HomeMy WebLinkAboutPermit Building 2011-2-10
..
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00213
IVR Number: 811175833433
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
02/10/2011
02/09/2011
Issued
02/10/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or,us
EXPIRES:
VALUE:
08/09/2011
$2,000.00
SITE ADDRESS: 326 CENTENNIAL BLVD, Springfield, OR 97477-3043
ASSESOR'S PARCEL NO: 1703263406200
SCOPE: School
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
40' flag pole at Hamlin ball fields
Phone Number:
OWNER:
ADDRESS:
SPRINGFIELD SCHOOL DISTRICT 19
525 MILL ST
SPRINGFIELD OR 97477
Contractor Type
General Contractor
Contractor Name
OWNER
CONTRACTOR INFORMATION I
Lie Type
OWNER
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
lic No
0000000
lic Exp
08/12/2025
Phone
Lot Size:
Sq Ft 15t Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Fl Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy load:
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wa)1nENTION: Oregon law requires you to
SOils Repo~5.<;8wrI'8;es adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through 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).
NOTICE: . IRE IF THE WORK
THIS PERMIT SHA~~ ~~S PERMIT \S NOT
AUTHORIZED UNO S ABANDONED FOR
COMMENCED OR I
ANY i 80 DAY PERIOD.
Springfield Building Permit
2/10/2011 10:13:05AM
Page 1 of 3
S.P~liN....~~.IE~
~~
~'OREGON
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.cLspringfield.or.us
Building I Commercial Permit
PERMIT NO: B11-SPR2011-00213
IVR Number: 811175833433
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
02/10/2011
ISSUED:
APPLIED:
02/10/2011
02/09/2011
EXPIRES:
VALUE:
08/09/2011
$2,000.00
SITE ADDRESS: 326 CENTENNIAL BLVD, Springfield, OR 97477-3043
ASSESOR'S PARCEL NO: 1703263406200
SCOPE: School
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
40' flag pole at Hamlin ball fields
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
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Tvpe of Construction
Unit Amount Unit Tvee
Unit Cost
Value
FEES PAID
~
Description
Building Permit Fee _ ,_
~~~,!~~f O!"~~?n Surcharge {12% of applicable fe~~_____
Technology fee (5% of permit total)
Structural Plan Review Fee Commercial
Total Amount Paid
Amount Paid Date Paid Reciot #
$58.00 02/10/2011 2011000260
~ ...-...----.---------.----.--.-- .~------
$6.96 02/10/2011 2011000260
.... --$2":9-6-------- 02iici7iOiT - ------., 20i1000260
~*-$m6~- 02/10/2011 -----2011000260
'._'-'~---*-~-
$105.56
Springfield Building Permit
2/10/2011 10:13:05AM
Page 2 of 3
S.fRIHGFl.E. L~
1Lt.~.
(f:1l
O'REGON
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-SPR2011-00213
IVR Number: 811175833433
permitcenter@cj,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
02/10/2011
ISSUED:
APPLIED:
02/10/2011
02/09/2011
EXPIRES:
VALUE:
08/09/2011
$2,000.00
SITE ADDRESS: 326 CENTENNIAL BLVD, Springfield, OR 97477-3043
ASSESOR'S PARCEL NO: 1703263406200
SCOPE: School
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
40' flag pole at Hamlin ball fields
Plan Review
I
DeDartment
Application Acceptance
Received Due Date ComDleted Result
02/09/2011 02/09/2011 02/09/2011 Application Accepted
Reviewer
David Bowlsby
Permit Issuance
02/10/2011 02/10/2011 02/10/2011 Issued
Na~cy Machado
mlarining Review,',; /""",;,02/09/2011,: 02/09/201,1, ';t02/,Oi201V',
'. co~m~~~ts~"r~"Be;O'~d:h~j~~t!llmitatjon'setback 'a'r~~~:~6';i~~~{ Je~ ~Ti'~b:- '?c
5 ~,~:,' ',~ '/' ~. ~ ,.~".L,,__,~..::.:....:-~___,~~
, 'Jara~JRnes
''('" :J:~:""':\ ::-',~
',-,
-0..,..-
Structural Review 02/09/2011 02/09/2011 02/10/2011
Comments: Relocation of flag pole. Engineering 5upplied.
~"""~_.~'''F_
~ublicWorKsRevievl' '"_-:c'
._ Comm~nts: >No-is~U~5..;-:
. .~-, ..'. ... .- .'-~4"~""'.'~
Approved
David Bowlsby
:;'o?/g9/201~1~ "927ci9i2oi1": 02/1qi2r511 .-
.~ .;'-:~~, ~? ::i:~l,~?-t~i:'~<?'~:_:~~~0:i::";~~;-:
~leP'r~,~e,~/~( ~S4~ "~; ~~~M:a~~19~~~~;~~~;,:';: ~-~. _~:~- ~ '-'~; :':'7-- .~.- J
<" ", j, " " _,. .,,' . " ",', I
F.... --: ('-i".C,li..... -.. ~ ---"\;;;:.1::,"""-"'- '.'.;.:. '" .."" :..~ :..__ ".f
INSPECTIONS REQUIRED I
Footing: After trenches are excavated.
