HomeMy WebLinkAboutPermit Building 2014-5-2 SPRINGFIELD 225 Fifth St
Art CITY OF SPRINGFIELD Springfield,OR 97477
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OREGON Phone: 541-726-3753
Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
• PERMIT NO: 811-SPR2014-00983
www.springfield-or.gov permitcenter @springfeld-ar.gov
PROJECT STATUS: Issued ISSUED: 05/02/2014 EXPIRES: 10/29/2014
STATUS DATE: 05/02/2014 APPLIED: 05/02/2014
SITE ADDRESS: 1936 MAIN ST,Springfield,OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703364202200 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Tenant infill: Demo non-bearing wall,remove plastic sheeting,finish drywall,reverse door
swing on egress doors.
OWNER: LYNCH JAMES D&ROBERTS M Phone Number:
ADDRESS: PO BOX 757 •
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
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.
a la d�fo2��y
O tractor ignat — Date
NOTICE; ATTENTION: Oregon law requires you to
THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted bythe Oregon Utility
AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth
COMMENCED OR IS ABANDONED FOR • • In OAR 952-001-0010 through OAR 952-001-
ANY 180 DAY PERIOD. • 0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 5/2/2014 2:34:31 PM Page 1 of 1
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SPRINGFIELD —. CITY OF SPRINGFIELD
kr(1. 225 Fifth St= TRANSACTION RECEIPT Spdngfield.OR 97477
" OREGON 541-726-3753
811-SPR2014-00983
www.springfield-or.gov 1936 MAIN ST permitcenter@springfield-or.gov
RECEIPT.NO: 2014000983 RECORD NO: 811-SPR2014-00983 DATE:05/02/2014
�lel- - ii 1 .pp. ¢ =' 5 l py-;:, i:.r' a_i . - I:.:4,x qw :_u , t1 Y .-
�e�l'.I� � 14�,- �s� L�� a_ ,a<,..�.. _�-AGCOUNTCODFJTiRANS CODE _.�.,._-,.,_;, � o J
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
P,.AYMENTaT;YPE ,. . P.AY00--RVIcgsNieRncdgnrexreR ..COMMENTS` AMOUNTiPAID '
Cash Jayson Thomas 93.60
TOTAL PAID: 93.60
•
Structural Permit Application sPRIHGFIELD %v?TMENT usE oN" Y
CITY OF SPRINGFIELD,OREGON a.4.(?, Permit no.: 9, ��
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON `7 /
Date: 672._p t-/
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.
;`+"allOCAL'r GOVERNMENTrAPFROV�AL , -„ ` ‘ I r _; ` FEE. SCHEDULE, '..II
^"4i.;^.Yr T:Itrarai"YA' w.
This project has final land-use approval. '��L�V. aluahon�informatibn -.„c�h,„„,r��rs,-
Signature: Date:
(a)Job description: 'Dr v1114
This project has DEQ approval. --- - - 'w)]]]_`
Dale: Occupancy Viet/�”
Zoning approval verified: ❑Yes ❑No Construction type: 1
Property is within flood plain: ❑Yes ❑No Square feet:
'aCATEGQRY„x;_OFq,CONSTRUCTIQN re Co n per square foot:
❑Residential ❑Government ®Commercial Other information:
r`a JOB SIT OR MATION..,AND'LO tict 0N: r .Type of Beat:
Job site address: )9 3 b [Nl A 0/1 <(— Energy Path:
City 4j./'r Ito[�.mot [ State: biz ZIP:el 7LI 11- ❑new Frateration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: Taxlot Total valuation ,.. ✓5-0 $ co
—
mar _PR.OPRT»aOWNEmR�3 'r ° t3 41E„ ,W' i
Name: J ptvvxq- xf n C,1/I (a)Permit fee(use valuation table): $ ��
Address: '22(p AAA A (b)Investigative fee(equal to[2a]): $
City: IV/TA.) (.‘f [J State: `( in
ZIP:Ct 7-d1 q-r (c)Respection($ per hour):
Phone: 15L([ 54/, (P 5/0 Fax: - - (number of hours x fee per hour)
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ �O
(e)Subtotal of fees above(2a through 2d): $ r
Building Owner or Owner's a g ent authorizing zin g application: 31 � ees �'° �a la NV k
(a)Plan review(65%x permit fee[2a]): $
Sign here: / ! (b)Fire and life safety(40%x permit fee[2a]): $
❑This inshallati on is b;ug made on idmtial or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member o tt immediate family,and is exempt from licensing 74{Mtscell ouTfees.`}; a r.^` u'�tx TI MIRM
requirements under ORS 701.010.
(a)Seismic fee, 1%(.01 x pemit fee[2a]): $
I' CONTRACTOR INSTAL"-'LATION_r (b)Technolo gy fee,5%(.05 x permit fee[2a))
Business name: 1/114 // TOTAL fees and surcharges(2e+3c+4a+4b): $ a_r
Address: Ioi362 r Ar
City: Lj✓1 c'v 1�,.Q'd State: OP_ ZIP: `( [7?-
Phone:/9f 9/3 ll3 (0c1 0 Fax: - -
E-mail:
CCB license no.: r
Print name: - ro &A. ,s7 1n1 41i1
Signature: /
Il wr ar=SUB,CO ,TRACTONINEORMAT i . aW11?ry[:,
Name CCB License# Phone Number
Electrical
Plumbing
Mechanical