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Home My WebLink AboutPermit Building 2013-6-24 • SPRINGFIELD--- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 t • Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-01064 www.springfeld-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/24/2013 EXPIRES: 12/20/2013 STATUS DATE: 06/24/2013 APPLIED: 05/24/2013 . SITE ADDRESS: 2080 19TH ST,Springfield,OR 97477 SCOPE: Church ASSESOR'S PARCEL NO: 1703252400100 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: New Life Church interior remodel and partial reroof OWNER: NEW LIFE CENTER FIRST ASSEMBLY OF GOD Phone Number: ADDRESS: 2080 19TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor RITEWAY MAINTENANCE 8 CONSTRUCTION CO CCB 165120 06/08/2015 541-520-9864 Mechanical Contractor J COO INC CCB 169209 05/06/2014 541-746-7065 Plumbing Contractor NORMS PLUMBING LLC CCB 195248 10/19/2013 541-556-7455 INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. 1560 Firestop Assemblies 1800 Emergency Egress Lighting • 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 IoGated. Th r�r to��th8Tyr r ,ao`i.gbe,aABr4�ed set of plans will remain on the site at all times during construction. follow rules adopted by the Oregon Utility . Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- •=>:- OuyO. You the rube by TICE:NO Owner or ContrfiS g tatureenter. (Note: the telephc,59!o Date number for the Oregon Utility Notification THIS PERMIT SHALL EXPIRE IF THE WORK Center is 1-800-332-2344). WTHORIZED UNDER THIS IS NOT '.QMMENCED OR IS ABANDONED PERMIT FOR 120 DAY PERIOD. • Springfield Building Permit 6/24/2013 2:57:35PM Page 1 of 1 • • SPRINGFIELD CITY Or SPRINGFIELD 225 Fifth St StE�oN TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01064 www 99649field-or.gov 2080 19TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013001038 RECORD NO: 811-SPR2013.01064 DATE: 05/24/2013 DESCRIPTION _ __ _;_. ACCOUNT CODE/TRANS CODE _ `=AMOUNT.DUE�I Structural Plan Review Fee Commercial 224-00000-425602 1060 374.85 TOTAL DUE: 374.85 L-PAYMENTTYPE BAYOR CASHIER:osowLsev t COMMENTS_, `.-. '.AMOUNT..PAID Credit Card todd wagner ---------� ----- 374.85 614215 - --"- _ 614215 TOTAL PAID: 374.85 , SPRINGFIELD- CITY OF SPRINGFIELD ,i t xPa,,.- 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR97477 OREGON 541-726-3753 811-SPR2013-01064 www.springfield-or.gay 2080 19TH ST permitcenter @spnngfield-or.gav RECEIPT NO: 2013001334 RECORD NO: 811 SPR2013-01064 DATE:06/24/2013 DESC'IP 10 lg.17'Or. + `,t L 'A'', f`G.C'"- . iis)'ACCOUNT%JDEITRANSa1CO1 :I„n'da,—SA ieti :DU ". Building Permit Fee 224-00000-425602 1002 576.69 Fire, Life, Safety Plan Review 224-00000-425602 1077 230.68 Planning-Minor Review-City 100-00000-425002 1231 119.00 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 305.14 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 625.19 SDC:Total Sewer Administration Fee 719-00000-426604 1175 46.52 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 69.20 Technology fee(5%of permit total) 100-00000-425605 2099 28.83 TOTAL DUE: 2,001.25 F:P.AYMENT,TY W,v�.. P„ATOR I cAS EMIlFa a ra* COMMENTSr W &T fpMOUN3 'ID,a $ i Ij Credit Card NEW LIFE CENTER FIRST ASSEMBL 2,001.25 714200 OF GOD TOTAL PAID: 2,001.25 • i ) _ . Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD,OREGON g - '' 1 Permit no.: 3-010(> 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON Date:Si y r 3 This permit is issued under OAR 918-460-0030. Permits expire if work ii not started within 180 days,6f iss nce or if work is suspended for 180 days. ...,.._.-n_,-sue.v.,e_...,, ..___...- ,...r,az,. ... � a., .LOCAL-GOVERNMENT APPROVAL, Lfi-t_,..,_ l i c, ;, "s� `FEE'"SCHE itiE& v 17.r.a;; This project has final land-use approval. h"ValT`ah oit'tnfma onTIP .c4::' s 5 ,? Sz4 "t Signature: Date: (a)Job description: 2e7,4.L6 A e (_ This project has DEQ approval. Occupancy 3 Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: v (3 Property is within flood plain: ❑Yes ❑No Square feet: PaWi n=-,�„kCATEGORY OE,:dONSTRUCTION;%,;2 :ai Cost per square foot: ❑Residential ❑Government Other information: ,„ J,OB SITE*,INFORMATIONGANDijcoeA ION, '»'!`r :-gf Type of Heat: Job site address: ....-10' a_� /. Energy Path: City: r, _ t0 r rarei _,is1 ZIP ❑new (Ara-Iteration ❑addition Subdivisi.n: Lot no.: (b)Foundation-only pennit? ❑Yes ❑No _ Reference: )70 3 ZS-7 Li}Taxlot: CIO/CSC) Total valuation: I $623 ei C v°' ' .n�,"*;..,5+ ,y "PROPERTY OWNER .tit Qe S .'t `_.f.r Butldin'feest ai 5 1•; s-sue,.. :.;34 c..? w". c..,.?k.n,;,,.a"'�i.. L rs.Lt..� _ ..._.,� g; n_...z�.:4._ .L ,.aY. .. _ _.. �a�'-� ?. atia2 F 4s x... •. Name: .4 is Le..... u+ - 'BSI a- . (a)Permit fee(use valuation table): $ .5--7 f'y Address: e)$O /q 5 . (b)Investigative fee(equal to[2a]): $ City:S ' c.fid, State:(7 I ZIP:97r77 (c)Reinspection(S per hour): Phone: -7 Y6-479 Fax: (number of hours x fee per hour) $ - / (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 4 Z� E-mail: /C. 4Qn ey-t A/Lc r I We' / Cw wl (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application 3 iPlan+review fees a. „i v as$7.1 ss x " ` L' 183 t C�' -C' `/ sc20 --e77/ Q (a)Plan review(65%x permit fee[2a]): . $3 ` Sign het:e �� I (b)Fire and life safety(40%x permit fee[2a]) $?D'.' ❑This installation is being eon residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ me or a member of my i diate family,and is exempt from licensing ,_°4+-Mlseellaneous fees LL:„ S- ,„.7f =, g(.t:'"'',T xi requirements under ORS 701 010 (a)Seismic fee, 1%(.01 x permit fee[2a]): $ rr ` 1CON7RACTOR(INSTALLTION , ' s+wn,iM Z `v (b)Technology fee,5%(.05 x permit fee 2a $ o Business name: e 4-y 4 1 .QLGC2 T` p 541 TOTAL fees and surcharges(2e+3c+4a+4b): Z'Z Address: pneu .7 City: 76a6 2/2 Stated- ZIP:g,7c//r Phone: 3 9f/y Fax: - - E-mail: CCB license no.: /6” S 4.9..C) Print name: ' Signature: r nSUB'rCONTRACTORINFORMATIONs, Name CCB License# Phone Number Electrical Plumbing „ .5-Cif.5-Cif - A/C7Vnt_s F / i4sczY 6 6. - 7vsJ Mechanical .....,k6 16/9aC°11/ 7 96--A5 6.5-