HomeMy WebLinkAboutPermit Building 2013-5-6 SPRINGFIELD 225 Fifth St
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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
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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
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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
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; 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
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Plumbing
Mechanical . -
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