HomeMy WebLinkAboutPermit Building 2011-7-12
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CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01628
IVR Number: 811141320039
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Iss ued
07/12/2011
ISSUED:
APPLIED:
07/12/2011
06/29/2011 .
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itce nter@ci.springfield,or.us
EXPIRES:
VALUE:
01/07/2012
$1,500.00
SITE ADDRESS: 2350 YOLANDA AVE, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703244103002
SCOPE: Interior
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Classroom expansion
Phone Number:
OWNER:
ADDRESS:
SPRINGFIELD SCHOOL DISTRICT 19
525 MILL ST
SPRINGFIELD OR 97477
Contractor Type
General Contractor
Contractor Name
OWNER
CONTRACTOR INFORMATION ~
Lie Type
OWNER
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
Occupancy Type
Construction Type
E
Type VB
# of Bedrooms:
Sprinkled Building: No
Fire Alarms: Yes
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Sp~cialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lic No
0000000
lie Exp
08/12/2025
Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Ca rport:
Sq Ft Other: 0
Occupancy Load:
2011
2010
2010
2011
2010
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retainin~1f"j'~NT!ON: Oregon law requires youto
Salls Rer09rc;~el\'lle"tadopted by the Oregon Utlltty
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 Notification
Center is 1-800-332-2344).
. ;..' _ .;- '.t,':..~.l" ..
NOTICE: . - . WORK
THIS PERMIT SHALELRETXH~~~~~~~ilS NOT
AUTHORIZED UNO '
COMMENCED OR IS ABANDONED FOR .
ANY 180 DAY PERIOD,'
Springfield Building Permit
7/12/2011 9:44:31AM
Page 1 of4
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01628
IVR Number: 811141320039
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
07/12/2011
ISSUED:
APPLIED:
07/12/2011
06/29/2011
EXPIRES:
VALUE:
01/07/2012
$1,500.00
SITE ADDRESS: 2350 YOLANDA AVE, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703244103002
SCOPE: Interior
WORK INVOLVED: Alteration
lYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Classroom expansion
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
~
Description
Bid
Tvpe of Construction
NA
Unit Amount Unit TVDe
1,500.00 Bid
Unit Cost
1.00
Value
1,500.00
1,500.00
FEES PAID
I
Descriotion
Structural Plan Review Fee Commercial
B~~"~ce of~inimum Plumbing Permit Fe~s
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of pe~mit total)
.Building Permit Fee
Fixture cap
Amount Paid
$37.70
$1.00
-,-,-,._--_._---~_.....
$13.92
$5.80
$58.00
$57.00
$173.42
Date Paid
07/12/2011
07/12/2011
07/12/2011
07/12/2011
07/12/2011
07/12/2011
Reciot #
2011001959
2011001959
"-~-~~--
2011001959
2011001959
2011001959
2011001959
Total Amount Paid
Springfield Building Permit
7/12/2011 9:44:31AM
Page 2 of 4
SrRING..fIE.~
.~
"':;,>~
'\~ OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01628
IVR Numb!!r: 811141320039
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenler@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
07/12/2011
ISSUED:
APPLIED:
07/12/2011
06/29/2011
EXPIRES:
VALUE:
01/07/2012
$1,500,00
SITE ADDRESS: 2350 YOLANDA AVE, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703244103002
SCOPE: Interior
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Classroom expansion
Plan Review I
Deoartment Received Due Date ComDleted Result Reviewer
Application Acceptance 06/2912011 06/29/2011 06/29/2011 Application Accepted David Bowlsby
,
Public Works Review 06/29/2011 06/29/2011 06/29/2011 Approved M Greene
Comments: No new SDC's.
Fire Review
06/29/2011
06/30/2011
Approved
Comments: no issues
iSlructu;;;rRe-;'i~JF; -;c ~""7. 06/29/2(jT'FiD6/2iii20iT"'j01/05l20.11:" ,.
V~;'~_'.-., ~ _'~'~~~;J~ ,,' ':~ ~,~_ -~. "";Y2~j~t
Structural Review
06/29/2011 06/29/2011 07/11/2011
Approved
Kip Kaufman
[fermitC!Sru^ance:. .' ~>:;~;:{~~ J:yiJ/07 '11ji01.1,,~t-'o7Ti?i20jl;>,~-071.12/201 f. . Jssuea ":J ,?,';:'*~t'Y~:, ~~"~mr"VitrB6W'"&6y:~'~-~':'~;:"-';":,~~~~~-::- ~\~"'!":l
ft:M;~~,~~~~~;~-':':'<':i"~~'~~:~21t,~:~~~".:~:,~',J:,:~', ,.:3~:.' ~. ,'~} :.~;:. .:~ ~ "(,' .':.~~:'~"~~,L '-"ti\~,~ ~~:7.~ . - " ._~j
I INSPECTIONS REQUIRED ~
Inspections
1540 Gypsum BoardlLath/Drywall
1999 Final Building
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Final Building: After all required inspections have been requested and approved and
the building is complete.
3810 Fixture Cap
1600 Ceiling Grid
8750 Fire Alarms
Ceiling Grid: After drywall approval but prior to cover.
8999 Final Fire
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Springfield Building Permit
7/12/2011 9:44:31AM
Page 3 of 4
.
