HomeMy WebLinkAboutPermit Building 2011-5-16
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F "',~ OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00697
IVR Number: 811198406924
www.ci.springfield.or.U5
PROJECT STATUS:
STATUS DATE:
Issued
05/16/2011
ISSUED:
APPLIED:
05/16/2011
04/27/2011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
EXPIRES:
VALUE:
11/11/2011
$40,000.00
SITE ADDRESS: 202 S 18TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703360000500
SCOPE: Office
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Interior Remodel and (3) Exterior Windows
Phone Number:
OWNER:
ADDRESS:
SPRINGFIELD UTILITY BOARD
202 S 18TH ST
SPRINGFIELD OR 97477
Contractor Type
Contractor Name
CONTRACTOR INFORMATION I
Lie Type
Lie No
Lie Exp
Phone
BUILDING INFORMATION I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
OSaF(t(Garage"quires you to
TT~NTION' reo) II<", rv ,
At:, d ScfHCarport:Oregon Utility
f I' rules a OI.h~U U) .,," h
o lOW, C tSI! FliOtherfules are@etfort
NotificatIOn en", "',...,,,, nAR 952-001-
in OAR 952-001-0ccupancy1OOtr.\ his by
MY' , "btam caples 0 t e ru e
Electrical Specialty Code EditionO, qu m2011 (Note' the telephone
callmg the ,,'Inter. ' 'f' t'
Spnngfleld Fire Code Edition: . j 2lRl,oOregon Utility Notl Ica Iq[l
number or 1I G )
Mechanical Specialty Code Edition: Cen?9i11{3 1_800-332-2344 "
Municipal/ Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
# of Units:
o
2
22.5
Construction Type
Occupancy Type
Occupancy
Comments
Type VB
B
Remodel of 1,200 s.f.
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
No
No
2011
2010
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
5/16/2011 2:41:48PM
. .!' ,,,h~.;'
NOiICE: IRE IF 1HE \NOR"
THIS PERMIT S\-\f.\L~ ;.x~S PERMIT IS NOT
f.\UTHORI'lEO UNO~S f.\Bf.\NOONEO FOR
COMMENCED OR
f.\NY 180 OM PERIOD.
Page 1 of 4
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~SP:'.NGfIELD
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,~\ \, OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00697
IVR Number: 811198406924
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.cl.springfield.or.us
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
05/16/2011
ISSUED:
APPLIED:
05/16/2011
04/27/2011
EXPIRES:
VALUE:
11/11/2011
$40,000.00
SITE ADDRESS: 202 S 18TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703360000500
SCOPE: Office
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Interior Remodel and (3) Exterior Windows
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
Tvpe of Construction
NA
Unit Amount Unit TVDe
40,000.00 Bid
Unit Cost
1.00
Value
40,000.00
40,000.00
FEES PAID
~
DescriDtion
Structural Plan Review Fee Commercial
~.!':!!_f3~~~~er hour _~_ _ _ __.__
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of perm~t..!~tal)
~ire, Ufe, Safety Plan Review _
Mechanical Permit fee (based on value of work)
Planning - Minor Review - City
Building Permit Fee
Amount Paid
$254.83
$58.00
$60.04
$27.92
$156.82
$108.25
$119.00
$392.05
$1,176.91
Date Paid ReciDt #
04/27/2011 2011000814
05/16/2011 2011000986
-- _._--------,._--~- - ---..-.-.-.---
05/16/2011 2011000986
05/16t2ci'iT-------- --- 2611000986
05/16/2011 ..--------,,01i000986
05/16/2011 2011000986
05/16/2011 2011000986
05/16/2011 2011000986
Total Amount Paid
Springfield Building Permit
5/16/2011 2:41:48PM
Page 2 of 4
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5P~.ING FIE~
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,0. ;,j ,-<;~' . OREGON
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-SPR2011-00697
IVR Number: 811198406924
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
05116/2011
ISSUED:
APPLIED:
05/16/2011
04/27/2011
EXPIRES:
VALUE:
1111112011
$40,000.00
SITE ADDRESS: 202 S 18TH ST, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703360000500
SCOPE: Office
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Interior Remodel and (3) Exterior Windows
Plan Review
~
Deoartment
Initial Review
Received Due Date
04/29/2011 04/29/2011
ComDleted
04/29/2011
Result
Approved
Reviewer
David Bowlsby
Structural Review
04/29/2011 04/29/2011
05/05/2011
Add'llnfo Required
Kip Kaufman
Planning Review 04/29/2011
Comments: Plans verify that the parking requirment has been met.
