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Home My WebLink AboutPermit Building 2011-8-18 .. CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SP~I~.G~~~ ~~ ~OREGON Building I Commercial Permit PERMIT NO: 811-SPR2011-01813 IVR Number: 811179161644 www.ci.springfield.or.us permitcenter@ci,springfield,or.us Issued PROJECT STATUS: STATUS DATE: EXPIRES: VALUE: 02/13/2012 $150,000.00 ISSUED: APPLIED: 08/18/2011 07/25/2011 08/18/2011 SITE ADDRESS: 1957 Don ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703272401600 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant infill for Comfort Flow OWNER: ADDRESS: Phone Number: SCHOOLCRAFT RICHARD L 2963 FLINTLOCK EUGENE OR 97401 CONTRACTOR INFORMATION ~ Contractor Type General Contractor Contractor Name PACIFIC FIRE & FLOOD INC Lie No 173615 Lie Exp 12/28/2012 Lie Type CCB BUILDING INFORMA TION ~ # of Units: 0 # of Stories: Lot Size: Height of Structure: Sq Ft 1st Floor: Occupancy Type B Type of Heat: Sq Ft 2nd Floor: Construction Type Type IIIB Water Type: Sq Ft Basement: Range Type: Sq Ft Garage: Hazmat: Sq Ft Carport: Sq Ft Other: Occupancy Load: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: # of Bedrooms: Municipal I Development Code: Sprinkled Building: Yes Plumbing Specialty Code Edition: Fire Alarms: Residential Specialty Code Edition: Energy Path: Structural Specialty Code Edition: 2010 Site Information ~ Engineered Fill: No Fill Volume: Flood Hazard Area: No Land Hazard Arei!iITENTICif1J 0 Retaining Wall: f " IEN~: d regon law requires you to Soils Rep~rt Re9~lo~~o rt~ ~e a opted by the Oregon Utility ~'u ",va Ion \Jenter. 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). Phone 541-726-5896 2990 o 57 . -. . ..." NOTICE: . ,_0 ."" K THIS PERMIT SHAll EXPIRE IF THE WOR 0 AUTHORIZED UNDER TH1S PERMIT IS NOT COMMENCED OR IS ABANDONED FOR;. ANY 180 DAY PERIOD. Springfield Building Permit 8/18/2011 9:32:51AM Page 1 015 c. S~~~IN~.~E~ .l'~ .. 'c..''''' OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01813 IVR Number: 811179161644 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 08/18/2011 ISSUED: APPLIED: 08/18/2011 07/25/2011 EXPIRES: VALUE: 02/13/2012 $150,000.00 SITE ADDRESS: 1957 Don ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703272401600 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Tenant infill for Comfort Flow DEVELOPMENT INFORMATION I 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 Oescriotion Bid Tvoe of Construction NA Unit Amount 'Unit Tvpe 150,000.00 Bid Unit Cost 1.00 Value 150,000.00 150,000.00 Springfield Building Permit 8/18/2011 9:32:51AM Page 2 of 5 SP~.I:G_..FIEL~ ~"L. '. -", ~ ~ OR.EGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01813 IVR Number: 811179161644 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 08/18/2011 ISSUED: APPLIED: 08/18/2011 07/25/2011 EXPIRES: VALUE: 02/13/2012 $150,000.00 SITE ADDRESS: 1957 Don ST, Springfield, DR 97477 ASSESOR'S PARCEL NO: 1703272401600 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant infill for Comfort Flow FEES PAID ~ Descriotion Amount Paid Date Paid Structural Plan Review Fee Commercial $592.96 07/25/2011 sac: Total Sewer Administration Fee $80.60 08/18/2011 "'.9!~in fee (10% of applicable fees) $29.90 08/18/2011 Commercial Fire (.10 Per Sq Foot) ..._____.. $299.00 08/18/2011 Water closet $57.00 08/18/2011 , .__.._-- .~--- --.----.