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HomeMy WebLinkAboutPermit Building 2011-6-17 f SP~ING FIE.~ It; ;'.~ \.~ ,; .. - .,. OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01487 IVR Number: 811102752777 www.cLspringfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued pe rmitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 06/17/2011 06/17/2011 06/17/2011 SITE ADDRESS: 3579 FRANKLIN BLVD, EUGENE, OR 97403 ASSES OR'S PARCEL NO: 1703343400201 EXPIRES: VALUE: 12/13/2011 $5,000.00 SCOPE: Site Work Only WORK INVOLVED: Addition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: 6-inch Diameter, 300-foot Deep Test Drilling for Ground Source Heat Pump Phone Number: OWNER: ADDRESS: GLENWOOD OP LLC PO BOX 10886 EUGENE OR 97440 Contractor Type Contractor Name 1996 LLC CONTRACTOR INFORMATION ~ Lie Type ceB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o Occupancy Type Occupancy Comments U See Description # of Bedrooms: Sprinkled Building: Fire Alanns: Ener9Y 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: Lie No 114258 Lie Exp 05/30/2013 Phone 541-687-9445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Infonnation ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: CE . Retaining Wall: NOn : WORK Soils Report Requir;l"d!lS PERMIT SHALL EXPIRE IF THE AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 6/17/2011 10:57:09AM 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 cailing the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Page 1 of 3 . Spr~.G..~~~ L~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01487 IVR Number: 811102752777 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.OLU5 PROJECT STATUS: STATUS DATE: Issued 06/17/2011 ISSUED: APPLIED: 06/17/2011 06/17/2011 EXPIRES: VALUE: 12/13/2011 $5,000.00 SITE ADDRESS: 3579 FRANKLIN BLVD, EUGENE, OR 97403 ASSESOR'S PARCEL NO: 1703343400201 SCOPE: Site Work Only WORK INVOLVED: Addition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: 6-inch Diameter, 300-foot Deep Test Drilling for Ground Source Heat Pump DEVELOPMENTlNFORMA TION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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: Special Instructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ DescriDtion Bjd Tvee of Construction NA Unit Amount Unit TVDe 5,000.00 Bid Unit Cost 1.00 Value 5,000.00 5,000.00 FEES PAID ~ Descriotion Technology, fee (5% of permit total) Building Permit Fee. ?tate of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $4.36 $87.25 $10.47 $102.08 Date Paid 06/1712011 0611712011 0611712011 Recio! # 2011001669 2011001669 2011001669 Springfield Building Permit 6/17/2011 10:57:09AM Page 2 of 3 . 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OR-EGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01487 IVR Number: 811102752777 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 'Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmilcenter@ci.springfield,or:us PROJECT STATUS: STATUS DATE: Issued 06/17/2011 ISSUED: APPLIED: 06/17/2011 06/17/2011 EXPIRES: VALUE: 12/13/2011 $5,000.00 SITE ADDRESS: 3579 FRANKLIN BLVD, EUGENE, OR 97403 ASSESOR'S PARCEL NO: 1703343400201 SCOPE: Site Work Only WORK INVOLVED: Addition TYPE OF STRUCTURE: Commercial Plan Review 6-inch Diameter, 300~foot Deep Test Drilling for Ground Source Heat Pump ~ PROJECT DESCRIPTION: Deoartment Application Acceptance Received 06/17/2011 Comoleted 06/17/2011 Result Application Accepted Due Date 06/17/2011 Permit Issuance 06/17/2011 06/17/2011 06/17/2011 06/F(/~O~ 1 .<_..r., 06/17/2011 06/17/2011 06/17/2011 Issued Reviewer Kip Kaufman Kip Kaufman Planning Review Approved ftia' Reyiew' t_ ?~,_., " ~-----:~~'06/17/2Pl1 - 06i17(201,1 ", " h ,,'; c,:.....:.~ App(ovecf rl:io" " '\,_' f' --- ~., ,~'. ,(' .\- ,--., 06/17/2011 ' I".. . "c' 'j t-4.' ~ Jim Donovan .