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HomeMy WebLinkAboutPermit Building 2014-07-16SPRIN�OR 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 `' '°EGON Building /Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01239 mi .spnngfield-orgov permitoenter@spnngfield-or.gov PROJECT STATUS: Issued ISSUED: 07116/2014 EXPIRES: 01/11/2015 STATUS DATE: 07/16/2014 APPLIED: 06/06/2014 SITE ADDRESS: 600 HAYDEN BRIDGE WAY, Springfield, OR 97477 SCOPE: Church ASSESOR'S PARCEL NO: 1703233412600 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Rebuild platform (stage) 453SF OWNER: INTERNATIONAL CHURCH OF THE FOURSQUARE Phone Number: ADDRESS: 600 HAYDEN BRIDGE WAY SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone General Contractor JERRY B TABOR CCB 18222 08/05/2015 541-746-0179 INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been 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 , Owhe of r Contractor Signature Date At ' i-i•ll Irl fl: Ura" n follow rules adopted by the Oregon Gtllity Notification Center. Those rules are Set forth In OAR 952-001.0010 through OAR 952.001- 0090. You may obtain copies of the rules by calling the center. (Nate: the telephone Humber for the Oregon Utility Notification Center Is 1.800.332-2344). t XE: MIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ; ANY 180 DAY PERIOD. Springfield Bullding Permit 7/16/2014 9:28:37AM Page 1 of 1 LNGPIEID CITY OF SPRINGPIGLD 225 Fifth St �,TRANSACTION RECEIPT Spnngfield,OR97477 OREGON 541-726-3753 811-SPR2014-01239 www. springfield-ocgov 600 HAYDEN BRIDGE WAY permitcenter@springfield-or.gov RECEIPT NO: 2014001524 RECORD NO: 811•SPR2014-01239 DATE: 07/16/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Building Permit Fee 224-00000-425602 1002 134.61 Continuing Education 224-00000-425606 2.50 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 16.15 Structural Plan Review Fee Commercial 224-00000-425602 1060 87.50 Technology fee (5% of permit total) 100-00000-425605 2099 6.73 TOTAL DUE: 247.49 PAYMENT TYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID Credit Card Steven Erickson 247.49 094080 TOTAL PAID: 247.49 Structural Permit Application 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 LSPRINGfIELO y j1 `= daEGdN I DEPARTMENT USE ONLY I Permit no.: /K /2 Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land -use approval. Signature: Date; This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No Property is within flood plain: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION esidential ❑ Government ❑ Commercial. JOB SITE INFORMATION AND LOCATION Job site address: /JA' A4 -IV City: Y•;rV ;G/,/ Slate:C] ZIP q?7 Subdivision: 1 Lot no.: /,, g' pp Reference: / 7 0 23 -5 Taxlot PROPERTY OWNER Name: -r'e/ i h C Address: - ) C WAV City: Stated Z1P: 7f/7� Phone:$ /- Cj -gdlV Fax: $ / 7,Y�15 -866 i E-mail: Building Owner or Owner's agent authorizing this application: Sign here: ❑ This installation is being made on residential or fa property owned by me or a member of my immediate family, acrd is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION'- Business name: E %bd E CW Y c!o Address: 2833pgo City: State: 6 R ZIP: 97`177 Phone: elll Q / 7 y Fax: - E-mail: CCBlicenseno.: Print name: Jc)m -rA6 Signature: B -CONTRACTOR INFORMATION' 8 Name CCB License ff Phone Number Electrical Y,,4 =l (b) Fire and life safety (40%x permit fee [2a]): $ Plumbing $ 4. Miscellaneous fees Mechanical (a) Seismic fee, 1% (.01 x permit fee [2a]): $ or if work is FEE SCHEDULE 1. Valuation information (a)Job description: 'l� Occupancy �3 Construction type. Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: ❑ new 0alteration ❑ addition (b) Foundation -only permit? ❑ Yes ❑ No _ Total valuation: $ SQ 1 Building fees (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (e) Reinspection ($ per hour): (number of hours x fee per hour) $ (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ ` r --- (e) Subtotal of fees above (2a through 2d): 8 3. Plan review fees �= (a) Plan review (65%x permit fee 12a]): $ (b) Fire and life safety (40%x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ 4. Miscellaneous fees (a) Seismic fee, 1% (.01 x permit fee [2a]): $ (b) Technology fee, 5% (.05 x permit fee[2a]): $ ✓ (c) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (2e+3c+4a+4b+4e): $ coff7pe-1- of -w -'et -Y