The URL can be used to link to this page

Home My WebLink AboutPermit Building 2013-4- SPRINGFIELD - 225 Fifth St ` - CITY OF SPRINGFIELD Springfield,OR 97477 i Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00789 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/19/2013 EXPIRES: 10/16/2013 STATUS DATE: 04/19/2013 APPLIED: 04/19/2013 SITE ADDRESS: 876 BELTLINE RD,Springfield,OR 97477 SCOPE: Bathroom ASSESOR'S PARCEL NO: 1703153000900 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: ADA accessibility OWNER: SYCAN B CORP Phone Number: ADDRESS: 840 BELTLINE RD STE 202 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor DEREK TODD NOBLE CCB 149587 11/13/2013 541-485-5448 INSPECTIONS REQUIRED Inspections 1920 Miscellaneous Building • 1999 Final Building 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 requeste• at the proper time, that each address is readable from the street,that the permit card is located at the front of the pr••erty,a, • the approved set of plans will remain on the site at all times during construction. aipsar-- 4,/ G er or Contractor Signature Date ATTENTION: Oregon law requires you to i!�TICE: MIT SHALL EXPIRE IF follow rules adopted by the Oregon Utility THIS PER THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 4/19/2013 8:30:12AM Page 1 of 1 SPRINGFIELD°-- CITY OF SPRINGFIELD 225 Fifth St k�0 OREGON TRANSACTION RECEIPT SpringfieI OR 97477 y_, 541-726-3753 811-SPR2013-00789 www.springfield-or.gov 876 BELTLINE RD permitcenter @springtield-or.gov RECEIPT NO: 2013000781 RECORD NO: 811-SPR2013-00789 DATE:04/19/2013 ;DESCRIPTION _ :_. • ACCOUNT CODE/TRANS CODE - : __AMOUNT DUE,_ Building Permit Fee 224-00000-425602 1002 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 PAYORCASHIER:JLARSOR_ COMMENTS AMOUNT PAID PAYMENT TYPE Credit Card DEREK TODD NOBLE 93.60 04744B TOTAL PAID: 93.60 • Structural Permit Application SPRINGFIELD DEPARTMENT USE Off'^ CITY OF SPRINGFIELD, OREGON 1cCa Permit no.: • 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON 5 1Zor3 0O/Q'� Date: VA9A3 U�� • 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. ,`.-.....:. ,..l. -. +....-.n .i'�nf ..'R.'k at 4 .r.,: ....-.- �...-.. � u.R p 31,- -e':si .,,LOCAL�GOVERNMENT,APPROVALtt#-_._i3t zt'--_�, _r„ ._ FEE,.,SFiEDl1LE,�-„,-, :..r ';ga; .3 This project has final land-use approval. fl”Valuatniufmformation Z ,,,,3�_= ?'f, :.;:;>' w.a �;:rl Signature: Date: (a)Job description: This project has DEQ approval. Occupancy Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: - Property is within flood plain: ❑Yes ❑No Square feet: ?=,3: .' '*1CATEGORY OF,3r.CONSTRUGTIONC „ Mi',x= r_. Cost per square foot: ❑Residential ❑Government ❑Commercial Other information: ["x-- . `,?:JOB=SITE INFORMATION AN&ei CATIONt`tT ! ' Type of Neat: Job site address: S' 7 2 G/-) /.-•'L Energy Path: City: r: Sr t rn - i-e Id 'State: O k ZIP: 7 1"/ . 7 ❑new ['alteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: Taxlot: Total valuation: $ *v. -€ rn3'f<, r!( { ri PROPERTYTOWNER 3° x r o_a ; w t s 'te . ',,at sj st a °a c R s}y�: .t�fu„.�w!n.S�"3. 44�-�'.-ss �.h. f':._�k5.:.t�>.'¢=- �.� e2.Budding{teess,�. d.. .� v�^x3,rr zx .E-+r�a`:."'1^e'7$..P+�` iii. Name: S ,,s c a ✓t (a)Permit fee(use valuation table): $ Address: % 9 p ? /-1 Ji ' 42,-. (b)Investigative fee(equal to[2a]): $ City: Sp re-,'a G re/a( State: 0 Q ZIP: 97 y • -7(c)Reinspection($ per hour): $ Phone: J Fax: - - (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x[2a+261-2c1): $ I (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent tho _ ajication: _?'3 Plan review fees`'1-fg-�, .'