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Home My WebLink AboutPermit Building 2010-12-21 sp~~..~~~~ ~~:;~.. ~,.:""^'<'~ O'REGON www.cLspringfield.OLUS CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00409 IVR Number: 811178612282 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: Iss ued 12/21/2010 ISSUED: APPLIED: 12/21/2010 09/30/2010 EXPIRES: VALUE: 06/19/2011 $1,761,495.00 SCOPE: Church WORK INVOLVED: New TYPE OF STRUCTURE: Commercial New 10,750 s.t. Bldg. with Future 3,494 s.t. 2nd Story. 1st Floor occupant load 1087; Future 2nd Floor occupant load of 354 = Total 1441. SITE ADDRESS: 4045 COMMERCIAL AVE, Springfield, OR 97478-5777 ASSES OR'S PARCEL NO: 1702311404000 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: EAST SIDE BAPTIST CHURCH 4045 COMMERCIAL BLVD SPRINGFIELD OR 97477 Contractor Type General Contractor Electrical CONTRACTOR INFORMATION ~ Contractor Name CASCADE VIEW CONSTRUCTION INC NEW WAY ELECTRIC INC Lie Type CCB ELECTRICAL Lie No 155174 20-145C Lie Exp 04f16/2011 07f01f2011 Phone 541-896-3081 541-686.2365 # of Units: Construction Type Occupancy Type Occupancy Comments # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: o Type VB A3 Assembly Other 1 st Floor occupant load 1087; Future 2nd Floor occupant load of 354 = Total 1441. New 10,750 sJ. Bldg. with Future 3,494 sJ. 2nd Story. Yes Yes BUILDING INFORMATION ~ # of Stories: 1 Height of Structure: 35 Type of Heat: Water Type: Range Type: Hazmat: No Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 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: 169410 10750 o 1441 2008 2007 2008 2007 Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Site Information ~ ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010through 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). NonCE: . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR Spd",';eld BQ;,~\:f, ~e9"Q DAY PERIOD. 12f21f201 2:12:40PM Page 1 of 8 SP~.NG.:EL..:iJ. . l~ . _~EGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00409 IVR Number: 811178612282 225 Fifth St 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 12/21/2010 12/21/2010 09/30/2010 EXPIRES: VALUE: 06/19/2011 $1,761,495.00 ISSUED: APPLIED:, SCOPE: Church WORK INVOLVED: New TYPE OF STRUCTURE: Commercial New 10,750 sJ. Bldg. with Future'3,494 sJ. 2nd Story. 1st Floor occupant load 1087; Future 2nd Floor occupant load of 354 = Total 1441. I DEVELOPMENT INFORMATION ~ SITE ADDRESS: 4045 COMMERCIAL AVE, Springfield, OR 97478.5777 ASSESOR'S PARCEL NO: 1702311404000 PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Driv~ Reqd: % of Lot Coverage: Highest point on structure. to north property line: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: DescriDtion A-3 churches Springfield Building Permit PUBLIC IMPROVEMENTS I 522 Valuation Description I Tvoe of Construction liB Unit Amount Unit Tvoe 10,750.00 Sq Ft 12/21/201 2:12:40PM Sidewalk Type: Downspout/Drains: Unit Cost 163.86 Value 1,761,495.00 1,761,495.00 Page 2 of 8 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00409 IVR Number: 811178612282 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 12/21/2010 09/30/2010 EXPIRES: VALUE: 06/19/2011 $1,761,495.00 12/21/2010 PROJECT DESCRIPTION: SCOPE: Church WORK INVOLVED: New TYPE OF STRUCTURE: Commercial New 10,750 s.f. Bldg. with Future 3,494 s.t. 2nd Story. 