfield Building Permit ""'; 8/26/2010 11:54:44AM Page 5 of 13 e. . ,',. ~ . .' 225 Fifth St 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: COM2010-0,01362' IVR Number: ., -:' ,. ~ permitcenter@cLspringfield.or.us PROJECT STATUS: Issued ....r.~rt'. ': ISSUEq: 8/26/10 APPLIED: 6/30/10 ,', EXPIRES: 2/21/2011 VALUE: $50,000.00 SITE ADDRESS: 632 SHELLEY ST Springfield ASSESOR'S PARCEL NO: 1703271009600 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Tenant Infill of Existing B.~!~~.ing . I PUB~r~IMP,RQVEMEl'olTS ~ i;.;f..t[ " Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: '..') ':,~';Vaiu.ation~bescription I Descriotion ~.\ ..; '!r-~';< Tvoe of Constructio~'"'' .'" Unit Amount Unit Tvoe Unit Cost Value U". '.<~)"""<""~b- ,~ .",,!. "."""0'+&,,--. ,,_....~~"U;~.- . '~~I"""-:T.:"~~'-"" ~., ,.-'T,,":4"''''''''-"1'7:'''~''"I''~~ ~~'~;,'''''',-;-~'~'''''''-'-'"'"'f'''K"",_"""-,,,--,''n ~,- '1'~ ,I. ~ CM~:0t, ~(~4/:;J'.. ~.~. v .-,.;"'--t~-'"oJ!' 1"'6,, <: -;0, ~..e'.""." :["'''');",';'' jA' f__ FEES,nAID!JYw .;. .j"', z.. ;"'; 'J .ffx""- t. ""'"'~~,,-j-..,, .~ n. . "x' '"O,i~~". "!'~)"'~""",",,\,~,,,, ....' " ,. " -'~' ,. .... '{ ="~. """~"=~'~>:w.Ji: " <'*'" L:L' ,- .. '''''''''*'\;I;M-'4'~'',_,___.fr{_~",Jh'w ~~'...iiJ;;;dJ;.:'<;~~~'.' .-.-".(:.-..... ' ;.':.:~~~..i~:...,;J;.iii.:'"::,;__-".:;.:;,".:....:...l- Descriotion Amount Paid Date Paid Receiot # Plan Review Comm/lnd/Public $302.41 06/30/2010 233599 Plan Review Fire & Life Safety "i!'t $186.10 06/30/2010 233599 '$~~,~;;"4r-'t-;~ '-:--,:" SDC Transportation Admin,n!j!;I1:'M.~2::!,)1~,42 f","'. . 08/26/2010 299331 SDC Transpo Reimbursement ~~~$m9~20 "'1" . 08/26/2010 299331 Planning Final Occy Inspection ",', .'$281.00 08/26/2010 299~- Mechanical Permit fee (based on value of work) . , $77.50 08/26/2010 299331 Building Permit Fee $465,25 08/26/2010 299331 Admin fee (10% of applicable fees) $22.80 08/26/2010 299331 Balance of Minimum Plumbing Permit Fees $1.00 08/26/2010 299331 Fire, Life, Safety Plan Review $186,10 08/26/2010 299331 Deferred Submittal $228,00 08/26/2010 299331 Fixture $57.00 08/26/2010 299331 State of Oregon Surcharge (12% of applicable fees) $72.09 I 08/26/2010 299331 Technology fee (5% of permit total) $41.44, 08/26/2010 299331 SDC: Improvement - Transportation SDC ,$11,060.27 08/26/2010 299331 Total Amount Pa1~t'fi,:.~~:~ ~.'S~412!9J58:: ;::;; .!i"~.':_" Springfield Building Permit 8/26/2010 11:54:44AM Page 6 of 13 il..-',;J .,.... .' . .'\)W;~ .;:I~j~~~jE:~i::I; ....~; .. ~ Sr.RIHGF. IE, ~~ -~ OREGON WWN .cLspringfield.or.us PROJECT STATUS: Issued ., CITY OEi,,sRRINGFIELD \f;~~'~~~( ;~',Y:;,~c~~~~:y: 'r:,'.,I, Building rlP:9rTi\The'rcial Permit PERMIT NO: COM2010-00862 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726-3676 IVR Number: ISSUED: 8/26/10 APPLIED: 6/30/10 permitcenter@Ci.springfieid,or.us , EXPIRES: 2/21/2011 VALUE: $50,000.00 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYf'E, OF STRUCTURE: Industrial \"[1. ::~';? Tenant I"fill of Existing:B~iidin'g"" . 