HomeMy WebLinkAboutPermit Building 2014-3-10 -
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
(`t ���•°6 Phone: 541-726-3753
- `OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 •
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02528
www.springuieltl-ar.gov permitcenter@springfieltl-or.gov
PROJECT STATUS: Issued ISSUED: 03/10/2014 EXPIRES: 09/06/2014
STATUS DATE: 03/10/2014 APPLIED: 11/18/2013
SITE ADDRESS: 801 42ND ST,Springfield,OR 97478 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1702290002903 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: ST-New battery and UPS building
OWNER: IP EAT THREE LLC Phone Number: 541-510-9849
ADDRESS: PO BOX 2118
MEMPHIS TN 38101
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
INSPECTIONS REQUIRED
Inspections
•
1996 Final Inspection—Planning
1020 Zoning/setbacks
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.
1155 CMU Wall
1560 Firestop Assemblies
1710 Fire Sprinklers
1720 Fire Sprinkler Final
1734 Fire Alarm Rough
1740 Fire Alarm Final •
1800 Emergency Egress Lighting
1829 Special Inspection
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
1996 Final Inspection—Planning
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth .
TI
IS OAR 952-001-0010 through OAR 952-001- rdOTICE.
0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK
calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Center is 1-800-332-2344). • ANY 180 DAY PERIOD,
Springfield Building Permit 3/10/2014 1:41:41PM Page 1 of 2
•
SPRINGFIELD .. -. 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
®A C Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811—SPR2013-02528
www.springfield-or.gov permitcenter @springfield-or.gov
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that at
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.
. 71 . 3 t o
Ow ' Contractor •nature Date
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Springfield Building Permit 3/10/2014 1:41:41PM Page 2 of 2
.. • ^
SPRINGFIELD CITY OF SPRINGFIELD
o�pm�o�
TRANSACTION RECEIPT Spm�,m»xor4n
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811-GPR3O13'02528
v*n 591moomo-o,*ov 801 42ND ST • p,/m/xoow"@,wmonw^*rvov .
�
RECEIPT DATE:03/10/2014
PTNO� 2014000519 RECORD
IbF °.:197- r;°��- * ,: :' ` 0NJJcob~ RAm ' r���-- :z / a' xmOUNT`oO1
Building Permit Fee 224'00000-425602 1002 814.36
Plan Review Adjustment-Commercial 224'00000-425602 1060 160.00
SDC Administrative Fee-MWMC Regional Wastewater SDC 611'00000-426604 1189 10.00
SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000'426607 1113 6.42
SDC: Improvement-Transportation SDC 447'00000**80e7 1174 306.02
SDC. Improvement Cost MvVMC Regional Wastewater SoC 445'00000'448025 1187 411.83
SDC: Improvement Cost-Storm Drainage 440'00000-448028 1176 363.18
SDC: Reimbursement-Transportation SDC 446'00000448026 1173 83.96
SDC: Reimbursement Cost-MVVMC Regional Wastewater SDC 444'00000^*48024 1186 32.55
SDC: Reimbursement Cost-Storm Drainage 441-00000448029 1177 249 75
SDC-Toto)mVVMCAdminiotouionFoo—Locm| 719'00000'*2660* 1121 23.04
5DC Total Storm Administration Fee 719'00080^42660* 1180 30 65
SoC Total Transportation Administration Fee 719'80000426604 1190 18 50
State of Oregon Surcharge(12%of applicable fees) 821'00000'215004 1099 116 92
Technology total) 100'00000'425605 2099 48.72
�� �__�'�.
TOTAL DUE: 2.676.88
L' RwYMEN- -�-� ' ':puYOR` ` ,CC^npcNrc��: ; �_,:�CmK«MEN ' ��4:T'^p���, ����` �\mOu/mIT��|n«r if-I; 2.2�`;�1
7��i��b��j-- � EATTonsELLr----- -------- --------'------ 2,676.88---'---
091378
TOTAL PAID: 2'676.88
`
.
.
