HomeMy WebLinkAboutPermit Building 2014-4-24 Fri SPRINGFIELD- 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00783
www.springfield-or.gov permitcenter @spnngfield-cr.gov
PROJECT STATUS: Issued ISSUED: 04/24/2014 EXPIRES: 10/21/2014
STATUS DATE: 04/24/2014 APPLIED: 04/14/2014
SITE ADDRESS: 202 S 18TH ST,Springfield,OR 97477 SCOPE: Warehouse
ASSESOR'S PARCEL NO: 1703360000500 TYPE OF STRUCTURE: Public
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PROJECT DESCRIPTION: S-New/expanded warehouse and parking areas
OWNER: CITY OF SPRINGFIELD Phone Number: •
ADDRESS: 202 S 18TH ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION b
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
INSPECTIONS REQUIRED
Inspections
1996 Final Inspection—Planning
8999 Final Fire .
1020 Zoning/setbacks
1110 Footing Footing: After trenches are excavated. •
1120 Foundation Foundation: After forms are erected but prior to concrete placement.
1150 Slab/Flatwork Slab: To be made after all inslab building service equipment, conduit piping and .
other equipment items are in place but prior to concrete.
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1540 Gypsum•Boarditath/Drywall Drywall �rprRo4taping. Lath/Plaster: 'pblloT aT7C.aflbfatf6YfllddFandrgWillM5 you to
tv .t r"` Td� 1t nl arad exterior are in plac$dilut'priorrto plastelr 1d by the Oregon Utility
�rT cunl I EXPIRE i6a C
1999 Final Building L1 "� ' i r r r' onrcr - nn a i P 69, a;toi th
AUl hORIZED UNDER THIS P�F "allliilAngi' After all required inspeNt+baR`}iaUerS�en re 010tthro ggkp q�(511-1‘.9'6 L-001-
COMMENCED OR IS ABAND(S'. ��is complete. 0090. You?may obtain copies of the rules by
oiR ^ / the telephone
By signature; �state and[agfee, (hell rave carefully examined the completed application Qntllfl�Fte}gbywerhdy th�t�ail•� P
information hereon is true and correct, and I further certify that any and all work performeldlGrialOtiemb rr`drinf'aicorda'11ke Wkfti{Iietiflcati0n
n n -
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work rn`diEd9lesrcanNnWthat-0fe1 •
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
Springfield Building Permit 4/24/2014 1:04:50PM Page 1 of 1
SPRINGFIELD -- CITY OF SPRINGFIELD
225 Fifth St
� TRANSACTION RECEIPT Spdngfield.OR 97477
541-726-3753
"--C\OREGON 811-SPR2014-00783
www.spdngfieldor.gov 202 S 18TH ST permitcentergspdngfield-or.gov
RECEIPT NO: 2014000913 RECORD NO:811-SPR2014-00783 DATE:04/24/2014
DESCRIPTION "_iii ': k; _r.. ' ' ''"'!''w "' AI: `:"a ':ACCOUNT CODF RANSiCODE_-'t,3,F ' ?'T AMOUNT=DUE
Building Permit Fee 224-00000-425602 1002 1,418.80
Fire, Life, Safety Plan Review 224-00000-425602 1077 567.52
SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00
SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 26.62
SDC: Improvement-Transportation SDC • 447-00000-448027 1174 2,009.72
SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 278.56
SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,708.17
SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 551.41
SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 570.73
SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 134.91
SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 93.98
SDC:Total Sewer Administration Fee 719-00000-426604 1175- 42.46
SDC:Total Transportation Administration Fee 719-00000-426604 1190 128.06
State of Oregon Surcharge(12%of applicable fees) . 821-00000-215004 1099 170.26
Technology fee(5%of permit total) 100-00000-425605 2099 70.94
TOTAL DUE: 7,782.14
uPAYM_N_,YP E-; ,zf'P AYOR `Ca5H1ERJASON tialS�t iu. "C. OMME NTS v ia,,:s AIFAMOUNTFAD.„d Wit; „4,4~
,
Check S.U.B 7,782.14
200323
TOTAL PAID: 7,782.14
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SPRINGFIELD - CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
Plec 1/490 '
541-726-3753
\OREGON
811-SPR2014-00783
www.springtieldcr.gov 202 S 18TH ST permitcenter@spnngfield-or gov
RECEIPT NO: 2014000789 RECORD NO: 811-SPR2014-00783 DATE:04/14/2014
DEseRierrioNikAMEN4EVZat;:WaitaanteitlAccouNircoDEITRAN-steoDekaMMIXAmtilit;iitimial
Structural Plan Review Fee Commercial 224-00000-425602 1060 922.22.