'ij' SITE ADDRESS: 632 SHELLEY ST Springfield ASSESOR'S PARCEL NO: 1703271009600 PROJECT DESCRIPTION: rr"'''':!~"t:'''' ',k ~,' _- , ~:..t',"ffi;',,~:~~,," ' "t ""'[',q~i".~ .' ~ ,,'''',~;;:','' 1'-:'~~.;":~x-:"'~::;;,~,:-.-,;,,"' ii:iC~~: :{~1F~ ~','Y' - .TV. -:'r:iri ,~r i.,7'Flt': "2'-~'~'::~ ~t$'J{'; '<,:,~,f,::I<:=, ,..", -.''t:i :~' !~.;!c.o;"f'c",,,;, ",' -~, ,.f} ''''+t;._,~"" ,0,"" ,.~ \' "11--'; J ,;,C~ nlanRev.ew" .".'.,. <liJi'i ,c::...~.,;,,'- )cA:.. -,- ., qj .,tf~..' -" -'3r, "'-)' .jy....t.~,'d\..., J'f- ,," './'" .' 'c.. .1"'<j;1" -"'~' ",..t;, 4;~'~, .. . '",.. . .".... ~ ., ". ... ..,..<-c.,.... . _J~,~.."""" .'", . ".,~~.~.""~.".,t.<;;;"'\';;.~;"~.!.-,'","....~::;,~",,,,, ......o<-.:.--'_~..;...;.;;......: :.,c.:'.~"'~T;:.;,,-',~....::.:...:.:..,...:,,:t;.--'.. Deoartment Fire Review Structural Review Planning Review Pubtfc Works Review Traffic Review Planning Review Accept Plans For Review Fire Department Review Planning Review Public Works Review Structural Review Structural Review Application Acceptance Initial Review Permit Issuance Springfield Building Pennit Received 08/24/2010 08/25/2010 08/25/2010 08125/2010 08/25/2010 08/25/2010 07/15/2010 07/19/2010 07/14/2010 08/0312010 07/2812010 07/08/2010 08/2412010 08/24/2010 08/26/2010 Due Date 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/25/2010 ComDlete Result 08/24/2010 Approved 08/24/2010 Approved 08/24/2010 Approved 08/24/2010 Approved 08/24/2010 Approved 08/24!29l~i.{. ~f~P.P.[~~7t. : ~ I~' '~/:,g~~; '~~~~!r;:,:! ~, . '''.' API7;..,!, ;~~r~ I APP 10 10 Application Accepted Approved Issued 08/24/2010 08/25/2010 ", -'.;' .1': 1,... t ..:. ' 'i'.L;~U\till; ,., ...w.",_~...." ".'<c ; r ~ ~~{ " ;,;);~y( . ~):;i'H!: , ("', " 8/26/2q10- .1~;:5.4,:44AM r; ','.,.'-,1. ,.'~ Reviewer Gilbert Gordon Kip Kaufman Liz Miller Eric Walter Eric Walter Liz Miller Comments See attached document for F See Enclosed MDS/LUCS ch Portal frame engineering dra\ (Plans review completed 7/1~ See Enclosed MDS/LUCS ch SDC Worksheet Allached Received response to 1st pia Received engineering for nev Kip Kaufman Kip Kaufman David Bowlsby SDC deferred 22358.90 per r Page 7 of 13 .j ~ ,;'I- ,\,:'"" i:,'" -;.,..::,,". .' ~.-. ,- 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 WWN.ci.springfield.or.us CITY OFSPRINGFIELD Building I Commercial Permit, PERMIT NO: COM2010-00862 Il,iR Number: permitcenter@ci.springfield,or.us PROJECT STATUS: Issued ':"~:, ~t, ' ,', :',~: \" . ; ISSUED:,8/26/10 - r''''i....~ "..t'l~.