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HomeMy WebLinkAboutPermit Building 2011-4-11 -. -' "- S,PR,INGFIE~ r- ~.....!::; ~ .~ : .' \. OREGON 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 " ,~~::,:~!,::~.~~ 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 .. SPRI..;.~. FI.E ~ ~)L. . " .~ , .~ " \. ORfGON 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~ ~.jL. _-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 ';~;, '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.'. --.. . .. .. .. . ... I ~\tl.l. A,. . . . . . . .. ... ,~,,~ ...\....(CAiit.... .. .. . ... -~~'~:~!~ -~:: : :: ... :.. I:"~, II 0 ~tcs)llIl::BN'X8I:Cltl"B:l::NWSl33:t1SYHllOlLlt . c to; ~/p.puus,m..IYT' ~J/. ~ .:.: YI.: .: y--r.....1. . . .. .. 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