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Home My WebLink AboutPermit Building 2011-8-31 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01991 IVR Number: 811165946688 www.ci.springfield~or.us PROJECT STATUS: STATUS DATE: . ISSUED: APPLIED: Issued 08/31/2011 08/31/2011 08/23/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us . EXPIRES: VALUE: 02/26/2012 $9,870.00 SITE ADDRESS: 650 Q ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703262405500 SCOPE: Tenant Infill WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial Remodel bank (B) to Duck mercantile shop (M) withing Fred Meyer store PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: METROPOLITAN LIFE INS CO PO BOX 35547 TULSA OK 74153 CONTRACTOR INFORMATION ~ Contractor Type General Contractor Contractor Name GREEN WAY CONSTRUCTION LLC Lic Type CCB Lie Exp 11/15/2011 BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set f(l~h. . . in OAR 952-001-0010 tl1rough OAR 9:,i;j~8()'f-"1 Specialty Code EditIOn: 0090.. You may obtain copies of the ri!Rf!n~yeld Fire Code Edition: calling the center. (Note: the telepiVIeCllanical Specialty Code Edition: # of BeJ,JC\llJ),~er for the Oregon Utility NotifirM.lhlBpall Development Code: Center is 1-800-332-2344). Sprinkled Building: Yes Plumbing Specialty Code Edition: Fire Alanns: Yes Residential Specialty Code Edition: Energy Path: Structural Specialty Code Edition: # of Units: o Construction Type Occupancy Type Occupancy Comments Type IIIB M Type IIIB speculated- to be confirmed lic No 179294 Phone 503-726-1922 Lot Size: Sq FI 1 sl Floor: Sq Ft 2nd Floor: . Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2010 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: No No No No No NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 8/31/2011 3:08:15PM Page 1 of 3 www.d.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01991 IVR Number: 811165946688 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 08/31/2011 ISSUED: APPLIED: 08/31/2011 08/23/2011 EXPIRES: VALUE: 02/26/2012 $9,870.00 SITE ADDRESS: 650 Q ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703262405500 PROJECT DESCRIPTION: SCOPE: Tenant Infill WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial Remodel bank (B) to Duck mercantile shop (M) withing Fred Meyer store Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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 Tvoe 9,870.00 Bid Unit Cost 1.00 Value 9,870.00 9,870.00 FEES PAID ~ Description Structural Plan Review Fee Commercial Building Permit Fee Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $88.40 $136.00 $6.80 $16.32 $247.52 Date Paid 08/23/2011 08/31/2011 08/31/2011 08/31/2011 Reciot # 2011002302 2011002364 2011002364 2011002364 Springfield Building Permit 8/3112011 3:0B:15PM Page 2 of 3 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01991 IVR Number: 811165946688 www.cLspringfield.OLUS PROJECT STATUS: STATUS DATE: Issued 08/31/2011 ISSUED: APPLIED: 08/31/2011 08/23/2011 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield,or.us . EXPIRES: VALUE: 02/26/2012 $9,870.00 SITE ADDRESS: 650 Q ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703262405500 SCOPE: Tenant Infill WORK INVOLVED: Remodel TYPE OF STRUCTURE: Commercial Remodel bank (8) to Duck mercantile shop (M) withing Fred Meyer store PROJECT DESCRIPTION: Plan Review ~ Deoartment Application Acceptance Received Due Date 08/23/2011 08/23/2011 ComDleted 08/26/2011 Result Application Accepted Planning Review 08/26/2011 08/26/2011 Approved 08/29/2011 Reviewer David 80wlsby Liz Miller '",' ..,.,*..'.' '-".L"".,-r;~ :: 1 [ire. R~.Vie~j.:~:C.IF;'.."b.:..,.. > ,'J08/2~?P'11."'.'.'0~!?W~9it1+t~9,I~01.'.1.~!'_.""f!lj#~~~~:::~~.:... :i. -'(;T._~~~rt.,Jqor?~~ .-{'c4?' ,;. ~OT~~~~5:'" ,;~1t:ttt~9t"!E;d;doc~rtiep!i~r,ei(~p,~~artm~.~~fl~a~~jf3e_vl,e~,;90~~JW~:~i~k~J~"~c>~::~"~~,>-,>;''- :.' ~ .. to>; J:,..i' c ~ Structural Review 08/26/2011 08/26/2011 08/29/2011 Waiting internal Chris Carpenter 08/26/2011 08/26/2011 08/31/2011 Approved Public Works Review . ".'f..... , '~?ii:' ":.f~J;:kjL". T McEachern Comments: no new sdcs no public works issues r[3e:JlT1j~ Issuanc~; ~<'; ,,~_,.;~:.w'98/31/?,6f1.<,,~ Q8/31120\1~~':6B/31/29J,1:',>;," , IS!3.l!l?d"~ ,~_ '. ".. . '\ .