HomeMy WebLinkAboutPermit Building 2013-8-23 SPRINGFIELD 225 Fifth St
• CITY OF SPRINGFIELD Springfield,OR 97477
• Phone: 541-726-3753
'OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
•
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01715
www.springfieldocgov permitcenter @spdngfeld-or.gov
PROJECT STATUS: Issued ISSUED: 08/23/2013 EXPIRES: 02/18/2014
•
STATUS DATE: 08/23/2013 APPLIED: 07/30/2013
SITE ADDRESS: 3005 FRANKLIN BLVD,Eugene,OR 97403 SCOPE: Foundation
ASSESOR'S PARCEL NO: 1703343300700 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Foundation for hotel
OWNER: CBS OUTDOOR INC Phone Number:
ADDRESS: PO BOX 404
BROADWAY NJ 08808
OWNER: PATEL ALPESH&KOMAL • Phone Number:
ADDRESS: 1857 FRANKLIN BLVD
EUGENE OR 97403
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
. General Contractor EA WHITE CONSTRUCTION CO LLC CCB 130039 06/08/2014 503-691-8311
INSPECTIONS REQUIRED
Inspections
1020 Zoning/setbacks
1110 Footing Footing: After trenches are excavated.
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.
0723/L3
Owner or Contractor Sig •-Per= Date K
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Springfield Building Permit 8/23/2013 8:17:26AM Page 1 of 1
•
SPRINGFIELD i CITY OF SPRINGFIELD
'F' 225 225 Fifth St
it, TRANSACTION RECEIPT Spnngfield,OR97477
r - r OREGON 541-726-3753
811-SPR2013-01715
w wspnngneld-or.gav 3005 FRANKLIN BLVD permitcenter @spnngfield-or.gov
RECEIPT NO: 2013001847 RECORD NO: 811SPR2013-01715 DATE:08/23/2013
_- r._ y, . ..�r, �.,
joj�.Yd;rl�Atl[o1:(��'-`.,41_?L2t:x', �"`�a1e"����. ,,e�„�-; _ ACCOUNT;CODE/TRANSCODE�*:='V'��.-��AMOUNI e iL
Foundation Only 224-00000-425602 1029 980.36
Planning-Minor Review-City 100-00000425002 1231 119.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 117.64
Structural Plan Review Fee Commercial 224-00000-425602 1060 -0.29
Technology fee(5%of permit total) 100-00000-425605 2099 49.02
TOTAL DUE: 1,265.73
q,._T.ETIT.._._ _ -' ..a,,.,E„„�...,.,,.,.ri, -. r•: O AMOUNT PAID` to
PAYMENT�TiYPE -:.-. P.AY.ORcnsNlERaoeow�serp�, COMMENTSr'�.,. _
Credit Card Alko Investments 1,265.73
097196
TOTAL PAID: 1,265.73
SPRINGFIELD CITY OF SPRINGFIELD
hr.
...a......._..d
TRANSACTION RECEIPT 225 Frfth St
Swingle IcLOR 97477
541-726-3753
OREGON
811-SPR2013-01715
www.sprtngtield-or gov 3005 FRANKLIN BLVD permitcenter@springfteld-or gov
RECEIPT NO: 2013001662 RECORD NO:811-SPR2013-01715 DATE:07/30/2013
iDESCRIPTIONL__ t - ":, - , '_ .- - . ; . -',.":-ACCOUNTCODE/TRANS,CODE:Fif, ° . AMOUNT_DUE I
Structural Plan Review Fee Commercial 224-00000-425602 1060 637.52
TOTAL DUE: 637.52
L._PAYMENT TYPE, ' PAYOR - CASHIER:CCARPENTER _ . - COMMENTS : : ......_ . . .AMOUNT PAID
Credit Card PATEL ALPESH&KOMAL--- 637.52 —-
270235
TOTAL PAID: 637.52
Structural Permit Application SPRINGFIELD --. ; DEPARTMENT USE ONLY+
CITY OF SPRINGFIELD, OREGON ta '^ Permit n /3�17 j1
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON
Date: 7/ b(3/i 3 -
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days o issuance or if work is
suspended for 180 days.
