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Home My WebLink AboutPermit Building 2011-2-4 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00187 IVR Number: 811176988735 www.ci.springfleld.or.us PROJECT STATUS: STATUS DATE: Issued 02/04/2011 ISSUED: APPLIED: 02/04/2011 02/04/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 . permitcenter@cLspringfield.or.us EXPIRES: VALUE: 08/03/2011 $5,000.00 SITE ADDRESS: 999 S A ST, Springfield, OR 97477-5250 ASSESOR'S PARCEL NO: 1703354109200 SCOPE: Interior WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Finish Gypsum Wallboard on existing framed/sheathed walls. 1 small foom wI divider - no firewalls - Electrical on separate permit OWNER: ADDRESS: R-H MCKENZIE COMPANY llC PO BOX 2280 EUGENE OR 97402 Phone Number: Contractor Type General Contractor CONTRACTOR INFORMATION ~ Lie Type OWNER BUilDING INFORMA nON ~ o # of Stories: Height of Structure: S-1 Type VB Type 01 Heat: OcWater.iTyp'e!aQ '(\7\78(:-(:88- ,,_',~ '-." 1'lllaqwnU UOll'llOII!\ON ^\!\!\n uo~a~~~,;tg~LI\ OU!\\BO euo"dala\ aLl\ :a\Ot\Hazmat: { W no' '0600 " '1 doo U\B\qO "B ^ At;1 eelnl eLl\ 10 sa\ '00-100-(:96 \:l1l0 uI 'IOO'Z96 BIIO ljOn01Ll;,Ol\e\UaQ uO!\BO!I!\ON "\JOI \ea elB salnl aso" '_,-- ",,'n' MQIlOI "I "elO elj\ ^CElectiical'Speciall)i Code Edition: A\I\\\n U01.l ' :~q"", 'h'(}\1 N3.L.LV 0\ no^ S91!nbal MBISpringlie1d Fire-Code Edition: Mechanical Specialty Code Edition: Contractor Name OWNER # of Units: Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Yes Fire Alarms: Energy Path: Municipal I Development Cod~:. _' Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 0000000 Lie Exp 08/12/2025 Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq FI Other: 0 Occupancy Load: 2010 I Site .Information Engineered Fill: NOTICE: E If THE WORK Fill Volume: THIS PERMIT SHALL E){PIR \S NOT Flood Hazard Area: AUTHORIZED UNDER THIS PERMIT OR land Hazard Area: NCED OR IS ABANDONED f Retaining Wall: COMME D Soils Report Required: ANY 180 DAY PERla . Springfield Building Permit 2/4/2011 1:47:53PM ~ Page1of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00187 IVR Number: 811176988735 225 Fifth St 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 02/04/2011 ISSUED: APPLIED: 02/04/2011 02/04/2011 EXPIRES: VALUE: 08/03/2011 $5,000.00 SITE ADDRESS: 999 S A ST, Springfield, OR 97477:5250 ASSESOR'S PARCEL NO: 1703354109200 SCOPE: Interior WORK tNVOL VED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Finish Gypsum Wanboard on existing framed/sheathed walls. 1 small room w/ divider - no firewalls . Electrical on separate permit DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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 Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Descriotion State of Oregon Surcharge (12% of applicable fees) Building Permit Fee Technology fee (5% of permit total) Total Amount Paid Amount Paid $10.47 $87.25 $4.36 $102.08 Date Paid 02/04/2011 02/04/2011 02/04/2011 Reciot # 2011000235 2011000235 2011000235 Springfield Building Permit 2/4/2011 1 :47:53PM Page 2 of 3 SP~I~~=~ ~Ht~ """':';F~0'OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00187 IVR Number: 811176988735 www.ci.springfield.or.us 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: ISSUED: APPLIED: 02/04/2011 02/04/2011 Issued 02/04/2011 EXPIRES: VALUE: 08/03/2011 $5,000.00 SITE ADDRESS: 999 S A ST, Springfield, OR 97477.5250 ASSESOR'S PARCEL NO: 1703354109200 SCOPE: Interior WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Finish Gypsum Wallboard on existing framed/sheathed walls. 1 small room wI divider - no firewalls - Electrical on separate permit I Plan Review ~ Deoartment Received Due Date Comoleted Result Application Acceptance 02/04/2011 02/04/2011 02/04/2011 Over the Counter Comments: No public works or planning issues per ALimbird and LKW/KGreene Reviewer Chris Carpenter Planning Review 02/04/2011 02/04/2011 02/04/2011 Comments: Over the counter permit Not. Required Chris Carpenter PUblic Works Review 02/04/2011 02/04/2011 02/04/2011 Comments: Over the counter permit Energy,Code Review, " %\ 02/04/2011 "02/04/20tt "02/04/201 k .' NotRequinid',,- " ~.' ;~::~6m~m~~~~~;, .'