HomeMy WebLinkAboutPermit Building 2014-2-25 •
SPRINGFIELD 225 Fifth St
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CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
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OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00135
~sr.springtield-ocgov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 02/25/2014 EXPIRES: 08/24/2014
STATUS DATE: 02/25/2014 APPLIED: 01/22/2014
SITE ADDRESS: 138 S 32ND ST,Springfield,OR 97478 SCOPE: Tenant Infill
ASSESOR'S PARCEL NO: 1702310000501 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Tenant mail(first to shell space)Martial arts studio
OWNER: MCGLADE 8 ALBERTS LLC Phone Number:
ADDRESS: 4055 SPRING BLVD
EUGENE OR 97405
CONTRACTOR INFORMATION
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Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor BURT WALTER CONSTRUCTION INC CCB 190704 05/17/2014 503-516-8786
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.
1600 Ceiling Grid Ceiling Grid: After drywall approval but prior to cover.
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.
Mv.1 tolloett . 3/257/( .
Owner or Contractor Signature Date
ATTENTION: Ore gon. law renuires 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- AUTHORIZED UNDER THIS PERMIT IS NOT
0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR
calling the center. (Note: the telephone ANY 180 DAY PERIOD.
number Center 1-800-332-2344)ification
Springfield Building Permit 2/25/2014 1:03:58PM Page 1 of 1
,SPRINGFIELD CITY OF SPRINGFIELD
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541-726-3753
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--~ OREGON 811-GPR2014'00136
w~w^,n^gfiem-o,«m 138 S 32ND ST p,,m/*eou^@,'aovno/d-or ov
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RECEIPT NO: 2014000410 RECORD NO: 811-SPR2014-00135 DATE:
'DESCRIPTION: ' � � � � ��� `' � 4QCAUNT-C{}DEn.RAN alobE : :AwvjUNl[DUE."'l
Building Permit Fee 224'00000'*25602 1002 27619
Planning-Minor Review-City 100'00000'*25002 1231 11900
SDC:Administrative Fee-MWMC Regional Wastewater SOC 611-00000-426604 1189 1000
SDC: Compliance Cost-MWMC Regional Wastewater SDC 444'00000'428607 1113 1780
SDC: Improvement Transportation SDC 4*7'00000'448027 1174 7,82004
500: Improvement Cost-Local Wastewater 443'00000'448025 118* 487.47
SDC: Improvement Cost-MWMC Regional Wastewater SDC 445'00000'448025 1187 1.1*236
SDC: Reimbursement'Transportation SDC • 446'00000'448026 1173 2,17304
SOC: Reimbursement Cost-Local Wastewater 442'00000'448024 1183 998.77
500: Reimbursement Cost-MWMC Regional Wastewater SOC 444'00000'448024 1186 90.22
500:Total MWMC Administration Fee—Local 719'00000'42660* 1121 63O2
SDC-Tota|Sewe/AdminiotrationFee 719'00000'42660* 1175 74.31
500:Total Transportation Administration Fee 719'00000'42060* 1190 504.65
State of Oregon Surcharge(12%of applicable fees) 82100000'215884 1099 33.14
Technv|vgy(re(s.&ofpe'mit total) 100-00000-425605 2099 13.81
TOTAL DUE: 13'923.82
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�.PAYMFwTJyPE. �� P4Ynu • CASH§R.�� l�N~.�- 1 iCO»8MEmTS . .. � _. •^/'� :AMOUNT
Ch�k'-----------Chuoe---'—ade----- 13,923.82
13923.02
TOTAL PAID: 13,923.82
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
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TRANSACTION RECEIPT Springfield,OR 97477
OREGON 541-726-3753
811-SP R2014-00135
www.springfleldor.gov 138 S 32ND ST permitcenter @springfield-or.gov
RECEIPT NO: 2014000132 RECORD NO: 811-SPR2014-00135 DATE:01/22/2014
[DESCRIPTION ACCOUNT CODE/TRANS CODE , r 1.AMOUNT DUE X
Structural Plan Review Fee Commercial 224-00000-425602 1060 179.52
TOTAL DUE: 179.52
I PAYMENT TYPE PAYOR., CASHIER:CCARPENTER,; w • ■COMMENTS ,W AMOUNT PAID.
Credit Card GMA ARCHITECTS _ W 179.52 -
009147
TOTAL PAID: 179.52
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Structural Permit Application - DEPARTMENT USE ONLY
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G IaY OF:SPRINGCIELD'OREGON J Permit no.: 5/CI-
225 Fifth Street•Springfield,OR 97477♦PH(541)726 3753 e FAX(541)726-3689
Date: 2/l Y
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days cif issuance or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has final land-use approval.
Signature: Dale: FEE SCHEDULE
This project has DEQ approval. I.Valuation information
Signature: - Date: (a)Job description: etentit tfn I'll
Zoning approval verified: ❑ Yes .❑No Occupancy a �[[
Property is within flood plain: ❑Yes ❑No Construction type:
CATEGORY OF CONSTRUCTION
r 3 q
V Square feel:
❑Residential Government L {Commercial Cost per square foot: t
JOB SITE INFORMATION AND LOCATION
Other information: _�
Job site address: ,�' L? ;/ /1j.
L71T7_CJY7f'1.��131►�f/R� 1� ZIP: �//�� Type of Heat:
Energy Path:
Subdivision: Lot no.: o,O
� ECM
❑new Jteration 5 addition
Reference: 62.11 Idea 1O Taxlot: c P
PROPERTY OWNER _
(b)Foundation-only permit? ❑Yes CI blo
Total valuation: S L fJ,cjt f
Name: y I ��/ 4
2. Building fees
Address: ,,y]Afsfa��r-1{{yy.. j,� - q�7//�rf
� / MEINSI� (a)Permit fee(use valuation table): $U7f�
Phan"' ,Trat17 Fax: - - (b)Investigative fee(equal to[2a]): $
(c)Reinspection($ per hour):
E-mail: , Wf'r 4'1jt-Lr 14/L- (number of hours x fee per hour)
This installation is being made on residential or farm property owned by (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ Y
me or a member of my immediate family,and is exempt from licensing
requirements under ORS 701.010. (e)Subtotal of fees above(2a through 2d): S
Sign here: 3. Plan review fees
CONTRACTOR INSTALLATION (a) Plan review(65%x permit fee[20: $i7lT SZ
•- IY CI6 (b)Fire and life safety(40%.x permit fee[2a]): $
Business name: _ (c)Subtotal of fees above(3a and 3b):
'5 S
Address: 6 E �` - -- - -
,r - 4.Miscellaneous fees
City: ( 'r;'p b y'/ State: its ZIP: F B i
' ' 1i Pax: - (a)Seismic fee, I%(.01 x permit fee[2a]): $
Phone: L91f� I /J l SJ -
MilirM {' „`/ TOTAL lees and surcharges(2e+3c+4a): $ Sjf1-CG
CCB license no.: /q 49 7 W r
Print name:
Signature:
SUB-CONTRACTOR INFORMATION
Name CCU License Number Phone Number
Electrical
Plumbing
Mechanical
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