HomeMy WebLinkAboutPermit Building 2010-12-8
Structural Permit Application
-
225 Fifih Street + Springfield, OR 97477. PH(54J)726-3753 . rAX(54 1)726-3689
DEPARTMENT USE ONLY
Permit no.: SID "25 S 2.
Date: 12-
This permit is issued under OAR 918-460-0030. Permits expire if work is not stalted within 180 days of issuance orif work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has finalland":usc approval.
Signature: Date:
This project has DEQ approval.
Signuture: Date:
Zoning approval veritied: DYes 0 No
Property is within, flood plnin: 0 Yes 0 No
CATEGORY OF CONSTRUCTION
D Residential
. O..c~mmcrdal
o Government
Job site address:
f?7'-17
Subdivision:
Reference:
LOI no.:
ax or?' 7t:1J ~;-
PROPERTY OWNER
ME' I.~c..
2t:/2-s-"
State: 44,
Name:
Address~
City:
Phonl,;
Fax:
E-mail:
This illstallutionis being mode on residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requiremenLs under ORS 701.0 I O.
Sign here:
CONTRACTOR INSTALLATION
Busillcssn3mc: .XL..O CD,., Jt.,",<-r-j;~
Address: /792. C~IVT~IV~/II'" L,,<.)J
CiLy: fl'dZ,po i::"lIif(j) StaLe: On.- zw 97.,,7
r$"iS!/ !>d!1 OP FGo//- 24 Oa6~
E-mail: Z.-O.:l..c1!o C",...c: .or/: /Ver
CCB license no.: '1J2--8&---S;-
Prinlname: /2I-G 'AI, A;r,uo
Signature:
~
"'SUS'CONTRACTOR INFORMATION
Nallle CCD License Number Phonc Numbcr
Elcl'triclll -
Plumbing - --
Mcchanical --
FEE SCHEDULE
l. Valuation iriformation
(a) Job.descriptiun: CAL {"" "....n CVI\~ ';i :,.
Occupancy I?
Constr~clion type: 7Vi1E ///-B
Squure feel: 2.336'
Cost per square foot:
Other intb.rmation:
Type of lIeat:
Encrgy Path:
Dncw Daltcralioll D addition
(b) Fou.ndution-only permit? DYes ONo
Total valuation: $ /S-O
2. Building fees
(a) Permit fee (use valuation table): $51
(b) Investigntivc fce (cqulll"to [2aD: $
(c) Reinspection ($ per hour): I
(number of hours x Ji.:e per hour)
(d) Enl.er 12% surcharge (.12 x [2a+2b+2c]): $ (~'j (,
(e) Subtotal offces above (2a through 2d): $
3. Plan review fees
(a) Pl,Hl review(65% x permit fee [2a]): $
(b) Fire and life safety (40% x permit fee [2nD: $
(c) Subtotal of fees above (3a and 3bJ: $
4. Miscellaneous fees )..-"lIP
(ll) Seismic fee, 1% (.OJ x penuit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $~?~
~CJ
SPR..I.N~.F.IELD . ..
~i61
....~
c.~~....\t2Jt .
:'i:?'t^,,5\...OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00852
IVR Number: 811106640455
www.ci.springfleld.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Issued
permitce nter@ci,springfield,or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
12/08/2010
12/08/2010
12/08/2010
SITE ADDRESS: 1485 MOHAWK BLVD, Springfield, OR 97477-3353
ASSES OR'S PARCEL NO: 1703253403900
EXPIRES:
VALUE:
06/06/2011
$150.00
SCOPE: Commercial Miscellaneous
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
En'gineering for gym equipment structural suport
Phone Number:
OWNER:
ADDRESS:
MERCURY DIME, LLC
PO BOX 26125
EUGENE OR 97402
I Contractor Type
CONTRACTOR INFORMATION I
Lic Type
CCB
BUILDING INFORMA nON I
# of Stories:
Height of Structure:
Type of Heat:
Contractor Name
RICHARD AIELLO
# of Units:
o
Lie No
82355
Lie Exp
OSf01/2012
Phone
541-342-3007
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement: "01.1 to
.'~C\u,res, 'It"
~ Sq.fct,Garage: gon ut\ \ "
-- "N' Ore4' Ore" \'1
f.-ri\tNTIO . dSqlH_ca~p'.rrt I are set lor\_
"I tes a Uf' 0 , \1.1 es 'OO~-
'iol1oW rU Gef~.9 Fvoif,i;\': g\'10i\-.Ro,52- i).\I,
'j at\oi'\' '-^, ,"1"0\1 I rules uY
Not\ Ie 'A52.:GO~Occup'ancYI~~!!.d:)j.t ,e. ~ 'iW
. . . ," Q!>.R ~ __,,', 'CotS-In e",..: \\\8 \elep,,?, on
Electrical Specialty Code EdltlOn:9(\, 'YOU \l\~' -i (, \,t<\e\,E<'.,\/\\ \\\ot\\\c;at1on
. .. .. OU ,","~een,e ''''''\:It\\\1'')
Sprmgfleld Fire Code Edition: CB.\I\flg \~' 't"'e \J[egeII, ..,,-10"411 :
1m ". '>'9\):99"'-"'''
Mechanical Specialty Code Editiqn:,i\1\)~1 O@il\ef is ~ '"
Municipal f Development Code:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
2010
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
. I' -n-IE \NO\'.\<-
NOi\Ct.: II S\-\/\\..\.. E~?\\'.~~\'.\\IIII IS \,\01
1\-\\'0 ?E\'.~EO U\,\OE\'. 1\-\I~OO\'\tO rO\'.
