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Home My WebLink AboutPermit Miscellaneous 2013-6-28 SPRINGFIELD - 225 Fifth St ` = t CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00876 www.springfield-or.gov permitcenter @springfieltl-or.gav PROJECT STATUS: Issued ISSUED: 06/28/2013 EXPIRES: 12/24/2013 STATUS DATE: 06/28/2013 APPLIED: 05/02/2013 SITE ADDRESS: 1501 MOHAWK BLVD,Springfield,OR 97477 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1703253404401 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Bathroom area and smoking patio addition OWNER: MIT PROPERTIES LLC Phone Number: ADDRESS: PO BOX 214 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor FM SHEET METAL INC CCB 89710 03/15/2015 541-726-3000 INSPECTIONS REQUIRED Inspections 1020 Zoning/setbacks 1059 Final Paving Final Paving: After paving is complete. 1070 Parking Lot 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor Insulation 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1530 Exterior Shearwall 1620 Roofing Roofing. Prior to installing any roof covering. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 1920 Miscellaneous Building 1996 Final Inspection—Planning ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility '00183d 21V0 OR l ANA' Notification Center. Those rules are set forth 1:10d 03N00NVEIV SI 80 030N3W1100 in OAR 952-001-0010 through OAR 952-001. ION SI .I1N113d 911-11 830Nl 03ZIHOH111V 0090. You may obtain copies of the rules by NUOM MIL dl 3HIdX311VHS 111/1183d SIH" calling the center. (Note: the telephci e number for the Oregon Utility Notification :33110N Center is 1-800-332-2344), Springfield Building Permit 6/28/2013 3:03:41PM Page 1 of 2 SPRINGFIELD - 225 Fifth St hrs. CITY OF SPRINGFIELD Springfeld,OR 97477 a Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00876 www.springfield-or.gov permitcenter@springfield-or.gov 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. , 00o<3 Owner or ontrac r Signature v// Date • • Springfield Building Permit 6/28/2013 3:03:41PM Page 2 of 2 SPRINGFIELD CITY OF SPRINGFIELD r .. ....:. - 225 Fifth St ``OREGON TRANSACTION RECEIPT Springfieltl,OR 97477 541-726-3753 811-S P R2013-00876 www.springfield-or.gov 1501 MOHAWK BLVD permitcenter @springfield-or.gov RECEIPT NO: 2013001391 RECORD NO:811-SPR2013-00876 DATE:06/28/2013 ;DESCRIPTION_,. .._ __,r .. IL -- _- _ _'_ :! ACCOUNT CODE/TRANS CODE ;_. . .AMOUNT DUE -_; Building Permit Fee 224-00000-425602 1002 418.46 Building Without Structural Permit Penalty 224-00000-425602 1002 418.46 Fire, Life, Safety Plan Review 224-00000-425602 1077 167.38 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 33.38 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 6.79 SDC: Improvement-Transportation SDC 447-00000-448027 1174 2,971.53 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 169.52 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 418.29 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 815.30 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 347.33 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 32.51 SDC:Total Sewer Administration Fee 719-00000-426604 1175 25.84 SDC:Total Transportation Administration Fee 719-00000-426604 1190 189.34 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 50.22 Technology fee(5%of permit total) 100-00000-425605 2099 20.92 TOTAL DUE: 6,085.27 ' PAYMENT TYPE ,r PAYOR` CASHIER:JLARSON4 j-, 1- <COMMENTS .- AMOUNT PAID Check Fluke Enterprises Bathroom and smoking addition 6,085.27 1017 TOTAL PAID: 6,085.27 Structural Permit Application SPRINGFIELD - DEPARTMENTUSE ONLY;,;: CITY OF SPRINGFIELD, OREGON permit n6 3_ 8 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 'r OREGON Date: 9 S� i3 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days o tssu nce or if work is suspended for 180 days. lieMnLOCALs;GOVERNMENTAPP,ROVAL ; nfa�,�?'v :1: -..t.= This project has final land-use approval. 1T Val atioo mfor atio'j`" , .;}a4. Signature: Date: (a)Job description:3rprittoork ItiteA-1 critic .HIVc 1'Pfi10 This project has DEQ approval. Occupancy pit, vtbP)TtOr) Signature: Date: DD�t Zoning approval verified: ❑Yes ❑No Construction type:.9/� Property is within flood plain: ❑Yes ❑No Square feet: V ii4,,,:... CATEGORY70F„.CONSTRUCTION `_{c, 'w? Cost per square foot ❑Residential ❑Government �f Commercial Other information: ME I; Type of Heat: Job site address: 15O\ )-lo W`L 'QLVD , Energy Path: City: ScC-I�jRI,p I State: 0Z ZIP: 9 7477 ❑new ❑alteration addition Subdivision: �J �y�/ Lot no.: 1� (b)Foundation-only permit? ❑Yes No Reference:) 703 753 9 Taxlot 0 yqo/ Total valuation: $3g( .;;T 5. s„PROPERTYrgQWNERk latMT- i. riP Build g fees •. �-f`? a . r, u ; .' . Name:Tjpp,ilpA nMt std (a)Permit fee(use valuation table): S L//r`?---e Address: 170 I Nn Itkwr 54 eft"). (b)Investigative fee(equal to[2a]): $ City: j 'fit p State:of ZIP: cj 7y77 (c)Reinspection($ per hour): Phone: 5-y1-7/7 -Tza 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): $ Building Owner or Owner's agent auuttt}oruing this application: 3 +Plan+review fees - 7f ,,.¢ *; > _ r �s:? (a)Plan review(65%x permit fee[2a]): - s Z�7"J Sign here: `` JC ��1 C.,gp (b)Fire and life safety(40%x permit fee[2a]): S ild ❑This ins ati is eing made on residemi. • '•rm property owned by (c)Subtotal of fees above(3a and 3W: S me or a member of my immediate fermi] exempt from licensing ;°'4 Miscella eous,fees` y..,-t ..a_."'_'_ `i,..s -,r' ,3.a 3cr` : requirements under ORS 701.010. _,-_m (a)Seismic fee, 1%(.01 x permit fee[2a]): $ "1.;; a!-•_ r`3CONTRACTOR IIJSTALLATloC11 y,,,4, , of o U jr (b)Technology fee,5/(.05 x permit fee[2a]): $ (� Business name: E.1,-,, 5wef--Me-M TOTAL fees and surcharges(2e+3c+4a+4b): 5/Me 3� Address: pa, `7`cIE.C(s.y 5-, City: 4p LO • ( Stater;j - ZIP: 0171(7) Phonefjmt/ - 7l'G - 30t0 I Fax: - - E-mail: CCB license no.: ,0/9-7 i Q - Print name:3vz F- 0,2 tJ✓,7 Signatur�° �7 - - i� al fi' !„r_k�ONTRACTO FORMATION r, m it. Name CCB License# Phone Number Electrical Plumbing Mechanical