HomeMy WebLinkAboutPermit Miscellaneous 2010-12-6
~.~;.:;~
,~~ ,.:"!P OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-5PR2010-00588
IVR Number: 811141394654
www.ci.springfiefd.or.us
225 Fifth Sf
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permjlcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
155 ued
12/06/2010
ISSUED:
APPLIED:
12/06/2010
10/26/2010
EXPIRES:
VALUE:
06/04/2011
$15,000.00
SITE ADDRESS: 102 30TH ST, Springfield, OR 97476-5647
ASSE50R'S PARCEL NO: 1702310005100
SCOPE: Site Work Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Site accessability improvements
Phone Number:
OWNER:
ADDRESS:
GOODWill IND OF LANE COUNTY
655 SENECA RD
EUGENE OR 97402
Contractor Type
General Contractor
CONTRACTOR INFORMATION I
Contractor Name Lie Type
GOODWILL INDUSTRIES OF LANE & SOUTH COAST eOl CCB
BUILDING INFORMATION'
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units: .
o
# 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:
Structural Specialty Code Edition:
Lic No
191126
,
,
,
Lic Exp
06/23/2012
Phone
541-345-1801
Lot Size:
Sq Ft 1 st Floor:
Sq Ft2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
2010
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Site Information ~TTi=hITln~l: Oregon law requires you to
follow rules adopted by lIie 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 fhe Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit
1\1 OTl CF.:
THIS PERMiT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
MY 180 DAY PERIOD.
12/6/2010 2:03:40PM
Page 1 of 4
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.cLspringfield.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00588
IVR Number: 811141394654
permitcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
12/06/2010
ISSUED:
APPLIED:
12/06/2010
10/26/2010
EXPIRES:
VALUE:
06/04/2011
$15,000,00
SITE ADDRESS: 102 30TH ST, Springfield, OR 97478-5847
ASSESOR'S PARCEL NO: 1702310005100
SCOPE: Site Work Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Site accessability improvements
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
I
Descriotion
Bid
Tvpe of Construction
NA
Unit Amount Unit Tvpe
15,000.00 Bid
Unit Cost
1.00
Value
15,000.00
15,000.00
FEES PAID
I
Description
Structural Plan Review Fee Commercial
-.-- . ._~. ~~-~-
Building Pe.~mit Fee ________.__~__~~___
~?Jl~':i5%.~f.~ermit totall._._.____
State of Oregon Surcharge (12% of applicable fees)
Total Amount Paid
Amount Paid
$120.09
$184.75
$9.24
$22.17
$336.25
Date Paid Receipt #
10/26/2010 374704
12/06/2010 375048
-----~-_._--~-_.~~...._..-
12/06/2010 375048
-~._.~~~-- _.~*.._..-
12/06/2010 375048
Springfield Building Permit
12!6/2010 2:03:40PM
Page 2 of 4
o
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00588
IVR Number: 811141394654
WWW.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
12/06/2010
ISSUED:
APPLIED:
12/06/2010
10/26/2010
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permi1center@ci.springfield.or.us
EXPIRES:
VALUE:
06/04/2011
$15,000.00
SITE ADDRESS: 102 30TH ST, Springfield, OR 97478-5847
ASSESOR'S PARCEL NO: 1702310005100
SCOPE: Site Work Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Site acce~sability improvements
Plan Review
i
DeDartment
Application Acceptance
Received Due Date ComDleted
10/26/2010 10/26/2010 11/01/2010
Result
Application Accepted
Reviewer
David Bowlsby
Structural Review '11/01/2010 11/01/2010 11/30/2010 Approved Chris C;:arpenter
Comments: 1. Maintain required means of egress for aU por1ions of the building during construction at all times that Ihe building is
occupied. [OSSC 3302.1, SFC 1411.2]
2. Construct according to the approved plans. Changes shall be submitted to the City of Springfield for approval.
St.tuciura.+4~v~ew: ;;~.:,<;:~...:ti~.,...ll.IPU@.~. <'i1701/3o,t~;;;l~/03/~Oj ~f . - ;>wal~~~:~teih$V. :!:'1{;..~h:~i~'e~H~e. '~t.~T'7 ";'.' . ~~. -. '- ~.' ~*.' . ,:"""""1 '.
