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HomeMy WebLinkAboutPermit Building 2013-5-6 SPRINGFIELD 225 Fifth St hi CITY OF SPRINGFIELD Springfield,OR 97477 ":,c � 6coN Phone: 541-726-3753 • • Building / Commercial Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00892 www.springfeldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/06/2013 EXPIRES: 11/02/2013 STATUS DATE: 05/06/2013 APPLIED: 05/06/2013 SITE ADDRESS: 1290 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Interior • ASSESOR'S PARCEL NO: 1703273402919 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Remodel of Office OWNER: CENTENNIAL DENTAL BUILDING LLC Phone Number: ADDRESS: 2245 CHARNELTON ST EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone MCINTYRE CONSTRUCTION INC COB 3550 10/08/2013 541-687-2841 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 •-quired in sections re requested at the proper time,that each address is readable from the street, that the permit card is I•'ated at front e p peer/tty,, and the approved set of plans will remain on the site at all times during const// G/ // ( --, Owner or Contractor Signature Date • AOTICE: ,•ATTENTION: Orezion law reocirs you to THIS PERMIT SHALL EXPIRE IF THE WORK -', follow rules enter. Those oy the es are Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth 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). • Springfield Building Permit 5/6/2013 1:12:07PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD ht_- 225 Fifth Sf A‘OREGON TRANSACTION RECEIPT Spnngfth SOR97477 541-726-3753 811-SPR2013-00892 www.springfield-or.gov 1290 W CENTENNIAL BLVD permitcenter @springfield-ar.gov RECEIPT NO: 2013000878 RECORD NO: 811SPR2013-00892 DATE:05/06/2013 . ''i " ' ilik r°'s 1 +'F ;t.1.:; =ACCOUNTiCODE/TRANS CODE it:ii.:tirAMouNTIDUEW. Building Permit Fee 224-00000-425602 . 1002 265.87 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 . 31.90 Technology fee(5%of permit total) • 100-00000-425605 2099 13.29 TOTAL DUE: 311.06 ..SPAYMENTIEVRE PAYOR PCASRIER::JURSON COMMENTS AMOUNTMISID Credit Card Charles McClain 311.06 07213G • TOTAL PAID: 311.06 • • • • r , . ; Structural Permit Application SPRINFIELD V To-girth-fin'int i-,70- 2 CITY OF SPRINGFIELD, OREGON 7'.b- Permit no (1--)1— i9 2 ' OREGON 225 Fifth Street*Springfield,OR 97477•PH _ (541)726-3753•FAX(54I)726-3689 . -- Date: 54 ,r/Lit This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of' sua ce or if work is suspended for 180 days. EPtt4-3?..7": 12)-0■11to-aiit FIRMEICit;APWOVALIZ:ff;KW .e-?..:*ii.7_1‘N.Cf.j;FigkEg.(geliii5iii:ffTzt”ri-gl'14272R;"Zn.ill This project has final land-use approval. Signature: Date: (a)Job description: i N re--72/em- g6-r-0,27 This project has DEQ approval. Occupancy 2 . Signature: Date: Zoning approval verified: 0 Yes 0 No Construction type:VP Property is within flood plain: ci Yes 0 No Square feet: rta,'Z :c7fEg6rrer;:6P.1561;isYnikiieikf-:M ili;c:::/i..-A Cost per square foot: ID Residential 0 Government SI-COmmercial . Other information: . Type of Heat: 74551J-751-61WgifEllisi EbirliAlialli rivl? l'.21-.?al Yr 71 Job site address: tab q vs, ConT1 -en.d-p-4...LI 3l U re Energy Path: City: ctt.,:titt kid State: Mk ZIP: 0 new Oat eit<on 0 addition Subdivisi : I Lot no.: (b)Foundation-only permit? 0 Yes No a:20 Reference: I Taxlot: Total valuation: $ KtgrffrV:j"jtli:';;."Ikif&E2bktY:ZOW4ER -1,:rzYewad;ezf..-ai,2- ii:43.-iilkihriffmls,-,a,fewaniewzm-4. -:-.EL: . Name: " .-.p)J,,-y, /4r seThe,_. (a)Permit fee(use valuation table): $ 26152°4. r-, 1 ,, Address: 7 '7 (i) ranr+,,... ,,, :- 10 1,1,1 , (b)Investigative fee(equal to[2a]): $ City: C-jcp,i,n-4A.4,g a State: acZ__ I ZIP: (c)Reinspection($ per hour): $ Phone:Ct5ti 1-, 11 ti I-. 4,6-1._ Fax: - - (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 71 q° (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 'I',j?Wig'rl,re-taifgPtMlrgiZ-Rrgi:E;Mitb.iKifEN:Eidi; (a)Plan review(65%x permit fee[2a]): $ Sign here: (b)Fire and life safety(40%x permit fee[2a]): $ 0 This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ me or a member of my immediate family,and is exempt from licensing ICY.ilrallagrlftStneZ;;;' $ L k:II.A requirements under ORS 701.010. 7 (a)Seismic fee, 1%(.01 x permit fee[2a]): $ :9;tif.:1:t70147.04*161551471rial(AZIOVEiVA',M.R.1 3WA $ 1--' (b)Technology fee,5%(.05 x permit fee[2a]): (1 Business name: WICTY1+Aa:2_, (._10./Y-Nti,16...C71".•_•..i. TOTAL fees and surcharges(2e+3c+4a+4b): $ Address: &\' DH-rf -)-_ W-- Oa-) it, s..1 , cityc,,,, .„vt , ,-_ State: 6, I ZIP:4-The los- . Phone: 1 (1-: rat5ci Fax: - - E-mail: CA1TA, N Pc■ CD, Mr : -(01511 IA.C4 trim CCB license no: e> Print name: oil,c,r , iVI40_ In. ...„.. ) Signature: ( ;ETg':C;2WrWSUB:;cQN-:r:kACTOgil'lF4ORMATlOi!lFI'IItIgrIIIirZiIcd[I!Iti5 Name CCB License# Phone Number Electrical • Plumbing Mechanical . - ! - - .