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HomeMy WebLinkAboutPermit Building 2013-11-5 I; SPRINGFIELD ' 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 �tX ' v - Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-02222 www.spnngfield-or.gov permitcenter @spdngfieid-or.gov PROJECT STATUS: Issued ISSUED: 11/05/2013 EXPIRES: 05/04/2014 STATUS DATE: 11/05/2013 APPLIED: 10/03/2013 SITE ADDRESS: 3738 MAIN ST,Springfield,OR 97478 SCOPE: Tenant Infill ASSESOR'S PARCEL NO: 1702314202406 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant improvement for retail bakery OWNER: BRAZIEL DANNY D&SARAH L Phone Number: ADDRESS: PO BOX 7894 • SPRINGFIELD OR 97475 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor TAYLOR EQUIPMENT SALES LLC COB 155889 07/07/2015 541-895-5510 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. • 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 hereoh 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. So /®OJ/n) Ue.6-/vc o (� ii /5/13 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• Notification Center. Those rules are setforth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by NY 190 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 11/5/2013 1:50:20PM . Page 1 of 1 • • SPRINGFIELD — CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spdngfield,OR 97477 - =OREGON 541-726-3753 811-SPR2013-02222 w.ni.springfeld-or.gov 3738 MAIN ST permitcenter@springfield-or.gov RECEIPT NO: 2013002433 RECORD NO:811 SPR2013-02222 DATE: 11/05/2013 *Ff-Straca ai° _?''ACCOUNTICODE/TRANStCODE 1 +$S AMOUNT'DUESw'I;I Building Permit Fee 224-00000-425602 1002 234.89 Planning-Minor Review-City 100-00000-425002 1231 119.00 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 29.23 SDC: Improvement Cost- Local Wastewater 443-00000-448025 1184 69.64 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,870.03 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 142.68 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 144.07 SDC:Total MWMC Administration Fee—Local • 719-00000-426604 1121 102.67 SDC:Total Sewer Administration Fee 719-00000-426604 1175 10.62 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 • 28.19 Technology fee(5%of permit total) 100-00000-425605 2099 11.74 1.,, TOTAL DUE: 2,772.76 p}PAYMENTWPME PARWili tires COMMENTS .. AMOUNTIR#ID .,,, Cash joaquin velazco 2,500.00 Credit Card joaquin velazco 272.76 699349 TOTAL PAID: 2,772.76 • • Structural Permit Application SPRINGFIELD- TEPgRTMENTUSE+ONL'Y CITY OF SPRINGFIELD, OREGON I.0 OREGO`N` Permit no.:517_ 02z22 225 Fifth Street•Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 Date:/o n/0 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. r ,� dLOCALtGOVERNMENT APP,ROVAL .0 rt�'?�t.�s a..y r. ,; �,�,:FEE�SCHEDl1LE„ ,�,�,,:�;'_U.: ,.,?�".: This project has final land-use approval. fl'Vati iiin pna for ati"" Ete,gl : _T_O IIN, Signature: Date: (a)Job description: This project has DEQ approval. Signature: Date: Occupancy 1.5 Zoning approval verified: ❑Yes ❑No Construction type: V r3 Property is within flood plain: ❑Yes ❑No Square feet: CC 3 I _ .n,... sCATEGORY OF rCgNSTRUCTION + '`' Cost per square foot: ['Residential ❑Government cc Commercial Other information: k„"`t„zJQBN SITE, INFOR.^^MATIONµ"+''ANOwL''OCATION;aFi1`"n.,`.."''. Type of Heat: Job site address: 5rl 3 4 r l 1 t,) Sr • Energy Path: City:S>Ra Herr anti I State:teir oat ZIP: 174-lj( new tga[leration ❑addition Subdivision: Lot no.: I"I C) Z'S 14t. (b)Foundation-only permit? ❑Yes ❑No Reference: /70Z- 3142._ Taxlot 0 240 (, Total valuation: `-7 v $ 'a.:'_t 11:U,� t-''PROPERTY OWNERs}„z,?„+ w.,.4 `:vl.,a Name: 17 lZ Oetpre_ p F (a)Permit fee(use valuation table): S. Address: Ln,r.t L s Ji 'Day. LZrlo d? (b)Investigative fee(equal to[2a]): $ City: SOo cot 7S ref State: ZIP: (c)Reinspection(S per hour): Phone: s elr oft Fax: j (number of hours x fee per hour) E-mail: r (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ ( (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3 Pla r =' "w res s W-„ „_ — s _1r '„ (a)Plan review(65%x permit fee[2a]): j 55 428 , Sign here: J O 0©-J/OJ U(Lg2Ct (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 faduly,and is exempt from licensing '[4 Mtscella eons'fe s`'? 4r s tN 1 q 2.-it t requirements under ORS 701.010. (a)Seismic fee, 1%(.01 x permit fee[2a]): $ CONTRACTOR -INSTALLATION: YqtYli yh? (b)Technology fee,5%(.05 x permit fee[2a1): $ (/ 7`/ Business name: -1p X02 JZ LL'Tsu atAri t or-sr• y TOTAL.fees and surcharges(2e+3c+4a+4b): $ Address: 6 AR Lo -r La&& 7.O .13 a'c �O - City: (i7L65sds1..t.. State: Ott ZIP:g lett Co Phone:541 y0S sif 0 Fax: - - 0 t2- 14 E-mail: CCB license no.: 1 5 5-gam j Print name: • Signature: 'SILIKCONTRACTOR,•INELORMATION {„5 g Name CCB License H Phone Number • Electrical Plumbing Mechanical