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HomeMy WebLinkAboutPermit Building 2014-4-24 SPRINGFIELD 225 Fifth St i_ii,,,..._____.._-,..— CITY OF SPRINGFIELD Springfield,OR 97477 "- ` OREGON u Phone: 541-726-3753 Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00901 www.springfield-or.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued _ ISSUED: 04/24/2014 EXPIRES: 10/21/2014 STATUS DATE: 04/24/2014 APPLIED: 04/24/2014 SITE ADDRESS: 110 INTERNATIONAL WAY,Springfield,OR 97477 SCOPE: Office ASSESOR'S PARCEL NO: 1703154000100 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: S-Minor office area alterations-interior OWNER: PACIFICSOURCE Phone Number: ADDRESS: 110 INTERNATIONAL WAY SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor 1996 LLC GCB 114258 05/30/2015 541-687-9445 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. Owner or Contractor Signature Date NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Springfield Building Permit 4/24/2014 2:03:29PM Center is 1-800-332-2344). Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD AA -.mom— 225 Fifth St a, TRANSACTION RECEIPT Springfield:OR 97477 It: ''" - OREGON 541-726-3753 811-S P R2014-00901 www.springfield-or.gov 110 INTERNATIONAL WAY permitcenter©springfield-or.gov RECEIPT NO: 2014000916 RECORD NO: 811-SPR2014-00901 DATE:04/24/2014 [DESCRIPTION;; ' ._ a _'__ .- ACCOUNT_CODEITRANSCODE _,-_. ° ;AMOUNT,DUE_, Building Permit Fee 224-00000-425602 1002 387.39 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 46.49 • Technology fee(5%of permit total) 100-00000-425605 2099 19.37 TOTAL DUE: 453.25 l: PAYMENT TYPE - 'AMOUNT PAID- , PAYORA' CASHIER: COMMENTS � r ��,�_ �y f„_ .: _I Credit Card Randall Nishimura 453.25 02470c TOTAL PAID: 453.25 • • • • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY '' CITY OF SPRINGFIELD,"OREGON � F Permit no.: --05,0/225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON I'f Date: C 22- / V This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of iss ance or if work is suspended for 180 days. LOCAL GOVERNMENT-APPROVAL - FEE. SCHEDULE This project has final land-use approval. 1.Valuation information .. Signature: Date: (a)Job description: Enclosure of(2)offices within(e)open office This project has DEQ approval. Occupancy Group B-Office Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: II-N Property is within flood plain: ❑Yes ❑No Square feet: ' CATEGORY.OF CONSTRUCTION Cost per square foot: ❑Residential ❑Government ®Commercial Other information: JOB SITE INFORMATION AND,LOCATION Type of Heat: Job site address: 110 International Way Energy Path: City: Springfield State: OR ZIP: 97477 ❑new ©alteration ❑addition Subdivision: Lot no.: 100 (b)Foundation-only permit? ❑Yes El No Reference: Taxlot: 17-03-15-40-00100 Total valuation: -t 33 , 1-0O $ PROPERTY OWNER 2.Building fees Name: PacificSource Health Plans (a)Permit fee(use valuation table): $ Address: 110 International Way (b)Investigative fee(equal to[2a]): City: Springfield State: OR ZIP:97477 (c)Reinspection(S per hour): Phone: 541-225-3704 Fax: 541-684-5538 (number of hours x fee per hour) E-mail: fred.mortensen @pacificsource.com (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ LeG 4 (e)Subtotal of fees above(2a through 2d): • Building Owner or Owner's agent authorizing this application: 3.Plan review fees Randy Nishimura,AIA-Robertson/Sherwood/Architects (a)Plan review(65%x permit fee[2a]): $ Sign here: - (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): S me or a member of my immediate family,and is exempt from licensing Q,Miscellaneous fees requirements under ORS 701.010. --- u (a)Seismic fee, I%(.01 x permit fee[2a]): $ CONTRACTOR INSTALLATION (b)Technology fee,5%(.05 x permit fee 2a]) f Business name: Chambers Construction Co. Address: 3028 Judkins Road#1 TOTAL fees and surcharges(2e+3c+4a+4b): S 9/S72 City: Eugene State: OR ZIP: 97403 �� Phone: 541-687-9445 Fax: 541-687-9451 E-mail: shussey @chambersconstruction.com CCB license no.: 114258 Print name: Shawn Hussey Signature: SUB-CONTRACTOR INFORMATION Name CCB License# Phone Number Electrical Oregon Electric Company 203 541-747-0811 Plumbing N/A Mechanical Comfort Flow Heating Co. 460 • 541-726-0100 5 ,�� �t