HomeMy WebLinkAboutPermit Miscellaneous 2010-12-3
S~r~~.I.E.~
.:~~
~,;E ";'''..~.OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00041
IVR Number: 811140510231
www.ci.springfield.or.us
225 Fifth St
Springfleld,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.ar.us
PROJECT STATUS:
STATUS DATE:
Issued
12/03/2010
ISSUED:
APPLIED:
12/03/2010
08/12/2010
EXPIRES:
VALUE:
06/01/2011
$350,000.00
SITE ADDRESS: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477-1860
ASSESOR'S PARCEL NO: 1702190003300
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Commercial Miscellaneous
Alteration
Commercial
PROJECT DESCRIPTION:
Filter upgrades
Phone Number:
OWNER:
ADDRESS:
CITY OF EUGENE
CITY HALL
EUGENE OR 97401
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lie Type
Lie No
Lie Exp
Phone
BUILDING INFORMATION
t"
I
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy load:
o
# of Units:
o
# of Stories:
,
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Occupancy Type
Occupancy
Comments
U
Structural steel and
concrete, and plumbing
systems.
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
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~ructural Specialty Code Edition;
2007
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NOTICE: 'd
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
12/3/2010 1:21:15PM
Page 1 of 4
S;~~I~~
~((~
y,.--.-." -x.. OREGON
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.U5
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00041
IVR Number: 811140510231
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
155 ued
12/03/2010
ISSUED:
APPLIED:
12/03/2010
08/12/2010
EXPIRES:
VALUE:
06/01/2011
$350,000.00
SITE ADDRESS: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477-1860
ASSESOR'S PARCEL NO: 1702190003300
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Commercial Miscellaneous
Alteration
Commercial
PROJECT DESCRIPTION:
Filter upgrades
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
,
Descrlotion
Tvee of Construction
Unit Amount Unit Tyee
Unit Cost
Value
FEES PAID
Amount Paid
$1,122.06
$1,726.25
$86.31
$207.15
$3,141.77
,
DescriDtion
Structural Plan Review Fee Commercial
Building Permit Fee
Technology fee (5% of permit total)
State of Oregon Surchar~e (12% of applicable fees)
Total Amount Paid
Date Paid
08/12/2010
12/03/2010
12/03/2010
12/03/2010
ReceiDt #
224422
375032
375032
375032
Springfield Building Permit
12/3/2010 1:21:15PM
Page 2 of 4
SrRINGFIEl~
41'1_,
.~
OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00041
IVR Number: 811140510231
www.ci.springfield.OLUS
PROJECT STATUS:
STATUS DATE:
Issued
12/03/2010
ISSUED:
APPLIED:
12/03/2010
08/12/2010
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci .springfield. or. us
EXPIRES:
VALUE:
06/01/2011
$350,000.00
SITE ADDRESS: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477-1860
ASSESOR'S PARCEL NO: 1702190003300
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Commercial Miscellaneous
Alteration
Commercial
PROJECT DESCRIPTION:
Filter upgrades
Plan Review
~
Department
Application Acceptance
Received Due Date Completed
08/12/2010 08/12/2010 08/17/2010
Result
Application Accepted
Reviewer
David Bowlsby
fStr~du'raIH'~;-I:;~~~~',:: .<8;08Z17!.:2010~~:r08tt1 /201 {tt~oQ/o3i261 0 ,;:~Ad'(f1 Jnfo'Require'd :"'>~h;J<rp'Raljfrnar(' -:r;.~:7"i~~~~:'~:::~ ,,' ' ",.:,:'~::l
t,:' ""'~',",'"L'o."".f::".:\d~""~"'~""'/."',"~"'''''''''''Ji;''''-.,t,',:~"P-c;';,,'-"'.>"'<,-"".>' ..7.,.;,..t..:_~ "~'--;.,.' ',__'Y.,._.~. :~..",,/.t\..,;'-:.." ,,"-"":'" _: -;'J._~_.
~;.< ,';' ;-- ,,,_' of,.',,". """J
r,~:CO~trl'~ri!s:,,;0f,f.?Viq: ~p~ci~niq~p_~~tib.nif~rif1, Sifi?e1,?x...~n/e?POlisi~l~p_~~!e.S~f9r;~~pa~t~~,~tfU. ;9!~.Jfll.f1l~"Co!19~~te'Pl<3:ce,~ent ~riq ".. ,. ;> .. J
f..- .;,~/'- t~"" ",jre!nforcement,~structuralsteel weldtng,&ost~lnstalled'anchoI!.Qg:..~J9h~st@E!9lt1..;;J~9J!HJ9.P..~.C~ng!neer of record. __ ;r...,;""
Plumbing Review 08/17/2010 08/17/2010 11/30/2010 Not Required Kip Kaufman
Fire Review 08/17/2010 06/17/2010 09/20/2010 Approved Gilbert Gordon
Comments: Plans Review: filter upgrades fDr water intake system. Job #SPR2010-00041. Plans appear to meet code requirements.
