HomeMy WebLinkAboutPermit Building 2013-10-15 SPRINGFIELD- 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
t Phone: 541-726-3753
° OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02304
- www.springfield-or.gav permitcenterQspringfield-ocgov
PROJECT STATUS: Issued ISSUED: 10/15/2013 EXPIRES: 04/13/2014
STATUS DATE: 10/15/2013 APPLIED: 10/15/2013
SITE ADDRESS: 215 Q ST,Springfield,OR 97477 SCOPE: Interior •
ASSESOR'S PARCEL NO: 1703263102103 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Remove Non load bearing wall
OWNER: Q PLAZA HOLDINGS.LLC Phone Number:
ADDRESS: 2030 SE 100TH
PORTLAND OR 97216
CONTRACTOR INFORMATION
Contractor Type ' Contractor Name Lic Type Lic No Lic Exp Phone
OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED
Inspections .
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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.
1
( b 1 b 15/13
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
AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001-
AUTHORIZED
NCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by
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 10/15/201 2:10:01PM Page 1 of 1 •
•
SPRINGFIELD CITY OF SPRINGFIELD
f1 225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
1
OREGON 541-726-3753
811-SPR2013-02304
wvw.spnngfield-or.gov 215 Q ST permitcenter@spnngfield-or.gov
RECEIPT NO: 2013002287 RECORD NO:811 SPR2013.02304 DATE: 10/15/2013
tt m'
Building Permit Fee 224-00000-425602 1002 80.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60
Technology fee(5%of permit total) 100-00000-425605 2099 4.00
TOTAL DUE: 93.60
I01P.A_Y ME NTIY PAY.O CASNERaRSON OCMMENTS AMOUNT I D it
Check
Midtown MMA 93.60
2966
TOTAL PAID: 93.60
r
•
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Structural Permit Application SPRINGFIELD "i DEP%�RTMENT?USE ONLY'z,t,
6 Fa ,•CITY OF SPRINGFIELD, OREGON c; �'-
a Permit no.:
225 Fifth Street•Springfield,OR 97477•P14(541)726-3753♦FAX(541)726-3689 OREGON 4(r 7.4171 02.
Date: /o/j 5-4 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 GOVERNINENT.,APP,ROV E a'As^?.a.;,
This project has final land-use approval. 1rVal ahon'information ,,, '� +
Signature: Date:
(a)Job descd [io¢: II (l
This project has DEQ approval. Occupancy
Signature: Date:
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet:
h. a r....,_ _ i2
=,?'ix' _��*'��"xCATEGORY'OF,�CONSTRUCTION� `x 4�� ,;;3 Cost per square foot:
❑Residential ❑Government al Commercial - Other information:
SITE`INFORMATIONVAND,)L'OCA Wei rs a _per Type of Heat:
Job site address: Z 1 S Q S t Energy Path:
CitYSet .1 IS U) State: 012 ZIP:j7y77 ❑new ['alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: Taxlot: Total valuation: 2C0/0r] $
12;Budder glees`.;, fs'':'rz,..s.'..3vy__ 7e i. 'S' . , -L+=:,"
Name: G QLc-L P \-14'ldl,. ) (a)Permit fee(use valuation table): $
Address: Zc 3 6 5♦: IOo4" - (b)Investigative fee(equal to[2a]): $ _
City: Qo orct q,00 State: O2 ZIP: (c)Reinspection($ per hour):
Phone: Fax: - -
(number of hours x fee per hour) $
E-mail: (d)Enter 12%surcharge(.12 x[2a+26-)2c]): $
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: ::3?Plan review fees ,,,.x y e x* „'„ , , j0` t re,..9 _%,1
(a)Plan review(65%x permit fee[2a]): 5
(b)Fire and life safety(40%x permit fee[2a]): 5
❑This installation is being made on residential or farm property owned by •(c)Subtotal of fees above on and 36): $
me or a member of my immediate family,and is exempt from licensing -:t ''--h ^t"'-'r "i' 'r °+^t,'"'
;m4.Mtscellaneousfeesy_;F �,,.3„- .�.;, ,��y, vti „,�,, .m--,
requirements under ORS 701.010.
(a)Seismic fee, 1%(.01 x permit fee[2a]): $
(b)Technology fee,5%(.05 x permit fee 2a $
Business name:
TOTAL fees and surcharges(2e+3c+4a+4h): $7 3
Address:
City: State: ZIP:
Phone: - - Fax: - -
E-mail:
CeFic license no.:
Print name:
Signature:
'ice, :_. :_SUWGONTRACTOWINEORMAT0tlit ,:,_.:. r
Name CCB License# Phone Number
Electrical.
Plumbing
Mechanical
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