HomeMy WebLinkAboutPermit Building 2011-7-12
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1 ,.~. "'~ OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01621
IVR Number: 811132401256
www.ci.springfield.or.us
225 Fifth 51
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@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
$4,500.00
SITE ADDRESS: 1315 ASPEN ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703273402901
SCOPE: Interior
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Special needs changing room
Phone Number:
OWNER:
ADDRESS:
SPRINGFIELD SCHOOL DISTRICT 19
525 MILL ST
SPRINGFIELD OR 97477
Contractor Type
General Contractor
Contractor Name
OWNER
CONTRACTOR INFORMATION I
Lie Type
OWNER
BUILDING INFORMATION I
# 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 Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lic No
0000000
Lic Exp
08/12/2025
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: 4
2011
2010
2010
2011
2010
Site Infonnation
I
Engineered Fill: , S '{OU to
Fill Volume: On laW requIre onlJtil\W
Flood HaZard~fEt>rnON: ore~ed b'{ tne o~e~e set lorth
Land Hazard ~Y~iN rules adop ihose ru1eO/>.R 95'2-001-
Retaining WijlPiltilicatiOn cen~~~1 0 throU,gh 01 the rules b'{
Soils Report ~J~'I'-<1l5'2-001 btain copIes telephone
: \~090. ,'{o~:ea~e~ter. (Not~~\;~~ Notilication
cal\lng I r the oregon 33'2-'2344).
number 0 ter is ~ _800-
Cen
:: :;._~'\c1:.'.~\:.~i_:<:i~';~.r ~-.,,;:
NOTICE: E lFTHEWORK:
THIS PE~~\6 ~~~~~ ~~~ PERMIT IS NOTe
AUTHOR R IS ABANDONED FOR ,:'
COMMENCED 0 ., ' '
ANY 180 DAY PERIOD. ' ".',
Springfield Building Permit
7/12/2011 9:49:19AM
Page 1 of4
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01621
IVR Number: 811132401256
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
$4,500.00
SITE ADDRESS: 1315 ASPEN ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703273402901
SCOPE: Interior
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Special needs changing room
DEVELOPMENT INFORMA nON ~
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
Description
Bid
Tvpe of Construction
NA
Unit Amount Unit Tvpe
4,500.00 Bid
Unit Cost
1.00
Value
4,500.00
4,500.00
FEES PAID
I
Descriotion Amount Paid Date Paid
Structural Plan Review Fee Commercial $56.71 07/12/2011
Sink/basinllavatory $19.00 07/12/2011
~~i~~1 Permit fee (based onVaiUeOiWOr~'---- --$79.DO---07ii2i2011
State of Oregon Surcharge (12% of applicable fees) $26.91 07/12/2011
Technology fee (5% of permit total) $11.21 07/12/2011
Building Permit Fee $87.25 07/12/2011
Balance of Minimum Plumbing Permit Fees $39.00 07/12/2011
Total Amount Paid $319,08
Reciot #
2011001960
2011001960
------ -,--_...._,""".,-,-
2011001960
2011001960
2011001960
2011001960
2011001960
Springfield Building Permit
7/12/2011 9:49:19AM
Page 2 of 4
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01621
IVR Number: 811132401256
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
07/12/2011
ISSUED:
APPLIED:
07/12/2011
06/29/2011
EXPIRES:
VALUE:
01/07/2012
$4,500,00
SITE ADDRESS: 1315 ASPEN ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703273402901
SCOPE: Interior
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Special needs changing room
Plan Review
I
DeDartment
Initial Review
Received Due Date
06/29/2011 06/29/2011
ComDleted
06/29/2011
Result
Approved
Reviewer
David Bowlsby
Application Acceptance 06/29/2011 06/29/2011 06/29/2011 Application Accepted David Bowlsby
.'..<. y
f"- "
Fire Review 06/29/2011 06/29/2011 06/30/2011 Approved Gilbert Gordon
Comments: no issues
Structural Review
06/29/2011 06/29/2011
07/11/2011
Approved
Kip Kaufman
,07/1,1/2011 ',;;,~7/11/20-11i: 07/12/2011
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INSPECTIONS REQUIRED I
Inspections
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prJor to plastering.
Ceiling Grid: After drywall approval but prior to cover.
Final Building: After all required inspections have been requested and approved and
the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete,
1540 Gypsum Board/LathlDrywall
1600 Ceiling Grid
1999 Final Building
2300 Rough Mechanical
2999 Final Mechanical
3500 Rough Plumbing
3999 Final Plumbing
8750 Fire Alarms
8999 Final Fire
Springfield Building Permit
7/12/2011 9:49:19AM
Page 3 of 4
www.ci.springfield.oLus
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01621
IVR Number: 811132401256
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.OLUS
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
07/12/2011
06/29/2011
EXPIRES:
VALUE:
01/07/2012
$4,500.00
07/12/2011
SITE ADDRESS: 1315 ASPEN ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703273402901
SCOPE: Interior
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Special needs changing room
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.
e:2L~~
Owner or Contractor Signature
7///1
(
Date
Springfield Building Permit
7/12/2011 9:49:19AM
Page 4 of4
v
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
City Job Number > PIL -z.o 11- 0 I b Z- , Date 4/ ~ ~../yL
o 1 & 2 Family Dwelliug or Accessory 0 New Construction . 0' Demolition
o Multi-Family ,4 Addition/AlterationlReplaeement 0 Other
]:a' CoromereiallIndustrial 0 Tenant Improvement .