~~'~ APPLIED: 6/:iQi~0 EXPIRES: 2/21/2011 VALUE: $50,000.00 ''''i' SITE ADDRESS: 632 SHELLEY ST Springfield ASSESOR'S PARCEL NO: 1703271009600 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Tenant lofill of Existing Building INSPECTIONS REQUIRED , I Inspections 8920 Miscellaneous Fire 8999 Final Fire , r .. 1070 Parking Lot 1170 Post & Beam ,.': '''~~: ~"' 1260 Framing 1550 Firewall 1560 Fjrestop Assemblies 1710 Fire Sprinklers 1829 Special Inspection 1999 Final Building 2300 Rough Mechanical 2999 Final Mechanical -, .. ,., \'~oti ( l:i~ih5':i" ",.' ".".. ..'". LIEf): (;~'.i(Wh. 'I', '. ;, ,. 3170 Underlloor Plumbing 3500 Rough Plumbing 3999 Final Plumbing 4500 Rough Electricai 4999 Final Electrical 8750 Fire Alarms :':'I~--;;~ : 9012 SUB Final ";'.' 1996 Final Inspection - Planning 1260 Framing 1520 Interior Shearwall OWNER: ADDRESS: ~ .1 Phone Number: , -?,..'.l:i.,._.__ '';.,',_._.,. ,~, \~:~.)_;';:: !.'{'A:}ti Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lie No Lie Exp Phone Springfield Building Permit 8/26/2010 11:54:44AM Page 8 of 13 S~RIN. G ,FIE L~ .t '",,'.~ t,l; ..ltiiD ^ ". .;>. OREGON " :-. , 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD Building I CommercialPermit www.ci.springfield.or.u$ PERMIT NO: ,g()M201 O~.90862 " 'C' IVR Number: pe rmitce nter@ci,springfield.or.us PROJECT STATUS: Issued ISSUED: 8/26/10 APPLIED: 6/30/10 EXPIRES: 2/21/2011 VALUE: $50.000.00 SITE ADDRESS: 632 SHELLEY ST Springfield ASSESOR'S PARCEL NO: 1703272401300 SCOPE: Tenant Infill WORK INVOLVED: Alteration L:::;_ '__, ;!y:~E OF STRUCTURE: Industrial :.,~(~H' ;rl: ~f'.., Tenant Infill of Existing BuildingS"",-, ;. PROJECT DESCRIPTION: BuitiJ'INGINFORMATION I # of Units: Construction Type Occupancy Type Occupancy Comments VB M Total occupant lac # of Stories: . Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: '. 2 20.00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 348 o # of Bedrooms: Sprinkled Building: " ',No' Y ,:.;:( 1,r ; ':', ~ 'rp"yo'~~ Electrical Specialty Code Edition: , ,. Spring~eld Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 2007 Fire Alarms: Yes Energy Path: Site Information, I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: <~~;.;t~~/:; , . ' '\1t~8.tt '~fP,t^:,~~.~ .0/<........".11 ' - DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on',structu,"7 ..t~-:il':':' north prop~rty '!"e.: ". ,~.h, ' ,:.,Ii!'.,, tlr,.~" ';':" ' REQUIRED PARKING Total: Handicapped: Compact: , ',~d , Springfield Building Permit "8/26/2010',11 :54:44AM , 'q"'o}'.....'-,..',''i; ,~~._-.~'\.. ';; " Page g of 13 www.ci.springfield.or.us I i.'k ,;...., '... _ ,~' ,:'__'i:-l:i;..,o;;"t}:'.., . 0 CITY OEESPRINGFIELD ':"$'(.';'''l ' \'1;'",t::'" Building t't;ommercial Permit PERMIT NO: COM2010-00862 IVR Number: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726-3676 permitcenter@Ci.springfield.or,us PROJECT STATUS: Issued ISSUED: 8/26/10 APPLiED: 6/30/10 EXPIRES: 2/21/2011 VALUE: $50,000.00 ;-::-"'1,:"(,,,; SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE' Industrial SITE ADDRESS: 632 SHELLEY ST Springfield ,"",' ASSESOR'S PARCEL NO: 1703272401300 '. 