!PUbIiCJ,~YO;k~'R?View \ ;",- :iq~i~/~911" 9~4~?,9{f~,~:1,": O?lq~[?~V ,::.-:p,pp~?~ed. .r.:'" ' ~ ~\e~~~ ~ ~~: ,~~.." ..:, 70~~
Comments: No new sqC's ~.0 \ ,.'" ,-,' ;;-:~ :: ,': . _ . r-' . ... -' _, ';o',~ -': '".. ~
l~.--___~ __ ,~ .~,~~ -, . .,. /- ~....i '
Fire Review 04/29/2011 04/29/2011 05/11/2011 Approved Gilbert Gordon
Comments: Plans Review: 1st floor north side office remodel. Job #SPR2011-00697. Occupancy Classification: B. Construction Type:
V-B. Area of remodel: approximately 1200 sq. ft, with an approximately 286 sq. ft. conference fOam. Plans reviewed under
the 2010 Springfield Fire Code and 2010 Oregon Structural Specialty Code.
-l
J
Permit Issuance
05/13/2011 05/13/2011 05/16/2011
Issued
Chris Carpenter
INSPECTIONS REQUIRED I
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
Ceiling Grid: After drywall approval but prior to cover.
Final Building: After all required inspections have been requested and approved and
the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
1540 Gypsum Board/Lath/Drywall
1520 Interior Shearwall
1600 Ceiling Grid
1999 Final Building
2300 Rough Mechanical
2999 Final Mechanical
Springfield Building Permit
5/16/2011 2:41:48PM
Page 3 of 4
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. +i'k OREGON
www.ci.springfield.OLUS
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00697
IVR Number: 811198406924
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
05/16/2011
ISSUED:
APPLIED:
05/16/2011
04/27/2011
EXPIRES:
VALUE:
11/11/2011
$40,000,00
SITE ADDRESS: 202 S 18TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703360000500
SCOPE: Office
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Interior Remodel and (3) Exterior Windows
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 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.
3,
D ~~,:f~
.
5 - 1ft -JD II
Owner or Contractor Signature
Date
Springfield Building Permit
5/16/2011 2:41:48PM
Page 4 of 4
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1 ·
SPRINGFIELD
City of Springfield
Community Services Division
225 Fifth Street, Springfield, OR 97477
Telephone: 541.726.3753 Fax: 541.726.3676
WiL-
Deferred Submittal - Agreement
Oregon Structural Specialty Code Section 106.3 allows a permit applicant to defer certain
submittals if approved by the Building Official. This form is a deferred submittal
agreement for th following project:
Vlitsi.. ". Project~~/
Project Address: ttM. c::J 'V'"
Phase: 0 Excavation & Grading
o Site Utilities
Y-
. )
Guidelines:' at1fw&.~ ~ AlA. Li.C
1. Aooroval: Each deferred submittal shall bear the approval of the des~IGQN~401
charge. Notation shall be included that the deferred submittal docum. ~~I
been found to be in general conformance to the design of tpe building. COlI
2. List: Page 2 ofthis form is a list of deferred submittals. The design professional in responsible charge
must check which submittals are requested to be deferred and indicate ~n ~nticipated submitt!J1 d~te.
3. Fees: Minimum $100.00 (2 hour) for each deferred submittal.
4. Timelines: Every attempt will be made to provide timely reviews of 5-1 0 business days per deferred
submittal.
5. Work without a Permit: Work that is constructed without having been reviewed and approved by
both the design professional in responsible charge and the City of Springfield Building Official is
considered as work performed without a permit. Any person or firm performing work prior to
approval shall be subject to the penalties of Section 108.2.1 of the State of Oregon Structural Specialty
Code. .
~WuK~~~~'J
ow::~ame~nted)
1t?1;7
~. n~~~
Owner Signature
, General C
~
City of Springfield
Deferred Submittal Agreement
-t\'f"J~ N,mo;'-;J..\ b r\vr: 1/1~\~. c
,/\b a permltNumber~~t?