-., ~nk/basin/lavatory $95.00 08/18/2011 State of Oregon Surcharge (12% of applicabl;;Te-;;~------ $12~-- osi18/2'61i'."-."'- Technology fee (5% of permit total) $53.21 08/18/2011 ~OC: Improvement Cost - local Wastewater $528.72 08/18/2011 sac: Reimbursement Cost. local Wastewater $1.083.28 08/18/2011 Planning - Minor Review. City $119.00 08/18/2011 Building Permit Fee $912.25 08/18/2011 Total Amount Paid $3,978,63 Reciol # 2011002106 2011002264 2011002264 2011002264 2011002264 ,."'....,....-.-."'------ 2011002264 2011002264 2011002264 2011002264 2011002264 2011002264 2011002264 Springfield Building Permit 8/18/2011 9:32:51AM Page 3 of 5 CITY OF SPRINGFIELD SPRIN.GFIEL~ . .-' -~ ifi1 ,,:\ OREGON Building I Commercial Permit PERMIT NO: 811-SPR2011-01813 www.ci.springfield.or.us IVR Number: 811179161644 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@ci.springfield,or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/18/2011 07/25/2011 Issued 08/18/2011 EXPIRES: VALUE: 02/13/2012 $150,000,00 SITE ADDRESS: 1957 Don ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703272401600 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant infill for Comfort Flow Plan Review I Planning Review 07/28/2011 07/28/2011 08/02/2011 Approved Liz Miller Comments: Tenant Infill is for Pacific Fire and Flow - general description on Aceela for this permit is not accurate. Approved as shown on plans for parking and bike parking. Needs exterior signage with directions to location of interior bike parking. Public Works Review, --:07/28/201.1 07/28/2011,08/03/2011 C Approved ',- M Greene ' . "-. , ..' -:. ' ',- :,. Comments: 2 new. priviate batbrooms andie[ocaling 1 sink': .. .' ~. '~- '- _.~..- ... '- . Structural Review 07/28/2011 07/28/2011 08/04/2011 Comments: 1) Speciallnsp form is not signed by all parties 2) Deferreg~~~mittal form is not ~g~~_SL~Y~ I?~!:E~~_-. jEner,gy Code Revie~ 07/28/2011 '97/28/2011- 08/08/20)1'. - N.ot ReqUi~et Comments:, D.ef~rred ;z. . ': . '. Sj, ~ " ;, ~.' ~. ,,,-,-' .~ Fire Review 07/2812011 07/28/2011 08/16/2011 Approved Comments: See attached document for Fire Department Plans Review Comments. Structural Review '__ 07/28/2011 , ,g7~28/2011 ;,;_;~:8/17/2011' Waiti~g in~r_nal . DeDartment Application Acceptance Received Due Date ComDleted 07/25/2011 07/25/2011 07128/2011 Result Application Accepted Initial.Review '0712812011 _.07/28/201.1. W/28/2011 .. ~ .... - 'APprov~~;; <. -.:.~': < 't;-. " Reviewer David Bowlsby .....-, David BowlStiy' "'-. . ~. . ~~ ; -~~ Add'llnfo Required Chris Carpenter Structural Review 07/28/2011 07/28/2011 08/17/2011 Approved Lssuance",; 08/17/2011 06/1712011 ,08/18/2011 Issue~:. :~\-:;,:;--:~ ~' '-'+-'. .' j ,~' ~ ~ -. ~ . Springfield Building Permjt 8/1812011 9:32:51AM Chris Carpeilter; 'I. ',1'{" , Gilbert Gordon , qhfisCarpente,r( ~',r " ':i,.'l Chris Carpenter ._Oayid .B~wl.5:~r. ;" t ,".. ';7>.' .~ - .......~...& ,.- Page 4 of 5 . - SPR.INGFIEL~ 117"-' .,,'- ,~ -.~!" .\ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01813 IVR Number: 811179161644 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 08/18/2011 ISSUED: APPLIED: 08/18/2011 07/25/2011 EXPIRES: VALUE: 02/13/2012 $150,000.00 SITE ADDRESS: 1957 Don ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703272401600 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant infill for Comfort Flow INSPECTIONS REQUIRED I Inspections 1110 Footing 1260 Framing 1540 Gypsum Board/lathlDrywall Footing: After trenches are excavated. 