HomeMy WebLinkAboutPermit Building 2014-3-10 SPRINGFIELD - 225 Fifth St
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`t CITY OF SPRINGFIELD Springfield,OR 97477
-' iji Phone: 541-726-3753
i. ` OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00504
www.springtield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/10/2014 EXPIRES: 09/06/2014
STATUS DATE: 03/10/2014 APPLIED: 03/10/2014
SITE ADDRESS: 3500 E 17TH AVE, Eugene,OR 97403 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703343400301 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Fall protection beams at LTD fleet building
OWNER: LANE TRANSIT DISTRICT Phone Number:
ADDRESS: PO BOX 7070
SPRINGFIELD OR 97475
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor 1996 LLC CCB 114258 05/30/2015 541-687-9445
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 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
construct': .
34/1 •
Ow(r5r o�ractor Signature Date
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ATTENTION: Oregon law requires you to
NOTICE: • ' foilow 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 ruins by
COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone
umber for the Oregon Utility Notification.
ANY 180 DAY PERIOD. �" _ Center is 1.800.332-2344).
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Springfield Building Permit 3/10/2014 10:07:08AM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
- --``et
t 225 Fifth St
TRANSACTION RECEIPT
Springfield,h St R97477
'- OREGON 541-726-3753
811-SPR2014-00504
www.springfield-or.gov 3500 E 17TH AVE permitcenter @springfield-or.goy
RECEIPT NO: 2014000516 RECORD NO:811-SPR2014-00504 DATE:03/10/2014
DESCRIPTION,- , - I AdedthirdociErriiANt:dobECN n`._ , ,,_.,AMOUNT;DUE
Building Permit Fee 224-00000-425602 1002 110.98
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.32
Technology fee (5%of permit total) 100-00000-425605 2099 5.55
TOTAL DUE: 129.85
� PAYMENTTYPE; C ,,, -._ _- AMOUNT PAID....
,,;, °`PAYORr CASHIER:�CCARPENTER COMMENTS',COMMENTS - -� �� .._ ..m-
Credit Card LANE TRANSIT DISTRICT 129.85
042890
TOTAL PAID: 129.85
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
llnc ti c W sR.s tl KJ -- - 111' ,. 5/9;4° CO
!grail n„
225 Fi U,Sure r Springfield.OR 97477.P105411726-3753 4 FAN1541172b.J6Su ORYGOM
'I'Iiis permit is icwed under OAR 91$-160.0030.Permits expire if work is not started within ISO Jays td icy!'/ n eor if work is
suspended for ISO days.
•LOCAL GOVERNMENT APPROVAL Plumbing
This project has final land-use apprns al.
Signature: l Date: x — —,
Ieehanical
This project has DEQ approval.
Signamnc: hale:
Zoning approval verified: ❑Yes ❑No FEE SCHEDULE
Property is within hood plain: ❑Yes ❑No -I.Valduiuii( information
CATEGORY OF CONSTRUCTION (a)Job description:
❑Residential I Government ❑Commercial Occupancy
JOB SITE INFORMATION AND LOCATION Consmtation type: _54-01VC1C4-e' fjaee'
lab siteaddwss: 3S'OD E. /7 IL.
/4 vs* I Square feet.
City: 1 �i lJ Stale: Of? ZIP: g7r/O3
��(-.+5_( r /[ I Cost per square foot:
Subdivision: Lot no.: �c gthc:intimnation. r
Reference/ 33 �J Taxlot: e 61 v ' +�
11-- 'Inn.or Ilea,:
PROPERTY OWNER — "'— `"-"-----
Energy Path:
-r
Name: ton a ;n...r ll- 011.4-'j c I 0 11e,•t. ❑ahtrtllon ❑addition
Address: 7f13c e. /7 it Ave
( )Foundation-only permi ❑Yes ❑No
Ch>: I c d1'o 11 I sane: ore 47 yo? b t•'
I rter-082- . 6/84 Tnml valuation: I s �pb0
I'hnnc: Past r//-68L -L f//
2. Building fees
E-mail: o a_ }...,cc or",qc k t2 ii-d. 0,1-3
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J (a)Permit fee Gta VACUUM table): 5 �/D
Ituildtng Gss TICE or Ow ten's agent nulhntiting this application: (h)Ins ectigative fee(equal to 12a1). 15
(Cl ttcin:pection(S per hour). s
(number of hours x fee per how) t
Sign here:
\` I (d)Enter 12%surcharge(.12 xi 2a-2h-2ejc I j/3'7L
❑This ins if anon is being neat!:•on residential on Corm properly mend by —
me or a met CT of me i:n:nedtale family.and is exempt i:om licensing (r)Subtotal of(see abuse(2a through 2d): S
reyuireme.ds under ORS 701,010. 3.
Plan review fees
CONTRACTOR INSTALLATION (n)Plan review t65%x permit Ice(a1). I $ ,�7�J
/ (b)fire and life safety(40%. petit :Le(2a(t. , S /_
I Business name Ch Ow.�/ COOS r.l./C l`-re".
Address 3o za -3-j ki•y re J # / (c)Subtotal of fees abuse(ter and 311E 15
City: _ fake —1-State. OR I ZIP:r�Trt7J 4.Miscellaneous fees
Inhume y ea-•8•C8y l Fax: • - (a)Seismic fire. 1%(DI x permit fee pap. 15
a
I
(b)Techaelogy for.5?e(pi x permit feel 24.17 I _ 'y
j 11-nail: l �ybw, Gh iv1 Ih'c�Co1S�r vc1-4 J•Ca
CCB license no.: !(y T C 8 - Tutu.lees and surcharges(1c-3e+4a'.Il):15
/2q
Print name: Cis;Boyne-_.
I Signmm -/
_ SUB-CONT .V OR INFORMATION
ION
Same , I COI License fi I Phone Number
Electrical