HomeMy WebLinkAboutPermit Building 2011-4-1
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.-. . -;~~ . OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00533
IVR Number: 811132306918
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permltcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
04/01/2011
04/01/2011
Issued
04/01/2011
EXPIRES:
VALUE:
09/28/2011
$2,000.00
SITE ADDRESS: 644 A ST, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703353103500
SCOPE: Office
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Add interior, non-bearing partition wall and two interior windows.
Phone Number:
OWNER:
ADDRESS:
LANE COUNCIL OF GOVERNMENTS
859 WILLAMETTE ST STE 500
EUGENE OR 97401
Contractor Type
Contractor Name
OWNER
CONTRACTOR INFORMATION I
Lic Type
OWNER
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
Occupancy Type
B
# of Bedrooms:
Sprinkled Building: No
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lic No
0000000
Lic Exp
08/12/2025
Phone
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
2010
I
Engineer~JFiii~JTlON: Oregon law requires you to
Fill Volu!R.\!:?W rules adopted by the Oregon Utility
Flood H'~Z\lf\jrA',t.;\i'!1 Center. Those rules are set forth
Land H~');a?d~~Tg.~2-001-001 0 through OAR 952-001-
RetainiR~w'1I1:YOu may obtain copies of the rules by
Soils Rep6fi'R'eqJi,lfdCenter. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Site Infonnation
I
:lOTlCE: E IF THE WORK
THIS PERMIT SHALL ~~~ PERMIT IS NOT
,\\JTHORIZED UNDER BANDONED FOR
COMMENCED OR IS A
ANY 180 DAY PERIOD.
Springfield Building Permit
4f1/2011 10:41:14AM
Page 1 of 4
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Building I Commercial Permit
www.cLspringfield.or.u$
PERMIT NO: 811-SPR2011-00533
IVR Number: 811132306918
permitcenter@cLspringfieJd.or.us
PROJECT STATUS:
STATUS DATE:
155 ued
ISSUED:
APPLIED:
04/01/2011
04/01/2011
EXPIRES:
VALUE:
09/28/2011
$2,000.00
04/01/2011
SITE ADDRESS: 644 A ST, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703353103500
SCOPE: Office
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Add interior, non-bearing partition wall and two interior windows.
Plan Review
I
Deoartment
Application Acceptance
Received Due Date
04/01/2011 04/01/2011
Completed
04/01/2011
Result
Over the Counter
Reviewer
Kip Kaufman
Electrical Review
04/01/2011 04/01/2011
04/01/2011
Not Required
. Kip Kaufman
Comments: Over the counter permit
Ir.~~c~~~ic~I!"~~?i~~~::~'~.~::~:'~~f4~I~?~~~' 'P~~OJ,~:2J~~~~~/~_,1,/~'~.~-1,~~;~~ ~qkR;,~q~i:e~~:'*t~~J 2 ~~?"'r~~p~f~i~Tm~-fl.~'.1:~, ~;~--
Comments'''', Over thecounterpermlt'''~.., --$.,., l "-f< .~'*. "" "V", . '>" . ,,'.'e -;.''-,..'-' r. t y., \" '" '-"',",,'
;;, ~' ,,~",,'j' ,,"',~,':"'.-W\_x< ,,,',,, '<< .~'.", . ".,',. ,.,;, ";;;~~'0~~'i.~~' '_ ".,,~ <,,' _", ~ ~'" f. . "~"_'," ':. - ",,,:,-',,>.,,"':i,,,:.,, ,f"'-;."Jji" ,~' ,.', ,
Plumbing Review 04/01/2011 04/01/2011 04/01/2011 Not Required Kip Kaufman
Comments: Over the counter permit
q~/Q]1201f~~:~ ~4J01!{~; ~if . 94/q.1/~~J;~i~'~~~.~lsSl~.~d'_ :'_~~;::,:J;~~J~~,?::v:~!';J~~ci~a.~h~:~"?~
aC;~~:~ 6 ,'" '-V(~Y;"4:!o{'-,(;"< ,;~";"':::~~_~~{\,f~:L; " ,~
,
1
"'
___......:;:......__:::;L.~~,...:_~.~;,J
~-"'.,
Fire Review
04/01/2011 04/01/2011 04/01/2011
Not Required
Kip Kaufman
Comments: Over the counter permit
[PUbl!c \0Iqrks' Re'vieW,:;,""Z::.:/;v;f04/01!201T~:i;'04/9f/:zQ11\-~04/01/2011'~; :'Nof'Required""':~~~'"'::;''''1 +"Kip,Kaufma_h'v::'W"J~' ", . (;,.1.,:.' ":""2 '- .,,~
L. ~:T:'~:~':',' fo~~'rt-~~~~~'~~~;~~iGt;__~, "-"<~:::~:l~::Ji,~;,'~- ~~'~;:-;i'~ ';o:.~~~--:~~~T'<:"":'~.~ .~{~~'-<:" :c;~ '~:::;"~:i'::/~;::: ~:-~: ';~ .:. -- ~tL-~'4i";.L~__~~~
Energy Code Review 04/01/2011 04/01/2011 04/01/2011 Not Required Kip Kaufman
Comments: Over the counter permit
Structural Review
04/01/2011 04/01/2011 04/01/2011
Not Required
Kip Kaufman
Comments: Over the counter permit
flan:~lng ..~~y~e~(,:~~"j~,:;;~94{~~}i~;~;~:~:q]13?IJ;:~~:'~f2q;.1
,,, 9qinT~rl",~~~~-2ve~-".m~~count~/)p~rm't.~ J:;~1,_ID:" " ,,'", ".' ~ ':lty:;:1;
INSPECTIONS REQUIRED
Inspections
1260 Framing
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,
1540 Gypsum Board/Lath/Drywall
1999 Final Building
Springfield Building Permit
4/1/2011 10:41:14AM
Page 3 of 4
5P~I.N~:::E~
~~
~OREGON
CITY OF SPRINGFIELD
225 Fifth SI
Springfield,OR 97477
Phone 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building ICommercial Permit
PERMIT NO: 811-SPR2011-00533
IVR Number: 811132306918
perm itcenler@ci. 5 pringfield. or. us
.