'r.:.:< PROJECT DESCRIPTION: Tenant Infill of Existing Building PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: _~~i:4L '-;-~;'~~~~' H.., nt,.,. _...-.,-. "":~'\1':_: :.};\ ,,}~,~'_._;i'.. .~?~ f;':':. r:i3:1 r ~<~ Downspout/Drains: .~::;:~ " Valuation Description : ~ Descrietion Tvee of Construction ,: Unit Amount Unit Tvoe :' Unit Cost Value ft. ~\.), c,~"~:fS!t=j~t1t'~,,;~.~ -: ,,',~~~'t~1<;:;7;;',.~'i~. :;',4~,~figg~J:~Aip!!1~0'~K~it,.x.:,'f%'.~8~qiib'h-: '~;:'::::;l~~i~~~:,~:~~'j Descriotion '.: .,.; - , t Amount"Paid Date Paid Receiot # Plan Review Comm/lnd/Public . " $302.41 06/30/2010 233599 ----~.----,-- Plan Review Fire & Life Safety $186.10 06/30/2010 233599 SDC Transportation Admin $2,129.42 08/26/2010 299331 SDC Transpo Reimbursement $9,169.20 08/26/2010. 299331 Plannin9 Final Occy Inspection $281.00 08/26/2010 299331 [;1echanical Permit fee (based on value of work) $77.50 08/26/2010 299331 Building Permit Fee $465.25 08/26/2010 299331 Admin fee (10% of applicable fees) 'I''', >'.'r. '>:$22:80' 08/26/2010 299331 l3alance of Minimum Plumbing Permit Fees ,.,;.,." $1.00 08/26/2010 299331 Fire, Life, Safety Plan Review .i,'i.. 'f;;. ":-;'$166:10 08/26/2010 299331 Deferred Submittal"" $i28.00 08/26/2010 299331 -------....--.- Fixture $57.00 08/26/2010 299331 . -----,-..-...--- ~--. ~tate of Oregon Surcharge (12"10 of applicable fees) $72.09 08/26/2010 299331 Technology fee (5% of permit total) $41.44 08/26/2010 299331 ~~~~---_._- .sDC: Improvement.. Transportation SDC $11.060.27 08/26/2010 299331 Total Amount Paid $24,279.58 , Springfield Building Permil . '. 8/26/2010o',11':-S4:44AM Page 10 of 13 ,:''Ii: ;. _~ " ,; S~~~N;:".IE~ ~Ith ~OREGON www.ci.springfield.or.us 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 PERMIT NO: COM2010-00862. 'hiR N4ri1Ij~r: permitcenter@ci.springfield.or.us PROJECT STATUS: Issued .t".:'."{. . ,'''d ISSUED:'8126110 APPLIED: 6130110 EXPIRES: 212112011 VALUE: $50,000.00 SITE ADDRESS: 632 SHELLEY ST Springfield ASSESOR'S PARCEL NO: 1703272401300 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Tenant Infill of Existing Building .~. ':~'.~~?:~:~::;~1 rr:-:::+v:?~~ .("",r'~F"'<iiJt~^\>:::,>";K"",~,":",;',o",-:;h"..,""'" F', . ~~^;~:',' .':'t,,~.~. '.,,~ ,'.-,.",'ir'!' ~~'~;;JE~'~""' r:l;.,""ib~:""',;,',,,,', ~''''~'l,*y'> ,.. '0,,,,,,>_.._ . r,"<0'~""":":.',:;..,-.'J-"PlanRevlew' -...,~." .,6."': ',I~'Ce<",\,-'.v.-li"" '~'" w....".;};., "p'''''''''''' r..r4.,".~';:;. _L"y!-{;.Cd~..., "-"~-k....T."" ",......"'''.)..~....-.._ ."}-'":;;Ji7'0..~"""",,, _, " _...._._.,._.~~_'L.:...........,.:r ,'~"'~'f- ""'..si2. " '......,.""