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HomeMy WebLinkAboutPermit Miscellaneous 2013-9-12 • SPRINGFIELD - 225 Fifth St • 1- CITY OF SPRINGFIELD Springfield,OR 97477 iy Phone: 541-726-3753 • -` �-OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 . PERMIT NO: 811-SPR2013-01752 www.springfield-or.gov permitcenterQspringfield-or.gov • PROJECT STATUS: Issued • ISSUED: 09/12/2013 EXPIRES: 03/11/2014 STATUS DATE: ' 09/12/2013 . APPLIED: 08/05/2013 SITE ADDRESS: 350 Q ST,Springfield,OR 97477 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1703262401702 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTIONS Shell improvement OWNER: - CUDDEBACK INVESTMENT PROPERTIES INC Phone Number: ADDRESS: PO BOX 536 CRESWELL OR 97426 CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MEILI CONSTRUCTION CO CCB 63771 01/20/2014 ' 541-465-1417 INSPECTIONS REQUIRED - Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1430 Insulation Wall • Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 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 inspections are requested at the proper time,that each address is readable from the street, that the permit car. • ocated at the front of the erty, and the approved set of plans will remain on the site at all times during • construO c�� � 1/ /al .3 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 calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification �AN4 1 rmi V0 DAY PERIOD. Center is 1-800-332-2344). Springfield Buil ing e 9/12/2013 11:04:57AM• Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD } •,..x„V:• 225 Fifth St ' `o EGON TRANSACTION RECEIPT Spnngfeld,OR97477 541-726-3753 811-SPR2013-01752 www.springfeld-or.gay 350 Q ST permitcenter @springfield-ar.gov RECEIPT NO: 2013002016 RECORD NO:811-SPR2013-01752 DATE:09/12/2013 bez1 i;.p�(o] �f[�r o-¢ �. W_ 'ESattC.af .� tra=ACCOUNT CODE ETRANStCODE.- n= AMOUNT'DUE ;`I Building Permit Fee 224-00000-425602 1002 2,202.82 Planning-Minor Review-City 100-00000-425002 1231 119.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 264.34 Technology fee(5%of permit total) 100-00000-425605 2099 110.14 TOTAL DUE: 2,696.30 =PYMN-T""� T-_VPE :____PAYOR`__CSARIER C PARENTER..._ . , COM — -cow" AM UNC P Credit Card MEILI CONSTRUCTION CO 2,696.30 03400C TOTAL PAID: 2,696.30 • SPRINGFIELD CITY OF SPRINGFIELD iii:::1 zzs Fmn St t TRANSACTION RECEIPT Spdngfield,OR97477 .OREGON 541-726-3753 811-SPR2013-01752 www.spdngeeld-ar.gov 350 Q ST permitcenter @springfield-or.gov RECEIPT NO: 2013001703 RECORD NO:811-SPR2013.01752 DATE:08/05/2013 II O' t ` - `11 _ n >'_ { 'ACCOUNTOODE/TRANS CODE t `AMOUNT DUE.' Structural Plan Review Fee Commercial 224-00000-425602 1060 1,431.83 TOTAL DUE: 1,431.83 PAYMENTIPME OSICPAYOR cASNiER:iccARRENTER COMMENTS ., `? AMOUNT PAID Check Emerald Valley Dialysis LLC 1,431.83 702 TOTAL PAID: 1,431.83 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON (6" Permit no.: 3 �l /75-2-- 225 Fifth Street•Springfield,OR 97477•P14(541)726-3753•FAX(541)726-3689 OREGON Date: This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days oy—/57/1 issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Plumbing This project has final land-use approval. Signature: Date: Mechanical This project has DEQ approval. Signature: Date: -(53fC_Vp•-Kt Zoning approval verified: ❑Yes ❑No FEE SCHEDULE Property is within flood plain: ❑Yes ❑No 1.Valuation information CATEGORY OF CONSTRUCTION (a)lob,description: Shell improvements to (E) structure ❑Residential ❑Government I I Commercial Occupancy Business Group B(under sep. TI permit) JOB SITE INFORMATION AND LOCATION Construction type:V-B (E) Job site address:350 Q St. Square feet: 8,300 (E) City: Springfield State:OR ZIP: 97477 Cost per square foot: Subdivision: I Lot no.: \ Other information: No addtl.sqft.Occupancy,life/safety,interior Reference:1703 Z&Z(4 Taxlot:17032641703) Type of Heat: build-out to be under sep.TI permit PROPERTY OWNER Energy Path: Name: Emerald Valley Dialysis, LLC ❑new ®alteration ❑addition Address:3355 RiverBend Dr., Suite 200 City: Springfield State: OR I ZIP: 97477 (b)Foundation-only permit? ❑Yes ®No Total valuation: I $ 428,663 Phone: 541.485.6478 Fax: - - 2.Building fees E-mail: L (a)Permit fee(use valuation table): $22D2 Building Owner/or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $ (c)Reinspection($ per hour): (number of hours x fee per hour) $ Sign here: - 7`Zi '2 (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ GW r ❑This installatif g ade on residential or farm property owned by me or a member o1im a late family,and is exempt from licensing (e)Subtotal of fees above(2a through 2d): $ requirements under ORS 7 .010. 3.Plan review fees CONTRACTOR INSTALLATION (a)Plan review(65%x permit fee[2a]): $ /y31 " Business name: Meili Construction (b)Fire and life safety(40%x permit fee[2a]): $ Address: 10 Van Buren St. (c)Subtotal of fees above(3a and 3b): S City: Eugene State:OR I ZIP:97402 4.Miscellaneous fees Phone: 541-.485.1417 Fax: - - (a) Seismic fee, 1%(.01 x permit fee[2a]): $ E-mail: (b)Technology fee,5%(.05 x permit fee[2a]): $ 40 v CCB license no.: 63771 TOTAL fees and surcharges(2e+3c+4a+4b): $ye k)? /j Print name: Signature: SUB-CONTRACTOR INFORMATION Name CCB License# Phone Number Electrical SPRINGFIELD • •, 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 • ,: "^ Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-01915 www.springfieldor.gov permitcenter @springfield-ocgov • PROJECT STATUS: Issued ISSUED: 09/12/2013 EXPIRES: 03/11/2014 STATUS DATE: 09/12/2013 APPLIED: 08/26/2013 SITE ADDRESS: 350 Q ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703262401702 TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: Shell improvement OWNER: CUDDEBACK INVESTMENT PROPERTIES INC Phone Number: ADDRESS: PO BOX 536 CRESWELL OR 97426 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MEILI CONSTRUCTION CO CCB 63771 01/20/2014 541-485-1417 INSPECTIONS REQUIRED Inspections 2255 Gas Pressure Test 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2995 Final Gas Final Gas: When all gas work is complete. • 2999 Final Mechanical Final Mechanical: Wien all mechanical work 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 r .cated at the front of the pro , and the approved set of plans will remain on the site at all times during constru '. • '7/743 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 0090.OAR 952-001-0010 through OAR 952-001- 90. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification Springfield Building R - 9/12/2013 11:06:20AM g ANY I tit AY PERIOD. Center is 1-800-332-2344). Pa e 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St . ‘41.)+4 TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 :OR REGON 811-SPR2013-01915 www spnngfield-or.gav 350 Q ST permitcenter©spnngfield-or.gov RECEIPT NO: 2013002015 RECORD NO:811SPR2013-01915 DATE:09/12/2013 0 o r -e,.;._g , .r ,1' -; r z a:::*kie`„a,[�.3., J:4;> ACCOUNT CODELTRANS;CODE---. .0 i AMOUNTiiDUE?I Mechanical Permit fee(based on value of work) 224-00000-425604 1006 526.76 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 63.21 Technology fee(5%of permit total) 100-00000-425605 2099 26.34 TOTAL DUE: 616.31 k FAY,MENTyIYPE r11015,Kf.OR CASHIER iCA eE4-11Fl ” `COMlatilT; , `,_ .WWWLIMI-INTP.AID„'g ° IMar Credit Card MEILI CONSTRUCTION CO 616.31 03400C TOTAL PAID: 616.31