�` 7;e ,bs a ;`-i'2,x"`'',r I'„'i rT�.�,?. ///�''' % / I (a)Plan review(65%x permit fee[2a]): $ Sign here: - // / _ (b)Fire and life safety(40%x permit fee[2a]): $ ❑This insta n is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my immediate family,and is exempt from licensing ?4'EMlscellanearfeef,,, , a,u,y4 &12, ;^,,tsi° , I s;rj requirements under ORS 701 010 ... r d r , .s..i,g p (a)Seismic fee, l%(.Ol x permit fee[2a]): $ 4.>t? , , '4 CONTRACTOR INSTALLATIONSh U,,,,f,;,,,,,_tl s /� ,, (b)Technology fee,5%(.05 x permit fee[2a]): $ Business name: '(�_art/f .7 P 6' k eo e S (o TOTAL fees and surcharges(2e+3c+4a+4b): $ y3= Address: a O S O tti" i 24"-i- v -e- city / ...-9 e er e State:O 2 ZIP: 1 7 y'2 Phone: - r-- Fax: - -, E-mail: CCB license no.: d' /y 9 5"fr 7 Print name: t) g,l f 4— 7-1)ail 1 Signature: iA I riw `:.1 iii6;.7°.waI a B"'CON RACTORIINEORM•TIO1 wi J4 J-IEI4ij+li,",1 Name CCB License# Phone Number Electrical Plumbing Mechanical ;City of Springfield SPRINGFIELD low Development Services Department 225 Fifth Street Springfield, OR 97477 Planning Division Information Sheet for Building Permits Commercial/Industrial/Multi-Family Residential The Planning Division requires the following information for all building permit submittals on properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial, including new construction, expansions, and changes of use. New construction, expansions, and changes of use to any building, parking, or development area in these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100) or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review (SDC 3.3-100) may also be required, depending on the site. NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building Permit, Police or other permit approvals or inspections are not Planning approval. Required Project Information _ (Applicant: complete this[sercttion) Applicant Name: ` i = Phone: s41 - -CQ ZLl Company: {i et,,1,A' p Fax: Address: f 6 I J1C�-� w s40 2®! / 5;6�r + 6/ 97077 ASSESSOR'S MAP NO: (x '03 ic"',na i _I TAX LOT`NO(S): I ,0900 Property Address: D (40 � e x _ t t1"1n� �1� SID Description of the proposed work to be completed under this building permit: • . tJstzi r a 9 fiee °- C)Ar\i (s fr'b 1S1 t3 r ntt . 'n't Has this development proposal been reviewed by the Planning Division through an application process (i.e. MDS or Site Plan Review)? ❑ Yes ❑ No If yes, Case #: If no, is this a change in use? ❑ Yes ❑ No Prior Approved Use: Proposed Use: Does the use necessitate the use of any chemicals or substances that are hazardous or re•uire Material Safet and Data Sheets MSDS to be ke•ton site? ❑ Yes ❑ No Required Property Information (City Intake Staff: complete this section) Zoning: TOTZ: Overlay(s): The proposed project requires submittal and approval of the following Planning application prior to building permit approval: ❑ DWP Overlay District Development ❑ Statement Letter Regarding DWP Exemption ❑ MDS ❑ MDS Land Use Compatibility Statement ❑ Site Plan Review ❑ Other: Reviewed by: Date: Page l of 1 5'-0" MIN, 2010 ADA 18 BC 11156.4.1 .2.1 4, 18" FLUSH T a o �().\ At7NCTIVAT WIDE R = o z SIDE L-N N i IN z �~ f Papyrlihk X12 AS, ,,ArchfSdan In. 32" MIN. (.OS► CLR. • • http://ada.ashdownarch.com/wordpress/wp-content/uploads/2010/11/cbc_fig_l 1 b-1 a_-2010... 3/5/2013 iZ • :• ` /,e' 9„ • ' W . W km -.0 �, g„ o . . . • \\\ i • • o . ... .. t4 . X_ .. � _ � U MS _ ,� — — — — -T- t ... .. �- P . ' .. ... • al !NZ