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Home My WebLink AboutPermit Building 2010-12-21 Structural Permit Application .:~~- 0 t."<.. ...:.' "t#'. - . (' .~ ~". -"'1 . t1~7;.~-~ ~~ l~.. OF~~'~RiNGFlpLD::OREft9N,~4~~.~~;o'J..,.d.. ~-'~~~'. '; DEPARTMENT USE ONLY Sf>.a.Zc:>\C . DO. 7 '-( Permit no.: 225 Fifth Street. Springfield. OR 97477. PH(541)726-3753' FAX(541)726-3689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started withiu 180 days ofis,uance or if work is suspended for 180 days. .. .. '. '.' ,LO,CAL .. ~QY~~NM.~Nf<M..e~C:i\!A~}U\?;;.?;~;i&! :f~,:;i .- 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 ~~~;~i:;1~:J'~f~~~[C'~tEG.9i(Y~_<iFJ.R~.9N~iR~,c:fI}i.~_Nt~{~~i;2};_~;*!;C~!;:~i4f);'; 0 Residential 10 Government W-Commercial %',',/iki.,,:URS;;SITf .iNj;ORMA"lt:lN"ANRi~6:CA'fic)I>I;"!"Jf:'i?:'g lob site address: 4LtS" MA ttJ $1" City: <;}t:u:> State: O.l 1 ZIP: f"1 It"1i Subdivision: I Lot no.: /n/O ~ Reference I 7o~ '75"3/1 TaxIOl: PROPERTY OWNER ; Name: INA...t. 7'......N'l~ Address: G '1y- ->>4,,., S' City: Sp.c,~ State: (J/l 1 ZIP: Phone: - - Fax: - - E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from ficensing requirements under ORS 701.010. Sign here: CONTRA9TOR iNSrALLATIClN'", ; , ,. Business name: DAv.,; f)~.L {, '- ,,.JL, Address: rup, 100J ... City:/ f-r.t'..{ State: &'l I ZIP: P't~ I Plllne: <:;'t-I - 01 - <>tj 17 Fax: - - E-mail: PAv'Sto;j.. P. MM lp",/' CCB license no.: ':)1--'1.> Print name: let"",J DA-' . Signature: k.t......... VI.w , ,fEE:SCHE15ULE;;(n <!i :~iy_~.tQ:~Ii,9'ff;'iq r9dli~Hp~li'fF:r;,1~':j~:~:;~i~~,t~~~)\,;.:~:~\'.:,:~~i"t~;?:f;I:~;.:; (a) Job description: (,.j I.-L €€PA-III.. Occupancy ~ Construction type: Square feel: Cost per square foot: Other information: Type of Heat: Energy Path: o new ,..0aiteration (b) Foundation-only permit? ;>" ,.~. -. ," . ,~;,"-' '.~:;':;(;: ',-)'~. ' o addition DYes ..-G1IIo Total valuation: :~~.~:;)l~lin4)11 g,te~s:r~:,~ti~~h~{\'!:;i;;\~{J~~~~:,:!~ij6{.~~;-~;:'5\ '-, ',{,:'. (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal of fees above (2. through 2d): $ $ $ $ $ ;1~~;~j~iiir~Y1~w!t~~~~~X~gt~~~~i~'*7f,~~.1:j;?if.[f~;~~~~~~i[~!r~-~NtA~'i)~,;~$JN};;Jf~: '1 (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of rees above (3a and 3b): $ t{~WM~~~~ii~~'~()~a~lt.~~$}:~m~t~(i:~;'J'\~:'!,;,;<::}{{,;~':i}_0~;,;;.~ ;;:- (a) Seismic fee, 1 % (.01 x permit fee [2aD: $ TOTAL fees and surcharges (2e+3c+4a): $ :\S~":L~;~_!T!;~~n~l,a~}~~.$Q_~",G~tDNillMGtt9r{;I.N,F.Q_RM~[(Qrg~~ir3~1.~lt.qt{@ Name CCB License Number Phone Number Electrical ,_ 1>,Cjf(;'Z-t E::-1I~T50I~l' Plumbing Mechanical .,> ..>SP~I.N.