HomeMy WebLinkAboutPermit Building 2014-3-11 SPRINGFIELD- 225 Fifth St
L.AA - r.-. CITY OF SPRINGFIELD Springfield,OR 97477
t Phone: 541-726-3753
.- OREGON Building I Commercial Permit Inspection Phone:541-726-3769
_Fax: 541-726-3676
• PERMIT NO: 811-SPR2014-00510 •
www.springfeld-cr.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued • ISSUED: 03/11/2014 EXPIRES: 09/07/2014
STATUS DATE: 03/11/2014 APPLIED: 03/10/2014
SITE ADDRESS: 225 5TH ST,Springfield,OR 97477 . • SCOPE: Interior
•
ASSESOR'S PARCEL NO: 1703353103300 TYPE OF STRUCTURE: Public
PROJECT DESCRIPTION: Alterations for Firemed space ml 501
OWNER: • CITY OF SPRINGFIELD Phone Number
ADDRESS: 225 FIFTH ST
SPRINGFIELD OR 97477
•
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type. Lic No Lic Exp Phone •
General Contractor ENSIGN UNLIMITED LLC CCB 180373 02/04/2016 541-689-2945
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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 inspecti• ar• requested at the proper time,that each address is readable from the street,that the
permit card is locate. = e fr., of�•roperty,and the approved set of plans will remain on the site at all times during
•construction.
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Owner .r Contractor Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility NOTICE: •
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
•
number for the Oregon Utility Notification ANY 180 DAY PERIOD.
Center is 1-800-332-2344).
•
Springfield Building Permit 3/11/2014 12:55:09PM Page 1 of 1•
SPRINGFIELD CITY OF SPRINGFIELD
! & ' 225 Fifth St
� ; TRANSACTION RECEIPT Spnngfield,OR 97477
U!'
OREGON 541-726-3753
811-SPR2014-00510
www.spnngfleld-or.gov 225 5TH ST permitcenter @spdngfield-or.gov
RECEIPT NO: 2014000533 RECORD NO:811-SPR2014-00510 DATE:03/11/2014
DESCRIPTION Ir.-I- 9 s *'W``r`"°f rACGOUNTICODE TRANSZCiDE A ."AMOUNT:DUE r.
Building Permit Fee 224-00000-425602 1002 90.33
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.84
Technology fee(5%of permit total) 100-00000-425605 2099 4.52
TOTAL DUE: 105.69
KIP AYMENT�TFPE; t« .PAYOR ciisHieR,a ariSOxc"fs Iw;:� . ....,COMMENTS Pr : ,WAMOUNT(PAID l 1l
Credit Card CITY OF SPRINGFIELD - 105.69
093763
TOTAL PAID: 105.69
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Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
CITY OF•SPRINGFIELD, OREGON y* * , €r JZk 1 3 ,:c Permit no.:S//-op .57 0
225 Fifth Street♦Springfield,,OR 97477•PH(541)726-3753•FAX(541)726 3689
- Date:� p/�l/
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days tssu%nee or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE .
This project has final land-use approval. 1. Valuation information
Signature: Date: (a) Job description: n legato 47-494
4.ed
This project has DEQ approval.
Occupancy et
Signature: Date:
Zoning approval verified: ❑ Yes ❑No Construction type: J I3
•
Property is within flood plain: ❑ Yes ❑No Square feel:
CATEGORY OF CONSTRUCTION : • Cost per square foot:
❑ Residential Qovernment ❑ Commercial Other information:
JOB SITE INFORMAT-IJO AND LOCATION a Tvpe of Heat:
Job site address: 22 5 � St, -ff 0 i Energy Path:
City: $PQ1 1-J6PALo State:Q1 ZIP:92(77 ❑ new .Iteration ❑addition ��
Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes 'pl rvo _
Reference:rib 33 J S 1 Taxlot: p 3 3 0 C.) Total valuation: $ Z O 0
PROPERTY OWNER 2. Building fees
Name: £4 lY 0-f-- } SJ 106 (a) Permit fee(use valuation table): S 7�
Address: 2_2 5 TN , ,c- / - (b)Investigative fee(equal to 12aj): $
City: 5i/ , 4 • *d�" State: 0 �-ZIP: (c) Reinspeclion($ per hour): •
�tf-21 / �l/�„L / 'f ) ,_ 7 (number of hours x fee per hour) $
Phone: .b .�ISJ Fas:,7�'lop O Q�/
E-mail Jpois r,v<�yr, i� . ���1 / (d)Enter 12%surcharge(.12 x 12a+2b+2c1): $ /0
(e)Subtotal of fees above(2a through 2d): i S
Building Owner or vncr's a t orizing his application: - 3, Plan review fees
(a) Plan review(65%x permit fee 12a I): $
Sign here: _smear be � (b)Fire and life safety(40%x permit fee(tap: $
❑This instal Lion is being made on residential or faun property owned by (c) Subtotal of fees above(3a and 3b): S
me or a stet er of my immediate family,and is exempt from licensing 4. Miscellaneous fees
requiremcn 'under ORS 701.010.
(a) Seismic fee_ I%(.01 x permit fee Pal): $
• CONTRACTOR INSTALLATION
Business name:
/& CA�,I/.As /Tom -- (h)Technology Ice. 5%(.05 x permit 2e+3ap: $
� r D /r/� TOTAL fees and surcharges(2e+3c+4a+4b): $ 97 go
Address: Ca/ ,p/ I./s/O CJ All es.:__ Y c/
city:/VGE/fit State:54_ ZIP7/7Op .
Phone./ -f d fV C Fax:tric42 94
E-mail: � @€q iii if411MNs .CaM
CC13 license no.: fj 7_3
Print name: CA 4 al £/,ls/ 6.
Signature: ""ll..
. SUB-CONTRACTOR INFORMATION; ' •
Name CCI3 License# Phone Number
Electrical .
Plumbing
Mechanical