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HomeMy WebLinkAboutPermit Miscellaneous 2013-11-20 SPRINGFIELD 225 Fifth St `' CITY OF SPRINGFIELD Springfield,OR 97477 • illikt-,„.litirPhone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811SPR2013-02552 www.springfeldor.gov permitcenter @springfeld-or.gov PROJECT STATUS: Issued ISSUED: 11/20/2013 EXPIRES: 05/19/2014 STATUS DATE: 11/20/2013 APPLIED: 11/20/2013 . SITE ADDRESS: 1750 MAIN ST,Springfield,OR 97477 SCOPE: Paving ASSESOR'S PARCEL NO: 1703363101600 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: RePaving OWNER: RIEDELL PAUL&JOYCE F Phone Number: ADDRESS: 26025 S BEECH CREEK DR SUN LAKES AZ 85248 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MCKENZIE EXCAVATING INC CCB 126290 11/21/2013 541-689-3085 INSPECTIONS REQUIRED . 1 Inspections • 1059 Final Paving Final Paving: After paving 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 theLaws 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. 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 in OAR Son Center. Those rules are set 001- AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- 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 11/20/201 1:54:11PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St ` E�oN TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 811-SPR2013-02552 www.springfield-or.gov 1750 MAIN ST permitcenter©spnngfield-or.gov RECEIPT NO: 2013002545 RECORD NO:811SPR2013-02552 DATE: 11/20/2013 pe1*.ief7l:Ad[o7:Mn W= i tIL h ' = .:;..1.74t I1 0 D A ; CODE AMOUNT:' Building Permit Fee 224-00000-425602 1002 276.19 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 33.14 Technology fee(5%of permit total) 100-00000-425605 2099 13.81 TOTAL DUE: 323.14 PAYMENTIIYP_E P.AY.OR EZ HIER,JLARSON _. t,-YCOMMENT5 `�-F _ _ , AMOUNTI ID Check J&D Fisher LLC 323.14 1003 TOTAL PAID: 323.14 • • • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY zei3 o253-2_ CITY OF.SPRINGFIELD, OREGON - s�i Permit no.: •225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•I AX(541)726 3689 OREGON Date: f( I zol i 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. GOVERNMENT APPROVAL , . FEE SCHEDULE This project has final land-use approval. I.Valuation information Signature: Date: (a)Job description: parua)trii_ rc Pr.,vt. This project has DEQ approval. Occupancy Signature: Date: Zoning approval verified: ❑ Yes ❑ No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: ❑ Residential ❑Government 'Commercial Other information: JOB SITE INFORMATION AND LdCCATION Type of Neat: Job site address: /' �atir:A., oC1 Energy Path: City: � t y,({ State:62./e— %IP71(F71 new ❑alteration ❑addition Subdivision:O V Lot no.:/1‘ 00 (b)Foundation-only permit? ❑ Yes ❑No Reference: Taxlot: /7_s -36--/ Total valuation: $7,07GD r PROPERTY OWNER . 2. Building fees - - Name: tit &Q/li LL G (a)Permit fee(use valuation table): S Address: t7A3,t/ , 4//51'/-7 -CAS (b)Investigative fee(equal to Pal): S City: /p,pQQ State v ZlP?f --� (c)Reinspection($ per hour): • $ Phone:.