....,q ., ,'"rr-;' Deoartment Fire Review Structural Review Planning Review Public Works Review Traffic Review Planning Review Accept Plans For Review Fire Department Review Planning Review Public Works Review Structural Review Structural Review Application Acceptance Initial Review Permit Issuance Springfield Building Permit Received 08/24/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 07/15/2010 07/19/2010 07/14/2010 08/03/2010 07/28/2010 07/08/2010 08/24/2010 08/2412010 08/26/2010 Due Date 08/24/2010 08/24/2010 08/24/2010 08/2412010 08/2412010 08124/2010 08124/2010 08124/2010 08/2512010 ComDlete 08/24/2010 , , 08/24/2010.: < ,. . ~ ',"". 08124i2010i 08/24/2010 08124/2010 08/2412010 Result . Apprqy~d;,. Approvec:l . Approved Approved Approved Approved ACe WE APP APP 10, iVR ."Jlb::\t{il';,:' . ~\;;~;1\ ':-App,ljc'~'tion Accepted 08/24{toi~:~k 1:~BPrPived 081251?R10, Issued Reviewer Gilbert Gordon Kip Kaufman Liz Miller Eric Walter Eric Walter UzMiller Kip Kaufman Kip Kaufman David Bowlsby '",- .1', , ,,\.-"-, .,l. . ", .,:U . i.i' i . ~. i',/f?' ~1~';'i:i.W:;. ;,._..1::"... "P.DPt:~;1h': ~~' ""i"i': . , "f2{i-:~JC I ,r"'iXr'/.~' .L.___;,I" . ,t" 'J\W,l'; , 8/26f2010 11:54:44AM Comments See attached document for F See Enclosed MDS/LueS ch Portal frame engineering dra\ (Plans review completed 7/1t See Enclosed MDS/LUCS ch SDC Worksheet Attached Received response to 1 st pia Received engineering for nev SDC deferred 22358.90 per r Page 11 of 13 ...... 225 Fifth 5t Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541.726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD Building I Comm~rcial Permit. www.ci.springfield.or.us PERMIT NO':', COM201 0'00862 IVR Number: pennitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/26/10 APPLIED: 6/30/10 EXPIRES: 2/21/2011 VALUE: $50,000.00 SITE ADDRESS: 632 SHELLEY ST Springfield ASSESOR'S PARCEL NO: 1703272401300 SCOPE: Tenant Infill WORK INVOLVED: Alteration f~/;;;' "j ~!':, , ..:~ t, ...lJrE OF STRUCTURE: Industrial Tenant Infill of EXiSting\B~)i~in'g '~)"f~( PROJECT DESCRIPTION: INSPECTIONS REQUIRED ~ Inspections 8920 Miscellaneous Fire 8999 Final Fire 1070 Parking Lot 1170 Post & Beam ,.' !, 1260 Framing 1550 Firewall ;,' ..,'.1 ,..'y',:~ II.. l r .,--' 1560 Firestop Assemblies 1710 Fire Sprinklers 1829 Special Inspection 1999 Final BUilding 2300 Rough Mechanical 2999 Final Mechanical ",.-'j }.:'t . '~" ." ~ I~ ...,', I".l;!.-/ !",,:-, 3170 Underfloor Plumbing 3500 Rough Plumbing 3999 Final Plumbing 4500 Rough Electrical 4999 Final Electrical "Emli:.!J ; f' 8750 Fire Alarms 9012 SUB Final 19~6 Final Inspection - Planning 1260 Framing . .~1r, ..~:....:: 1520 Interior Shearwall .!;..!.. "-,~<> Springfield Building Permit ;'\ t..",. ~,' " , - .::.. ~ ~!26/~.01 o:~fi1'~54 :44AM' Page 12 of 13 'f.