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HomeMy WebLinkAboutPermit Building 2013-11-1 r4 • 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-SPR2013-02295 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 11/01/2013 EXPIRES: 04/30/2014 STATUS DATE: 11/01/2013 APPLIED: 10/14/2013 SITE ADDRESS: 1001 10TH ST,Springfield,OR 97477 SCOPE: School ASSESOR'S PARCEL NO: 1703351103400 TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Title nine improvements to softball field dugouts OWNER: SPRINGFIELD SCHOOL DISTRICT 19 Phone Number: 541-744-6375 ADDRESS: 525 MILL ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections 1110 Footing Footing: After trenches are excavated. 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. IQ //A3 Owner o Contr or Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE 1F THE WORK in OAR 952-001-0010 through OAR 952-0C-11 0090. You may obtain copies of the rules COMMENCED OR IS ABANDONED FORNOT calling number the the Oregon on U: the t of c- ANY 180 DAY PERIOD. number for the Oregon Utility Not fic ' Center is 1-800-332-2344). Springfield Building Permit 11/1/2013 9:59:51AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 n't 811-SPR2013-02295 ' vrxw.springfield-or.gov 1001 10TH ST permitcenter©springtield-or.gov RECEIPT NO: 2013002404 RECORD NO: 811-SPR2013-02295 - DATE: 11/01/2013 ;DESCRIPTION- ACCOUNT CODE/TRANS CODE AMOUNT DUE • Building Permit Fee 224-00000-425602 1002 265.87 Planning-Minor Review-City 100-00000-425002 1231 119.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 31.90 Technology fee(5%of permit total) 100-00000-425605 2099 13.29 TOTAL DUE: 430.06 PAYMENT TYPE> PAYOR CASHIER:CCARPENTER; '-'COMMENTS - `-k _ AMOUNT PAID -, _ .., I• Credit Card SPRINGFIELD SCHOOL DISTRICT 1£ 430.06 130827 TOTAL PAID: 430.06 • • • SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spdngfteld,OR 97477 3.41‘g iFtViAs. oREGoN 541-726-3753 811-SPR2013-02295 www springfield-or gov 1001 10TH ST permitcenter©springfield-or gov RECEIPT NO: 2013002274 RECORD NO:811-SPR2013-02295 DATE: 10/14/2013 [15ESCRJOTiON:77..7 buE' Structural Plan Review Fee Commercial 224-00000-425602 1060 172.82 TOTAL DUE: 172.82 L, PAYMENT TYPE •IFAVOR CASHIEi ddARPENTER'''• tOMMENTS.Hit; cy -1AMOUNT;PAIr.Y5.' Credit Card SPRINGFIELD SCHOOL DISTRICT 19 172.82 144049 TOTAL PAID: 172.82 • l Application SPRINGFIELD DEPARTMENT-,USE ONLY ; In *CITY OF SPRINGFIE 5 u 7i ,, , , J Structural Permit L v LD OREGON 6ry . x a to Permit no.: S I?_2295 225 Fifth Street♦Springfield,0R97477♦PH(541)726-3753♦FAX(541)726-3689 OREGON / Date: re/4 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-IGOVERNMENTSAPPROVAL w,.k=. ;q Plumbing ' This project has final land-use approval. Alone Signature: • Date: . - Mechanical This project has DEQ approval. Signature: Date: AiCtl G Zoning approval verified: ❑Yes ❑No .. -' , JFEE SCHEDULE :-,-I Property is within flood plain: ❑Yes ❑No '1S Valuation information_ s'L :'._//� '° _/':r •'1rt. '?- 'CATEGORY OF,CONSTRUCTION (a)Job description: WyOo# Situ-lure of exIsh L4 h.I/lieu. ❑Residential NI Govemment ❑Commercial Occupancy- Li _ Access orry s-irvG4vK vJ ...-JOB:SITE°INFORMATION AND:LOCATION `!`k?r .. Construction type: $•73 ' Job site address: IC O I /0 j•yee+ Square feet: under 250 S.E endlt• • City: cpl'lvtt f eld State: O'R ZIP: 87477 Cost per square foot: Subdivision: i 70 33 si/ Lot no.: 0 3 4 cm Other information: Reference: tit"tor/*tom TaxlotllQ9;ngerSe ritoo_5eo Type of Heat: t .?„.;:_;11,1;e!, e. i,':1PROPERTYI OWNER , r ',° r :;5' i _ . ` � (` Energy Path: Name: `�W1yla Cie ld c�rko-ol 'iskc+ IS new • ❑alteration ❑addition Address. v1rS25 J1 M III 5'3 u+ (b)Foundation-only permit? ❑Yes ❑No City: .�JPy1K etd State: DR ZIP: 173/477 Total valuation: s 24 X0 Phone: 5.[(/•744- (375- Fax: 5y/-744- 4374 _ -2.Building fees E-mail: jOl1N. 50.ra CCYtO( SP-Kq Fir IA.kl2.on II( (a)Permit fee(use valuation table): r $70,5 Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $ (c)Reinspection($ per hour): $ (number of hours x fee per hour) Sig her 4` P`•4:- — (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ , • ❑ is insta . t‘ eing made on residential or farm property owned by • me or• me •-r of my immediate family,and is exempt from licensing (e)Subtotal of fees above(2a through 2d): $ requirements under ORS 701.010. ,3.13Jan review fees , ;` ` , ' „'CONTRACTOR-INSTALLATION : . : ' (a)Plan review(65%x permit fee[2a]): S /72 Business name: 7'•O BE 'CE7& p4JJV£D (b)Fire and life safety(40%x permit fee[2a]): $ Address: (e)Subtotal of fees above(3a and 3b): $ City: State: ZIP: 4.Miscellaneous fees + . Phone: - - Fax: - - (a)Seismic fee, 1%(.01 x permit fee[2a]): $ E-mail: - (b)Technology fee,5%(.05 x permit fee[2a]): s/3 I �, Q CCB license no.: . TOTAL fees and surcharges(2e+3c+4a+4b): $ OJa_ Print name: - Signature: - •. :SUB+CONTRACTOR INFORMATION . ,:." Name CCB License# Phone Number Electrical Alone • •