HomeMy WebLinkAboutPermit Building 2014-1-31 'SPRINGFIELD
'k 1 `.z, 225 Fifth St
_________ii
CITY OF SPRINGFIELD Springfield,OR 97477
C C Phone: 541-726-3753
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,\OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00198
www.springfield-or.gov pennilcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 01/31/2014 EXPIRES: 07/30/2014
STATUS DATE: 01/31/2014 APPLIED: 01/31/2014
SITE ADDRESS: 303 S 5TH ST,STE#153,Springfield,OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703350000307 TYPE OF STRUCTURE: Public
PROJECT DESCRIPTION: Ramp
OWNER: CITY OF SPRINGFIELD Phone Number:
ADDRESS: 225 N 5TH ST
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
L INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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 in -,-ctio - requested at the proper time,that each address is readable from the street,that the
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permit card is located a ,- front operty, and the approved set of plans will remain on the site at all times during
construction. ,
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Owner or ' ontractor Signatu - Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001- NOTICE:0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE F THE WORK
calling the center. (Note: the telephone
number for the Oregon Utility Notification AUTHORIZED UNDER THIS PERMIT IS NOT
Center is 1-800-332-2344). • COMMENCED OR IS ABANDONED FOR
Y 180 DAY PERIOD.
Springfield Building Permit 1/31/2014 10:09:31AM Page 1 of 1
SPRINGFIELD CITY 01:SPRINCiFIELD
'f= $469.- 225 Fifth St
• - t ; TRANSACTION RECEIPT springfieid,OR97477
Ifr •c'.A OREGON
541-726-3753
811-SP R2014-00198
www.springfield-or,gov 303 S 5TH ST. STE 153 permitcenter@spnngfield-or.gov
RECEIPT NO: 2014000199 RECORD NO: 811-SPR2014-00198 DATE:01/31/2014
[DESCRIPTION __ ACCOUNT CODE/TRANS-CODE AMOUNT DUE_._
Building Permit Fee 224-00000-425602 1002 80.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60
Technology fee(5%of permit total) 100-00000-425605 2099 4.00
TOTAL DUE: 93.60
{_PAYMENT TYPE `PAYORE CASHIER:CCARPENTER COMMENTS ;? - AMOUNT PAID _- I
Credit Card CITY OF SPRINGFIELD 93.60
084153
TOTAL PAID: 93.60
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
a: u bLLT n t
CITY OF SPRINGFIELD,OREGON E - x :q; •'� A„ ` Permit no {L/—
225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(54I)726-3689 OREGON
Date: //rip
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 p
Signature: Date: � a I� it,
(a)Job description: e
This project has DEO approval.
Occupancy _m 0 2 S! g�
Signature: Date: t
Zoning approval verified: ❑ Yes ❑No Construction type: 'Jo&D
Property is within flood plain: ❑ Yes ❑No Square feet: S / - f -Fie
CATEGORY OF CONSTRUCTION Cost per square foot:
❑Residential u-Government Commercial Other information:
JOB SITE INFORMATION AND LOCATION 'Type of Beat:
Job site address: , . J !� .3F Energy Path:
City: S(pA&AG.p / State:ErDP, ZIP: qeZP 2 ❑new Ealteration 04ddition
Subdivision: J Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: I Taxlot: Total valuation: $ rD
PROPERTY OWNER 2. Building fees '
Name: �'f sy rZ--,Eli e f GI (a) Permit fee(use valuation table): S 14
Address: a <s-- S;-0- S 72E‘-.-/
(b)Investigative fee(equal to 12a1): $
City: (`I N 6 f 4_ State:QJ_ I zrP:92?? (c) Reinspection($ per hour):
�. C.: (number of hours x fee per hour) $
Phone:Sji �._ Fax �-� 1
E-mail: b. 0 v in, -, l ' a • e '0' 1 -\j (d)Enter 12%surcharge(.12 x 12a+2b+2c1): $ °I Gil
(e)Subtotal of fees above(2a through 2d): S l
Building Owner or 0 ter's • rizing this application: 3. Plan review fees
(a) Plan review(65%x permit fee pal): $
Sign here- , If (b)Fire and life safety(40%x permit fee I2a1): $
❑This in lation is being made on residential or farm property owned by (c)Subtotal of Tees above(3a and 3h): S
me or a ember of my immediate family,and is exempt from licensing 4.Miscellaneous fees.
requirements under ORS 701.010.
(a) Seismic fee, I%(.01 x permit fee 12a1): $
- CONTRACTOR INSTALLATION
(b)Technology fee.5%(.05 x permit feeI2a1): $ ((St-
Business name:
TOTAL.fees and surcharges(2e+3c+4a+4b): 5 /q 1 GO
-
Address: J
City: State: ZIP:
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
. SUB-CONTRACTOR-INFORMATION / .0
Name CCB license d Phone Number 11
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