HomeMy WebLinkAboutPermit Building 2014-1-6 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON - Building I Commercial Permit Inspection Phone: 541-726-3769
Fax,541-726-3676
PERMIT NO: 811-SPR2014-00018
www.springfield-or.gov permitcenter @spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 01/06/2014 . EXPIRES: 07/05/2014
STATUS DATE: 01/06/2014 APPLIED: 01/06/2014
SITE ADDRESS: 1537 MOHAWK BLVD,Springfield,OR 97477 SCOPE: Restaurant
ASSESOR'S PARCEL NO: 1703253404300 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Repair portcochere
OWNER: MORALES IRMA L Phone Number:
ADDRESS: 898 32ND PL
SPRINGFIELD OR 97478
OWNER: VELAZCO ABRAHAM Phone Number:
ADDRESS: 898 32ND PL -
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor BELFOR USA GROUP INC CCB 146973 02/16/2015 541-726-9905
L INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1620 Roofing Roofing: Prior to installing any roof covering.
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.
z0 /`f.
1/44- of "
Owner or Contractor Signature Date
wires you to NOTICE:
on law req on Utility THIS PERMIT SHALL EXPIRE IF THE WORK
ATTENTION: Oreted by the Oreg
follow rules adop Those rules are setforth AUTHORIZED UNDER THIS PERMIT IS NO
Notification Center.
h oAR 952 001 COMMENCED OR IS ABANDON
in 0090. 952.001-0010 through e 0f the rules by AN? 180 DAY PERIOD. 7
0090. You may obtain NoPeethe telephone �Il
calling the center. l Utility Notification SN"�
number for the Oreg00-332-2344 . (J
Springfield Building Permit Center IS 1 1/612014 11:56:54AM eb > Page 1 of 1
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Structural Permit Application SPRINGFIELD . DEPARTMENT USE ONLY
,C OFSPR gNiki TREGO.., _ . !.t 4 Permit no.:CI t OREGON —WOh---
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689
Date: //b//Li
This permit is issued under OAR 918460-0030.Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
: LOCAL GOVERNMENT APPROVAL Plumbing ��\�3 �llKVl �to'�•This project has final land-use approval. C G Q l 77 '(
Signature: Date: l� �11
Mechanical r l/0 c4� „�n ��
This project has DEQ approval. Mnn�nnl 15 ZS JZ
Signature: Date:
Zoning approval verified: ❑Yes ❑ No - FEE SCHEDULE "' °'
Property is within flood plain: ❑Yes ❑No 1:Valuation information / ''
CATEGORY OF CONSTRUCTION -' (a)Job description: lea/it/St 17t4f -ft6te,V i&L-1-- C
❑Residential ❑Government ig Commercial Occupancy ?/
JOB SITE INFORMATION AND LOCATION Construction type: vg
Job site address: 1537 f10 how r g I V Square feet:
City: S P(i/t q Pi G rk State: ZIP:
Cost per square foot:
Subdivision: Lot no.: tt 300 Other information:
Reference: /7o725-jY Taxlot: 1,7O 3 2 53 LtOIROC Type of Heat:
-- PROPERTY OWNER
Energy Path:
•Name: fi t27cM4tL�
� ❑new teration ❑addition
Address' 97 92/V0
, ) (b)Foundation-only permit? ❑Yes ❑No
City: -)0P71� State: �7� ZIP.%f 74 f!
S Total valuation: S y"1".
Phone: Fax: - - - - e
2. Building fees _
E-mail: _ (a) Permit fee(use valuation table): S /t-(/ IP
Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): S
(c) Reinspection($ per hour):
w (number of hours x fee per hour) S .
Sign here:
(d)Enter 12%surcharge(.12 x[2a+2b+2c]): S 1 ?
❑This installation is being made on residential or farm property owned by _-
me or a member of my immediate family,and is exempt from licensing (e)Subtotal of fees above(2a through 2d): S
requirements under ORS 701.010. 3. Plan review fees -, '
CONTRAC/�T�OR INSTALLATION. ii (a) Plan review(65%x permit fee[2a]): S
Business name: eel'rfJ r proper--1- itc.4 r -'o r` - (b)Fire and life safety(40%x permit fee[2a]): S
Address: 5 0,7 5 tie I I H 5\ma l - , (c)Subtotal of fees above(3a and 3b): S
City: 5pr;ngf'aI k State: �� ZIP:H7Y'77 4.'Miscellaneous fees`:. " ' `.
- - .
Phone (a)Seismic fee. I%(.01 x permit fee[2a]): S
:�0o-Z61--g443 Fax:
J-EfP i c.1�r0 S e wi .bet Cr ''-` I (b)Technology fee,5%(.05 x permit fee[2a]): S /�1i
E-mail: r r •Co C /
CCB license no.: 14 b 19 73 TOTAL fees and surcharges(2e+3c+4a+4h): S )61.0/....4)---
Print name: pef'r,Gt^/1 cos ex-
Signature:
, , . SUB-CONTRACTOR INFORMATION '',
Name CCB License# Phone Number
Electrical 'p CO� se([ 3f f/
CM cf nr ei a 1
SPRINGFIELD CITY OF SPRINGFIELD
l - - 225 Fifth St
TRANSACTION RECEIPT Springfield,OR 97477
z x:
OREGON 541-726-3753
811-SPR2014-00018
www.spdngfield-or.gov 1537 MOHAWK BLVD permitcenter @springfield-or gov
RECEIPT NO: 2014000015 RECORD NO:811-SPR2014-00018 DATE:01/06/2014
DESCRIPTIONS z , s_ ,: ' zE _ u . CODE/TRANS CODE?« °_,12AMOU 1 DUEVI
Building Permit Fee 224-00000-425602 1002 141.96
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.04
Technology fee(5%of permit total) 100-00000-425605 2099 7.10
TOTAL DUE: 166.10
,__. - . _. �Lr �-.MM �_V+11.2 -.,. `,4MOUNTiPAID.-•a vp '`V
�.P.AYMENTTYP.E €-`.`tee PAYOR-.;a r:a5N1ERccaRrExrER •y.,' -COMMENTS
Check Johnson Broderick Eng 166.10
8345
TOTAL PAID: • 166.10
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