TOTAL DUE: 922.22
'''.4- "Tivigh,ritnitiranINIIAVORMeiditigireeWirpi'ragriariNatetikthiti;iMinga:T IIIN1=;" 1,17,0140PNIAMPatailiald
Credit Card CITY OF SPRINGFIELD 922.22
2005
TOTAL PAID: 922.22
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Structural Permit Application 5FR)NGFtELOr DEPARTMENTiUSErONLY
S k ' a CITYOF. N Eti OttEgai its isueM O - Permit no..5 cy(_ 7
i3
OREGON
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689
Date: V/IV/g
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 ,r _..its" ... a gg� -��+::-ittil e r + ny i 9 G4'''F
�;,I,€�Ii =..LOCAL,;GOVERNMENTµAP,PROVALs�,,,�;t i.l„�,,„t .-a'"I,,, s. „x,.y-, ,,,, FEErSCHEDULE,�., ,., ;1 „;;�,�.-„,�,,
This project has final land-use approval. '11"wVal anon information i Jwa Gyw lrlf- r-oiat,+ngi'Igre
Signature: Date: (a)Job description:/,bjeetthiture/`OK./4 SDal-e-7 e
This project has DEQ approval. Occupancy /�2
Signature: Date:
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet: 1600
e ”" -93 `- 'c Cost per square foot: •
�,]!,I�t`��,;��;i'�,P4CATEGORyY�OF,�tGONSTRl1CTION ,,sa�f`�I.r�R��I�I,s�
❑ Residential Lry Government al Commercial Other information: -
sr g, ,._'JOBi SITE'''�INFOR,,M„�.A,{{TION ANDj:LOCATIONi� .,; '�`'�;. 'Fvpe of Heat:
Job site address: S. 191* SiQEET - Energy Path:
City:ppQiplq' State: Ok ziP:g111] u-new ['alteration ❑4ition
Subdivision:dd Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: 11-63 36-00 Taxlot: heQ )OD Total valuation: $,
Mlnn"4` i . 'prerii OPERTY;MOWNERR_�i'� Far '.9ilrlk,['r�G ,'w[`a 'Budding fees �ail]vfr"+" t rd;. '}v t�i�4ln fng'Ck' ill; ti
Name: St]Q1 NQF1&4( tfll].1 T y t. Fat _ (a)Permit fee(use valuation table): $ I i.�ft -
Address: aso i -4 p ❑_ (b)Investigative fee(equal to[2a]): $ _
City: Pj ryNgL I I State:Ok ZIP`111f 17 (c)Reinspection($ per hour):
j'it ( 1 r- 311 y Fax-Sit I-l't4- 3Gs 4 (number of hours x fee per hour) $
Phone: —
E-mail: 'h�. P Sans&Sans COM (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
(e)Subtotal of fees above(2a through 2d): S
Building Owner or Owner's agent authorizing this application: x3t Plan r View fees ;'i j.4 '','frr, rt . ,�]u,�C4% Y
�(a) Plan review(65%x permit fee[2a]): $ 922 6.
Sign here:Q o � (b)Fire and life safety(40%s permit fee[2a]): $ 5--(Q]
❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ �7
me or a member of my immediate family,and is exempt from licensing rq'Mtsc'ellaoeous fees* R�[ ' �(°{sL Xw- :n 1p pjll Yr (}]y,[„2,t,�?j't
requirements under ORS 701.010 u,.r �t:
(a)Seismic fee, 1%(.01 x permit fee[2a]): $
y„r,i t'4:CONTRACTOR INSTALUITION�,gifiE, ! .w_-','�
- - - (b)Technology fee,5%(.05 x permit fee[2a]): $ 10
Business name: "MD y�(/y�n, !L
TOTAL fees and surcharges(2e+3c+4a+4b): $31 t' C �_
Address: G C
City: State: ZIP:
r.
Phone: - - Fax: - - Irn� t
E-mail: IY t- 1 . No-
CCB license no.: 1 VV
Print name:
Signature:
a4IRELP4-DatiSUB-CONTRAC TOW IN FORMATION .,)'r,r; ;'"c; =�5",'r'-,t
Name'"" CCB License# Phone Number
Electrical
Plumbing
Mechanical .