HomeMy WebLinkAboutPermit Building 2011-5-10
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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$l{~~1;i*f!iL
o Residential [3-tiovernment 0 Commercial
'~'.:i .,",,'" . " .'~''''' "'~"'~4"" .-' . -;,,_~,",..."~<<"'7_',:"',,"~.,..-. '"........,.. "ti,~ ;' .. ",:=_'_~'_'._,"."""m.-""_"' '-"" ~~~, "#T\'",.'f.i-'''''
ft;e:~~~f,-~;:i&~:;:':J,QE3.Ji..S.II[~; J NJ;~~.MAI.IQ~~:'A(\J R~L;Q~A1Jq~~;-:rt;~i~]~;(:,y~\'6
Job site address: '72.5.
City: l~. . ZIP: '11'-1?
Subdivision:
'.'- ~~:,:.
elK ZIP: ''17'(7
E-mail:
Thi ation is being made on residential or farm ro
me or a member 0 ffil y, an IS exempt from licensing
requi un er ORS 70 I.
Sign here:
!>ONTRAC10~ jr:jST:AL:MTI9N'
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l-.LC"
Address:
City:
Phone:
E-mail:
CeB license no.:
Print name:
Signature:
~~tJfS~~~jI?!~~~!~'S-(jEi'~_G_0N:~~AG;tQRnN.Fp,_r{~Af(QN~l~sr#fui~~~~F
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
_';> t,~~;~':,';:;"~'.\'<~-'_;~~;;'~iF~'E""SCH'E9UI:g\~"j1~~;, ~;.:. ~~".,r~{,";''':?~~'' j.~'-,JC,
:;t~ZY~l~~:tIoJr!i~t~rn{~~!i~~~~ffJ~>~'~t~1tj)'H~hi~~~~;~r~~~*~~b}/'f{~f:&'i~~::~:~:
(a).Jobdescription: {'Ok)o, l~
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
o new g{ alteration
(b) Foundation-only permit?
Total valuation:
o addition
DYes
DNa
SII<liMC'
(al Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ 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
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