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-SPR2011-01628
IVR Number: 811141320039
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
07/12/2011
ISSUED:
APPLIED:
07/12/2011
06/29/2011
EXPIRES:
VALUE:
01/07/2012
$1,500.00
SITE ADDRESS: 2350 YOLANDA AVE, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703244103002
SCOPE: Interior
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Classroom expansion
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. J 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
construc~
-0--/11
/ I
Date
Owner or Contractor Signature
Springfield Building Permit
7/12/2011 9:44:31AM
Page 4 of 4
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541):2L/
City Job Number sF>~ZCt/- 6/6Zt' . Date ~
o 1 & 2 Family Dwelling or Accessory 0 New Construction / 0
o Multi-Family 0 Addition/AlterationlReplacement 0
j2( CommerciallIndustrial 0 Tenant Improvement
Job Address 1-:';70 yo r~1l Me.
Lot Block Subdivision
Project Name C (1/.,S(Vtln, t:::.l<p()\'I1.~(';1'\.)
Description of Work/location on premises/special conditions
o :Tpfqp;~~_w:(iurii~r:;:~j!r:;<":'::;\~~:~;~;ii'~~NftJ~~;:F}i~~,i~:~~'.f':.::X:L,'f.'::'~' ::~\
Name ':?~fl""j"Hel~ ,?",\:1llt <:)"kQ;(S
Mailing Address I ff10 42.",) S r:
City Sf f) State 0 I<. Zip C/7'f76
Phone ,,~(..1'l~-<'?(,> Fax 7<1<(- (,,?,?'f
Owner Representative G:,"'r~ tJevJ~
Pbone Fax -
o ;:/;;itlftliciirii,:+'- /E:-i:~:i:,:,:,f-}::f:i;*~:\~'l;~t;~~~;;if~: ,::':i~\::
Namec;CN"j AJew~ .
Mailing Address / fl'i1) JJ 'f').".j
City ':;",f'J StatedlL
,
Phone 7 '"" ~ -6 3"'"K
;;ig::':;t~:~;{tny
Fax
Zip
7N..6~7cf
D . ~;~~~~"6ft~~ilii~~~fifJ~#//~fi~~i~-~~~TI'~~~;'~:~:i~~f~H~'~~~;~t;~:~~f;1:1
~
Name
Address
City
Contact Person
State
Zip
o
Contractor's Name
li1,,-rK ~ ~r~ j)..;:...F U'lfuJc;
General
Plumbing
Mechanical
Electrical
o !i(f~mm;'~7,!g.llfiW!.Wi].fj,qi;RJ{9j~Pts:)!.
Has site review application been submitted?
DYes 0 No .0 N/A
If so, Name of Planner
Journal Number
Demolition
Other
Bldg No.
Tax Map/Tax Lot
0:1002.
Suite No.
/7bJ Z Wi
~.~.~....N~.ki:~V:~"jiI11:~tH"iP:.~t.f~ ~;, .,.i.i..,
#'?~i? E~milif:QWi!llifiij~;;}:,:,>, ,~,,:: ~~~-;t!(s::!}'.l}:;-~I~/~,:f:~if,:t~';~~cL:~:i~:\':;)>~~::~~'~~~".::'
SQ Ft X $/SQ Ft = Value
New Dwelling Area
Garage/Carport Area
Other Structure Area
Total Value
~.c~~~~;cidi/iMiJii;di}if~iij~Fi.iliii;;'}~~:;<;:;;;i;::";'/"':
SQ Ft X $/SQ Ft = Value
Itff)
Existing Building Area
New Building Area
1 ~ f:"oo .0
Total Value
Existing
New
Occupancy Group( s)
Cons!. Type( s)
Number of Stories
r~~~~lt~ti,fil~9J~_~f~;~'~2';j1Q'~t;;.:~j;;:~:?~r~{tt~<~~~~l~~;~'\:~::;f~bff~{f~~,n~i':f~%jt~ji\~:{:f~~~;!~~~)};!t~j
o
Heat Source: Primary
Water Heater Range
Do you require any of the following for this project?
Over-width or Second Driveway 0 Yes 0 No
Temporary Power 0 Yes 0 No
Air Conditioning 0 Yes 0 No
Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon
under rovisions ofORS 701 and ma be re uired to be licensed in the 'urisdlclion where work is bein erformed.
ifliofXO
PLAN CHECK FEE
BUILDING
Secondary
Energy Path
DATE
PERMIT
APPLICATI10N
Shared Drive(T:)lBuilding FormsIBuilding Permit Application 3-08.doc
SrR1.NG. FIE~D
~i7
., ~
n \.~
frW- O'REGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-01628
2350 YOLANDA AVE
permitcenler@ci. springfield. or. us
RECEIPT NO: 2011001959
IDESCRff'.fIOrl2",' ,j' "'"t'.)"';;.?~"\,, .'
Balance of Minimum Plumb,ing Permit Fees
Building Permit Fee
Fixture cap
State of Oregon Surcharge (12% of applicable fees)
Structural Plan Review Fee Commercial
_~~E.hnolo9.~ fee (5% of permit total)
RECORD NO: 811-SPR2011.01628
.,;' .:,; > ;/.t;;';::"''AC;C;QUN:tC()DEi;;;t;0;.0i;.~ -
224.00000-425603
224.00000-425602
_.._---,_..._-~----_._-
224.00000-425603
821.00000.215004
224.00000-425602
__~____w_..____.~__
100-00000-425605
~._-----'--.
TOTAL DUE:
LeAY!'!!El'ftLm:E(~::PA Y6R4::~lA8HI.R DB6WI.SB~~;,,:QQMMENl1"S; .:", :.-,
Check SPRINGFIELD SCHOOL
98184 DISTRICT 19
.."'" ,
DATE: 07112/2011
-"'AMQUNTJ}OE'"V;;;':,...: F'j
1.00
58.00
57.00
13.92
37.70
_._.______n....~
5.80
173.42
, AMOUNT;PAID "
$173.42
~,(,~O:l
TOTAL PAID:
$173.42