~'~~:~J Nan9Y5Machado' i:~~.,~';~-:: /;;: _.. ~~':~_"." i', .:,:~'>~~~~i~~"~~ft,~~~~:~j1 ~S:f.:~i:?:;!:~i:~;.>:~~;' ~, .<~:i~'. ... ;~;~~ =~~. ~ ' '$"" < , I " .'w . j '% %,;;~<':. ,~ . (~";'2;<\%.'~:.. 'c"" ~ INSPECTIONS REQUIRED I .,,- Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. 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. 1999 Final Building /~~~ -f10/ Date Owner or Contractor Signature Springfield Building Permit 8/31/2011 3:0B:15PM Page 3 of 3 ~'~ ..., DEPARTMENT USE ONLY Pennit no.: 5/1-/17/ Date: 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. FEE SCHEDULE Signature: Date: This project has DEQ approval. 1. Valuation information Signature: Dale: '(a) Job descript;on: 7i-7--/I-1V r IN r II- L ljltfll ~~ 'D Zoning approval veri fied: DYes DNo Occupancy Po 7V M (.I (J Property is within nood plain: DYes DNo ConstrucUon rype:J11 ~ "") CATEGORY OF CONSTRUCTION Square feet: o Residential I 0 Government I 0 Commercial Cost per square foot: JOB SITE INFORMATION AND LOCATION Other information: Job s;te add,,,s: (" SD IJ Sf' Type of Heat: Cit)': <;Or;;' r...J,' State: fiO I ZIP: 'i7'177 Energy Path: Sllbdi~' J"')O 'J 2" z..l./ I Lot no: o new [11llteration D addition R.ference: Jr(;.l {1>'fP.r.S I Taxlo!: "'.<:: Soe (b) Foundatic,n-only permit? DYes ONo PROPERTY OWNER Hp,{ /11'. .r /n-.crUr~ .oN. Total valuation: $ C'Jl?''IC Nome: Address: Po B 0.>< .z 2. Building fees c;ty:lU(...~Vl-- Statetlt:: I ZIP: 7 'f J (a) Permit fee (use valuation table): l/7/AOO '''' . 7'17- 37os-- Fax: Q>-:J ~," -/',;t, (b) Investigative fee (equal to [2a]): l Phone: (c) Reinspection ($ per hour): E-mail: t'hm T. ,J., t!;)./'r,/ /'.,"- (number of hours x fee per hour) $ TIlis installation is being rflade on residential or farm properl)' owned by Cd) Enter 12% surcharge (.12 x. f2a+2b+2c]): $ tin]3=- me or a member of my immediate family, and is exempt from licensing (e) Subtotal uffccs llbove (211. througb 2u): requirements under ORS 701.0] O. $ Sign here: 3. Plan review fees CONTRACTOR INSTALLATION (a) Plan review (65% x permit fee [2a]): l 7rx~ (~r,;. 1->, G/1rL I. 11/ (b) Fire and life safety (40% x pennit fee [laD: l nusiness name: ":l./NS A)/.-> '1=, .4 (.'J..- 'L-r- (c) Subtotlll offccs sbove (3a anu 3b): $ Address: be iJ.;/i ,J..... State: 0,11 I Zlp:q ?JJ.II 4. Miscellaneous fees City: (a) Seismic fee, 1% (.01 x permit fee [2a]): '~~ . 7;).f-. - /ff).,J.. Fax:,.", - 7:JL - /.;t/Cf $ I>hone: $ 2'-1'752: E~mail: Ke;.Jt./J@ ?rn.. ." -11/ /..... r TOTAL fecs nm} surc.h~rges (!e+3c+4a): - CCB license no.: .JL/7a' ,qLj / Print name: t<,,;J1.. f) l.. Signature: ~ ~.L- SUB-CONTRACTOR INFORMATION Name cen License Number Phone Number Electrical Plumbing Meclumiclll l7Mi. SP.:~~G_..fIEL~ ~...~ . :>> . ..,.," OREGON www.cLspring1leld.or.us TRANSACTION RECEIPT 811-5PR2011-01991 650 Q 5T CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permilcenter@ci.springfield.or.us RECEIPT NO: 2011002364 kDES,CRiBTI0N~ '~-:i.:fiif:g; ~,,"I'i;,;;fg:T#~'" ~~ Building Permit Fee State of Oregon Surcharge (12% of applicable fees) -!~chnology fee (~% of permit total) RECORD NO: 811-SPR2011-01991 :'?'7;;~:;:;.':~jtt,~;,;, '>~%<"~CcblJN'rAC:obE'L~';'" 224-00000-425602 821-00000-215004 1 00-00000-425605 TOTAL DUE: DATE: 08/31/2011 - '. ",,;;'01?''AMoON:r!DUE:"'~'dc!' :: ,', J 136.00 16.32 6.80 _"'T'_"__ 159.12 ".PAYMENTlypei' , L.:J:_"_"~"__m_'~~,_~~ Credit Card 711350 ~:PAY()ll'.9_~~H1ER:N'MAcHA'7D6r~~~~~:()M~;~&f~~55'~;~i~~'"~ ~,)i:};t.'4-~:~AS~19IJNtA~A!b~~;~<t ': t:'1~~,1f-:: ';,~;~ GREEN WAY CONSTRUCTION 159.12 TOTAL PAID: 159.12 TRANSACTION RECEIPT 'CITY OF SPRINGFIELD 225 Fifth $t Springfield,OR 97477 541-726-3753 www.cl.springfield.or.us 811-SPR2011-01991 650 Q ST pennitcenler@ci,springfield.or.us tOEstRIR-TION: .s: :. : .~';." ."T4!f',: . ," ,.".~ ::;~'.,,;,. Structural Plan Review Fee Commercial ,:,.";;""f{'f .";"-"" "OAC.COUNjj::OOEi' 224-00000-425602 TOTAL OUE: DATE: 08/23/2011 --. "'~~~"N~~A'Mb.uN;t~D.UE:.- 88.40 88.40 J RECEIPT NO: 2011002302 RECORD NO: 811-SPR2011-01991 ~AY~MENff~~~PAV9R-'-tcAs;HIER:,ct'ARp:th.ji~G:Qr!'lM'Et.tI~;'~,;.~ "- Credit Card George Paradez 513224 .', $. '.~ ':'\::;'r;;'::.AMOUNT,P,AID~*+:~.":" ~ : 1 88.40 TOTAL PAID: 88,40