HomeMy WebLinkAboutPermit Building 2011-4-11
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CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00580
IVR Number: 811132793959
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.springfieJd.or,us
PROJECT STATUS:
STATUS DATE:
Issued
04/11/2011
ISSUED:
APPLIED:
04/11/2011
04111/2011
EXPIRES:
VALUE:
10/08/2011
$5,000.00
SITE ADDRESS: 225 5TH ST. Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703353103300
SCOPE: Interior
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Office Remodel HR: changhing conference rooms to (2) offices, and reception area change
to conference.
OWNER:
ADDRESS:
CITY OF SPRINGFIELD
344 NORTH A ST
SPRINGFIELD OR 97477
Phone Number:
CONTRACTOR INFORMATION ~
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:
Electrical Specialty Code Edition: 2008
Springfield Fire Code Edition: 2010
Mechanical Specialty Code Edition:
Contractor Type
Contractor Name
ENSIGN UNLIMITED llC
# of Units:
o
Lic Type
CCB
BUILDING INFORMATION'
# of Stories:
Occupancy Type
Construction Type
B
Type VB
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bodrooms:
Sprinkled Building: Yes
Fire Alarms: Yes
Energy Path:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lic No
180373
Lic Exp
02104/2012
Phone
541-689-2945
2010
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
"""'~~r-
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
.
Springfield Building Permit
4/11/2011 1 :39:43PM
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-001 0 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
nllmber for the Oregon Utility Notification ,
"';"", Center is 1-800-332..2344). <:~;~:
Page 1 of4
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www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00580
IVR Number: 811132793959
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
04111/2011
ISSUED:
APPLIED:
04111/2011
04111/2011
EXPIRES:
VALUE:
10/08/2011
$5,000.00
SITE ADDRESS: 225 5TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703353103300
SCOPE: Interior
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Office Remodel HR: changhing conference rooms to (2) offices, and reception area change
to conference.
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
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
~
Streellrnprovements:
Storm Sewer:
Stonn Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Bid
Tvoe of Construction
NA
Unit Amount Unit Tvoe
5,000.00 Bid
Unit Cost
1.00
Value
5,000.00
5,000.00
FEES PAID
~
Descrintion
Building Permit Fee
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
Total Amount Paid
Amount Paid
$87.25
$4.36
$10.47
$102,08
Date Paid
04/11/2011
04/11/2011
04/11/2011
ReciDt #
2011000692
2011000692
2011000692
Springfield Building Permit
4/11/2011 1:39:43PM
Page 2 of 4
..."
S.P...R..I~G._.FIE~
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_-r'''. ~
r\"<; _ \ OREGOH
CITY OF SPRINGFIELD
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
WNW.ci.springfield.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00580
IVR Number: 811132793959
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
04/11/2011
ISSUED:
APPLIED:
04/11/2011
04111/2011
EXPIRES:
VALUE:
10/08/2011
$5,000.00
SITE ADDRESS: 225 5TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703353103300
SCOPE: Interior
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Office Remodel HR: changhing conference rooms to (2) offices, and reception area change
to conference.
Plan Review ~
Oeoartment Received Due Date Com Dieted Result Reviewer
Application Acceptance 04/11/2011 04/11/2011 04/11/2011 Over the Counter Kip Kauhnan
Initial Review 04/11/2011 04/11/2011 04/11/2011 Over the Counter Kip Kauhnan
Comments: OVer the: counter:pennit
Electrical Review 04/11/2011 04/11/2011 04/11/2011 Not Required Kip Kauhnan
Comments: Over the counter permit
Mechanical Review 04/11/2011 04/11/2011 04/11/2011 Not Required Kip Kauhnan
Comments: Qver the counter pen:nit
Plumbing Review 04/11/2011 04/11/2011 04/11/2011 Not Required Kip Kauhnan
Comments: Over the counter permit
Permit Issuance 04/11/2011 04/11/2011 04/11/2011 Issued Kip Kauhnan
Fire Review 04/11/2011 04/11/2011 04/11/2011 Not Required Kip Kauhnan
Comments: Over the counter permit
Public Works Review 04/11/2011 04/11/2011 04/11/2011 Not Required Kip Kauhnan
Comments: Over the couni~r.permit
Energy Code Review 04/11/2011 04/11/2011 04/11/2011 Not Required Kip Kauhnan
Comments: Over the counter permit
Traffic Review " '04/11/2011 04/11/2011 04/11/2011 Not Required Kip Kaufman
'Comm~nts':' ;':Over the p~unier permit ,'::1 ~.. I
Structural Review 04/11/2011 04/11/2011 04/11/2011 Not Required Kip Kauhnan
Comments: Over the counter permit
Plaf,l.ning :~evjew 04/11/2011 04/11/2011 04/11/2011 Not Required Kip Kauhnan,
Comrnents: Over the counter permit
Springfield Building Permit
4/11/2011 1:39:43PM
Page 3 of4
..
SP'4~,.N.~..FIELfij
~~
~O:fGOH
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.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00580
IVR Number: 811132793959
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
04/11/2011
ISSUED:
APPLIED:
04111/2011
04/11/2011
EXPIRES:
VALUE:
10/08/2011
$5,000.00
SITE ADDRESS: 225 5TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703353103300
SCOPE: Interior
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Office Remodel HR: changhing conference rooms to (2) offices, and reception area change
to conference.