~ Kip Kaufman:;: '''''~'j". " INSPECTIONS REQUIRED ~ . ~"," ''bt...._.... Inspections 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. By signature, I state and agree, that' 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 co,nstruction.~ /" /~--- /'/ -----n ..'.....- I ~:>J /1?- . 0-i7-l o.~(;'t:J'"..,i' O. Date Springfield Building Permit 6/17/2011 10:57:09AM Page 3 of 3 Strllctul'al Permit Appliclltion - . . .. "' -. . . ." . 225 I~il\h Slr~1 . Springfield, OR 970177 t plleS,1 J )716-3753 . FAX(S'; 1}716.J6&9 DEPARTMENT USE ONLY 8((-~2.BJ1- Permit no.: 1+8'7- Dale: b/L7-/U This pcrmltls isslled IIndcr OAR 918.,160-00311. l'el'Ollls expire if worl! is lint sluricd wilhln ISII duys on;',;,"nce ~r If wnrl! Is suspended for 18~ dny~. LOCAL GOVERNMENT APPROVAL Jllis project-has linalllll\d-usc approvul. Signature: Dille: lllis pmjecl has OEQ npprovnl. Signuture: Dale: .?-oning npPfOvnl'vcrilicd: 12l.y., DNo . -- Properly is within OOtxlplain: DYe, I2'lNo ---~. . CATEGORY OF ,CONSTRUCTION O-Rcsidenlinl I 0 Gove"u"o.t' ~ COlluncrdal JOB'SITE INFORMATiON AND LOCATION Job site nddreSsE3579 FranklinBoulevard dty: Eugene: I.Stalc:OR I ZiP: 97403 Subaivi!iori: I toloo.: 17.03.34'31 Reference: I Toxlo;: 9g0:and201 PROPERTY OWNER Nanlc: Gle~wo0d9P, LLC, (clo-Frank ,Gibson) :AddrCss: 777'Hi~h'Slreet I, ZII': 97401-- City; Eugene !.Stote:,OR 'Pijouc:' 54);686-~,16o I Fox:,541,343:B693 E-moil: This imuallatirin i:dx:ing'm~de on residential or lnrmJuoJlcrt)' owned liJ me or 11 mcmbcr_ofmy,it!1mediulc r31nily,-und is exempt rmmlic,cl\sil1g rt.'quircmclltsun(Jcr ORS 701.010,' .. Sjgn hen: CONTRACTOR INSTALLATION Business name; Cha~bers Consl.ru.clion l,t'aI-uuerr, t-'~oJect Mana~eo Address: 3028 Judkins Road, #1 Cily: Eugene I SIDle: OR I ZIP: 97403 Phone: 541.:681';.9445 I Fox: 541,687..9451 E-mail; pduerr@chambersconstrliCtion.com ceo license no.: 114258 , Prinll1!1nlC: PAr QUcF...JL"", ./~-~h-=Z//d --- SignaltlCc: - SUB.CONTRACTOR INFORMATION Nume ceo Uei:-ns~ Numhrf f'lHlllt Numher li:lectrlclll rlllmhln~ Mecbnnil'ul - FEE SCHEDULE .1.' Volllalinll informnIMlf[r"::ST RiP- r~.f"J ,vf) "(0) Joh descriptimftT)nlling'for g'eolhermal well SOUru:::(3 .O~<a'fllmc)' B (clin[c.and pffices, future project) I~A1 Cunstruction tyl"c~:: VB (future_project) PiAMP Si}lmrefC!cl: 'C;-ostJIl:r,sq\lure .frlOt: 'Ot!lcr jn'fQn1'!DlJO!~: .. ~JYI)~ lJIUenl: I-:uergy Pulll: Onc\v .'0 ~Iieftition o addilioo (~) 'j:oundllliori,only,'pCinii.11 D,Ycs DNa 'T.UIIII v"llIurian: "$ 5.000, 2; Building fees (a) Ilcnnit fee (usevnluntion ruble): ,$ (b)' in~csligaii\'e,rt:c (eqllal:lcf(2a]): $ (c) Itcinspection($ _ per JlOlIr): ,$ (Ulllllbc:1' oflimiis x. fcc-per'hour) Cd) Enter 12%Slircl,1ige (.12 x [2a+21><-20)): S (e)Suhtolalofftes nbo\'e (1:lllhrough2d): S 3.PhuLreviewJees (D) 1~11l11 review (65% x-p.:rriiil f("c:(2a)): S (b) Fire and Hle,sufely (40% ~pcnuil fee,l2nl): 'S '(e).Sublollll oHccsllbo\'c (JulHlIJ 311): S 4. l\-liscelllll1coUS fees (0) Seismic.fee" 1%(,01 x penn'it-fee 12n')): S TqTAl,J rl'es-und sun:hurgt.s (2et.lC"Ntt): $1/3'2-,9"2 sp~n-l.G. F.IE. l~ ~\"~ -~ ~. -~ OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811.SPR2011-01487 3579 FRANKLIN BLVD CITY Or SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541~726-3753 pennitcenter@ci.springfield.or.us .ACCQUNLCODE 224.00000-425602 621.00000-215004 100-00000-425605 TOTAL DUE: DATE: 06/17/2011 AMOUNLDUE 67.25 10.47 4.36 102.06 AMOUNT PAID 102.08 RECEIPT NO: 2011001669 tDESCRll'.TION Building Permit Fee State of ~regon Surcharge (12!,o of applicable fees) __ Tec"-".?~~y feeJ5% of permit total) RECORD NO: 811-SPR2011-01487 I. PAYMENT TYPE Check 15611 PAYOR CASHIER:'KKAUFMAN Robertson Sherwood Architects COMMENTS _ -. . ck#15611 TOTAL PAID: 102.08 . .. .. .. . ... ..-... ..... .. 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