+ .s;..., _,.-_...:.. k,� �,;- T Qu:tt +,a -^ m z,s. 1-. re ,y=,.. ... -1 rtz er i cn a
tk,��r"''?„� 3,�;; LOCAL;:;GOVERNMENTAPP,ROVAL�!;,�4,'� ,�,-,+,� _., �,.�;sn,,,n �'�aFEE„SCHEDULE?� �a:�r;'.�,:n'?.„„�+[?;,'�k�:, ,r„
This project has final land-use approval. 112.---Vah atto+tiforinatio T'' 'O r :12 '” a' - '1
Si gn ature: Date: (a)Job description: �Atdo f7-70/✓ p
n—
Thisproject -
has DEQ approval. ',a. t /
Occupancy I°r•" f rri
t-C-
Signature: Date:
Zoning approval verified: ❑Yes ❑No Construction type:Property is within flood plain: ❑Yes ❑No Square feet:
k t`aci..r._1 CATEGORY OF[CONSTRUCTION,i,, v 'M AI, Cost per square foot: '
❑Residential ❑Government ❑Commercial Other information:
'' tla 3JOB*SITE :INFORMATION'AND/LLOCATIO/N��j*T it Type of Heat:
Job site address: Z Op.r 1c— 4t� ir!j"✓ Eafgy Path:
City:7 .A _ G State: Q ZIP7Jy.O' ,L In ew ['alteration ❑addition _
Subdivision( Lot no.: 70 0 (b)Foundation-only permit? es ❑No
Reference: 7C)33 N 331 Taxlot: 00 70 0 Total valuation: Sl53oda
''r";",ti- /5? ROPERTrY QWNER ;a. .i .;, rr r....: ;"24 Build g:fees' ,.. > '�=x,:.; �-`.�?.., "Ty ....r _t'z:1 tti tai a
Name: �,y-u r f (�C (a)Permit fee(use valuation table): $
Address: /rr-S 2 r.-y,._.,./Re/4 t_. 2.574:1" (b)Investigative fee(equal to[2a]): $
City: if' . ei ea State: 7j_ ZIPGj�1o`o (c)Reinspection(S per hour): $
Phone: 7_0,19._t7o o Fax:`s- e J��ai/y (number of hours x fee per hour)
B-mail4/ r,�`y 5' -.ra_e-r,.` _(d)Enter 12%surcharge(.12 x[2a+26+2c]): $
(e)Subtotal of fees above(2a through 2d): S
Building Owner f 0 - 's agent authorizing this application: e3'-rPlan•review fees. ,. ' �,T- 3 s`i'r 5`a`"' - -W
i I (a)Plan review(65%x permit fee[2a]): o- �3`� -
Sign here: ., (b)Fire and life safety(40%x permit fee(2a]): $
❑This installatit made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my' -• ediate family,and is exempt from licensing Miscellaneousjfn6TsAn7#-+s,Y' s'„tj:,a ';i
requirements under ORS 701.010.
(a)Seismic fee, l%(.01 x permit fee[2a]): $
4it,4,s _, CONTRACTOR INSTALLATION] .ai :1%;;-‘?-S.2-1'&11.A
- (b)Technology fee,5%(.05 x pemtit fee[2a]): $
Business name: TOTAL fees and surcharges(2e+3c+4a+4b): $
Address:
CityA,/_/4 Stater//) ZIP:97 tad'
Phone:S'113 --Sp."Jo/ Fax: S---pJ fteLAr`�/-a•
E-mail::t-,4 4,....,IP e4 a.2 EIG C ,A-z- a C i ...r e -
CCB license no.: / 3 site 37
Print name: /---- 1' (Pent) l/
Signature:e e .
. a -SUB_CONTRRAACTOR INFORMATION_- + m ,
Name CCB License# Phone Number
Electrical
Plumbing
•
Mechanical