HomeMy WebLinkAboutPermit Building 2003-9-12
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Status
Issued
CITY OF SPRINGFIE~
Building/Combination Permit
PERMIT NO: COM2003-00822
ISSUED: 09/12/2003
APPLIED: 08/26/2003
EXPIRES: 03/12/2004
VALUE: $ 8,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 840 Beltline Rd 202
ASSESSOR'S PARCEL NO.: 1703153000900
Springfield TYPE OF WORK: Office
TYPE OF USE:
PROJECT DESCRIPTION: Addition of three offices. Issued electric only 090503.DB
Alteration
Commercial
Owner: SYCAN B CORP
Address: 840 BELTLINE RD STE 202 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor License Expiration Date
SYCAN B CORP 72619 03/25/2004
SCOFIELD EL~RIC 38702~..$'.~ . 12/2112005
PACIFIC A!~~FORT INC 39f)~ -0~'OS 03/25J2004
~V::-':.~~ ~ BUILDING INFORMATI0~<I.i"0 ~0~~ 0~"
~~ # <<,.<:S <<J 0' 0~ g;.OS ,~ o~~,o~
# of Buildings: ~~ ~~ #> # of Stories: {it ~0 ~0 O'if' .;s0 ~o.tSize:
Primary Occupancy Group~ .p ~~ Height of Stru~o~ ~ 0" ~ d- ......~0 ~~ Ft 1st Floor:
Secondary Occupancy ~l!f:~ 9:J~ Type of Hea0Q) 00 -<::-of? ~o-s '~0~ ~0 ~OSJ),.Ft 2nd Floor:
Primary Construction~~ f::> ~ VN Water T!fJ~o~ /:- \::J~ cP~'!:-..0~'~ o;Sq Ft Basement:
Secondary co~ru~n'l>Y~'\: ~<::). Rang~~plqC:) ~0 ~" ~~ ~O ~~ r:,Clirv Sq Ft Garage/Carport
# ofBedroo~ ~ ~ ~ ~4f En~~ ~-3~0 ,,\5 ~~ ~~ 0<::- 'i:fr>:> Sq Ft Other:
~ <{ ~ <3 ~ ~^''V ~\'~. O~ 5)<:);::\ ~ O~0~'b\5 Impervious Surface Area:
~ .{2:?f) ~~ <"\~ h. r~~ _~ /~/ ^-fC- ~0 ...'
",' .,.. ~,. ~ ~ " ,..., "e,,- .... - ~ -\t.!. j-
~ ~ ~ I DEVEL(1P~IN:FO~:'T~
SETBA~~ ~~ ~".) s ~-
~ " ,....\::J. ~ r8 (j<O
'C ,~~.) ~ ~
Frontyard Setback: Overlay.:uisf." ~
Side I Setback: # Street Tree~qd:
Side 2 Setback: Paved Drive Rqd:
Contractor Type
General
Electrical
Mechanical
Phone
541- 7 46-8444
541-686-8612
541-672-9510
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pal!e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
Plan Review CommlInd/Public
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
Refund - Plan Review CommlInd/
Refund - Plan Review Fire & Li
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Miscellaneous Mechanical
Plan Review Fire & Life Safety
Total Amount Paid
Fire Department Review
Initial Review
Planninl! Review
Public Works Review
Public Works Review
Building/Combination Permit
PERMIT NO: cOM2003-00822
ISSUED: 09/12/2003
APPLIED: 08/26/2003
EXPIRES: 03/12/2004
VALUE: $ 8,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
8,000.00
Value
Date Calculated
Total Value of Project
$8,000.00
$8,000.00
08/2612003
~
Amount Paid Date Paid Receipt Number
$59.67 8/26/03 2200200000000001431
$59.67 8/26/03 2200200000000001433
$36.72 8/26/03 2200200000000001431
$-59.67 8/26/03 2200200000000001432
$-36.72 8/26/03 2200200000000001432
$4.60 9/5/03 1200200000000002073
$3.22 9/5/03 1200200000000002073
$43.00 9J5/03 1200200000000002073
$3.00 9/5/03 1200200000000002073
$10.00 9/12/03 1200200000000002110
$13.68 9/12/03 1200200000000002110
$9.58 9/12/03 1200200000000002110
$91.80 9/12/03 1200200000000002110
$45.00 9/12/03 1200200000000002110
$36.72 9/12/03 1200200000000002110
$320.27
I Plan Reviews I
08/27/2003
09JI0/2003
OK
GRG
Plan Review: Addition of three
interior offices. Job
#COM2003-00822.
Maintain fire extinguishers every 75
feet travel distance (Springfield
Uniform Fire Code 1002.1).
08/27/2003
08/27/2003
08/27/2003
09/03/2003
08/27/2003
09/0112003
APP LLH
APP EMM
09/08J2003
APP MS
917103 - Completed public works
review, passed on for building
review. MS
9J3/03 - Received plans and assigned
to Steve Barnes. KJV
Pal!e 2 of 3
~"'-.j-"*
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2003-00822
ISSUED: 09/12/2003
APPLIED: 08/26/2003
EXPIRES: 03/12/2004
VALUE: $ 8,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
~41-726-3769 Inspection Line
Structural Review
08/27/2003
08/29/2003
WE JMP
Left a voice message for Tim Hovet
requesting information on the
mechanical contractor.
Tim provided the mechanical
contractor information.
JMP left a voice mail message for
Tim Hovet on 9/5/2003 requesting
the appropriate code forms. DH
emailed no code issues or
inspections.
Structural Review
09J02J2003
09/02/2003
APP JMP
SUB Review
08/27/2003
09/08J2003
APP DH
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Reouired InsDections I
1 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Wall Insulation: Prior to cover.
3 Drywall: Prior to taping.
4 Final Fire Department. After all requirements of the Fire Department have been met.
5 Final Building: After all required inspections have been requested and approved and the building is complete.
6 Rough Electric: Prior to Cover
7 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 of 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
ti~~:t~- q/ICA/(j 6
Owner or Contractors Signature
Date
Pae:e 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00822
COM2003-00822
COM2003-00822
COM2003-00822
COM2003-00822
COM2003-00822
Payments:
Type of Payment
Check
Receipt #: 1200200000000002110
Description
Plan Review Fire & Life Safety
Building Permit
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Check Number
Batch Number Authorization Number
Paid By Received By
SYCAN DEVELOPMENT CORP Jmp
21133
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/12/2003
Amount Paid
Item Total:
36.72
91.80
45.00
10.00
9.58
13.68
$206.78
How Received
In Person
Payment Total:
Amount Paid
$206.78
$206.78
11:24:27AM