<.;;~ .ft~ .:'i>~\-~ OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00943 IVR Number: 811116421694 www.cLspringfield.or.us 225 Fifth Sf Springfield,OR 97477 Phone 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/22/2010 ISSUED: APPLIED: 12/22/2010 12/21/2010 EXPIRES: VALUE: 06/20/2011 $40,000.00 SITE ADDRESS: 645 MAIN ST, Springfield, OR 97477-4764 ASSESOR'S PARCEL NO: 1703353110100 SCOPE: Office WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Repair wall Phone Number: OWNER: ADDRESS: SPRINGFIELD PUBLIC 525 MILL ST SPRINGFIELD OR 97477 SPRINGFIELD SCHOOL DISTRICT 19 525 MILL ST SPRINGFIELD OR 97477 OWNER: ADDRESS: Phone Number: CONTRACTOR INFORMATION ~ Contractor Type General Contractor Contractor Name DAVIS BROS GENERAL CONTRACTORS INC Lic Type CCB Springfield Fire Code Edition: Mechanical Specialty Code Edit~~n: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: quireS yoU to ,_.~", ('IrADOn laW re ~._~~n Iltilitv Site Informa\ioh~.'::';:,i",s alopted bY ~;~\~~-:re set lorth ,. , ' vellter. ThOS OAR 952-00~- Notill~~~~_oo~ -Oo~ 0 thrOu~~ 01 the rules by In OA 'i u may obtain Copl. the telephOne 0090. 0 ter (Note. 'I' atlon calling the cen . on UtilitY NoH IC number lor the. O~~~00_332-2344). Center IS # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o EJectrical Specialty Code Edition: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: II.U'TD ...- EngineeredAF..,iJr: Fill Y?!H'l'HRMIT SHALL EXPIRE IF THE WORK Flo~1L~~~t~f[E1J UNDER THIS PERMIT IS NOT land Hazara Area: I" UI/lI""''''l.;tD OR IS ABANDONED FOR Retaining Wall: "["V 1 or. n^'1 r.r:RIOD Soils Report,Required:: . Springfield Building Permit 12/22/201 8:17:32AM Lie No 63275 Lie Exp 0410612012 Phone 541-683-9309 Lot Size: Sq Ft 15t Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Page 1 of 3 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-SPR2010-00943 IVR Number: 811116421694 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/22/2010 ISSUED: APPLIED: 12/22/2010 12/21/2010 EXPIRES: VALUE: 06/20/2011 $40,000.00 SITE ADDRESS: 645 MAIN ST, Springfield, OR 97477-4764 ASSESOR'S PARCEL NO: 1703353110100 SCOPE: Office WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Repair wall Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Sefback: 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 I 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! 40,000.00 Bid Unit Cost 1.00 Value 40,000.00 40,000.00 FEES PAID I Descriotion Building Permit Fee Technology fee (5% of permit total) ~tate of Oregon Surcharge (12% of appli~able fees) Structural Plan Review Fee Commercial .-.,-.-. Total Amount Paid Amount Paid $392.05 $19.60 . $47.05 ._--_...~-_. $254.83 $713.53 Date Paid 12/22/2010 12/22/2010 12/22/2010 12/21/2010 ReceiDt # 375213 375213 375213 375193 Springfield Building Permit 12/22/201 8:17:32AM Page 2 of 3 I SP~.IN~=-IE~.D'--~ ~..\.\". . ""'",," . b< .. ...: ,. 