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HomeMy WebLinkAboutPermit Building 2013-8-29 SPRINGFIELD , 225 Fifth St "4 '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-SPR2013-01751 www.springfield-ar.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/2912013 EXPIRES: 02/24/2014 STATUS DATE: 08/29/2013 APPLIED: 08/05/2013 SITE ADDRESS: 5880 MAIN ST,Springfield,OR 97478 SCOPE: Tenant Infill ASSESOR'S PARCEL NO: 1702343200400 TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: STR-Tenant infill OWNER: FEDAK DARYL A Phone Number: ADDRESS: 85788 PARKLAND CIR PLEASANT HILL OR 97455 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No •Lic Exp Phone Mechanical Contractor INNOVATIVE AIR INC CCB 161742 10/11/2014 541-746-1040 General Contractor MCINTYRE CONSTRUCTION INC CCB 3550 10/08/2015 541-687-2841 _ INSPECTIONS REQUIRED Inspections 8999 Final Fire 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. 1600 Ceiling Grid Ceiling Grid: After drywall approval but prior to cover. 1800 Emergency Egress Lighting 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 local d.atJ��/IAn(of the property, and the approved set of plans will remain on the site at all times during construction. �`I I tN I IVN. Oregon law requires you to follow rules adopted by the Oregon Utility No/ification Center. Those rules are set forth ,a1?/72d-a ��Ge 01-0010 through OAR 952-001- Tom Owner or Contract au. i uremay obtain copies of the rules by pate �, . y Ylla center. (Note: the telephone THIS PERMIT SHALL EXPIRE IF THE WORK number for the Oregon Utility Notification AUTHORIZED UNDER THIS PERMIT IS NOT Center is 1-800-332-2344). • COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 8/29/2013 9:59:28AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St Ceti ' <o OR TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01751 www.springheld-or.gov 5880 MAIN ST perrnitcenter @spring field-or,gov RECEIPT NO: 2013001917 RECORD NO: 811-SPR2013-01751 DATE:08/29/2013 DESCRIPTION —� �ACCOUNT CODE/TRANS m ; AMOUNT DUE:I Building Permit Fee 224-00000-425602 1002 1,453.84 Planning-Minor Review-City 100-00000-425002 1231 119.00 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 14.76 SDC: Improvement Cost- Local Wastewater 443-00000-448025 1184 2,158.81 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 946.97 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 4,423.14 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 74.79 SDC:Total MWMC Administration Fee-Local 719-00000-426604 1121 52.33 SDC:Total Sewer Administration Fee 719-00000-426604 1175 329.10 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 174.46 Technology fee(5%of permit total) 100-00000-425605 2099 72.69 -� ��—_-- --- - _- TOTAL DUE: 9,829.89•- .;PAYMENT TYPE w PAYOR-_..CASrfIER JLARS9N ,COMMENTS __..• � .AMOUNT PAID • • Credit Card MCINTYRE CONSTRUCTION INC 9,500.00 00043G Credit Card MCINTYRE CONSTRUCTION INC 329.89 • 02125G TOTAL PAID: 9,829.89 • SPRINGFIELD - CIIY OF SPRINGFIELD a∎ s 225 Frith St • TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-S PR2013-01751 www.springtield-or.gov 5880 MAIN ST perrnitcenter @springtield-or.gov RECEIPT NO: 2013001702 RECORD NO:811-SPR2013-01751 DATE:08/05/2013•;DESCRIPTION; __ ACCOUNT.CODE/TRANSCODE .