Coml'!1e~nts:', >Re~~evy,so~pl~te~,w;:~~If1.g19,r~therqE:lp~~~tn!;ap,Rvl~"~., ~"'~'""~ .,~;+T::", _~'"""{~ .~. .>;. _..;' ,~._' ".. ;J{' '.' -.: '" ' .:_~
Planning Review 11/01/2010 11/01f2010 11/02/2010 Approved Liz Miller
Comments: Approved an-d passed on to PW Engineering on 11/2/10.
IFrreRevlew ~ ~ - <:- -11/01120'10 "~11j01J201O-+:i11/23/2010r :;~Approved 'p;;' ,"". ,;. ~''"!.GllbertGoraon - "'/11_JK]" ""' , ~
: c&~~~n~~-,"\ R~~s'Re~~;wt-~lti and AD8~~(C.c~S~Jb;llty ~Op~f~~~I~~;'s ;JQ.~i~PR2010~00588 ,Plars:revlew~d uni:7t~e 20fo Springfield ~ . : ;:. -,
: '" - ~ Fire Code and 2010 Oregon StructuralLSpec!alty Code. i' ' '"w - ~ ~ . ,-, . ~
,- '" --.....;;..._~~_ t ."" 'w--'!!i;' ,"", '-', ,/'" 't 'L" ""~ ~ ; ,",J;~. _ ' - '
. '" -. c" ~ "li .' -;:;0:. ~._ i> ~ Y T). or. , ,;
Plansap'p_ea1b.tol!le~rcode~q!Jiememl=l.::'" }~ . ~",,' ~~"''k,'hr;;;Z:;:; ~',;;;,u'~ l"S-L,,--,,"__. \', '... w ~ ""
Energy Code Review 11/01/2010 11/01/2010 11/03/2010 Not Required Chris Carpenter
Comments: No part of this project is regulated by energy code.
Permillssuance
11/30/2010 11/30/2010 12/06/2010
Issued
Nancy Machado
INSPECTIONS REQUIRED i
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Footing: After trenches are excavated..
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all ins lab building service equipment, conduit piping and
other equipment items are in place but prior to concrete.
Final Building: After all required inspections have been requested and approved and
the building is complete.
Inspections
1055 Rough Grading for Paving
1059 Final Paving
1110 Footing
1120 Foundation
1150 Slab/Flatwork
1999 Final Building
Springfield Building Permit
12/6/2010 2:03:40PM
Page 3 of 4
S~RINGfIE:;iJ
iiJ
'''-:~.
;S;..OREGON
www.ci.springfield.OLUS
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00588
IVR Number: 811141394654
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
12/06/2010
ISSUED:
APPLIED:
12/06/2010
10/26/2010
EXPIRES:
VALUE:
06/04/2011
$15,000.00
SITE ADDRESS: 102 30TH ST, Springfield, OR 97478-5847
ASSESOR'S PARCEL NO: 1702310005100
SCOPE: Site Work Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Site accessability improvements
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
:~' "(~ ';';" '"' ,,~'" '"" .. "'''',," ,,' ""." .,,, re~" '" ~ .. " '" ,,~. """""
i~ I~ fL~~-:I~
Owner or Contractor Signature
Date
Springfield Building Permit
12/6/2010 2:03:40PM
Page 4 of 4
~ctural Permit Application
I @UW@},~{i!J@lilQlitI
225 Fifth Street. Springfield, OR 97477 . PH(54 I )726-3753 . FAX(54 1)726-3689
DEPARTMENT USE ONLY
I ~~ Permit no.: S/o - rrl
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 0 No
Property is within flood plain: 0 Yes 0 No
CATEGORY OF CONSTRUCTION
D Residential
o Government
ommercial
JOB SITE INFORMATION AND LOCATION
Job site address: '...., ~ 't
Cily:
Subdivision:
Reference:
Name:
Signature:
SUB.CONTRACTOR INFORMATION
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
"l~L
FEE SCHEDULE
1. Valuation information
(a) Job description: $.,~we.c.1t ffJtl. I/D/4 /~PV,.
