HomeMy WebLinkAboutPermit Building 2013-4- , A
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-SPR2013-00837
www.springfield-or.gov permitcenter @springfield-ar.gov
PROJECT STATUS: Issued ISSUED: 04/25/2013 EXPIRES: 10/22/2013
STATUS DATE: 04/25/2013 APPLIED: 04/25/2013
SITE ADDRESS: 650 Q ST,Springfield,OR 97477 SCOPE: Grocery Store
ASSESOR'S PARCEL NO: 1703262405500 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Infill doors with storefornt glazing.
OWNER: METROPOLITAN LIFE INS CO Phone Number:
ADDRESS: 1014 VINE ST
. CINCINNATI OH 45202
_ CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
. General Contractor GREEN WAY CONSTRUCTION LLC CCB 179294 11/15/2013 503-726-1922
INSPECTIONS REQUIRED
Inspections .
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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 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
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
NOTICE: follow rules adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF 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
ANY 180 DAY PERIOD, calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
a.
Springfield Building Permit 4/25/2013 11:08:04AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
O0.EGON 541-726-3753
811-SPR2013-00837
www.spnngfieldor.gov 650 Q ST permitcenter@spnngneld-or.gov
RECEIPT NO: 2013000828 RECORD NO: 811-SPR2013.00837 DATE:04/25/2013
• R P !ION f of : ` _ix T2u . .,"n1 W' `+ACCOUNT CODEITRANS�CODE -4 i':E -AMOUNThNht
Building Permit Fee u 224-00000-425602 1002 131.63
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 15.80
Technology fee(5%of permit total) 100-00000-425605 2099 6.58
TOTAL DUE: 154.01
1,� .,.. .....e.
{4uPAYMENTET;IPEP.AY,OR�cnsNteR.yccnrsaeRTER :'_=,t`-COMMENTS'-":r%tts `- -—s .' AMOUNTFPAID-
Credit Card GREEN WAY CONSTRUCTION LLC 154.01
315290
TOTAL PAID: 154.01
Structural Permit Application DEPARTMENT USE ONLY
D•NINDRIHLD t ...'-
i �, ct!i15: OF��'iP.RINGPIELtD,ORfarSt tar t : y raj Perin it no.: 13 737
225 Fifth Street♦Springfield,OR 97477•P11(541)726-3753•FAX(541)726-3689 -" o- sOl `4:
Date: c t s( 3
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.
Signature: Dale: FEE SCHEDULE
This project has DEQ approval. 1.Valuation.information
Signature: Dale: (a)lob description: See Below
Zoning approval verified: ❑Yes ❑No Occupancy Grocery Store
Property is within flood plain: ❑Yes ❑No Construction type: Store front
CATEGORY OF CONSTRUCTION
Square feet:
N/A
❑ Residential I ❑Government I IrCommercial
Cost per square foot: N/A
JOB SITE INFORMATION AND LOCATION Other information:
Job site address: 650 Q Street -
cur Springfield Type of Baah
y I State: OR ZIP: 9 7 4 7 7
Subdivision I Lot no.: Energy Path:
Reference: /70 3c&261 I TaxloC crew ❑new alteration ❑addition
PROPERTY OWNER (b)Foundation-only permit? ❑Yes ❑No
Name: Fred Meyer/Ylc-7 G/ Total valuation: $ 7, 000
/a/ ////U -X,C 2.Building fees
Address:/O
Citra%9 (a)Permit fee(use valuation table): $/3/ & S
/1//, 1"Ax 77:1 State: ZIP:y �(J� - - -
Phone: 50.3.797. 3921 Fax: - (b)Investigative fee(equalto[2a]): $
(c)Reinspection($ per hour):
E-mail: dean.uriarte @fredmeyer.com (number of hours x fee per hour) $
This installation is being made on residential or farm property owned by (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ i
me or a member of my immediate family,and is exempt from licensing /�
requirements under ORS 701.010. (c)Subtotal of fees above(2a through 2d): $
•
Sign here: 3. Plan review fees
(a)Plan review(65%x permit fee[2a]): $
CONTRACTOR INSTALLATION
Business name: Green Way Construction, LLC (b)Fire and life safety(40%x permit fee[2a]): $
Address: 21195 NW Evergreen Pkwy #205 (c)Subtotal of,fces above(3a and 3b):
4.Miscellaneous fees c% �p
City: Hillsboro State: OR ZIP: 97124 (�
Phone: 5-03: 726. 1922 Fax: 50-3. 726. 1944
(a)Seismic feel%(.Olxpermit fee(2a]): $
E-mail: keithp @greenway-11c.com
TOTAL fees and surcharges(2e+3c+4a): $ sit 62
CCB license no.: 1 7 9 2 9 V/`'t
I'rintname: Keith Paredez Job Description':'
Signature: Auto door removal at storefront
vestibule and infill with new
SUB-CONTRACTOR INFORMATION storefront and transoms to match
Name CCB License Number Phone Number existing.
Electrical
Plumbing •
Mechanical
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