1st Floor occupant load 1087; Future 2nd Floor occupant load of 354 = Total 1441. I FEES PAID I SlifE ADDRESS: 4045 COMMERCIAL AVE, Springfield, OR 97478-5777 ASSESOR'S PARCEL NO: 1702311404000 Amount Paid Date Paid Receipt # $3,370.74 09/30/2010 374454 $5,185.75 12/21/2010 375203 $2,074.30 12/21/2010 375203 $175.90 12/21/2010 375203 $7,112.77 12/21/2010 375203 $3,471.61 12/21/2010 375203 $1.381.63 12/21/2010 375203 $5.035.50 12/21/2010 375203 $10.00 12/21/2010 375203 _.,.,-~~". $529.22 12/21/2010 375203 $320.86 12/21/2010 375203 $1,075.00 12/21/2010 375203 $38.00 12/21/2010 ---3752ci3"- $95.00 12/21/2010 375203 ','----- $247.00 12/21/2010 375203 $38.00 12/21/2010 375203 $57.00 12/21/2010 375203 $38.00 12/21/2010 375203 $209.00 12/21/2010 375203 $38.00 12/21/2010 375203 '."-'-',~-~,,~~,--,- $19.00 12/21/2010 375203 .._--,_._-_.,_.~-~-----~ $76.00 12/21/2010 375203 """,,~~----,",---'-----* $38.00 12/21/2010 375203 $76.00 12/21/2010 375203 -----$-19.00 12/21/2010 .*--.-----.--375203 ~ w.__.....__,__..,.._______. ._ $76.00 12/21/2010 375203 $95.00 12/21/2010 375203 $95.00 12/21/2010 375203 $19.00 12/21/2010 375203 $76.00 12/21/2010 375203 $572.39 12/21/2010 375203 $684.00 12/21/2010 375203 $852.86 12/21/2010 375203 $389.56 12/21/2010 375203 $33,591.09 Description Structural Plan Review Fee Commercial Building Permit Fee Fire, Life, Safety Plan Review Admin fee (10% of applicable fees) SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater SDC: Reimbursement ~ Transportation SDC SDC: Improvement - Transportation SDC SD~: Admini~~~lye Fee - MWMC Regional ~~stewater! SDC: Total Sewer Administration Fee SDC: Tota~ Transportation Administration Fee Commercial Fire (.10 p.:r Sq Foo~) Drinking fountain Floor drain/floor sink/hub Sink/basin/lavatory Shower/Shower pan Urinal Backflow preventer Water closet Hose bibb Water heater - -"._--,..-~, ~~~ry sewer __..~ ~anjtary sewer - e~;:~ addition~~~~_~or po~.?n of Water Line ...---- ~~:r Line- Each additional 100 feet.or portion of Storm Sewer .~,._..._---- Storm Sewer - Each additional 1 00 feet or portion of Catch basin or area drain Fixture Perimeter foundation drain Mechanical Permit fee (based on value of work) Deferred Submittal State of Oregon Surcha.~~_:,_( 12% of af:e~~~able fee:~ Technology I.:e (5% 01 permit total) Total Amount Paid Springfield Building Permit 12/21/201 2:12:40PM Page 3 of 8 5r..RIHG.FI.EL~. . ~r/ '" c~~0l>'" t".,x,,,.~:, ~ l''''~:~ ,. ...., . """.,,,, OREGON CITY OF SPRINGFIELD Building I Commercial Permit 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us PERMIT NO: 811-SPR2010-00409 IVR Number: 811178612282 pennjICent~r@d,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/21/2010 ISSUED: . APPLIED: 12/21/2010 09/30/2010 EXPIRES: VALUE: 06/19/2011 $1,761,495.00 PROJECT DESCRIPTION: SCOPE: Church WORK INVOLVED: New TYPE OF STRUCTURE: Commercial New 10,750 s.f. Bldg. with Future 3,494 s.t. 2nd Story. 1st Floor occupant load 1087; Future 2nd Floor occupant load of 354 = Total 1441. I Plan~vi~ ~. SITE ADDRESS: 4045 COMMERCIAL AVE, Springfield, OR 97478-5777 ASSESOR'S PARCEL NO: 1702311404000 Department Application Acceptance Received 09/30/2010 Due Date 09/30/2010 Completed 09/30/2010 Result Application Accepted Reviewer Kip Kaufman ~!ablling' RevieW\~'},_.., ~', "'-^'.,04T{)g/3072010';:''''1.o,"14/2o~f9Y:~;,1 0107/201 O),-~'r~f,\dd;I:lnfo:~~~uJred::~';,':~;7: "Lfi-: Mitler.