HomeMy WebLinkAboutPermit Building 2014-4-4 SPRINGFIELD 225 Fifth St
t z CITY OF SPRINGFIELD Springfield,OR 97477
(p Phone: 541-726-3753
` OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00730
www.springfield-or.gov perm itcenter@springfield-or.gov
/
PROJECT STATUS: Issued ISSUED: 04/04/2014 EXPIRES: 10/01/2014
STATUS DATE: 04/04/2014 APPLIED:- 04/04/2014
SITE ADDRESS: 1810 M ST,Springfield,OR 97477 • SCOPE: Office
ASSESOR'S PARCEL NO: 1703253401900 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Interior Office partitions
OWNER: LINCOLN CAPITAL LLC Phone Number:
ADDRESS: 1580 VALLEY RIVER DR STE 270 •
EUGENE OR 97401
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor JACK WORMDAHL CCB 26679 03/12/2016 541-688-8973
L 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. 2
2. .<J. `/(S //°/
OwnerrContractor Signature \ Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
•
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by ;d NICE:
•
calling the center. (Note: the telephone
number for the Oregon Utility Notification AUTHORI EID UNDER THIS PERM IT S NOT : .
Center is 1-800-332-2344).
COMMENCED OR IS ABANDONED FOR •
ANY 180 DAY PERIOD.
Springfield Building Permit 4/4/2014 2:09:52PM Page 1 of 1
SPRINGFIELD i CITY OF SPRINGFIELD
4 :ce.. 225 Fifth St
�� TRANSACTION RECEIPT Springfield,OR97477
i,,, ` 541-726-3753
OREGON 811-SPR2014-00730
www.springfield-or.gov 1810 M ST - permitcenter @springfield-or.gov
RECEIPT NO: 2014000740 RECORD NO: 811-SPR2014-00730 DATE:04/04/2014
DESCRIPTION - 7.; ACCOUNT CODE/TRANS CODE_ ` AMOUNT DUE
Building Permit Fee 224-00000-425602 1002 234.89
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 28:19
Technology fee(5%of permit total) 100-00000-425605 2099 11.74
TOTAL DUE: 274.82
(_PAYMENT.TYPE, _ PAYOR-,�CASHIER:SCARPENTER : COMMENTS. - _: .. --AMOUNT PAID • :
Credit Card JACK WORMDAHL 274.82
004485
TOTAL PAID: 274.82
Structural Permit Application SPHwGPiEtD ,`'DEP.ARTM $!LIJSE"ONL+Yu^
. CITY OF SPRINGFIELD, OREGON , tom ' Permit no /� j•
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689
L)( 1 /,J
Date: y/V// y
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of is uanc or if work is
suspended for 180 days.
.. -,�,,,,ft�;:LOCAL'fGOVERNMENT APP,ROVALi,+ ,„ ;va4 PW,„,,ai,v,�2x”?�FEEESCHEDULEi,.ya„,.,,,,;`.3,w�, '. �`-'�..
This project has final land-use approval. �1Valua[ritti'm fo"matoron l ( ' s ' ' t
Signature: Date: (a)Job description:A,66" 40ti_S
• This project has DEQ approval.
Occupancy
Signature: Date:
Zoning approval verified: ❑Yes ❑No Construction type: V7,5)•
Property is within flood plain: ❑Yes ❑No Square feet: 3 b,-3 0
=:;c" *` 7 it 'y"S Cost per square foot:
e:-sy�.{ .; CATEGORY OF;,COiJSTRUCTION-� �-�:.a ,./K--, P sq
❑Residential ❑Government .Commercial Other information:
r.-� r', 1JOBnsITE,INFORMATIONa 1ND tLOCATION ;`-',?llt. A Type of Heat r A,
Job site address: ' I U jel S 7 Energy Path:
City: 9ga S P Ci State: OR ZIP:9,7 t ❑new , alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ,K No
Reference: /�7 3' 2�Y Taxlot 0,790(J Total valuation: $ J'7 oat to
.. di .,. .�� :ass--L w •irgr�..-s-c- 4:-
sn. 3r' „ c,.`'ix`" ?»,,;:P.„ROPERTY},'rOWNERg,;. ".r7 msT�`. .si:-�'f.” " r`2iBuddinglfees ;r�z.:: .,._3 .ie:>`. ? °? +.,pp..;,yynm
• Name:G r N-c.c.I .v C A A t t,i L- (a)Permit fee(use valuation table): $ 214 y
Address: /G ac 0 4 h S r ACC. (b)Investigative fee(equal to[2a]): $
City: E t,.o State:0 A ZIP:1.7' ./ (c)Reinspection($ per hour):
U.3/ (number of hours x fee per hour)- $
Phone:icy r yS 97 yo Fax: - -
E-mail:
(d)Enter 12%surcharge(.12 x[2a+2b+2c]): s Stiff_
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: r F"y==a- -i % n :e ±` 3= 7s",;; '
8 g g PP :3 Planreview�fees ,;t_.,�,-, fix,;.;.— „
/// (a)Plan review(65%x permit fee[2a]): $
Sign here: / / ,�--.�w / (b)Fire and life safety(40%x permit fee[2a]): $ `
❑This installa on 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 4lMtseell'e eous'fee9 a °' -t't p + }a
L5. - a..$r,,,,,5,-_.,;Yro d ,. dis.<':+ sr .,43n- _
requirements under ORS 701.010.
_ � (a)Seismic fee, I%(.O] x permit fee[2a]): $
,rte U ?= CONTRACTOR_INSTALLATIOO' I.,r a-. < „* (b)Technology fee,5%(.05 x permit fee 2a $
O gy ( P fee[2a]): I /?v
Business name:J"Ac.47 Wan.„..0 4 _at/ G tblrrtAC- Co-f Fl TOTAL fees and surcharges(2e+3c+4a+46): $27y8?
Address: ;ass /-Iocc ,iIPw A✓r
City: p- State: 0th ZIP:T-1Y0
Phone: 52-"I -/2 $-b-S7-5 Fax: - -
E-mail:C7ac.1r LOVAp,ata hL cn. . flst-Art . Con'-.
CCB license no.: 24„ G >9 -
- Print name: f'A.c(, 1,Jc1 R ev.-D A 14 L
•
Signature: /J �y�st-7 -
_ a 'lac-SCONTRACTOR'INFORMATLONVi_=a!a l
Name CCB License# Phone Number
Electrical
Plumbing
•
N. A .
Mechanical
Air. A . -