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Home My WebLink AboutPermit Building 2013-9-20 • 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-SPR2013-02120 www.springfield-ar.gov - permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/20/2013 EXPIRES: 03/19/2014 STATUS DATE: 09/20/2013 APPLIED: 09/20/2013 SITE ADDRESS: 960 16TH ST,Springfield,OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703362204603 TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: ST-Tenant improvement to basement floor OWNER: MCKENZIE MEDICAL LLC Phone Number: ADDRESS: 541 WILLAMETTE ST STE 109 EUGENE OR 97401 CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone NWS PLUMBING LLC CCB 192800 01/14/2015 541-345-1098 JK GUCKENBERGER ELECTRIC INC CCB 45129 04/24/2014 541-746-4656 COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 MEILI CONSTRUCTION CO CCB 63771 01/20/2014 541-485-1417 INSPECTIONS REQUIRED. • Inspections 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. 1710 Fire Sprinklers 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 pers.' __ • located at the front of the pr rty, and the approved set of plans will remain on the site at all times during construction. ^ �vl tie Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to NOTICE: . _ --. - follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK , Notification Center. Those rules are set forth I4(1 _ in OAR 952-001-0010 through OAR 952-001- Springfield Buil�ngVPe'rhVi4RIZED UNDER THIS PERMIT IS �eo¢o,a 11:05:08AM 0090. You may obtain copies of the ruN§ yof 1 CUMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). • • SPRINGFIELD — CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfieltl,OR 97477 541-726-3753 OREGON 811-SPR2013-02120 v.wwspringfield-or.gov 960 16TH ST pennitcenter @springfield-or.gov RECEIPT NO: 2013002100 RECORD NO:811-SPR2013-02120 DATE:09/20/2013 DESCRIPTION a gi i °t, iiiiM my `Riel•!G`ACCOUNTFCODE/TRANS CODE::? , C?&:- 'AMOUNT DUE._¶1 Building Permit Fee 224-00000-425602 1002 711.77 Fire, Life, Safety Plan Review 224-00000-425602 1077 284.71 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 85.41 Structural Plan Review Fee Commercial 224-00000-425602 1060 462.65 Technology fee(5%of permit total) 100-00000-425605 2099 35.59 TOTAL DUE: 1,580.13 OP IE IT E' PAYOR't` eArg li ccaRaEN7Ek - COMMENTS APIN NT "PArgr a, Credit Card Daniel Klute 1,580.13 002401 TOTAL PAID: 1,580.13 • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY t CITY OF SPRINGFIELD, OREGON ( OREGON Permit no.: 5(5_ .420 225 Filth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: //J,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. LOCAL GOVERNMENT APPROVAL • FEE SCHEDULE This project has final land-use approval. 1. Valuation information Signature: Date: This project has DEQ approval. (a)Job description: --- n rMi (MA,40!4,thr, r Signature: Date: Occupancy 3 pp Zoning approval verified: ❑ Yes ID No Construction type: V— Property is within flood plain: ❑Yes ❑ No Square feet: 3 [ .3 00 ± . CATEGORY OF:CONSTRUCTION , Cost per square foot: Q.%7 . a 7 ❑ Residential I ❑Government ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Heat: Job site address: 'no If,7)1 aPc_ Energy Path: City: I eP elli D State: OR ZIP:97477 ❑ new alteration ❑addition Subdivision: 4 Jr V Q6 le Lot no.: (b)Foundation-only permit? ❑ Yes 6-No Reference: Taxlot: Total valuation: 914640 PROPERTY OWNER 2. Building fees Name: kiblitAaL ititab1G#L 661_,..- (a) Permit fee(use valuation table): $ Address: 01 (vh,bIfrT' g- 67 i'Oci (b)Investigative fee(equal to[2a]): $ City: F,L F4J _State:012.✓I I ZIPq' i (c) Reinspection($ per hour): $ (number of hours x fee per hour) Phone: Fax: - - E-mail: (d)Enter 12%surcharge(.12 x[2a+21:0-24): $ (e) Subtotal of fees above(2a through 2d): S Building Owne or Owner's agent authorizing this application: 3. Plan review.fees (b) Plan rndiew(65%x pe%x fee it f e: $ Sign here: 7 (b)Fire and life safety(40%x permit fee[2a1): $ ❑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. (a) Seismic fee, 1%(.01 x permit fee[2a]): $ 31CONTRACTOR'INSTALLATION' c.,;.'. ', (b)Technology fee,5%(.05 x permit fee 2a $ _ O gY " ( P [ ]) Business name: Meet LI CosJf-ne,06i to A.� Address: /Q !Ito �� TOTAL fees and surcharges(2e+3c+4a+46): S City: F )b5N& State: 0 I zIP:97s01 Phone: rj‘1.