-:':~:-,,'~"'~:Z:'-:::--:?';~:-'~" i ,.~.. ',:,.> ...,,-, . \." ",:..,,/,:,' .,,':": ,:" } "'." ',*:.,,~:.::~._,..:.-.. _" . .. --',,:.-'<i!i1".: ".:,:.:.. .'~ ---...-: -:_-' "'_ ):c:'i ':c .' . .... -, :....,':'-:-,. .;-._-~.:- ::.. ..":. " ..'.' ~'.::;:'" >..... ",.. .- .~'Cbmments: t/'R~-C~_ive~_from,'buildi~'g'on'1 o/5Jfo:~w;rdng ,on .c6n:1pleUon Of'sitk~lap'Rl:fViewprOCeS-S(DeVefop~~ehrAg~eement).. \::," . "Pas'se'dt9~S!J9!!i.~,ering'f(uevieitori 19i7i10 t'oiieret~med,t6:!!le fo'"rj~'ppr6v.a.t(g[e_~ H"Pl<LnS:,l~llia.D_!Jerj. f'~:, c:. :, J Energy Code Review 09/30/2010 09/30/2010 12/20/2010 Approved Kip Kaufman Waiting internal Kip Kaufman Comments: Phone call with design professional (Rick) about the following: 1) Per Dave Puent's conversation with Rene Fabricant about the design for a platform: a) The curtains must be eliminated and replaced with a non-combustible wall, arid the projection screens must be directly allached to the non-combustible wall. b) For platform size and height, the requirements are per Section 410.4: not more than one-third the room floor area and not more than 3,000 s.f., and maximum height of 30 inches above the main floor. c) If there's storage under the platform, 1-hour fire-resistance-rated construction is required for the platform per 410.4. d) For both stages and platforms per Section 410.7, standpipe systems are required per OSSC Section 905. 2) Planning has not approved their review. 3) Fire has not approved their plan review. ~fructural'RevieW '; j ,c'':' '.,69/30/2010' 409/30/2010, 11/2212010; ,''/\dd'llnf o Required , c,:. . KiB:Ke~fmani"; .'." ~..'~-.~~ t::orp_~i.n~k;~,:c_qIT1~1~~~4:f~~~~~~~~~E~~~-~9i~,;w~,~~_~~b~~,~-e_rihi,~~Jbr~i~~~~ 'd~-t;ii~~i .~'~i:~' :i~;h:~S'I:~~"C~:~'~' -' ~i.fi'~'~3:::'t;J~":~ls~T~~Ld Structural Review 09/3012010 09/30/2010 12/20/2010 Approved Kip Kaufman Gilbert Gordon Fire Review 09/30/2010 09/30/2010 11/22/2010 Add'llnfo Required Comments: See attached document for Fire Department Plans Review Comments. ~~:~~~i:~ ~?-etl.;~~ea:~.:~u9..~..~~.0.k~g~~ociJ~i~~!;~1~}~!~&;~&.~~t'~~'1~~~:;:~i:~I;~s!~~&~(4r~:~"~~~~J'tir';~e~~r~~:;0~~,,~..:.;: "i,~,'1 t~.:LL;;:~I,IJ;ll!llt!9J~~a.D.d->-rey.I~~9...S.UJ;lm~~t..a.!~f";"'''' d~~~:.-""",,,';.';.\_, "":~--.'<~f.." '.' :i'-?>5'iM;;~'*L<"~~"'_ "'." 07'.;'7,>1;;"'" ,- ,;".~ ~,f c' J Electrical Review 09/30/2010 09/30/2010 12/21/2010 Not Required David Bowlsby Comments: Electrical plan review not completed per SR. Structural Revii;w,:::::;'<', ',"'"09/30/2010T09/30/2010,'.'1.1/04/20fo. .' ,. ,.,. ~, ~,. - -~'''.":'~Y~~'_' ~-~':T]~~~',~::~':'~~ ~~Ji'~-.: ~;~,~~' Add'l'lnfo"1Requitedf"" '.' :""KJp'Kaufman' . .t";;.J.,.:, ,:.., ,.;"'?T""'~--i'~" ~ --1 ':, -;:. ~~ :,'t.. :'~~:~~~~~~:.;~r\~~~:~.:i0l.~'":~:t:,~~~~_~.~~ ~ _',_~~_~?1 Waiting internal Kip Kaufman Structu'ral Review 09/30/2010 09/30/2010 12/15/2010 Public,Works.R.evlew 'L;,;'\/'~,1 _10/11/2010" -10/13/2010 10/1212010;': JApp(ov"ed~. ~,:~ ..~;J?~'.-p>r T:McEachern: -- ';'. ">-"''''~'''''-- ',. ". ..''''' '-'.. "" "., -."~'/"",~-' ;: ~..'.:-,.."".