HomeMy WebLinkAboutPermit Building 2014-2-26 •
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SPRINGFIELD 225 Fifth St
JI
krt . CITY OF SPRINGFIELD Springfield,OR 97477
(* Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00420
www.springfieldor.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 02/26/2014 " EXPIRES: 08/25/2014
STATUS DATE: 02/26/2014 APPLIED: 02/26/2014
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SITE ADDRESS: 3125 GATEWAY ST,Springfield,OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703222003100 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Demo work to prepare tenant space for future nail salon TI
OWNER: BENTON PROPERTIES LTD Phone•Number:
ADDRESS: 980 WILLAMETTE ST •
EUGENE OR 97401
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor KB CONSTRUCTION NORTHWEST INC CCB 170132 05/22/2014 541-228-0370
INSPECTIONS REQUIRED
Inspections
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.
a2- 24, - ICI
Owner or r Signat Date
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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 952-00 1- • - 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 is 1-800-332-2344).
lfica[ion
Springfield Building Permit 2/26/2014 8:50:15AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
"'S
sialiTRANSACTION RECEIPT 225 Fifth St Spdngfeld,OR97477
OREGON 541-726-3753
811-SPR2014-00420
www.spdngfeldar.gov 3125 GATEWAY ST permitcenter @spring(ield-or.gov
RECEIPT NO: 2014000416 RECORD NO: 811-SPR2014-00420 a DATE:02/26/2014
')o1 .Y�7;if;Atllol�i ,.v, tf `g[tvwj;,. tenTil' 4zcl.s,;+ ?''> `ACCOUNT:CODE/TRANS CODE ''- , -.J! AMOUNT DUEl
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
kP- YMENTIiTYPE -:aPAYOR. casNidire aReeRreR COMMENTS. _ ` AMOUN AIDT t M
Credit Card KB CONSTRUCTION NORTHWEST If 93.60
080012
TOTAL PAID: 93.60
,
. 'Structural Permit Application SPRINGFIELD 2-,2EPARwa,a....,,,TMENT4ySiatill...2Y
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44 "
CITY OF SPRINGFIELD, OREGON
ity:al Permit no.:,.,.
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(54I)726-3689 OREGON 'Of\ 1-1 0092,0
Date:
This permit 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.
CS7SIFiroCALIGOV'ERNMERWREROVAI7CoarLf-lit: Eir,al:FaEg"a14EDI:IslslaTesakrjM
This project has final land-use approval. -5Walrailt.C11,471..atalragtralifa.,./:" CA5
Signature: Date: (a)Job description:
This project has DEQ approval.
Occupancy
Signature: Date:
Zoning approval verified: 0 Yes 0 No Construction type:
Property is within flood plain: fl.Yes 0 No Square feet:
-7OrtralififibarcAWCIEWN=Jij,%10 Cost per square foot:
0 Residential 0 Government 0 Commercial Other information:
.*:„TaWleT3THITEWEThilligilifkarlOficonirarilttriAn Type of Heat:
Job site address: 51 rtg 6/Mal Energy Patti:
City: S?Pca,,,,,f _e State: CP— ZIP:gig Y7-7 D new Oalteration 0 addition
Subdivision: Lot no.: (b)Foundation-only permit? 0 Yes 0 No
Reference: Taxlot: Total valuation: $7-#e400
T.Abat rarar0 ERTKOWN6WiarkVirjr.411 ild-rTN,KM-MiraatiNgtainM,„.
Name: PE2._r,---e-c, ikc ( SE2ait.J N.I:kali) (a)Permit fee(use valuation table):
Address: tr2b al=I A."‘3.€-rTh cot- (b)Investigative fee(equal to[2a]):
City: C.-0764 C. State: CIL I ZIP:/71105- (c)Reinspection($ per hour):
(number of hours x fee per hour)
Phone: Fax: - -
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]):
(e)Subtotal of fees above(2a through 2d):
Building Owner or Owner's agent authorizing this application: .1iTK:fittvawar:',,1 45:tratferaaliteirat
(a)Plan review(65%x permit fee[2a]):
Sign here: (b)Fire and life safety(40%x permit fee[2a]):
D This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b):
me or a member of my immediate family,and is exempt from licensing [7,arM gin ira`n•tot"V Yee Win;cfraT. TA.;;;ITMargarro
requirements under ORS 701.010
(a)Seismic fee, 1%(.01 x permit fee[2a]):
gerK111:ATh Waattrit.",
(b)Technology fee,5%(.05 x permit fee[2a]):
Business name: k_..("S
TOTAL fees and surcharges(2e+3c+4a+4b): S 7
Address: eds13 c:).--71---ttEZ PA°"1--14-I ÷ZI
City 5.pe-:0■....c‘t=e 0 State: E-`2_ ZIP:SW77
Phone5V1 o51 i Fax: - -
E-mail: - cc-
CCB license no.: I k 3
Print name: e.c2A--cro-.1
Signature:
aratairigifOgGOlirhaGtEiteljiltalkiiilAtiOilarTICAt
Name CCB License# Phone Number
Electrical
Plumbing •
Mechanical