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Permit Building 2014-3-18
SPRINGFIELD - • - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ''t� u'` !i Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00566 www.spnngfield-or gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 03/18/2014 EXPIRES: 09/14/2014 STATUS DATE: 03/18/2014 APPLIED: 03/18/2014 SITE ADDRESS: 110 MAIN ST,Springfield,OR 97477 SCOPE: Retail ASSESOR'S PARCEL NO: 1703353204300 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: interior remodel adding dressing room OWNER: CARLSON RICHARD C&WINONA J Phone Number: , ADDRESS: 1155 T ST SPRINGFIELD OR 97477 • CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 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 U 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. l/J £�h e t 3—/�— 7$ -Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to NOTICE: . follow rules adopted by the Oregon Utility forth THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set 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 ANY 180 DAY PERIOD. number Center is 1-8g00-332-2344).rfication • • Springfield Building Permit 3/18/2014 9:46:15AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD - t1 a - 225 Fifth St • k,{ TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-00566 www.springfield-or.gov 110 MAIN ST permitcenter@springfield-or gov • RECEIPT NO: 2014000578 RECORD NO:811SPR2014-00566 DATE:03/18/2014 j�ef�.3o1;11;J19[o1,6.K riAc„±a-5 ,,,r-- rs?�_„ _ 4f 4,..a.rr n:'ACCOUNTiCODE)TRANSrCODE' X 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 ..„.Y>.,.,..__.,.e.e t ..... •�.a---•.,, ,..... : a.r.,.,r ;'AMOUNT - 3 PAYMENT:TYPEafln-�PAYOR `:caSNieR:�RCaSn�'�-�_�� ^) �COMMENTS _ _,,. �.:., ,�s.-� - 6PAID_ Check CARLSON RICHARD C 8 WINONA J 93.60 3251 • TOTAL PAID: 93.60 • • • Structural Permit Application sPRtNGFIELD _- 0 ??�?TMEN? sE q 11 5.1rt CITY OF SPRINGFIELD,OREGON * {? Permit no.: OREGON p 225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(541)726-3689 5i E k Zoi 4- occt& . . _ Date: -i he/4 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. ' "`� `' 2t �+- � FEE}?SCHEDDLE --° `�'- rir- F., °,� nab _;;gip OCAL�G-OVERNME_NTAPPROVAL-;,saw-�,u -; `�,, ,4Y�, � , - z _._._ :s�t �S ;,--f.�r- This project has final land-use approval. [1,4V la ua[ion infdrmatiunt :'a]; -x�"'•',e'44-7,-..":;c4:11.'''. Signature: Date: (a)Job description: OO�� / This project has DEQ approval. p q zLZYCy lNe- 1 -' coo r..t • Occupancy - r/ Signature: Date: • • Zoning approval verified: ❑Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: - ' AGO Y1"tC N n Cost per square foot `�!.„ �4 }CATEGQRYy30F�CONSTRUCTION 'p:;� P sq ❑Residential ❑Government ❑Commercial Other information: sent , "n�i.JOBfiSIT INFxO,�RAMATION AND`LOCATyLeri Type of Heat: Job site address: //C2 //-` a_%r.f �rr^e e-t Energy Path: City 5Jrun/nAfq.%Ip - State/) ZIP.{j'?V7'? ❑new ❑alteration ❑addition . Subdifision: ✓ If _Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: I Taxlot: Total valuation: . $2GL7— '* x t ” gPo ERT (owN 3T " Tz fioBuldnte + l l s 'tmg x, _ Name: /0E4 •- J C Cr7 7 ],.--A g (a)Permit.fee(use valuation table): $ • Address: //.6-14— T)-cj-f/'ear (b)Investigative fee(equal to[2a]): $ City:Sf?rir) r6/O State:QH ZIP:970r7 (c)Reinspectioo($ - per hour): (number of hours x fee per hour). $ Phone:Szb-_;79_36/ 7 Fax: - - __ E-mail:e/ec453rr1 cAra yLI LPrrj (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: t'3:£Plan re'ew fees y ` .S a.,y;ai ' t„`J,=ig " ,,?`; (a)Plan review(65%x permit fee[2a]): $ Sign here:eete (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 q`,Mt Cella oUS fees'"''` s "^-ss`" `'mT requirements under ORS 701.010. ° (a)Seismic fee, 1%(.01 x permit fee[2a]): $ x q . ONTRAJO NSFALATQNL s' ri, • h(b)Technology fee,5%(.05 x permit fee[2a1): $ Business name: O r Jn E� TOTAL fees and surcharges(2e+3c+4a+4b): $ 73 EO Address: - - - 3`- City: State: _ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: - - Signature: • M y NF'(,?JaA;-SUB CQNTRACTORRJFORMATIONtg„p'E);i. Name CCB License# Phone Number Electrical Plumbing Mechanical