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Home My WebLink AboutPermit Building 2013-6-5 • • SPRINGFIELD .. • 225 Fifth St mil CITY OF SPRINGFIELD Springfeld,OR 97477 Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01085 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/05/2013 EXPIRES: 12/01/2013 STATUS DATE: 06/05/2013 APPLIED: 05/29/2013 SITE ADDRESS: 378 S 58TH ST,Springfield,OR 97478 SCOPE: Bathroom ASSESOR'S PARCEL NO: 1702334401601 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: STR-Bathroom addition/remodel OWNER: EHL PROPERTY LLC • Phone Number: ADDRESS: 382 S 58TH ST STE B SPRINGFIELD OR 97478 _ CONTRACTOR INFORMATION Contractor Type Contractor Name - Lic Type Lic No Lic Exp Phone General Contractor JOSHUA DANIEL RAY COB 186742 05/15/2015 541-556-3047 Mechanical Contractor JOSHUA DANIEL RAY COB 186742 05/15/2015 541-556-3047 Plumbing Contractor OREGON CUSTOM PLUMBING INC COB 191104 06/21/2014 541-434-1146 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 construction. eo O er or Contractor Signature Date • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility • NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090.90. You may obtain copies of the rules by calling the center. (Note: the teleph:rl� COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). • Springfield Building Permit 6/5/2013 9:19:46AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 'I' 225 Fifth St tOREGON TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 811-S PR2013-01085 www.spnngfield-ar.gov 378 S 58TH ST permitcenter @spnngfield-ar.gov RECEIPT NO: 2013001116 RECORD NO: 811SPR2013-01085 DATE:06/05/2013 Di x"30 r[o1; _ a=4-2z i:: liA:.'ACCOUNT CODEITRANS+CODE_ Mme--°_'AMOUNT1DUE."°,= Building Permit Fee 224-00000-425602 1002 - 80.00 SDC Credit: Reimbursement Cost-Local Wastewater 442-62252-650117 1183 -20.67 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 135.62 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 277.86 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Structural Plan Review Fee Commercial 224-00000425602 1060 52.00 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 538.41 P.AYMENTtTYP,E PAYOR1Tc'giEa:°fiduare COMMENTS _ AMOUNTRAID;F Check JOSHUA DANIEL RAY 538.41 1229 TOTAL PAID: 538.41 • • • • A Structural Permit Application SPRINGFIELD DEPARTMENir USE OONL ;tint ' CITY OF SPRINGFIELD, OREGON , tom• Permit no.: S/ 3 - clot r 225 Fifth Street♦Springfield,OR 97477♦P11(541)726-3753•FAX(541)726-3689 OREGON Date: /Z 4(/f3 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. {;. , ''e. ,LOCAL'{GOVERNMENTS'APPkOWL ,P r; !; N1 7" ,_„_, FEE,SCHEDULE', oWVI'°ID74° This project has final land-use approval. T1Vauamu'moam [o . lE*}' r 7 ' yi Signature: Date: (a)Job description:on & ein "MA itt, /l ._ This project has DEQ approval. Signature: Date: Occupancy Zoning approval verified: ❑Yes ❑No Construction type: j3 Property is within flood plain: ❑Yes ❑No Square feet: R a . >',,,,,,, E6ATEGORYaOFpCONSTRUCTION, .x„,,a„ '. . au Cost per square foot: ❑Residential ❑Government ❑Commercial Other information: . t i< ,�,'JOB;?SIT—Eft;INFORMATIOJ.,NrANDy.Y.,L.00ATION .'',,µ� a -:z Type of Heat n. Job site address: 3 ,/(.,; `5't t• Sr^1 i Lt t, Energy Path: '�S City: y Cat 1/4"‘.1(�"""'��1'L� State:V K ZIP: 'l ❑new ,alteration ❑addition I�.t Subdiviissidln Lot no.: (b)Foundation-only permit? ❑Yes .pl rvo Reference: i 2 0 3 31-[(4 1 Taxlot: 0160 ( Total valuation: $Z.000 t eI r ifs$:'°t .y?':FROPERTYb1.OWNEi".irl i '_"n`H;u �p2 Buildiiig fees xx„`, n V-V,1.Ka„ "i a}.°=.:as �+x fluty 5"� . Name: ['ff -- P(l�t3PCR-s , CL Ly (a)Permit fee(use valuation table): $ Address:33 bbl. }}��(( (i\ (b)Investigative fee(equal to[2a]): $ City: n�-[ i(,, Imo/ State: Q ZIP:in 11 (c)Reinspection($ per hour): Phone: 1 1141 1 pc Fax: - - (number of hours x fee per hour) $ E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 1.3 sPlam rev w fees i N 5".e , ii y *', 211 ,7,,f (a)Plan review(65%x permit fee[2a]): $ 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): S me or a member of my immediate family,and is exempt from licensing r -"-+•- W- -s..yr<S : - 9 Mtsc"ellapeous,feesra� ,„, n �. ,.._,, -„ r,�;�-µms, requirements under ORS 701.010. ° (a)Seismic fee, 1%(.01 x permit fee[2a]): $ a:C^`v :"?, CONTRACTOR INSTALLATIONi'"3 A j }I Lam. ,/\ (b)Technology fee,5%(.05 x permit fee[2a]): S Business name:TDS�t&C �> C,(1(1\51 I (/l V1-[(// \ TOTAL fees and surcharges(2e+3c+4a+4b): S Address: 1�1 S [C "(/(\In\ QD 1�( } City: J firm ` 1-( 1 -- State:Q0 I ZIP: L111111 Phone: it _ �sliI'SJk _ _ Cr '\i [p E-mail: —1 �V� S\ • ,o° CCB license no.: 1%t.p 1 l f cl.c--�� nn �yt` le Print name: 5D lA.q 1' P'" 47% Stgnaame \ko, -ettj ._ _. . ;,;',tlf ,,i,ISUBCOfJ7RACTORjINFORM TION VI `V ,. Name CCB License It Phone Number .rl' Electrical - V 1301011i &as Drug CU CIA—ofI'f-(I 80I Mecha cal SAVA 0 kaT 1g011.1 2 §Y1-CS-030?7 • • , SPRINGFIELD_. 