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HomeMy WebLinkAboutPermit Building 2013-7-10 • • SPRINGFIELD- 225 Fifth St CITY 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-SPR2013-01569 www.springfieldor.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/10/2013 EXPIRES: 01/05/2014 STATUS DATE: 07/10/2013 APPLIED: 07/10/2013 SITE ADDRESS: 5727 MAIN ST,Springfield,OR 97478 SCOPE: Restaurant ASSESOR'S PARCEL NO: • 1702334400800 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: interior remodel OWNER: MCKENZIE CROSSING PARTNERSHIP LTD Phone Number: ADDRESS: 2811 EST STE B • EUREKA CA 95501 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone p f-Jhz✓ INSPECTIONS REQUIRED • Inspections • 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1430 Insulation Wall Wall Insulation: Prior to cover. 1520 Interior Shearwall Shear Wall Nailing: Before covering sheathing with finish materials. 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. 1550 Firewall Firewall: Located and constructed according to plans. 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 t - front of the property, and the approved set of plans will remain on the site at all times during construction. —. e FM lt��n law requires you to 7-7 D — /3- Owrf6rl6}1'ESntradtorSigna°tueb�/the regonU[nity NOTICE: Notification Center. I hose rules are set forth Date in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the teleph:Atc, COMMENCED OR IS ABANDONED FOR • • number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). . • Springfield Building Permit 7/10/2013 8:43:00AM • Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD .. . 225 Fiflh St `"i \`OREGON TRANSACTION RECEIPT Springth St 97477 541-726-3753 811-SPR2013-01569 www.springfieltlor.gov 5727 MAIN ST permitcenter©springfeld-or.gov RECEIPT NO: 2013001475 RECORD NO:811-SPR2013-01569 DATE:07/10/2013 Ati 'Lo3:wa si avy t., , ";$rr,;; , yr, ; f eir ;l;i1 q ACCOUNT CODE/TRANS CODE:L:2[14.kS>.'Y'AMOUNTIDUE`. Building Permit Fee 224-00000-425602 1002 90.33 State of Oregon Surcharge(12%of applicable fees) - 821-00000-215004 1099 10.84 Technology fee(5%of permit total) 100-00000-425605 2099 4.52 TOTAL DUE: 105.69 "'TIIIE • _; t.- ,AMOUNT'PAID"; --'SP•YMENTATYPE.IC,.-.t�`P•YOR''�;:casNi�"Ea"'-.r"urisOr+=` ;�.=j.��"COMMENTS �'`..-�� .�_. _�,. .. _ r: 41 Credit Card Robert Reygers 105.69 04527D TOTAL PAID: 105.69 • t . Structural Permit Application SPRINGFIELD . t DE _RTMENT USE w. . CITY OF SPRINGFIELD,OREGON ` ' 3?,. ' Permit o •225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON . ,/ s,Dira i 3 _ /5 6? Date: 7(4,/4,( 7 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 7;.,; 1 ,rLOCAL;-GOVERNMENT'APPROVAL'!�` s" -1 ` ` '-7y --� 4' 4, r FEE SHEDI.1LEi "x anr Et This project has final l and-use approval 1 Valuatro'u mformation +I "'3v`x'G _.1n ix,.�.x.. a �"� x�� 'fix; Signature: Date: a Job description: This project has DEQ approval. O p aWav6 us of_ „,,,AI cc- 40,u ic ,Qr WAI( Signature: Date: Occupancy 1-le U—S\-ro4}Vrr_q Zoning approval verified: ❑Yes ❑No Construction type:Property is within flood plain: ❑Yes ❑No Square feet: is t,.,„,raCATEGORY+O ream STRUCTION-t. tt'4 (ems-;; Cost per square foot: ❑Residential ❑Government Commercial Other information: `!s Vcµe JOB, SITE',INFORMATION'AND;LOCATION t w Type of Heat: Job site address:S 7 7 7 /t4 Abu Sr. Energy Path: City: Seri utcE(d State: 0e. ZIP/74 7$ ❑new Dalteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: Taxlot: Total valuation:%Soo O $ '.rptt1 ,::'SSxd, � :�Pi;OPERT,Y.1:�OWNER,g ,U - ''x"u �'$is..€r Y,- .-.:.:7-- _,a . �, w , t a .: a v- :as .„r,.,a,.r_�. +h-+1..,,i�u ..., cw...E„�.:r_._..�,.._ r2..Budduig;fees �.7 � a�;.,,��+. _ _ mac. tw..-.:..a Name: (a)Permit fee(use valuation table): $ Address: (b)Investigative fee(equal to[2a]): $ City: State: ZIP: (c)Reinspection($ per hour): (number of hours x fee per hour) $ Phone: Fax: - - 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 authorizing this application 31 Plan review fees itFt1f1J a"iPf 3„„, ' :;gt,, ,, ,M;;; (a)Plan review(65%x permit fee[2a]): - $ Sign here: ,/fir (b)Fire and life safety(40%x permit fee[2a]): $ E This iasta a on /•eing 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 Mlscell`aueous'fees u, 4_, 'r x-,,,,! ... ._,-sr ,__.,. ... - �. i ts:.. -,iii requirements under ORS 701.010. 1%(a)Seismic fee, 1/(.01 x permit fee[2a]): $ ;,, ,,,,,,1„d ;;' C TRACTOR INSTALLATION`z-"m---„ ,r.rt'`.,,,r 11 ^` (b)Technology fee,5%(.05 x permit fee[2a]): $ Business name: 1 CQL ,�t a-1 �..Si. , 6� TOTAL fees and surcharges(2e+3c+4a+4b): $le-,15- %S Address:7j , n.'3r,-, 2633 C. &.JCi . ant. ql'(o 2_ • City: 6iri, State:ot ZIP:S1y.oi Phone:.11 S2-I -<-I o$ Fax: St#.I -Cots 3-2584 E-mail:rash Qq( C --.,.yct 0 CO Al S`Puc¼ .s.Cow CCB license no.: I C.C.,531 ctk Print name: flog &yC.6/4f Signature✓ r-'''. / _ - „ n x ' / , OR,'1NFORM6TION ,y,,,_ „ Name CCB License# Phone Number Electrical Plumbing Mechanical •