—- AMOUNT DUE J Structural Plan Review Fee Commercial 224-00000-425602 1060 945.00 TOTAL DUE: 945.00 _PAYMENT 7YPE _. PAYOR casHIER:DeowLSSV _ COMMENTS '7.2.-' "AMOUNT PAID' '-- I Credit Card MCINTYRE CONSTRUCTION INC 945.00 06935g TOTAL PAID: 945.00 ♦y Structural Permit Application SPRINGFIELD 'DEPARTMENT;USErONL ., i4 x .att;..., ,.CITY OF SPRINGFIELD, OREGON T ' • 0 _ • S � Permit no.: 5�.�' /'J�� 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 `�t OREGON ���jjj Date:permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days o issu Si?nee or if work is suspended for 180 days. 'r.'e_ -;,;,,. '[,LOCALrGOVERNMENTsAPP,ROVALI.,t i' i T,' n ,;,_y"�, -,_ =FEE BHEDULE�,�r fliV-` 1' +a`M This project has final land-user approval. irili l sit-lg f 9: '' i z�.2 P 1 PP ';Ii Valuat,onmformation z _._ -, ..- �, s�,. .=;- Signature: Date: (a)Job description: "7 ' An9'( 1/V FL(.L' -t)6_yp'r/,1-!_ This project has DEQ approval. Occupancy Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: V Q Property is within flood plain: ❑Yes ❑No Square feet: Zvi o O " -. ,;aele7611t276 041rd 6-N]§]IletilMiEll2Wgliff,A Cost per square foot 2leaSD 1 eiD ❑Residential ❑Government r -Commercial Other information: . F;< i ;•iJOB SITEtiiNNFORMATIQN;AND;LOCATION`$b.' ;i�`2tj� Type of Heat earckS.7 - (OAS 1�.L Job site address: 5i�&D �"19))O� / Energy Path: City: �� State: OJf, ZIP: `y ❑new alteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes []No Reference: ( '70 L 3E137 Taxlot: 0 6 y6 es Total valuation: $257 CUJJ .� > ±r.k a.,t- s` r{^ li ....c.r^ t-r 8x. ._ ] is 7 ],..li t„. ..'_,tk'.-3�au:s, __. ,PROPERTYOWNER�;..xu �:rl:.,u��� -. c ,.r 'a2 Buddin fees �" , _�_ ;°�,,; ,.�: . Name: C17_ , p,42Lj'.(.- coI4'it_ (a)Permit fee(use valuation table): $ �y�, Address: SS4a )/(/I ' l a (b)Investigative fee(equal to[2a]): $ City: 6470-i-t.Js aLit-=-, State: ©K- ZIPg.711. (c)Reinspection($ per hour): (number of hours x fee per hour) S Phone: Fax: - - _ E-mail: (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ 77 4= (e)Subtotal of fees above(2a through 2d): $ t Building Owner or Owner's agent authorizing this application: 3 pl n revtew feesa ik ifli fs ;.it;.d : v.' 5tf ,' �(% �/ _ (a)Plan review(65%x pemut fee[2a]): $ / 4 Sign here: '�,��E � (b)Fire and life safety(40%x permit fee[2a]): $ eThis 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 """' '+ n-"sr" ' ' 7 rr -'^"�..' /r Y Y, r'P g ,4 Miscell'a`ngous fees, �;;-H . „-,k �-;_ - ,_" zr'„��c^.,°-�,; requirements under ORS 701.010. (a)Seismic fee, 1%(.01 x permit fee[2a]): $ w x±'+., '`j5y];�'11CONTRATOR INSTALaltidiN ay„t4- . .!La4r;"'," (b)Technology fee,5%(.05 x permit fee[2a]): $ 12' Business name: M G )Q,rlt IL., (Thy-)S !7,-C r c Y TOTAL fees and surcharges(2e+3c+4a+4b): $Glo7 Address: �D 472 �otoiL0C't . City: eJ4- State: Z`IP:t75tZ Phone: - 7- 7_9�/ ,/F�aAx: - ��jrLo75Z E-mail: I LL 1 t�-vti Q 41 C I - C ~ t ,In -CCB license no.: ?j c„.5-3 • • Print name: J5)jfjl y tvt-, I(/t CI& -if.if2-C= • Signature: 4"— " -_ ,_=SUB e].0.4 CT.MINFORM;4TION>R ,"-r„f' , Name CCB License# Phone Number Electrical n' Plumbing krV2Arrar -II r PLIC Mechanical