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 prior to plastering. Firewall: Located and constructed according to plans. Ceiling Grid: After drywall approval but prior to cover. 1550 Firewall 1600 Ceiling Grid 1710 Fire Sprinklers 1800 Emergency Egress lighting 1829 Special Inspection 1 999 Final Building 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. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete, 2300 Rough Mechanical 2999 Final Mechanical 3150 Underslab Plumbing 3500 Rough Plumbing 3999 Final Plumbing 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work 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. 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 constr n. 9,-\ <6---20\\ Date Springfield Building Permit 8/18/2011 9:32:51AM Page 5 of 5 Structural Permit Application DEPARTMENT USE ONLY ~~ Permit no.: )1 / - (lIs /I 225 Fifth Street. Springfield, OR 97<177 . PH(541 )726-3753 . fAX(541 )726-3689 CITY OF SPRINGFIELD, OREGON This permit is issued under OAR 918~460-0030. Permits expire if work is not started within 180 d~IYs or ssuancc or if work is suspended ror 180 days. lOCAL GOVERNMENT APPROVAL This project has linalland-usc approval. Signuture: Date: nlis projecl has DEQ upprovul. Signature: Dute: Zoning approval veri lied: 0 Yes 0 No Property is within naod plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION o Rcsidenliai D Government Commercial JOB SITE INFORMATION AND lOCATION S... Subdivision: Relerence: 0/. cJl1 Name: Address: Ci'y: S'a'o: 0\ ZIP: '14cj!, Phone. I'll..x: E-mail: This installation is being made on residenlial or farm property owned by me or a member ormy immediate family, and is exempt from licensing requirements under OKS 701.010. Si~1I here: CONTRACTOR INSTAllATION Business name: Address: City: Phone: E-mail: Print name: Signature: SUB-C RACTOR INFORMATION Name F.lectrklll Plumhing Mechanical ceo License Numher Phone Number FEE SCHEDULE l. Valuation information (D) Job description: '~I , tVF, u..- Occupancy 1$ Construction tYPC:J..Ll-LT SPt2I rvt:<-.CR..c Y:J Square feel: Cost per square fool: Other information: Type or lIeat: Energy Path:/- Dnew E:J lllterulion D addition (b) Foundation-only pennit? DYes E"1No Tolal valuation: I $JS-o.d'X 2. Building rees (a) Permit fee (use valulItion lahh:): $ ql7 2). (b) Investigative fee (equal to l2al): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Entcr 12% surcharge (.12 x f2a+2h+2c]): $ (e) Subtolal orfees above (20 Ihrough 2d): $ 3. Plan review fees (n) I'lan review (65% x permit fee 12al): $ c;n ~ (b) Fire llnd lifc safcty (40% x pcnnil fee 12a1): $ (c) Subtotal orrees ubo\'c (3a and 3b): S 4. Miscellaneous fees (n) Seismic fee, 1% (.01 x permit fee (2a1): $ TOTAL fees nod surcharges (2e+Jc+4n): S ~r'-f:..---n= ~<:., 5tJ'/l>t:::R- ' COM FeY2-\ iFUJu-J Structural Permit Application DEPARTMENT USE ONLY 225 Finh Street. Springfield, OR 97477. PH(541 )726-3753 . FAX(541 )726-3689 , ',,4 - " . , ~-'-p - ",..".".~ - .".- =~ifIn-"" Ir,- r" ~ ,.' ~ (;!'.;"i,~- 'f ;;;...'''',_.i.-_'l>.~-~ ~.