HomeMy WebLinkAboutPermit Miscellaneous 2011-5-4
CITY OF SPRINGFIELD
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Building I Commercial Permit
PERMIT NO: 811-SPR2010-00694
IVR Number: 811139223580
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
05/04/2011
ISSUED:
APPLIED:
05/04/2011
11/09/2010
EXPIRES:
VALUE:
10/31/2011
$50,000,00
SITE ADDRESS: 2861 PIERCE PKWY, Springfield, OR 97477-7964
ASSES OR'S PARCEL NO: 1702302300102
SCOPE: Commercial Miscellaneous
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Rigging and training frame
Phone Number:
OWNER:
ADDRESS:
UNITED ASSN LOCAL 290 APPRENTICESHIP &
20220 SW TETON AVE
TUALA TIN OR 97062
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lie Type
lie No
Lie Exp
Phone
# of Units:
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
# of Bedrooms:
Sprinkled Building:
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:
lot Size:
Sq Ft 1 slFloor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Fl Other: 0
Occupancy load:
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required: ,
"'OnCE:
":-1IS PERMIT SHALL EXPIRE IF THE WORK
. !THORIZED UNDER THIS PERMIT IS NOT
.' '::\"ENCED OR IS ABANDONED FOR
,,':\ : qQ DAY PERIOD.
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010through 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).
Springfield Building Permit
5/4/2011 10:46:55AM
Page 1 of 3
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00694
IVR Number: 811139223580
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
05/04/2011
ISSUED:
APPLIED:
05/04/2011
11/09/2010
EXPIRES:
VALUE:
10/31/2011
$50,000.00
SITE ADDRESS: 2861 PIERCE PKWY, Springfield, OR 97477-7964
ASSESOR'S PARCEL NO: 1702302300102
SCOPE: Commercial Miscellaneous
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Fronfyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Rigging and training frame
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
~
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 Tvoe
50,000.00 Bid
Unit Cost
1.00
Value
50,000.00
50,000.00
FEES PAID
~
Descriotion
Structural Plan Review Fee Commercial
--....-...- --
!~~~~.,?Iogy fe.~.(50/~f per~'~M.!?!~L~_..
State of Oreg?n Surchar~_~.L130lo of applicable fees)
.':~ning - Minor~~_:S~!Y
~uilding Permit Fee w_._.".._'_"
Amount Paid
$302.41
$23.26
...-._--".".._.,~.-
$55.83
$119.00
$465.25
$965.75
Date Paid ReciDt #
11/09/2010 2010000798
.---_..-----_.~
05/04/2011 2011000872
-........"..."'-........-.---.--."..-."-....--...-...-.-......,,
05/04/2011 2011000872
05/04/2011 2011000872
05/04/2011 20110015872
Total Amount Paid
Springfield Building Permit
5/4/2011 10:46:55AM
Page 2 of 3
..-SPRING... FI.E~.LD
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,'C" OREGON
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 54,1-726-3676
www.cLsprjngfield.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00694
IVR Number: 811139223580
permilcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
05/04/2011
ISSUED:
APPLIED:
05/04/2011
11/09/2010
EXPIRES:
VALUE:
10/31/2011
$50,000,00
SITE ADDRESS: 2861 PIERCE PKWY, Springfield, OR 97477-7964
ASSESOR'S PARCEL NO: 1702302300102
SCOPE: Commercial Miscellaneous
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Rigging and training frame
Plan Review
I
Deoartment
Application Acceptance
Received Due Date
11/09/2010 11109/2010
Comnleted
11/15/2010
Result
Application Accepted
Reviewer
David Bowlsby
Initial Review
11/15/2010 11/15/2010
11/15/2010
Approved
David Bowlsby
Public Works Review 11/19/2010 11/22/2010 11/19/2010 Approved Todd Singleton
Comments: New structure will be constructed on existing impervious surface - determined by 2008 orthophotos. No SDCs.
F~r=~ ~~7i~~' ;~. ;,. .^ 0 ,~m.'tf~~~;~:"1sY~'~~~}o..~.;J~U~~/~~.~;O/~'::~.~~j,~[~~iq;'.;:~~N0~g~j~~rl~~~<"",-~'~ ; ~:i ':~~~~~~"~~:~.9~~rrr -;:~~- -~ -:~--
CglIl!11~nt.s:: .- ~re~p~/9CQUp_?n9',~Q~!}~f.?:nb_U~~t;>~"99DSJrUctl~~Z2~:r[e,~1r,~;fyltq~~~- #~"- ~ + :"'-~ ~m_'- ".,\0-,.: ~:?~,:~-"-,_ /' .",":- ~.~
Structural Review 11/15/2010 11/15/2010 05/03/2011 Approved Chris Carpenter
Comments: Correct engineering recieved~ 'construct according to engineering requirements.
