HomeMy WebLinkAboutPermit Miscellaneous 2011-4-4
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-5PR2011-00540
IVR Number: 811151463387
225 Fifth St
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:
04/04/2011
04/04/2011
EXPIRES:
VALUE:
10/01/2011
$2,000.00
04/04/2011
SITE ADDRESS: 3521 GATEWAY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703153301300
PROJECT DESCRIPTION:
SCOPE: Gas I Service Station
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
Repair exterior wall damaged by car crash.
Phone Number:
OWNER:
ADDRESS:
BP WEST COAST PRODUCTS LLC
PO BOX 5015
BUENA PARK CA 90622
Contractor Type
# of Units:
Occupancy Type
Construction Type
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Contractor Name
CONTRACTOR INFORMATION I
Lie Type
CCB
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Lie No
46298
Lie Exp
10/16f2011
Phone
o
M
Type VB
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:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
2010
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building PermIt
Site Information
NOTICE:
THIS P . ....c.
AUTHO~~~~ ~~~~~ EXPIRE IF THE WORK
COMMENCED OR IS THIS PERMIT IS NOT .
ANY 180 DAY PER/O~BANDONED FOR ..... .'
4/4/2011 1:30:55PM
I
ATTENTION: Oregon law requires you to
follow rules 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).
Page 1 of4
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www.ci.rspringfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00540
IVR Number: 811151463387
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield,or.us
.
.
PROJECT STATUS:
STATUS DATE:
155 ued
04/04/2011
ISSUED:
APPLIED:
04/04/2011
04104/2011
EXPIRES:
VALUE:
10/01/20,11
$2,000.00
SITE ADDRESS: 3521 GATEWAY ST, Sprin9field, OR 97477
ASSESOR'S PARCEL NO: 1703153301300
SCOPE: Gas / Service Station
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Repair exterior wall damaged by car crash.
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north properly 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
~
Descriotion
Bid
Tvoe of Construction
NA
Unit Amount Unit Tvpe
2,000.00 Bid
Unit Cost
100
Value
2,000.00
2,000.00
FEES PAID
~
Description
State of Oregon Surcharge (12% of applicable fees)
Building Permit Fee "__,~_,,________
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$6.96
$58.00
$2.90
$67.86
Date Paid
04/04/2011
04/04/2011
-----'"...".,~,_......._-.. ,~
04/04/2011
Recio! #
2011000651
2011000651
2011000651
Springfield Building Permit
4/4/2011 1 :30:55PM
Page 2 of4
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&;k ~"". 'OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00540
IVR Number: 811151463387
www.ci.springfield.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:
0410412011
0410412011
0410412011
ISSUED:
APPLIED:
EXPIRES:
VALUE:
10101/2011
$2,000.00
SITE ADDRESS: 3521 GATEWAY ST, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703153301300
SCOPE: Gas I Service Station
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Repair exterior wall damaged by car crash.
Plan Review
Deoartment
Application Acceptance
Received Due Date Comoleted Result
04/04/2011 04/04/2011 04/04/2011 Over the Counter
~
Reviewer
Kip Kaufman
Electrical Review 04/04/2011 04104/2011 04/04/2011
Comments: Over the counter permit
Not Required
Kip Kaufman
Plumbing Review 04/04/2011 04/04/2011 04/04/2011 Not Required Kip
Comments: Over the counter permit
~mifJs'suaQ.Q~ ,',;j '^ ;f;#: "'04/9~i.f9;!.1. , ' 04!q~4~~o11, '~O.4/0112011 ~';;'~_I.s'sued' r ~~~ ' :{ ~ , ,KlpXaufman., ;,<..,,' ~
t~ ~',1' ',...,.., '(;-;'?F"'::;t..':':';, c-A-;',"~>:JI! ,i'l<,'(''i.I','' ~, :.-; e.: -~ ' ,{ '.': . .',~..:..',' ',;~""''' ':0., . '_~" /t ~t-::,_ ,-:'~;:,
[=--",;~r: ~, "'~'~ ,; .'~- ~,,~ ,'Y,~-fd.?'tL~Sf?";~';"':'" _,'c. ,',""-'-:~, -_ ,'f+-".,,;c' ~ !!_
Fire Review 04/04/2011 04/04/2011 04/04/2011 Not Required Kip Kaufman
Comments: Over the counter permit
Framing Inspection: Prior to cover and after all rough in inspections have been
approved,
Final Building: After all required inspections have been requested and approved and
the building is complete.
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing
inspection.
Energy Code Review 04/04/2011 04/04/2011 04/04/2011
Comments: Over the counter permit
Not Required
Structural Review
Not Required
04/04/2011 04/04/2011 04/04/2011
Comments: Over the counter permit
Planning ReviW-- ,,:>"~'Zv;j~;-j(:f4/d4/2(l1't:t:':{)4/04/2011
. ,'~ -,hi'~"'",- 'i'. '.000.;;;/:;:+1$""'1', >,-,::",~.,,,,,ti<'_,
Comme'n"ts:, Overfhe'~qU!1_terpermrr :., '~':'Ji?'tkf~<<-.,
~~'" , ''',__~,,-- rl_"," ' .' '--',_",''-', _.
