HomeMy WebLinkAboutPermit Miscellaneous 2013-5- SPRINGFIELD 225 Fifth St
`` CITY OF SPRINGFIELD Springfield,OR 97477
______tili
{ C Phone: 541-726-3753
\OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-00865
wwwspringfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/01/2013 EXPIRES: 10/28/2013
STATUS DATE: 05/01/2013 APPLIED: 05/01/2013
SITE ADDRESS: 3033 GATEWAY 5T,APT#36,Springfield,OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703222003600 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Stair replacements Units 36,24, 128, 118, 106
OWNER: KKMH PROPERTIES LLC Phone Number:
ADDRESS: PO BOX 8099
PORTLAND OR 97207
L CONTRACTOR INFORMATION `
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor DANIEL L JOURNEY CCB 31199 02/19/2014 541-569-3515
L 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
ons ruction. \
—_mss— S- H I
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
NOTICE: in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
THIS PERMIT SHALL EXPIRE IF THE WORT N07 calling the center. (Note: the telephone
A
THORIZED EUOR SRABANDONED F R number for the Oregon Utility Notification
Center is 1-800-332-2344).
ANY 180 DAY PERIOD.
Springfield Building Permit 5/1/2013 10:10:56AM Page 1 of 1
SPRINGFIELD _. CITY OF SPRINGFIELD
144._: 22s Fifth St
t : TRANSACTION RECEIPT Springfleld,OR 97477
OREGON 541-726-3753
811-SPR2013-00865
www.springfield-or.gov 3033 GATEWAY ST. APT 36 permitcenter @springfield-or.gov
RECEIPT NO: 2013000850 RECORD NO:811-5PR2013-00865 DATE:05/01/2013
IDESCRIPTION_I. ' _.', ACCOUNTCODE/TRANSCODE :., _AMOUNT:DUE ...A
Building Permit Fee .w_ � _ .__ _- „ „ - _ 224-00000-425602 1002 162.61
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 19.51
Technology fee(5%of permit total) 100-00000-425605 2099 8.13
TOTAL DUE: 190.25
P AY-ME.NT__T Y PE v PAYOR,.®. CASHIER:c cnRe NTEa „_.■ COMMENTS_ ,, __,; r„_,. . .;_ AMOUNT -
} "`'
Check DANIEL L JOURNEY 190.25
896
TOTAL PAID: 190.25
Structural Permit Application SPRINGFIELD ' DEPARTMENT USE ONLY.•
CITY OF SPRINGFIELD. OREGON C Permit no.<( �� C
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 `OREGON �'7
., Date: 1-/) / R_.,
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issu ce or if work is
suspended for 180 days.
'�' LOCAL,GOVERNMENT APPROVAL . Plumbing •
This project has final land-use approval. -
Signature: Date: Mechanical
This project has DEQ approval.
Signature: Date:
Zoning approval verified: ❑Yes ❑No , FEE SCHEDULE
Property is within flood plain: ❑Yes ❑No A.Valuation information , .
` ' CATEGORY OF CONSTRUCTION � " (a)Job description: ke \A-SA a,r Q as �_
❑Residential I ❑Government I to r,ummercial Occupancy•
JOB SITE INFORMATION AND LOCATION`," • Construction type:
Job site address: 30?'? ::::c3._-)-Lc_taaJ Square feet:
• City: Si), I State°j�- ZIP5'7In 7 Cost per square foot
Subdivision: _ I Lot no.: Other information:
Reference: I Taxlot: Type of Heat:
PROPERTY%OWNER
" / 9 yl l/ ,/ Energy Path:
Name: 1 adI2'If Utilav' /'7pt-Sl Kedh/Poll k01 .
ZI J ❑new eranon ❑addition
Address: 3033 ad t.4.0 5'{-
�q (b)Foundation-only permit? ❑Yes ❑No
City: S'j'�'u7 Ri obi State: Vrx I ZIPQl[/77
. I'1��' 9 � I/-7yt ,3'1( Total valuation: $ 10 L^p f�
Phone: Fax: vnf - ,
/� 2. Building fees
E-mail: Pot' O. Ka1lyhUmrhP/. Cowl
G1
1 �.1 (a)Permit fee(use valuation table): $'/�2�-
Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $
(c)Reinspection(S per hour): $
(number of hours x fee per hour)
Sign here: /q
(d)Enter 12%surcharge(.12 x[2a+213-1-20: $ l /S
❑This installation is being made on residential or farm property owned by
me or a member of my immediate family,and is exempt from licensing (e)Subtotal of fees above(2a through 2d): $
requirements under ORS 701.010. 3.Plan--review fees '.. 2
` CONTRACTOR..INSTALLATION', . . (a)Plan review(65%x permit fee[2a]): $
Business oa� (b)Fire and life safety(40%x permit fee[2a]): $cm
Address' S 7 t�'- -pg'S L.--- -----__ (c)Subtotal of fees above(3a and 3b): ' $
r g717 4.MisceOsneous fees
City: State ZIP: - `
) $ 35- - - (a)Seismic fee, 1%(.01 x permit fee[2a]) $ _ 13
Phone. Fax:
�r-�'./ / (b)Technology fee,5%(.05 x permit fee[2a1) $ �
E-mail. 9Oc� w�i S��I S Z�TN^c�,] .co
CCB license no.: 3 f ] '79 TOTAL fees and surcharges(2e+3c+4a+4b): $/yd 2$-
P - - _gyp .' !c: �
Signature.--:I
, ' ": ',SUBCONTRACTOR-y ORMATION , , •• N
Name CCB License# Phone Number
Electrical