HomeMy WebLinkAboutPermit Miscellaneous 2013-9-10 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
t„„we Phone: 541-726-3753
OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01789
www.springfield-or.gov permitcenter @springfield-or goy
PROJECT STATUS: Issued ISSUED: 09/10/2013 EXPIRES: 03/08/2014
STATUS DATE: 09/10/2013 APPLIED: 08/12/2013
SITE ADDRESS: 3957 HAYDEN BRIDGE RD,Springfield,OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1702190003300 TYPE OF STRUCTURE: Public
PROJECT DESCRIPTION: Concrete Shearwall for remodel
OWNER: CITY OF EUGENE Phone Number:
ADDRESS: CITY HALL
EUGENE OR 97401 •
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor JOHN HYLAND CONSTRUCTION INC CCB 46071 07;11/2014 541-726-8081
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1530 Exterior Shearwall
1829 Special Inspection
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.
ld� zI /0/..3
Owner or Contractor Signature Date
NOTICE: ATTENTION: Oregon law requires you to
THIS PERMIT SHALL EXPIRE IF THE WORK r follow rules adopted by the Oregon Utility
AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth
COMMENCED OR IS ABANDONED FOR
in OAR ousmay obtain copies OAR rules 1-
0090. You'may obtain copies of the rules by
ANY 180 DAY PERIOD. calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 9/10/2013 8:17:49AM _ Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT SpnngfieRIOR 97477
OREGON 541-726-3753
811-SPR2013-01789
www.spnngfieldor.gov 3957 HAYDEN BRIDGE RD permitcenter @spnngfield-or.gov
RECEIPT NO: 2013001899 RECORD NO:811-SPR2013-01789 DATE:08/27/2013
DESCRIPTION v77 ACCOUNT CODElTRANSCODE AMOUNT DUE
Building Permit Fee • 224-00000-425602 1002 472.82
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 56.74
Technology fee(5%of permit total) 100-00000-425605 2099 23.64
TOTAL DUE: 553.20
PAYMENT TYPE PAYOR : .CASHIER:CCARPENTER 1 COMMENTS " ,:- ;:1 AMOUNTPAID. :`
Credit Card NATHAN ENDICOTT 553.20
032256
TOTAL PAID: 553.20
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Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
• CITY OF SPRINGFIELD OREGON �; Sr /2y 7
OREGON
Permit no.:
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689
oaeGOe+ 77
Date: �// Z//3
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of lssua ce or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL . - FEE SCHEDULE
This project has final land-use approval. 1.Valuation information
Signature: Date: (a)Job description: / Sr ,t cru n.4C 3WCA/1_ W II-L(
This project has DEQ approval. .
Occupancy
Signature:
Date:
Zoning approval verified: ❑Yes ❑No
Construction type: /CI i)4 Fo,...Cre 0 Ce„t(t(CTC
Property is within flood plain: ❑Yes ❑No Square feet: 134 S 4 Ft
CATEGORY OF CONSTRUCTION Cost per square foot: -5 b VS"ct Fr.
❑ Residential EIGovemment ❑Commercial Other information:
JOB SITE INFORMATION AND LOCATION Type of Heat:
Job site address: 3987- %ArpLtJ $terp t.. RIx, Energy Path:
.City: 5P/CI 0G--F1 Ekt State: O(Z ZIPgP/fl ❑new 0alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes , ❑No
Reference: • Taxlot: 3300 Total valuation: $ yapsf.Ir".e-
PROPERTY OWNER ,r,�r� 2.Building fees
Name: E U(rEJ.J. W i Q E«QC. &oRw (a)Permit fee(use valuation table): $ 1-17Z12-
Address: 4/t.00 ROOSEVE LT !g L V>• (b)Investigative fee(equal to[2a1): $
City: EU G-Eal f State: b& I ZIP: 9?tot (c)Reinspection(S per hour): $
Phone: rw-c$S'- fl(ea F ax:Sin-6.9C- 7-3(a (number of hours xlee per hour)
(d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ w /51
E-mail: kp4aat-O (tfofEel ewGb• J r
(e)Subtotal of fees above(2a through 2d): S
Building Owner or Owner's agent authorizing this application: 3.Plan review fees
(a)Plan review(65%x permit fee 12a[): - $
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): S
me or a member of my immediate family,and is exempt from licensing 4.Miscellaneous fees
requirements under ORS 701.010. u
(a)Seismic fee. I%(.01 x permit fee[2a]): $
CONTRACTOR INSTALLATION
(b)Technology fee,5%(.05 x permit fee[2a]): $ Z3�i_`'�
Business namenilla a LAA1 > t'p}}fiLVtl1 e•0.-) 2,0
TOTAL fees and surcharges(2e+3c+4a+4b): S 5-c--
Address: p. O. Bac ?t 69
City: S•P 0.t?( -F1(r_Cj State: 0 ( ZIP: 1lars •
- Phone:fll- - Fax: - -
E-mail: /� �t
CCI3 license no.: (/p7/
Print name: V -\k 5 R OQ
Signature: C •
SUB-CONTRACTOR INFORMATION
Name CCB License 4 Phone Number
Electrical
Plumbing
Mechanical •