/\Ul\-\O\'.I 0 O\'. IS /\'3/\
CO\\ll\\llE\'\Cot/\'I ?E\'.IOO.
/\\'\'1 '\80 .
Springfield Building Permit
12fB/2010 11:07:22AM
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.ci.springfield.OLUS
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00852
IVR Number: 811106640455
permitce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
155 ued
12/08/2010
ISSUED:
APPLIED:
12/08/2010
12/08/2010
EXPIRES:
VALUE:
06/06/2011
$150.00
SITE ADDRESS: 1485 MOHAWK BLVD, Springfield, OR 97477-3353
ASSESOR'S PARCEL NO: 1703253403900
SCOPE: Commercial Miscellaneous
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Engineering for gym equipment structural suport
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive, Reqd:
% of Lot Coverage:
Highest point on structure
to north properly 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
~
Descriotion
Bid
Tvoe of Construction
NA
Unit Amount Unit Tvoe
150.00 Bid
Unit Cost
1.00
Value
150.00
150.00
FEES PAID
~
Descriotion
Building Permit Fee
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
Total Amount Paid
Amount Paid
$58.00
$2.90
$6.96
$67.86
Date Pa id
12/08/2010
12/08/2010
12/08/2010
Receiot #
375079
.~-~--_.,_._-
375079
375079
Springfield Building Permit
12/8/2010 11:07:22AM
Page 2of4
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00852
IVR Number: 811106640455
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
12/08/2010
12/08/2010
Issued'
12/08/2010
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
EXPIRES:
VALUE:
06/06/2011
$150,00
SITE ADDRESS: 1485 MOHAWK BLVD, Springfield, OR 97477-3353
ASSESOR'S PARCEL NO: 1703253403900
SCOPE: Commercial Miscellaneous
WORK INVOLVED: Alleralion
TYPE OF STRUCTURE: Commercial
Mechanical Review 12/08/2010 12/08/2010 12/08/2010
Comments: Over the counter permit
Stru9-tural:Re,View~,~'~k =~'::~:;01!O~(2q16'. .. 1~/Q8jfb19~?"12!88720bq\> :N2t~~"e~q~lt~t:~~,:r .ij:C"~r~s.C,~r~~1nt~r':"o.. .'-" :~: '.". ~ ,." ,~~~
'C'orTunents: "Over,th~:cOlJnterpermit, ''';.,. ~"', '~, ;r/: "r'< (, . ,,"','" _. "," l 0,/ ,if ,'~~~i:.. ~,,- ., ~c,_.,.~, ' . ">" ./- .- .,.; -,- ,'. ,_: . i
.'-- ..... ""~4>0.,1>.'--'~ ",'," ",-... ''''''';;'f'''~ j';j;;;,~ \:___..;~.",--~L....;_~"..L.,,__~,~~----,-,..-_~~~--....J
Planning Review 12/08/2010 12/08/2010 12/08/2010 Not Required Chris Carpenter
Comments: Over the counter permit
iFi[~R~v;ew>",?:~',~)/"~~C'.12/6il/2016cj:'12/08/2010,',:12/08/2610': \:, N2Lf!~qyif~~: ~. '. _C;h,risgarpenter. ~',~,..' ..,.1
t.: c~~~~~~l;~y~f!h-~R~~~t~~,~'~r~irt: ,~~;, .~!:'~~ .~~",:"::~~~:-~:' '_ :.i'.'.~;- _l:, ';' -, - 'yc- ,,1:)' -1i'~ i(~:;:';,~ :'~~ - cl:' ~". ;t,. -~"c,,' ,.:" ,. i
Public Works Review 12/08/2010 12108/2010 12/08/2010 Not Required Chris Carpenter
PROJECT DESCRIPTION:
Engineering for gym equipment structural suport
Plan Review
Department
Permit Issuance
Received Due Date
12/08/2010 12/08/2010
Completed
12/08/2010
Result
Issued
Over the Counter
Initial Review
12/08/2010 12/08/2010
12/08/2010
Comments: Over the counter permit
:c~~m'!ll:i~ts':< _A',{.,..