- .. '.- ..~'^..-.-.:><'~--'>...-.,- Commeflts~ aPRears to match+-qo~dltl.9nS t ,.C - ....: _:t > -." _ _ sd~qalculated and en~~d,t -t _~~ "7r~~.. ." ,_ 'Li::;...-. ,-c ;~":. :(.','J':,...~",. ~ ~:~ Springfield Building Permit 12f21f201 2:12:40PM Page 4 of 8 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 Building I Commercial Permit PERMIT NO: 811-SPR2010-00409 IVR Number: 811178612282 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/21/2010 ISSUED: APPLIED: 12/21/2010 09/30/2010 EXPIRES: VALUE: 06/19/2011 $1,761,495.00 SITE ADDRESS: 4045 COMMERCIAL AVE, Springfield, OR 97478-5777 ASSESOR'S PARCEL NO: 1702311404000 SCOPE: Church WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: New,10,750 s.t. Bldg. with Future 3,494 s.t. 2nd Story. 1st Floor occupant load 1087; Future 2nd Floor occupant load of 354 = Total 1441. Permit Issuance 12/21/2010 12/21/2010 12/21/2010 Issued Nancy Machado Springfield Building Permit 12/21/201 2:12:40PM Page 5 of 8 SP~IN..G..FI~L~ ~~!i_ ~"~ t/Jb <_.:v OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspr!ngfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00409 IVR Number: 811178612282 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/21/2010 ISSUED: APPLIED: 12/21/2010, 09/30/2010 EXPIRES: VALUE: 06/19/2011 $1,761,495.00 PROJECT DESCRIPTION: SCOPE: Church WORK INVOLVED: New TYPE OF STRUCTURE: Commercial New 10,750 s.f. Bldg. with Future 3,494 s.f. 2nd Story. 1st Floor occupant load 1087; Future 2nd Floor occupant load of 354 = Total 1441. I INSPECTIONS REQUIRED ~ SITE ADDRESS: 4045 COMMERCIAL AVE, Springfield, OR 97478-5777 ASSES OR'S PARCEl'NO: 1702311404000 Inspections 1050 Excavation 1055 Rough Grading for Paving 1059 Final Paving 1060 Driveway Approach 1065 Sidewalk Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. 1070 Parking lot 1110 Footing 1120 Foundation Footing: 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. 1150 Slab/Flatwork 1160 UFER Ground 1240 Reinforcing Steel 1260 Framing Framing I~spection: Prior to cover and after all rough in inspections have been approved. 1530 Exterior Shearwall 1540 Gypsum Board/lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Firewall: Located and constructed according to plans. 1550 Firewall 1560 Firestop Assemblies 1630 Roof Sheathing 1710 Fire Sprinklers Roof Sheathing 1734 Fire Alarm Rough 1740 Fire Alarm Final 1712 Fire Sprinkler Underground Fire Department Underground Sprinkler System: Prio~ to cover. Hydro pressure test, fire line flow test. 1800 Emergency Egress Lighting 1829 Special Inspection 1996 Final Inspection - Planning Springfield Building Permit 12/21/201 2:12:40PM Page 6 of 8 . Sn.i~G~EL~ II;,~ =.:.'t,,' 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.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00409 IVR Number: 811178612282 permitcenter@ci,springfield.or,us PROJECT STATUS: STATUS DATE: Issued 12/21/2010 ISSUED: APPLIED: 12/21/2010 09/30/2010 EXPIRES: VALUE: 06/19/2011 $1,761,495.00 PROJECT DESCRIPTION: SCOPE: Church WORK INVOLVED: New TYPE OF STRUCTURE: Commercial New 10,750 s.t. Bldg. with Future 3,494 s.t. 2nd Story. 