Occupancy ~
ConsLructiol1 type:
Square feet:
Cost per square fool:
Other information:
Type of neat:
Energy Path:
Dnew ~ation o addition
(b) Foundation-only penn it'? DYes DNo
Total valuation: I $/r.D/!)~
2. Building fees
(a) Penn it fee (use valuation table): $/P1'7j,
(b) Investigative ree (equal 10 [20]): $
(c) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): $
(e) Subtotal ofrees above (2a through 2d): $
3. Plan review fees
(a) Plan review (65% x pennit fee [2a]): $/~~
(b) Fire and life safety (40% x pennil fee [2a]): $
(c) Subtotal ofrees above (3a and 3b): $
4. Miscellaneous fees
(a) Seismic fee, 1% (.01 x pennit fee [2a]): $
TOTAL fees and surcharges (2e+3C+4a): $
tvrf
Sr~~N~~ .
LL~~
~~fGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00588
102 30TH ST
CITY OF SPRINGFIELD
225 Fifth SI'
Springfield,OR 97477
541-726-3753
permilce nter@ci.springfield.or.us
RECEIPT NO: 2010000973
RECORD NO: 8] I-SPR2010-00588
DATE: 12/06/2010
',',eo;:,'; :...:~';;:r~':.":"'.6.CJ:.bUNIr{d'O:OE':-*/:'~' ':," ~ AM,QUJ!T Dl~E - - ': _ . :_-;-:~:::'l
224-00000-425602' $184,75
100-00000-425605 $9.24
821-00000-215004 $22,17
TOTAL DVE: $216.16
!;;::.f'AYMEI'lJ.J;Y!"E'--c,;:'9f'Ayo.fi;"CASHIER,NMACHADO*: ,j::_O;I\IIME:NIS::' .., " ~.J . :-. ,AMP,V,NT p.~P' /,;; ~_/::,.:3
U2.~~~9RIPTION~. ;::'t'JT_.'~~'7 .~'i;;~.;~~ ~rF: off! j~; '"~ r-ti.-
Buildin~~mit Fe~
Techno!<,,~Y fee (5% of permit total)
State of Ore~2.~,~urcharQ.e (12% of applicable fees)
Check
206267
GOODWill INDUSTRIES OF
LANE & SOUTH COAST
$216.16
$216.16
www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00588
101-- 30TH ST
CITY OF SPRJNGFIELD
225 Fifth SI
Springfield,OR 97477
541-726-3753
perrnitce nter@ci.springfield.or,us
IlECEIPT NO: 2010000668 IlECOIW NO: 8 I I-SPR201 0-00588 DATE: 10/26/2010
~SCRIP.:TI~f.I'~'~:~'i'::::c~}:"'f~.:~',%:';;:;:Z;;*',,:1.'%::,:::.~;;:';~1.Z';A!::_c_oJ!t:llf~(;QOE'4;;''".&?:';,$.iM9UNtI)UEff..i:_'A;;'; "~.J
Structural Plan Review Fee Commercial 224-00000-425602 $120,09
__"._ _ __on
TOTAL DUE: $120.09
t" .f!AYMEN'Ht~e;'";';PAY@R,'" -:;C.A_S'HIERJ:2CAWENTER~c6:l'Jlr!'J::~'LS"'7')'~':;:,'" c' "i;':-'.-AIVIOUNT PAID.'?""'; ':'1
Credit Card
026136
GOODWILL IND OF LANE
COUNTY
$120.09
$120.09