Not Required
Comments: Over the counter permit
Traffic Review
12/08/2010 12/08/2010 12/08/2010
Not Required
I
Reviewer
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpe~ter
Comments: Over the counter permit
{Plumbi~g He~7:'~1<';~~':fiJ2/6f!/?0.1 0' \1210,8/2010~ 12/08/2019::.;> " . Not Requir~d.!~. '. >- . ;' '9 .q:hIls5Carp,enter" ~~~-r--
l~?'C6~~n!~}?:;~y~[t.h-e-;cB.~n1~r~erm,~:~.~;~:~;\,::::~.;~ ;:',~i~-;~~','~~~i";~';;":;;"~:~4 ~,f~;-:~~/2lo:~. . .~'W" ~~. "?' 'v~',,-? r.:~
.,]
INSPECTIONS REQUIRED I
Inspections
1999 Final Building
Final Building: After all required inspections have been requested and approved and
the building is complete.
Springfield Building Permit
12/8/2010 11;07:22AM
Page 3of4
SPRINGFIELD
~.h4_'
~#:m ;~+:;
", ~.
'.~'j"'f OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811"SPR2010-00852
IVR Number: 811106640455
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
permitcenter@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
12/08/2010
ISSUED:
APPLIED:
12/08/2010
12/08/2010
EXPIRES:
VALUE:
06/06/2011
$150.00
SITE ADDRESS: 1485 MOHAWK BLVD, Springfield, OR 97477-3353
ASSESOR'S PARCEL NO: 1703253403900
SCOPE: Commercial Miscellaneous
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
"
PROJECT DESCRIPTION:
Engineering for gym equipment structural suport
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
/z4v~ a:a
-/2--?-,cJ
Owner or Contractor Signature
Date
Springfield Building Permit
12/8/2010 11:07:22AM
Page4of4
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR20 10-00852
1485 MOHAWK BLVD
CITY OF SPRINGFIELD
225 FifthSI
Springfield,OR 97477
541-726-3753
permitcenler@cLspringfield.or.us
RECEIPT NO: 20]0000998 RECORD NO: 8] ]-SPR20] 0-00852 DATE: 12/08/2010
[I:lE$j::Fi!E:rL6_~X'ji; i "." . :_'~i<.Jytfi~: ';', :;;;ij;i:7'~1:;- i;,,,; , , ,~~~~C(;:6JJNYc.QbE . "'~~;:'.i:~M'dlJ-':it,i5.uL '.." "::'~...2.1
Bui]ding~n:!tfee .___._____ 224.00000.425602 $58.00
Technology fee (5% of permit total) 100-00000-425605 $2.90
State of Oregon Surcharge (12% of applicab]e fees) 821-00000-215004 $6.96
TOTAL DUE: $67.86
l::::PAYMENTit"{PE':PAYORi,'-CASfllERCCARPEN1'ER :~-j:C_QI\{IMg~fs::-::':;;:;;;;~i;:;\;:;~;;. .'~,._:';AIIiI6DNTPAID,. .' ; , .1
Credit Card
249822
RICHARD A]ELLO
$67.86
$67.86
,~-
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': ',CALC~Tl~N~:
.:. :.. FGJ'R. .:. e.-
CROSS FIT INTENSIFY GYMNASTICS
. RII\I~S:EXISJ'IN& P,RAMING
" ~ . . . .
.. ~....
. . . ... .
1485' MOHAWK; SUl1'E #832
SPRINGFIELD, OR 97477
PROVIDED FOR:
ILO CONSTRUCTION
PREPARED BY:
ESK ENGINEERING, LLC
POC: ERIK KUNKEL, P.E., S.E.
12/6/2010
NOTE: CALCULATIONS ON !LO CONSTRUCTION SKETCHES AND
PROVIDED INFORMATION. SEE LAST TWO PAGES OF CALCULATIONS.
CALCULATIONS ARE ALSO BASED UPON TWO SETS OF GYMNASIUM
RINGS ATTACHED TO A SINGLE 4x8. ANY ARRANGEMENT OF THESE
RINGS ARE ALLOWED TO BE ATTACHED TO THE 4x8.
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