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-SPR2010-00943 IVR Number: 811116421694 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/22/2010 ISSUED: APPLIED: 12/22/2010 12/21/2010 EXPIRES: VALUE: 06/20/2011 $40,000,00 SITE ADDRESS: 645 MAIN ST, Springfield, OR 97477-4764 ASSESOR'S PARCEL NO: 1703353110100 SCOPE: Office WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Repair wall Plan Review I Department Application Acceptance Received Due Date Completed Result 12/21/2010 12/21/2010 12/21/2010 Application Accepted Reviewer David Bowlsby '". , .! _..::.:....'.:~._~"..,.....,.,..,..."._._..:..L.i..t'-..,.:0 ".'\, Initial Review 12/21/2010 12/21/2010 12/21/2010 Approved David Bowlsby ,J_' :b:~'i.~~:t?L~11,~,~"1Rj;rtfI,2,,1 \?~1R~,i~1~~33-~29r6:!,:f~~~y~~~\d,s:~~: ',':~"^ J~~';f$"~.f~~Yc:M~c~ado '~,~. :.- ~ -,~, \0;-:;:1', ,_,..L,~'~:_~~;;s' f.$},'~' :.~; i;:' ,:-~',~ ~>'::~~:'\k" "':fjc}EB~,t,,~,,~ -J '\~ ,,; ,;J;' "_,~l{ft;"~'17j'" <_~':.~h1: ,$ ',~" ~ ';';.' ?,', " .' ,'J '" ,- "7<;' INSPECTIONS REQUIRED ~ Inspections 1155 eMU Wall Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. Final Building: After all required inspections have been requested and approved and the building is complete. By signature, I state and agree, that I ~ave carefully examined the completed application and do hereby certify that all information hereon is true and correct, and] 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, J 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. 1260 Framing 1540 Gypsum Board/LathlDrywall 1999 Final BUilding K~D I?- /;2"7/11 iJ Owner or Contractor Signature Date Springfield Building Permit 12/22/201 8;17:32AM Page 3 of 3 y.~:~....G~EL..~ ~~'dI>.k ,. ~ ,",~;;LOREGON www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00943 645 MAl N ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield,or.us RECEIPT NO: 20]0001123 RECORD NO: 811-SPR2010-00943 DATE: 12/22/2010 [[)ESCRIj:>:tLQ:r'D.~~';;.',[O:2<;-,:;.'.:",'::t'::: ;;~'\'i:.:p;t'.-:S:::~t~AG.cpiH\IJ'~G.QQE ., . "c"" :.4Arvi6jj~iD..UE:': ,,:J Building Permit Fee 224-00000-425602 $392.05 Technology fee (5% of permit total) 100-00000-425605 $19.60 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $47.05 TOTAL DUE: $458.70 blF1AYMENT;r:ij:>E~:iCpAYOR' "cl\sHiEk:NMl\tHADbi;''.c_6_MMEt-iISlfj~.t;.',. ..'_ .~..Aivl9JlNtEA.ID:: " ':. Credit Card 062640 DAVIS BRaS GENERAL CONTRACTORS INC $458.70 $458.70 s~~. IN,G., F" IEL~ .\ --,,; ~, ,;:\ OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00943 645 MAl N ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permilce nter@ci.springfield.or.us RECEIPT NO: 20]000] ]04. RECORD NO: 8] ]-SPR20]0-00943 DATE: 12/21/2010 [DES,CRlRl;I91t. ,'. '::: _ '0'-.:~,,<~:,; .'?j''': ~?:;:,-~~A:c:.C'O.(jNhC.tJljE: "t--!"', :!'8M9,@jj51JJ:.;.,:"-'."",,"-:.__J Structural Plan Review Fee Commercia] 224-00000-425602 $254.83 TOTAL DUE: $254.83 L.PA YMENftVPE(;' g, I'll voR"? i:'CASHIER DBciWhSBY:o..d:.':::'q[rvjrvjI;NISi ";, ,~, ,. .. "__ "'''''' :AMOUNT: PAID ,. ,- ,~-; Credit Card 00244d DAV]S BROS GENERAL CONTRACTORS INC $254.83 $254.83 ". ~