HomeMy WebLinkAboutPermit Building 2014-3-14 SPRINGFIELD - 225 Fifth St
tom^- CITY OF SPRINGFIELD Springfield,OR 97477
e , \t* Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00558
www.springfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/14/2014 EXPIRES: 09/10/2014
STATUS DATE: 03/14/2014 APPLIED: 03/14/2014
SITE ADDRESS: 130 S 32ND ST,STE#A,Springfield,OR 97478 SCOPE: Interior
• ASSESOR'S PARCEL NO: 1702310000501 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Relocate interior wall to expand kitchen prep area...Dining room area is decreased •
OWNER: MCGLADE 8 ALBERTS LLC Phone Number: •
ADDRESS: 4055 SPRING BLVD
EUGENE OR 97405
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor CONFEDERATED BUILDERS INC CCB 65033 03/21/2016 316-788-3701
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
• approved.
1600 Ceiling Grid Ceiling Grid: After drywall approval but prior to cover.
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 th- a roperty, and the approved set of plans will remain on the site at all times during
constructio•
3—/y i y
Owner or Contractor Signature Date
•
ATTENTION: Oregon law requires you to
NOTICE: follow rules adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth
•
AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 obtain Cough 0Ahe rule by
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 for the Oregon Utility Notification
•
Center is 1 600 332-2344).
Springfield Building Permit 3/14/2014 12:57:08PM Page 1 of 1
•
SPRINGFIELD CITY OF SPRINGFIELD
:A -... 225 Fifth St
TRANSACTION RECEIPT Springfield,OR97477
OREGON 541-726-3753
811-S P R2014-00558
www.springfield-or.gov 130 S 32ND ST. STE A permitcenter @springfield-or.gov
RECEIPT NO: 2014000569 RECORD NO:811-SPR2014-00556 DATE:03/14/2014
[DESCRIPTION_ �'; o ; _y _ ._ v_ACCOUNTCODE/TRANS_CODE__ �„__.:AMOUNT.DUE_,
Building Permit Fee 224-00000-425602 1002 141.96
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.04
Technology fee (5%of permit total) 100-00000-425605 2099 7.10
��- TOTAL DUE: 166.10
•
`PAYMENT TTYPE `' PAYOR CASHIER:ccARPENTER. ,: • COMMENTS • AMOUNT PAID !
Credit Card CONFEDERATED BUILDERS INC 166.10
28305
TOTAL PAID: 166.10
•
•
•
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
•
CITY OF SPRINGFIELD, OREGON z ' . ' w E,• • ?{N;�, Permit no.:
225.Filth Street•Springfield.OR 97477•P1-1(541)726-3753•FAX(541)726-3689 OREGON
Date: 31/4//L�
This 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.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
This project has final land-use approval. I. Valuation information
Signature: Date:
(a) Job description:/2>rLf a-re.. /4,777Z/O/L
This project has DEQ approval. n�
Occupancy /I-y
Signature: Date:
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ❑ Yes ❑ No Square feet:
CATEGORY OF CONSTRUCTION Cost per square foot
❑ Residential ❑Government Commercial Other information:
JOB SITE INFORMATION AND LOCATION Type of llea0
Job site address: /30 S 2, a' 5frCG-71-- Energy Path:
City: SJr�^ )fi (d State:ox ZIP:97.777 ❑ new ,Oaheration ❑addition
Subdivision: I.ot no.: (b) Foundation-only permit? ❑ Yes ❑ No
Reference: /70Z 3700 Taxlot: 5b / Total valuation: $ 7QCi
PROPERTY OWNER 2. Building fees
Name: i-De— (a) Permit fee(use valuation table): $ /c( 71°
•
Address: os LCP/tut-5' gL1/%� C (b)Investigative fee(equal to Pal): S
City: k e2..4_ State: �n— ZIP: qq �l C-'✓ (c) Reinspection($ per hour):
Phone: Pax: - -
(number of hours x fee per hour)
E-mail:
(d)Enter 12%surcharge(.12 x 12d+219+20): $ 17
(e) Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: 3. Plan review fees
(a) Plan review(65%x permit fee 12a1): $
Sign here:
(b)Fire and file safety(40%x permit fee 12ap: $
❑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 4. Miscellaneous fees
requirements under ORS 701.010.
(a) Seismic fee. I%(.01 x permit fee[2a1): $
CONTRACTOR INSTALLATION - -
(b)Technology fee, 5%(.05 x permit fee12a1): $ //Q
Business name: Con Fidec*,I-ed 3u; kie2S 9
TOTAL fees and surcharges(2e+3c+4a+46): S
Address: SD3 N Ruck' ca. Si--YO
_City: jxib/ State:‘S ZIP&i7037
Phone:?ic. 786 370/ Fax: - -
CCI3li .7�
CCI3 license ,no.������
Print name: %K �� id an e L°
Signature:
SUB-CONTRACTOR INFORMATION
Name CC13 License N Phone Number
Electrical
Plumbing
Mechanical