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Home My WebLink AboutPermit Building 2013-6-19 SPRINGFIELD 225 Fifth St st ,, .;. CITY OF SPRINGFIELD springfeld,OR 97477 : ' t Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01319 www.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 06/19/2013 EXPIRES: 12/15/2013 STATUS DATE: 06/19/2013 APPLIED: 06/19/2013 SITE ADDRESS: 1040 SHELLEY ST,STE#A,Springfield,OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703270000902 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Minor interior modification, remove and cap fixtures in one bathroom. OWNER: TURTLE MOUNTAIN LLC - Phone Number ADDRESS: PO BOX 21938 EUGENE OR 97402 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ORDELL CONSTRUCTION LLC CCB 177132 07/05/2013 541-747-8734 L. 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. 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. . i Owner or Contractor Signature Date . NOTICE: • THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law.requires you to AUTHORIZED UNDER THIS PERMIT IS NOT follow rules adopted by the Oregon Utility Notification Ceter. Those rules are set fort COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the teleph :ir3 • number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 6/19/2013 9:52:15AM Page 1 of 1 . • SPRINGFIELD -- • CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 rx' :OREGON 541-726-3753 811-SPR2013-01319 www.spnngfeldor.gov 1040 SHELLEY ST, STE A permitcenter @spnngneldor.gov RECEIPT NO: 2013001264 RECORD NO:811SPR2013-01319 DATE:06/19/2013 j LgigtI:.1&I (._r� Y- Y _ni e : $ 1° °ACCOUNTTCODE/TRANSiCODE,� 3:4411AMOUNT Building Permit Fee 224-00000-425602 1002 214.24 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 25.71 Technology fee(5%of permit total) 100-00000-425605 2099 10.71 TOTAL DUE: 250.66 PAYMENT TYPE 13Wa CkWI-g CCCARPENTER COMMEN'— AMOUNTjPAID Credit Card TURTLE MOUNTAIN LLC 250.66 001779 TOTAL PAID: 250.66 Structural Permit Application SPRINGFIELD DEPARTMENTtUSE ONLYa CITY•OF SPRINGFIELD:OREGON % Permit no S/3_ /71? 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON Date: Z //y /� This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuanc or if work is suspended for 180 days. ;3 ,1:;,, ALOCAL''?GOVERNMENTf°AFFROVAEir o ,;; "',w'� ,�`??�, ,;,, FEE'SCHEDULE;,- ,,,,s,�:�' •„ "' ,u"°; This project has final land-use approval. -r rafjo.- P J PP 1 Valuahqu= Signature: Date: (a)Job description: /P "y1-tent_. /•loJ This project has DEQ approval Occupancy/7 S Signature: - Date: Zoning approval verified: ❑Yes ❑No Construction type: Y'7 Property is within flood plain: ❑Yes ❑No Square feet: );_ifjc; :'VCA'TEGORiibif:CONSTRUCTION 1 s?— ^,.M 'i; Cost per square foot: ❑Residential ❑Government RI Commercial Other information: ki ;"t` iOB,SITE,`rINFORMA/TIONaANO]LOCATION,*J*,:g.�; + Type of Beat: • Job site address: /CQ'o £/. //, $T Energy Path: City: ..92c ✓14.r/d }I State: C)/C' ZIPG!')`r7 ❑new alteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: Taxlot: Total valuation: $ 75Z00 0 t'`'y taffl LL'-r..;. IPROPERTY JOWNER v r f Z - Y : ;'' s ""ct{.?r�, titg.ix,;. ' ..,.r ;,2 Buddwg;dees�•. .x n=�: ..� ,..�: ' . ..,:jam�y.x i Name: /V] a.*{y �n hZ.r,y�-�;r/' l p7n'-/ - 5 (a)Permit fee(use valuation table): $2_C 2;1- Address: 76 /&"-A T k/ /00 ) -/ (b)Investigative fee(equal to[2a]): $ City: Ce z..-. • • State:oc . ZIpc7?Vc r (c)Reinspection(S per hour): Phone: 5/-4/te/-7//Z Fax:67/-q67 7/6-? (number of hours x fee per hour) $ E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 2 S 7/ (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3 Plan[ev ew fees °„°"qP Q y;.,* ' a 32 t (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): $ me or a member of my immediate family,and is exempt from licensing requirements under ORS 701 010 - - > + � `" CONTRACTOR"41NSTALLATION� .-%`'�..