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Permit Building 2014-1-23
SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building ! Commercial Permit Inspection Phone 541-726-3769 Fax 541-726-3676 PERMIT NO: 811-SPR2014-00001 www.spnngfield-or.gov permitcenter©springlield-or pov PROJECT STATUS: Issued ISSUED: 0112312014 EXPIRES: 07/22/2014 STATUS DATE: 01123/2014 APPLIED: 01/02/2014 SITE ADDRESS: 418 A ST,Springfield,OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703353102700 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Interior revisions OWNER: NEIGHBORHOOD ECONOMIC DEVELOPMENT CORP Phone Number: ADDRESS: 212 MAIN ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CC8 000000 08/0112025 ARBOR SOUTH ARCHITECTURE,P.C. Architect 2489 12731/2015 INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved 1540 Gypsum BoardiLath/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. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 8999 Final Fire 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 req'ested at the proper time, that each address is readable from the street,that the permit card is located at the front of the prop rty, a the approved set of plans will remain on the site at all times during construct i . / z°/ Owner or Contractor Signature Oat. reai,ir's you to NOTICE: P f Greon uiti;ity rr.l'=. are sit forth THIS PERMIT SHALL EXPIRE IF THE WORK it l rai.;1; OAR 952-001- AUTHORIZED UNDER THIS PERMIT 1S NOT 1:.31/ o,_; .i=1 r_;::. of the rules by c ,Gi,�; tii 1 ,, r, fi'_ _: .' tideohone COMMENCED OR IS ABANDONED FOR cc, nuiyi;er =.:r !,,;, ,`�,, -1i Ut:!i,v I'!-;tilication ANY 180 DAY PERIOD. C i. is I- 332.2344). Springfield Building Permit 1/23/2014 10:20:44AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFII:I I) iiii_ 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR97477 �# 541-726-3753 OREGON 811-SPR2014-00001 wwwspringfield-or.gov 418 A ST perrndcenter @spnngfield-or gov RECEIPT NO: 2014000142 RECORD NO: 811-SPR2014-00001 DATE: 01123/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Building Permit Fee 224-00000-425602 1002 90 33 State of Oregon Surcharge(12% of applicable fees) 821-00000-215004 1099 10.84 Technology fee(5% of permit total) 100-00000-425605 2099 4.52 TOTAL DUE: 105.69 PAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID Credit Card William A. Randall Arbor South 105.69 04479g Architecture, P.C. TOTAL PAID: 105.69 SPRINGFIELD CITY OF SPRINGFIELD iliqj TRANSACTION RECEIPT Spnngneld,OR97477 OREGON 225 Fifth St REGON 541-726-3753 811-SPR2014-00001 www.spnngfieldor.gov 418 A ST per mitcentengspnngrield-or.gov RECEIPT NO: 2014000002 RECORD NO:811-SPR2014-00001 DATE:01/02/2014 Structural Plan Review Fee Commercial 224-00000-425602 1060 58.71 TOTAL DUE: 58.71 Credit Card arbor south architecture 58.71 02452g TOTAL PAID: 58.71 Structural Permit Application SP)RINGJ FIELD DEPARTMENT USE ONLY (*I I1 (II SI'RI\(il II I 1), ()RI (iO\ Permit no.: Si'/—OO(DO I 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON Date: f 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 Plumbing This project has final land-use approval. Signature: Date: Mechanical This project has DEQ approval. 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: ,yw] & `Lvl S tc.4 ❑Residential ❑Government )Commercial Occupancy 73 JOB SITE INFORMATION AND LOCATION Construction type: I,/ Job site address:418 A Street Square feet: City:Springfield I State:OR ZIP:97477 Cost per square foot: Subdivision: I Lot no.: Other information: Reference: 1703'3.53 ( Taxlot: C) Z7 0. 0 Type of!teat: PROPERTY OWNER Energy Path: Name:NEDCO ❑new alteration ❑addition Address:212 Main Street (b)Foundation-only permit? ❑Yes i City:Springfield State:OR ZIP:97477 Total valuation: I S .'' Phone:541-345-7106 Fax: - - 2. Building fees E-mail:lOrienedcocdc.org 3� (a)Permit fee(use valuation table): S Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to Pal): S (c)(number of h(u per hour): \AikA)1/44"ht(itAhil (number of hours x fee per hour) Sign here: (d)Enter 12%surcharge(.12 x[2a+2b+2c1): 5 r0 ❑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(Za through 2d): S requirements under ORS 701.010. 3. Plan review fees -71 CONTRACTOR INSTALLATION (a)Plan review(65%x permit fee[2a]): S Business name: 61111111J (h)Fire and life safety(40%x permit fee Pal): S Address: (c)Subtotal of fees above(3a and 3b): S City: State: I GIP: 4.Miscellaneous fees Phone: - Fax: (a) Seismic fee, 1%(.01 x permit fee[2a]): S E-mail: (b)Technology tee.5%(.05 x permit fee[2a1): S�' CCB license no.: TOTAL fees and surcharges(2e+3c+4a+4b): S '/IL/ 42.-- Print name: Signature: SUB-CONTRACTOR INFORMATION Name CC'B License k Phone Number Electrical