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HomeMy WebLinkAboutPermit Building 2011-5-10 ;;. -~ SP~IN..G FIEl~ iii . iN; ~:kf' ~ to> . OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00783 IVR Number: 811183003781 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone. 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permi1center@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 05/10/2011 05/10/2011 Issued 05/10/2011 ISSUED: APPLIED: EXPIRES: VALUE: 11/06/2011 $110,000.00 SITE ADDRESS: 225 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353103300 SCOPE: Office WORK INVOLVED: Repair TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Exterior Fascia Replacement Phone Number: OWNER: ADDRESS: CITY OF SPRINGFIELD 344 NORTH A ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name RYAN THOMAS. CONSTRUCTION LLC Lic Type CCB Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty codell:VitiJri!/ON: Oregon law requires you to Structural Specialty Cod- to'\\l1li'nfules ad + by the Oregon Utility 'ifc)[/TIcatlon Cent, (),:::I,:::I ~r.:l I Site InformatlO\:1(j!lH 952-0~1-001 0 through OAR 952-001- 0__ " "~' ,,-V obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). # of Units: o BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: No Occupancy Type .B # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Yes Yes Engineered Fill: Fill Volume: Flood Hazard Area: Lan~ Hazard Are'wnCE: Retaining Wall: Soils Report ReqJi~I.f: PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ~NY 180 DAY PERIOD, Springfield Building Permit 5/10/2011 2:15:53PM Lic No 188458 Lic Exp 10/26/2011 Phone 541-517-3189 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: 2011 Page 1 of3 ~S~~.~N.GFIELD lr..~ ". >~ OREGOH CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00783 IVR Number: 811183003781 225 Fifth St Springfield,OR 97477 Phone. 541-726-3753 Inspection Phone. 541-726-3769 Fax. 541-726-3676 www.cLspringfield.or.us permitcen.ter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/10/2011 ISSUED: APPLIED: 05/10/2011 05/10/2011 EXPIRES: VALUE: 11/06/2011 $110,000.00 SITE ADDRESS: 225 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353103300 SCOPE: Office WORK INVOLVED: Repair TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Exterior Fascia Replacement 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: Stann Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Bid Tvoe of Construction NA Unit Amount Unit Tvoe 110,000.00 Bid Unit Cost 1.00 Value 110,000.00 110,000.00 FEES PAID ~ Descriotion Structural Plan Review Fee Commercial Technology fee (5% of permit total) Building Permit Fee State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $487.14 $37.47 $749.45 $89.93 $1,363.99 Date Paid 05/10/2011 05/10/2011 05/10/2011 05/10/2011 ReciDt # 2011000910 2011000910 2011000910 2011000910 Springfield Building Permit 5/10/2011 2:15:53PM Page 2 of 3 . CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00783 IVR Number: 811183003781 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 05/10/2011 05/10/2011 05/10/2011 225 FOifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 11/06/2011 $110,000.00 SITE ADDRESS: 225 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353103300 SCOPE: Office WORK INVOLVED: Repair TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Exterior Fascia Repla~ement Plan Review ~ Deoartment Structural Review Received Due Date 05/10/2011 05/10/2011 Comcleted 05/10/2011 Result Approved Application Acceptance 05/10/2011 05/10/2011 05/10/2011 Application Accepted Re.rmit Issuance I t",: d"i.' "f',,";" 05/19(2011 " 05/10/201,1:," ;,05,/10/2011 . r:~: : .'if "";," ,'<....4." Ii:).:::::.: INSPECTIONS REQUIRED ~ Inspections 1999 Final Building Reviewer Kip Kaufman Kip Kaufman , Kip'Kaufma~ 'A'oN Final Building: After all required inspections have been requested and approved and the building is complete, Special 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 empioyees 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 penmit card is located at the front of the property, and the approved set of plans will remain on the site at all times during const/":.c c:,~ //(,1- S-13 - II VII Owner or Contractor Signature Date Springfield Building Permit 5/1012011 2:15:53PM Page 3 of3 Structural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 ....I)EPARTMEthUSEON~Y perm?tll- SftZ- 'N7 ~t This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days suspended for 180 days. :,,;;1r; ;HS>;.\\[0,G:A~'.:'~Q'~~$J:~:N-Ni~gHX~t~8B'~g>y~~!:;~;~~/;~~~~!r~.~~ This project has finalland~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 ~~Ij:l.~l~;t..tg9QBY.;10E~G:QNS:fi%ucfti.0~~~~ii$l{~~1;i*f!iL o Residential [3-tiovernment 0 Commercial '~'.:i .,",,'" . " .'~''''' "'~"'~4"" .-' . -;,,_~,",..."~<<"'7_',:"',,"~.,..-. '"........,.. "ti,~ ;' .. ",:=_'_~'_'._,"."""m.-""_"' '-"" ~~~, "#T\'",.'f.i-''''' ft;e:~~~f,-~;:i&~:;:':J,QE3.Ji..S.II[~; J NJ;~~.MAI.IQ~~:'A(\J R~L;Q~A1Jq~~;-:rt;~i~]~;(:,y~\'6 Job site address: '72.5. City: l~. . ZIP: '11'-1? Subdivision: '.'- ~~:,:. elK ZIP: ''17'(7 E-mail: Thi ation is being made on residential or farm ro me or a member 0 ffil y, an IS exempt from licensing requi un er ORS 70 I. Sign here: !>ONTRAC10~ jr:jST:AL:MTI9N' ~'1'/'~.~; ...., ,:.f.'- l-.LC" Address: City: Phone: E-mail: CeB license no.: Print name: Signature: ~~tJfS~~~jI?!~~~!~'S-(jEi'~_G_0N:~~AG;tQRnN.Fp,_r{~Af(QN~l~sr#fui~~~~F Name CCB License Number Phone Number Electrical Plumbing Mechanical _';> t,~~;~':,';:;"~'.\'<~-'_;~~;;'~iF~'E""SCH'E9UI:g\~"j1~~;, ~;.:. ~~".,r~{,";''':?~~'' j.~'-,JC, :;t~ZY~l~~:tIoJr!i~t~rn{~~!i~~~~ffJ~>~'~t~1tj)'H~hi~~~~;~r~~~*~~b}/'f{~f:&'i~~::~:~: (a).Jobdescription: {'Ok)o, l~ Occupancy Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new g{ alteration (b) Foundation-only permit? Total valuation: o addition DYes DNa SII<liMC' (al Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (nu":lber of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtntal of fees above (2a through 2d): . S S S S $ (al Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): $ tr4!~Mni~~~li~p,~6:A~!t~~~lr~~_~~t~~:i~tt~1~~~~:.v~~f.~;~~_!~i:B;gt~}K:r1--i:i.)3~-~'~~~'~';:.,-: (a) Seismic fee, 1 % (.01 x permit fee {2aD: S TOTAL fees and surcbarges (2e+3c+4a): $ www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2011-00783 225 5TH ST CITY OF SPRINGFIELD 225 Fifth 5t Springfield, OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 2011000910 RECORD NO: 811-SPR2011-00783 DATE: 05/10/2011 ftfESCRI"',T[ON~~i;1.~'trl1:@'~~~~~~~c.Gei.fN;f{cQtlE~>:k:~~JAMO:ON;tltiUE~!~il"i;j Bu.ildin~ Permit. Fee. __.. ... __ ____.._ .'_ __ .__ ~__ ____. ...._ "'m~2_4__..o.~g00-4256~?_________________ .___. .______..?~~i5.___._.__ _..__ .State of Or"9onSur,,-ha~~,,,,<12%. of"-~p~~~~I"f,,e~) ____. . __._....~22:~0000:315.~i mOm' __ ___. _ __ .._89:9~. .. Structural Plan Review Fee Commercial 224-00000-425602 487.14 . ... ..'_.._._,......_. _,_ __.. ,.",.~,._ ..., ,,_,~_,__'_'m.'.'..._.. . _ TechnologLfee (5.%..~.f.e".~rr.'it_t?t"-'l._...___m.._ _ ~.0~:gg90~-43~.6.o.?. 3747 TOTAL DUE: 1,363.99 flfgAYMf;iIJfu1if:eE~llAygEmt:Sf@RSKKAiiI;MANll.~?!f~~C..QMMf~[$~t~~I'!I.9U.t~J~~q~~~~~ Credit Card Ryan Thomas Construction 1,363.99 009701 TOTAL PAID: 1,363.99 YFW ~N ~~ ( ".:\. ./.,