HomeMy WebLinkAboutPermit Building 2013-6-21 SPRINGFIELD 225 Fifth Si
hpCITY OF SPRINGFIELD Springfield,OR 97477
`i Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
. Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01126
www.springfield-or.gov permitcenter @springfield-or.gov '
PROJECT STATUS: Issued' ISSUED: 06/21/2013 EXPIRES: 12/17/2013 •
STATUS DATE: 06/21/2013 APPLIED: 05/31/2013
SITE ADDRESS: 960 16TH ST,Springfield,OR 97477 SCOPE: Tenant Infill
ASSESOR'S PARCEL NO: 1703362204603 • TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Heart Associates Alterations-Third Floor T.I.
OWNER: MCKENZIE MEDICAL LLC Phone Number: •
ADDRESS: 541 WILLAMETTE ST STE 109
EUGENE OR 97401
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor JK GUCKENBERGER ELECTRIC INC CCB 45129 04/24/2014 541-746-4656
Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2013 541-726-0100
General Contractor MEILI CONSTRUCTION CO CCB 63771 01/20/2014 541-065-1417
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.
1710 Fire Sprinklers
1800 Emergency Egress Lighting
•
1999 Final Building Final Building: After all required inspections have been requested and approved and
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the building is complete.
. 1600 Ceiling Grid S Ceiling Grid: After drywall approval but prior to cover.
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 certifyhtht,any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of'the\StateY Oregon pertaining to the work described herein,and that NO
OCCUPANCY will be made of any structure wlthhout'permisstonlotlhe Community Services Division, Building Safety. I further
certify that only contractors ant1employees'who are'inPdompliance,�//ith ORS 701.005 will be used on this project. I further agree
v1 1s�- nro� cYl
to ensure that all requite(��kpec�;ns S��eques;ed.atMeetpFoper time,that each address is readable from the street, that the
permit card is locatetdiae the:fr nt ofdhe property?and,the approved et of plans will remain on the site at all times during,,:-r•construction. o\\O4N\poGeV.�0,3��°°c`e tre\.eWy.°aC,°1� NOL•
Not` • s' ay pea, IN°��i\1ky 3AA� tN� SN��
x pen
U e le. pCe9° .3322 6/G /r,CY 0\1 14\-
;c\o`a c1''. Vv.. 0--\' N\Se N&pF
Owner or Contractor natt{re'° et vs Date ,``C)V. \-\S\'` 0� I( PN 0 Ge @k,dd\SQtt; p\)oP $F.,
�P -\\\0�NC•i QkR\gyp.
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Springfield Building Permit 6/21/2013 2:39:00PM Page 1 of 1
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SPRINGFIELD -- CITY OF SPRINGFIELD
`a, -.cam..., 225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
541-726-3753
OREGON 811-SPR2013-01126
www.spnngfieldar.gov 960 16TH ST permitcenter@spnngfield-or.gov
RECEIPT NO: 201 3001 31 5 RECORD NO:811SPR2013-01126 DATE:06/21/2013
. a 'F" .:_`. , s '_ .-:.:;_��...,.' ' :> PCODE!T...NSrCODE.re. b ,r,AMOUN] , _ ]
Building Permit Fee 224-00000-425602 1002 1,637.80
Fire, Life, Safety Plan Review 224-00000-425602 1077 655.12
Planning-Minor Review-City 100-00000-425002 1231 119.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 196.54
Technology fee(5%of permit total) 100-00000-425605 2099 81.89
TOTAL DUE: 2,690.35
PAYMENT-*PE - PAYbR cnsHlE'"R°�DeoWLSev : COMMENTS ' �AMOUNTPAID�,�'-4'°°ed
Credit Card nathan philips 2,690.35
01243g
TOTAL PAID: 2,690.35
SPRINGFIELD-- - CITY OF SPRINGFIELD
a ^- _ 225 Fifth St
tOREGON TRANSACTION RECEIPT Spnngleld,OR 97477
t. 541-726-3753
•
811-SPR2013-01126
www.spnngfeld-or.gov 960 16TH ST permitcenter®spnngfteld-or gov
RECEIPT NO: 2013001078 RECORD NO:811-SPR2013-01126 DATE:05/31/2013
.:*.1 . y__ ' '_ ACCOUNTTCODE TRANS,CODEA ' - .:,,AMOUNT=DUE-.