225 Fifth St �, > CITY OF SPRINGFIELD Springfield,OR 97477 � ∎.. Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01087 - www.springfield-or.gav permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 06/05/2013 EXPIRES: 12/01/2013 STATUS DATE: 06/05/2013 APPLIED: 05/29/2013 SITE ADDRESS: 378 S 58TH ST,Springfield,OR 97478 SCOPE: Bathroom ASSESOR'S PARCEL NO: 1702334401601 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: PLM-Bathroom addition/remodel OWNER: EHL PROPERTY LLC Phone Number: ADDRESS: 382 S 58TH ST STE B SPRINGFIELD OR 97478 _ CONTRACTOR INFORMATION 1 Contractor Type Contractor Name ' Lic Type Lic No Lic Exp Phone General Contractor JOSHUA DANIEL RAY CCB• 186742 05/15/2015 541-556-3047 Mechanical Contactor JOSHUA DANIEL RAY CCB 186742 05/15/2015 541-556-3047 Plumbing Contractor OREGON CUSTOM PLUMBING INC CCB 191104 06/21/2014 541-434-1146 _ INSPECTIONS REQUIRED Inspections • 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3999 Final Plumbing Final Plumbing: When all plumbing work 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. Own or Contractor Signature -Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility :NOTICE: • in Notification 00 Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952 001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telepf..rrr:: COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. • Center is 1-800-332-2344). Springfield Building Permit 6/5/2013 9:24:27AM Page 1 of 1 • , SPRINGFIELD a CITY OF SPRINGFIELD ' =' t6GDN TRANSACTION RECEIPT 225 Finn R St Spnngfield,OR 97477 541-726-3753 811-SPR2013-01087 www.springfeld-ar.gov 378 S 58TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013001115 RECORD NO:811 SPR2013-01087 DATE:06/05/2013 DESCRIPTION-r; ± v' eihrths' 11".al F " =aACCOUNTCODE/TRANS' o e `,,;>,,—14Ez AMOUNTETIRI Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 38.00 Sink/basin/lavatory 224-00000-425603 1005 21.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 Water closet 224-00000-425603 1005 21.00 TOTAL DUE: 93.60 ragP,AYMENTaTYPE , :-Prallk ASwER NFT Ow S- COMMENTS _ AM—INT,FAID . Check JOSHUA DANIEL RAY - 93.60 1229 TOTAL PAID: 93.60 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Spnngfeld,OR 97477 _ i. Phone 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01086 www.springfield-ar.gov permitcenter @spnngfield-ocgov PROJECT STATUS: Issued ISSUED: 06/05/2013 EXPIRES: 12/01/2013 STATUS DATE: 06/05/2013 APPLIED: 05/29/2013 SITE ADDRESS: 378 S 58TH ST,Springfield,OR 97478 SCOPE: Bathroom ASSESOR'S PARCEL NO: 1702334401601 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: MEC-Bathroom addition/remodel OWNER: EHL PROPERTY LLC Phone Number: ADDRESS: 382 S 58TH ST STE B SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor JOSHUA DANIEL RAY CCB 186742 05/15/2015 541-556-3047 Mechanical Contractor JOSHUA DANIEL RAY CCB 186742 05/15/2015 541-556-3047 Plumbing Contractor OREGON CUSTOM PLUMBING INC COB 191104 06/21/2014 541-434-1146 L INSPECTIONS REQUIRED 11 Inspections • 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: Wien all mechanical work 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. OwnL or Contractor Signature Date ATTENTION: Oregon law requires you to NOTICE: :::2,r1.:; ` 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 obta n copes of the rules by COMMENCED OR IS ABANDONED FOR 0090. You may Note: the teleph•-n: ANY 180 DAY PERIOD. calling the center. lon Utility Netificauon • numberCfenier iOte800 332 2344). Springfield Building Permit 6/5/2013 9:22:13AM Page 1 of 1 SPRINGFIELD---- CITY OF SPRINGFIELD 225 Fifth TRANSACTION RECEIPT Springtield,OR 97477 �'�� 541-726-3753 OREGON 811-SPR2013-01086 www.springfeld-or.gov 378 S 58TH ST pennitcenter @springfeld-or.gov RECEIPT NO: 2013001114' RECORD NO:811SPR2013-01086 DATE:06/05/2013 DESCRIPTION€- `'! m.ik +1-V-`AMOUNTTDUE_`;1 Mechanical Permit fee(based on value of work) 224-00000-425604 1006 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 PAYMENTIrriti . P.AY,OR CASHIER:JLARSON COMMENTS AMOUN�T(FAID Check JOSHUA DANIEL RAY 93.60 1229 TOTAL PAID: 93.60