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Home My WebLink AboutPermit Miscellaneous 2011-5-4 <$" ~~ '731"" , '" '. - -" .".-. """'.'" . . DEPARTMENT USE ONLY. ~2<9 /.-J- 15e- -J-J. Structural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . ~1;!i.r0,CA~..:.(;'QXj':~~~gNi1'.'APgl~f?YAl!.fJl,~1~1~~~~K~;i: This project has final land~use approval. Signature: Date: . This project has DEQ approval., Signature: Date: Zoning approval verified: DYes 0 No Property is within flood plain: DYes DNa 1~i~~1W~Yftl~'AT~9P)~'tlQ)=:~.G:Q'~l~J_B-~_Gjfi.QN~~~~\~~~;ij1;Jf~~f-& D Residential 0 Government Commercial ~;i'tiJ':I*::,;;!!J9B~Srrgklf.lfCiRMATiQf.lJ'AND~li5~Af:iQN~;f~~t;li&~l Job site address: City: ZIP: 97'f7 Reference: if Name: ~ ~ Phon E-mail: N . A"6 This installation is being made on residential.or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: .>; ,; C51L zIP97'103 Fax:5'1I-7tf<, '10'19 Print name: Signature: f~Jg{~;X-?'p~'~~$ll~'-,GQ)N:mM~fto'R::(Nltb_RMA:f(QN~~~f,~~~{i'jf~ Name CCB License Number Phone Number Electrical Plumbing Mechanical 8~L- Permit no.: Date: 5' - "\":~:\/~~.~;.f~'\;. ~:~~)~::i:);i.F,~E?:'S'9H~pU[E?~;"';~t_;~'.~:' :~YW:~f."'~'-~;' J:t.::&~itl;~tI9'ffJ'i'~fc1rD}~H9.~if~JE*E~~~~1'~~1l:~~1(~,:~t~~~g{~f;i;:M!';,K\:~lj~~~f.;;.-: . (a) Job description: Occupancy Square feet Cost per square foot: Other information: Type of Heat: Energy Path: ew D alteration (b) Foundation-only permit? Total valuation: D addition DYes DNa ~7J~)J:~.tt4~~g::tee.~~~~g;1~~t~&\€~~~NIitf~:~Kit~;~;;:;:~!i~\~~)),~~,~~;t'k~:!ji;~1::A:;f1:;:~ (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.]2 x [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): $ $ $ (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (cj Subtotal of fees above (3a and 3b): $ 2:4l~M~.~lt~~If~'9:~~1f.~~s~~~~;i~~~i,;H1~~t~~l.ftsi~t1.~:~~i::~~:~h!g~~~{~{~;:; ;" '(a) Seismic fee, 1% (.01 x permit fee [Za)): $ TOTAL fees and surcharges (2e+3c+4a): $ M Y;;Cff!t-j/J/ckZ.-- V ilVU!5 -t 31; J-3t ~. pJG:t.tJ~t.]:JJ ~ g} ~Tr ~~ . ,"\ Building I Commercial Permit PERMIT NO: 811-SPR2011-00750 IVR Number: 811135746660 CITY OF SPRINGFIELD WWN.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/13/2011 05/04/2011 Issued 05/13/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 11/08/2011 $500.00 SITE ADDRESS: 302 SHELLEY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271007700 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replacing HVAC unit with new seismic bracing. Phone Number: OWNER: ADDRESS: PICNUK INC 1600 VALLEY RIVER DR STE 160 EUGENE OR 97401 Contractor Type Contractor Name INNOVATIVE AIR INC CONTRACTOR INFORMATION ~ Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Develop~ent Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 161742 Lic Exp 10/11/2012 Phone 541-746-1040 Lot Size: Sq Ft 1 st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy load: Site Information i Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: :-WTICE: E IF THE WORK -:~\S PERMIT SHALL ~~~ PERMIT IS NOT . ,UTHOR!ZED UNOESRABANOONED FOR ,:OMMENCED OR I ANY 180 DAY PERIOD. Springfield Building Permit 5/13/2011 2:14:01PM ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090 _ You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notlhcatlon Center is 1-800-332-2344). Page 1 of 4 .j www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00750 IVR Number: 811135746660 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnilcenter@cLspringfield.or,us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 05/13/2011 05/04/2011 EXPIRES: VALUE: 11/08/2011 $500.00 05/13/2011 SITE ADDRESS: 302 SHELLEY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271007700 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replacing HVAC unit with new seismic bracing. 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I Description Amount Paid Structural Plan Review Fee Commercial $37.70 ~~_c~~~i~a~ ~e!.-~,!!.!:.:JE~~ed ~.value of ~~,~11_,._",_,__~ __~3~~.:__,_~._., ~irst~opy____ ____~ ~~____~__ $0_75 Technology fee (5% of permit total) $20_67 Sta;;;ro-regon Surcharge (12% cl applicable fees) $49_61 Each additional copy $46_50 Building Permit Fee $58.00 Total Amount Paid $568.68 Date Paid 05/04/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 Reciot # 2011000875 2011000943 2011000943 2011000943 2011000943 2011000943 2011000943 Springfield Building Permit 5/13/2011 2:14:01PM Page 2 of 4 / " wwW.