Structural Plan Review Fee Commercial 224-00000-425602 1060 1,064.57
TOTAL DUE: 1,064.57
PAYMENT-MEE PYO .cASHIER:,OBE N S A AMO
Credit Card gma architects 1,064.57
003502 .
TOTAL PAID: 1,064.57
•
•
1
Structural Permit Application SPRIN;FII LD DEPARTMENTjUSE ONLYr
CITY OF SPRINGFIELD, OREGON 2?% Permit no S/ 0�'Z6
OREGON
225 Fifth Street♦Springfield,OR 97477♦PH(541)726-3753♦FAX(541)726-3689
Date: 5/3/3
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days oE'issuance or if work is
suspended for 180 days.
`°L), k...... »...........«........ ..nm.e. . „.,. st^ .?:. vP Y2 1 Y ... :sm T }Y^S'...t11W Y'S'.
��'';`�,�:�� _; LOCAL`r GOVERNMENT-;APP,ROVAL�> ,v;�.�,��'. µ;_.,,,_F�v.��+_�,,yr.FEE SCHEDULE„�-r„� ,�,_,,.,��i.�”?
This project has final land-use approval. 1_Ual atfon information TTx ..,e -iks, Myr'-'• :;err'-?,j
Signature: Date: (a)Job description: �y. 7, p /
This project has DEQ approval. . Occupancy
•Signature: Date:
Zoning approval verified: ❑Yes ❑No Construction type: V
Property is within flood plain: ❑Yes ❑No . ' Square feet:
2 a <'a;. ,y°'._W6 i ...,,.ss.._ _° riti '�." #� Cost per square foot
k3r'tL�_ a�•i�,�GATEGORY�OF.,vCONSTRUQTION� ,,, ,,z ,„ P sq
❑Residential ❑Government commercial Other information:
°�t)d,r% a'JOB SITE INFORMATION�;'AND�jLOCATION_Q„� `t n-°k; Type of Heat:
Job site address: 4" / - , 6 �� , �/ -/;• Energy Path:
City: 4(5 � RlltD (�(,C> State: op_. ZIP:17447 0 new 'alteration ❑addition -
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes V'No Sod le-
Reference: 703 ZZ Taxlot: oy603 Total valuation: $
�'" a-` ct'r^fx . ,� .°"`ist?-6 .ry �.' .-...;.. i TY2 °ikrfeei _`F'E`='C' 2 7,=:M ....v,tr-& .Fr s
a�o-. ._xe=--'°,�x._i.:..PROPE�R,T{Y�Z..OWNER:T".x^' .,���:��,„ ..�.. u2 Builtling;fees�`�� .t-s-r.�.-*....Nk x?.....�w,. '_�31
Name: L oe felov tr`Q IGAI (.L,�i (a)Permit fee(use valuation table): $ /G037�
Address: S4( -(,Villa 51(e' 101 (b)Investigative fee(equal to[2a]): $
City: S State: 4012- ZIP:' 7, 3 (c)Reinspection(S per hour): $
Phone: pl 4'%. leo Fax: - - (number of hours x fee per hour)
•E-mail:
(d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ /96 SL
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: -3 Plan 4eview fees ' T°' * a n .''Y s ,.I$2.1 "r'V
/ i (a)Plan review(65%x permit fee[2a]): $ /b 6 y
Sign a ._ -... P (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 '4 Mtscellaous fees a",1 x 1cf° ' '.. ,xyt`s s—^,r,3_a'.
requirements under ORS 701.010.
i (a)Seismic fee, I%(.Ol x permit fee[2a]): $
`[L obliff ACTORrINelitr TION!.. 71": ,r -,,�..;, °
(b)Technology fee,5%(.05 x permit fee[2a]): $
Business name: {l[ j(„( (t)/Y$i/l.tn G i t•%:v7 TOTAL fees and surcharges(2e+3c+4a+4b): $
Address: /01-ni✓ /40et7✓ JT
-
City: 6744 State: ZIP: ' '79 2-
Phone: - - - Fax: - -
E-mail:
CCB license no.: v 3 77
Print name:
Signature:
gswofiNSOB;CONTRACTOR:,INFORMATIONWarett_ -
Name CCB License# Phone Number
Electrical
nG Cr
Plumbing
Mechanical _