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HomeMy WebLinkAboutPermit Miscellaneous 2013-5-15 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 {`� Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00785 www.springfield-or.gov permitcenter @springfield-ar.gav PROJECT STATUS: Issued ISSUED: 05/15/2013 EXPIRES: 11/10/2013 STATUS DATE: 05/15/2013 APPLIED: 04/18/2013 SITE ADDRESS: 3661 OLYMPIC ST,STE#A,Springfield,OR 97478 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1702300002103 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Rack storage for Ore.Organics • OWNER: ONE WORLD ORGANICS LLC Phone Number: ADDRESS: PO BOX 7312 SPRINGFIELD OR 97475 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MATERIAL FLOW&CONVEYOR SYSTEMS INC CCB 99999 06/15/2014 503-678-2401 INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1829 Special Inspection 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. . . -/ /.Y. C■ fft% _ 5----/S"--/2 / Owner or Contractor Signat - Date 7 follow ru 0 gd0or ted bow requires you to NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE if THE WORK P y the Oregon Utility ',UTHORIZED UNDER THIS PERMIT IS NOT 0090. You2 001 °010 through OAR 952-001- -1r,AMF_NCED OR IS ABANDONED FOR callin may obtai� copies of the rules by ROD. number for the ter• Note: the telepv n nv nc, I Center is 1Oregon-800-332-23441 Utility Notification • Springfield Building Permit 5/15/2013 1:49:38PM Page 1 of 1 . SPRINGFIELD — CITY OF SPRINGFIELD Fifth S tom, TRANSACTION RECEIPT SPA gfieldtOR97477 `OREGON 541-726-3753 811-SPR2013-00785 www.springfield-or.gov 3661 OLYMPIC ST. STE A permitcenter©spnngfield-or.gov RECEIPT NO: 2013000952 RECORD NO: 811-SPR2013-00785 DATE:05/15/2013 ...". AMOUNT DUE]e5��o371aldlol��� -"-�� :xeam_ t��'�'�i.'_;„r�t�:w , i46COUNTCODE/TRANSCODE _ ', Building Permit Fee 224-00000-425602 1002 371.86 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 44.62 Technology fee(5%of permit total) 100-00000-425605 2099 18.59 TOTAL DUE: 435.07 "”""rrRi 7a afr ch>7 ic :AMOUNT PAID ' all P-AYMENTtsTYPE,.�'.�PAYOR'r' cnsHiER:�uRSOR s�t:.r�� �COMMENTS .. _ _„�;qc„ Check MATERIAL FLOW&CONVEYOR 435.07 31540 SYSTEMS INC TOTAL PAID: 435.07 SPRINGFIELD i CITY OF SPRINGFIELD 225 Fifth St tif OREGON TRANSACTION RECEIPT SpringfielchOR 97477 541-726-3753 811-SPR2013-00785 WNW.springfield-or.gov 3661 OLYMPIC ST. STE A permitcenter @springfield-or.gav RECEIPT NO: 2013000778 RECORD NO: 811-SPR2013-00785 DATE:04/18/2013 (DESCRIPTION • - - ,_ACCOUNT CODEJTRANS_CODE ' -I Structural Plan Review Fee Commercial 224-00000-425602 1060 241.71 TOTAL DUE: 241.71 . - ;AMOUNT - . , ( -PAYMENT TYPE 1s - ' PAYOR- CASHIER:ccARVER7ER`` - COMMENTS . L'-': - i Check MATERIAL FLOW&CONVEYOR 241.71 31264 SYSTEMS INC TOTAL PAID: 241.71 Structural Permit Application $PRINGFtELD K.BrDEPARTMENT,?U,SE ONLY ` ''CITY,OFSPRINGFIELD, OREGON . , :.i` Permit no..93- ( Os-- 225 Fifth Street•Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 oaecoN Date: (F//b/i3 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days f issuance or if work is suspended for 180 days. �`"sF lI ' +'r`PEOCALllGOVERNMENT°APPROVAAL'-'` tfg (,'7 t ' ' 'FEETIEFT DULEt� fir` .: „i °? t..,yt�ry',r...a;d ... - ' -. , _ r.�,....�' r�i, #. � �s- 3f,v7asu�. r'1-mua wertc'-s«r. x=-mac .d%.T.k i*„ -�,^, A r This project has final land-use approval. ��l�yValuatton;tnformahon;� ,lv�,����,-s�-,yL.;�' %�:i. Signature: Date: (a)Job description: p�A ' '/ S This project has DEQ approval. /�(f Occupancy p Signature: Date: (\ . Zoning approval verified: . El Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: " ,. CATEG0IV O—EC ct Cost per square foot: • ❑Residential ❑Government ,Commercial Other information: ,,7,74-j P a a,..,� oND "la`. `_x'� , _.^{_yy'} :108,SITEoINF,ORMATIQN AND�i4,LOCATION;�'SF� Type of Heal: Job site address: 36,61 O1 ,n,0/C. pergy Path: City: S P/ki&GF)ELO State: 0("R ZIP:q 7y 7t di new ❑alteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: ) 7DZ 3DO0 Taxlot: 0 Zi Q 3 Total valuation: $3/c7 Cr a i' —r ra.ri.- t .ra tv= 1 YID' ..,,4��'-_,,2�,y�;����"y�P.-.F20PERT,1';�OWNER +,t„v� g;;.y � �r2'�Butldiu ifees;? ��' ., pl I � � gam,k.� .'•;5��.�` f ._ <.,.�; Name: C��- (��7Ci) d-g/1-a'( CS (a)Permit fee(use valuation table): s'39/ (0 Address: �PTO- `.j6a/ 77/ (b)Investigative fee(equal to[2a]): $ `C City: d"T r� State( ZIP:,747) (c)Reinspection($ per hour): $ Phone: Fax: - - ` (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x(2a1-26+2c]): $L Z (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: a3rPlan reVlew fees-sR,,hrij•e ga' r,,^ii`':-y s + ' (a)Plan review(65%x permit fee[2a]): $ ZNl Sign here: (b)Fire and life safety(40%x permit fee[2a]): $ ❑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 :re tscellaneous fees.-- /nffea trrattr f requirements under ORS 701 010. ° (a) Seismic fee, 1%(.O1 x permit fee[2a]): $ flie CONTACTOR INSTALLATION ``>t Z .j eal;, b Technology fee,5% OS x ermit fee 2a $f j s? p O gy ( P [ ]) Business name: M4ria/1/4L FLOL,I e Ct,YJ(/C0/Z 72f' TOTAL fees and surcharges(2e+3c+4a+4b): $‘026 Address: ,j//ab /j,A TE /LLE AA Ale City: DORi9LO / State: OA ZIP: 97020 �7t Phone: ,503- �o8y-fie 13 Far '503—to. 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