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00750 IVR Number: 811135746660 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/13/2011 ISSUED: APPLIED: 05/13/2011 05/04/2011 EXPIRES: VALUE: 11/08/2011 $500,00 SITE ADDRESS: 302 SHELLEY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271007700 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replacing HVAC unit with new seismic bracing. Plan Review ~ Deoartment Received Due Date ComDleted Result Reviewer Structural Review 05/04/2011 05/04/2011 05/04/2011 Add'llnfo Required Kip Kaufman Comments: Provide letter demonstrating existing dead loads of old mechanical units are equal to or greater than new dead loads for Application Acceptance 05104/2011 05104/2011 05/0412011 Application Accepted Kip Kaufman Permit Issuance 05/1312011 05113/2011 05113/2011 Issued Nancy Machado IStrl!ct~r!3L1~~vi$w'" ~.: .:-': c^.'.'~ h.~ '1,... ,.'~:f"L~/;'" '.'7"-~' ,~ .1. -J.,:: . 05/04/2011, "05/04l20f1 J;:0511,3/2Q1 r;:"',App'lOved. . ;~ :;,'.: . Kip [<aulman, rC - .~ ~,/!:!:. M:~;::ii ./ .:~t7i::,' ~ ~\i1~~'" ~'::~:i~si~~;"i~~~i?~~'~~ ~.~ .---__~ ,:"~~:,~-.,~ ,~~~<. ~ ,; ,;' ~:,~;:.;,~':.~=~~:~ INSPECTIONS REQUIRED I Inspections 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete, 1260 Framing 2300 Rough Mechanical 2999 Final Mechanical 2310 Rough Gas 2995 Final Gas Springfield Building Permit 5/13/2011 2:14:01PM Page 3 of 4 /- SPRINGFIEL~ ,Q.'i-~t .~ ~ 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.springfleld.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00750 IVR Number: 811135746660 , permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/13/2011 ISSUED: APPLIED: 05/13/2011 05/04/2011 EXPIRES: VALUE: 11/08/2011 $500,00 SITE ADDRESS: 302 SHELLEY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271007700 . SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replacing HVAC unit with new seismic bracing. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the .front of the property, and the approved set of plans will.remain on the site at all times during construction. ~ ';!q.$L_ 5/;3/1/ . Owner or Contractor Signature Date Springfield Building Permit Sf13f2011 2:14:01PM Page 4 of 4 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00750 302 SHELLEY ST permilcenter@ci.springfield.or.us RECEIPT NO: 2011000943 RECORD NO: 811-SPR2011-00750 "0' ES,CR' IPIION' 'ttt~_l;'~' r ",t_"""-<O"},~.::JJ'+3"t*"'_"':lt"\--j;~;I-' " ""A"C'C'" 0' U N'T'C'O'OEt0. l . ...;" "~illt::..""....~,...,~.", "'."",'''- ...."._..:->."....,~~. "c_ ;I~...',:' ""~~J DATE: 05/13/2011 ';;'"'.'it: "~,"AMO:U NT"OUE":: -.J,., 58.00 46.50 0.75 355,45 49.61 20,67 530.98 ','j Building Permit Fee Each additional First copy Mechanical Permit fee (based on value of work) State of q.~~~.?n S~:.:_harge (12% of applicable fees) Technology fee (5% of permit total) 224-00000-425602 224-00000-425602 224-00000-425602 224-00000-425604 821-00000-215004 100-00000-425605 rorAL DUE: L::2PA.:Y:M,i:Njf)Y_~Et,~~ti~~Y9J~;~~'~CASHIER~NM~fi:!!P.Q"o//!~-'''-~~']~~Q~MI;Njs~ ?'t'i;.fc?-i~~,~,;ii~;-,,;<::>':i~~~9JJ!i;J;,'PAIP,~::~i:i"::~~""L,J Credit Card INNOVATIVE AIR INC 530.98 01024z TOTAL PAID: 530.98 S~:~~.fIEl~ ~~ ~~EGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us 811-SPR2011-00750 302 SHELLEY ST permitcenler@CLspringfield.or.us RECEIPT NO: 2011000875 RECORD NO: 811-SPR2011-00750 DATE: 05/04/2011 fbESdRiR.tION~~! ;,,;?>{>~~. ,,~., '>' '~:::J~~:;<r~,ji~:'R<*ttr;~yi~~V::7~';t,;"'~ ~~AC<c.b.ON;f1c'bDE'i:~S~?'~;A0+;~i~:i."\: ,'AlVio.u NJ~DUE~~ '<.~.' ,- " 'J. ".: I Structural Plan Review Fee Commercial 224-00000-425602 37.70 TOTAL DUE: 37.70 r'~'" "~ . .. " _." ....... .......' -....,~.". ":, L '-, '-S'Sf' ,.... <....'. j....;....,...L. .. .....- ,_..~..,,+ "','''',',.c"''__,_,,,,,", ,- _','_0'~,,,,,,..~,,,:,,-_+ I.LPJ\Y.I'i!!;.NT-'l;Ye!'~ """: e~'y'Olr"vCASHIER:'KKA'UFMAN:;':_ ''::~:.k.COOOJll1ENLS~;'' .' ~.- Credit Card Ramona Gee 055346 ,,-. : ':','~_ AMOUNT-PAID7f . f:_ " .'k'" ..~... .", .~ , .~ '. ~_""""""~ ct. 37.70 TOTAL PAID: 37.70