~~~~~4:t,k-~ ....;: ~...._"",,~-,I1!c""t(_, ",l^,,,,, '".",_~~ -. ~"'f' "^ "8 .. ,. ~0 <'" ---' ..,,~--~ ~:''''' q-Y~~L H~!N.GYJEbl,h ,R"G,QN~-~':::; ._IHo~tlr:lD -::::-D ~ ~ Permit no.' )fl- ((Is Date: '7 ;2<; II . This permit is issued under OAR 918~460-0030. Permits expire if work is not started within 180 days of ssuance or if work is , suspended for 180 days. lOCAL GOVERNMENT APPROVAL _Thi~ frojc~l_h~~ rinallnnd-u~c ~ppro~a~ ___ Signalurc: This projccl hns DEQ upprovlll. Signature: -Zoning approvnl verifiea: O.Yes .Property is within nood plain: 0 Yes Date: Date: U'No oNo CATEGORY OF. CONSTRUCTION o Residential 0 Govemmcl1t Commercial JOB SITE INFORMATION AND lOCATION ZIP: Reference: c}tJ Name: Address: City:. Phone. ZIP:<2'jQe,g State: OC' Fa.x: E~mnil: This installation is being made on re!>idential or larm property owned hy me or a member army immediate family, and is exempt from licensing requirements under ORS 70 1.0 lO. Sign here: CONTRACTOR INSTAllATION Signature: SUB-C RACTOR INFORMATION NlImc Electrical Plumhing ceo License Numher Phone Nufllber M:d::mk.::! FEE SCHEDULE - .- 1. Valuation information (a) Job description:'~ (tVF, u... Occupancy',> Constnlction typc~ :sr~21^"4-c')z..c 1:) Square feet: Cost per square foot: Other informalion: Typeoflleflt: . Energy Pfllh:/' o new e:J alteration o ndditi.on (b) Foundntion-only permit? DYes ~No Tolal valualiun: I $19.' NY: 2. Building fees (a) Permit fce (use valuation table): $ '1'7 2.) (b) Investigative fec (equal to [2a]):. $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtutal Urrtes shun (2n throu~h ld): $ 3. Plan review fees L (a) Plan review (65% x permit ree [2ul): $ ';72 ~ i (Il) Fire and life surety (40% x permit fee pal): $ '-t (e) Suhlolal orrccs above (3a and 3b): $ I 4. Miscellaneous fees ;(0.) Seismic fee, 1% (.01 'x pennit fee 12al): $ --,. .. TOTAI:rccs Bnd surchar~cs (2c+3C+4n): $ C.M""f <-e---no e:Ll::(,.. ., 5iv'it>c:...-r:::::- ! ;-~~i'Vt~ ~_._, \ ,--- ...... c-..........---- From:Comfort Flow Heating 08/10/2811 12:88 7263676 541 726 4799 08/1112011 09:10 CITY OF SPRINGFIELD j. f ! f " ~ I ~ .If 0 ~' ~ I'! !l d 2: $l El ~ ~. e: [l; g. !~ ! ~.~ ';;J B' [ ~ 11= ~ ~ ~ ~ ~ ~ 9~ I: il~ i i fin ~ Ig ~I p!= ~ E E - I ~ ~ ~~ t~ ~.. ~ ~ ~ - * I ~= ~ "'in~ ~ ~ ~ ~ ~ ~~ 0 !( ~ I I i I i~ I~ II lit !; > S go 8 i! ~ 'f; II ~iB ~ ~ 1 ~ ~ ~ ~ !~ ~.~ ll~ : I ; i ! ! I !~ II 11~ t i i ! I 1 _ :~ " iN[~ Z ! r I ; I I lio- ii" g~-I-3CI!t'tiotr'o . ,.ll. ~~IllS.lf"n"~ ,~. :t 8 ~ ~ a J>, S' Il I ;. n , , 51 ... ....!!" I:: .ll. ~ t -l'l .... 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VJ '"d t<l ("I ~ .... z VJ '"d t<l n ::l ~ ~ t:l o-j t<l VJ o-j .... z (l VJ ("I =: t<l t:l c::: t"'" t<l ,< ;' '-;..;' i F rO~~COmfo r t F I ow Hea t i ng 541 726 4799 08/11/2011 09:10 #595 P.001/002 08/10/2011 12:88 7263676 CITY OF SPRIHGFlELD PAGE 01 ~~ City of Springfield Community Services Division 225 Fifth St=t. Springfield, OR 97477 Telephone: 541.726.3753 Fox: 541.726.3676 Deferred Submittal - Agreement Oregon Structural Specialty Code Section 106.3 allows a pennit applicant to defer certain submittals if approved by the Building Official. This fonn is a deferrcd submittal agreement for thc following project: Date: ' "2-S" 1 Proj..t Name: Project A dr... I q ,,.,, YJr,,J s-r Il" ~... Pbase: c Excavation & Grading n Site Udlldes II- PI.. ~F<..", ~ If..... tL. Pc il Number: ,'j I - I '[I ~ o Foundadon Only IJ CO!'01>lctlon I I Shell ~ant Improvement Design Professional in Responsible Cbarge: lI-I-.LT,r'vl ,z....JL.IN ffr>.."" 'f h License number: r<2 0 fq pr Em.ii: ~ '! a ......j?;;.....j . c....... Phonc:lil /-'4- ''JatiP Fax:.r __~4-.___ AddrC$$: 11-1J..