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
04/01/2011
04/01/2011
EXPIRES:
VALUE:
09/28/2011
$2,000.00
04/01/2011
SITE ADDRESS: 644 A ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703353103500
SCOPE: Office
WORK INVOLVED: Alleralion
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Add interior, non-bearing partition wall and two interior windows.
By signature, I state and agree, that \ 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 ORS701.005 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.
'-;I-I -II
Date
Springfield Building Permit
4/112011 10:41:14AM
Page 4 01 4
DEPARTMENT USE ONLY
pe~J L~ 5fSk ~ e 1! -
.:53
Date: -loll
This permit is issued under OAR 918-460-0030. Permits expire if work is not starte,d within 180 dOlYS of issuance or if work is
suspended for 180 days.
Structural Permit Application
I @UW@ii~@I~itljl\iJj!i
225 Fifth Street. Springfield, OR 97477. PII(54 I )726-3753 . FAX(54 1)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 0 No
Property is within flood plain: 0 Yes IK'No
CATEGORY OF CONSTRUCTION
o Residential
o Government
Commercial
53
PROPERTY OWNER
Name: L. c,,, 0 .
Address:8S"l W l M.li
City: -uG~U(,f
PhoneS -~l. 4Z-&3
E-mail:
Thl .
Sign bere:
CONTRACTOR INSTALLATION
Business name:
Address:
City:
Phone:
E-mail:
cen license no.:
Print name:
Stale:
Fa'\:
ZIP:
Signature:
SUB.CONTRACTOR INFORMATION
Nnme ceo License Number Phone Number
Electrical
Plumbing
Mccbanical
I~
FEE SCHEDULE
1. Valuation information
(a) Job dcscription:JJOAl '.... -=-:- ";.. r;;;;;r:n:u> JJ
Occupancy '~ W~ A-AjD TWO
Construction Iype: :.r:;AI~~
Square feet: /,l/$N;Pow5
Cost per square foot:
Other informatinn:
Type of lIeat: ,
Energy Path:
Dnew f)l alteroti()n o addition
(b) Foundation..{)nly permit? DYes IX No
Tofal valualion: 1$2000
2. Building fees
(a) Permit fee (use valuation table): $ ~.V CI'GI
(b) Investigative fee (equal to [2a]): $
(e) Reinspection ($ per hour): $
(number of hours x lee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): $
(e) Subtotal of fees nbovr: (211 througb 2d): S
3. Plan review fees
(a) Plan review (66%x pennit fee (201): $
(b) Fire and life safely (40%:( pennit fee (2a]): $
(e) Subtotal of fees above (Jo and 3b): $
4. Miscelianeous fees
(0) Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+JC+4a): sn~
MMtL ~e.L:
S41-<l!4--f.::,IBo
SP.RIN GFI.EL~
.~
c""-
k~>.,~
. . ",'+.. OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 8t
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-00533
644 A ST
permltcenter@ci.springfield.or.us
RECEIPT NO: 2011000598
RECORD NO: 811.SPR2011-00533
DATE: 04/01/2011
rDEscRf~fI0N!?'.i~i11l!f~~'Li21';>.::':i';'-;;!:\;:":i~~:"3""}'';31,A;QC:QUNf~C:ODE,.'t= - , ,.LAMOUNtD.UE,' ,.
_Building Permit Fee 224-00000-425602 58.00
State of Oregon Surcharge (12% of applicable fees}__________.~;~00000-215004 6.96
Technology fee (5% of permit total) __1..0.0.:00000-425605 2.90
TOTAL DUE: 67.86
L-'.~PAYMENTTVPE .~.iJ#. PAYO-R-:-CASHiER'NMP;CHAbo;iv-i,';;pfJ~COMMENTS. ~JK-:'L;-t-_';';_;t' , _ , ." C AMOUNH'AID'" '.,
,_,___.~~._~, ~,',.,'~...~_~_ '~"~'-_=~_"~'_'_'_""__'"'' ~ _ "--'>x::U-,"'~-';",,,,,-. ~
Credit Card L.C.OG Transformation Dept 67.86
012815
"'v"
-I
';;,;;;',<
j
TOTAL PAID:
67.86
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