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HomeMy WebLinkAboutPermit Building 2013-10-1 SPRINGFIELD --- 225 Fifth St '> CITY OF SPRINGFIELD Springfield,OR 97477 j, ;S t t Phone: 541-726-3753 \OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 . PERMIT NO: 811-SPR2013-02199 , www.springfield-or.gov permitcenter©springfield-or.gov • PROJECT STATUS: Issued ISSUED: 10/01/2013 EXPIRES: 03/30/2014 STATUS DATE: 10/01/2013 APPLIED: 10/01/2013 SITE ADDRESS: 1865 OLYMPIC ST,Springfield,OR 97477 SCOPE: Dryrot ASSESOR'S PARCEL NO: 1703253107400 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Dry rot repair OWNER: NADINE L BURGE EXEMPT MARITAL TRUST Phone Number: ADDRESS: 830 MCKENZIE CREST DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ADVANCED CONCRETE AND FLOORING SOLUTIONS LLi CCB 199582 04/11/2015 541-954-5169 • 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. 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, a the approved set of plans will remain on the site at all times during construction. �1�,� p ;01, 12,0, y • Owner or Contractor Signature Date ATTENTION: Oregon law requires you to Notification Ceter. Those rules are set fort NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK n OAR 95`2-0011-0010 through OAR 952-00th AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED 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 Building Permit 10/1/2013 11:27:08AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD �-✓• �»- == T-s. TRANSACTION RECEIPT 225 Fifth St Springgeld,OR 97477 OREGON 541-726-3753 811-S P R2013-02199 wwwspringfield-or.gov 1865 OLYMPIC ST permitcenter©springfield-or.gov RECEIPT NO: 2013002183 RECORD NO:811-SPR2013-02199 DATE: 10/01/2013 ‘,DESCRIPTION _ _ _ • __-_-..ACCOUNTCODE/TRANSCODE,__�__. . AMOUNTDUE .;.j Building Permit Fee 224-00000-425602 1002 • 183.26 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 21.99 Technology fee(5%of permit total) 100-00000-425605 2099 9.16 TOTAL DUE: 214.41 - : �_F!AYMENT TYPE ' PAYOR � CASHIER: -'ER:CCARPENTER . ; COMMENTS :, 4.Y .�. .. '��: AMOUNT PAID Check ADVANCED CONCRETE AND FLOOF — 214.41 1145 SOLUTIONS LLC TOTAL PAID: 214.41 • • • • • • Structural Permit Application PP SPRINGFIELD DEPAi2TMENT USE ONLY .ts a CITY OF SPRINGFIELD,OREGON . d s EGON / ) Permit Sl � tno.. '� _ t 9 225 Fifth Suter•Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3639 G R / Date: /01 ( ./'[ �/ •This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuance or if-work R.. suspended for 180 days. 34 1, *Locae,:GOVERNMENT APPROVAL ):i r -> ,ter d FE E HEDUL 'r ,> g T. This project has final land-use approval. :. ' Valuati° rmkm atnI m +O M r "9y This project Date: (a)Job descripnon n, pp / /� This project has DEQ approval. Dal gs- /4�i f7 ( Aoh v/4/If Signature: Date: - Occupancy?, I / Zoning approval verified:, 0 Yes ❑No • . ■ Construction type: - - Si Property is within flood plain: • ❑Yes' ❑No i • Square feet: . " I4iNaCATEGORY rOF, CONSTRUCTION r ,,') ; is, t A={. Cost per square foot: ❑Residential ❑Government 0 Commercial Other information: st �itifr OBfISITE;INFORMATION°""AND'LOC//ATIONi xv Qi, _ Type of Heat: Job site address: ,e0.-- �.'l&./,dljo/C s7-. Energy Path: City:tSP0.a7licn 6`I1 State: O/Z. ZIP:/¢/777 ❑new ❑alteration ' '❑addition ' Subdivision: Lot no (b)Foundation-only permit? ❑Yes ❑No Reference: Taxlot: Total valuation: S/2040 A _ 11 ,tPROPERTY. OWNER :z` f5 , r? "s !2cButldingrfeesrl'et'kr4j.iit s'c ,.