HomeMy WebLinkAboutPermit Building 2014-2-4 SPRINGFIELD 225 Fifth St
..a..- CITY OF SPRINGFIELD
Springfield,OR 97477
-;:__`ice Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00067
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: . 02/04/2014 EXPIRES: 08/03/2014
STATUS DATE: 02/04/2014 APPLIED: 01/10/2014
SITE ADDRESS: 1001 MAIN ST,Springfield,OR 97477 SCOPE: Interior
ASSESOR'S PARCEL NO: 1703354105300 TYPE OF STRUCTURE: Public
PROJECT DESCRIPTION: Stair and electrical room relocate and remodel
OWNER: SPRINGFIELD UTILITY BOARD Phone Number:
ADDRESS: 250 A ST
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
II
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
•
INSPECTIONS REQUIRED j
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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.
1710 Fire Sprinklers
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.
1150 Slab/Flatwork Slab: To be made after all inslab building service equipment, conduit piping and
other equipment items are in place but prior to concrete.
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.
�s-6, illy
` i
Plm' or Contractor Signature Date
ATTENTION: Oregon law requires you to
NOTICE:
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by UTI10P�
IZED UNDER THIS PERMIT IS NOT
IMMENCED OR IS ABANDONED FOR
calling the center. (Note: the telephone Y 180 DAY PERIOD.
number for the Oregon Utility Notification ,ii4
Springfield Building Permit Center is 1-800-332-2344).
2f4r2014 2:07:22PM Page 1 of 1
SPRINGFIELD - CITY OF SPRINGFIELD
225 Fifth St
1,41 TRANSACTION RECEIPT Springfield,OR97477
.m ' OREGON 541-726-3753
811-SPR2014-00067
www.springfielo-ar.gov 1001 MAIN ST permitcenter @springfieltl-or.gov
RECEIPT NO: 2014000224 RECORD NO: 811-SPR2014-00067 DATE:02/04/2014
DESCRIPTION ACCOUNT CODE/TRANS_CODE' AMOUNT DUE,__
Building Permit Fee 224-00000-425602 1002 224.56
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 26.95
Technology fee(5%of permit total) 100-00000-425605 2099 11.23
TOTAL DUE: 262.74
_ _ AMOUNT PAID :, •
i.- gAYMENTTYPE „„PAYORcngHIER_;ccaRreriTed COMMENTS_: :_,_ . _
Credit Card SPRINGFIELD UTILITY BOARD 262.74
01373c
TOTAL PAID: 262.74
•
SPRINGFIELD CITY OF SPRINGFIELD
< 4 --r____ 225 Fifth St
' ``o
OREGON TRANSACTION RECEIPT Springfield•oR 97477
541-726-3753
811-SPR2014-00067
www.springfield-or.gav 1001 MAIN ST pennitcenter @springfield-or.gov
RECEIPT NO: 2014000054 RECORD NO:811-SPR2014-00067 DATE:01/10/2014
rDESCRIPTION_______,2______ --.._- ACCOUNT CODE/TRANS CODE,_:__,__: AMOUNT_DUE__
Structural Plan Review Fee Commercial 224-00000-425602 1060 145.96
TOTAL DUE: 145.96
.PAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS. AMOUNT PAID __
`
Credit Card SPRINGFIELD UTILITY BOARD 145.96
01243c
TOTAL PAID: 145.96
Structural Permit Application SPRINGFIELD a DEPARTM U SE
ONLY r
..Ra
CITY OF SPRINGFIELD OREGON y .: . ,-- v' Pe m t no s L�_QOQ67•
225 Fifth Street•Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 OREGON /
. . Date: / /° /y
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of i sS u ce or if work is
suspended for 180 days.
.-cr ,.eg it .. s u.att _- -'" .:.°".,-,e-.e�.FEE' a6.1i.EE 5.":^'.. '-r' ±.`_• '`,sv=;-
f`�^Fy'�*.' LOCAL�GOVERNMENT�APPROVQL�r „dsi�,'d'.„� ,,�' .F .,ytr'5+..���-:�,:+ �, ;-.-,3 _, -_ . � ,a.��-.��.,.L';
This project has final land-use approval. Ffctc'at on=mfdi:m ion'W a 3' a t-7 '1
Signature: Date: (a)Job description: r+�., Azzld
This project has DEQ approval. Z���
Occupancy B /�/
Signature: Dale:
Zoning approval verified: ❑Yes ❑No Constmction type: -�/0 p F2',972..Q
Property is within flood plain: ❑Yes ❑No Square feet: .
° �"^ z°""'""”` ' ' M Cost per square foot+�.,�yg!«�CATEGORY OE�EONSTRUCTION �e.�3�' '. P s9 -
❑Residential Soverrm ent ❑Commercial Other information: .
'" S710 t3 SITE. INFOR A TIQNgAND LOCATION§.ikt 1"t1 . Type of Heat:
Job site address: /0 0/ /27'9 i-7 .J1.77-. Energy Path:
City: c9)C/a( State: 0/R. ZIP:Y 7 V2/ ❑new ❑a}[�tion El addition
Subdivi ion: Lot no.: /J03 3'f(7/ (b)Foundation-only permit? ❑Yes ❑No
Reference:'70 33 9'{ ( TaxloOS 3 0 0 Total valuation $/_$'-3 JT
tfv,' asi OWNER_. r.'" - t Bu�`ildtng es`;a.... --''s' FP'.5:, ,f7.0fs' :.�'7 7-�f-
Name: S(f A (a)Permit fee(use valuation table): $ -2 °
Address: 2 3 /9 sr (b)Investigative fee(equal to[2a]): $ .
City: f>7416( State: 04 ZIP: 9,40,2 (c)Reinspection(S per hour):
�i�l-/- (number of hours x fee per hour) $
Phone: 7 ne- 77 6J Fax: s--fl 7-Yr/-361 Y
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ /Ji_'r
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: F3f lane w fees_. ,.T T tt`"s., s' °zxs 6
/�7 (a)Plan review(65%x permit fee[2a]): S /VS '�
Sign here: JG,G yA L. � (b)Fire and life safety(40%x permit fee[2a]): S
❑This ation is being made on residential or f roperty owned by (c)Subtotal of fees above(3a and 3b): S
me or a member of my immediate family,and is exempt from licensing r4'11'LS ellane`ous fees 'rte" °`*?€ -ga-`-V'` ' '
requirements under ORS 701 010
(a)Seismic fee, 1%(.01 x permit fee[2a]): $
` 't. ;CONTRACTOR IN§7ALLATIOlr -.'�' ��
(b)Technology fee,5%(.05 x permit fee[2a]): $ ,y_,, ,
Business name: Tie Q TOTAL fees and surcharges(2e+3c+4a+4b): S(� ral).�7 J
Address: !J"'C
City: State: ZIP:
Phone: - - Fax: - -
E-mail: - '
CCB license no.:
Print name:
Signature:
^ m,��.?d ,,gr SUB1CONTRACTORiINWRMATION sv , -.
Name CCB License# Phone Number
Electrical
re p
Plumbing
Mechanical
-7S D