HomeMy WebLinkAboutPermit Building 2014-1-13 SPRINGFIELD • 225 Fifth St
"' CITY OF SPRINGFIELD Springfield,OR97477
;,, &' Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02775
www.springfield-or.gov permitcenter @springfield-or.gov
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PROJECT STATUS: Issued ISSUED: 01/13/2014 EXPIRES: ` 07/12/2014
STATUS DATE: 01/13/2014 APPLIED: 12/31/2013
SITE ADDRESS: 341 MAIN ST,Springfield,OR 97477 ' SCOPE: Awning '
ASSESOR'S PARCEL NO: 1703353112100 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Awning
OWNER: 341 MAIN STREET LLC Phone Number:
ADDRESS: 341 MAIN ST
. SPRINGFIELD OR 97477
' CONTRACTOR INFORMATION i •
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
L INSPECTIONS REQUIRED ` ,
Inspections OQ•
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been .c' \\U'C •
approved. � �\� ADS cOQ.
1999 Final Building Final Building: After all required inspections have been requested and °p_�a.aQ• Q
the building is complete. c,�P�>''\\&P0 •
By signature, I state and agree, that I have carefully examined the completed application and do hereb"q certd tltt �'s.,' '
information hereon is true and correct, and I further certify4ha`fanyjand all work performed shall be p`done'm ar4oer2}a e,$ (lacQ�e
\yes nV n `Its
Ordinances of the City of Springfield and the Laws of tie SCate�o�OPegsn pertaining to the woik�descnbedchereia� O
OCCUPANCY will be made of any structure withoot,per isssion of,the'rCommunity Services Division, BulldmgcSafeit further
certify that only contractors and employees who are'i'comphanceswlth:OR$701.005 will be used on thisprojecCi further agree
e n w .
to ensure that all required inspections are requested-af 4FSe.proper time,that each address is readable from the street,that the
permit card is located at the front of the roe a a +.r v 3
p p p rty and�the�approv`�ed`et'of plans will remain on the site aTall times during
construction. `vo 2Y,COr'\�J)\p,5,fie N6�,.
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1 / OCR ,toy G•Le.-_ej / .
AtO nr, �vlZ `.Clc• rbr5v / -/3'-/S` • _ .
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Owner or Contractor S••natcf®�,�ti�.tti�,'0— Oi./i Date
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Springfield Building Permit 1/13/2014 2:25:10PM• Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
6.......... 225 Fifth St: t°EGON TRANSACTION RECEIPT Springfth St R97477
541-726-3753
811-SPR2013-02775
www.springfeld-or.gov 341 MAIN ST permitcenter @springfield-or.gov
RECEIPT NO: 2014000071 RECORD NO:811-SPR2013-02775 DATE:01/13/2014
,, (01�_t.- :- 4,.-._ „_ _v, .n -u.. L, ..�.� 4.. ACCOUNT GODERRANS CODE,i,''�.*LI. .AAAOUNT+Dt1E
Technology fee(5%of permit total) 100-00000-425605 2099 1.00
TOTAL DUE: 1.00
247PAYMETeTYPE _:1:PAYOR" CASHIER:KREEDER`t, ' ,,. .2:.COMMENTS _.w. .�_ .-_Yn1...._j A MOU..T,P r I- „ - _4
_..
