HomeMy WebLinkAboutPermit Building 2014-4-1 •
SPRINGFIELD— 225 Fifth St•a, CITY OF SPRINGFIELD Springfield,OR 97477
Le'i Phone: 541-726-3753
'' ` OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00701 •
www.springfield-or.gov permitcenter @sprin gfield-or.gov
PROJECT STATUS: Issued ISSUED: 04/01/2014 EXPIRES: 09/28/2014
STATUS DATE: 04/01/2014 . APPLIED: 04/01/2014
SITE ADDRESS: 950 INTERNATIONAL WAY,Springfield,OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703153000201 TYPE OF STRUCTURE: Industrial
PROJECT DESCRIPTION: Minor interior modification to add production equipment into current storage-
Mechanical/Electrical/Sprinkler mod permits by separate contractors
OWNER: GOLDEN TEMPLE OF OREGON LLC Phone Number:
ADDRESS: 950 INTERNATIONAL WAY
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor ORDELL CONSTRUCTION LLC CCB 177132 07/05/2015 541-747-8734
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.
1710 Fire Sprinklers
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.
0-4A //I
Owner or Contractor Signature Date
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ATTENTION: Oregon law requires you to .
follow rules adopted by the Oregon Utility NOTICE: " ` -.
Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
• number for the Oregon Utility Notification ANY 180 DAY PERIOD.
Center is 1400-332-2344)..
Springfield Building Permit 4/1/2014 1:15:0BPM Page 1 of 1
SPRINGFIELD crry OF SPRINGFIELD
,x - . -:-r
f 4 b225 Fifth OREGON . TRANSACTION RECEIPT St
Springftt�hSt R 97477
541-726-3753
811-SPR2014-00701
www.springfield-or.gov 950 INTERNATIONAL WAY permitcenter @springfield-or.gov
RECEIPT NO: 2014000706 RECORD NO:811-SPR2014.00701 DATE:04/01/2014
{DESCRIPTION _._.:.. ACCOUNT CODE/TRANS CODE AMOUNT DUE:
Building Permit Fee 224-00000-425602 1002 980.80
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 117.70
Technology fee(5%of permit total) 100-00000-425605 2099 49.04
TOTAL DUE: 1,147.54
j„- PAYMENT TYPE_ ..MPAYOR CASHIER:CCARPENTER ;v. COMMENTS - AMOUNT PAID- -, "
Credit Card MARTIN NOONAN 1,147.54
022616
TOTAL PAID: 1,147.54
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Structural Permit Application SPRINGFIELD - E DEPARTMENT;USE ONLYh
Ea
CITY OF SPRINGFIELD„OREGON ` • tom. '' Permit no.:5 L{
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON � ( 00 /
Date: L„'/] / (4
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days oflissuance or if work is
suspended for 180 days.
'' )"fr-Pi LOCAL 9OVERNMENT APP.ROVAL-`+-„tggaitty. '..";;.. r= °`°`-,,„ „ triFEElISCHEilitEW`'rc,":fir Mie: """-*;'-
This project has final land-use approval.
Signature: Date: (a)Job description:Clja 2_f Ig005F wits m c.1
This project has DEQ approval. Occupancy
Signature: Date: •
Zoning approval verified: ❑Yes ❑No Construction type: V S
Property is within flood plain: ❑Yes ❑No Square feet: (goo
=•iF 3_ ,.�CATEGORY OF CONSTRUCTIONI- .";;' ,,,f,y.`-' Cost per square foot:
❑Residential - ❑Government - Commercial Other information:
""'"JQB SIxTE^"INFORMATIONI"ANf)j Eb'e"ATION !{? yx„ - Type of Heat:
Job site address:- s krrepaihrio, A L •� Energy Path:
City: 1taRe1_p State: 0.. zrP:17-i1q- ❑new tgatteration ❑addition
Subdivision: Lot no.: (b)Foundation only permit? ❑Yes It-No
Reference: Taxlot:R-63 I5 3a 47( Total valuation: $60 t
000
A rvi " ',r PROPRTYzOWNER " zk ;te
Asa g�=�
Name: 'toe 1 '�CVUCt$ (a)Permit fee(use valuation table): Si )
Address: ei INIDU51(L i (b)Investigative fee(equal to[2a]): $
City:rjfiel► REt—D state:00_ ZH5fg14 -3 (c)Reinspection(S per hour):
Phone:) 'j I 2.1(.6 Fa441 Lg. 1633
(number ofhoursxfee per hour)
E-mail: - (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: r3�Pla`u re i w,fees''" "�`w r” ` "" ' d` . rsrt atV
...g«•7 's 2.u.n .rs F'aas -L s<' c a .,9,uc
�/�// (a)Plan review(65%x permit fee[2a]):
Sign here�f L� (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 3W: $
me or a member of my immediate family,and is exempt from licensing .4 Mtscellaiieousifees? 7Z. 4: , 3. S i' "_ _"' ' t°t �A
requirements under ORS 701.010. — _--- ` ° j
_ (a)Seismic fee, l%(.01 x permit fee[2a]): $
, ,„ a ,?] CONTR'ACTOR-INSTALLATION:,, 34 r r;,'gas„ Tf (b)Technology fee,5%(.05 x permit fee[2a]): $yy
Business name 09—Vet.4.- 7r
6:44•a�(1-U�pCa�'TON1 L95-4
2 41-1 �.I�ll A 4 TOTAL fees and surcharges(2e+3c+4a+4b): $// ��i
Address:
City:e eo E statue • zw9 t2-
Phoned(- ?4* 8 ?39- Fax: - - -
E-mail: 2
CCB license no.: L 'tq t32
Print name: to t.s LOPJC
Signature:
'..]an . ISUBtCOFRACTOR'I.INFORMAT[ON i:RM„ 11.-`
Name CCB License ft Phone Number
Electrical
Plumbing
•
Mechanical