- ¢9IgI 14-77 Fax:c#j.f 054- E-mail: Sewed,' ® oneet(tc0n,l/uc(satw. Leon CCB license no.: Co 3 7 7 ( t Print name: �tin]1,‘ 'FOG ` Signature: •1.' -' ,2.: SUB-CONTRACTOR INFORMATION s,'' . ' Name CCB License# Phone Number Electrical J 41 reT g. - 4s/9.9 9/ N.fear‘ 5[ 3 ' 2-( 2-1 Plumbing et/cos PPae6(N& 1rt2.'205 54-( fSlo�B 5-13 - 2l 23 Mechanical �iif nT ga& q-60 6*/ 7a6o/� 5( 3 r 212 Z • SPRINGFIELD- t ,. CITY OF SPRINGFIELD Sp225 dngfFifth eldS,OR 97477 -C tau Phone: 541-726-3753 1 OREGOR Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02122 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/20/2013 EXPIRES: 03/19/2014 STATUS DATE: 09/20/2013 APPLIED: 09/20/2013 SITE ADDRESS: 960 16TH ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703362204603 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: ME-Tenant improvement to basement floor OWNER: MCKENZIE MEDICAL LLC Phone Number: ADDRESS: 541 WILLAMETTE ST STE 109 EUGENE OR 97401 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone NWS PLUMBING LLC CCB 192800 01/14/2015 541-345-1098 JK GUCKENBERGER ELECTRIC INC CCB 45129 04/24/2014 541-746-4656 COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 MEILI CONSTRUCTION CO CCB 63771 01/20/2014 541-485-1417 INSPECTIONS REQUIRED Inspections 2300 Rough Mechanical • Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: When 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 at all required inspections are requested at the proper time,that each address is readable from the street, that the permit card i ocated at the front of the property, and the approved set of plans will remain on the site at all times during construction. ,....„.02, )1,46---- g.i) ci5( f.- . Owner or Contractor Signature Date NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK 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 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 9/20/2013 11:03:39AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 744 -cas, 225 Fifth St tt OREGON TRANSACTION RECEIPT spdngfted.oR97477 • 541-726-3753 811-SPR2013-02122 www.springfeld-or.gav 960 16TH ST permitcenter @spdngfield-or.gov RECEIPT NO: 2013002098 RECORD NO:811-SPR2013.02122 DATE:09/20/2013 )ofd [03:71 T1d[o7:L+rs ej' � w,vl,'n: 'at '.rACCOUNT.CODE/PRi4NSCODE ffi kw* o01:bri 711*old' Mechanical Permit fee(based on value of work) 224-00000-425604 1006 141.96 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.04 Technology fee(5%of permit total) 100-00000-425605 2099 7.10 TOTAL DUE: 166.10 PI YTE I TPE PAYOR cnsHlea cctExTER " 4 .COMM.EW'S � MO UNTPAIOg_ Credit Card Daniel Klute 166.10 002401 TOTAL PAID: 166.10 • • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 kat •- Phone: 541-726-3753 Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02123 www.springfield-or.gov permitcenter @springfield-ar.gov PROJECT STATUS: Issued ISSUED: 09/20/2013 EXPIRES: 03/19/2014 STATUS DATE: 09/20/2013 APPLIED: 09/20/2013 - SITE ADDRESS: 960 16TH ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703362204603 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: PL-Tenant improvement to basement floor OWNER: MCKENZIE MEDICAL LLC _ Phone Number: ADDRESS: 541 WILLAMETTE ST STE 109 EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone NWS PLUMBING LLC CCB 192800 01/14/2015 541-345-1098 MEILI CONSTRUCTION CO CCB 63771 01/20/2014 541-485-1417 INSPECTIONS REQUIRED Inspections 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3999 Final Plumbing Final Plumbing: When all plumbing 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 permi . • ated at the front of the property, and the approved set of plans will remain on the site at all times during c• struction. Owner or Contractor Signature Date NOTICE: follow ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK ti cation Center. Those the Oregon rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT n OAF 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 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 9/20/2013 11:02:17AM Page 1 of 1 • SPRINGFIELD - • CITY OF SPRINGFIELD a' °��. 225 Fifth St ` E�aN TRANSACTION RECEIPT SpnngfieldpR97477 541-726-3753 811-SPR2013-02123 www.springfield-or_gav 960 16TH ST permitcenter @spnngfield-or.gov RECEIPT NO: 2013002099 RECORD NO:811SPR2013-02123 DATE:09/20/2013 DESCRIPTION .z - `1? ° kik.- ACCOUNT CODE/TRANS CODE Z 9 AMOUNT. Fixture 224-00000-425603 1005 147.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.64 Technology fee(5%of permit total) 100-00000-425605 2099 - 7.35 TOTAL DUE: 171.99 -:' PAYMENT=TXPEna'31IP,4YORnsRleri?ccnrsa,ENTEitn _COIIAMENTS QMOUN7tiPAlp ,.eth" Credit Card Daniel Klute 171.99 002401 TOTAL PAID: 171.99