~/4-Tk 11,.11<""""'- E.VH:7JC,fI'R.tJl(t~,.J 97~(,1 . , Guide:lines: 1. APDfOVJ.l: Bach deferred submittal shall bear the approval of the design professional in respcnsible charge. Notlllion shall be included that Ihe deferred submittal documents have bcCD reviewed and have been found to be in genetal conformance to (he design of the building. 2. !J!!: Page 2 of this ronn is e list of deferred submittals. The design profess;onal in respon~ible charge rnu:st check which subminals arc requested to be deferred and indicllte an anticipated submittal date. 3. Ettl: Mininnnn 5100.00 (2 hour) for <nch defermhobmiltol. 4. TImeJin,,: Every attempl will he made to provide timely review$ of5-10 bu,g1ncssdays perdcfcm:d submittal. 5. Wnrk withont.lil Permit Wort. that i~ constructed without baving been reviewed and approved by both the design profc!lSional m fC.'I.ponsiblc charge and the City of Springfield Building OffiCial is conmdcred a.t; work pcdotmt'd without a permit.. Any person or firm performing work mior to approval shall be subject to the penalties Of Section 108.2. t of the State ofOrcgon StnJctural SpeciaJty Code. g"",lb: 6? rhr:(,1 Design Pro looaf io Resp" ,ible Cbarge(Printed) 'bA\lICl ~ct":""'lS~ Building Official Name (Printed) General Co ture DesIgn PrOfes'i";'~RCspo~aturc BUjlding~tof Ac~~eob: ~'IJ."" ~cr~ Owner Name (Printed) QQ(' \~C. \\\e of\d, ~d General Contmctor Finn Name (Prirltcd) - ~ '. ( :. SPRINGFIELD City of Springfield Deferred Submittal Agreement ~- Project Name:J::> 1C-l FIr" Pi pr fFLVO 0 So { /LEY, Permit Number: Date: Project Address: I q c;1f ~d;J Phase: o Excavation and Grading o Site Utilities o Foundation only o Completion ~ant Improvement oShell Design Professional in Responsible Charge:~O{lli tl\ tt:JJ G1/Vt[.<: (LI Al t-:; P- "- . Items which may be deferred include, but are not limited to the following: Deferred Item Date 0 1. Acoustical ceiling suspension system 0 2. Auxiliary power systems 0 3. Awnings 0 4. Bleachers 0 5. Carports 0 6. Curtain wall systems 0 7. Electrical call system 0 8. Emergency call system 0 9. Exit Illumination 0 10. Fire alarm system " 11. Fire sprinkler 0 12. Fire stopping " 13- Glass guardrails 0 14. Glazing systems IV 15. HVAC system 0 16. Intercom system 0 17. Irrigation system 0 18. Metal guardrails and handrails Deferred Item Date 0 19- Plumbing system 0 20. Post-tensioned concrete structural members or panels 0 21. Pre-cast concrete structural members or panels 0 22. Prefabricated stair units to include steel, aluminum. or pre~cast concrete 0 23. Prefabricated wall panel 0 24. Ore~stressed concrete structural members or panels 0 25. Raised floor systems 0 26. Shelving systems and steel storage racks 0 27. Signs 0 28. Skylights 0 29. Smoke and heat vents 0 3D. Specialty retaining walls 0 31- Stone veneer 0 32 Terra cotta veneer 0 33. Wooden, steel, or composit floor or roof trusses 0 34. Works of art 0 35. 0 36. Fees: Minimum $100.00 (2 hr) each for the above listed Deferred Submittals Fire Protection and Life Safety Systems Deferred Item Date 0 1_ C02 System 0 2. Emergency and Standby Power 0 3_ Fire Alann and Detection Systems 0 4_ Fire Pumps 0 5. Gas Leak and Chemical Leak Detection 0 6. Halon Systems 0 7. Kitchen Hood Suppression System 0 8. Portable Extinguishers 0 9- Private Fire Service Mains 0 10. Private Water Tank Systems 0 11. Fire Sprinkler Systems 13, 13R & 130 (more than 20 heads) I~ 12. Fire Sprinkler Systems 13, 13R & 13D (less than 20 heads) $60/hr tJ 13. Standpipe and