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Home My WebLink AboutPermit Building 2003-5-27 (2) , [ -LA:::' , ~'.. . .: CITY OF ~rKll'iuJ'lJ<.,LD Building/Combination Permit PERMIT NO: COM2003-00334 ISSUED: OS/27/2003 APPLIED: 05/02/2003 EXPIRES: 11/27/2003 VALUE: $ 23,000.00 , -' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3050 GAME FARM RD ASSESSOR'S PARCEL NO.: 1703221302500 Springfield TYPE OF WORK: Church TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Remodel entry way Owner: IMMANUEL BAPTIST CHURCH Address: 3050 GAME FARM RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor ~~'" License CREATIVE CONSTRUCTIO~t~~~N IN 153590 REYNOLDS ELECTRIC ~ ,\\'~ \~ 17252 IMMANUEL BAPT~~ll~~~~ fr~~ ~~\..\..I ~!1-:8uffi INFORMA nON, ~C{;. ~ ~ ~'V'Y,,' 't-v,VJ. # of Buildings: 't\~"\~ ~'Y,,~~ ~'V.;s R- \~ /i)~ of Stories: Primary Occupancy Gr~\~~ "'~~~'t~ ~o'Y,,~~ Height of Structure Secondary Occupancy GrOlteji ~'Y,,~_r-.~' Type of Heat: Primary Construction Typl{-~~ ,~"6N' Water Type: Secondary Construction Typl~~'I. Range Type: # of Bedrooms: Energy Path: Contractor Type General Electrical Owner Expiration Date 12/02/2004 02/08/2005 Phone 541729-6178 541-343-7297 SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: ~...o ,,;~o .~\\'! Lot Size: ~\\0 ,,0" 'o~ ",0 ....(),. ".\' ~ S~!.t.1st,I\'oor~0 "''' J:F> \..Sq"Ft'2fid"Floor: 9>~?; 0'" 'Q. e'" .. ,. ,w-.~ .~'" .0~ ,'<> Sg\Ft Basement: ~v 0 ~. :\.1'0- ~c.v ~'(\ - ,'(\0 0'" ~-<\O "o~ Sq'Ft Garage/Garport~ ..,o~ ~, '3-u ~ v:'I(V. ...S- ~'Ot' ~'" :::;\<(; \)\0'" :(\\0Srq\!::t.OJher:' ':(:00\0 'i,,\\\C ~ 'O-.tl ~ . O~ (je""JIlllpervl~u~'Stirface\~rea: L"'\\ ^\\: _ (\\J _Y\....<r I~\J... ,,\\\\.') ",b.~,. I DEVELOPMENT INFORMAiioN'~f: ~'3-'1C0~\0\0~O;:C\:'?>'?>rz;v \:(\-n,().:;) "oiS'0 oiS'0? "REQUIRED PARKING ()()'<> 'I,\\~'" 'O~ ~ \'" Overlay Dist: C'l> ~e~ 0:(\\e Total: # Street Trees Rqd: ~\)f/C' (j Handicapped: Paved Drive Rqd: Compact: Rearyard Setback: Solar Setbacks: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Partially Improved No Sidewalk Type: DownspoutslDrains: Notes: No sanitary sewer available Paee 1 of3 , . . Lu y OF SPRINGFIELD Building/Combination Permit 1 Status Issued PERMIT NO: COM2003-00334 ISSUED: OS/27/2003 APPLIED: 05/02/2003 EXPIRES: 11/27/2003 VALUE: $ 23,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion J Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft $1.00 Square Foota!!e 23,000.00 Value $23,000.00 $23,000.00 Date Calculated 05/02/2003 Total Value of Project l..F...... P~ilU Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlIndJPublic $135.72 5/2/03 1200200000000001119 + 10% Administrative Fee $25.48 5/27/03 1200200000000001330 + 7% State Surcharge $17.84 5/27/03 1200200000000001330 Add, Alter, Extend Circ $43.00 5/27/03 1200200000000001330 Add, Alter, Exteod Circ Ea Add $3.00 5/27/03 1200200000000001330 Building Permit S208.80 5/27/03 1200200000000001330 Plan Review - Planning $59.00 5/27/03 1200200000000001330 Plan Review Fire & Life Safety $83,52 5/27/03 1200200000000001330 Total Amount Paid $576.36 I Plan Reviews I Fire Department Review 05/06/2003 OS/2212003 OK GRG Plan Review: Add new roof portion, remodel entry way. Job #COM2003-00334 Ensure a 2-A:I0-B:C rated fire extinguisher is maintained on the premises within 75 feet travel distance (Spriogfield Uniform Fire Code 1002.1). Maintain or provide address numbers visible and legible from the street fronting the property (SUFC 901.4.4). Plaos call out for "code approved lighted exit sign age @ doorway." (Oregon Structural Specialty Code 1003.2.8). Will verify on inspection. Initial Review Plans do not sbow existing exit on north side of building (existing exits verified by John Pearson). 05/05/2003 05/05/2003 APP LLH Pa!!e 2 of3 'i . . CITY OF SPKll'lut<lELD Building/Combination Permit PERMIT NO: COM2003-00334 ISSUED: OS/27/2003 APPLIED: 05/02/2003 EXPIRES: 11127/2003 VALUE: $ 23,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Planning Review 05/06/2003 APP EMM No Expansion. Existing church in UGB. Specified work approved by Mel Oberst. Copy of letter in file. Public Works Review Structural Review SUB Review 05/1912003 05/05/2003 05/0612003 OS/20/2003 OS/2212003 05/13/2003 APP APP APP PJO JMP JF Pass building and lighting codes review. No HV AC changes.llh See attached fax sent to Garold Rapp on 5/8/2003 requesting energy forms and worksheets. SUB Review 05/0812003 WE JMP To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested aftt;r 7:00 a.m. will be made the following work day. I Reouired Insnectinns I 1 Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement. 