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Permit Building 2014-5-7
SPRINGFIELD - 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR 97477 ( LAP Phone: 541-726-3753 • '\ OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00965 www.springfield-or.gov permitcenter @springfield-or.gee PROJECT STATUS: Issued ISSUED: 05/07/2014 EXPIRES: 11/02/2014 STATUS DATE: 05/07/2014 APPLIED: 05/15/2013 SITE ADDRESS: 5701 MAIN ST,Springfield,OR 97478 SCOPE: Restaurant ASSESOR'S PARCEL NO: 1702334103101 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Remodel OWNER: MCDONALD'S CORP 36-113 Phone Number: ADDRESS: 2896 CRESCENT AVE STE 105 EUGENE OR 97408 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections 8999 Final Fire • 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. 1155 CMU Wall 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1370 Masonry Veneer 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1530 Exterior Shearwall 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. 1996 Final Inspection—Planning ATTENTION: Oregon law requires you to I filS�/�E follow rules adopted by the Oregon Utility AUTHOR PERMIT SHALL EXPIRE IF THE WORK • in Notification Center. Those rules are set OAR 952-001-0010 through OAR 952-001- „OMIZED ENDER THIS pERIV1Ij IS NOT ANY 180 D NR IS ABANDONED FOR 0090. You may obtain copies of the rules by DAY NED calling the center. (Note: the telephone PERIOD, F • Springfelfi'6-uifrfin erge Oregon Utility Notification 5/7/2014 3:09:06PM • Page 1 of 2 tenter is 1-800-332-2344). SPRINGFIELD 225 Fifth St ii ,.a._ ';- CITY OF SPRINGFIELD Springfield,OR 97477 • :{ -'--1 Phone: 541-726-3753 \OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00965 www.springfield-or.gov permitcenter@springfield-or.gov 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 • Springfield Building Permit 5/7/2014 3:09:06PM Page 2 of 2 SPRINGFIELD CITY OF SPRINGFIELD k imp 225 Fikh St �(a TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2013-00965 www.springfield-ar.gov 5701 MAIN ST permitcenter©springfield-ocgav RECEIPT NO: 2014000932 RECORD NO:811-SPR2013-00965 DATE:04/28/2014•?DESCRIPTIONr_ - _'.-� .:.!__ SACCOUNTCODE/TRANS CODE,, - AMOUNTDUE • Building Permit Fee 224-00000-425602 1002 2,360.50 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 31.54 SDC: Improvement-Transportation SDC 447-00000-448027 1174 4,803.92 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,995.47 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 1,318.06 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 204.94 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 112.10 SDC: Total Transportation Administration Fee 719-00000-426604 1190 306.10 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 283.26 Technology fee(5%of permit total) 100-00000-425605 2099 118.03 TOTAL DUE: 11,543.92 , ,_ PAYMENT,T/PE_. -_PAYOR dASHgR:CCARPENTER . ; COMMENTS.' , AMOUNT PAID Check McDonalds 11,543.92 1395992 TOTAL PAID: 11,543.92 • Structural Permit Application I DEPARTMENT USE ONLY 6MrMDi1LLD --v! // CITY OP SPRINGFIELD,OREGON Permit no.: S/3 _Op % 225 Filth Street♦Springfield,OR 97477♦P11(541)726-3753•FAX(541)726-3689 Date: V/6/' 3 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of'ssuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature: Date: FEE SCHEDULE This project has DEQ approval. 1.Valuation information Signature: Date: (a)Job description: Existing McDonald's Remodel Zoning approval verified: ❑Yes ❑No Occupancy A2 Property is within flood plain: ❑Yes ❑No Construction type: VB CATEGORY OF CONSTRUCTION Square feet: 3,080 SF (Existing)3,304 SF(Proposed) ❑Residential ❑Government Lh]Commercial Cost per square foot: JOB SITE INFORMATION AND LOCATION Other information: Job site address: 5701 Main Street Type of Heat: City: Springfield I State: OR I ZIP: 97478 Energy Path: Subdivision: Map# 17023341 Lot no.: Reference: I Taxlot: 3101 ❑new in alteration n addition (b)Foundation-only permit? ❑ Yes In No PROPERTY OWNER Name: McDonald's Corp. Total valuation: $465,000 Address: 12131 113th Ave NE 2. Building fees City: Kirkland State: WA I ZIP: 98034 (a)Permit fee(use valuation table): $2IGO .)O Phone:425-821-4970 Fax:425-242-2498 (b)Investigative fee(equal to[2a]): S dou bates us.med.com (c)Reinspection(S per hour): E-mail: g (number of hours x fee per hour) This installation is being made on residential or farm property owned by (d)Enter 12%surcharge(.12 x[2a+2b+2c1): $21.7€ me or a member of my immediate family,and is exempt from licensing requirements under ORS 701.010. (e)Subtotal of fees above(2a through 2d): $ Sign here: 3.Plan review fees (a)Plan review(65%x permit fee[20): $/,%,fr CONTRACTOR INSTALLATION (b)Fire and life safety(40%x permit fee[2a1): $ Business name: (c)Subtotal of fees above(3a and 3b): $ Address: 4. Miscellaneous fees ((g City: State: I ZIP: (a)Seismic fee, 1%(.01 x permit fee[2a]): $ Phone: - - . Fax: - - E-mail: TOTAL fees and surcharges(2c+3c+4a): S 92,,C /? 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