Permiqss~fuKre;:;;:s::C,,^_": ~k--:~:0!5/03gQ}~1c:~ 5/ "3/2b,1'1:~_f;:Q2i~I:[61M~!SS"U~:g:~'~:~lf v~~~ ~~~"~ '~?ncy~M.~
'~_ - }~~t:~~::~r ;;~:::J~~~~::f~~Y;~-~i~~~ '. 'M ,..:4:~ --'~~f:-:;f~f:;1~;\\~:~~~t~~~~-~l ~. ;>;'~..~'~;;~'~;:~-~
-'-I
INSPECTIONS REQUIRED ~
Inspections
By signature, I state and agree, that I have carefuffy 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 compl1ance 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 pl~ms will remain on the site at all times during
construction.
r'/
~~~
5-/'/- I(
r or Contractor Signature
Date
Springfield Building Permit
514/2011 10:46:55AM
Page 3 of 3
Structural Permit Application
I @UW@W~~
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54 1)726-3689
I~
DEPARTMENT USE ONLY
9t2.. cGlO--Oa
Permit no.:
Date:
Tbis permit is issued under OAR 918-460-0030. Permits expire if work is not started witbin 180 days of issuance or if work is
suspended for 180 days.
lOCAL GOVERNMENT APPROVAL
This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: DYes D No
Property is within flood plain: DYes D No
CATEGORY OF CONSTRUCTION
o Residential
. 0 Government
Commercial
Job site address:
City:S ..
ZIP:
Subdivision:
Reference:
oz. 302 ~
Name:
Sign here:'
c- ..- c:
CONTRACTOR INSTALLATION
Business name: h
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
State:
Fax:
ZIP:
Signature:
SUB-CONTRACTOR INFORMATION
Name ceB License Number Phone Number
Electrical
Plumbing
Mechanical
FEE SCHEDULE
1. Valuation information
(a) Job description: g., G-r:"tI G- FA J. t
Occupancy U
Construction type: 1./5"
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
Dnew o alteration ,.B-addition
(b) Foundation-only pennit? DYes ...erNo
Total valuation: $ SO. O<:JO
2. Building fees
(a) Permit fee (use valuation table): $ ViDS- ~
(b) Investigative fee (equal to [2a]): $
(c) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ ss-~
(e) Subtotal offees above (2a through 2d): $
3. Plan review fees -.. ..... 41
(a) Plan review (65% x pennit fee [2a]): $ -- -
(b) Fire and life safety (40% x pennit fee [2a]): $
(c) Subtotal of fees above (3a and 3b): $
4. Miscellaneous fees 2"3~
(a) Seismic fee, 1% (.01 x penn it fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $ F7'"tY...
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~OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00694
2861' PIERCE PKWY
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
permitcenter@cLspringfield.or.us
RECEIPT NO: 2010000798 RECORD NO: 81 I-SPR2010-00694 DATE: 11/09/2010
!DESCR1PTtON" 'FJ't:-[ZC/f ;!A~;;~d;/. i~; _ r~~;;~1&z>; ,".., .' "~:Gf;~6~U.NECQ[fE"".d.;~::r:r:8MQU.NT;DUE' . "".-;;~I
Structural Plan Review Fee Commercial 224-00000-425602 $302.4 1
TOTAL DUE: $302.41
L;F'AYMENn~fjE7\8AYOR:";;'.CASHIE~5b~oWtSBt;;:;.'COMMENTS; :..., ~; 2t,,'.::;!; "" "AMOUNT PAID""',' ..... ;:-'~1
Credit Card
940078
jeff rrycgillivray
$302.41
$302.41
www.ci.springfield.or.us
TRANSACTION RECEIPT
811.SPR2010-00694
2861 PIERCE PKWY
CITY OF'SPRlNGFIELD
225 Fifth St
Springfleld,OR 97477
541-726-3753
permitcenter@dspringfield.or.us
RECEIPT NO: 2011000872 RECORD NO: 811-SPR2010-00694 DATE: 05/04/2011
~[)E5'C'RIe.tION..i..._:.'t.'}tr,,~~.'~-ioj~~{f'~.'_~'"'t~tzf~~"j"+:,~';;;1~+fY-~.'~)i~~k:;'I:(t.c,6>CjNTlc_'6DE~t'-;7><:;;~~Z-.ffr; .lti:'AMd,UNjf~D(j E:~~~~1
Building Permit Fee 224-00000-425602 465.25
Planning - Minor Review ~City 100-00000-425002 119.00
State of Oregon Surcharge (12% of applicable fees). 821-00000-215004 55.83
Technology fee (5% of permit total) 100-00000-42.5605 .. __:2.3~
TOTAL DUE: 663.34
IT;'e8iIVlE_~:r:tY.E~i.- ..~:p':gXQIf";c"sHrERtNflAcH"D&"""')' - 'C.QNiIVl~Nt!1~::.t::'!"':.., "..t:.-7-I"AMOUNTPAID ,. <.':~~.\,.. ';1
Credit Card UNITED ASSN LOCAL 290 663.34
423685 APPRENTICESHIP &
TOTAL PAID:
663.34