3 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved, 5 Wall Insulation: Prior to cover. 6 Ceiling Insulation: Prior to cover. 7 Roofing: Prior to installing any roof covering. 8 Drywall: Prior to taping. 9 RoofSheathinglNailing: Before covering sheathing with finish material. 10 Final Fire Department. After all requirements of the Fire Department have been met. II Final Building: After all required inspections have been requested and approved and the building is complete. 12 SUB Final: After all required energy inspections have been requested and approved. 13 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 14 SUB Framing: Following City Framing inspection approval 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 of 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 witb 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 streeAthe permit card is located at the front of the property, and the approved set of plans will remain on the site at all .....ij ,',;;r;:t, b - 5/J 7 /6<, Owner or Contract~Signature 8 Date I I Page 3 of3 .f. CITY OF S~._dNGFIELD, OREGON () the \o\\OWing 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3Bl\'!..ssUb",It\60:C~~c lano use wing prol quire SP ELECTRICAL PERMIT APPLICATION Ihe\OI\O ano ooes not re AJ n_,,^.~ 1"/\ .,^ zonIng. /I c.- - City Job Number ~.V-/?J~ Date ." .nPlovai'zoning~~, :;r 1. I L0Ct1110N OFINSTALIATlON I 3. I COMPLETE FEE~CHjll)rrl.EbF:I:OW ~ ..."....... ~ r'. ...L.1I,.... r, I va '0 Signature - ~~L,..J ~f!'';=-1\I'1 jV'\ \<-rl "",oonze LEGAL DESCRIPTION A. I New Re~idential- Single or Multi-Family per dwelling unit. /703 "2.2..\ ~ 02S-Ca ServieeIncluded JOB D~SCRlPT~ Q ~._~ Permits are non. transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. I. CONtRAc1;pRmST1t~FOlVP~Y:II Electrical Contractor Reynolds Electric Address 2175 W 2nd City Phone 343-7297 Euaene Supervisor License Number 25208 Expiration Date 1"'-, _nA Constr. Contr. Number 17?<;? Expiration Date 2-8-05 Signature of Supervising Electrician (k,.d L;h./~ J ' , ovtfrs Name .~ Ci OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease Of rent. Owners Signature: Inspection Request: 726-3769 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder B. 1 ser~'W~~~~ers- Tnsiailatio~;Alter~tiolis,or.Relocation:," ", T RMtf~t1nRrW()RK " . 200 An4UIH9SIZED UNDER THIS PF~Mfl6lSl~aT 201 AnCiDM~OR IS AaANnONE11~DAD 401 AnllA\'Mll@.Q$;PERIOO. $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 ReCOlUlect Only $ 50.00 $106.00 $ 19.00 $50.00 c. 11r'lllpo1iil1,)fs.,;."ic~s'~r\F@i1ew.lft!'l' ~qwresYO~ll>' , tallOW rUles adople=d"Dyih-e ureguil ullIilY Installa'tioriifAiteriiti6n'Of.ReI01Iitioli3 rules are set fort! 200 Amlrs Q.1.fsls952-001-001 0 through C'$lls'aBQi2-0~1 201 Amn,ptil140o%hrTJay obtain \;UI-''''':; vStt9:00'JIt:" OJ, p ,.. IE t ( ., 'D'DOnO 401 Amps th%ob"Wm'p~ cen er. I~Ul"..l"" $100.00 :.'" number for the Notlllca"v.. Over 600 Amps or ) O.QlhYp!" D. IBrancl\'Circuiis New Alteration or Extension Per Panel One Circuit \ Each Additional Circuit or with Service or Feeder Permit I $ 43.00 4--::' $ 3.00 '2, E.I Mispell~,lleolls (S..vic./f.~d~r 1l0\inCl~ded) -;E:,ch Installation') Pump or irrigation Sign/Outline Lighting Limited EnergyiResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges I ',' . '1 ' '...:;i-::>":::0>:jH-:'~>:'r,:-t ,'; 4,Sl!lJlR!ALO!,ABO~"0;";'~' Hj,"" ,'. 6..f.o 7% State Surcharge 10% Administrative Fee 2:>:2..<.. 4-, G:>O 5~e,<- TOTAL Shared Drive(T:)lBuilding FormslElectrical Pennit Application l-Q3.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone JoblJournal Number . COM2003-00334 COM2003-00334 COM2003-00334 COM2003-00334 COM2003-00334 COM2003-00334 COM2003-00334 Payments: Type of Payment Check . ~ . 5/27/2003 City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000001330 Description Plan Review - Planning Plan Review Pire & Life Safety Building Permit Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By DAVID LACY Received 8y jmp 2:22:32PM Date: OS/27/2003 Amount Paid Item Total: 59.00 83.52 208.80 43.00 3.00 17.84 25.48 $440.64 Check Number l..:onl1rm No Amount Paid How Received In Person Payment Total: 3408 440.64 $440.64 Page I oft cReceiptrpl