HomeMy WebLinkAboutPermit Building 2013-9-19 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
C t '' Phone: 541-726-3753
OREGON . Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01766
www.springfield-or.gov permitcenler @s pringfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/19/2013 EXPIRES: 03/18/2014
STATUS DATE: 09/19/2013 APPLIED: 08/07/2013
SITE ADDRESS: 3315 MARCOLA RD,Springfield,OR 97477 SCOPE: Interior
ASSESOR'S PARCEL NO: 1702300001917 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: ' Breakroom and locker room remodels
OWNER: KINGSFORD MANUFACTURING CO Phone Number:
ADDRESS: PO BOX 24305
OAKLAND CA 94623
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
INSPECTIONS REQUIRED
Inspections
8675 Overhead Sprinkler Systems
8690 Fire Sprinkler Final ;\\A'
ma1-
8999 Final Fire �sc,S, *o�
1150 Slab/Flatwork \(( _t�'�la�tp be made after all inslab building service equipment, conduit piping and
�4\Q`QC' ' trr'quipment items are in place but prior to concrete.
1260 Framing \\,t .$3 o raming Inspection: Prior to cover and after all rough in inspections have been
.etYt �,`e*O approved.
1540 Gypsuro�'q 13[��4n/DI\cDQ' Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
alZ,, 0,c��CC``�6 $)o�Q' $ ' board, interior and exterior are in place, but prior to plastering.
1600 Ceilin�Cifr �o�l�\G<G��Q� Ceiling Grid: After drywall approval but prior to cover.
1800 Emergency Eg,s% ting
1999 Final Buildir*- Final Building: After all required inspections have been requeb�ettand approved and
c the building is complete. Un law tegUtt'e On utttdy
nti Ote9 I he Ore9 tfotth
By signature, I state and agree, that I have carefully examined the cplrippaerppOC;3��,Ra$r)=do Tuttg�Rf {�at -
information hereon is true and correct, and I further certify that any rA};,,'ocv vpklE�e "'ofoipithal{'b''e Kell a rley Worth the
Ordinances of the City of Springfield and the Laws of the State or Of2go t ctaifi�r�rlµ����oai &W9V gg9r0'6Y4�.oO1%that NO
OCCUPANCY will be made of any structure without permission of .5 , r a seffse P.60 vildroOlff at hirther
certify that only contractors and employees who are in compliance vt4l •-S./7p 11Yt�wlppt1a<l�B�ato°f1'I gcbreblPf further agree
�Q�4. ot1lC!- t t t5 street,that the
to ensure that all required inspections are requested at the proper ti �((�d(tt sttSUrsSt1h�Y o�.tfi�j
permit card is located at the front of the property, and the approved set% ffa vtQttr�r ain gn s'� t all times during
c.- r,kti• . 1 nUft, Centel is •
/tom 0' it 9 - IT-20 13 .
Owner or Contractor Signat re Date
Springfield Building Permit • 9/19/2013 9:43:19AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
hei v- _ zzs Fmn st
�`OREGON
TRANSACTION RECEIPT Springtield.OR 97477
541-726-3753
811-S PR2013-01766
www.springfieid-or.gov 3315 MARCOLA RD . permitcenter @springtieid-or.gov
RECEIPT NO: 2013002068 RECORD NO: 811-SPR2013-01766 DATE:09/19/2013
DESCRIPTION —._=may, __ ,... ACCOUNT CODE/TRANS CODE _ TI
_ AMOUNT DUE,
Building Permit Fee 224-00000-425602 1002 1,112.20
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 133.46
Technology fee(5%of permit total) 100-00000-425605 2099 55.61
TOTAL DUE: 1,301.27•L PAYMENT TYPE�PAYOR CASwER:DBOWLSBY• COMMENTS_ __ AMOUNT PAID -
Credit Card todd glenz 1,301.27
003892
TOTAL PAID: 1,301.27
•
SPRINGFIELD CITY OF SPRINGFIELD
TRANSACTION RECEIPT SpdngfeldtOR97477
,t "'
k'r''=�� OREGON 541-726-3753
811-SPR2013-01766
www.springfield-or.gov 3315 MARCOLA RD permitcenter @springfield-or.gov
RECEIPT NO: 2013001719 RECORD NO:811-SPR2013-01766 DATE:08/07/2013
DESCRIPTION ACCOUNT CODE/TRANSmCODE AMOUNT DUE
Structural Plan Review Fee Commercial 224-00000-425602 1060 722.93
TOTAL DUE: 722.93
-''PAYMENT TYPE ' ,:-PAYOR 1 CASHIER:CCARPENTER . „ ,',COMMENTS . AMOUNT PAID ' '
Credit Card LEWIS WESTGATE 722.93
037962
TOTAL PAID: 722.93
•
•
o�`y1A�'QP , •
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
CITY OF SPRINGFIELD, OREGON eV I Petmitno.: 693 r/76,6-
225 Filth Street•Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 OREGON
Date: o /� /7
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: Interior renovation.
Signature: Date: Occupancy B
Zoning approval verified: ❑Yes ❑No
Construction type: VB 1
Property is within flood plain: ❑Yes ❑No Square feet: 1,952 (interior renovation area)
CATEGORY OF CONSTRUCTION Cost per square foot:
-- —
❑Residential • ❑Government , I'Commcrcial Other information:
JOB SITE INFORMATION AND LOCATION 'Type of Heat: .
Job site address: 3315 Marcola Road Energy Path:
City: Springfield State: OR ZIP: 97477 5 new alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes - ❑No
Reference: /7O2_- Jt I Taxlot: 67/9/7 Total valuation: $$180,000
_PROPERTY OWNER 2.•Building,fees
Name: Kingsford Manufacturing (a)Permit fee(use valuation table): $i I 12-2°
Address: 3315 Marcola Road (b)Investigative fee(equal to[2a]):
City: Springfield State: OR ZIP: 97477 (c)Reinspection(S per hour):
Phone: 541-744-4553 Fax:541-747-8902 (number of hours x fee per hour) - $
E-mail: J05h.Long @clorox.com - (d)Enter 12%surcharge(.12 x 12a+2b+2c]): $ /3,(P
(e)Subtotal of fees above(2a through 2d): S J
Building Owner O. •t 's agent . <riling this appli . to - 3. Plan review fees
(a) Plan review(65%x permit fee 12a1): S 72 2 ?__�
Sig ere: (b)Fire and life safety(40%x permit fee[2a1): $
❑This installatiel is beino ade on residential or farm prop- . sy (c)Subtotal of fees above(3a and 3b): 1 $
me or a member of my immediate family,and is exempt from licensing '4!Miscellaneous fees
requirements under ORS 701.010. (a)Seismic fee, I% 01 s permit fee 2a $
(") ( P L ])
CONTRACTOR INSTALLATION . €f
--- (b)Technology fee.5%(M5 x permit fee12a1): $ Arc'
j
Business name: ' LO
Address: TOTAL fees and surcharges(2e+3c+4a+4b): 5 2074
P
City: State: ZIP:
Phone: - - Fax: - -
E-mail: •
CCB license no.: a - •
Print name: .
Signature:
SUBCONTRACTOR INFORMATION,
Name CCB License# Phone Number
Electrical
•
Plumbing
Mechanical
•