Hose Cabinets 0 14_ Water Mist System 0 15. High-piled Storage 0 16. Clean Agent Systems 0 17. Clean Agent Systems 0 18. Paint Booths Deferred Item Date 0 19_ Underground Fuel Tanks 0 20_ Aboveground Outside Fuel Tanks 0 21_ Aboveground Fuel Tanks and Piping 0 22. Aboveground Fuel Tank and Day Tank 0 23. Fuel Dispensing Station 0 24. LPG, Aboveground Installations 0 25. Cryogenics, Exterior Installation 0 26. Silane Gas 0 27_ Ozone System 0 28_ HPM Semiconductor Workstation 0 29_ Gas Cabinets/Exhausted Enclosures 0 30. Hazardous Material Inventory Statement 0 31. Special Hazard Detection and Suppression 0 32. Medical Gases 0 33. VESDA System 0 34. Emergency Lighting 0 35_ 0 36_ Fire Protection and Ufe Safety Systems fees are based on 3% of the total valuation of the work to be performed for the system up to the system's contract value of $50,000.00. An additional $3.00 will be charged for each additional $1,000.00 in value or portion thereof. The minimum charge shall be no less than $120.00 Additional staff time for work performed in excess of 2 hours, will be charged an additional $15.00 for every 15 minutes of review time or portion thereof. Work without a Permit: Work that is constructed without having been reviewed and approved by both the design professional in responsible charge and the Building Official will be considered as work performed without a permit. Any person or firm performing work prior to approval shall be subject to the penalties of Section 108.2.1 of the State of Oregon Structural Specialty Code. SPRIN.~FIELO ~\~ ?;'~ . <<&. OREGON CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541.726-3753 TRANSACTION RECEIPT 811-SPR2011-01813 1957 Don ST permitcenter@ci,springfield.or.us www.ci.springfield.or.us RECORD NO: 811-SPR2011-01813 DATE: 08/18/2011 RECEIPT NO: 2011002264 lDESCRI~TION ,'." '., c-~ Admin fee (10% of applicable fees) Building Permit Fee Commercial Fire (.10 Per Sq Foot) Planning. Minor Review. City SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost - Local Wastewater sac: Total Sewer Administration Fee Sink/basin/lavatory State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of penmit total) Water closet AC.CQUNT..:c.ebe n . 'AMOUNT_D.UE 224-00000-426605 29.90 224-00000-425602 912.25 100-00000-424005 299.00 100-00000-425002 11 g.OO 443-00000-448025 528.72 442-00000-448024 1,083.28 719-00000-426604 80.60 224-00000-425603 95.00 821-00000-215004 127.71 100-00000-425605 53.21 224-00000-425603 57.00 TOTAL DUE: 3,385.67 --,-_~,MOUNT PAID. '-'''7'.' 3,385.67 '~'t " Le.AYMENLT..Ye.E~~Po.A.Y.Q~:,CASHIER:'DBOWLSBY:. . - .' ---- -~---_.-.. Check pacific fire and flood inc 17068 C.ClMII'!I:NTS 5' TOTAL PAID: 3,385.67 , I I sr. ~,I,N"G.._" FI, E L,~ ~'~. .:(~ . OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01813 1!!.51.QON ST I"''' '/ CITY OF SPRINGFIELD 225 Fifth 5t Springfield.OR 97477 541-726-3753 permitcenter@ci.springfield.or.us , Pil.YMENT TYPE Check 17135 PAYOR. ,~S!:,~EB,. <:CARP~N_TE'~ :. - ----.- ~ - - -... - --. - --- . Pacific Fire And Flood RECORD NO: 811-SPR2011-01813 DATE: 07/25/2011 ~.c.W", ';~YACCOlJNT&6DE' .,,,,,' ., ~'-;;AMOUNt:'DlJE' 224-00000-425602 592.96 --- --- TOTAL DUE: 592.96 COMMENTS:;"" -. AMOUNT PAID.; ~-' '.:';"'; :.: - ~.~ .=~':":":~: :.;.,-:::: :...=:.:::;;..~.::..=_:::- --''-- 592.96 RECEIPT NO: 2011002106 lDESCRIP..TION,. ," ," ~ Structural Plan Review Fee Commercial J.~.J TOTAL PAID: 592.96