Job Address l ~\? A"re--- 'St. Bldg No. Suite No.
Lot Block Subdivision Tax Map/Tax Lot /703 Z 7 3 "-/ 0 Z 90 1
Project Name '5?ei.aJ IJws ~i"'j 62"olY\....
~s~;;;;;~.:~;o;~~:;;;'~c~:e;~;~;{;;e~~~:;'~~,~::l;ns If~i~~~:;;~,~~:li~~~';'~!:~f~r
Name~\~~I~lJ "?<..~ ~ s c J ~ . . n, . . "SQ ~t X $/SQ Ft .~ Value
Mailing Address } Q:f1o ;J tf 'PJ. . ~ New Dwelling Area
City c..g..1/~' State ~ Zip Cf7 't7-€> Garage/Carport Area
Phone 7'-l1\-1o"YIr:;- Fax 7't'/-b'37 cf Other Structure Area
Owner Representative [7 ""ca tJ ~
Fax ____
Pbone
.......
..
Total Value
::8~llirit~~ti~Vi~dtJiii.~IJli1:Jtii2J;-diii~iy~;!;;,\f:i2;;;j.;I,?.
SQ Ft X $/SQ Ft ~ Value
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, '\ -... .. " . > ',,",';..:
D !;;;ipplioo.iif~r,'~;j~,,~:?krt. ;i/i>~;::(-;,:~':::.:\,::;i.(~;,;;,~:~i~;:" /.~r:~~~t, ':~.?:f:{'~;. ; .,
Name . (IN~'iJ~'" ....
Mailing Address I Me> IJ l/-:J..,) ~
City ~1 . State ~ Zip q7<f-~
Phone 7lfct-1iPJ7S Fax 7<f4:-0?:>7i/
Existing Building Area
New Building Area
1;;"tJd~
Total Value
Df1i~~ftil~~t/.j)~~~~fi~f/~ij?;~~~~~J~lttf;;:f'~~~i~~~}~~~~~:~~~:t~J
Name
Address
City
Contact Person
!JL<~-------
Existing
New
Zip
Occupancy Group(s)
Const. Type(s)
Number of Stories
State
o
Contractor's Name
General
Plumbing
Mechanical
Electrical
D ;~tG~iJ!m~rl~f!17Ifi~~~~,C#~:iM6J~~~~:jh~ 0 ~~~~!ti~t:jiiJ:jJrfJJ~fff~~t~?!~~:,;:,fi}.~_:ii*~~~Jj~.~~~.~;:\;&r;;:t~~~~!:f:(~-.~:"l:~:.~~~:~%:%f~~~t~f~kY~;-~$r~~;:~i:~{J~:f
Has site review application been submitted? Heat Source: Primary Secondary
DYes 0 No . 0 N/A Water Heater Range Energy Path
Ifso, Name of Planner Do you require any of the following for this project?
Journal Number Over-width or Second Driveway 0 Yes 0 No
Temporary Power O. 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 of ORS 701 and ma be re uired to be licensed in the .urisdiction where work is bein erformed.
:Q:6r"O
6w /'
~
RCPT#
DATE
BY
BUILDING
PERMIT
APPLICATI,ON
Shared Drive(T:)/Building FormsIBuilding Permit Applic.ati~ 3-08.doc
.
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 81
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-01621
1315 ASPEN ST
penni1center@ci,springfield.or.us
RECEIPT NO: 2011001960 RECORD NO: 811-SPR2011-01621 DATE: 07/12/2011
i[)ESCRIR.lfION',,"-~;:1.~":;fr4 :.;::. . ""t-;;'&":::'.lI:;'''.'AcCbUN'j'J::ODE .' ,:c'AMOUNLDUE'"S!
Balance of Minimum Plumbing Permit Fees 224-00000-425603 39.00
_~i1ding Permit Fee 224-00000-425602 87.25
Mechanical Permit fee (based on value of work) 224-00000-425604 79.00
Sink/basin/lavatory _______ 224-009.00-425603 19.00
State of Oregon Surcharge (12% of applicable fee~__.. 821-00000-215004 26.91
Structural Plan Review Fee Commercial 224-00000-425602 56.71
Technology fee (5% of permit total) 100-00000-425605 11.21
TOTAL DUE: 319,08
h~Je.AY:MEN.J!1rrRE,:'::"[pAVOR7 :(:':SAjl'~IDBowLs'!t;';:;:,C-Q.M.~lHTS___---"G_jit~,\j~3:Qt?3~1'IIbUNT pAID --~ 'e; .'':... -1
Check SPRINGFIELD SCHOOL $319,08
98183 DISTRICT 19
TOTAL PAID:
$319.08