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Home My WebLink AboutPermit Building 2011-1-11 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 0 FAX: (541)726-3689 I III I~, to o City Job Number D 1 & 2 Family Dwelling or Accessory D Multi-Family (j CommerciaUIudustrial Job Address ??? Lot r- Block <Jf/ - .5i'rt. z..-o-j. L - 5~ o New Construction o o Teuaut Improvemeut 5 'PFo, 0 R. Date Additiou/ Alteratiou/Replacem eu t Demolition Other t?0-(k , Subdivision Project Name I \- MM C-J.o ~ Description of Work/location on premises/special conditions o ~:_m-bfJer!YI~!!~t\;:~L~ t i?~l,~~~;7(~~~_ti~~<.:t;;'~:':::C;~~ Name ~"\1JG.F16LD '?I.LI,llc '?t~(C; VI 5t-~ MailingAddress ~ '72-<; MIl( c; City 'Sq r '"'1 (",,(J- State fJfL. Zip '17 Y"77 Phone "'A( -72{,- '1-$//7 Fax ,..----. Owner Representative 0:;,((.') ^ku-~ . . Phone t)'t(-7({l\-~t.?1~ Fax 7Cf4: -&-:;14 9)'+9f3 Bldg No. Tax Maprfax Lot Suite No. L~3'f'7~U1e General Plwnbing Mechanical Electrical o r:Comffi~ificiI7indlf!ft;:l(fjl~'~ct~~j,' D ''I;._"~,,,'''~'''~''~_',n_~'~< ,^_''''_~''''''''_'''_O _>=,~_"s~,.",t1,,",,_.."_,~< l Has site review application been submitted? Heat Source: Primary DYes ITJ No 0 N/A Water Heater Range If so, Name of Planner Do you require any of the following for this project? Journal Number Over-width or Second Driveway 0 Yes 0 No Temporary Power 0 Yes 0 No Air Conditioning 0 Yes 0 No Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon under rovisions ofORS 701 and ma be re uired to be licensed in the .urisdiction where work is bein erformed. rFoi:}O D !:4>>ifti~~J~'l~~~~,i.~\ir~1o~~i~i~~~J~~~~~~'f:~~~~~ Name ~"U'7 Ne~ Mailing Address i ~ q iJ If/. '-f;! J \ City Stt' State tfy2. Zip 'l7~'7g Phone ~('7'1q ...{p;7<::; Fax ~r(-74'f-b"'7~ 0' ~';fl~!.l~~~:fLii~i:~ll~ii~ri;~~~~~~~~~iZ~il~~~I{~: Name Address City Contact Person // , State Zip Phone Fax o Contractor's Name / _ F. /2..-00 M '~::,:r~~~':iE~th#iili:ii;'f"j;~J,i~~~~J~~1f;~j~ff,:~;;;,~;~~';j~~~Jit;:~~' ~, -. SQFt X $/SQ Ft ~ Value New Dwelling Area Garage/Carport Area Other Structure Area Total Value ~;fi~:r~1~1~iliK:ifliffll1r2M1I1ljl$i~iflii~;'(i4t.:;~~~!/h~~}~.':'<:" SQ Ft X $/SQ Ft Value Existing Building Area New Building Area I 0,2- ~ '2;;'0'" 4/2--6,00 ~) 1J~1~:~~~1lft~~~~~1~t{;;~~~i~ljt!~~;~~4;~~;~~~~~~~~~~~'~! Total Value Existing New Occupancy Group(s) Consl. Type(s) Number of Stories CCB# / ~R1!Ule~!I!1fflJw~~t~i;~~~~;iI~~~~~~t~t~:~t':?~~~ ~?f4~1~~~?~:~i Secondary Energy Path PLAN CHECK FEE BY BUILDING DATE PERMIT APPLICATIpN Shared Drive(T:)/Bmlding FomlslBuilding Permit Application 3-08.doc ... , t~ ~S~~~G,FIELD <,L:"X,~!' ~. . "">'r~ .....~ 'm.'. OREGON www.ci.springfield.or.us PROJECT STATUS: STATUS:DATE: CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00057 IVR Number: 811116219294 Issued 01/11/2011 ISSUED: APPLIED: 01/11/2011 01/11/2011 225 FiHh SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 07/10/2011 $480.00 SITE ADDRESS: 333 58TH ST, Springfield, OR 97478-6959 ASSESOR'S PARCEL NO: 1702343200100 PROJECT DESCRIPTION: SCOPE: School WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public Add Interior Room IDF; 192 s.t, Phone Number: OWNER: ADDRESS: SPRINGFIELD SCHOOL DISTRICT 19 525 MilL ST SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type lie No Lie Exp Phone # of Units: # of Bedrooms: . Sprinkled::Building: Fire Alarms: Energy Path: Engineered Fill: Fill Voluri,le: Flood Ha'zard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit o I BUILDING INFORMATION,'r-) NOT1CE:# of S\'\-'ielL EXP\RE IF 1HE W: THIS PER~~\~hY~lrucWl\S PERMIT \S AUTHOR1rfpe M 'R"f; ABANDONED FOR . COMMHWJi.lH{;PR:OD . ANY 180rI.l,lld'e ~}pe\ . Hazmat: 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: I Site Ilnf9~~~'i,9lbc:: \IOU to I ATTEN IIU,", v' ""-ci 'b~ the Ore9on UtIlity lollow rules adopte hose rules are set forth Notilication Center. T hOAR 952-001- in OAR 952-001-0gt~~~h;~~i~S of the rules by 0090. You may 0 (Note' the telephone calling the cen~r, on Utility Notification number for the, r1e8900_332-2344). Center IS - 1f11f2011 12:27:06PM Lot Size: Sq FI1 st Floor: Sq FI2nd Floor: Sq Ft Basement: Sq FI Ga rage: Sq FI Carport: Sq Ft Other: 0 Occupancy Load: Page 1 of 4 t- .) s~:~~:-. FIEL~ .i:~ . ,;+2;ln;.OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00057 IVR Number: 811116219294 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitce nter@ci.springfield.or.us PROJECT STATUS: STATUS,DATE: Issued ISSUED: APPLIED: 01/11/2011 01/11/2011 EXPIRES: VALUE: 07/10/2011 $480,00 01/11/2011 SITE ADDRESS: 333 58TH sT, Springfield, OR 97478-6959 AssEsOR's PARCEL NO: 1702343200100 SCOPE: . School WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add Interior Room IDF; 192 sJ, DEVELOPMENT INFORMATION ~ 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 ~ Descrietion Bid Tvee of Construction NA Unit Amount Unit Tvee 480.00 Bid Unit Cost 1.00 Value 480.00 480.00 FEES PAID ~ Description Amount Paid Date Pa id ReciDt # Total Amount Paid Springfield Building Permit 1/11/2011 12:27:06PM Page 2 of 4 -: ~ 5P~IN.,G" FIE, ~ hiT ~-~ "'1). -~ -~\.,;}, OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00057 IVR Number: 811116219294 www.cLspringfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 01/11/2011 01/11/2011 01/11/2011 SITE ADDRESS: 333 58TH ST, Springfield, OR 97478-6959 ASSESOR'S PARCEL NO: 1702343200100 EXPIRES: VALUE: 07/10/2011 $480.00 SCOPE: School WORK INVOLVED: Alleralion TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Add Interior Room IDF; 192 s.f. Plan Review I Department Application Acceptance Received Due Date 0111112011 01/11/2011 Compleled 01/11/2011 Result Over the Counter Reviewer Kip Kaufman Electrical Review 01/11/2011 01/11/2011 01/11/2011 Not Required Comments: Over the counter permit Kip Kaufman Plumbing Review 01/11/2011 01/11/2011 0111112011 Not Required Kip Kaufman Comments: Over the counter permit ":"',.:-2'7"1"'''~~ ,i - C"."", Fire Review 01/11/2011 01/11/2011 01/11/2011 Not Required Kip Kaufman Comments: Over the counter permit Energy Co&~ Review 01/11/2011 01/11/2011 01/11/2011 Comments: Over the counter permit Not Required Kip Kaufman Structural Review 01/11/2011 01/11/2011 01/11/2011 Not Required Kip Kaufman Comments: Over the counter permil 1~~~e~:e~~~~~~~~i%~r~fJ1l,:~;?~;~f;~)/~~;.ii~::~t~:~eq,u;~~~~:i;~E~~;S~~anS_J::;' ~ " ':,,"r~~~J INSPECTIONS REQUIRED ~ Inspection,s 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. 1999 Final'Building 8999 Final: Fire Springfield Building Permit 1/11/2011 12:27:06PM Page 3 of 4 . . www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00057 IVR Number: 811116219294 225 Fifth St Springfleld,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.OLUS PROJECT STATUS: STATUS DATE: Issued 01/11/2011 ISSUED: APPLIED: 01/11/2011 01/11/2011 EXPIRES: VALUE: 07/10/2011 $480.00 SITE ADDRESS: 333 58TH ST, Springfield, OR 97478-6959 ASSES OR'S PARCEL NO: 1702343200100 SCOPE: School WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Add Interior Room IDF; 192 sJ. By signature, [ 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 ~his 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 ~~AdM4r1 / ~/If Ih D e I Owner or Contractor Signature Springfield Building Permit 1/11/2011 12:27:06PM Page 4 of 4