INSPECTIONS REQUIRED ~
Inspections
1260 Framing
1540 Gypsum Board/Lath/Drywall
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.
Ceiling Grid: After drywall approval but prior to cover.
1600 Ceiling Grid
1710 Fire Sprinklers
1 999 Final Building
Final Building: After all required inspections have been requested and approved and
the building is complete.
8999 Final Fire
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 J 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.
~ 'N\r~tP
~-\\-\\
,
Owner or Contractor Signature
Date
Springfield Building Permit
4/1112011 1 :39:43PM
Page 4 of 4
Structural Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
DEPARTMENT USE ONLY
0(/- 5'fL'UrU-
PenTIlt no,: 58-e-
Date:
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.
:ff<\::~9:6A~,,;~QY:E_~'NM.gNt<tAR_~~9Y~~\~t~~,;;~;~,:ji~~
This project has final land-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
R4v;:~~j~1{f~~f~t~'~I~l3,Q_RY;{r~,fi.qp~-s;t~!J.CmtqN~~~3~~~i_~~~f'
o Residential 0 Government Commercial
,,' .. _,.".';';"C:"." '," .',,,- -.' .','".,'0 ..'" > "; "',;","-"" ""'~"~~i" _._..,,'.:.....,c"-.,.,.. .,..~.;,',"y~..".;"""',~...-~"'.,..."":,::,. 0":'" J?-. ,-".~~,-:l~
!l;i\:;~;;iC\i:,~;'j9BJSI.;rE:.INF,9~MATI9N:'ANI:1J1,120_CATIPNi,Ji~i:i>~'!'fl"
c. ~
r. , . "'" ~ >,""^",';> ,,""- "'.' ,.. ",. "."...."...,,~,.,., \'t."" ,. , '.~,
~ ~ ':.:; ,-:. '\,,\"'FEE 'SCHEPULE','-'.',
~{:'!~y.~i~'.~:tJp:p~h~~-to~rrn'~tI~)!Nt0jJ~%7;1~N:{'~)Mj;~i--~vtJii i;,;:~';;,Li;i,':t;~'AJ~t\,:"~;~
(a) Job description: :pJTf3t2-~R..
Occupancy
oFf';1<:;?
kZ--TFA2-A1"'u ,j
Construction type: N
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
o new Iteration
(b) Foundation-only permit?
o addition
DYes
ONo
tallation is being made on residential or owne y
me or a m me ]a e am] y, and is exempt from licensing
. ements unde GRooS '70J.010.
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection C$ per hour):
(number of hours x fee per hour)
Cd) Enter 12% surcharge (.\2 x [2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
$
$
City:
Phone'
E-mail:
$
'. CONTRACTOR I~STALLATI.9Ni, ,':'"
NI--'J1oI/
"..,
Ca) Plan review (65% x permit fee [2a]): $
Cb) Fire and life safety (40% x permit fee [2a]): $
(e) Subtotal of fees above (33 and 3b): $
~~~1'~~i~~II~~19~Gs!'fe.~'~1~:fr~~~~{i~4N~*~t~i4:';:~2:t:t!{:~~;t~.~--,q~~::':,:;~:,
"_:"-','J~:'
Address:
City:
Phon
E-mail:
CCB license no.:
Print name:
State: ZIp'f
Fax:
(a) Seismic fee, 1 % (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $ Ie
a8
Signature:
'If
likW1.~t~P}l'tl1~f1*t~0$:l;J~~G,0~}JjM_Gt6_Rin~ ~P,RMA'f;'Q~'~~~~r:;:i:~'+Ji~~!~{t
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
r~v:.p.pe
SP..RIN. .G.FI...E.....L....O...'"
iIit't' ''C
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'OR.EGOH
TRANSACTION RECEIPT
ClIT OF SPRINGFIELD
225 Fifth St
Springfield,OR 974n
541.726-3753
www.ci.springfieJd.or.us
811-SPR2011-00580
225 5TH ST
permitcentet@cl.springfield.or.us
.
I
RECEIPT NO: 2011000692 RECORD NO: 811-SPR2011-o0S80
ID.ES(;<R!H.11Iblil--;F\;~{7.,!t1iBi!,"';_3il!J1/4l!Iti~K\\;~,"I!fA.C];;bON:t:lC:Qt!E,.,. ifu!\1ii!,ti4ii4ii'.
Building Permit Fee 224-00000-425602
State of Onegon Surcharge (12% of applicable fees) 821-00000-215004
Technology fee (5% of penn it total) 100-00000-425605
TOTAL DUE:
Internal Transfer
420-62224-810050
CIIT OF SPRINGFIELD
DATE: 04/1112011
. ~;;~Ml.OOijilliO:UEW~~f!1i'ti1i;1
87.25
10.47
4.36
102.08
;F.?AYMEN'[ffiYffE~~~~AYOR SfCASHiER7DKBi.y)i5~'::~~;'~~~f"COMMENtS"";'r~==" ~.'! '~~1~4}~ag5:;;~~"~9Q~T~FfAIDC"'~._.;;~;;;;r~1j~!Jf~
Bill internal charges to
420-62224-810050
102.08
TOTAL PAID:
102.08
J.'.
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