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Home My WebLink AboutPermit Miscellaneous 2013-6-6 • 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-SPR2013-01176 www.springfield-or.gov permitcenter @springfield-ocgov PROJECT STATUS: Issued ISSUED: 06/06/2013 EXPIRES: 12/02/2013 STATUS DATE: 06/06/2013 APPLIED: 06/06/2013 SITE ADDRESS: 1550 42ND ST,Springfield,OR 97477 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1702300000403 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Accessible ramp and parking spaces OWNER: RAINBOW WATER DISTRICT Phone Number: ADDRESS: PO BOX 8 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED - Inspections 1070 Parking Lot 1150 Slab/Flatwork Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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 constr ction. Aria ! 1-I .L 62/6723/ ,�O Owner or Contractor Signature Date AVIV Oregon law requires you to Ki ATTENTION: Oreg the Oregon Utility I follow rules adopted by IQT `3. In OAR 952-001 0010 through OAR 952 00 h rrrrr*f' 0090. You may obtain cop ies of the rules by TH RMIT SHALL EXPIRE IF THE WORK ;' calling the center. (Note: the telephTy HORIZED UNDER THIS PERMIT IS NOT • number for the Oregon Utility Notiilcatlon r COMMENCED OR IS ABANDONED FOR . .a:•` Ge ehr is 1 800-332 23Noli ANY 180 DAY PERIOD. • /7711• Springfield Building Permit 6/6/2013 10:16:12AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St " t0 EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01176 www.springfield-ocgov 1550 42ND ST permitcenter @Springfield-ar.gov RECEIPT NO: 2013001136 RECORD NO:811-SPR2013-01176 DATE:06/06/2013 DESCRIPTION . F1,5=t..,.r farla •.»n«.^'ACCOUNT CODE/TRANS CODE_ ->;atr_'AMOUNTDUE1:1 Building Permit Fee 224-00000-425602 1002 121.30 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 14.56 Technology fee(5%of permit total) 100-00000-425605 2099 . 6.07 TOTAL DUE: 141.93 SPA ' ?'., `:P.AYOR'•'-,.CASHIER ccARPENTER:2 COMMENTS- -`! ? :.,-s r z.n?..AMOUNT PAID . .:4:i;; Credit Card Anne Delaney 141.93 04320g TOTAL PAID: 141.93 • • • • • • • S Structural Permit Application SPRAIN� �GFIELD DEPARTMENT USE ONLY CITY UP SPRINGFIELD; OREGON \ S`/3r //7� Permit no.: 225 Fifth Street•Springfield,OR 97477•PH(54I)726-3753•FAX(541)726.3689 OMEGON Date: / .7:e v j 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. 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 1.Valuation information • CATEGORY OF CONSTRUCTION (a)Job description: he-cerI?Cur 4.a rti.P L Minted"- ❑Residential I ❑Government I X'Commereial Occupancy '3 JOB SITE INFORMATION AND LOCATION - Constructiontype:dl3 Job site address: /550 14. 42MV �ET ; Square feet: City: 51.10,46 FIELD• I State: ZIP: 974'11 Cost per square foot: Subdivision: Lot no.: am---4 Other information: Reference: 1/o23006 I Taxlot: 't(A Type of Heat: PROPERTY OWNER Energy Path: Name: RA woad) t uevre. b/STKiCr ❑new alcration ❑addition Address:1550 4ZArb S1RE'er (b)Foundation-only permit? ❑Yes ❑No City: SPR/NSFJE)-D State: OR ZIP:¶7/71 Total valuation: $ Phone:5111-70-141(o Fax: 541447- pVIG 2.Building fees E-mail: 0.HfietrmidonLtnt .net -- j (a)Permit fee(use valuation table): $ j Z r f- Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $ (c)Reinspection($ per hour): (number of hours x fee per hour) Sign here: --- (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 2 Y r 6 ❑This installation is bei.g ma.• on residential or farm property owned by me or a member of my i mech. e family,and is exempt from licensing (e)Subtotal of fees above(2a through 2d): S requirements under OR' I •10. 3.Plan review fees • CONTRACTOR INSTALLATION (a)Plan review(65%x permit fee[2a]): $ Business name: 7-23/) (b)Fire and life safety(40%x permit fee[2a]): $ Address: (c)Subtotal of fees above(3a and 3b): $ City: State: I ZIP: 4.Miscellaneous fees Phone: - - Fax: - - (a)Seismic fee, 1%(.01 x permit fee[2a]): $ E-mail: (b)Technology fee,5%(.05 x permit fee[2a]): $6 o7 CCB license no.: TOTAL fees and surcharges(2e+3c+4a+4b): $rite s7 _ Print name: Signature: SUB-CONTRACTOR INFORMATION Name CCB License# Phone Number Electrical ;City of Springfield SPRINGFIELD Development Services Department 225 Fifth Street Springfield, OR 97477 hit Planning Division Information Sheet for Building Permits Commercial/Industrial/Multi-Family Residential The Planning Division requires the following information for all building permit submittals on properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial, including new construction, expansions, and changes of use. New construction, expansions, and changes of use to any building, parking, or development area in these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100) or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review (SDC 3.3-100) may also be required, depending on the site. NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building Permit, Police or other permit approvals or inspections are not Planning approval. Required Project Information rt-� (Applicant: complete this section) Applicant Name: JAM(l: Poff.Th1, Phone: 5-f I- 746-167Io Company: mthritao Wk1 rD/S712(U' Fax: 54II- 147-0845 Address: (55b N 420 Sitteer SPRIN6F! 1 D 9?q17 ASSESSOR'S MAP NO: ( 10ZSoco I TAX LOT NO(S): 4Db Property Address: /550 42t413 sz 'r SfRAMIFlE[.1), Olt 11477 - Description of the proposed work to be completed under this building permit: smiterRavr coo& REP&4cENe4 r, F4RKjN61 5TR1 PUf4, INbfr74tfiMon/ OF (4,ii r) . RAMP .ATFitoNTE rney Has this development proposal been reviewed by the Planning Division through an application process (i.e. MDS or Site Plan Review)? ❑ Yes No If yes, Case #: If no, is this a change in use? ❑ Yes 4 No Prior Approved Use: Proposed Use: Does the use necessitate the use of any chemicals or substances that • re hazardous or re• uire Material Safet and Data Sheets MSDS to be ke.t on site? Yes • No Required Property Information (City Intake Staff: complete this section) Zoning: TOTZ: Overlay(s): The proposed project requires submittal and approval of the following Planning application prior to building permit approval: ❑ DWP Overlay District Development ❑ Statement Letter Regarding DWP Exemption ❑ MDS ❑ MDS Land Use Compatibility Statement ❑ Site Plan Review ❑ Other: Reviewed by: Date: