HomeMy WebLinkAboutPermit Building 2013-9-10 SPRINGFIELD 225 Fifth St
' . CITY OF SPRINGFIELD Springfield,OR 97477
-`to OREGON
Phone: 541-726-3753
Building I Commercial Permit Inspection Phone: 541-726-3769• Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02034
www.springfield-or.gov - permitcenter @springfield-or.gav
PROJECT STATUS: Issued ISSUED: 09/10/2013 EXPIRES: 03/08/2014
STATUS DATE: 09/10/2013 APPLIED: 09/10/2013
SITE ADDRESS: 3693 GAME FARM RD,Springfield,OR 97477 - SCOPE: Interior
ASSESOR'S PARCEL NO: 1703153301000 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Demo classrom walls to open office space
. 'OWNER: MML PROPERTIES LLC Phone Number:
ADDRESS: PO BOX 7668 .
SPRINGFIELD OR 97475
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor MCKENZIE COMMERCIAL CONTRACTORS INC CCB 45539 07/21/2015 541-343-7143
1, INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1600 Ceiling Grid Ceiling Grid: After drywall approval but prior to cover.
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 1 Date
ATT ELATION; Oregon
NOTICE: f°Tt°W rues adopT aw requires
you to th
THIS PERMIT SHALL EXPIRE IF THE WORK jn t1Oatlon Center, Those Rues
AUTHORIZED Utility forth
AUTHORIZED UNDER THIS PERMIT IS NOT A You ma0� 0010 through OAR
ooso.
COMMENCED OR IS ABANDONED FOR calling the centerain copies of the9u e001-
ANY 180 DAY PERIOD. number for the Oregon the telephone Y
Center is g°ry Utility N jtification
1-800-332-2344
Springfield Building Permit 9/10/2013 9:12:34AM . Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
4 4 a 225 Fifth St
`O OREGON TRANSACTION RECEIPT Springfeld,OR 97477
541-726-3753
811-SPR2013-02034
www.springfield-or.gov 3693 GAME FARM RD permitcenter@springfield-orgov
RECEIPT NO: 2013001991 RECORD NO: 811-SPR2013-02034 DATE:09/10/2013
DESCRIPTION_ __.- _ _ _ _ _ACCOUNT CODEITRANS_CODE •AMOUNT DUE.__{
Building Permit Fee 224-00000-425602 1002 551.67
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 66.20
Technology fee(5%of permit total) 100-00000-425605 2099 27.58
TOTAL DUE: 645.45
PAYMENT TYPE,_ PAYOR_ CASHIER:ccARPENIER _ _COMMENTS �� AMOUNT PAID " ' ' `
Credit Card MCKENZIE COMMERCIAL 645.45
064695 CONTRACTORS INC
TOTAL PAID: 645.45
•
•
: Structural Permit Application SPRINGFIELD — ,F DEPARTMEN'i!USE ONLY
CITY OF SPRINGFIELD, OREGON t Permit no.: </ 3 C(
•225 Fifth Street•Springfield,OR97477•PH(541)726-3753•FAX(541)726-3689 OREGON ✓ f
Date: 62//0 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.
a,rnxt LOCAL 'GOVERNMENT,APPR64AL rl` ' 4t etra;,,£-°£FEE SCHEDULE"r Fri : $, '$ c
s��s t,..,..-..... _ .. �: Ys'u..r.�, ,��'� .,azm ,..� �s`:.� .r...,sr..zf._ xd'�`:
This project has final land-use approval
Signature: Date: (a)Job description: trite;or L
This project has DEQ approval. r[.�r.0 d
Occupancy B a
Signature: Date:
Zoning approval verified: ❑Yes ❑No Construction type: U3oock - a m Lai
Property is within flood plain: ❑Yes ❑No Square feet: I 0 1 510
°v"L rCATEGORY70FtICONSTRUCTIONnn M11 Cost per square foot:
❑Residential ❑Government ❑Commercial Other information:
s "_ "; , JOB ,SITEmINFORMATIOW ANDiLOCATION,r„'P-�:?` Type of Heat:
Job site address: 3(.13 Cvo.r'..{+rvn R4 Energy Path:
City: 5prt�t'Pi Ad State: pg. ZIP:40'f7) ❑new alteration ❑addition
-Subdivision: Lot no.:. (b)Foundation-only permit? ❑Yes ❑No
Reference C 71i 3,A-7, Taxiot III Sd/et Total valuation: $ 55,oco
”: (tBuddin fees -+,. :'j=§oisi t iefFor " "!vxrhfi L't.r.. . `: 7
. Name: I).CM.4 fl\(Iv/p4llc- - (a)Permit fee(use valuation table): $ ( �
Address: P.O. Licc 7(o6C (b)Investigative fee(equal to[2a]): $
City: , CAC State: O(2• [IP:97go I (c)Reinspection(S per hour):
Phone: 5'4),q/5- tt635 Fax:�j-71}7.257 (number ofhoursxfee per hour) f--Ed
E-mail: dc.,. y 0 Iwx.•lo t'L (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $66
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application • 3 Plan review fees ,.,,. '-,y. ;',ke g;, _li ,�l_ 7„r;�.,r?JR
>> �� (a)Plan review(65%x permit fee[2a]): m. $
Sign here: E� ��cf . (b)Fire and life safety(40%x permit fee[2a]): $
❑This installation is being made on residential or arm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exempt from licensing
„4 Miscellaneous fees.rru. ,__�,•� _ .,, _+ _z 5„ a,. stir,
requirements under ORS 701.010.
(a)Seismic fee, 1%(.01 x permit fee[2a1): $
F _ ,,, CONTRACTOR' INSTALLATIONrp n;st .T., x permit(b)Technology fee,5%(.05 x perit fee[2a]): S
Business name: V' .!.,cyeZjm Com mcJt.7 q[ TOTAL fees and surcharges(2e+3c+4a+4b): $ Gjf(Stfr
Address: sg S W• 24 d orkyr. tM.G
City: £tlgeAe,. State: OR ZIP: 471402
Phone:t)L4i""_3'43 7j Li 3 FaxSYI--343.3364
E-mail: "fro lean— m cc.-.1-tw,l .Lfz-
CCB license no.: Lis j3 9
Print name: 1 c1(cit Gte./12
Signature: Si).ly�
0
_ ��-,-SU6=CONTRACTOR1NFORMATION
Name CCB License# Phone Number
Electrical
1` &Wc'cr 1 wt s 54i.931.SCoo
Plumbing
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Mechanical ' f
Coencort FIoW l6� 51.7gh.otoo