` x ri ,`J6f,`,� VZ,i,_.-; • . Name: /14 /VL /4,11&i (a)Permit fee(use valuation table): S /(6. CZP Address: fii(i O"14T1J/-e,- Cili Sr ail. (b)Investigative fee(equal to[2a]): S r City: , cr72Jy4g/1 State: Cie ZIP:77 Y77 (c)Reinspection(S per hour): Phone: Fax: - - (number of hours x fee per hour) S , E-mail: _ -- (d)Enter 12%surcharge(.12 x[2a+2b+2c]):- S'4 `— (e)Subtotal of fees above(2a through 2d): S Building Owner or 0 cr's agent authorizing this application: "3 r Plan review fees'a`';atti i r"Fr !!. �•r ' tt., t Sign here: A I � V ~ (a)Plan review(65%x permit fee[7a]): S (b)Fire and life safety(40%x permit fee[2a]): S ❑This i nation 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 feesef 4' c - d':- 'SU ' $",.1-,4 requirements under ORS 701.010. -r✓x:rr t y f - ,�r,;};r ,.a .. (a)Seismic fee, I%(.01 x permit fee[2a]): S -t•'ici`;t5t CONTRACTOR.INSTALLATION z _4 C FS (b)Technology fee,5%(.05 x permit fec[2a1): S G "Business name: ,t - / t'%Address: • `201.On0 S pull Gl<C� TOTAL fees and stircharges(2e+3c+4a+4b): S Z y ' city IM�EyG�ejt, , 4 State:O Y ZIP:9lOtf( ( Phone: -1j")s 1//6 Fax: - - . . E-mail: CCD license no.: I gc7Sg Z / - • Print name:. A/rat o� U - Signature: it ,d, . lu�liti7Ja&Gtazs ONTRACTOR,INFORMATIONI an' Name CCB License ft Phone Number • Electrical - . -' - Plumbing - Mechanical ' _ • • • City of Springfield SPRINGFIELD Development Services Department _ • 611111, 225 Fifth Street Springfield, OR 97477 /$�� Planning Division Information Sheet for Building Permits, �/�� Commercial/Industrial/Multi-Family Residential The Planning Division requires the following information for all building permit submittals on properties zoned Medium Density Residential, High-Density Residential, Commercial, or Industrial, including new construction, expansions; and changes of use. New construction, expansions, and changes of use to any building, parking, or development area in these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100) or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review (SDC 3.3-100) may also be required, depending on the site. NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building Permit, Police or other permit approvals or inspections are not Planning approval. Required Project Information:. — —:(App/icant congilete'this section);; Applicant Name: I Phone: •Company: - - Fax: Address: ASSESSOR'S MAP NO: ITAX LOT NO(S): ' Property Address: • Description of the proposed work;to be completed under this building permit: Has this development proposal been reviewed by the Planning Division " : through an application process-(i.e. MDS or Site Plan Review)? ❑ Yes ❑,No If yes, Case #: , If no, is this a change in use? ❑ Yes ❑ No - Prior Approved Use: Proposed Use: Does the use necessitate the use of any chemicals or substances that are hazardous or re.uire Material Safet and Data Sheets MSDS to be ke.t on site? ❑ Yes ❑ No Required Property Information. (City Intake Staff complete this section),. Zoning: TOTZ: Overlay(s): The proposed project requires submittal and approval of the following Planning application prior to building permit approval: ❑ DWP Overlay District Development ❑ Statement Letter Regarding DWP Exemption ❑ MDS ❑ MDS Land Use Compatibility Statement • ❑ Site Plan Review ❑ Other: Reviewed by: Date: