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HomeMy WebLinkAboutPermit Fire 2014-1-24 i SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 IMLtry Phone: 541-726-3753 —OREGON Building ! Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02686 www.spnngfieldor gov permdcenter @springfield-or gov PROJECT STATUS: Issued ISSUED: 01/24/2014 EXPIRES: 07/23/2014 STATUS DATE: 01/24/2014 APPLIED: 12/17/2013 SITE ADDRESS: 555 INTERNATIONAL WAY, Springfield,OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703154000700 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant impovement-Pit Stop OWNER: SYMANTEC CORPORATION Phone Number: ADDRESS: 350 ELLIS ST MOUNTAIN VIEW CA 94043 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor WALTER L BELL CONSTRUCTION LLC CCB 137820 08/24/2015 541-988-0331 INSPECTIONS REQUIRED Inspections 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. 1560 Firestop Assemblies 1600 Ceiling Grid Ceiling Grid. After drywall approval but prior to cover. 1710 Fire Sprinklers 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved 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 1 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 AIL `. ( V Owner or Contractor Signature Date Springfield Building Permit 1/24/2014 1:53:34PM Page 1 of 1 a SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St .,....1....„6.4i e..:0- TRANSACTION RECEIPT Sphngfield,OR97477 hillt—' OREGON 541-726-3753 811-S P R2013-02686 www.springfield-or goy 555 INTERNATIONAL WAY permitcenter@spnngfield-or gov RECEIPT NO: 2014000164 RECORD NO: 811-SPR2013-02686 DATE:01/24/2014 Building Permit Fee 224-00000-425602 1002 636.73 Fire. Life, Safety Plan Review 224-00000-425602 1077 254.69 Planning -Minor Review-City 100-00000-425002 1231 119.00 State of Oregon Surcharge(12% of applicable fees) 821-00000-215004 1099 76.41 Technology fee(5%of permit total) 100-00000-425605 2099 31.84 TOTAL DUE: 1,118.67 Credit Card WALTER L BELL CONSTRUCTION LL 1,118.67 614220 TOTAL PAID: 1,118.67 SPRINGFIELD CITY OF SPRINGFIELD lins, TRANSACTION RECEIPT pnngfleld,OR97477 OREGON 541-726-3753 811-SPR2013-02686 www.springfield-0r.gov 555 INTERNATIONAL WAY perrnitcenter©spnngrield-or.gov RECEIPT NO: 2013002684 RECORD NO:811-SPR2013-02686 DATE:12117/2013 Structural Plan Review Fee Commercial 224-00000-425602 1060 413.87 TOTAL DUE: 413.87 Check phoenix architecture Ilc 413.87 2288 TOTAL PAID: 413.87 Structural Permit Application snIt uMGFI D DEPARTMENT USE ONLY CIll' (ti SPIZINul II I I). ( )1ZI.(ir )\ permit no.:513•Qz6? 225 Fifth Street.Springfield,OR 97477.Pt1(54I)726-3753.FAX(541)726-3689 OREGON Date: /5/6410/3 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days rssu nce or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE This project has final land-use approval. 1. Valuation information Signature: Date: (a)Job description: 770,340,..? l This project has DEQ approval. ' Occupancy IS Signature: Date: Zoning approval verified: ❑ Yes ❑No Construction type: ///e kfeth—dradaof Property is within flood plain: ❑ Yes ❑ No Square feet: /0// CATEGORY OF CONSTRUCTION Cost per square foot: ❑Residential I ❑Government peCommercial Other information: JOB SITE INFORMATION AND LOCATION Type of heat: Job site address: 53-5 Icy ✓So ,�,ppljsr Energy Path: City: 9r4 R.'IGl I State: !A\ I Z P:y ❑new teration ❑addition Subdivision: e! I Lot no.: (b)Foundation-only permit? ❑ Yes gi No Reference:poi/rife) I Taxlot- 00700 Total valuation: I s 7• PROPERTY OWNER 2.Building fees Name: S7v a„de c ('t5 , (a)Permit fee(use valuation table): $(3‘'2-2-- Address: 5-5-c / tRa.A m 40 (b)investigative fee(equal to[2a1): S City:s�, ld State: eZIP: q 74 (c)Re inspection(S per hour): S 527 ���� (number of hours x fee per hour) Phone: Fax: - - (d)Enter 12%surcharge(.12 x[2a+2h+2c1): S G�L E-mail: /Oh ei 2107,) ylskyde� .lifyti 7 (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 3. Plan review fees �? �l � �`�--��� I�reGi �,•`� (a)Plan review(65%x permit fee[2a]): Sy/3 Sign here: - 1/ (b)Fire and life safety(40%x permit fee[2a]): S 37( ❑This in tallation isJbeing made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my immediate family,and is exempt from licensing 4.Miscellaneous fees requirements under ORS 701 010. o (a)Seismic fee. 1%(.01 x permit fie[2a]): S CONTRACTOR INSTALLATION _ (b)Technology fee,5%(.05 x permit fcc[2a]): S 1/ a Business name:`(fa ,- .' tfya,f/t ,'G /ry TOTAL fees and surcharges(2e+3c+4a+4b): S /5 32, Address: b87L /o $f — - I City s�14r State: ate I ZIP:g7 vt Pho - ffe, -. 6;3/ Fax: - - E-mail: tad i'l.e ifosillevka C.ar•ftt ct f . edn•'• CCB license no.: /77 ;3 Print name: Signature: SUB-CONTRACTOR INFORMATION Name C('13 License tt Phone Number Electrical Plumbing Mechanical