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HomeMy WebLinkAboutPermit Building 2014-3-17 1 - 225 Fifth St k:SPRINGaFIELD CITY OF SPRINGFIELD Springfeld,OR 97477 Phone: 541-726-3753 :-a OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 • - Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00560 www.springfield-or.goy perm itcenter©springfield-ar.gov PROJECT STATUS: Issued ISSUED: 03/17/2014 EXPIRES: 09/13/2014 STATUS DATE: 03/17/2014 APPLIED: 03/17/2014 SITE ADDRESS: 1865 OLYMPIC ST,Springfield,OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703253107400- TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant infill for Hawaiian Time-No drive-thru addition OWNER: NADINE L BURGE EXEMPT MARITAL TRUST Phone Number: ADDRESS: 830 MCKENZIE CREST DR SPRINGFIELD OR 97477 . CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. 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 construction. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those r hl OAR 952 001- 10110E: In OAR 952-001-0010 throng 0090. You may obtain copies Of the rules by I IIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephone number for the Oregon Utility Notification JjMM LACED OR IS ABANDONED FORNOT Center is 1-800-332-2344)• \NY 180 DAY PERIOD. Springfield Building Permit _ 3/17/2014 2:29:29PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St LOREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 • 811-S PR2014-00560 www.springfield-or.gov 1865 OLYMPIC ST permitcenter©springfield-ocgov RECEIPT NO: 2014000575 _ RECORD NO: 811-SPR2014-00560 DATE:03/17/2014 [DESCRIPTION �ACCOUNTeCODE/TRANS_CODE'•' _ AMOUNT_DUE J Building Permit Fee 224-00000-425602 - 1002 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 •- -- _ - - - - - - TOTAL DUE: 93.60 L PAYMENT TYPE__,_ _PAYOR. _cASRiER:ccARpENTEOR- _ _. _ COMMENTS - - ' AMOUNT PAID. Credit Card WARD 93.60 473281 TOTAL PAID: 93.60 • Structural Permit Application SPRINGFIELD --PXktivitieilEtiisri>i: . kt,,c,-.,Lii.,-*,p,-;:it,-;. --isti,;.-i.Nga.i.v.,-.502,...c-wigtwat-t-stez-T4-tR-ct,sttnii...otoiwgq: 1:*-•".:::ti - Ofiiia-,kg.ITY:007J.PN,C,EW:Mona.9.93`10;:taitrriaiItea it ,, — 225 Fifth Street•Springfield,OR 97477 4 PH(541)726-3753 4 FAX(541)726-3689 t OREGON • Date: 97,7//,,,_ This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days o issuance or if work is suspended for 180 days. -±.:-:,gn't-=;.;Y.:::_=it5ei■:if-Cd6C.7Ei:iicifvtb.IVTAi4kkov'AIYA?T:P__X:-:at: Vi,', This project has final land use approval. :VSaltilicariiiIiiliei;Hait:;?;7 . 2,2,4N:Jr: ;1::5-S:7, 1Hii,P15,-7::: Signature: Date: (a)Job description: 7-2_71/4971/7- /7:"?v-7/1" ),,0 -Al This project has DEQ approval. Occupancy Signature: Date: Zoning approval veriBed: E Yes 0 No Construction type: 05 . Property is within flood plain: 0 Yes 0 No Square feet: talittgl,:traiN001Ce:rEIJOIfit4 -fq-PTE 04 : 2e.K.--cegt3.-.,,-- -::: Cost per square foot El Residential El Government , CH-W: ommercial Other information: l'lieW.,WeilitOiffkitikiiiiailtii\l'Ai4EiSiEbektiE516ifl, Type of Heat: Job site address: /S/65.-- NO in4t 2 Energy Path: / • City-. 