o Excavation and Grading 0 Foundation only icomPletion, i'
o Site Utilities 0 Tenant Improveme8t
,
SPRINGFIELD
Date: 1.1 f.l111
Project Address:W0 .....V
Phase:
Design Professional in Responsible Charge:
Items which may be deferred include, but are not limited to the following:
Deferred Item Date (
"'-
jI 1. Acoustical ceiling suspension t/7/~11
system
D 2. Auxiliary power systems
D 3. Awnings
D 4. Bleachers
D 5. Carports
D 6. Curtain wall systems
D 7. Electrical call system
D 8. Emergency call system
D 9. Exit Illumination
D 10. Fire alarm system
D 11. Fire sprinkler
D 12. Fire stopping
D 13. Glass guardrails
D 14. Glazing systems
0 15. HV AC system
D 16. Intercom system
D 17. Irrigation system
D 18. Metal guardrails and handrails
Deferred Item
Date
vt1
D
19. Plumbing system
o 20. Post-tensioned concrete structural
members or panels
o 21. Pre-cast concrete structural
members or panels
o 22. Prefabricated stair units t6 include
steel, aluminum, or preficast concrete
o 23. Prefabricated wall panel
o 24. Ore-stressed concrete structural
members or panels
o 25. Raised floor systems
o 26. Shelving systems and steel
storage racks
o 27. Signs
o 28. Skylights
o 29. Smoke and heat vents
o 30. Specialty retaining waJJs
D 31. Stone veneer
D 32 Terra cotta veneer
D 33. Wooden, steel, or composit
floor or roof trusses
o 34. Works of art
o 35.
o 36.
Fees: Minimum $100.00 (2 hr) each for the above listed Deferred Submittals
,
"
Fire Protection and Life Safety Systems
Deferred Item Date
0 1. C02 System
0 2. Emergency and Standby Power
.
0 3. Fire Alarm and Detection Systems
0 4. Fire Pumps
0 5. Gas Leak and Chemical Leak
Detection
0 6. Halon Systems
0 7. Kitchen Hood Suppression
System
0 8. Portable Extinguishers
0 9. Private Fire Service Mains
0 10. Private Water Tank Systems
0 11. Fire Sprinkler Systems 13, 13R
& 130 (more than 20 heads)
0 12. Fire Sprinkler Systems 13, 13R
& 13D (less than 20 heads) $60/hr
0 13. Standpipe and Hose Cabinets
0 14. Water Mist System
0 15. High-piled Storage
0 16. Clean Agent Systems
0 17. Clean Agent Systems
0 16. Paint Booths
Deferred Item Date
0 19. Underground Fuel Tanks
0 20. Aboveground Outside Fuel Tanks
0 21. Aboveground Fuel Tanks and
Piping
0 22. Aboveground Fuel Tank and
Day Tank
0 23. Fuel Dispensing Station
0 24. LPG, Aboveground Installations
0 25. Cryogenics, Exterior Installation
0 26. Silane Gas
0 27. Ozone System
0 28. HPM Semiconductor Workstation
0 29. Gas Cabinets/Exhausted
Enclosures
0 30. Hazardous Material Inventory
Statement
0 31. Special Hazard Detection
and Suppression
0 32. Medical Gases
0 33. VESDA System
0 34. Emergency Lighting
0 35.
0 36.
Fire Protection and Ufe Safety Systems fees are based on 3% of the total valuation of the work to be performed for the system
up to the system's contract value of $50,000.00. An additional $3.00 will be charged for each additional $1,000.00 in value or
portion thereof. The minimum charge shall be no less than $120.00 Additional staff time for work performed in excess of 2 hours,
will be charged an additional $15.00 for every 15 minutes of review time or portion thereof.
Work without a Permit: Work that is constructed without having been reviewed and approved by both the design
professional in responsible charge and the Building Official will be considered as work performed without a permit.
Any person or firm performing work prior to approval shall be subject to the penalties of Section 108.2.1 of the
State of Oregon Structural Specialty Code.
225 Fitlh Street + Springfield, OR 97477 + PH(5.1\ )726-3753 + FAX(54 \ }726.J689
DEPARTMENT USE ONLY
sl,l'ZJ::>t( - 00 7
Permit no,:
Date: - 27 - (
This JJcnllit is issued under OAR 918-460*0030. 'I)crmits expil'c if \VOI'I( is not shll'ted within 180 clays of issuance 01' ifwark is
suspended far 180 days.
lOCAL GOVERNMENT APPROVAL
This project has tinalland~use <lpproval.
Signature: Dale:
This project nas DEQ approvaL
Signature: Date:
Zoning npproval veri lied: 0 Yes 0 No
Propert)' is within:llood plain: 0 Yes 0 No
CATEGORY OF CONSTRUCTION
o Residential
Commen::ia!