Cash OWNER 1.00
TOTAL PAID: 1.00
SPRINGFIELD — CITY OF SPRINGFIELD
225 Fifth St
wh=o OREGON TRANSACTION RECEIPT Springheld.OR97477
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541-726-3753
811-SPR2013-02775
www.spnngfleld-or.gov 341 MAIN ST permitcentergspringfeld-or gov
RECEIPT NO: 2014000070 RECORD NO: 811-SPR2013-02775 • DATE:01/13/2014
DESCRIPTION -„ucz—;_ ..1 f _ — gC'Sf-AT ACCOUNT o o A : : OD :,3r 1.,s=AMOUNT DUE-...,1
Building Permit Fee 224-00000-425602 1002 80.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60
Structural Plan Review Fee Commercial • - 224-00000-425602 1060 52.00
Technology fee(5%of permit total) 100-00000-425605 2099 3.00
TOTAL DUE: 144.60
'PAYMENT'TYPE . .i't PAYOR" 'CASHIER:IKREEDER3,1'.."Ye,.`'COMMENTS r_LL L / sc&= ;'MOUNT PAID; r .!1
Check OWNER 144.60
1017
TOTAL PAID: 144.60
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Structural Permit Application SPRINGFIELD o?aTMENT' i r
,CIT,Y OF SPRINGFIELD OREGON ;. ati Permit no.:$j3— OZ 7 7S-
225
Fifth Street•Springfield,OR 97477.P11(541)726-3753•FAX(541)726-3689 oaecoN
Date: //Z 7 43
' This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of. suan or if work is
suspended for 180 days.
4± GOVERNMENT APPROVAL'I,?. _-., k ' FEEhSCBEDULEA ;;.,,,a 7T . -``-
This project has final land-use approval. Fl ualuatmntinfo[mattn T3,"` ".....7 'q ;'. '•' m a
Signature: Date: (a)Job description: //y6--
This project has DEQ approval. Occupancy
Signature: Date: (�
Zoning approval verified: ❑Yes ❑No Construction type: Y.0
Property is within flood plain: ❑Yes ❑No Square feet:
ATEN ^ CATEGORY°,OF.„CONSTRUCTIOtelarat Cost per square foot
❑Residential ❑Government ornmercial Other information:
J FL SITE INFORMATION'-.ANDDLOCATIONrix:,.S-`'.. Type of Heat:
Job site address: 3 41-( l/l A.1 k.) CL s Energy Path:
e 'rEPS ZIP:t7 ❑new ❑alteration ❑addition
Subdivision: I7. Lot no.: (b)Foundation-only permit? ❑Yes ❑No �f�
rake f, Taxlot: )0I Oe) Total valuation: . $
'„ $!!PROPERTY QWNER slr °.d'.a€}= 2'SBuilding fees` t't "' ,}8 err sn-.,,"� "'�S ea
Name: K k/I N C ZA 2 tJ f✓ Cle_ I (a)Permit fee(use valuation table): $
Address: 4 t C(.,..1 ♦ R t)1. (b)Investigative fee(equal to-[2a]): $
rintiaBffien._ State: aD IL ZIP�-(740 (c)Reinspection($ per hour):
(0, • •2' �� �/- 75'-3' Si (number of hours x fee per hour) $
Phone: • i Fax:
E-mail: Rev;/) ' Q rn I — 1 a •ne I I (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 P "rvw° &r -
(a)Plan review(65%x permit fee[2a]):
• Sign here:
'7/ (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 'ra -rgra"°` igfe "a„c'=?'="''S "" , 'P A T'}"'z
4:�Mrscellaneos.fees��•-"=xx ��-„.�,t„k„'�-tom',t�,�,-�` ZL
requirements under ORS 701 010 °
(a)Seismic fee, 1%(.Ol x permit fee[2a]): $
r'?,,+ „�,�;�'�CONTRACTOR,INSTALLATION , }r'111.,"M', v',`r,Pr'.
- (b)Technology fee,5%(.05 x permit fee[2a]): $
.o g
TOTAL fees and surcharges(2e+3c+4a+4b): $
Address:533 a . ts) ct.
city:✓pQIU6Gl 1.0 State: O('Z ZIP:`I LI7"1
Phone:51{(-Y • S ss- Fax: - -
E-mail: k• -{' 4 Irlo r, .Gl>(5'\
CCB license no.: •
Print name: MI LI)A .L. Zi e.A
• Signature:,
ggararowksolgtoNTRAcToRmFoRmATidimnawsin
Name CCB License g Phone Number
Electrical
Plumbing
Mechanical -