HomeMy WebLinkAboutPermit Building 2013-10-16 SPRINGFIELD+ssio 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
itti 'A. Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02306
www.springfieldor.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 10/16/2013 EXPIRES: 04/14/2014
STATUS DATE: 10/16/2013 APPLIED: 10/16/2013
SITE ADDRESS: 6100 THURSTON RD,Springfield,OR 97478 SCOPE: Interior
ASSESOR'S PARCEL NO: 1702342100400 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Adding door outside of boiler room
OWNER: WILLAMALANE PARK&REC DIST Phone Number:
ADDRESS: 250 S 32ND ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contactor MCKINSTRY CO LLC COB 172811 11/16/2014 503-331-0234
INSPECTIONS REQUIRED
Inspections
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. 11
• Owner or Contractor Signature Date
ATTENT!ON: 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
THIS PERMIT
UNDER THIS PERMIT IS NOT
in OAR 95?_-001-0010 through OAR 952-001-
n,1P1ENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
,:dY 180 DAY PERIOD. number for the Oregon Utility Notification •
Center is 1-800-332-2344).
Springfield Building Permit 10/16/201 9:05:34AM Page 1 of 1
SPRINGFIELD -- - CITY OF SPRINGFIELD
"�, 225 Fifth St
"""*c0 OREGON TRANSACTION RECEIPT 225 Fifth St R97477
541-726-3753
811-SPR2013-02306
ww^w.springfield-or.gov 6100 THURSTON RD permitcenter @springfield-or.gov
RECEIPT NO: 2013002288 RECORD NO:811-SPR2013-02306 DATE: 10/16/2013
DESCRIPTION' _ "l '` .- _ - ''.._,: t1 CODE__i. . = ,.`.AMOUNTS I
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
irilAWIENTTY,PE P.A ioNt SHIM"` EER RSON - COMMENTS MOUNT(PAID
Credit Card Melisa Vasquez 93.60
016309
TOTAL PAID: 93.60
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'4
Structural Permit Application SPRINGFIELD-- j DEPARTMENT use ONL=Y;ti
T. CITY OF SPRINGFIELD, OREGON: r4 Permit no.: •
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON ry J�•/
/l Zol zJ o z Z„
Date: DD /c%6/, �
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.
�4� ��Lae AL=sGOVERNMENT APP„ROYAL, ,.,,,mt` ?)' ...,0_F.EEiSCHEDULE,,,,,,"li", . '-�^° A +1.1'
This project has final land-use approval. r lu n ” a'a r 3r `•
P J PP ,1�Valuattominformatign-y �$-_„;„ /{,� �.�p/ ��„
Signature: Date: (a)Job description: �d noor '7a /7oi/rr PQ°a"s
This project has DEQ approval. Occupancy
Signature: Date:
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet:
Mt.;=-,,,,„;;;'. CATEGORY'OF�CONSTRUCTION) ,:Nif v;= Cost per square foot:
❑Residential ❑Government ❑Commercial Other information:
_;,” _,-�_ ,`'dOB SITE fNFORMATIONI AND LOCATION`�"i;i_'+t+*•:r Type of Heat:
Job site address: (p/(Il j "/ ti L(,Vt--k,-y/-. ,P,q'/ Energy Path:
City:L 42/r•/1-7 /7/. a( CL State: o-7L ZIPS rV7, j' ❑new ❑alteration ❑addition •
Subdivision:. /(/ Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: Taxlot: Total valuation: ZOOS S
PROPERTY;OWNER ra rj- N;H'a it x -m 2 Buildingrfees N'' ° . _ :.: YTE
Name:427/G(.(yti.,/cgAf' oei(_ ,L.C, (a)Permit fee(use valuation table): S
Address: to/c1 U / Gt tit-vf'1—Lrzti 7_ � (b)Investigative fee(equal to[2a]): • $
City f�7, , „e.J of StatraC.. Zll�?9/2�5 (c)Reinspection($ per hour): •
PhoneSI/ �5 Ls. 67-'7 Fax: - -
(number of hours x fee per hour) $
E-mail:QU Q.7-/r -v H p kJ,/ O/q (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
(e)Subtotal of fees above(2a through 2d): S
Building Owner or Owner's agent authorizing this application: 3Plan-revew fees -. , '� ',; •
• (a)Plan review(65%x permit fee[2a]):
Sign here: (b)Fire and life safety(40%x permit fee[2a]): $
❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exempt from licensing =*"^ a ia-je'" z.. Fi s+
-:4 Mtscellaueousjfees?'��,�
requirements under ORS 701.010. (a)Seismic fee, I%(.01 x permit fee[2a]): $
w4,t` CONTRACTOR;INSTALLATION) ?i lu _..,'- r Q(t b Technology fee,5%(.05 x permit fee 2a $
Business name: 4,7c.4 - � i] f K / TOTAL fees and surcharges(2e+3c+4a+4b): $ 7 6-0--
Address: /(o¢' U eAlaJUp`ff
city/6 lri---f a t ca/ State: 07C ZIPQ oUO
PhonCC -yD4- &/o) 7 Fax/si)i-a3/- 6, 90
E-mail: /14 C/t ✓os� CJ
CCB license no.: n / .J 5 8 / l 7
Print name: / Y/C//✓e, 1161-T U £Signature// v( A
_";((�S JBB-CONTRACTOR INFORMATION, nR'°°; ;" `s;,;
Name CCB License# Phone Number
Electrical
Plumbing
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Mechanical