—I, t,O3'7 Fax:9E7 I-79'77—L2-8/ (number of hours x fee per hour) (d)Enter 12% (.12 x�2a+26+2c�):E-mail: ?09' (ac f Lo v ez{ � � . C�/V $ (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 3. Plan review fees. • (a) Plan review(65%x permit fee pa j): Sign here: - L z / (b)Fire and life safety(40%.x permit fee 12a1): 5 ❑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 4. M11iseellaneous fees requirements under ORS 701.010. - (a) Seismic fee, I%(.01 x permit fee[2a1): $ . CONTRACTOR INSTALLATION _- - / � (b)Technology fee.5%(.05 x permit fcel2a1): $ Business name: f�"" t r' li TOTAL fees and surcharges(2c+3c+4a+46): S?L y Address: .285-68"City: 1 State:O/ Z119994/a2"Phone1 511-b 9 — ' 08 - Fax:✓` Y�'�jf/" �3�7" E-mail: CC13 license no.: /e2 6 e Print name: Signature: • ':. .: , . .SUB-CONTRACTORINFORMATION, Name CCB License# Phone Number Electrical Plumbing Mechanical 11/15/2013 09:33 5417471282 WVAWARDS NAtit Di(OD Structural Permit Application . SPRINGFIELD bEktettn it*llafr'OItilt:_ t -rf rl' !4<( .)I ' , ' Q` . _I11 rl :,P I\cirihi ) ttt-Go. i permit no.; VRIoon 225 Fifth Stoat•Spnngneld,OR97477 4 PB(54/7726-3753•FAX(5407264639 Date'. This permit is leaned under OAR 918-4604030.Peimits expire if work Is not started within 180 days of inauanet or sr work Is suspended for 180 days. • FEE SC}IE4t10E ` " OGl1`CYBB-0IMSNT-APPIIOY¢1L ,I. .. Thisprojecthasfinalland-use approval 1'∎Iiiit fkin mforpma$IG* Date: PM I( .A Lo'- Q4 34 Signature: _ (s)7ob destripdan: i tf This project hos DEO approval. Occupancy Signatory: • Date: Zoning approval verified: ❑Yes ❑No Cooslnrellon type; Property is wltbbr flood plain: I Yes ❑No Square feet - -1:2:^ Cost per square foot ;f.A�EGd�tY<mF.%d,D1�$ 11.GT10N. . .. ❑Residential I❑Government I ouunereiel Other information: 7:441$B'_SITE:{NP!ORNflkrl'ION"AND?LO1)M1ON'"•.•.. Type of Flew: Job site address: (I, Energy Path: • City: S-30_,,,,,21 State` 2-7 yZigy7t-77 ❑new ❑alteration Q addition _ Subdivision:a j Lot no.:/S e20 (b)Foundation-only pemdt? El Yes 0No Reference: I Taxlot /-1_4(47-. -3 6 3/ Totalvaluatioo I S L �( " FPY.t�.1 o-� °4'i .'WtV bv".. .Svl 1 .". - .J `7f'< �'d '..:b Z;.'�'nNaWgefN9;�i .... . Name t'] i pN `, C. _ (a)Permit tee(use valuation table): $ Address: if - . �' (b)Investigative foe(equal to[tall: $ tl tY i - UP a. '%f� (c)Reinspecdan($ per hour]: ' $ Phone:!-�"� • �r�y� (nunsber of hours x tee per hour) Phone:2,ppf.' ct ,Ua7;�� lsT :7Qii E-mail: pl-�A-G�of ten/ir .( - , � (d)Enter 12%surcharge(.12 x r2d): S through(e)Subtotal offers above an through irh: S Building Owner or Owner's agent authorizing this application: (a)Plan review(65%a permit fee(Zap: $ Sign bees: (b)Fire and life gaiety(401:x permit fee(28j): S [J This installation is being made on residential or Porn property owned by (a)Subtotal of fees above(3a and 3b): S . me Ora member of my immedlam runny,and is exempt from licensing :4**41p4aiafle q:' r:>' .'"s:! ':"3'-`::!`.:::;.'`...`:3 regnirements under ORS 701-010 (a)Seismic fee,I°%(.01 xpermit fee(tap: $ _.,: ... '.,.. ,/Ol; �i,4-7••.,L.2. -'k ' ' " ..,-3., (b)Technology fee,s%(.05 xpermil coop* s It Business name: Lacs' g1 t {.eby -. TOTAL fees and surcharge:(2a4 -t+eb): S•Address: �83^6f� �� d,� t� "�+rfj City: f f . .411--_ Stile:ODIC I zip v vfii Phon.56-6f- - rJ ass- Pasz5$—&9 23 . E-mall: Q CCB license no: I�(' 6 a/ a Print name: f 5t- is; _ Signature: Asa a �* Name CCB license it Phone Number Electrical Plumbing wombat wombat TO/S0 39Vd 0X3 3IZN371O14 b0£L689I09 99:E2 IIOZ/6I/E0