.9v~f;~;~,f5'uE!te;per';~t~~.({'t =~.::.,+ ~- ~~-. ,'.: ~J_;~; ,,~~~~':;t::'~Jj;:n ~.,;:.:.~' Structural Review 02/04/2011 02/04/2011 02/04/2011 Not Required Comments: Over the counter permit F,'ireReview'.'f' :,~...\\~~~~~:':':.. 102/04/201'1 02/04/2011 .'M.:t02/04/2011~-"-'"" Not Requlfed~i5, L p':"1i-''''~:_ ,,_' . ." :/. .,")0;:"'"'~::"5,' . 'f - L~ ~..,";,~ "-t'Comments:'. "Over lhecounter permit'r:<,t ::;~::;3! -.~!'., . '., ," ~,,~ ,"'..~.",,' ,'.." ~.' _-' .-, .... -::::t.lk;.L!:;);~ >'.{,~;'" -",-". INSPECTIONS REQUIRED ~ Inspections 1540 Gypsum Board/LathlDrywall ";Chris Carpentet:~"S'L ~ . ~,>"",7".~"~~~{~~'> ;;~:'\"~??'..-. '~j ..,'.....~.~::~,. Chris Carpenter J .,.;/ ", ';'. :.". . '--;-~--"".lI""'" _ .' .. :i~PJ1~!~. ,~;3r~e.nler,:;<'" ':^ . :."," -', . . - "" ~ " ...".... ". ,_1'-.,--.%"....;.. <~" ';;-",;C;:~,.. , t .- . ,j ! '"1 ." .,~' ~1i : ~'. 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. 1999 Final Buildin9 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 he'rein, and that NO OCCUPANCY will be made of any structure without permission of the Community SeNices Division, Bui!ding"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 reque;sted at the proper time, that each address is readable from the street, that the permit card is located at the front of the prop , and the approved set of plans will remain on the site at all times during construction. L/4/~ Springfield Building Permit 2/4/2011 1:47:53PM Page 3 of 3 'I- Structural Permit Application DEPARTMENT USE ONLY BPRINGFlmD t':r.nw~ . . .'. ..,. . . ~ ~ . " "..' . ...' . h~,,,,, " . -. CITY OF SPRINGFIELD, OREG0N . ;.' :":-. '.:-tt,' . -,' .' . Penn it no.S /1 -I ~'l Date: 2. I 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. . 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 .,."... "Il'()tAl~9Y~RNM~~i';A~Ffr:i9YA4;,:;{;"it;i:i:!;i:t4~ This project has finalland.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 :~1~~~~;'i;~,~iU~A'TI:'G.c)riX€Qf.i.\,CONSJ'RIJ.C.Iti.g~'iB~ig:fi!;1~:i;:iJC)fi! o Residential 0 Government MCommercial i;','.":;(; '.. ;;JgB;SIT~", ff.l"0RMAtf0ij~AN[)tt:QGATiQI'I0,.!;~;:[.;:;,;(;.f Reference: Name: E-mail: This installation is b . g made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 70].010. Sign here: CONTRACTORINSTALLATlgN'_.'. .. Business name: Address: City: Phone: E-mail: CCB license no.: Print name: State: Fax: ZIP: Signature: ::"AY;;-~:~!F (lii1i'iE:Mil.!~-C(;>N'T~c;;l;O R}INF.b,~_M~mlq~,M'r~'~*;~i~\~'~,l{T N ame CCB License N u m ber Phon e Nu m ber E lectrieal Plu m bing Meehan ical :"..., '. ....",/,:FEE,scHEDLiLe."','. ',.f'':-. , ,.,..i,., , > _: '! "~;'-,, ,c' . ,':]>yil:l4:~:iib,~"ip; t o'rI~f~.trq~;,~:~'2j.~1H}1N~i;~.~~;>~~i;.K::~~'i:_4'.~;i /~"(it~.:;;:, j: ';~,~~..i.: ;M,~~;;'-: . (a) lob description: fi N\\ t+b.v.) & W ( /\Ii, .\ p<- Occupancy Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: 0 new ~eration 0 add ition (b) Foundation-only permit? 0 Yes 0 No Total valuation: $ '9!7rJ 0 ~7j::B,u.U4'~llg'fe~sD;:j;';,!;H{;Ygf?~tB~i.~t~X~:Wi~~lif,~',::;:~; " .. i..\.,,':;:'.'. '. .', '. , '.'\' .' f-(a) Permit fee (use valuation table): $ 0') '2\ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.]2 x [2a+2b+2c]): $ 10 l.[;L. (e) Subtotal of fees above (2a through 2d): S \1~~~~I~il'i!~yi~~r~~g~1~f~~~i~i~t~~ff.~T~~;f~fl~~~r~~~~~~;~~~~0~i:' (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ .. ..- .. '~~;:.tV,ii@"liii~til#~;fe.~~Ji.fl::~~i;{,;!., ";:~;/1o;;, ;":.'i; ;;U;';l;(...:..~... (a) Seismic fee, ] % (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): S /02, CJ? () SPRINGFIELD~ ~jl ',~' .~ · . ni+': OREGON TRANSACTION RECEIPT 811-SPR2011-00187 999 S A ST www.ci.springfield.or.us CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 RECORD NO: 811-SPR2011-00187 permilcenler@ci.springfield.or.us RECEIPT NO: 2011000235 tOESCRIP..l:JON".,.,r;';,;;.t';kt ";'< Building Perm~ State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) DATE: 02/04/2011 ;'.:" "'"::1 ~'.~' , " . ,....., '," ',":t.' ",'1.'," 'y",.. j . 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