SPRINGFIELD CITY OF SPRINGFIELD
�. 225 Fikh St
keg TRANSACTION RECEIPT Springfeld.OR 97477
OREGON 541-726-3753
811-SPR2013-02528
waw.springkeldor.gov 801 42ND ST permitcenter springfield-or.gov
RECEIPT NO: 2013002590 RECORD NO:811-SPR2013-02528 DATE: 12/03/2013
1o1�-1e�;71hA[ali `` 'i " `,5="_;r". 3u€.=+ ri ACCOUNT CODE/TRANSICODE t'ST .? :ifAMOUNT: ::1
Structural Plan Review Fee Commercial 224-00000-425602 1060 529.33
TOTAL DUE: 529.33
i+PAYMENT TYPE, *c PAYOR•1;L . :$C V2A-w.—COMMENTS__. i'. - ...,-s2_om .sA. O e , .r,-;.} YzL_,
Credit Card IP EAT THREE LLC 529.33
077736 '
TOTAL PAID: 529.33
Structural Permit A pp lication SPRINGFIELD �DEi"
RTMNTUSE ONLY
•�, .:.- .. .. . . . -,.. .�i;.. .. a$.1 -�^-_ate.:. ..
CITY OF SPRINGFIELD OREGON ----4' 'A� . ` Permit no S )3_2c2 cy
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON /
-Date: su r
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of i a e or work is
suspended for 180 days. /7 3 /7
avaim li LOCAL QVERNMEN7 AFPROVAeL .( iW - IFEE SCHEDULE t '_' "a B4
This project has final land-use approval. '35'Vauatw mformatt nP, ,�,fi.,g,;�''k`,.x`q ' `n'e„m Ee
tv-. n //
Signature: Date: (a)Job description: (✓ PS/ (3,2_14_62, (Zoo'l
This project has DEQ approval. Occupancy '1 /
Signature: Date: ��,-�
Zoning approval verified: ❑Yes ❑No Construction type: TER
R
Property is within flood plain: ❑Yes ❑No Square feet: e'`74
° 'z.-1 k ' CATEGORYr OF Cioti RUCT ]ayi Cost per square foot:
❑Residential ❑Government Commercial Other information:
ragg eOg ',SITEpINFORMATIfON3CANDnLOCATiIONrE7 '� :„„rk Type of Heat: Elcotf, G
Job site address: 8o I 4-Z n ci S{v-e ei- Energy Path:
City. SPNtn Q 4 t G 14 State: O2 ZIP:174! V 'new ['alteration -❑addition
Subdivision: J Lot no.:0 Z /0 3 (b)Foundation-only permit? ❑Yes No
Reference: 0 0 Taxlot r s i 1 I 613
�70� 1 � � I� I � � J Total valuation
„Itt r, ,. '�r.};gRWFk Y, oralfi...S6°a::rs> .'lr tr Bud n fees- s r., �- �:-. .7:f rcrr.
T may" g,_ t3a' :.�_
Name: . P LL& I to Ir'e C 1.-L_C (a)Permit fee(use valuation table): $ g)Le 7j
--'""x Address: Po 13 tic 21. 1. 8 (b)Investigative fee(equal to[2a]): $
City: iti\edni1 k i S State: TN ZIP:Set Io I (c)Reinspection($ per hour):
S4(- t110-934q S4(--74I -5240 (number of hours x fee per hour)
$ ./�
Phone: �1 Fax:-
` (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
E-mail: .)'' eyiy� � ,�ehs I paper C�v`, 7
(e)Subtotal of fees above(2a through 2d): s
Building Owner or Owner's agent authorizing this ap ' a n. 3 Plaorre�' inie emt ' ::,i i =°ga,ut1l
(a)Plan review(65%x permit fee[2a]): s� `1�-
Sign here: (b)Fire and life safety(40%x permit fee[2a]): $
❑This insta on is b g 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 r4*Mts ela ous fees„t'{210!y° rbp'>»t,; � --`
requirements under ORS 701 010 o
(a)Seismic fee, 1%(.01 x permit fee[2a]): S
I;.'`. V.-177 sCONTi2ACTOR,,INSTALnLATION }. ?-T /�!! JZ
- p (b)Technology fee,5%(.05 x permit fee[2a]): $ '1t]
Business name: pD y'/ z
�
TOTAL fees and surcharges(2e+3c+4a+46): $17 l .-
Address:
Cite State: ZIP:
Phone: - - Fax: - - .
E-mail:
CCB license no.:
Print name:
Signature:
,= SUByCONTRACTOR INFORMATION ar r
Name I CCB License# Phone Number�
Electrical
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•
Plumbing
Mechanical -