HomeMy WebLinkAboutPermit Building 2014-2-19 •
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
1'11`- Phone: 541-726-3753
OREGON Building / Commercial-Permit • Inspection Phone: 541-726-3769
• Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02585
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 02/19/2014 EXPIRES: 08/18/2014
STATUS DATE: 02/19/2014 APPLIED: 11/27/2013
SITE ADDRESS: 631 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Tenant Infill
ASSESOR'S PARCEL NO: 1703274305805 • TYPE OF STRUCTURE: Commercial
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PROJECT DESCRIPTION: Tenant Improvement
OWNER: CENTENNIAL SHOPPING CNTR LLC • Phone Number
ADDRESS: 7831 SE STARK ST STE 103
- PORTLAND OR 97215
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor MARKUS THOMPSON CONSTRUCTION INC CCB 158184 01/13/2016 541-284-1121
General Contractor KIM CHRISTENSEN CCB 33758 06/05/2015 541-747-3554
L INSPECTIONS REQUIRED
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.
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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.
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.
a4 go9 ,420,,,
Owner or Co cto Signature •
ATTEI�i`�vlJ• U,ey�, law requires you to Date
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follow rules adopted by the Oregon UtAlty •
.
Notification Center. Those rules are setf9rtil NOTICE:
in OAR 952-001-0010 through OAR 952=0®1=
0090. You may obtain copies of the rules b/
AUTHORIZED UNDER HIS PERM TEIS NOT
calling the center. (Note: the.tel!.... •
number for the Oregon Utility t �.: '5'`:ari COMMENCED OR IS ABANDONED FOR
Center is t-300-332-2344 e ANY 180 DAY PERIOD.
Springfield Building Permit 2/19/2014 11:29:45AM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
i EGON TRANSACTION RECEIPT • Spdngfield,OR 97477
541-726-3753
811-SPR2013-02585-
www.springfeld-or.gov 631 W CENTENNIAL BLVD permitcenter @spdngtield-or.gov
RECEIPT NO: 2014000353 RECORD NO:811-SPR2013-02585 DATE:02/19/2014
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to14cLMJDllikav S ,u,,SI7iffs iz_ 6_.x,1, PA—.,J.ACCOUNT CODE/TRANS.CODE; xsfAMOUNTwDUE
Building Permit Fee 224-00000-425602 1002 433.99
Fire, Life, Safety Plan Review 224-00000-425602 1077 173.60
Planning-Minor Review-City 100-00000-425002 1231 119.00
SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 1,949.89
SDC: Reimbursement Cost- Local Wastewater • 442-00000-448024 1183 3,995.10
SDC:Total Sewer Administration Fee 719-00000-426604 1175 297.25
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 52.08
Technology fee(5%of permit total) 100-00000-425605 2099 21.70
TOTAL DUE: 7,042.61
PAYMENT IYP.E PAYOR .casHIER.:meoweser COMMENTS AMOUirjOID
Check then peng, Ilc 01-14 7,042.61
99
TOTAL PAID: 7,042.61
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SPRINGFIELD -- CITY OF SPRINGFIELD
r�..x...;� 225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
' ` iO REGON 541-726-3753
811-SPR2013-02585
www.49992691d-or.gov 631 W CENTENNIAL BLVD permitcenter@spnngfield-or.gov
RECEIPT NO: 2013002575 RECORD NO: 811SPR2013.02585 DATE: 11/27/2013
logioj:7121Ara.l ___.`__ .- � .-..�.3_=A660t1NT:CODEl,TRANS COD a:`- _ AMOUNT-DUE':=;
Structural Plan Review Fee Commercial 224-00000-425602 1060 282.09
TOTAL DUE: 282.09
-:PAYMENT TYPE``.=_.. PAYOR CASHIER:oetiwLSev __-. _a COMMENTS->n;__ Ca": ` AMOUNTrPAID
Credit Card dennis bailey 282.09
09630d
TOTAL PAID: 282.09
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4. Structural Permit Application sPwN�Fletn ,� euzrmEniT usoNL
. CITY,OF SPRINGFIELD OREGON ---'-`1„„i y &-i:: Permit no.:C/� z 2
225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(54I)726 3689 OREGON
. Date: /I Z7 13
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issua a or if work is
suspended for 180 days.
a;`3*�S LOCAL0OVERNIdEN'aPPROVQarar 't° -„- ra-8k, ;1TaatFEEr1?SCHEDIJLE 201, "�',yf,,�7'-r.
This project has final land-use approval. thVgaluaho nfor-'m lion `W ` { u -fm7
Signature: Date: �k l D.7
gn (a)Job description: W/�, �/>
This project has DEQ approval.
Occupancy
Signature:
Date: I 4/•
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet: )000
eCATEGORYOECONSTRUCTIO��N�J' s -I,"j'r yea Cost per square foot 10 '
❑Residential ❑Government Commercial Other information:
I "f;JQ 17:(Trrurrt. ;TLitOA ON 'WA Type of Heat:
Job site addr ralr atiriM alb re,�a ! Energy Path:
City: f • - i a Iw'rtal ❑new $iteration ❑addition.
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes 4S'i'o 170/e
,
Reference: 170 Z7K 31 Taxlot: 0 J;SOS— Total valuation: . $
fs. r Y W.
•� to � •� � P"`• ors t � ,-�t�'_—,n. �'�.XrS
Q E' a WNE' � ;.. � a-er.�-� s
u'c'r^'Yw .: ' i .. ra$'-.� . ..J..u. a;2pBuilding;fees;- ;"„' 0" . "3-�- a _°7 'a- 'r
Name: �'� 0�� ����5/�'s - (a)Permit fee(use valuation table): - S Y7Y j
Addres` �b7 i '�l�l��l`l • (b)Investigative fee(equal to[2a]): $
City: State: ZY A (é)Reinspection($ per hour):
' (number of hours x fee per hour) $
Phone: Fax:
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E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
,, I. (e)Subtotal of fees above(2a through 2d) $
Buildi C . •. • •r 0 er entau(. it li .t. tp)aprev)ew fees„;;: ur ,; s, ?sa -``- O,.
(a)Plan review(65%x permit fee[2a]): $ &a
Sign her- (b)Fire and life safety(40%x permit fee[2a]): 5 /711.0
O tY( P [ D�
❑This installation is being made on residential or farm property•wned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exempt from lie-. ing ?4x assn rdifee t" 4 + t'"= '7,Ss�7 3 ., ,i€``-t'' *' �i 'l:
y4.Miscellaneous feesx��„?a�x,�,�';:�,�,..awst2,'�n -
reguirements under ORS 701 010. o
_ (a) Seismic fee, I%(01 x permit fee[2a]): $
gnr CO TRACTOR IySTALr le "; e,,,iE"0' �'ai' (`=' o j
��a— ���,�`raWar (b)Technology fee,5/o(.OS x permit fee[2a]): $'Si y
Business name: �f' r ' ?/0594
TOTAL fees and surcharges(2e+3c+4a+4b): r�/
Address:
City: - i �,� tate: ZIP: '
Phone eisNLam '`�Fax: - -
E-mail: rA1 �(e1 (\CCB license no.:,..I , /v I�i�Jf0�_„ti I l
Print name. yi�l�vl �� ✓�1 vJ
Signature:
, alB CONTRACTOR INE010 ATION 'ter g
Name CCB License# Phone Number
Electrical '
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Plumbing
Mechanical