INSPECTtONS REQUIRED
Inspections
1260 Framing
1 999 Final Building
1540 Gypsum Board/Lath/Drywall
9002 SUB Insulation Vapor Barrier
Springfield Building Permit
4{4/2011 1:30:55PM
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Kip Kaufman
Kip Kaufman
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Page 3of4
..
CITY OF SPRINGFIELD
225 Fifth Sl
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-SPR2011-00540
. IVR Number: 811151463387
permitcenter@ci,springfield:ar.us
PROJECT STATUS:
STATUS DATE:
Issued
04/04/2011
ISSUED:
APPLIED:
04/04/2011
04/04/2011
EXPIRES:
VALUE:
10/01/2011
$2,000.00
SITE ADDRESS: 3521 GATEWAY ST, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703153301300
SCOPE: Gas I Service Station
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Repair exterior wall damaged by car crash.
By signature, I state and agree, that I have carefully examined t,he completed application and do hereby certify that all
information hereon is true ~nd 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 wj)) 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
~1~,~c2Jst q-tJ-ll
Owner or Contractor Signature
Date
Springfield Building Permit
4/4/2011 1:30:55PM
Page 4 of 4
DEPARTMENT USE ONLY
z~t - .5P~2811-
Permit no.: s4-e
Date: 4'. 1- I j
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or ifwOI"k is
suspended for 180 days.
Structural Permit Application
1@mw@Y~~
225 fifth Street. Springfield, OR 97477. PH(541 )726-3753. FAX(541 )726.3689
LOCAL GOVERNMENT APPROVAL
This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Dale:
Zoning approval verified: 0 Yes D No
Property is within flood plain: 0 Yes D No
CATEGORY OF CONSTRUCTION
o Residential
o Government
Commercial
Job site address:
Subdivision:
Reference:
Name:
Z[P:"lOb2~
Sign here:
CONTRACTOR INSTALLATION
~'" J:"",-,
CCB license no.:
Print name:
ZIP:'\. ~'Z4
Fax:W ~'l.'l. _ bele
LLl LO""
4(,.7."18
\.,0...L\t.ee--
Signature: ~LJ,!)..A
SUB-CONTRACTOR INFORMATION
Name CCB License Number Phone Number
i':lcctdcal
Plumbing
Mechanical
I~
FEE SCHEDlILE
1. Valuation information oo\:/4.()GO-
(a) Job description:'Kr.o"l.......lJ.l>1.\. J*",,,,,,, \,I"""" I'VI-
Occupancy 'I\{ I I
Construction type: 1')0
Square feet: I
Cust per square fool:
Other in formation:
Type or lIeat:
Energy Pnth:
Dncw o alteration o addition
(b) Foundation-only permit? DYes DNo
Total valuation: I $-7ObD ,'va
2. Building fees
(a) Permit fee (use valuation table): $
(b) Investigative fee (equal to [2a]): $
(e) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2e]): $
(e) Subtotal orrees above (28 through 2d): $
3. Plan review fees
(a) Plan review (65% x permit fee [2a]): $
(b) Fire and life safely (40% x pemlil fee [2a]): $
(e) Sublotal orrees above (3a and 3b): .
4. Miscellaneous fees
(a) Seismic fee, 1% (.01 x pennit fee L2aJ): $
TOTAL recs and surcharges (2e+3d4a): · .t.7-~
SP~~:~~El~
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~OREGON
W'NW. ci, spri n gfield. or. US
TRANSACTION RECEIPT
811-SPR2011-00540
3521 GATEWAY ST
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
permitcenter@ci,springfield.or.us
RECEIPT NO: 2011000651
lOESCRIi'?;fioN, "7":?7~'," ,,~,~('i:
BuJlding Permit Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
RECORD NO: 811-SPR2011-00540 DATE: 04/04/2011
';?3"C;;",,? "'2':;1i:A:. ".,','ACCOUNr2coOE"C''',,"i'' ;;'i!:"'ANiO,UNLOUE.;'c" " ".":1
224-00000-425602 58.00
821-00000-215004 6.96
100-00000-425605 2.90'
TOTAL DUE: 67.86
} 'J;';:;-'r",>:",-,T':Ai'IIOlJfo!TPAID' i-; ,1..""',: . .1i
67.86
l:~A ,(M.ENtJiR~'::; ~~I?~.YOR;' .CASHIER:-KKAUFMAN~'":~; ::~;;CONiME_&jsf"4
Credit Card Joe Hall Construction
004443
TOTAL PAID:
67.86