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HomeMy WebLinkAboutPermit Miscellaneous 2013-8-30 • SPRINGFIELD- 225 Fifth St CITY OF SPRINGFIELD • Springfield,OR 97477 -' ;o eeoR Phone: 541-726-3753 Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01930 wvnv.spdngfield-or.gov permitcenter @spungfield-or.gov • PROJECT STATUS: Issued ISSUED: 08/30/2013 EXPIRES: 02/25/2014 STATUS DATE: 08/30/2013 • APPLIED: 08/27/2013 SITE ADDRESS: 1130 SHELLEY ST,Springfield,OR 97477 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1703270000902 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Install pole bases OWNER: MCKAY COMMERCIAL PROPERTIES LLC Phone Number: • ADDRESS: 76 CENTENNIAL LOOP STE D EUGENE OR 97401 _ CONTRACTOR.INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OROELL CONSTRUCTION LLC CCB 177132 07/05/2015 541-747-8734 INSPECTIONS REQUIRED Inspections • 1110 Footing Footing: After trenches are excavated. 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 the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: .- Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK , in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR . C2 ing the center. (Note: the telephone nulnUar for the Oregon Utility Notification ANY 180 DAY PERIOD. ' •Center is 1-800-332-2344). • . • Springfield Building Permit 8/30/2013 9:49:29AM Page 1 of 1 SPRINGFIELD"' CITY OF SPRINGFIELD 225 Fifth St OREGON TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 811-S PR2013-01930 www.spnngfield-or.gov 1130 SHELLEY ST permitcenter©spnngfield-or.gov RECEIPT NO: 2013001927 RECORD NO: 811-SPR2013-01930 DATE:08/30/2013 DESC-IPTIONa taifGt ar:ACCOUNTCoDE/ RANs:CODE,cii'ia".'ida AMOUNT'DUE a Building Permit Fee 224-00000-425602 1002 183.26 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 21.99 Technology fee(5%of permit total) 100-00000-425605 2099 9.16 TOTAL DUE: 214.41 I AICMENT_TsYP.E. 'PAYOR- CASHIERC;CCARPENiER COMMENTS _ AMOUNT&PAID':° ,. , "f':"=1 .-'; Credit Card ORDELL CONSTRUCTION LLC 214.41 110355 TOTAL PAID: 214.41 Structural Permit Application $PPJNGFIELD srDEPARTMENT'IJSE ONLY .x —"-tea. CITY OF SPRINGFIELD,OREGON Ater Permit no /� 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(54l)726-3689 9REGON S/3 -O 1 9 3 0 Date: 6 Z/3 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of i suance or if work is suspended for 180 days. ,sgi4*�.. ,,,.,,;?LOCAL';GOVERNMENTinAPFROVAL,teS€ gq.uurE"_,.�'+?ffe ,SFEE SCHEDULE, Ii,,,,.,, :0 2.,,„ ; This project has final land-use approval. l`T,Va atroh`info maho ""4 ,,, u'” 1,.ai;i "..0 14 .t :!a Signature: Date: (a)Job description: �..4ast.& t/�lvS . This project has DEQ approval. Occupancy (f Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: i'3 Property is within flood plain: ❑Yes ❑No Square feet: ( 4 Z _�1CATEGORY-`OF,jCONSTRUCTION , ,r ,._: i- = Cost per square foot: ❑Residential ❑Government %Commercial Other information: A Av`xr: JQB'SITE';INFORM ATIktiNw'AND;L`OCATION` €'�}' ;u;+„q Type of Heat: Job site address: 1/30 y 1/00 'it (&u St-�/-fr c5 7. Energy Path: r!y City: �)f,G.c40 State:/(; Z114X.'J'7 ❑new ❑alteration. ❑addition ' Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes a No `t Reference: /?:>3Z7do Taxlot: /)--o3-27- 0-0 Total valuation: Ska `-st;17+�tfi l"' .isPROPERTY?�:OWNER ry,OC1 QQO 3r " 1;r g 'i :4,. :!- r br 4 s'r,". ry^. 2;m �" 74,2,..7-:,_ ;CZ e 1.Btiildin fees�,....,_ �"-:�5._�.. ,.wset_s..a' s�n.i`�:�.:xL°. Name: /fl ckc a}jn i-e-v/ 5 (a)Permit fee(use valuation table): $ Address: 7 6 CYh ,,,k/ (aye 'a-0 (b)Investigative fee(equal to[2a]): $ City: C J-z- , State64 ZIP%])y 0/ (c)Reinspection($ per hour): $ Phone: S(//- fir r/-7/Q Z Fax:..S�/-VR4' 7/x,3 (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ t (e)Subtotal of fees above(2a through 2d): S ' Building Owner or Owner's agent authorizing this application: L3xfPlan*`rev`i'e'w fees''5;; "ry,;.,,,,,, „', ,5.4a mI; a M '`;'+Ss (a)Plan review(65%x permit fee[2a]): $ Sign here: - (b)Fire and life safety(40%x permit fee[2a]): $ ❑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 Miscell oe us#°fees °d .?;r_:2 "'c pis requirements under ORS 701 010. c Sr. (a)Seismic fee, I%(.01 x permit fee[2a]): $ n U 1.31 ,_ =i.CONTRACTOR INSTALLATIONI ,.°,_ _4 /; (b)Technology fee,5%(.05 x permit fee[2a]): $ Business name: 04 le // Wh1 4Ar/00++ Le e Up A. TOTAL fees and surcharges(2e+3c+4a+4b): $ 1 Address: ,3 CC) c.c2 ��), 57 S (]`, A. N City:f0'ij/c 7A / State: ZIP:g't9) ♦\ PhoneS0 -)7 - &-739 Fax:W( ))V7- a)35— 1 E-mail: ,Sp r„icy, Or--4 l/ tSii crib-Pc-74A,.°--)A, Y CCB license no.: /77 /3 2 s ' Print name: S P. c I-fiZ, / Signature: •V/ l i„l. gSUBCONTRACT.Q130NFORMATION ,el ;. Name CCB License it Phone Number Electrical Plumbing Mechanical •