~~{j[,l; ." ':;;~:-T' , , . ,'l ~ :;~~~. ;;'{f'i.i~V~;J' ~~/~\" WWW.ci.springfield.or.us CITY O'F'SPRINGFIELD Building I Commercial Permit. PERMIT NO: COM2010-00862 IVR Number: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/26/10 APPLIED: 6/30/10." ,,~ EXPIRES: 2/21/2011 , VALUE: $50,000.00 SITE ADDRESS: 632 SHELLEY ST Spring~~I,~,. ASSESOR'S PARCEL NO: 1703272401300 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Tenant Infill of Existing Building 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 cqr:l:;P!i~.n~~,~\tQ..q.R~;?-9;1 :005 will be ,used on this project. I further agree to ensure that all required inspections are requested at th5tpiQP~rctL .that e'ach address is readable from the street, that the permit card is located at the front of the property, and thei~~p,~9V~ e,t.of plans will remain on the site at all times during construction. JYh<oj~ Date -- "., .~_( c 01i CJ \ \ \ '1 -:'l \ I .-" ..."...' Springfield Building Permit 8/26/2010 11:54:44AM Page 13 of 13 . . S~RJNG.. F JE~ a~' "~ . . O:;;:\.\~EGON ~'., l CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.U5 TRANSACTION RECEIPT COM201 O~p08~2 ' 632 SHEL.LEY ST permitcenter@cl.springfield.or.U5 RECEIPT NO: 2010000146 RECORD NO:"COM2010-00862 DATE: 08/26/2010 AMOUNT DUE:~l,f,-,t ". "N .._._..__ ~ __~"_""~ ..... ..,~____iftlkw $2,129,42 $9,169.20 $281.00 224-00000-425604 $77.50 100-00000-425602 $465.25 . 224-0()000-426605 $22.80 _~;~.22~:0()001l.::4256~~ $1.00 100-00000-425602 $186.10 224-00000-425602 $228.00 224-00000-425603 $57.00 821-00000-215004 $72.09 100-00000-425605 $41,44 447-00000-448027 $11 ,060.27 TOTAL DUE: $23,791.07 ~IlAYMENT,TYRE:;;; ":'~~Y0R'ti". ;"'CASHIER;Da6v;tsaY1i:;g,;lC()I\IIME:NtS;.;r-i't;~#g;, _:cb.;'~t ,. ~A@j.JJ:lfl:~f)':"'"3~~~J -.;:.......--,~ -,- -', ~_~l.;rr::::J'il':-~:-'("-': w -,~c~ L( '.IlL. ,.'v V '.1" ~,':. j. .:.;~t ,'0" , '; tree products hardwoods inc,,:; F1'E: L~~,ariat,paY,nient. SDC deferred . __,.._.. . 22:l"$8.90 per MS. 'O"E,S' -C,'R'IP.', T'IO'. N"l,f;l';""*"~-l7,~."., 'c," ~ '. __i"'.."._._.,..z~..""'-... 4"",.,- SDC Transportation Admin sac Transpo Reimbursen;ent Planning Final Occy Inspection Mechanical Permit fee (based on value of work) Buildin_g Permit Fee Admin fee (10% of applicable fees) Balance of Minimum Plumbing Permit Fees Fire, Life, Safety Plan Review Deferred Submittal Fixture State of Ore~on Surchar~~ (12% of applicable fees) Technolo~yJ;3!J5% of permit total) SDC: Improvement - Transportation ~DC ". i :w;+;::o'0,>}d~?:%ii{;t+-<A"':;:;;"'~,l;'"~ ";': "'$-r-C"w,C"" " ~ ,.. ','''''-. - ..!~-~:;:t;01>'''l;>i . h'h' '~h"{;"'::;T;T%"''0:~~od:'' ,~ ."J'-'~~~'tr'r'';i'!~<:~, ,.o.U,NT;;...G.OOE"...:.J:,,:,ifP'47" "'t4f",', Check $23,791.07 42242 ~;'" ' $23,791,07 .f:;, j""" .' c, 'I. ~. '(~,,~{~,; \.~ . ,~~~_~:'!Y:'. :. :K;:~~:;:,"~; '. ':'