1st Floor occupant load 1087; Future 2nd Floor occupant load of 354 = Total 1441. SITE ADDRESS: 4045 COMMERCIAL AVE, Springfield, OR 97478.5777 ASSESOR'S PARCEL NO: 1702311404000 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete, Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 2020 Underground Gas 2250 Gas Piping 2260 Gas Service 2300 Rough Mechanical 2310 Rough Gas Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2500 Smoke Detection Systems 2995 Final Gas 2999 Final Mechanical 3120 Underground Plumbing 3130 Footing/Foundation Drains 3131 Site Drai nage-Roofdrain/foundation 3150 Underslab Plumbing Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Underground Plumbing: Prior to filling the trench and including required testing. Underslab Plumbing: Prior to filling the trench and including required testing. 3200 Sanitary Sewer 3315 Water Line Sanitary Sewer Line: Prior to filling trench and including required testing. 3301 Water Meter Set 3400 Storm Sewer 3500 Rough Plumbing 3999 Final Plumbing 4120 UFER Ground Storm Sewer Line: Prio~ to filling trench. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 4225 Service or Feeder 4500 Rough Electrical 4550 Limited Energy Rough Electric: Prior to Cover 4999 Final Electrical Final Electric: When all electrical work is complete. 8690 Fire Sprinkler Final 8790 Fire Alarm Final Springfield Building Permit 12/21/201 2:12:40PM Page 7 of 8 SP~~N. G...,.~:.~ ~"',~ "-,. ill:lii ','\" OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00409 IVR Number: 811178612282 225 Fifth St Springfield,OR 97477 Phone: 541.726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued . 12/21/2010 ISSUED: APPLIED: 12/21/2010 09/30/2010 EXPIRES: VALUE: 06/19/2011 $1,761,495.00 PROJECT DESCRIPTION: SCOPE: Church WORK INVOLVED: New TYPE OF STRUCTURE: Commercial New 10,750 sJ. Bldg. with Future 3,494 sJ. 2nd Story. 1st Floor occupant load 1087; Future 2nd Floor occupant load of 354 = Total 1441. SITE ADDRESS: 4045 COMMERCIAL AVE, Springfield, OR 97478.5777 ASSESOR'S PARCEL NO: 1702311404000 6999 Final Fire 9012 SUB Final SUB Final: After all required energy inspections have been requested and approved. 9015 LOAP Erosion/Grading Inspection Erosion/Grading Inspection: Prior to ground disturbance and after erosion mea~ures are installes;L Special Inspection Form Receive Piling, Drilled Piers I Caission Bolts Installed in Concrete Hold Downs Installed High Strength Bolting Structural Welds 1195 Structural Concrete Concrete Tilt Up Panels: Prior to placement of concrete with all steel reinforcement in place. 8920 Miscellaneous Fire 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 wiff remain on the site at all times during construction. /a -;;J,(- (0 Owner or Contractor Signature Date Springfield Building Permit 12/21/201 2:12:40PM Page 8 of 8 Structural Permit Application - 225 Fillh 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 ror ] 80 days. :'8EPARTMENTUSEONL Y . LocAL" G6VERNMEN:r~'A~~8c>)I...b;; This projcl:! has lilwlland-use approval. Sigllalure: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes D No Properly is \vithinllood plain: 0 Yes D No CATEGORY OF{CONS;:I'~UCtiQNi Sq llare feet: /3 o '?$"O .Nnv,lfIt6"A o Residential D Government ~ ~.:?" ,,,,:.:/.,,,,",,, '~~":"."'