51,..); Ste: dl ZIETh 77 0 new nalteration Eracdition ,.. Subdivision: Lot no.: (b)Foundation-only permit? D Yes Lii-NIO. Reference: 1703 z 5 3 I Taxiot 0.7 Li 0 C) Total valuation: b_ Stno t, tM;Mtigf4:tiiiiThieelkii;;;OMIE0-KitZg :Sil)Fal !t:IAlliiii-4103:::Ezatregi::‘Igggiwisitaigpa,n1 Name: AitaitA> 1314r ell (a)Pernait fee(use valuation table): • Address: 3 a Pk‘Izeh,2_,,,Er titzni g.,,, (b)Investigative fee(equal to[2a]): $ City: c ....,. State: o' ZIP:?A/77 (c)Reinspection($ per hour): -/7 (number of hours x fee per hour) $ Phone: Fax: - - - (d)Enter 12%surcharge(.12 x[2a+26+20]): $ r° E-mail: (e)Subtotal of fees above(22 through 2d): S Building Owner or Owner's agent authorizing this application: ;c:KK4744J.F.srops-wes1/4"kf-x-:1-AS11-10:7-41:±grita7:': (a)Plan review(65%x permit fee[2a]): $ - Sign here: 1.1a joii _ (b)Fire and life safety(40%x permit fee(2a]): S _ 0 This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my immediate family,and is exempt from licensing :4:,Miseellanemis lees..t.;43..c.i,n;t.,:.c.,...;:;: -.:.: „t•ftc:,:$...?-ta,4::_tsc requirements under ORS 701.010. (a) Seismic fee, 1%(.01 x permit fee[2a1): S 4:',4g-ifE-i3-ZtRelfit1113-kgTPIThiN.STiNILLETICA.:7,-0: 14eS15, -- (b)Technology fee,5%(.05 x permit fee[2a]): S tije Business name: TOTAL fees and surcharges(2e+3c+4a-F4b): S 1776° Address: po 7 m93 City Orize,, (AA Stateat ZW:49,tit- . Phone: ci-y/ -4S-1i'SiG 5 Fax: - - E-mail: , tile:Irat Atfriii i/An 117/7te. Geo- . • CCB license no.: Print name: 4/4,9 ,04,i-, /be - 1 Signature: • ----'ntrCONTR:AC-TORTtNFttORMATi10NK-=— Name CCB License# Phone Number Electrical Plumbing Mechanical • W2' I' . Structural Permit Application SPRINGFIELD riDEPAF2TMENTOSEONLY45 s CITY OF SPRINGFIELD,OREGON Permit no 225 Fifth Street♦Springfield,OR 97477♦PH(541)726-3753♦FAX(541)726-3689 UREGON S�y Date: Oh 7 // c-/ 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. ���'+F,t�y� LOCAI.xGOVERNMENT;APP,ROV'AL.�„��'',w�,`^�,'`A�_'���', ' '„p�� �„� rFEE`u;SCHEDIJLE'cEO�;;' r'*;,Cl3 This project has final land-use approval. - r1T,V�Ia ua n reform ti n ^'.� ,,,,, „QI�}-'`,' Y 4”'i Signature: Date: (a)Job description: Z�j /,p rnp.it/ This project has DEQ approval. Occupancy�� Signature: Date: • Zoning approval verified: ❑Yes ❑No Construction type: 43 Property is within flood plain: ❑Yes ❑No Square feet: a t, Y w.iTGITE Z OF7.CONSTliirra10NeInia Cost per square foot: ❑Residential ❑Government j, Commercial Other information: .rbei�'JOBTSIT E FNF,ORMATIONI ANDfy'L'OCATIONry.'����y�`s" Type of Heat: Job site address: /yoc &Ly Mp C Energy Path: City: So r 'I State: G/ Zn1 1'4 77 ❑new ❑alteration addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑'I‹, Reference: 1 703 2 5 3 1 Taxlot: 07(10 0 Total valuation: $/ °ir4",, '1 ]a ". 4y,P..ROPERTY�",,OWNER. .ae,�;;'s"s'xz-�-_..�'ut., ''.: riOluilding fees.�'.�.r`ATE" TEL .."'-,na Name: /1/a dint 1Stirc (a)Permit fee(use valuation table): $ Address: Q 3 0 {'h 4 litho 2.4e Olaf P 4 (b)Investigative fee(equal to[2a]): $ City: S State: 0> ZIP:7777 (c)Reinspection($ per hour): n"' (number of hours x fee per hour) -$ Phone: Fax: - - E (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: F3fPlant w fees3',,e' ''a'vr.` '`'M' ,� 't~.r :,'eg't,'i ' i �//� 0)Plan review(65%x permit fee[2aJ): $ 7/9/2 Sign here: ki (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): $ me or a member of my immediate family,and is exempt from licensing 4 q°;Mtscellnous feesr'�`�.L,^�, 3`^-"'°'sr';�fig v r Via; requirements under ORS 701.010. ° _ ,^_ „ ,,,,_ __„ (a)Seismic fee, I%(.01 x permit fee[2a]): S ,j, ' CONTRACTOR INSTALL'A11614° v'1,';'`+' W `3 -” (b) - -- - - ' (b)Technology fee,5%(.05 x permit fee[2a]): S Business name: Address: P o /3Lry6 2.09 TOTAL fees and surcharges(2e+3c-l4a+4b): S City: f /, J State ZIP:9 ..t/f Phone: / -41 r ---5-/4 /C Fax: - - E-mail: l.,.atrei Aajokt ion ii,/It'. a,- CCB license no.: /C in– Print name: 4(Lai Dot Ni,./ 1— li�/�-/J Signature: � /1/ - = ..tSIJ ON TRAP TORJNgiRM MTh f Name CCB License# Phone Number Electrical Plumbing Mechanical ,