` t",`� '?,•� (a)Seismic fee, 1%(.01 x permit fee[2a]): $ ;ry. ,,,gyp, . R°a ",� Y'x". .,6.r,_ (b)Technology fee,5%(.05 x permit fee[2a]): $ /221 Business name: C i /q : SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477' Phone: 541-726-3753 '4' 'OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01320 www.springfeld-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/19/2013 EXPIRES: 12/15/2013 STATUS DATE: 06/19/2013 APPLIED: 06/19/2013 • • SITE ADDRESS: 1040 SHELLEY ST,STE#A,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703270000902 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Remove and cap 3 fixtures: 2 sinks and 1 water closet OWNER: TURTLE MOUNTAIN LLC Phone Number: ADDRESS: PO BOX 21938 EUGENE OR 97402 L CONTRACTOR INFORMATION I Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor KEVIN COHEN PLUMBING INC CCB 176311 05/30/2015 541-607-9208 General Contractor ORDELL CONSTRUCTION LLC CCB 177132 07/05/2013 541-747-8734 L INSPECTIONS REQUIRED Inspections 3810 Fixture Cap 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. • caner ontract ignature • Date NOTICE; ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. '(Note: the telephc.:;r number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit - 6/19/2013 9:51:01AM Page 1 of 1 • • SPRINGFIELD -- CITY OF SPRINGFIELD -smw... 225 Fifth St ,�,� TRANSACTION RECEIPT Springfield,OR 97477 4. t, 541-726-3753 811-SPR2013-01320 www.spdngfield-or.gov 1040 SHELLEY ST. STE A permitc enter(dspringfield-ar.gav RECEIPT NO: 2013001265 RECORD NO:811-SPR2013-01320 DATE:06/19/2013 - ON r e tr t:lailils'., ' t1it:Eil _ t.ACCOUNT CODE/TRANS CODE 1:'' f`r AMOUNTi'DUE VI Minimum Plumbing Fee(Three or Fewer Fixtures) 224-00000-425603 1057 - 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 P,AYMMENTo1:Y,P.E I PAYOR AsHH ccARPENTER COMMENTS r ?MOONT�P,AID�' Credit Card TURTLE MOUNTAIN LLC 93.60 001779 TOTAL PAID: 93.60 Plumbing Permit Application DEPARTMENT USE ONLY ?Ey. . "5a ,yam SPHINGGIELp ;,` CITY OF:SPR NGFIEED;OREGON ' Permit no.: 3/3 —A120 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: 9/7// 3 This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ::LOCAL GOVERNMENT APPROVAL [,,, % ^_ „r, ;, 't:: ',l'EEE',SCHEDUL'E?, :; . r.i " ta':� Zoning approval verified? ❑ Yes ❑No `bescrlptloii ` k r tatys ;`eat'' 'cdstl Sanitation approval verified? ❑ Yes esiden a x _. ❑No New residential ' t'CATEGORY'OF"CO- NSTRUCTION r t5 x„-,.^ I bathroom/I kitchen(includes:first ❑Residential ❑ Government r-Cbmmercial 100 feet maker,water/sewer lines, hose $262.00 $ _ bibs, ice maker, underfloor low-point y JOBzSITE',INFORMATION. AND LOCATION;Rtti drains and rain-drain packages) lob site address: /0 2-/Q S/42Si/ 2 bathrooms/1 kitchen $411.00 $ 3 bathrooms/1 kitchen $483.00 $ City: State: ZIP: Each additional bathroom(over 3) $104.50 $ Reference: Taxlot.: Each additional kitchen(over I) $104.50 $ t°l;;"fir,,' , '' tig(DESCRIPTION 'OF •,WORK l,r; *u'` .`?" Residential fire sprinklers(includes plan review) ahl-vVt/L6bP z .fl I`- /C.j / G,J,C, 0 to 2,000 square feet $80.00 $ 2,001 to 3,600 square feet $128.00 $ :, ' `;'' PROPERTY OWNER ," MA`'pFfr r"4° 3,601 to 7,200 square feet $192.00 $ Name: // ("4„.7 7,201 square feet and greater $255.00 $ �.t, Manufactured dwelling or pre-tab(circle one) Address: , 7/, 7UT tilt `rr J Connections to building sewer and water supply $80.00 $ City: C _� Stated 2 ZIP:Cr VD J Gc'y - - Commercial,industrial,and dwellings other than one-or Phone: - - Fax: - - two-family _ E-mail: - Minimum fee $80.00 $ This installation is being made on residential or farm property Each fixture $21.00 $ 1 owned by me or a member of my immediate family,and is Miscellaneous fees exempt from licensing requirements under OAR 918-695-0020. 100' storm,sewer,water line C,^-�� -$83.50 $ Signature: Each fixture,appurtenance,and piping �3, 1 $21.00 $ `>'+' ° ! ,CONTRACTOR.'INSTALLATION ";','amen" Storm water retention/detention facility $21.00 $ Business name: /f--s�1 �� r�� H--,__-_____ Irrigation systems $21.00 $ Piping or private storm drainage Address: systems exceeding the first 100 feet $21.00 $ City: State: ZIP: Specialty fixtures $21.00 $ Reinspection(no.of hrs.x fee per hr.) $80.00 $ Phone: - Fax: - - Special requested inspections(no.of E-mail: hrs.x fee per hr.) $80.00 $ CCB license no.: BCD license no.: • Each additional inspection:(1) $80.00 $ g 10 / nMedtcal;gas ptpmgb4 'e vrc,"l - ' Minimum fee $ Plumbing license no.: �� 3 / Print name: Enter value of installation and equipment$ . Enter fee based on installation and equipment value. $ Signature: 5 dr „ 7AppLICANEA USE v3 (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) W' (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ 9/e//? (D)Technology Fee(5%of[A]) $ L(b) TOTAL fees and surcharges(A through D): $ G,�/a'0 440-2500-1(4/12013/COM)