HomeMy WebLinkAboutPermit Miscellaneous 2011-6-24
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CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01576
IVR Number: 811119734461
www.ci.springfield.or.U5
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfleld.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
Issued
06/24/2011
06/24/2011
06/24/2011
EXPIRES:
VALUE:
12/20/2011
$2,000.00
SITE ADDRESS: 915 INTERNATIONAL WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703153000700
SCOPE: Commercial Miscellaneous
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Installation pallet racking - field verify per rwe
Phone Number:
OWNER:
ADDRESS:
MCKENZIE-GATEWAY BUSINESS PARK LLC
388 PEARL ST
EUGENE OR 97401
Contractor Type
General Contractor
Contractor Name
OWNER
CONTRACTOR INFORMA TION ~
Lie Type
OWNER
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 Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lie No
0000000
Lic Exp
08/12f2025
Phone
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 Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard ArQq:....
Retaining Wall,AI I ENTION: Oregon law requires you to
Soils Report Rtollo~drules adopted by the Oregon Utility
N8MYicalion Center. Those rules are set forth
In OAR 952-001-0010 fhrough OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NonCE: E IF THE WORK
THIS PERMIT SH~~~ \~~ PERMIT IS NOT
AUTHORIZED UONR IS ABANDONED FOR .
COMMENCED
ANY 180 DAY PERIOD.
Springfield Building Permit
6f24f2011 2:30:31PM
Page 1 of 3
..
www:cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01576
IVR Number: 811119734461
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
06/24/2011
ISSUED:
APPLIED:
06/24/2011
06/24/2011
EXPIRES:
VALUE:
12/20/2011
$2,000.00
SITE ADDRESS: 915 INTERNATIONAL WAY, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703153000700
SCOPE: Commercial Miscellaneous
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Fronlyard Setback:
Interior Setback:
sideyard Setback:
Rearyard Setback:
Solar Setback:
Installation pallet racking - field verify per rwe
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
~
Descriction
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
FEES PAID
~
Descriotion
~uilding Permit Fee w
~ta~_~~ Oregon Surcharge (2.?% of applicable fees)
T.:ch~.~logy fe:J.5%.of permit total)
Total Amount Paid
Amount Paid
$58.00
$6.96
...__._,_w<,
$2.90
$67.86
Date Paid
06/24/2011
06/24/2011
06/24/2011
Reciot #
2011001768
.____._,2011001768
2011001768
Springfield Building Permit
6/24/2011 2:30:31PM
Page 2 of 3
. SPRI.NG.fIE~.D
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::i+' ~REGON
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-SPR2011-01576
IVR Number: 811119734461
permilcenter@d.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/24/2011
ISSUED:
APPLIED:
06/24/2011
06/24/2011
EXPIRES:
VALUE:
12/20/2011
$2,000,00
SITE ADDRESS: 915 INTERNATIONAL WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703153000700
SCOPE: Commercial Miscellaneous
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Installation pallet racking - field verify per rwe
Plan Review
~
DeDartment
Application Acceptance
Received Due Date
06/24/2011 06/24/2011
Cornoleted
06/24/2011
Result
Application Accepted
Reviewer
David Bowlsby
Structural Review 06/24/2011 06/24/2011 06/24/2011
Comments: field verify
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Approved
Robert Castile
Apprb'ved~',"'FI,;' \,,-,~~l5aVidBowlsby: ' ~,:" ~ ,v.c c':, " __
. '-_,'}, .~/f;,{ ~-'"'~;i:,t'+'ifZ'\S~~~:,~}i4~:<'~i .~~;,"; ,,~" H
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INSPECTIONS REQUIRED ~
Inspections
1829 Special Inspection
Final Building: After all required inspections have been requested and approved and
the building is complete.
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. J 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 uired inspections are requested at the proper time, that each address is readable from the street, that the
permit card' ocat at the front he property, and the approved set of plans will remain on the site at all times during
constru on.
1999 Final Building
0/:l4~(/
Date
Springfield Building Permit
6/24/2011 2:30:31 PM
Page 3 of3
Structural Permit Application
I @iJWW~(OI:~:rotQll!J
225 Fifth Street. Springfield, OR 97477 . PH(541 )726-3753 . FAX(54 1)726-3689
DEPARTMENT USE ONLY
S( -0(S7
Pennit no.:
Date: b~ Z.
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.
LOCAL GOVERNMENT APPROVAL
This project has final land-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
CATEGORY OF CONSTRUCTION
o Residential
D Government
ommercial
03/5"30
PROPERTY OWNER
~ L.L.-~
City: zIP:'17YOI
Phone:
E.mail:
ll1is installation is being made on residential or farm property owned by
me or a member of Ill)' immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
CONTRACTOR INSTAllATION
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zIPI!f)V77
Fax:Y'\ 1-IIIFC&VI
-'M..OV _~
Signatu .
SUB-CONTRACTOR INFORMATION
Name
Electrical
Plumbing
Mecbanical
ceo License Number
Phone Number
FEE SCHEDULE
1. Valuation infoJ:D1ation (\
(n) Job description: -r->a.1 \-e.:\- ~ I/o. ~
Occupancy q
Construction type:
Square feet:
Cost per square foot
Other information:
Type of Heat:
Energy Path:
Dnew o alteration D addition
(b) Foundation-only permit? DYes )2fNo
Total valuation: $"." ~
2. Building fees
(3) Permit fee (use valuation table): $ -" c;:>
(b) Investigative fee (equal to [2a]): $
(c) Rcinspcction ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): $
(e) Subtolal orrees above (2a Ihrough 2d): $
3. Plan review fees
(a) Plan review (65% x permit fee [2a]): $
(b) Fire and life snfety (40% x pennit fee [2n]): $
(c) Subtotal orrees nbove (33 and 3b): $
4. Miscc::llanc::ous fees
(ll) Seismic fee, 1% (.01 x permit fee [2a]): $ ,
TOTAL fce$ nndsureharges (2e+Jc+4a): sL7~
. SP~~NG.~.I.E~
~,
~OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.ci.sprlngfield.or.us
811-SPR2011-01576
915 INTERNATIONAL WAY
permitcenler@cLspringfield.of.us
RECEIPT NO: 2011001768
rDESCRII~.TlbN.Y .,. 1.* <,' ; ';,:J t, ".. f"; ;
Building Permit Fee
_ State_?f Ore9..~n Surcharge (12% of applicable fees)
Technol09Y fee (5% of permit total)
RECORD NO: 811-SPR2011-01576 DATE: 06/24/2011
'~.,. - "ACCOLJNf~cbDE'~;; .y, .~AM6.UNT;DLJE'
224-00000-425602 58.00
821-00000-215004 6.96
100-00000-425605 2.90
TOTAL DUE: 67.86
.. ';-..:"AMOUNTPAID "
67.86
~PAY!y!ENTJ'(P'!,'1
Cash
P~YOR,: :.;.CAS'HIE''t~:t)B6w(sBY', .
,'," cciIliiMEf.lIs ',,','
cummings moving services inc
TOTAL PAID:
67.86