Job site address:
City:
Subdivision:
Reference: 70"]
~
PROPERTY OWNER
City:
Phone:
E.rnail:
'rhis i!\stallation IS being made on residential or rarm property owned by
me or a mcmb 'r of my itllmediatefamily, and is cxempt rrom licensing
requircm u Jd~ -:fo
CONTRACTOR INSTAllATION
Business name:
Address:
CHy:
Phone:
E-mail:
CeB license no.:
Print name:
State:
Fax:
ZIP:
SigJ\3tme:
SUI3'CONTRACTOR iNFORMATION
Name
ccn License Numher
Phone Number
1>lumbing
Mccll:lllkal
r
~
1
FEE SCHEDULE
1. Valuation infofl ."
(a) Joh description: , "It"eYl'042. .r:.
Occupancy ~ ~... 1 I ~~S.F
C{)i1structlontYpe~_-I -1 ;.., "'J - .ft
Square leel: . - ~.
Cost per square foot:
Other information:
Typeoflle:ll:
Encrgyllalh:
o new ~teratlon o addition
(h) Foundation-only permit? DYes .8fJ-io
Total valuation: 1$ ..::.
.
2. Building fees
(a) Permit lee (use valuation table): $
(b) Investigative fee (cqual.to [2a]): $
(c) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enk'r 12% surcharge (.12 x [2a+2b+2c]): $
(c) Subtotal of fees abol'c(2a through 211): $
3. Plan review fees
(a) Plall review (65% x penl1it fee [2A]): $ Z <'-I l. J
(b) Fife and life safety (40% x permil ree [2::1]): $
(c) Subtotal offers ahove (3a and 3b): $
4. Miscellancolls fees
(a) Seismic fee, 1% (.01 x permit fee-(2a]): i $
TOTAL fees and surch~lrgcs (2e+31.+4a): I S
KL{R.. T A-t-'B~T
C~C:~ Dt\1usv'
5(-1- ~e/~- 33J~
~~c.:l'5A -AJAJ:.ol'1
I<M r~...r @,.;01
/
,
'-.....
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00697
202 S 18TH ST
CITY OF SPRINGFIELD
225 Ftfth St
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2011000986
l ~ " ~ """"Cf~'" ""- "", -" iF'
DESCRII~.TIOt'k'.../ '''-*;~ ~-<",~",. "'"
Building Permit Fee
Fire, Life, Safe!y Plan Review
Mechanical Permit fee (based on value of work)
Plan Revie;w P~_.~.?ur
. _!,~a_~~L~g-=~Mi~?:_R_~~:~_Citt
_~~~gregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
RECORD NO: 811-SPR2011-00697 DATE: 05/16/2011
"""'f:'~.;!i~\ci5~"""ACC6I.JN'(cO[)E"+}'-"\~_' "")AMOUNitQUE "",
224.00000,425602 392,05
224-00000,425602 156,82
224,00000-425604 108,25
224,00000-425602 58,00
-_._--
100-00000.425002 119,00
-,~-,_.._---~---
821,00000.215004 60,04
100-00000-425605 27,92
TOTAL DUE: 922.08
:~;:+COMl'iLEj,jis~-t4}-i:,,;[~,._ ,,'t,,"!w;.l'IVIQUNTPAID - 'i, -.- -
922.08
LeAXIVIEi.!jN'PE;"i ~':';;PAYOR:" ,eASHIER,"CC"}'PENTER
Check SPRINGFIELD UTILITY BOARD
18541
TOTAL PAID:
922.08
S~l~NG.......~~
IL~~
~OaEGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-00697
2025 18TH ST
permitcenter@cLspringfield.or.us
RECEIPT NO: 2011000814 RECORD NO: 811-SPR2011-00697 DATE: 04/27/2011
[DESCRIf>.TIONY'Oc . ._":0_",,..L,,~::'~~-;;~~, "<ACCoUNTiCODE_-if04-: . "AI\IIOUNI]:)UE_. ~<~j
Structural Plan Review Fee Commercial 224-00000-425602 254.83
-"-.'--
TOTAL DUE: 254.83
Lf~Y.M.ENT TYRE..:.:.t...__P.~YS>.BJ .-"AS""ER~DBOW[SBy":'i~:~~ - ci:-"CQr~tM~t:!isj.:2f"". L": :f" '..AMOUNT'PAID__~..::-'-". ... .1
Credit Card dennis bailey 254.83
08440d
TOTAL PAID:
254.83
\