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HomeMy WebLinkAboutPermit Building 2014-3-10 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ^O OREGON Phone: 541-726-3753 Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00129 www.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 03/10/2014 EXPIRES: 09/06/2014 STATUS DATE: 03/10/2014 APPLIED: 01/21/2014 SITE ADDRESS: 400 S 32ND ST,Springfield,OR 97478 SCOPE: Paving ASSESOR'S PARCEL NO: 1702310000503 TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Soccer field addition OWNER: WILLAMALANE PARK&RECREATION DISTRICT Phone Number: • ADDRESS: 250 S 32ND ST SPRINGFIELD OR 97478 OWNER: WILLAMALANE PARK&REC DIST Phone Number: ADDRESS: 250 S 32ND ST SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections 1996 Final Inspection—Planning 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 1059 Final Paving Final Paving: After paving is complete. 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. - 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. w Iwn r or Contractor Signature Date NOTICE: '" ..tia''', • ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Page 1 of 1 Springfield Building Permit 3/10/2014 8:41:24AM g Center is 1-800-332-2344). • SPRINGFIELD CITY OF SPRINGFIELD V 225 Fifth S TRANSACTION RECEIPT Spnngfeltl`ORW477 OREGON 541-726-3753 811-5 PR2014-00129 www.springfleld-or.gav 400 S 32ND ST permitcenter @spnngfield-or.gov RECEIPT NO: 2014000125 RECORD NO:811•SPR2014-00129 DATE:01/21/2014 [DESCRIPTION „ r ACCOUNT CODE/TRANS CODE AMOUNT DUE;.,. Structural Plan Review Fee Commercial 224-00000-425602 1060 4,708.00 TOTAL DUE: 4,708.00 1 PAYMENT TYPE PAYOR CASHIER:JLARSON COMMENTS AMOUNT PAID , 1 Check WILLAMALANE PARK&RECREATIOI 4,708.00 97716 DISTRICT TOTAL PAID: 4,708.00 • SPRINGFIELD '`- • CITY OF SPRINGFIELD l 225 Fifth St (j m' . TRANSACTION RECEIPT Springfield,OR 97477 ""``O OREGON 541-726-3753 811-SPR2014-00129 www.springfieldor.gov 400 S 32ND ST permitcenter©spnngfield-or.gov RECEIPT NO: 2014000505 RECORD NO:811-SPR2014-00129 DATE:03/06/2014 D o 1 finicts ' .'`_aWIW,1'.4'4{ W,; ` .r ACCOUNT-CODELTiRANS.CODE! t4MVAMOUNIF DUrI Building Permit Fee 224-00000-425602 1002 7,244.20 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 41.34 SDC: Improvement-Transportation SDC 447-00000-448027 1174 25,893.00 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 2,648.94 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 5,270.60 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 7,104.32 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 209.22 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 3,624.44 SDC:Total MWMC Administration Fee-Local 719-00000-426604 1121 145.47 SDC: Total Storm Administration Fee 719-00000-426604 1180 444.75 SDC:Total Transportation Administration Fee 719-00000-426604 1190 1,649.87 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 • 869.30 Structural Plan Review Fee Commercial 224-00000-425602 1060 0.73 Technology fee(5%of permit total) 100-00000-425605 2099 362.21 TOTAL DUE: 55,518.39 a-PAYMEN •TYP.E at-6k casHiea o sowcsar i 60MMENTS AMOUNT'PAID Check WILLAMALANE WILLAMALANE PARK 8 REC DIST 55,518.39 98040 TOTAL PAID: 55,518.39 • • • • • • • • SPRINGFIELD • CITY OF SPRINGFIELD -( �" �� TRANSACTION RECEIPT 2255 FifieiGttR 87477 ''-1 OREGON 541-726-3753 811-LDP2014-00001 www.springfield-or.gov 400 S 32ND ST perrnitcenter @springfield-or.gov RECEIPT NO: 2014000126 RECORD NO:811-LDP2014-00001 DATE:01/21/2014 (:DESCRIPTION ,v.