HomeMy WebLinkAboutPermit Miscellaneous 2013-9-3 • SPRINGFIELD 225 Fifth St
11, CITY OF SPRINGFIELD Springfield,OR 97477
n Phone: 541-726-3753
OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01982
www.springfeld-or.gov permitcenler @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/03/2013 EXPIRES: 03/01/2014
STATUS DATE: 09/03/2013 APPLIED: 09/03/2013
SITE ADDRESS: 225 5TH ST,Springfield,OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703353103300 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: removing wall
OWNER: CITY OF SPRINGFIELD Phone Number:
ADDRESS: 344 NORTH A ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
' Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor XXL INC CCB 109867 11/09/2014 541-747-5413
MCKENZIE TAYLOR CONSTRUCTION (LMS)Electrical C LMS128 07/01/2014 541-747-5413
INSPECTIONS REQUIRED
Inspections
•
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
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 inspe ••ns are requested at the proper time,that each address is readable from the street, that the
permit card is locates at th- . • the property, and the approved set of plans will remain on the site at all times during
construction.
/141011111 \
O• er or Contractor Signature Date
Al•• I ENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are'set forth •
in OAR 952-001-0010 through OAR 952-001- NOTICE:
0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK
• calling the center. (Note: the telephone
number for the Oregon Utility Notification AUTHORIZED UNDER THIS PERMIT IS NOT
Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR
;NY 180 DAY PERIOD.
• Springfield Building Permit 9/3/2013 9:07:06AM Page 1 of 1
•
•
' SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
.>; TRANSACTION RECEIPT Springfield,OR97477
OREGON 541-726-3753
811-SP R2013-01982
www_spdngfield-cr.goy 225 5TH ST permitcenter @spdngfield-or.gov
RECEIPT NO: 2013001940 RECORD NO: 811-SPR2013-01982 DATE:09/03/2013
g_41.o7:1T, i0121114'..;`.;.j '�tnt-1- 144 _ =alt-' lk1.x_L : ACCOUNTCODElTRANS,CODE r'.`!''AMOUNT DU 54!
Building Permit Fee 224-00000-425602" 1002 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
WAVATIENWEWarereTKVararasianireaTolingligarealWSItrairaWatiONTOWIOAITOIDWAMMPI
Credit Card CITY OF SPRINGFIELD 93.60
001820
TOTAL PAID: 93.60
' Structural Permit Application k;DE RTMET USE NLY
)IAA
. CITY OF SPRINGFIELD,OREGON, , • Permit no.: nn
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON e]t ` 2013 0 k n O l Z
Date: 67/-s/I'3
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.
`etg vl -t LOCACTGOVEIR MENT AP,P,ROVA0 _,7k, ”u`s "' FEE�:SCHEDUa,1".: r-'a.x; a.,'k
This project has final land-use approval. '_1_Valuattou informations Zgi -^r '"r"
Signature: Date: (a)Job description:
This project has DEQ approval. Occupancy •
Signature: Date:
Zoning approval verified: i ❑Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet:
(.'1,"2,P+, -,:'.CATEGORY'OFx'CONSTRUCTION 1,-42 [ri,,,'+y.; Cost per square foot:
❑Residential government ❑Commercial Other information:
cc .+, ;JOB SITE{`INFORM ATIONi`�AND LOCATIONh ,_; !. Type of Heat
Job site address: 7K. S Energy.Path:
City: 4IQ�AJ6 jc/ StateO ZIPZ 7, ❑new ❑alteration ❑addition
Subdivision: - Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: I Taxlot: Total valuation: Zw0 — $
?tlli 77%_s<. t PROPERTY QWNER tW w� 'y„ .r_ e .w-v—t...- :ma.7— <i. ;s;+ . .. t,-t '%C
�- �.: � 2 Budding;fees.,a�a.��E - �.,__xa,�@_�,-�a...;t:,:,?.'r _: =i
Name: CZ%, . c�lL//�6 gel (a)Permit fee(use valuation table): $
Address: 2i-- 57" (b)Investigative fee(equal to[2a]): _ $
City: ..‹,1901 Ai 6 State ZI17/ (c)Reinspection($ per hour): $
Phone: ,S-C7/ ^ 7 5� Fax: - (number of hours x fee per hour)
(d)Enter 12%surcharge(.12 x[2a 26+2c) $sT 4. cot:5 /—of—
I (e)Subtotal of fees above(2a through 2d): $
Building Owner or $.°.-r's age au • ing ;.pplication: -,3 Planar vi w fees ;` r.- ` ��°.,,!'!..��''� '
\ ` (a)Plan review(65%x permit fee[2a]): $
Sign her-. _ j / e ' (b)Fire and life safety(40%x permit fee[2a]): $
❑This ii• .Ilation is being ma'a on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a ..ember of my immediate family,and is exempt from licensing 'gk Mscellaiieous fe s +' ` ".'"!n' ; x t °�'3
requirements under ORS 701 010. r�iaM x,^3. .:=....k ,.,':Ws:ac 3� rte .
(a)Seismic fee, 1%(01 x permit fee[2a]) $
;�7,,y.�" ,,;