Planning Review 09/21/2010 08/17/2010 10/04/2010 Information Only
Comments: I have not yet received this plan from building or public work.s to review.
Public Works Review
Comments: no sdcs
09/21/2010 08/17/2010 12/01/2010
Approved
lizMiller
H Jones
Springfield Building Permit
12J3/2010 1:21:15PM
Page 3 of 4
5 P,RI N....G.. FIEL?ij
~~~
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,,~'\<-;, OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00041
IVR Number: 811140510231
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:
STATUS DATE:
Issued .
12/03/2010
ISSUED:
APPLIED:
12/03/2010
08/12/2010
EXPIRES:
VALUE:
06/01/2011
$350,000.00
SITE ADDRESS: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477-1860
ASSES OR'S PARCEL NO: 1702190003300
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Commercial Miscellaneous
Alteration
Commercial
PROJECT DESCRIPTION:
Filter upgrades
INSPECTIONS REQUIRED I
Inspections
1110 Footing
1120 Foundation
1160 UFER Ground
Footfng: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and
other equipment items are in place but prior to concrete. . .
Ufer Electrical Ground: Install ground rod at footing and call for inspection in
conjunction with footing and/or foundation inspection.
Concrete Tilt Up Panels: Prior to placement of concrete with all steel reinforcement.
in place.
1150 Slab/Flatwork
1195 Structural Concrete
1240 Reinforcing Steel
1260 Framing
Framing Inspection: Prior to caver and after all rough in inspections have been
approved.
1829 Special Inspection
1999 Final Building
Final Building: After all required inspections have been requested and approved and
the building is complete.
1240 Reinforcing Steel
Bolts Installed in Concrete
Hold Downs Installed
Epoxy Anchors
Hi9h Strength Boltin9
Structural Welds
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.
;y;/~
~r or Contractor Signature
-
12 - :5 -/0
Date
Springfield Building Permit
12/312010 1:21:15PM
Page 4 of 4
Structural Permit Application
CiTY OF SPRINGFIELD. OREGON
...~
~
DEPARTMENT USE ONLY
SPI2.ZC/O-0004 I
Permit no.:
225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689
/ Date: [f- _ ()
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: 0 Yes D No
Property is within naod plain: 0 Yes 0 No
CATEGORY OF CONSTRUCTION
o Residential
Government
D Commercial
Name:
Address:
City:
Phone: :!.--- er-
E-mail: ..11.
This installation is being made on resi ential or farm property 0 d by
me or a member afmy immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
Business name:
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
State:
Fax:
ZIP:
Signature:
-.- -c SUB.CONTRAcTOR INFORMATION..
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
"'
il
FEE SCHEDULE
I. Valuation information
(aJ Job description: Fi I te-"L (AA'-r,4-J~r
Occupancy I ,
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Hcat:
Energy I'ath:
Dnew ..eraIteration D addition
(b) Foundation-only permit? DYes. .BNo
Total valuation: I s,3SCi "OU
2. Building fees
(a) Permit fee (use valuation table): $
(b) Investigative fee (equal 10 [2a]): $
(e) Reinspection ($ per hour): $
(number ofhoUfS x fee per hour)
(d) Enter 12% surcharge (.12 x (2a+2b+2cJ): $
(e) Subtotal offecs above (23 through 2d): $
3. Plan review fees b
(a) Plan review (65% x permit fee [2a]): $117.'[ =--
(b) Fire and life safety (40% x permit fee [2a]): $
(e) Subtotal of fees above (33 and 3b): $
4. Miscellaneous fees
(a) Seismic fee. 1% (.01 x pennit fee [2a)); $
TOTAL fees and surcharges (2e+3c+4a): $
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~OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00041
3957 HAYDEN BRIDGE RD
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
permilcenter@ci,springfield.or.us
RECEIPT NO: 2010000960
RECORD NO: 811-SPR20 1 0.00041 DATE: 12/03/2010
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224-00000-425602 $1,726.25
100-00000-425605 $86.31
821.00000-215004 $207.15
TOTAL DUE: $2,019.71
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fR:gSCRIPTIONr ;~,,~_' ... ~~. c..,p,.
~uilding Permit Fee
Technol09Y fee (5% of permit total)
State of Ore90n Surchar~e (12% of applic~ble fees)
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Credit Card
062975
water engineering
$2,019,71
$2,019.71
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield.OR 97477
541-726-3753
www.cLspringfield,or,U5
permitcenler@ci.springfield.or.us
RECEIPT NO: 2010000043
RECORD NO: 811-SPR20IO-00041
DATE: 08/12/2010
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Structural Plan Review Fee Commercial ___._.___100-00~~::~5602 $1,122.06
TOTAL DUE: $1,122.06
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Credit Card wally mccullough $1,122,06
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041839
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