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HomeMy WebLinkAboutPermit Building 2014-7-9 i. . SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD springfield,OR 97477 Is.OREGON Phone: 541-726-3753 Building / Commercial Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01474 www.springfeldor.gov - permitcenter©springfeld-or.gdv PROJECT STATUS: Issued ISSUED: 07/09/2014 EXPIRES: 01/04/2015 STATUS DATE: -07/09/2014 APPLIED: 07/09/2014 SITE ADDRESS: 1360 MOHAWK BLVD,Springfield,OR 97477 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1703253310000 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Demo/remove ceiling grid OWNER: PRIME PROPERTY INVESTMENTS LLC Phone Number ADDRESS: 1360 MOHAWK BLVD SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER GCB 000000 08/01/2025 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. Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility • NOTICE: Notification Center. Those rules are set forth . THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT . 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone number for the Oregon,Utility Notification ANY 180 DAY PERIOD. • Center is 1-800-332-2344). • Springfield Building Permit 7/9/2014 11:21:52AM • - • Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 226 Fifth St 0 EGOLN TRANSACTION RECEIPT Springfield,OR 97477 hl 541-726-3753 811-SPR2014-01474 www.springfield-or.gov 1360 MOHAWK BLVD permitcenter©springfield-ar.gov RECEIPT NO: 2014001481 RECORD NO: 811-SPR2014-01474 DATE:07/09/2014 1o7 .Iola( LdClarT a C.s b -C P :1 4 IACCOUNTCODEITRANSiCOD .sir - w � . Building Permit Fee 224-00000-425602 1002 . 82.00 Continuing Education 224-00000-425606 2.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 • 1099 9.84 Technology fee(5%of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 ... ___. .. - r.. Y., PAYMENT:TYP.E =`_°PAYOR-:_=: '�" � _/.�s,.�-fHSLK11�`h f-i_ :;;-< �_-k°-o�.''-+?AMOUNTyPAID'.s Credit Card Richard Hickam 98.44 07450d TOTAL PAID: 98.44 • • • • • • • Struttural Permit Application SPRINGFIELD DEPARTMENT USE ONLY -�.7 CITY OE'SPRINGFIELWOREGON ° i, 0; : - 4 rtt s - ' Permit no . 225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 •OaEGON S/V— /6(?‘"/ Date: 7/ 5.7/ L/ This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days o issu or if work is suspended for 180 days. `,1 y n `LOCAL,GOVERNMENT APPROVAL ,+ ' ` - * i ._ ' �, .o- . , , - � .�*._, '� 3. . �s,SF,EE SCHEDULE :.k. ,. , ' This project has final land-use approval. 1 Valuation information ` ' ; 'S'_ rfi z'',i Signature: Date; (a)Job description: &iid mot- c!G N S cat project has DEQ approval. f ��"L WA" - m F Occupancy in_ Signature: Date: Zoning approval verified: El Yes ❑No Construction type: Property is within flood plain: ❑ Yes ❑No Square feet: �,- `x.e + qt" CATEGORYOF CONSTRUCTION` , ;.,jf{ ` Cost per square foot: ❑ Residential ❑Government ❑Commercial Other information: jam^, ,J 'JOB, ITE'INFORMATION AND LOCATION r' „' ` Type of Heat: Job site apess:3( O liQfz Aix l z._a Energy Path: f4City: / State: pg.. • 1 ZIP: 97977 ❑ new alteration ❑ addition SubdivisiorV Lot no.: (b)Foundation-only permit? ❑ Yes ❑No Reference: Taxlot Total valuation: $ 'Mod ,4 t644;fr '`a '2 „ary.P�OPERTYrOWNER:r�;,.e.. .a„`'t4”` rsT `_2 Butldinj feesif .,..,;;t 'a .+ 7� //JJ''''A,i 5 ,. Name: / tdT LL /Q//f/L° � (a)Permit fee(use valuation table): $ 12 Address: / 3 !o c /-/Ofd-W/C 15 4 ✓ii (b)Investigative fee(equal to[2a]): $ City: 1 y�p. la' State: 0/Z. ZIP: 12/27 (c)Reinspection($ per hour): (number of hours x fee per hour) $ Phone: 57/-- 337-6 0(/ Fax:$}F/ 7/6/p 665/ E-mail: /7 GF/ice,442 £% t9 Qfl , LO W4 (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ �Y (e)Subtotal of fees above(2a through 2d): $ r :r. . i Building O� or 0 ner's agent au onzmg this application: - �3 Plan.i•evtew,.fees*t5„�' Mt,en l:��-74 ;ti,i,eS' ''"'„�, (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): $ me or a member of my immediate family,and is exempt from licensing `41`Mtsceellane0us'feesi tr it" .t+a 'r, .4' Nd.r E lf,IwM,. requirements under ORS 701.010 . (a) Seismic fee, 1%(.01 x permit fee [2a]): $ 4; „z:..,aµ; O NTRACTOR- NSTALLATION at ..#. fi, (b)Technology fee,5%(.05x permit fee[2a]): $ t/!) Business name: atai e /• /3 j, How J/ b J (c)Continuing Education Fee$2.50 $2.50 Address: G /S c—✓p� Q City: e/ State:Q.142— ZIP:of 7971 TOTAL fees and-surcharges(2e+3c+4a+4b+4c): $ /0 , Phone 7 //,O 6 / Fax: - - E-mail: i ,hicks/sl e 6! A/A/ L CCB license r• - Print name:ArAir ' - G_.:;d Signatur : aila „Fa/ ra-....",ta'' )':is B=CONTRAC OR]NEORMATION,' l aSSxr' =', Name CCB License 0 Phone Number Electrical Plumbing Mechanical