Final Building: After all required inspections have been requested and approved and
the building is complete.
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 will remain on the site at all times during
construction.
Inspections
1110 Footing
1999 Final Building
a2. Ita /..2.01 L
. (
Date
Springfield Building Permit
2/10/2011 10:13:05AM
Page 3 of 3
tructural Permit Application
BPRINGFlE!LO M~~l
DEPARTMENT USE oNi.. y
SP'(2. ~ If -002\ J
Perrmt no.:
~_. + :~.",' - - + -. .,' v .~ . , l~ '" t
'.' CITY 0F.SRRINGFIELD;,0RE(J0N <.' '.< . . ~ :: .....
Date: Z-
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. '
',.. L:9c'Ai.....~9yi;RNM~~i'Aee~!tiV,6;14t.SiV,.,;:fi\::%it.j::H
This project has final land-use approval.
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verified: DYes D No
Property is within flood plain: DYes D No
~Y1~1k~;i,tY:~gATE:9.9BX~c:l.f~.C:ON$if,R.U.CItI.9N~t!}t:::\\Ei'i~,;)ii,
o Residential 0 Government Commercial
..;~,'jQB,;SI;n=.. [N.IiOl'!MATi!tiN"ANDi'LQcAif:i9N~t\);~i'i!';~~!
Job site address:j.tJ.. c...,. ~ u.c!L.
City: S. > ~ ZIP:
225 Fifth Street. Springfield. OR 97477. PH(54!)726.3753. FAX(54!)726.3689
Reference:
Name:
City:
Phone:
E-mail: t" . e..
This installation is being made on residential or farm property owned by
me or a member of my immediate famJly, and is exempt from licensing
requirements underORS 01. 10.
Sign here:
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
State:
Fax:
ZIP:
Signature:
~~,~{t:.:'.t:/'t?;'~!t;'0';f:$,Q_~.;ctDtfi1~AG;tP~J!NF9,BMA[;fQ~l~~ft~%;~t\~tf
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
;. ';/,';FEE"sbiEDuLE' \.
l.:Ylil~!!t.ii'i~i"foiDi~ti~iiW;'i .
(a) Job description: .--:
Occupancy
.' -', ',-~<,,;
..
','
"...,
Type of Heat:
Construction type:
Square feet:
Cost per square foot:
Other information:
Energy Path:
new 0 alteration
(b) Foundation-only permit?
Total valuation:
;~,~:~:':B,1:i,~Ia-~~ ilJ~~~J):;~tSb{~~%~~Bt~;f~~t}I~:;i~vX:';\~;~~\;'/J;',i'--,S;:,
D addition
DYes
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x (2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
$
$
$
$
$
(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):
~[42lMJ~~H~:g,~-O:~Slf~~~;5}i;t~~~t)T.~{:;'\;'~);~0;!;\i'~~,i~::7i:,:~::
(a) Seismic fee, 1 % (.01 x permit fee [2a]):
$
TOTAL fees and surcharges (2e+3c+4a): S
. .. .
www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00213
326 CENTENNIAL BLVD
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
permitcenler@ci.springfield.or.us
RECEIPT NO: 2011000260
[OESCRIP-TIClN:":::=. ,.'~T;" ,.' -.,,:! . 'S,,:; ';-
Building permi!~ee
State of O!egon Surcharge (12% of applicable fees)
Structural Plan Review Fee Commercial
Technology fee (5% of permit total)
RECORD NO: 811-SPR2011-00213 DATE: 02/10/2011
,"}.i::'; ~ ',;W' ;.", '.;A.'cCOUNf:cODE. .ii.: ',;, . :.LjAMOUNT DUE" .;, '. ";1
:~___~Fo"'_~-"-' , ..' .. ....~.. ~.~~_ . . '.'" _.__
224.00000-425602
821.00000.215004
224-00000-425602
100-00000.425605
TOTAL DUE:
58.00
. ----_.- -- ---~---
6.96
37.70
2.90
105.56
,AMOUNTJ~"ID;.;y. '
105.56
.1
~t;, P "y'M_Ellj!;ty~~;;;t';"ILA YOR".'CASHiER(NMACHAOO;(' i
Cash SPRINGFIELD SCHOOL
DISTRICT 19
"T-.:"COMMENTS
~ .., ,
,-.."........,.,-
TOTAL PAID:
105,56