HomeMy WebLinkAboutPermit Miscellaneous 2013-7-22 SPRINGFIELD 225 Fifth St
ft CITY OF SPRINGFIELD
Springfield,OR 97477
`� Phone: 541-726-3753
III����"'___ .OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01402
www.springfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/22/2013 EXPIRES: 01/17/2014
STATUS DATE: 07122/2013 APPLIED: 06/26/2013
SITE ADDRESS: 3500 E 17TH AVE, Eugene,OR 97403 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703343400301 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Pallet storage racks for(mostly)non combustible storage
OWNER: LANE TRANSIT DISTRICT Phone Number:
ADDRESS: PO BOX 7070 J\'t•
SPRINGFIELD OR 97475 .6'.\\l\\\ \"C"\
S C cgnh.,#"„CONTRACTOR INFORMATION
O �c
Contractor Type �ContractoHNameJ$ ' t, Lic Type Lic No Li Ezp Phone
General Contractor c COMPONENTS.HANDCNG INC w" CCB 74285 •4/2014 541-485-5133
�CKS\\e5ae„eOO O\r`GU 2 4 .4',,,INSPECTIONS REQUIRED ` \('S‘\S��Q
Inspections,'\\ 'Oa\C\C0'V P\0 .\C •.2.• c'cQ\ 'CR 4O
1260 Framit ' '\`'P c r,,ec,2<c- O.0`J Framin g Inspection: Prior to cover and after �` u lIv In s v
”c
tlons have been
�o F yC\ e ` \ d ccj� # $t cc,AO -\r .\` .e approved.
1999 Final Buildipg CP xpet ep\ Final Building: After all requirefl ,( G�ion�ha4e�tieen"requested and approved and
-w� G the building is complete. �`C i iS c,Q -c-
1829 Special Inspection rS\�`\,`�vX\.• _ C
8999 Final Fire c\\V`
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.
c_ar4--------- 7-3a-) 3 .
Owner or Contractor Signature Date
•
Springfield Building Permit 7/22/2013 2:18:10PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
lei 225 Frfih St
t0 EGON TRANSACTION RECEIPT SpringfieldOR97477
541-726-3753
811-SPR2013-01402
www.springfield-ocgov 3500 E 17TH AVE permitcenter@springfieltl-ar.gov
RECEIPT NO: 2013001604 RECORD NO: 811-SPR2013-01402 DATE:07/22/2013
•DESCRIPTION > .
_ 1 ._ AC000NT_CODEITRANSCODE r7 :7`. AMOUNT DUE_,`
Building Permit Fee 224-00000-425602 1002 152.28
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 18.27
Technology fee(5%of permit total) 100-00000-425605 2099 7.61
u — — — TOTAL DUE: 178.16
AMOUNT PAID _
LPAYMENT TYPE i PAYOR= CASHIER:KREEDER -.COMMENTS - -. � -
Credit Card Richard W Brown/Califco Oregon 178.16
612222
TOTAL PAID: 178.16
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SPRINGFIELD - CITY OF SPRINGFIELD
225 Fifth St
a C� TRANSACTION RECEIPT Springfield,0R 97477
` OREGON 541-726-3753
811-S PR2013-01402
www.springfield-ar.gov 3500 E 17TH AVE permitcenter @springfield-or.gov
RECEIPT NO: 2013001353 RECORD NO:811-SPR2013-01402 DATE:06/26/2013
DESCRIPTION ,: ACCOUNT CODE/TRANS_CODE AMOUNT;OUE ;
Structural Plan Review Fee Commercial 224-00000-425602 1060 98.98
TOTAL DUE: 98.98
PAYMENT TYPE.. _ PAYOR,_,_CASHIER CCARPENTER COMMENTS _-AMOUNTPAID'
Credit Card Richard Brown 98.98
516234
TOTAL PAID: 98.98
Structural Permit Application
SPRINGFIELD ?DyEPyARTMENTeUSE ONLY=
CITY OF SPRINGFIELD, OREGON (*e"OREGON ms Permit no 5I ? -It-i Z
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(54l)726-3689 J I
Date: ` c/(3
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days offssuance or if work is
suspended for 180 days.
J�,?ues,x rgLOCAL4GOVERNMENT,9APP,ROVAL }.`��$' _LV i" `e".,:F, �FEE,SCHED(1LE�.� l _,,
� � r �� .•ins . .. + . " .�3 cxic ,.-t� ,s`t:-�. -
This project has final land-use approval. ,1:Va`uatm trmfo rma ti''n Y Y1 ` . " " £ '
'
Signature: Date: (a)Job description: pftLLC'T-'RAQ(..dt; 161$77m11Rittiy
This project has DEQ approval.
Signature: Date: Occupancy /CA
Zoning approval verified: ❑Yes ❑No Construction type(
Property is within flood plain: ❑Yes ❑No . Square feet:
KZ iCATEGORY.faiE ONSTRUCTION a_g a .`e•? Cost per square foot:
❑Residential ❑Government commercial Other information:
7 + s,7,'.161 3xSITE'.INF,ORMATION�AND=/LOCATIONl2Ri _.„.', Type of Heat:
Job site address: 35� £ , 17 rn �t Energy Path:
City: C State: 01Q. ZIP:' 7403 ❑new EralTeration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: 1 70331{-3 L-(1 Taxlot 00 3 O( Total valuation:' $ SP-5 16-0
'
tTf .,wi '7tpROPERTY„OWNRfi"1ffiF ` a .2 Buildth'g;tee pa8m:jsrrvx fir s ,:R
Name: LAsa G (�. 4/-51`'r l ( aT 2ce1( (a)Permit fee(use valuation table): $
• Address: �"j OD a. ,--7/11 tke (b)Investigative fee(equal to[2a]): $
City: &JCecn1I State:(,)Q ZIP:q 7-9o3 (c)Reinspection(S per hour):
Phone: St/-06Z2-4,I oo Fax: - - r (number of hours x fee per hour)
E-mail: Kr„ S rAJES@ LTD, OQ.y (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: °k;P ante_iew fees' , ' Y."'s�sq ; -J =1 h-s ap s'
(a)Plan review(65%x permit fee[2a]): $'gr96'
Sign here: f (b)Fire and life safety(40%x permit fee[2a]): S
❑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. n
(a) Seismic fee, I%(.Ol x permit fee[2a]): $
_ ;f - b Technology fee,5% OS x emit fee 2a
CA/L,F Fea ORECe oe.� ( ) gY ( P [ ])
Business name: TOTAL fees and surcharges(2e+3c+4a+4b): $ 772/
Address: 6.Mo 11VW6-ps
City: COCt6#J6 State: DR_ I zIP:974o2,
Phone:64f - °48J--5-133 Fax: - -
E-mail: Ric14&GRt.IF=eomkege1.1 • Cervii 7ee cL 54(-Sao-8937
CCB license no.: 74-a g.s
Print name: IG1E'�� 2' owl-)
Signature: IM. - •
Name CCB License# Phone Number
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