. . Cost per square loot: Other information: Type of Heat: Energy Path: ne\v 0 alteration (b) Foundation-only permit? Total valuation: ~2;:~~H4i~'g;r;;es (a) Permit lee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspectioll ($ per hour): (number of hours x fee per hour) D addition DYes DNo ISI 5: lS $ $ (d) Enter 12% surcharge (.]2 ,x [2a+2b+2c]): $ (e) Subtotal offecs above (2:1 through ld): :$ i~'!.:l~ f~~;_!;~yi_~~y€.f~~,~;~'; (a) Plan review (65% x permit fee l2u]): (b) Fire and life safety (40% x permit fee [2a]): (e) Subtotal of fees above (3:1 lwd Jb): S Cili'" e- . L ['hone: I E-mail: CCB license no.: (u) Seismic fee, 1% (.01 x permit lee [2a]): TOTAL fees and surcharges (2c+3c+4a): 35 Prilllllamc: c:oAf-rkC---r:" C, k"~" :SUS:CONTRACTOR , ..,.... ,<.,.. ~ '''.,'J. _ .._:""_~_/_._,,.'. :.._ ._..'- :",'J' _'" I\'~tnu' ~ctl'iC<l1 CCR License Number Plumhing i\lechanil'al Phone Number " .. . SP!~~<:::L~ ~~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00409 4045 COMMERCIAL AVE CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECORD NO: 811<SPR2010<00409 DATE: 12/21/2010 ,k~;'<;;::.:<<Y~~,A~' r,''.;;>:1;''.~-;''ACC9.UN:rJC.QQE;;,'Z''I'-''; T:::8.MQ),JRUll!!::<+'" ,,' .1 224-00000-425602 $5,185.75 .- 224-00000,425602 $2,074.30 ._______.~_..~_____.w_'____ 224-00000-426605 $175.90 -----~'~-- ---~ 442-00000-448024 $7,112.77 443-00000-448025 $3,471.61 -.,---. 446-00000-448026 $1,381.63 447-00000-448027 $5,035.50 __,.~__...."._M__'__~__' 611-00000-426604 $10.00 719-00000-426604 $529.22 719-00000,426604 $320.86 100-00000-424005 $1,075.00 224-00000-425603 $38.00 -'~-- -.--'-'",- 224-00000-425603 $95.00 224-00000-425603 $247.00 -- .- 224-00000,425603 $38.00 224-00000-425603 $57.00 224-00000-425603 $38.00 224-00000-425603 $209.00 224-00000-425603 $38.00 224-00000-425603 $19.00 224-00000-425603 $76.00 224-00000,425603 $38.00 224-00000-425603 $76.00 224-00000-425603 $19.00 224-00000-425603 $76.00 - ----- 224-00000-425603 $95.00 ._~-- 224-00000-425603 $95.00 224-00000-425603 $19.00 224-00000-425603 $76.00 224-00000-425604 $572.39 -.---..---. 224-00000-425602 $684.00 821-00000-215004 $852.86 100-00000-425605 $389.56 TOTAL DUE: $30,220.35 l'fiPAY'II'IJ;.~JT,YPE;' :';1RAY0R'~ t,CA}3BiEfCNMACHAD-():5;;"c:9MM'ENi$~';:,h':''';'.1;'i'7 ~:;~hl\lt9J,J.~!p.Alb '!k-<<;/.,-' .:J RECEIPT NO: 2010001113 IDESC~IPTION ":.::"'''':-Z '. Building Permit Fee Fire, Life, Safety Plan Review Admin fee (10% of applicable fees) SDC: Reimbursement Cost - Local Wastewater . .., sac: Improvement Cost ~ Local Wastewater SDC: Reimbursement - Transportation SDC SDC: Ime!~yement ~ Transportation S~C SDC: Administrative Fee ~ MWMC Regional Wastewater SDC SDC: Total Sewer Administration Fee ---~ SDC: Total Transportation Administration Fee Commercial Fire (.10 fer Sq Foot) g~i!1ki,~g fountain Floor drain/floor sink/hub Sink/basin/lavatory Shower/Shower pa~0 Urinal Backflow preventer Water closet Hose bibb Water heater Sanitary sewer Sanitary sewer - each additional 100 feet or portion of Water Line yv,ater Line- Each a,dditional1 00 feet or portion of Storm Sewer ~--~ Storm Sew~r ~ Ea~h additional 1 00 feet or portion of Catch basin or area drain Perimeter foundation drain .~_echanical Permit fee (based on val~~,.C?L~~~_~ Deferred Submittal State of Ore~on Surcharge (12% of applicable fees) Technology fee (5% of permit total) Check 2981 EAST SIDE BAPTIST CHURCH $30,220.35 $30,220.35