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HomeMy WebLinkAboutPermit Building 2014-1-24 i SPRINGFIELD 225 Fifth St IIIILdt 1.0....isandigi CITY OF SPRINGFIELD Spnngfield,OR 97477 Phone 541-726-3753 OREGOrr Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00147 www springfield-or.gov permitcenter Ld'spnngtield-or.gov PROJECT STATUS: Issued ISSUED: 0112412014 EXPIRES: 07/2312014 STATUS DATE: 01124/2014 APPLIED: 0112412014 SITE ADDRESS: 1875 MOHAWK BLVD,Springfield,OR 97477 SCOPE; Hotel!Motel ASSESOR'S PARCEL NO: 1703251300702 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace porte cochere flat roof with pitched roof OWNER: REALVEST VILLAGE INN LLC Phone Number: ADDRESS: 1111 MAIN ST STE 700 VANCOUVER WA 98660 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor KIMBALL PROPERTIES LLC CCB 192390 11/23/2014 541-357-7663 INSPECTIONS REQUIRED II Inspections 1260 Framing Framing Inspection Prior to cover and after all rough in inspections have been approved. 1630 Roof Sheathing Roof Sheathing 1999 Final Building Final Building. After all required inspections have been requested and approved and the building is complete. 1110 Footing Footing: After trenches are excavated. 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. ....0 /— .z y c--- 6.61::.;:f:Contractor Contractor Signature Date rWS PERMIT SHALL EXPIRE 1FF THE IS OR1 ;.I�� 'lfir1-ED UNDER THIS PERMIT -•- � ;ANDONED FCR Spnngfield Building Permit 1/24/2014 10 12 30AM Page 1 of 1 1SPRINGFIELD CITY OF SPRINGFIELD fi TRANSACTION RECEIPT Springeld,OR97477 1111L11161- 541-726-3753 OREGON 811-SPR2014-00147 wwwspnngfield-orgov 1875 MOHAWK BLVD permitcenter @spnngfield-or gov RECEIPT NO: 2014000148 RECORD NO: 811-SPR2014-00147 DATE:01/24/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Building Permit Fee 224-00000-425602 1002 317 50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 38.10 Technology fee(5% of permit total) 100-00000-425605 2099 15.88 TOTAL DUE: 371.48 PAYMENT TYPE PAYOR CASHIER;CCARPENTER COMMENTS AMOUNT PAID Credit Card KIMBALL PROPERTIES LLC 371.48 00246g TOTAL PAID: 371.48 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON & Permit no.: 1 I Li 225 Filth Street•Springfield,OR 97477♦P1-1(541)726.3753•FAX(541)726-3689 ` OREGON Sad " f Date: iii Zy J/II 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. 1. Valuation information Signature: ,Date: (a)Job description: /W,Wr `r ra This project has DEQ approval. Occupancy Signature: Date: �j Zoning approval verified: ❑Yes El No Construction type: U Property is within flood plain: ❑ Yes ❑No Square feet: ra a CATEGORY OF CONSTRUCTION Cost per square foot: ❑Residential ❑Government ['Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of]feat: Job site address: l-F7 5 lea ". _ (C (vim Energy Path: City:S Pr-, t. .tee State: Q, 1 I ZIP: f 7G/7 ❑ new ]alteration ❑ addition Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes ❑ No Reference: _ Taxlot: Total valuation: I S2-5°°(-) PROPERTY DJ OWNER 2.Building fees Name: X�-vt '/ r lr.t L - r.✓L (a) Permit fee(use valuation table): $ 3/7 Tsa Address: 75— ( ic, Jt ,,,, (L (b)Investigative fee(equal to Pal): S City: SPwg - ,- c.tee State: o/Z I ZIP:4 7'i7 (c) Reinspection(S per hour): S Phone: fz a56 7c-07 Fax: - - (number of hours x fee per hour) Email (d)Enter 12%surcharge(.12 x 12a+2b+2c1): $ J2 JO (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 12a1): S Sign here: (b)Fire and life safety(40%x permit fee Pap: S '❑This installation is being 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%(.0I x permit fee[2a1): S CONTRACTOR INSTALLATION S (b)Technology fee,5%(.05 x permit fee(2a1): S f Business name: (c f rp,,,-j` , ,w S /4,-.s.-- `�' 3 1 �' 1 C TOTAL fees and surcharges(2e+3c+4a+4b): s-Tri1 if fr Address: ,`) Az--- City: ��$,—ve_ State: d el. ZIP: ?7`/rs( Phone (-32('- Z4/1= -K Fax:/5V-357 73.-s7 E-mail: ,, 0,-,,,.,..,- ( A2,�b-•'�`- 1rt,e,c.P,'"6 CCB license no.: e?z 31cr Print name: 162 r4*-a,,., 4,,,,...( S-F."- _ Signatu SUB-CONTRACTOR INFORMATION Name CCB License# Phone Number Electrical Plumbing Mechanical