�. W '- ACCOUNT CODETh ANS,CODE AMOUNT DUE -` LDAP Grading Permit Fee 617-00000-428020 1120 3,450.00 LDAP Plan Check Fee 617-00000-428020 1120 2,355.00 Technology fee(5%of permit total) 100-00000-425605 2099 290.25 TOTAL DUE: 6,095.25 . [—PAYMENT TYPEPAYOR CASHIER:JLARSON ' COMMENTS - . - .-.. AMOUNT PAID ?_ -I Check WILLAMALANE PARK& RECREATIOI 6,095.25 97717 DISTRICT TOTAL PAID: 6,095.25 Structural Permit Application sPRINGFIEU)— births McNfire CITY OF SPRINGFIELD,OREGON ` x'-ei: Permit no.: j /q 225 Fifth Meet•Springfield,OR97477•PH(541)726-3753•FAX(541)726-3689 OREGON S/y - L Date: /7 // [� f This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of/ dc issuae or if work is suspended for 180 days. kPfi`,:„�`m*�'LOCAL?GOVRNMEITilAPPROVAL^v, ktifalat-y� �'t 8rl;g��„+m`'`, FEESCHEDULEs�eas i' "07r�. This project has final land-use approval. Fl "at"uhmtlmftska ou la atatin tIt',i f . Signature: Date: (a)Job description: ,G�r7_ i`2BZi 1 This project has DEQ approval. Occupancy- / Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: • Property is within flood plain: ❑Yes ❑No _ Square feet: ri`.-f a.CATEGORYI OF ONSTHtrer N , -slit.,r. x. Cost per square foot: ❑Residential ❑Government Commercial Other information: RI:We` gatj�SI1TEµ1NFORMATIQN AN glin5e LA Pt ?, Type of Heat: Job site address:WOO__ Soy 'Si V -mot.wt Energy Path: City: ✓`riiiJ Reta, I State: OIL, ZIP:gig-75 D-tie ❑alteration [7j addition Subdivision: I Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference:070 2 3/O V I Taxlot 17 a O 2. ' 'i OO•0°S, Total valuation: $( 5T0 tha a tiefr'a' -;' ,r,��tEAW ERTY OWNER�a-„-r' ., .>:a .' - ..a ika d r fees;§:";. ` 't* ""m-;,y,git"s..7 ":y . Name: IV)LI.AsWL*°E PMLKS 44 P izirgewittos 'D15r (a)Permit fee(use valuation table): $ 7LyVL° Address: Z50 ' .oy}Ut b 2.rith ` it o (b)Investigative fee(equal to[2a]): - $ City: 5p11145 Etta State: OP- I ZIP:97 .7e (c)(number t on($ x fee per hour) $ - Phone: 541.736- 4049 Fax:S¢/-756 4043 �i J,p E-mail:j jje r (I .u;II Q•rn&ant. O!'Q (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ V ,J (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: f3' PI orRe v fees `- i ' '� 7 '/���J/{I� (a)Plan review(65%x permit fee[2a]): $ °C .------- Sign here:/ [s'_ _ (b)Fire and life safety(40%x permit fee[2a]): $ ❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): 5 me or a member of my immediate family,and is exempt from licensing ¶ 1J cells eons fe sgl k r„ ' ', "j ,,ui ,_Wi=t requirements under ORS 701 010 (a) Seismic fee. 1%(.01 x permit fee[2a]): $ r `q' , CONTRACTOR'INSTALrL4TIQN ' t, s `:'u',, 1 (b)Technology fee,5%(.05 x permit fee[2a]): $ Business name: TOTAL fees and surcharges(2e+3c+4a+4b): $$eir Address: City: State: ZIP: ' Phone: - - Fax: - - s,,yyy�{...���(((���(�////��,� /D E-mail: Nz ° L. / v" CCB license no.: , Print name: . Signature: 1 xSUB=CONTRACTOR likORMA-T:ION l Name CCB License# Phone Number Electrical Plumbing Mechanical